hospital_name	last_updated_on	Version	hospital_location	hospital_address	license_number|CO	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																																																																																																																																																								
Cobre Valley Regional Medical Center	8/14/2025	2.0.0	Cobre Valley Regional Medical Center	"5880 S. Hospital Drive, Globe, AZ 85501"	03-1314	TRUE																																																																																																																																																								
description	code|1	code|1|type	code|2	code|2|type	modifiers	setting	billing_class	drug_unit_of_measurement	drug_type_of_measurement	standard_charge|gross	standard_charge|discounted_cash	standard_charge|AARP|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|AARP|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|AARP|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|AARP|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|AARP|MEDICARE MANAGED (100% POM)	estimated_amount|AARP|MEDICARE MANAGED (100% POM)	standard_charge|AETNA|AETNA|negotiated_percentage	standard_charge|AETNA|AETNA|negotiated_dollar	standard_charge|AETNA|AETNA|negotiated_algorithm	standard_charge|AETNA|AETNA|methodology	additional_payer_notes|AETNA|AETNA	estimated_amount|AETNA|AETNA	standard_charge|AETNA|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|AETNA|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|AETNA|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|AETNA|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|AETNA|MEDICARE MANAGED (100% POM)	estimated_amount|AETNA|MEDICARE MANAGED (100% POM)	standard_charge|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|ALLWELL MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER|negotiated_percentage	standard_charge|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER|negotiated_dollar	standard_charge|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER|negotiated_algorithm	standard_charge|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER|methodology	additional_payer_notes|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER	estimated_amount|ARIZONA COMPLETE CARE|ARIZONA COMPLETE CARE/AMBETTER	standard_charge|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE|negotiated_percentage	standard_charge|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE|negotiated_dollar	standard_charge|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE|negotiated_algorithm	standard_charge|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE|methodology	additional_payer_notes|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE	estimated_amount|ARIZONA FOUNDATION MEDICAL CARE|ARIZONA FOUNDATION MEDICAL CARE	standard_charge|BCBS of AZ|BCBS of AZ HMO/PPO|negotiated_percentage	standard_charge|BCBS of AZ|BCBS of AZ HMO/PPO|negotiated_dollar	standard_charge|BCBS of AZ|BCBS of AZ HMO/PPO|negotiated_algorithm	standard_charge|BCBS of AZ|BCBS of AZ HMO/PPO|methodology	additional_payer_notes|BCBS of AZ|BCBS of AZ HMO/PPO	estimated_amount|BCBS of AZ|BCBS of AZ HMO/PPO	standard_charge|BCBS of AZ|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|BCBS of AZ|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|BCBS of AZ|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|BCBS of AZ|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|BCBS of AZ|MEDICARE MANAGED (100% POM)	estimated_amount|BCBS of AZ|MEDICARE MANAGED (100% POM)	standard_charge|CHAMP VA|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|CHAMP VA|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|CHAMP VA|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|CHAMP VA|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|CHAMP VA|MEDICARE MANAGED (100% POM)	estimated_amount|CHAMP VA|MEDICARE MANAGED (100% POM)	standard_charge|CIGNA|CIGNA|negotiated_percentage	standard_charge|CIGNA|CIGNA|negotiated_dollar	standard_charge|CIGNA|CIGNA|negotiated_algorithm	standard_charge|CIGNA|CIGNA|methodology	additional_payer_notes|CIGNA|CIGNA	estimated_amount|CIGNA|CIGNA	standard_charge|GEHA|GEHA|negotiated_percentage	standard_charge|GEHA|GEHA|negotiated_dollar	standard_charge|GEHA|GEHA|negotiated_algorithm	standard_charge|GEHA|GEHA|methodology	additional_payer_notes|GEHA|GEHA	estimated_amount|GEHA|GEHA	standard_charge|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|HEALTH CHOICE MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|HUMANA|HUMANA|negotiated_percentage	standard_charge|HUMANA|HUMANA|negotiated_dollar	standard_charge|HUMANA|HUMANA|negotiated_algorithm	standard_charge|HUMANA|HUMANA|methodology	additional_payer_notes|HUMANA|HUMANA	estimated_amount|HUMANA|HUMANA	standard_charge|HUMANA|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|HUMANA|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|HUMANA|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|HUMANA|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|HUMANA|MEDICARE MANAGED (100% POM)	estimated_amount|HUMANA|MEDICARE MANAGED (100% POM)	standard_charge|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|MERCY CARE MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|MERITAIN HEALTH|MERITAIN HEALTH|negotiated_percentage	standard_charge|MERITAIN HEALTH|MERITAIN HEALTH|negotiated_dollar	standard_charge|MERITAIN HEALTH|MERITAIN HEALTH|negotiated_algorithm	standard_charge|MERITAIN HEALTH|MERITAIN HEALTH|methodology	additional_payer_notes|MERITAIN HEALTH|MERITAIN HEALTH	estimated_amount|MERITAIN HEALTH|MERITAIN HEALTH	standard_charge|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|ONE CARE MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)	estimated_amount|TRICARE WEST REGION|MEDICARE MANAGED (100% POM)	standard_charge|TRICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|TRICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|TRICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|TRICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|TRICARE|MEDICARE MANAGED (100% POM)	estimated_amount|TRICARE|MEDICARE MANAGED (100% POM)	standard_charge|UHC|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|UHC|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|UHC|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|UHC|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|UHC|MEDICARE MANAGED (100% POM)	estimated_amount|UHC|MEDICARE MANAGED (100% POM)	standard_charge|UHC|UNITED HEALTHCARE|negotiated_percentage	standard_charge|UHC|UNITED HEALTHCARE|negotiated_dollar	standard_charge|UHC|UNITED HEALTHCARE|negotiated_algorithm	standard_charge|UHC|UNITED HEALTHCARE|methodology	additional_payer_notes|UHC|UNITED HEALTHCARE	estimated_amount|UHC|UNITED HEALTHCARE	standard_charge|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|UNIVERSITY CARE MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)	estimated_amount|WELLCARE MEDICARE|MEDICARE MANAGED (100% POM)	standard_charge|WPS|MEDICARE MANAGED (100% POM)|negotiated_percentage	standard_charge|WPS|MEDICARE MANAGED (100% POM)|negotiated_dollar	standard_charge|WPS|MEDICARE MANAGED (100% POM)|negotiated_algorithm	standard_charge|WPS|MEDICARE MANAGED (100% POM)|methodology	additional_payer_notes|WPS|MEDICARE MANAGED (100% POM)	estimated_amount|WPS|MEDICARE MANAGED (100% POM)	standard_charge|min	standard_charge|max	additional_generic_notes
"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain"	81170	CPT				Outpatient	Facility			925.9	925.9	27			Percent of total billed charges		259.252	90			Percent of total billed charges		833.31	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	68			Percent of total billed charges		629.61	90			Percent of total billed charges		833.31		1414.24		Case rate		1414.24	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	90			Percent of total billed charges		833.31	80			Percent of total billed charges		740.72	27			Percent of total billed charges		259.252	85			Percent of total billed charges		787.02	27			Percent of total billed charges		259.252	27			Percent of total billed charges		277.77	80			Percent of total billed charges		740.72	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	90			Percent of total billed charges		833.31	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	27			Percent of total billed charges		259.252	259.252	1414.24	one or more instances of the item or service in the 12 months prior to posting the file
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less"	14040	CPT				Outpatient	Facility			5227	5227	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	68			Percent of total billed charges		3554.36	90			Percent of total billed charges		4704.3		3900.7		Case rate		3900.7	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	80			Percent of total billed charges		4181.6	27			Percent of total billed charges		1463.56	85			Percent of total billed charges		4442.95	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1568.1	80			Percent of total billed charges		4181.6	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	1463.56	4704.3	one or more instances of the item or service in the 12 months prior to posting the file
"Albumin; serum, plasma or whole blood"	82040	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		20.6		Case rate		20.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	55.8	one or more instances of the item or service in the 12 months prior to posting the file
"Albumin; urine (eg, microalbumin), quantitative"	82043	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		24.05		Case rate		24.05	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 27 minutes"	99408	CPT				Outpatient	Facility			245	245	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	68			Percent of total billed charges		166.6	90			Percent of total billed charges		220.5		222.3		Case rate		222.3	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	80			Percent of total billed charges		196	27			Percent of total billed charges		68.6	85			Percent of total billed charges		208.25	27			Percent of total billed charges		68.6	27			Percent of total billed charges		73.5	80			Percent of total billed charges		196	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	68.6	222.3	one or more instances of the item or service in the 12 months prior to posting the file
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each"	86003	CPT				Outpatient	Facility			19.1	19.1	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	68			Percent of total billed charges		12.99	90			Percent of total billed charges		17.19		21.73		Case rate		21.73	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	85			Percent of total billed charges		16.24	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.73	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	5.348	21.73	one or more instances of the item or service in the 12 months prior to posting the file
"Allergen specific IgG quantitative or semiquantitative, each allergen"	86001	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		32.57		Case rate		32.57	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	32.57	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves"	27888	CPT				Outpatient	Facility			42755.08	42755.08	27			Percent of total billed charges		11999.4224	90			Percent of total billed charges		38749.57	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	68			Percent of total billed charges		29277.45	90			Percent of total billed charges		38749.57		11713.38		Case rate		11713.38	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	90			Percent of total billed charges		38749.57	80			Percent of total billed charges		34444.06	27			Percent of total billed charges		11999.4224	85			Percent of total billed charges		36596.82	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		12916.52	80			Percent of total billed charges		34444.06	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	90			Percent of total billed charges		38749.57	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	27			Percent of total billed charges		11999.4224	11999.4224	38749.57	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure"	26951	CPT				Outpatient	Facility			5553	5553	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	68			Percent of total billed charges		3776.04	90			Percent of total billed charges		4997.7		3900.7		Case rate		3900.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	85			Percent of total billed charges		4720.05	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1665.9	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	1554.84	4997.7	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, leg, through tibia and fibula"	27880	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, metatarsal, with toe, single"	27810	CPT				Outpatient	Facility			5094.36	5094.36	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	68			Percent of total billed charges		3464.16	90			Percent of total billed charges		4584.92		3900.7		Case rate		3900.7	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	85			Percent of total billed charges		4327.21	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1527.31	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	1426.4208	4584.92	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, thigh, through femur, any level"	27590	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Analgesics, non-opioid; 1 or 2"	80329	CPT				Outpatient	Facility			246	246	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	68			Percent of total billed charges		167.27	90			Percent of total billed charges		221.4		105.45		Case rate		105.45	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	80			Percent of total billed charges		196.8	27			Percent of total billed charges		68.88	85			Percent of total billed charges		209.1	27			Percent of total billed charges		68.88	27			Percent of total billed charges		73.8	80			Percent of total billed charges		196.8	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	68.88	221.4	one or more instances of the item or service in the 12 months prior to posting the file
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation"	75743	CPT				Outpatient	Facility			9473.22	9473.22	27			Percent of total billed charges		2652.5016	90			Percent of total billed charges		8525.9	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	68			Percent of total billed charges		6441.79	90			Percent of total billed charges		8525.9		357.27		Case rate		357.27	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	90			Percent of total billed charges		8525.9	80			Percent of total billed charges		7578.58	27			Percent of total billed charges		2652.5016	85			Percent of total billed charges		8052.24	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2741.97	80			Percent of total billed charges		7578.58	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	90			Percent of total billed charges		8525.9	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	27			Percent of total billed charges		2652.5016	2652.5016	8525.9	one or more instances of the item or service in the 12 months prior to posting the file
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation"	75741	CPT				Outpatient	Facility			10055.8	10055.8	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	68			Percent of total billed charges		6837.94	90			Percent of total billed charges		9050.22		350.84		Case rate		350.84	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	80			Percent of total billed charges		8044.64	27			Percent of total billed charges		2715.624	85			Percent of total billed charges		8547.43	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2716.74	80			Percent of total billed charges		8044.64	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	2715.624	9050.22	one or more instances of the item or service in the 12 months prior to posting the file
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic"	45990	CPT				Outpatient	Facility			8377.69	8377.69	27			Percent of total billed charges		2345.7532	90			Percent of total billed charges		7539.92	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	68			Percent of total billed charges		5696.83	90			Percent of total billed charges		7539.92		3900.7		Case rate		3900.7	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	90			Percent of total billed charges		7539.92	80			Percent of total billed charges		6702.15	27			Percent of total billed charges		2345.7532	85			Percent of total billed charges		7121.04	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2513.31	80			Percent of total billed charges		6702.15	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	90			Percent of total billed charges		7539.92	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	27			Percent of total billed charges		2345.7532	2345.7532	7539.92	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody screen, RBC, each serum technique"	86850	CPT				Outpatient	Facility			112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		46.06		Case rate		46.06	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	100.8	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)"	86664	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		63.62		Case rate		63.62	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	63.62	zero instances of the item or service in the 12 months prior to posting the file
"Antibody; fungus, not elsewhere specified"	86671	CPT				Outpatient	Facility			35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		50.97		Case rate		50.97	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	50.97	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; herpes simplex, type 1"	86695	CPT				Outpatient	Facility			27.8	27.8	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	68			Percent of total billed charges		19.58	90			Percent of total billed charges		25.92		71.35		Case rate		71.35	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	85			Percent of total billed charges		24.48	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.64	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	8.064	71.35	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; Toxoplasma, IgM"	86778	CPT				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31		60.01		Case rate		60.01	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	60.01	zero instances of the item or service in the 12 months prior to posting the file
"Antiepileptics, not otherwise specified; 1-3"	80339	CPT				Outpatient	Facility			155	155	27			Percent of total billed charges		43.4	90			Percent of total billed charges		139.5	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	68			Percent of total billed charges		105.4	90			Percent of total billed charges		139.5		77.17		Case rate		77.17	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	90			Percent of total billed charges		139.5	80			Percent of total billed charges		124	27			Percent of total billed charges		43.4	85			Percent of total billed charges		131.75	27			Percent of total billed charges		43.4	27			Percent of total billed charges		46.5	80			Percent of total billed charges		124	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	90			Percent of total billed charges		139.5	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	27			Percent of total billed charges		43.4	43.4	139.5	one or more instances of the item or service in the 12 months prior to posting the file
"Antihuman globulin test (Coombs test); direct, each antiserum"	86880	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		25.4		Case rate		25.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	59.4	one or more instances of the item or service in the 12 months prior to posting the file
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation"	75627	CPT				Outpatient	Facility			8549.96	8549.96	27			Percent of total billed charges		2393.9888	90			Percent of total billed charges		7694.96	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	68			Percent of total billed charges		5813.97	90			Percent of total billed charges		7694.96		322.72		Case rate		322.72	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	90			Percent of total billed charges		7694.96	80			Percent of total billed charges		6839.97	27			Percent of total billed charges		2393.9888	85			Percent of total billed charges		7267.47	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2564.99	80			Percent of total billed charges		6839.97	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	90			Percent of total billed charges		7694.96	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	27			Percent of total billed charges		2393.9888	2393.9888	7694.96	zero instances of the item or service in the 12 months prior to posting the file
"Aortography, abdominal, by serialography, radiological supervision and interpretation"	75625	CPT				Outpatient	Facility			9063	9063	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	68			Percent of total billed charges		6162.84	90			Percent of total billed charges		8156.7		271.22		Case rate		271.22	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	85			Percent of total billed charges		7703.55	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2718.9	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	2537.64	8156.7	one or more instances of the item or service in the 12 months prior to posting the file
"Application of a modality to 1 or more areas; traction, mechanical"	97012	CPT				Outpatient	Facility			125	125	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	68			Percent of total billed charges		85	90			Percent of total billed charges		112.5		87.16		Case rate		87.16	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	85			Percent of total billed charges		106.25	27			Percent of total billed charges		35	27			Percent of total billed charges		37.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	35	112.5	one or more instances of the item or service in the 12 months prior to posting the file
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes"	97035	CPT				Outpatient	Facility			125	125	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	68			Percent of total billed charges		85	90			Percent of total billed charges		112.5		69.77		Case rate		69.77	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	85			Percent of total billed charges		106.25	27			Percent of total billed charges		35	27			Percent of total billed charges		37.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	35	112.5	one or more instances of the item or service in the 12 months prior to posting the file
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	15275	CPT				Outpatient	Facility			5401	5401	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	68			Percent of total billed charges		3672.68	90			Percent of total billed charges		4860.9		3900.7		Case rate		3900.7	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	85			Percent of total billed charges		4590.85	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1620.3	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	1512.27	4860.9	one or more instances of the item or service in the 12 months prior to posting the file
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	15271	CPT				Outpatient	Facility			5607.5	5607.5	27			Percent of total billed charges		1570.1	90			Percent of total billed charges		5046.75	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	68			Percent of total billed charges		3813.1	90			Percent of total billed charges		5046.75		3900.7		Case rate		3900.7	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	90			Percent of total billed charges		5046.75	80			Percent of total billed charges		4486	27			Percent of total billed charges		1570.1	85			Percent of total billed charges		4766.38	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1682.25	80			Percent of total billed charges		4486	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	90			Percent of total billed charges		5046.75	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	27			Percent of total billed charges		1570.1	1570.1	5046.75	one or more instances of the item or service in the 12 months prior to posting the file
"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)"	36821	CPT				Outpatient	Facility			10042	10042	27			Percent of total billed charges		2711.76	90			Percent of total billed charges		9037.8	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	68			Percent of total billed charges		6827.56	90			Percent of total billed charges		9037.8		4465.2		Case rate		4465.2	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	90			Percent of total billed charges		9037.8	80			Percent of total billed charges		8033.6	27			Percent of total billed charges		2711.76	85			Percent of total billed charges		8535.7	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2712.6	80			Percent of total billed charges		8033.6	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	90			Percent of total billed charges		9037.8	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	27			Percent of total billed charges		2711.76	2711.76	9037.8	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	20611	CPT				Outpatient	Facility			827.1	827.1	27			Percent of total billed charges		231.868	90			Percent of total billed charges		745.29	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	68			Percent of total billed charges		563.11	90			Percent of total billed charges		745.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	90			Percent of total billed charges		745.29	80			Percent of total billed charges		662.48	27			Percent of total billed charges		231.868	85			Percent of total billed charges		703.88	27			Percent of total billed charges		231.868	27			Percent of total billed charges		248.43	80			Percent of total billed charges		662.48	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	90			Percent of total billed charges		745.29	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	27			Percent of total billed charges		231.868	231.868	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse"	27727	CPT				Outpatient	Facility			35435	35435	27			Percent of total billed charges		9921.8	90			Percent of total billed charges		31891.5	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	68			Percent of total billed charges		24095.8	90			Percent of total billed charges		31891.5		5515.17		Case rate		5515.17	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	90			Percent of total billed charges		31891.5	80			Percent of total billed charges		27348	27			Percent of total billed charges		9921.8	85			Percent of total billed charges		27119.75	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		10627.5	80			Percent of total billed charges		27348	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	90			Percent of total billed charges		31891.5	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	27			Percent of total billed charges		9921.8	9921.8	31891.5	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))"	23472	CPT				Outpatient	Facility			7472.32	7472.32	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	68			Percent of total billed charges		5081.18	90			Percent of total billed charges		6725.09		12276.1		Case rate		12276.1	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	80			Percent of total billed charges		5977.86	27			Percent of total billed charges		2092.2496	85			Percent of total billed charges		6351.47	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2241.7	80			Percent of total billed charges		5977.86	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	2092.2496	12276.1	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroplasty, interposition, intercarpal or carpometacarpal joints"	25447	CPT				Outpatient	Facility			10147	10147	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	68			Percent of total billed charges		6899.96	90			Percent of total billed charges		9132.3		6271.6		Case rate		6271.6	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	85			Percent of total billed charges		8624.95	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2744.1	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	2741.16	9132.3	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)"	27447	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		23426.75		Case rate		23426.75	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	23426.75	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)"	29870	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)"	29874	CPT				Outpatient	Facility			8883	8883	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	68			Percent of total billed charges		6040.44	90			Percent of total billed charges		7994.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	85			Percent of total billed charges		7550.55	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2664.9	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	2487.24	7994.7	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; with lateral release"	29873	CPT				Outpatient	Facility			8883	8883	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	68			Percent of total billed charges		6040.44	90			Percent of total billed charges		7994.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	85			Percent of total billed charges		7550.55	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2664.9	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	2487.24	7994.7	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)"	29883	CPT				Outpatient	Facility			9527	9527	27			Percent of total billed charges		2667.84	90			Percent of total billed charges		8577	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	68			Percent of total billed charges		6480.4	90			Percent of total billed charges		8577		4465.2		Case rate		4465.2	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	90			Percent of total billed charges		8577	80			Percent of total billed charges		7624	27			Percent of total billed charges		2667.84	85			Percent of total billed charges		8100.5	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2759	80			Percent of total billed charges		7624	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	90			Percent of total billed charges		8577	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	27			Percent of total billed charges		2667.84	2667.84	8577	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)"	29882	CPT				Outpatient	Facility			8608.26	8608.26	27			Percent of total billed charges		2410.3127	90			Percent of total billed charges		7747.43	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	68			Percent of total billed charges		5853.62	90			Percent of total billed charges		7747.43		4465.2		Case rate		4465.2	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	90			Percent of total billed charges		7747.43	80			Percent of total billed charges		6886.61	27			Percent of total billed charges		2410.3127	85			Percent of total billed charges		7317.02	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2582.48	80			Percent of total billed charges		6886.61	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	90			Percent of total billed charges		7747.43	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	27			Percent of total billed charges		2410.3127	2410.3127	7747.43	zero instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	29823	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)"	29826	CPT				Outpatient	Facility			7121.08	7121.08	27			Percent of total billed charges		1993.9024	90			Percent of total billed charges		6408.97	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	68			Percent of total billed charges		4842.33	90			Percent of total billed charges		6408.97		2235.42		Case rate		2235.42	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	90			Percent of total billed charges		6408.97	80			Percent of total billed charges		5696.86	27			Percent of total billed charges		1993.9024	85			Percent of total billed charges		6052.92	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		2136.32	80			Percent of total billed charges		5696.86	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	90			Percent of total billed charges		6408.97	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	27			Percent of total billed charges		1993.9024	1993.9024	6408.97	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; repair of SLAP lesion"	29807	CPT				Outpatient	Facility			18363.44	18363.44	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	68			Percent of total billed charges		12487.14	90			Percent of total billed charges		16527.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	80			Percent of total billed charges		14690.75	27			Percent of total billed charges		5141.7632	85			Percent of total billed charges		15608.92	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5509.03	80			Percent of total billed charges		14690.75	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	5141.7632	16527.1	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; synovectomy, partial"	29820	CPT				Outpatient	Facility			20449	20449	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	68			Percent of total billed charges		13905.32	90			Percent of total billed charges		18404.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	80			Percent of total billed charges		16359.2	27			Percent of total billed charges		5725.72	85			Percent of total billed charges		17381.65	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		6134.7	80			Percent of total billed charges		16359.2	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	5725.72	18404.1	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body"	22740	CPT				Outpatient	Facility			9734	9734	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	68			Percent of total billed charges		6619.12	90			Percent of total billed charges		8760.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	85			Percent of total billed charges		8273.9	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2920.2	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	2725.52	8760.6	one or more instances of the item or service in the 12 months prior to posting the file
"Autologous blood or component, collection processing and storage; predeposited"	86890	CPT				Outpatient	Facility			436	436	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	68			Percent of total billed charges		296.48	90			Percent of total billed charges		392.4		199.49		Case rate		199.49	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	80			Percent of total billed charges		348.8	27			Percent of total billed charges		122.08	85			Percent of total billed charges		370.6	27			Percent of total billed charges		122.08	27			Percent of total billed charges		127.8	80			Percent of total billed charges		348.8	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	122.08	392.4	zero instances of the item or service in the 12 months prior to posting the file
"Avulsion of nail plate, partial or complete, simple; single"	11727	CPT				Outpatient	Facility			462.9	462.9	27			Percent of total billed charges		129.612	90			Percent of total billed charges		416.61	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	68			Percent of total billed charges		314.77	90			Percent of total billed charges		416.61		278.78		Case rate		278.78	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	90			Percent of total billed charges		416.61	80			Percent of total billed charges		370.32	27			Percent of total billed charges		129.612	85			Percent of total billed charges		393.46	27			Percent of total billed charges		129.612	27			Percent of total billed charges		138.87	80			Percent of total billed charges		370.32	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	90			Percent of total billed charges		416.61	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	27			Percent of total billed charges		129.612	129.612	416.61	one or more instances of the item or service in the 12 months prior to posting the file
"B cells, total count"	86355	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		156.99		Case rate		156.99	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	156.99	one or more instances of the item or service in the 12 months prior to posting the file
"Beta 2 Glycoprotein I antibody, each"	86146	CPT				Outpatient	Facility			84	84	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	68			Percent of total billed charges		57.12	90			Percent of total billed charges		75.6		105.9		Case rate		105.9	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	85			Percent of total billed charges		71.4	27			Percent of total billed charges		23.52	27			Percent of total billed charges		25.2	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	23.52	105.9	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy of liver, needle; percutaneous"	47000	CPT				Outpatient	Facility			2785	2785	27			Percent of total billed charges		807.8	90			Percent of total billed charges		2776.5	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	68			Percent of total billed charges		2097.8	90			Percent of total billed charges		2776.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	90			Percent of total billed charges		2776.5	80			Percent of total billed charges		2468	27			Percent of total billed charges		807.8	85			Percent of total billed charges		2622.25	27			Percent of total billed charges		807.8	27			Percent of total billed charges		925.5	80			Percent of total billed charges		2468	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	90			Percent of total billed charges		2776.5	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	27			Percent of total billed charges		807.8	807.8	2912.82	zero instances of the item or service in the 12 months prior to posting the file
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance"	19083	CPT				Outpatient	Facility			5099	5099	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	68			Percent of total billed charges		3467.32	90			Percent of total billed charges		4589.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	80			Percent of total billed charges		4079.2	27			Percent of total billed charges		1427.72	85			Percent of total billed charges		4334.15	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1529.7	80			Percent of total billed charges		4079.2	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	1427.72	4589.1	zero instances of the item or service in the 12 months prior to posting the file
"Biopsy, soft tissue of back or flank; deep"	21925	CPT				Outpatient	Facility			16.5	16.5	27			Percent of total billed charges		4.62	90			Percent of total billed charges		14.85	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	68			Percent of total billed charges		11.22	90			Percent of total billed charges		14.85		3900.7		Case rate		3900.7	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	90			Percent of total billed charges		14.85	80			Percent of total billed charges		13.2	27			Percent of total billed charges		4.62	85			Percent of total billed charges		14.02	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.95	80			Percent of total billed charges		13.2	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	90			Percent of total billed charges		14.85	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	27			Percent of total billed charges		4.62	4.62	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy, soft tissue of neck or thorax"	21550	CPT				Outpatient	Facility			3686	3686	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	68			Percent of total billed charges		2506.48	90			Percent of total billed charges		3317.4		2912.82		Case rate		2912.82	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	80			Percent of total billed charges		2948.8	27			Percent of total billed charges		1032.08	85			Percent of total billed charges		3133.1	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1105.8	80			Percent of total billed charges		2948.8	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	1032.08	3317.4	one or more instances of the item or service in the 12 months prior to posting the file
"Blood count; blood smear, microscopic examination with manual differential WBC count"	85007	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		15.81		Case rate		15.81	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	37.8	zero instances of the item or service in the 12 months prior to posting the file
"Blood count; blood smear, microscopic examination without manual differential WBC count"	85008	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		14.27		Case rate		14.27	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	14.27	zero instances of the item or service in the 12 months prior to posting the file
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count"	85025	CPT				Outpatient	Facility			71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9		32.35		Case rate		32.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	63.9	zero instances of the item or service in the 12 months prior to posting the file
"Blood count; platelet, automated"	85049	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		18.63		Case rate		18.63	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	50.4	zero instances of the item or service in the 12 months prior to posting the file
"Blood count; reticulocyte, automated"	85045	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		16.6		Case rate		16.6	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	43.92	one or more instances of the item or service in the 12 months prior to posting the file
"Blood typing, serologic; ABO"	86900	CPT				Outpatient	Facility			37.1	37.1	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	68			Percent of total billed charges		25.23	90			Percent of total billed charges		33.39		14.11		Case rate		14.11	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	85			Percent of total billed charges		31.54	27			Percent of total billed charges		10.388	27			Percent of total billed charges		11.13	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	10.388	33.39	one or more instances of the item or service in the 12 months prior to posting the file
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test"	86902	CPT				Outpatient	Facility			103	103	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	68			Percent of total billed charges		70.04	90			Percent of total billed charges		92.7		29.97		Case rate		29.97	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	80			Percent of total billed charges		82.4	27			Percent of total billed charges		27.84	85			Percent of total billed charges		87.55	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.9	80			Percent of total billed charges		82.4	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27.84	92.7	zero instances of the item or service in the 12 months prior to posting the file
"Blood typing, serologic; Rh phenotyping, complete"	86906	CPT				Outpatient	Facility			112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		36.58		Case rate		36.58	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	100.8	zero instances of the item or service in the 12 months prior to posting the file
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening"	82272	CPT				Outpatient	Facility			39.3	39.3	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	68			Percent of total billed charges		26.72	90			Percent of total billed charges		35.37		17.61		Case rate		17.61	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	85			Percent of total billed charges		33.4	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.79	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	11.004	35.37	one or more instances of the item or service in the 12 months prior to posting the file
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)"	82270	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		18.23		Case rate		18.23	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	36.9	zero instances of the item or service in the 12 months prior to posting the file
"Bone graft, any donor area; minor or small (eg, dowel or button)"	20900	CPT				Outpatient	Facility			21665.82	21665.82	27			Percent of total billed charges		6066.4296	90			Percent of total billed charges		19499.24	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	68			Percent of total billed charges		14732.76	90			Percent of total billed charges		19499.24		4465.2		Case rate		4465.2	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	90			Percent of total billed charges		19499.24	80			Percent of total billed charges		17332.66	27			Percent of total billed charges		6066.4296	85			Percent of total billed charges		18415.95	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6499.75	80			Percent of total billed charges		17332.66	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	90			Percent of total billed charges		19499.24	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	27			Percent of total billed charges		6066.4296	6066.4296	19499.24	one or more instances of the item or service in the 12 months prior to posting the file
"Bone length studies (orthoroentgenogram, scanogram)"	77073	CPT				Outpatient	Facility			252.35	252.35	27			Percent of total billed charges		70.658	90			Percent of total billed charges		227.12	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	68			Percent of total billed charges		171.6	90			Percent of total billed charges		227.12		183.58		Case rate		183.58	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	90			Percent of total billed charges		227.12	80			Percent of total billed charges		201.88	27			Percent of total billed charges		70.658	85			Percent of total billed charges		214.5	27			Percent of total billed charges		70.658	27			Percent of total billed charges		75.7	80			Percent of total billed charges		201.88	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	90			Percent of total billed charges		227.12	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	27			Percent of total billed charges		70.658	70.658	227.12	one or more instances of the item or service in the 12 months prior to posting the file
"Brain imaging, positron emission tomography (PET); metabolic evaluation"	78608	CPT				Outpatient	Facility			9519	9519	27			Percent of total billed charges		2665.32	90			Percent of total billed charges		8567.1	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	68			Percent of total billed charges		6472.92	90			Percent of total billed charges		8567.1		9612.87		Case rate		9612.87	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	90			Percent of total billed charges		8567.1	80			Percent of total billed charges		7615.2	27			Percent of total billed charges		2665.32	85			Percent of total billed charges		8091.15	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2755.7	80			Percent of total billed charges		7615.2	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	90			Percent of total billed charges		8567.1	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	27			Percent of total billed charges		2665.32	2665.32	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration"	94060	CPT				Outpatient	Facility			951	951	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	68			Percent of total billed charges		646.68	90			Percent of total billed charges		855.9		272.46		Case rate		272.46	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	80			Percent of total billed charges		760.8	27			Percent of total billed charges		266.27	85			Percent of total billed charges		808.35	27			Percent of total billed charges		266.27	27			Percent of total billed charges		275.3	80			Percent of total billed charges		760.8	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	266.27	855.9	one or more instances of the item or service in the 12 months prior to posting the file
"Calculus; quantitative analysis, chemical"	82360	CPT				Outpatient	Facility			110	110	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	68			Percent of total billed charges		74.8	90			Percent of total billed charges		99		53.57		Case rate		53.57	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	80			Percent of total billed charges		88	27			Percent of total billed charges		30.8	85			Percent of total billed charges		93.5	27			Percent of total billed charges		30.8	27			Percent of total billed charges		33	80			Percent of total billed charges		88	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	30.8	99	zero instances of the item or service in the 12 months prior to posting the file
"Calprotectin, fecal"	83993	CPT				Outpatient	Facility			216	216	27			Percent of total billed charges		60.48	90			Percent of total billed charges		194.4	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	68			Percent of total billed charges		146.88	90			Percent of total billed charges		194.4		106.18		Case rate		106.18	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	90			Percent of total billed charges		194.4	80			Percent of total billed charges		172.8	27			Percent of total billed charges		60.48	85			Percent of total billed charges		183.6	27			Percent of total billed charges		60.48	27			Percent of total billed charges		64.8	80			Percent of total billed charges		172.8	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	90			Percent of total billed charges		194.4	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	27			Percent of total billed charges		60.48	60.48	194.4	one or more instances of the item or service in the 12 months prior to posting the file
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9"	81219	CPT				Outpatient	Facility			377	377	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	68			Percent of total billed charges		256.36	90			Percent of total billed charges		339.3		573.36		Case rate		573.36	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	85			Percent of total billed charges		320.45	27			Percent of total billed charges		105.56	27			Percent of total billed charges		113.1	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	105.56	573.36	zero instances of the item or service in the 12 months prior to posting the file
"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day"	95992	CPT				Outpatient	Facility			131	131	27			Percent of total billed charges		36.68	90			Percent of total billed charges		117.9	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	68			Percent of total billed charges		89.08	90			Percent of total billed charges		117.9		206.16		Case rate		206.16	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	90			Percent of total billed charges		117.9	80			Percent of total billed charges		104.8	27			Percent of total billed charges		36.68	85			Percent of total billed charges		111.35	27			Percent of total billed charges		36.68	27			Percent of total billed charges		39.3	80			Percent of total billed charges		104.8	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	90			Percent of total billed charges		117.9	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	27			Percent of total billed charges		36.68	36.68	206.16	one or more instances of the item or service in the 12 months prior to posting the file
"Cannabinoids, natural"	80349	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		65.93		Case rate		65.93	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	65.93	one or more instances of the item or service in the 12 months prior to posting the file
"Capsulectomy or capsulotomy; interphalangeal joint, each joint"	26525	CPT				Outpatient	Facility			5553	5553	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	68			Percent of total billed charges		3776.04	90			Percent of total billed charges		4997.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	85			Percent of total billed charges		4720.05	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1665.9	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	1554.84	4997.7	one or more instances of the item or service in the 12 months prior to posting the file
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)"	27270	CPT				Outpatient	Facility			5553	5553	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	68			Percent of total billed charges		3776.04	90			Percent of total billed charges		4997.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	85			Percent of total billed charges		4720.05	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1665.9	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	1554.84	4997.7	one or more instances of the item or service in the 12 months prior to posting the file
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing"	78472	CPT				Outpatient	Facility			1839	1839	27			Percent of total billed charges		514.92	90			Percent of total billed charges		1655.1	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	68			Percent of total billed charges		1250.52	90			Percent of total billed charges		1655.1		1125.95		Case rate		1125.95	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	90			Percent of total billed charges		1655.1	80			Percent of total billed charges		1471.2	27			Percent of total billed charges		514.92	85			Percent of total billed charges		1563.15	27			Percent of total billed charges		514.92	27			Percent of total billed charges		551.7	80			Percent of total billed charges		1471.2	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	90			Percent of total billed charges		1655.1	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	27			Percent of total billed charges		514.92	514.92	1655.1	one or more instances of the item or service in the 12 months prior to posting the file
"Cardiolipin (phospholipid) antibody, each Ig class"	86147	CPT				Outpatient	Facility			91	91	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	68			Percent of total billed charges		61.88	90			Percent of total billed charges		81.9		105.9		Case rate		105.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	85			Percent of total billed charges		77.35	27			Percent of total billed charges		25.48	27			Percent of total billed charges		27.3	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	25.48	105.9	one or more instances of the item or service in the 12 months prior to posting the file
"Cardiopulmonary resuscitation (eg, in cardiac arrest)"	92950	CPT				Outpatient	Facility			1211.58	1211.58	27			Percent of total billed charges		339.2424	90			Percent of total billed charges		1090.42	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	68			Percent of total billed charges		823.87	90			Percent of total billed charges		1090.42		1118.39		Case rate		1118.39	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	90			Percent of total billed charges		1090.42	80			Percent of total billed charges		969.26	27			Percent of total billed charges		339.2424	85			Percent of total billed charges		1029.84	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		363.47	80			Percent of total billed charges		969.26	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	90			Percent of total billed charges		1090.42	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	27			Percent of total billed charges		339.2424	339.2424	1118.39	one or more instances of the item or service in the 12 months prior to posting the file
"Carnitine (total and free), quantitative, each specimen"	82379	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		70.22		Case rate		70.22	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	70.22	zero instances of the item or service in the 12 months prior to posting the file
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation"	93454	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography"	93455	CPT				Outpatient	Facility			14217.66	14217.66	27			Percent of total billed charges		3980.9448	90			Percent of total billed charges		12795.89	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	68			Percent of total billed charges		9668.01	90			Percent of total billed charges		12795.89		13672.19		Case rate		13672.19	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	90			Percent of total billed charges		12795.89	80			Percent of total billed charges		11374.13	27			Percent of total billed charges		3980.9448	85			Percent of total billed charges		12085.01	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		4265.3	80			Percent of total billed charges		11374.13	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	90			Percent of total billed charges		12795.89	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	27			Percent of total billed charges		3980.9448	3980.9448	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed"	93458	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	zero instances of the item or service in the 12 months prior to posting the file
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed"	93460	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood"	89050	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		19.64		Case rate		19.64	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	55.8	one or more instances of the item or service in the 12 months prior to posting the file
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count"	89051	CPT				Outpatient	Facility			68	68	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	68			Percent of total billed charges		46.24	90			Percent of total billed charges		61.2		23.31		Case rate		23.31	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	85			Percent of total billed charges		57.8	27			Percent of total billed charges		19.04	27			Percent of total billed charges		20.4	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	19.04	61.2	one or more instances of the item or service in the 12 months prior to posting the file
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)"	81220	CPT				Outpatient	Facility			315	315	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	68			Percent of total billed charges		214.2	90			Percent of total billed charges		273.5		2623.85		Case rate		2623.85	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	85			Percent of total billed charges		267.75	27			Percent of total billed charges		88.2	27			Percent of total billed charges		94.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	88.2	2623.85	zero instances of the item or service in the 12 months prior to posting the file
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug"	96413	CPT				Outpatient	Facility			1271	1271	27			Percent of total billed charges		358.68	90			Percent of total billed charges		1152.9	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	68			Percent of total billed charges		871.08	90			Percent of total billed charges		1152.9		1036.37		Case rate		1036.37	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	90			Percent of total billed charges		1152.9	80			Percent of total billed charges		1024.8	27			Percent of total billed charges		358.68	85			Percent of total billed charges		1088.85	27			Percent of total billed charges		358.68	27			Percent of total billed charges		384.3	80			Percent of total billed charges		1024.8	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	90			Percent of total billed charges		1152.9	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	27			Percent of total billed charges		358.68	358.68	1152.9	one or more instances of the item or service in the 12 months prior to posting the file
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug"	96409	CPT				Outpatient	Facility			3145.32	3145.32	27			Percent of total billed charges		880.6896	90			Percent of total billed charges		2727.79	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	68			Percent of total billed charges		2138.82	90			Percent of total billed charges		2727.79		785.84		Case rate		785.84	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	90			Percent of total billed charges		2727.79	80			Percent of total billed charges		2516.26	27			Percent of total billed charges		880.6896	85			Percent of total billed charges		2673.52	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		943.6	80			Percent of total billed charges		2516.26	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	90			Percent of total billed charges		2727.79	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	27			Percent of total billed charges		880.6896	880.6896	2727.79	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation"	26645	CPT				Outpatient	Facility			11.5	11.5	27			Percent of total billed charges		3.22	90			Percent of total billed charges		10.35	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	68			Percent of total billed charges		7.82	90			Percent of total billed charges		10.35		2912.82		Case rate		2912.82	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	90			Percent of total billed charges		10.35	80			Percent of total billed charges		9.2	27			Percent of total billed charges		3.22	85			Percent of total billed charges		9.78	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.45	80			Percent of total billed charges		9.2	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	90			Percent of total billed charges		10.35	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	27			Percent of total billed charges		3.22	3.22	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation"	25605	CPT				Outpatient	Facility			4836.78	4836.78	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	68			Percent of total billed charges		3279.01	90			Percent of total billed charges		4353.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	80			Percent of total billed charges		3869.42	27			Percent of total billed charges		1354.2984	85			Percent of total billed charges		4111.26	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1451.03	80			Percent of total billed charges		3869.42	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	1354.2984	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia"	26770	CPT				Outpatient	Facility			633.88	633.88	27			Percent of total billed charges		177.4864	90			Percent of total billed charges		570.49	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	68			Percent of total billed charges		431.04	90			Percent of total billed charges		570.49		595.77		Case rate		595.77	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	90			Percent of total billed charges		570.49	80			Percent of total billed charges		507.1	27			Percent of total billed charges		177.4864	85			Percent of total billed charges		538.8	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		190.16	80			Percent of total billed charges		507.1	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	90			Percent of total billed charges		570.49	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	27			Percent of total billed charges		177.4864	177.4864	595.77	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation"	24640	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation"	23665	CPT				Outpatient	Facility			4268.6	4268.6	27			Percent of total billed charges		1195.208	90			Percent of total billed charges		3841.74	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	68			Percent of total billed charges		2902.65	90			Percent of total billed charges		3841.74		3900.7		Case rate		3900.7	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	90			Percent of total billed charges		3841.74	80			Percent of total billed charges		3414.88	27			Percent of total billed charges		1195.208	85			Percent of total billed charges		3627.31	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1270.58	80			Percent of total billed charges		3414.88	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	90			Percent of total billed charges		3841.74	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	27			Percent of total billed charges		1195.208	1195.208	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction"	27532	CPT				Outpatient	Facility			4274	4274	27			Percent of total billed charges		1199.52	90			Percent of total billed charges		3873.6	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	68			Percent of total billed charges		2926.72	90			Percent of total billed charges		3873.6		2912.82		Case rate		2912.82	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	90			Percent of total billed charges		3873.6	80			Percent of total billed charges		3443.2	27			Percent of total billed charges		1199.52	85			Percent of total billed charges		3658.4	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1291.2	80			Percent of total billed charges		3443.2	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	90			Percent of total billed charges		3873.6	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	27			Percent of total billed charges		1199.52	1199.52	3873.6	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; antithrombin III, activity"	85270	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		49.34		Case rate		49.34	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	66.6	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay"	85271	CPT				Outpatient	Facility			35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		44.99		Case rate		44.99	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	44.99	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; protein C, activity"	85273	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		57.58		Case rate		57.58	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	57.58	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting; factor II, prothrombin, specific"	85210	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		54.02		Case rate		54.02	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	59.4	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting; factor VIII, VW factor antigen"	85246	CPT				Outpatient	Facility			36.1	36.1	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	68			Percent of total billed charges		24.55	90			Percent of total billed charges		32.49		95.46		Case rate		95.46	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	85			Percent of total billed charges		27.68	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.83	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	10.108	95.46	one or more instances of the item or service in the 12 months prior to posting the file
"Colectomy, partial; with skin level cecostomy or colostomy"	44141	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy"	44150	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified"	36592	CPT				Outpatient	Facility			158	158	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	68			Percent of total billed charges		107.44	90			Percent of total billed charges		142.2		186.74		Case rate		186.74	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	85			Percent of total billed charges		134.3	27			Percent of total billed charges		44.24	27			Percent of total billed charges		47.4	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	44.24	186.74	zero instances of the item or service in the 12 months prior to posting the file
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	44388	CPT				Outpatient	Facility			9793	9793	27			Percent of total billed charges		2742.04	90			Percent of total billed charges		8813.7	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	68			Percent of total billed charges		6659.24	90			Percent of total billed charges		8813.7		2912.82		Case rate		2912.82	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	90			Percent of total billed charges		8813.7	80			Percent of total billed charges		7834.4	27			Percent of total billed charges		2742.04	85			Percent of total billed charges		8324.05	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2937.9	80			Percent of total billed charges		7834.4	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	90			Percent of total billed charges		8813.7	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	27			Percent of total billed charges		2742.04	2742.04	8813.7	one or more instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with biopsy, single or multiple"	45380	CPT				Outpatient	Facility			4536.8	4536.8	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	68			Percent of total billed charges		2785.02	90			Percent of total billed charges		4083.12		3900.7		Case rate		3900.7	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	85			Percent of total billed charges		3856.27	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1361.04	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	1270.304	4083.12	zero instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	45384	CPT				Outpatient	Facility			4673.4	4673.4	27			Percent of total billed charges		1308.552	90			Percent of total billed charges		4206.06	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	68			Percent of total billed charges		3177.91	90			Percent of total billed charges		4206.06		3900.7		Case rate		3900.7	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	90			Percent of total billed charges		4206.06	80			Percent of total billed charges		3738.72	27			Percent of total billed charges		1308.552	85			Percent of total billed charges		3972.39	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1402.02	80			Percent of total billed charges		3738.72	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	90			Percent of total billed charges		4206.06	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	27			Percent of total billed charges		1308.552	1308.552	4206.06	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	74175	CPT				Outpatient	Facility			2322.65	2322.65	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	68			Percent of total billed charges		1579.4	90			Percent of total billed charges		2090.38		1355.25		Case rate		1355.25	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	85			Percent of total billed charges		1974.25	27			Percent of total billed charges		650.342	27			Percent of total billed charges		696.8	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	650.342	2090.38	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing"	71275	CPT				Outpatient	Facility			1626.37	1626.37	27			Percent of total billed charges		455.3836	90			Percent of total billed charges		1463.73	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	68			Percent of total billed charges		1105.93	90			Percent of total billed charges		1463.73		1261.43		Case rate		1261.43	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	90			Percent of total billed charges		1463.73	80			Percent of total billed charges		1271.1	27			Percent of total billed charges		455.3836	85			Percent of total billed charges		1382.41	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		487.91	80			Percent of total billed charges		1271.1	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	90			Percent of total billed charges		1463.73	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	27			Percent of total billed charges		455.3836	455.3836	1463.73	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	73206	CPT				Outpatient	Facility			2224.8	2224.8	27			Percent of total billed charges		622.944	90			Percent of total billed charges		2002.32	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	68			Percent of total billed charges		1512.86	90			Percent of total billed charges		2002.32		1327.49		Case rate		1327.49	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	90			Percent of total billed charges		2002.32	80			Percent of total billed charges		1779.84	27			Percent of total billed charges		622.944	85			Percent of total billed charges		1891.08	27			Percent of total billed charges		622.944	27			Percent of total billed charges		667.44	80			Percent of total billed charges		1779.84	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	90			Percent of total billed charges		2002.32	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	27			Percent of total billed charges		622.944	622.944	2002.32	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions"	74178	CPT				Outpatient	Facility			1868.42	1868.42	27			Percent of total billed charges		523.1576	90			Percent of total billed charges		1681.58	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	68			Percent of total billed charges		1270.53	90			Percent of total billed charges		1681.58		1751.36		Case rate		1751.36	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	90			Percent of total billed charges		1681.58	80			Percent of total billed charges		1494.74	27			Percent of total billed charges		523.1576	85			Percent of total billed charges		1588.16	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		560.53	80			Percent of total billed charges		1494.74	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	90			Percent of total billed charges		1681.58	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	27			Percent of total billed charges		523.1576	523.1576	1751.36	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, cervical spine; with contrast material"	72126	CPT				Outpatient	Facility			2017	2017	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	68			Percent of total billed charges		1371.56	90			Percent of total billed charges		1815.3		776.7		Case rate		776.7	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	80			Percent of total billed charges		1613.6	27			Percent of total billed charges		564.76	85			Percent of total billed charges		1714.45	27			Percent of total billed charges		564.76	27			Percent of total billed charges		605.1	80			Percent of total billed charges		1613.6	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	564.76	1815.3	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, cervical spine; without contrast material"	72125	CPT				Outpatient	Facility			1143.3	1143.3	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	68			Percent of total billed charges		777.44	90			Percent of total billed charges		1027.97		576.41		Case rate		576.41	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	85			Percent of total billed charges		971.8	27			Percent of total billed charges		320.124	27			Percent of total billed charges		342.99	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	320.124	1027.97	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lower extremity; with contrast material(s)"	73701	CPT				Outpatient	Facility			1887.99	1887.99	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	68			Percent of total billed charges		1273.83	90			Percent of total billed charges		1699.19		781.1		Case rate		781.1	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	80			Percent of total billed charges		1510.39	27			Percent of total billed charges		527.6372	85			Percent of total billed charges		1604.79	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		566.4	80			Percent of total billed charges		1510.39	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	527.6372	1699.19	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lumbar spine; with contrast material"	72132	CPT				Outpatient	Facility			1887.99	1887.99	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	68			Percent of total billed charges		1273.83	90			Percent of total billed charges		1699.19		776.7		Case rate		776.7	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	80			Percent of total billed charges		1510.39	27			Percent of total billed charges		527.6372	85			Percent of total billed charges		1604.79	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		566.4	80			Percent of total billed charges		1510.39	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	90			Percent of total billed charges		1699.19	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	27			Percent of total billed charges		527.6372	527.6372	1699.19	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lumbar spine; without contrast material"	72131	CPT				Outpatient	Facility			1143.3	1143.3	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	68			Percent of total billed charges		777.44	90			Percent of total billed charges		1027.97		572.01		Case rate		572.01	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	85			Percent of total billed charges		971.8	27			Percent of total billed charges		320.124	27			Percent of total billed charges		342.99	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	320.124	1027.97	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections"	72133	CPT				Outpatient	Facility			2385.48	2385.48	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	68			Percent of total billed charges		1622.13	90			Percent of total billed charges		2146.93		961.34		Case rate		961.34	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	85			Percent of total billed charges		2027.66	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		715.64	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	667.9344	2146.93	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, maxillofacial area; with contrast material(s)"	70487	CPT				Outpatient	Facility			2017	2017	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	68			Percent of total billed charges		1371.56	90			Percent of total billed charges		1815.3		690.84		Case rate		690.84	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	80			Percent of total billed charges		1613.6	27			Percent of total billed charges		564.76	85			Percent of total billed charges		1714.45	27			Percent of total billed charges		564.76	27			Percent of total billed charges		605.1	80			Percent of total billed charges		1613.6	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	90			Percent of total billed charges		1815.3	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	27			Percent of total billed charges		564.76	564.76	1815.3	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, maxillofacial area; without contrast material"	70486	CPT				Outpatient	Facility			1008	1008	27			Percent of total billed charges		272.24	90			Percent of total billed charges		907.2	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	68			Percent of total billed charges		685.44	90			Percent of total billed charges		907.2		607.23		Case rate		607.23	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	90			Percent of total billed charges		907.2	80			Percent of total billed charges		806.4	27			Percent of total billed charges		272.24	85			Percent of total billed charges		856.8	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.4	80			Percent of total billed charges		806.4	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	90			Percent of total billed charges		907.2	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	27			Percent of total billed charges		272.24	272.24	907.2	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material"	70480	CPT				Outpatient	Facility			1525.46	1525.46	27			Percent of total billed charges		427.1278	90			Percent of total billed charges		1372.91	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	68			Percent of total billed charges		1037.31	90			Percent of total billed charges		1372.91		684.23		Case rate		684.23	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	90			Percent of total billed charges		1372.91	80			Percent of total billed charges		1220.37	27			Percent of total billed charges		427.1278	85			Percent of total billed charges		1296.64	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		457.64	80			Percent of total billed charges		1220.37	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	90			Percent of total billed charges		1372.91	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	27			Percent of total billed charges		427.1278	427.1278	1372.91	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, soft tissue neck; with contrast material(s)"	70491	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		836.08		Case rate		836.08	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections"	70492	CPT				Outpatient	Facility			2335.01	2335.01	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	68			Percent of total billed charges		1587.81	90			Percent of total billed charges		2101.51		1020.73		Case rate		1020.73	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	85			Percent of total billed charges		1984.76	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		700.5	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	653.8027	2101.51	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thoracic spine; with contrast material"	72129	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		783.24		Case rate		783.24	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections"	72127	CPT				Outpatient	Facility			2385.48	2385.48	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	68			Percent of total billed charges		1622.13	90			Percent of total billed charges		2146.93		970.15		Case rate		970.15	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	85			Percent of total billed charges		2027.66	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		715.64	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	667.9344	2146.93	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thorax, diagnostic; without contrast material"	71250	CPT				Outpatient	Facility			1143.3	1143.3	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	68			Percent of total billed charges		777.44	90			Percent of total billed charges		1027.97		569.81		Case rate		569.81	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	85			Percent of total billed charges		971.8	27			Percent of total billed charges		320.124	27			Percent of total billed charges		342.99	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	320.124	1027.97	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	71271	CPT				Outpatient	Facility			511.91	511.91	27			Percent of total billed charges		143.3348	90			Percent of total billed charges		460.72	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	68			Percent of total billed charges		348.1	90			Percent of total billed charges		460.72		451.83		Case rate		451.83	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	90			Percent of total billed charges		460.72	80			Percent of total billed charges		409.53	27			Percent of total billed charges		143.3348	85			Percent of total billed charges		435.12	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		153.57	80			Percent of total billed charges		409.53	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	90			Percent of total billed charges		460.72	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	27			Percent of total billed charges		143.3348	143.3348	460.72	one or more instances of the item or service in the 12 months prior to posting the file
"Continuous positive airway pressure ventilation (CPAP), initiation and management"	94660	CPT				Outpatient	Facility			394.4	394.4	27			Percent of total billed charges		110.432	90			Percent of total billed charges		354.96	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	68			Percent of total billed charges		268.19	90			Percent of total billed charges		354.96		261.08		Case rate		261.08	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	90			Percent of total billed charges		354.96	80			Percent of total billed charges		315.52	27			Percent of total billed charges		110.432	85			Percent of total billed charges		335.24	27			Percent of total billed charges		110.432	27			Percent of total billed charges		118.32	80			Percent of total billed charges		315.52	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	90			Percent of total billed charges		354.96	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	27			Percent of total billed charges		110.432	110.432	354.96	one or more instances of the item or service in the 12 months prior to posting the file
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	27903	CPT				Outpatient	Facility			479.12	479.12	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	68			Percent of total billed charges		325.8	90			Percent of total billed charges		431.21		414.29		Case rate		414.29	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	80			Percent of total billed charges		383.3	27			Percent of total billed charges		134.1536	85			Percent of total billed charges		407.25	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		143.74	80			Percent of total billed charges		383.3	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	134.1536	431.21	one or more instances of the item or service in the 12 months prior to posting the file
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method"	27296	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		4465.2		Case rate		4465.2	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method"	27299	CPT				Outpatient	Facility			10490	10490	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	68			Percent of total billed charges		7133.2	90			Percent of total billed charges		9441		6271.6		Case rate		6271.6	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	80			Percent of total billed charges		8392	27			Percent of total billed charges		2937.2	85			Percent of total billed charges		8916.5	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		3147	80			Percent of total billed charges		8392	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	2937.2	9441	one or more instances of the item or service in the 12 months prior to posting the file
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)"	27275	CPT				Outpatient	Facility			5401	5401	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	68			Percent of total billed charges		3672.68	90			Percent of total billed charges		4860.9		4465.2		Case rate		4465.2	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	85			Percent of total billed charges		4590.85	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1620.3	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	1512.27	4860.9	one or more instances of the item or service in the 12 months prior to posting the file
"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 27 minutes (List separately in addition to code for primary service)"	99292	CPT				Outpatient	Facility			1194.62	1194.62	27			Percent of total billed charges		334.4936	90			Percent of total billed charges		1075.16	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	68			Percent of total billed charges		812.34	90			Percent of total billed charges		1075.16	100			Percent of total billed charges		1194.62	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	90			Percent of total billed charges		1075.16	80			Percent of total billed charges		955.7	27			Percent of total billed charges		334.4936	85			Percent of total billed charges		1015.43	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		358.39	80			Percent of total billed charges		955.7	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	90			Percent of total billed charges		1075.16	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	27			Percent of total billed charges		334.4936	334.4936	1194.62	one or more instances of the item or service in the 12 months prior to posting the file
"Critical care, evaluation and management of the critically ill or critically injured patient; first 27-74 minutes"	99291	CPT				Outpatient	Facility			2472.98	2472.98	27			Percent of total billed charges		692.4344	90			Percent of total billed charges		2225.68	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	68			Percent of total billed charges		1681.63	90			Percent of total billed charges		2225.68	100			Percent of total billed charges		2472.98	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	90			Percent of total billed charges		2225.68	80			Percent of total billed charges		1978.38	27			Percent of total billed charges		692.4344	85			Percent of total billed charges		2102.03	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		741.89	80			Percent of total billed charges		1978.38	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	90			Percent of total billed charges		2225.68	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	27			Percent of total billed charges		692.4344	692.4344	2472.98	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate"	87077	CPT				Outpatient	Facility			122	122	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	68			Percent of total billed charges		82.96	90			Percent of total billed charges		109.8		33.64		Case rate		33.64	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	85			Percent of total billed charges		103.7	27			Percent of total billed charges		34.16	27			Percent of total billed charges		36.6	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	34.16	109.8	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate"	87076	CPT				Outpatient	Facility			92	92	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	68			Percent of total billed charges		62.56	90			Percent of total billed charges		82.8		33.64		Case rate		33.64	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	85			Percent of total billed charges		78.2	27			Percent of total billed charges		25.76	27			Percent of total billed charges		27.6	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	25.76	82.8	zero instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates"	87075	CPT				Outpatient	Facility			115	115	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	68			Percent of total billed charges		78.2	90			Percent of total billed charges		103.5		39.4		Case rate		39.4	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	85			Percent of total billed charges		97.75	27			Percent of total billed charges		32.2	27			Percent of total billed charges		34.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	32.2	103.5	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; quantitative colony count, urine"	87086	CPT				Outpatient	Facility			101	101	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	68			Percent of total billed charges		68.68	90			Percent of total billed charges		90.9		33.59		Case rate		33.59	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	85			Percent of total billed charges		85.85	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.3	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27.27	90.9	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, chlamydia, any source"	87110	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		81.57		Case rate		81.57	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	81.57	zero instances of the item or service in the 12 months prior to posting the file
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)"	87102	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		35		Case rate		35	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum"	87147	CPT				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7		21.56		Case rate		21.56	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	47.7	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, typing; other methods"	87158	CPT				Outpatient	Facility			89.64	89.64	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	68			Percent of total billed charges		60.96	90			Percent of total billed charges		80.68		32.23		Case rate		32.23	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	80			Percent of total billed charges		71.71	27			Percent of total billed charges		25.0992	85			Percent of total billed charges		76.19	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		26.89	80			Percent of total billed charges		71.71	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	25.0992	80.68	one or more instances of the item or service in the 12 months prior to posting the file
"Curettage, postpartum"	59160	CPT				Outpatient	Facility			7129	7129	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	68			Percent of total billed charges		4847.72	90			Percent of total billed charges		6416.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	85			Percent of total billed charges		6059.65	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		2138.7	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	1996.12	6416.1	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple"	52310	CPT				Outpatient	Facility			6097	6097	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	68			Percent of total billed charges		4145.96	90			Percent of total billed charges		5487.3		3900.7		Case rate		3900.7	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	80			Percent of total billed charges		4877.6	27			Percent of total billed charges		1707.16	85			Percent of total billed charges		5182.45	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1829.1	80			Percent of total billed charges		4877.6	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	1707.16	5487.3	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)"	52352	CPT				Outpatient	Facility			10849	10849	27			Percent of total billed charges		3037.72	90			Percent of total billed charges		9764.1	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	68			Percent of total billed charges		7377.32	90			Percent of total billed charges		9764.1		5515.17		Case rate		5515.17	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	90			Percent of total billed charges		9764.1	80			Percent of total billed charges		8679.2	27			Percent of total billed charges		3037.72	85			Percent of total billed charges		9221.65	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3254.7	80			Percent of total billed charges		8679.2	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	90			Percent of total billed charges		9764.1	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	27			Percent of total billed charges		3037.72	3037.72	9764.1	one or more instances of the item or service in the 12 months prior to posting the file
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis"	81229	CPT				Outpatient	Facility			1756	1756	27			Percent of total billed charges		491.68	90			Percent of total billed charges		1580.4	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	68			Percent of total billed charges		1194.08	90			Percent of total billed charges		1580.4		5468.42		Case rate		5468.42	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	90			Percent of total billed charges		1580.4	80			Percent of total billed charges		1404.8	27			Percent of total billed charges		491.68	85			Percent of total billed charges		1492.6	27			Percent of total billed charges		491.68	27			Percent of total billed charges		526.8	80			Percent of total billed charges		1404.8	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	90			Percent of total billed charges		1580.4	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	27			Percent of total billed charges		491.68	491.68	5468.42	zero instances of the item or service in the 12 months prior to posting the file
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues"	11010	CPT				Outpatient	Facility			4123.4	4123.4	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	68			Percent of total billed charges		2703.91	90			Percent of total billed charges		3711.06		3900.7		Case rate		3900.7	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	85			Percent of total billed charges		3504.89	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1237.02	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	1154.552	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11047	CPT				Outpatient	Facility			1210.52	1210.52	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	68			Percent of total billed charges		823.15	90			Percent of total billed charges		1089.47		1953.17		Case rate		1953.17	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	80			Percent of total billed charges		968.42	27			Percent of total billed charges		338.9456	85			Percent of total billed charges		1027.94	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		363.16	80			Percent of total billed charges		968.42	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	338.9456	1953.17	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11046	CPT				Outpatient	Facility			2065.94	2065.94	27			Percent of total billed charges		578.4632	90			Percent of total billed charges		1859.35	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	68			Percent of total billed charges		1404.84	90			Percent of total billed charges		1859.35		1953.17		Case rate		1953.17	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	90			Percent of total billed charges		1859.35	80			Percent of total billed charges		1652.75	27			Percent of total billed charges		578.4632	85			Percent of total billed charges		1756.05	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		619.78	80			Percent of total billed charges		1652.75	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	90			Percent of total billed charges		1859.35	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	27			Percent of total billed charges		578.4632	578.4632	1953.17	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less"	11043	CPT				Outpatient	Facility			4123.4	4123.4	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	68			Percent of total billed charges		2703.91	90			Percent of total billed charges		3711.06		3900.7		Case rate		3900.7	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	85			Percent of total billed charges		3504.89	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1237.02	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	1154.552	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11045	CPT				Outpatient	Facility			712.32	712.32	27			Percent of total billed charges		199.4496	90			Percent of total billed charges		641.09	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	68			Percent of total billed charges		484.38	90			Percent of total billed charges		641.09		508.05		Case rate		508.05	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	90			Percent of total billed charges		641.09	80			Percent of total billed charges		569.86	27			Percent of total billed charges		199.4496	85			Percent of total billed charges		605.47	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		213.7	80			Percent of total billed charges		569.86	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	90			Percent of total billed charges		641.09	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	27			Percent of total billed charges		199.4496	199.4496	641.09	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less"	11042	CPT				Outpatient	Facility			1076.96	1076.96	27			Percent of total billed charges		301.5488	90			Percent of total billed charges		969.26	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	68			Percent of total billed charges		732.33	90			Percent of total billed charges		969.26		1017.57		Case rate		1017.57	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	90			Percent of total billed charges		969.26	80			Percent of total billed charges		861.57	27			Percent of total billed charges		301.5488	85			Percent of total billed charges		915.42	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		323.09	80			Percent of total billed charges		861.57	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	90			Percent of total billed charges		969.26	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	27			Percent of total billed charges		301.5488	301.5488	1017.57	one or more instances of the item or service in the 12 months prior to posting the file
"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve"	25025	CPT				Outpatient	Facility			4592.98	4592.98	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	68			Percent of total billed charges		3123.23	90			Percent of total billed charges		4133.68		4465.2		Case rate		4465.2	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	85			Percent of total billed charges		3904.03	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1377.89	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	1276.0344	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve"	25020	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		4465.2		Case rate		4465.2	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device"	94664	CPT				Outpatient	Facility			647	647	27			Percent of total billed charges		181.16	90			Percent of total billed charges		582.3	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	68			Percent of total billed charges		439.96	90			Percent of total billed charges		582.3		102.63		Case rate		102.63	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	90			Percent of total billed charges		582.3	80			Percent of total billed charges		517.6	27			Percent of total billed charges		181.16	85			Percent of total billed charges		549.95	27			Percent of total billed charges		181.16	27			Percent of total billed charges		194.1	80			Percent of total billed charges		517.6	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	90			Percent of total billed charges		582.3	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	27			Percent of total billed charges		181.16	181.16	582.3	zero instances of the item or service in the 12 months prior to posting the file
"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed"	64624	CPT				Outpatient	Facility			6135.27	6135.27	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	68			Percent of total billed charges		4171.99	90			Percent of total billed charges		5521.75		2674.49		Case rate		2674.49	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	85			Percent of total billed charges		5214.99	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1840.58	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	1717.8784	5521.75	one or more instances of the item or service in the 12 months prior to posting the file
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint"	64633	CPT				Outpatient	Facility			6135.27	6135.27	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	68			Percent of total billed charges		4171.99	90			Percent of total billed charges		5521.75		2475.9		Case rate		2475.9	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	85			Percent of total billed charges		5214.99	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1840.58	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	1717.8784	5521.75	one or more instances of the item or service in the 12 months prior to posting the file
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)"	64636	CPT				Outpatient	Facility			889.34	889.34	27			Percent of total billed charges		249.0152	90			Percent of total billed charges		800.41	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	68			Percent of total billed charges		604.75	90			Percent of total billed charges		800.41		1237.95		Case rate		1237.95	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	90			Percent of total billed charges		800.41	80			Percent of total billed charges		711.47	27			Percent of total billed charges		249.0152	85			Percent of total billed charges		755.94	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		266.8	80			Percent of total billed charges		711.47	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	90			Percent of total billed charges		800.41	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	27			Percent of total billed charges		249.0152	249.0152	1237.95	one or more instances of the item or service in the 12 months prior to posting the file
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint"	64635	CPT				Outpatient	Facility			6135.27	6135.27	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	68			Percent of total billed charges		4171.99	90			Percent of total billed charges		5521.75		2475.9		Case rate		2475.9	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	85			Percent of total billed charges		5214.99	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1840.58	80			Percent of total billed charges		4908.22	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	90			Percent of total billed charges		5521.75	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	27			Percent of total billed charges		1717.8784	1717.8784	5521.75	one or more instances of the item or service in the 12 months prior to posting the file
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	77065	CPT				Outpatient	Facility			420.24	420.24	27			Percent of total billed charges		117.6672	90			Percent of total billed charges		378.22	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	68			Percent of total billed charges		275.76	90			Percent of total billed charges		378.22		386.91		Case rate		386.91	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	90			Percent of total billed charges		378.22	80			Percent of total billed charges		336.19	27			Percent of total billed charges		117.6672	85			Percent of total billed charges		357.2	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		126.07	80			Percent of total billed charges		336.19	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	90			Percent of total billed charges		378.22	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	27			Percent of total billed charges		117.6672	117.6672	386.91	one or more instances of the item or service in the 12 months prior to posting the file
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)"	94729	CPT				Outpatient	Facility			313.5	313.5	27			Percent of total billed charges		87.78	90			Percent of total billed charges		272.15	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	68			Percent of total billed charges		213.18	90			Percent of total billed charges		272.15		256.51		Case rate		256.51	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	90			Percent of total billed charges		272.15	80			Percent of total billed charges		250.8	27			Percent of total billed charges		87.78	85			Percent of total billed charges		266.48	27			Percent of total billed charges		87.78	27			Percent of total billed charges		94.05	80			Percent of total billed charges		250.8	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	90			Percent of total billed charges		272.15	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	27			Percent of total billed charges		87.78	87.78	272.15	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage external ear, abscess or hematoma; complicated"	69005	CPT				Outpatient	Facility			4768.94	4768.94	27			Percent of total billed charges		1335.3032	90			Percent of total billed charges		4292.05	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	68			Percent of total billed charges		3242.88	90			Percent of total billed charges		4292.05		2912.82		Case rate		2912.82	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	90			Percent of total billed charges		4292.05	80			Percent of total billed charges		3815.15	27			Percent of total billed charges		1335.3032	85			Percent of total billed charges		4053.6	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1427.68	80			Percent of total billed charges		3815.15	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	90			Percent of total billed charges		4292.05	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	27			Percent of total billed charges		1335.3032	1335.3032	4292.05	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage of abscess, cyst, hematoma from dentoalveolar structures"	41800	CPT				Outpatient	Facility			531.5	531.5	27			Percent of total billed charges		148.82	90			Percent of total billed charges		478.35	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	68			Percent of total billed charges		361.42	90			Percent of total billed charges		478.35		526.85		Case rate		526.85	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	90			Percent of total billed charges		478.35	80			Percent of total billed charges		425.2	27			Percent of total billed charges		148.82	85			Percent of total billed charges		451.78	27			Percent of total billed charges		148.82	27			Percent of total billed charges		159.45	80			Percent of total billed charges		425.2	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	90			Percent of total billed charges		478.35	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	27			Percent of total billed charges		148.82	148.82	526.85	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage of finger abscess; complicated (eg, felon)"	26011	CPT				Outpatient	Facility			3486.34	3486.34	27			Percent of total billed charges		976.1752	90			Percent of total billed charges		3137.71	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	68			Percent of total billed charges		2370.71	90			Percent of total billed charges		3137.71		2912.82		Case rate		2912.82	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	90			Percent of total billed charges		3137.71	80			Percent of total billed charges		2789.07	27			Percent of total billed charges		976.1752	85			Percent of total billed charges		2963.39	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		1045.9	80			Percent of total billed charges		2789.07	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	90			Percent of total billed charges		3137.71	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	27			Percent of total billed charges		976.1752	976.1752	3137.71	one or more instances of the item or service in the 12 months prior to posting the file
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography"	93276	CPT				Outpatient	Facility			1695.38	1695.38	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	68			Percent of total billed charges		1152.86	90			Percent of total billed charges		1525.84		1791.89		Case rate		1791.89	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	80			Percent of total billed charges		1356.3	27			Percent of total billed charges		474.7064	85			Percent of total billed charges		1441.07	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		508.61	80			Percent of total billed charges		1356.3	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	474.7064	1791.89	zero instances of the item or service in the 12 months prior to posting the file
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional"	93351	CPT				Outpatient	Facility			1975	1975	27			Percent of total billed charges		553	90			Percent of total billed charges		1777.5	27			Percent of total billed charges		553	27			Percent of total billed charges		553	68			Percent of total billed charges		1343	90			Percent of total billed charges		1777.5		1315.17		Case rate		1315.17	27			Percent of total billed charges		553	27			Percent of total billed charges		553	90			Percent of total billed charges		1777.5	80			Percent of total billed charges		1580	27			Percent of total billed charges		553	85			Percent of total billed charges		1678.75	27			Percent of total billed charges		553	27			Percent of total billed charges		592.5	80			Percent of total billed charges		1580	27			Percent of total billed charges		553	27			Percent of total billed charges		553	27			Percent of total billed charges		553	27			Percent of total billed charges		553	90			Percent of total billed charges		1777.5	27			Percent of total billed charges		553	27			Percent of total billed charges		553	27			Percent of total billed charges		553	553	1777.5	one or more instances of the item or service in the 12 months prior to posting the file
"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report"	92700	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		162.29		Case rate		162.29	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	162.29	one or more instances of the item or service in the 12 months prior to posting the file
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator"	93641	CPT				Outpatient	Facility			2795.92	2795.92	27			Percent of total billed charges		810.8576	90			Percent of total billed charges		2606.33	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	68			Percent of total billed charges		1969.23	90			Percent of total billed charges		2606.33		2241.07		Case rate		2241.07	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	90			Percent of total billed charges		2606.33	80			Percent of total billed charges		2316.74	27			Percent of total billed charges		810.8576	85			Percent of total billed charges		2461.53	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		868.78	80			Percent of total billed charges		2316.74	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	90			Percent of total billed charges		2606.33	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	27			Percent of total billed charges		810.8576	810.8576	2606.33	one or more instances of the item or service in the 12 months prior to posting the file
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making"	99275	CPT				Outpatient	Facility			1803.06	1803.06	27			Percent of total billed charges		504.8568	90			Percent of total billed charges		1622.75	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	68			Percent of total billed charges		1226.08	90			Percent of total billed charges		1622.75	100			Percent of total billed charges		1803.06	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	90			Percent of total billed charges		1622.75	80			Percent of total billed charges		1442.45	27			Percent of total billed charges		504.8568	85			Percent of total billed charges		1532.6	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		540.92	80			Percent of total billed charges		1442.45	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	90			Percent of total billed charges		1622.75	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	27			Percent of total billed charges		504.8568	504.8568	1803.06	one or more instances of the item or service in the 12 months prior to posting the file
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making"	99272	CPT				Outpatient	Facility			985.8	985.8	27			Percent of total billed charges		276.024	90			Percent of total billed charges		887.22	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	68			Percent of total billed charges		670.34	90			Percent of total billed charges		887.22	100			Percent of total billed charges		985.8	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	90			Percent of total billed charges		887.22	80			Percent of total billed charges		788.64	27			Percent of total billed charges		276.024	85			Percent of total billed charges		837.93	27			Percent of total billed charges		276.024	27			Percent of total billed charges		295.74	80			Percent of total billed charges		788.64	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	90			Percent of total billed charges		887.22	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	27			Percent of total billed charges		276.024	276.024	985.8	one or more instances of the item or service in the 12 months prior to posting the file
"Endomysial antibody (EMA), each immunoglobulin (Ig) class"	86231	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		55.15		Case rate		55.15	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	55.15	one or more instances of the item or service in the 12 months prior to posting the file
"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)"	44121	CPT				Outpatient	Facility			3849	3849	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	68			Percent of total billed charges		2617.32	90			Percent of total billed charges		3464.1		5859.51		Case rate		5859.51	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	80			Percent of total billed charges		2779.2	27			Percent of total billed charges		1077.72	85			Percent of total billed charges		3271.65	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1154.7	80			Percent of total billed charges		2779.2	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	1077.72	5859.51	one or more instances of the item or service in the 12 months prior to posting the file
"Enterectomy, resection of small intestine; single resection and anastomosis"	44120	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen"	82657	CPT				Outpatient	Facility			201	201	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	68			Percent of total billed charges		136.68	90			Percent of total billed charges		180.9		92.3		Case rate		92.3	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	80			Percent of total billed charges		160.8	27			Percent of total billed charges		56.27	85			Percent of total billed charges		170.85	27			Percent of total billed charges		56.27	27			Percent of total billed charges		60.3	80			Percent of total billed charges		160.8	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	56.27	180.9	zero instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	43235	CPT				Outpatient	Facility			3386.7	3386.7	27			Percent of total billed charges		948.276	90			Percent of total billed charges		2748.03	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	68			Percent of total billed charges		2272.96	90			Percent of total billed charges		2748.03		2912.82		Case rate		2912.82	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	90			Percent of total billed charges		2748.03	80			Percent of total billed charges		2709.36	27			Percent of total billed charges		948.276	85			Percent of total billed charges		2778.7	27			Percent of total billed charges		948.276	27			Percent of total billed charges		1016.01	80			Percent of total billed charges		2709.36	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	90			Percent of total billed charges		2748.03	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	27			Percent of total billed charges		948.276	948.276	2748.03	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices"	43244	CPT				Outpatient	Facility			5446.27	5446.27	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	68			Percent of total billed charges		3703.47	90			Percent of total billed charges		4901.65		3900.7		Case rate		3900.7	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	80			Percent of total billed charges		4357.02	27			Percent of total billed charges		1524.9584	85			Percent of total billed charges		4629.34	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1633.88	80			Percent of total billed charges		4357.02	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	1524.9584	4901.65	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method"	43255	CPT				Outpatient	Facility			3860.52	3860.52	27			Percent of total billed charges		1080.9456	90			Percent of total billed charges		3474.47	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	68			Percent of total billed charges		2625.15	90			Percent of total billed charges		3474.47		3900.7		Case rate		3900.7	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	90			Percent of total billed charges		3474.47	80			Percent of total billed charges		2788.42	27			Percent of total billed charges		1080.9456	85			Percent of total billed charges		3271.44	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1158.16	80			Percent of total billed charges		2788.42	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	90			Percent of total billed charges		3474.47	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	27			Percent of total billed charges		1080.9456	1080.9456	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (27 mm diameter or larger) (includes fluoroscopic guidance, when performed)"	43233	CPT				Outpatient	Facility			5774	5774	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	68			Percent of total billed charges		3926.32	90			Percent of total billed charges		5196.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	80			Percent of total billed charges		4619.2	27			Percent of total billed charges		1616.72	85			Percent of total billed charges		4907.9	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1732.2	80			Percent of total billed charges		4619.2	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	1616.72	5196.6	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)"	43245	CPT				Outpatient	Facility			5610.14	5610.14	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	68			Percent of total billed charges		3814.9	90			Percent of total billed charges		5049.13		3900.7		Case rate		3900.7	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	80			Percent of total billed charges		4488.11	27			Percent of total billed charges		1570.8392	85			Percent of total billed charges		4768.62	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1683.04	80			Percent of total billed charges		4488.11	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	1570.8392	5049.13	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube"	43246	CPT				Outpatient	Facility			5610.14	5610.14	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	68			Percent of total billed charges		3814.9	90			Percent of total billed charges		5049.13		3900.7		Case rate		3900.7	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	80			Percent of total billed charges		4488.11	27			Percent of total billed charges		1570.8392	85			Percent of total billed charges		4768.62	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1683.04	80			Percent of total billed charges		4488.11	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	90			Percent of total billed charges		5049.13	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	27			Percent of total billed charges		1570.8392	1570.8392	5049.13	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter"	43241	CPT				Outpatient	Facility			5538.5	5538.5	27			Percent of total billed charges		1550.78	90			Percent of total billed charges		4984.65	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	68			Percent of total billed charges		3766.18	90			Percent of total billed charges		4984.65		3900.7		Case rate		3900.7	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	90			Percent of total billed charges		4984.65	80			Percent of total billed charges		4427.8	27			Percent of total billed charges		1550.78	85			Percent of total billed charges		4707.72	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1661.55	80			Percent of total billed charges		4427.8	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	90			Percent of total billed charges		4984.65	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	27			Percent of total billed charges		1550.78	1550.78	4984.65	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 27 mm diameter)"	43249	CPT				Outpatient	Facility			5446.27	5446.27	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	68			Percent of total billed charges		3703.47	90			Percent of total billed charges		4901.65		3900.7		Case rate		3900.7	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	80			Percent of total billed charges		4357.02	27			Percent of total billed charges		1524.9584	85			Percent of total billed charges		4629.34	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1633.88	80			Percent of total billed charges		4357.02	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	90			Percent of total billed charges		4901.65	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	27			Percent of total billed charges		1524.9584	1524.9584	4901.65	one or more instances of the item or service in the 12 months prior to posting the file
"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen"	84112	CPT				Outpatient	Facility			252	252	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	68			Percent of total billed charges		171.36	90			Percent of total billed charges		226.8		408.25		Case rate		408.25	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	85			Percent of total billed charges		214.2	27			Percent of total billed charges		70.56	27			Percent of total billed charges		75.6	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	70.56	408.25	one or more instances of the item or service in the 12 months prior to posting the file
"Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)"	19126	CPT				Outpatient	Facility			6271.56	6271.56	27			Percent of total billed charges		1758.8368	90			Percent of total billed charges		5653.4	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	68			Percent of total billed charges		4271.46	90			Percent of total billed charges		5653.4		2235.42		Case rate		2235.42	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	90			Percent of total billed charges		5653.4	80			Percent of total billed charges		5025.25	27			Percent of total billed charges		1758.8368	85			Percent of total billed charges		5339.33	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1884.47	80			Percent of total billed charges		5025.25	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	90			Percent of total billed charges		5653.4	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	27			Percent of total billed charges		1758.8368	1758.8368	5653.4	one or more instances of the item or service in the 12 months prior to posting the file
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion"	19125	CPT				Outpatient	Facility			7645.78	7645.78	27			Percent of total billed charges		2140.8184	90			Percent of total billed charges		6881.2	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	68			Percent of total billed charges		5199.13	90			Percent of total billed charges		6881.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	90			Percent of total billed charges		6881.2	80			Percent of total billed charges		6116.62	27			Percent of total billed charges		2140.8184	85			Percent of total billed charges		6498.91	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2293.73	80			Percent of total billed charges		6116.62	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	90			Percent of total billed charges		6881.2	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	27			Percent of total billed charges		2140.8184	2140.8184	6881.2	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"	11420	CPT				Outpatient	Facility			3403.66	3403.66	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	68			Percent of total billed charges		2314.49	90			Percent of total billed charges		2763.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	85			Percent of total billed charges		2793.11	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		1021.1	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	953.0248	2763.29	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"	11422	CPT				Outpatient	Facility			3403.66	3403.66	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	68			Percent of total billed charges		2314.49	90			Percent of total billed charges		2763.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	85			Percent of total billed charges		2793.11	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		1021.1	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	953.0248	2763.29	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"	11423	CPT				Outpatient	Facility			3298.72	3298.72	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	68			Percent of total billed charges		2243.13	90			Percent of total billed charges		2968.85		2912.82		Case rate		2912.82	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	80			Percent of total billed charges		2638.98	27			Percent of total billed charges		923.6416	85			Percent of total billed charges		2703.91	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		989.62	80			Percent of total billed charges		2638.98	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	923.6416	2968.85	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"	11426	CPT				Outpatient	Facility			5104.96	5104.96	27			Percent of total billed charges		1429.3888	90			Percent of total billed charges		4594.46	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	68			Percent of total billed charges		3471.37	90			Percent of total billed charges		4594.46		3900.7		Case rate		3900.7	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	90			Percent of total billed charges		4594.46	80			Percent of total billed charges		4083.97	27			Percent of total billed charges		1429.3888	85			Percent of total billed charges		4339.22	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1531.49	80			Percent of total billed charges		4083.97	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	90			Percent of total billed charges		4594.46	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	27			Percent of total billed charges		1429.3888	1429.3888	4594.46	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"	11622	CPT				Outpatient	Facility			1885.74	1885.74	27			Percent of total billed charges		527.0072	90			Percent of total billed charges		1697.17	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	68			Percent of total billed charges		1272.3	90			Percent of total billed charges		1697.17		2912.82		Case rate		2912.82	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	90			Percent of total billed charges		1697.17	80			Percent of total billed charges		1508.59	27			Percent of total billed charges		527.0072	85			Percent of total billed charges		1602.88	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		565.72	80			Percent of total billed charges		1508.59	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	90			Percent of total billed charges		1697.17	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	27			Percent of total billed charges		527.0072	527.0072	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm"	11602	CPT				Outpatient	Facility			1737.34	1737.34	27			Percent of total billed charges		486.4552	90			Percent of total billed charges		1563.61	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	68			Percent of total billed charges		1181.39	90			Percent of total billed charges		1563.61		2912.82		Case rate		2912.82	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	90			Percent of total billed charges		1563.61	80			Percent of total billed charges		1389.87	27			Percent of total billed charges		486.4552	85			Percent of total billed charges		1476.74	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		521.2	80			Percent of total billed charges		1389.87	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	90			Percent of total billed charges		1563.61	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	27			Percent of total billed charges		486.4552	486.4552	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, olecranon bursa"	24105	CPT				Outpatient	Facility			5401	5401	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	68			Percent of total billed charges		3672.68	90			Percent of total billed charges		4860.9		4465.2		Case rate		4465.2	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	85			Percent of total billed charges		4590.85	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1620.3	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	1512.27	4860.9	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater"	26111	CPT				Outpatient	Facility			5099	5099	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	68			Percent of total billed charges		3467.32	90			Percent of total billed charges		4589.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	80			Percent of total billed charges		4079.2	27			Percent of total billed charges		1427.72	85			Percent of total billed charges		4334.15	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1529.7	80			Percent of total billed charges		4079.2	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	90			Percent of total billed charges		4589.1	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	27			Percent of total billed charges		1427.72	1427.72	4589.1	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm"	26115	CPT				Outpatient	Facility			4954.64	4954.64	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	68			Percent of total billed charges		3369.16	90			Percent of total billed charges		4459.18		3900.7		Case rate		3900.7	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	85			Percent of total billed charges		4211.44	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1486.39	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	1387.2992	4459.18	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater"	21931	CPT				Outpatient	Facility			4941.72	4941.72	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	68			Percent of total billed charges		3360.37	90			Percent of total billed charges		4447.55		3900.7		Case rate		3900.7	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	85			Percent of total billed charges		4200.46	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1482.52	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	1383.6816	4447.55	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater"	21012	CPT				Outpatient	Facility			4954.64	4954.64	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	68			Percent of total billed charges		3369.16	90			Percent of total billed charges		4459.18		4465.2		Case rate		4465.2	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	85			Percent of total billed charges		4211.44	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1486.39	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	1387.2992	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater"	27039	CPT				Outpatient	Facility			5682.66	5682.66	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	68			Percent of total billed charges		3864.21	90			Percent of total billed charges		5114.39		3900.7		Case rate		3900.7	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	85			Percent of total billed charges		4827.26	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1704.8	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	1591.1448	5114.39	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm"	27043	CPT				Outpatient	Facility			4634	4634	27			Percent of total billed charges		1297.52	90			Percent of total billed charges		4170.6	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	68			Percent of total billed charges		3151.12	90			Percent of total billed charges		4170.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	90			Percent of total billed charges		4170.6	80			Percent of total billed charges		3707.2	27			Percent of total billed charges		1297.52	85			Percent of total billed charges		3938.9	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1390.2	80			Percent of total billed charges		3707.2	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	90			Percent of total billed charges		4170.6	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	27			Percent of total billed charges		1297.52	1297.52	4170.6	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm"	27045	CPT				Outpatient	Facility			8277.08	8277.08	27			Percent of total billed charges		2320.3824	90			Percent of total billed charges		7458.37	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	68			Percent of total billed charges		5635.21	90			Percent of total billed charges		7458.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	90			Percent of total billed charges		7458.37	80			Percent of total billed charges		6629.66	27			Percent of total billed charges		2320.3824	85			Percent of total billed charges		7044.02	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2486.12	80			Percent of total billed charges		6629.66	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	90			Percent of total billed charges		7458.37	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	27			Percent of total billed charges		2320.3824	2320.3824	7458.37	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater"	27634	CPT				Outpatient	Facility			8368	8368	27			Percent of total billed charges		2343.04	90			Percent of total billed charges		7531.2	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	68			Percent of total billed charges		5690.24	90			Percent of total billed charges		7531.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	90			Percent of total billed charges		7531.2	80			Percent of total billed charges		6694.4	27			Percent of total billed charges		2343.04	85			Percent of total billed charges		7112.8	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2510.4	80			Percent of total billed charges		6694.4	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	90			Percent of total billed charges		7531.2	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	27			Percent of total billed charges		2343.04	2343.04	7531.2	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater"	24071	CPT				Outpatient	Facility			4941.72	4941.72	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	68			Percent of total billed charges		3360.37	90			Percent of total billed charges		4447.55		3900.7		Case rate		3900.7	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	85			Percent of total billed charges		4200.46	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1482.52	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	1383.6816	4447.55	one or more instances of the item or service in the 12 months prior to posting the file
"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen"	35840	CPT				Outpatient	Facility			5392.22	5392.22	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	68			Percent of total billed charges		3666.71	90			Percent of total billed charges		4853		8704.59		Case rate		8704.59	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	85			Percent of total billed charges		4583.39	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1617.67	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	1509.8216	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
"Exploration for postoperative hemorrhage, thrombosis or infection; extremity"	35860	CPT				Outpatient	Facility			11267	11267	27			Percent of total billed charges		3154.76	90			Percent of total billed charges		10140.3	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	68			Percent of total billed charges		7661.56	90			Percent of total billed charges		10140.3		8704.59		Case rate		8704.59	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	90			Percent of total billed charges		10140.3	80			Percent of total billed charges		9013.6	27			Percent of total billed charges		3154.76	85			Percent of total billed charges		9576.95	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3380.1	80			Percent of total billed charges		9013.6	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	90			Percent of total billed charges		10140.3	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	27			Percent of total billed charges		3154.76	3154.76	10140.3	one or more instances of the item or service in the 12 months prior to posting the file
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)"	93225	CPT				Outpatient	Facility			544.84	544.84	27			Percent of total billed charges		152.5552	90			Percent of total billed charges		490.36	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	68			Percent of total billed charges		370.49	90			Percent of total billed charges		490.36		272.26		Case rate		272.26	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	90			Percent of total billed charges		490.36	80			Percent of total billed charges		435.87	27			Percent of total billed charges		152.5552	85			Percent of total billed charges		463.11	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		163.45	80			Percent of total billed charges		435.87	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	90			Percent of total billed charges		490.36	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	27			Percent of total billed charges		152.5552	152.5552	490.36	one or more instances of the item or service in the 12 months prior to posting the file
"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 27 days; technical support for connection and patient instructions for use, attended surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional"	93229	CPT				Outpatient	Facility			238.5	238.5	27			Percent of total billed charges		66.78	90			Percent of total billed charges		214.65	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	68			Percent of total billed charges		162.18	90			Percent of total billed charges		214.65		11374.68		Case rate		11374.68	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	90			Percent of total billed charges		214.65	80			Percent of total billed charges		190.8	27			Percent of total billed charges		66.78	85			Percent of total billed charges		202.72	27			Percent of total billed charges		66.78	27			Percent of total billed charges		71.55	80			Percent of total billed charges		190.8	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	90			Percent of total billed charges		214.65	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	27			Percent of total billed charges		66.78	66.78	11374.68	zero instances of the item or service in the 12 months prior to posting the file
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 27 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)"	93270	CPT				Outpatient	Facility			357.01	357.01	27			Percent of total billed charges		99.9627	90			Percent of total billed charges		321.31	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	68			Percent of total billed charges		242.77	90			Percent of total billed charges		321.31		163.76		Case rate		163.76	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	90			Percent of total billed charges		321.31	80			Percent of total billed charges		275.61	27			Percent of total billed charges		99.9627	85			Percent of total billed charges		273.46	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		107.1	80			Percent of total billed charges		275.61	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	90			Percent of total billed charges		321.31	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	27			Percent of total billed charges		99.9627	99.9627	321.31	one or more instances of the item or service in the 12 months prior to posting the file
"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation"	66984	CPT				Outpatient	Facility			5273	5273	27			Percent of total billed charges		1479.24	90			Percent of total billed charges		4772.7	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	68			Percent of total billed charges		3606.04	90			Percent of total billed charges		4772.7		8207.83		Case rate		8207.83	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	90			Percent of total billed charges		4772.7	80			Percent of total billed charges		4242.4	27			Percent of total billed charges		1479.24	85			Percent of total billed charges		4507.55	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1590.9	80			Percent of total billed charges		4242.4	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	90			Percent of total billed charges		4772.7	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	27			Percent of total billed charges		1479.24	1479.24	8207.83	one or more instances of the item or service in the 12 months prior to posting the file
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant"	81240	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		279.68		Case rate		279.68	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	279.68	one or more instances of the item or service in the 12 months prior to posting the file
"Fat or lipids, feces; quantitative"	82710	CPT				Outpatient	Facility			126	126	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	68			Percent of total billed charges		85.68	90			Percent of total billed charges		113.4		69.89		Case rate		69.89	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	85			Percent of total billed charges		107.1	27			Percent of total billed charges		35.27	27			Percent of total billed charges		37.8	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	35.27	113.4	zero instances of the item or service in the 12 months prior to posting the file
"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)"	81511	CPT				Outpatient	Facility			100	100	27			Percent of total billed charges		27	90			Percent of total billed charges		90	27			Percent of total billed charges		27	27			Percent of total billed charges		27	68			Percent of total billed charges		68	90			Percent of total billed charges		90		638.79		Case rate		638.79	27			Percent of total billed charges		27	27			Percent of total billed charges		27	90			Percent of total billed charges		90	80			Percent of total billed charges		80	27			Percent of total billed charges		27	85			Percent of total billed charges		85	27			Percent of total billed charges		27	27			Percent of total billed charges		27	80			Percent of total billed charges		80	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	90			Percent of total billed charges		90	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27	638.79	zero instances of the item or service in the 12 months prior to posting the file
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative"	82731	CPT				Outpatient	Facility			315	315	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	68			Percent of total billed charges		214.2	90			Percent of total billed charges		273.5		268.02		Case rate		268.02	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	85			Percent of total billed charges		267.75	27			Percent of total billed charges		88.2	27			Percent of total billed charges		94.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	88.2	273.5	zero instances of the item or service in the 12 months prior to posting the file
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay"	85420	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		27.21		Case rate		27.21	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	27.9	zero instances of the item or service in the 12 months prior to posting the file
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	10005	CPT				Outpatient	Facility			1992	1992	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	68			Percent of total billed charges		1354.56	90			Percent of total billed charges		1792.8		1667.87		Case rate		1667.87	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	80			Percent of total billed charges		1593.6	27			Percent of total billed charges		557.76	85			Percent of total billed charges		1693.2	27			Percent of total billed charges		557.76	27			Percent of total billed charges		597.6	80			Percent of total billed charges		1593.6	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	557.76	1792.8	one or more instances of the item or service in the 12 months prior to posting the file
"Fluorescent noninfectious agent antibody; screen, each antibody"	86255	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		73.95		Case rate		73.95	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	73.95	one or more instances of the item or service in the 12 months prior to posting the file
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)"	77001	CPT				Outpatient	Facility			1586	1586	27			Percent of total billed charges		444.08	90			Percent of total billed charges		1427.4	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	68			Percent of total billed charges		1078.48	90			Percent of total billed charges		1427.4		485.98		Case rate		485.98	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	90			Percent of total billed charges		1427.4	80			Percent of total billed charges		1268.8	27			Percent of total billed charges		444.08	85			Percent of total billed charges		1348.1	27			Percent of total billed charges		444.08	27			Percent of total billed charges		475.8	80			Percent of total billed charges		1268.8	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	90			Percent of total billed charges		1427.4	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	27			Percent of total billed charges		444.08	444.08	1427.4	one or more instances of the item or service in the 12 months prior to posting the file
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	76000	CPT				Outpatient	Facility			626.24	626.24	27			Percent of total billed charges		175.3472	90			Percent of total billed charges		563.62	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	68			Percent of total billed charges		425.84	90			Percent of total billed charges		563.62		91.51		Case rate		91.51	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	90			Percent of total billed charges		563.62	80			Percent of total billed charges		500.99	27			Percent of total billed charges		175.3472	85			Percent of total billed charges		532.3	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		187.87	80			Percent of total billed charges		500.99	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	90			Percent of total billed charges		563.62	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	27			Percent of total billed charges		175.3472	175.3472	563.62	zero instances of the item or service in the 12 months prior to posting the file
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less"	15240	CPT				Outpatient	Facility			5227	5227	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	68			Percent of total billed charges		3554.36	90			Percent of total billed charges		4704.3		4465.2		Case rate		4465.2	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	80			Percent of total billed charges		4181.6	27			Percent of total billed charges		1463.56	85			Percent of total billed charges		4442.95	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1568.1	80			Percent of total billed charges		4181.6	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	90			Percent of total billed charges		4704.3	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	27			Percent of total billed charges		1463.56	1463.56	4704.3	one or more instances of the item or service in the 12 months prior to posting the file
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each"	82784	CPT				Outpatient	Facility			20.2	20.2	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	68			Percent of total billed charges		13.74	90			Percent of total billed charges		18.18		38.67		Case rate		38.67	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	85			Percent of total billed charges		17.17	27			Percent of total billed charges		5.656	27			Percent of total billed charges		6.06	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	5.656	38.67	one or more instances of the item or service in the 12 months prior to posting the file
"Gastrectomy, partial, distal; with Roux-en-Y reconstruction"	43633	CPT				Outpatient	Facility			14272.58	14272.58	27			Percent of total billed charges		3999.1224	90			Percent of total billed charges		12772.32	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	68			Percent of total billed charges		9725.75	90			Percent of total billed charges		12772.32		12270.46		Case rate		12270.46	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	90			Percent of total billed charges		12772.32	80			Percent of total billed charges		11442.06	27			Percent of total billed charges		3999.1224	85			Percent of total billed charges		12157.19	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		4290.77	80			Percent of total billed charges		11442.06	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	90			Percent of total billed charges		12772.32	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	27			Percent of total billed charges		3999.1224	3999.1224	12772.32	one or more instances of the item or service in the 12 months prior to posting the file
"Gastrocnemius recession (eg, Strayer procedure)"	27687	CPT				Outpatient	Facility			9724	9724	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	68			Percent of total billed charges		6612.32	90			Percent of total billed charges		8751.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	85			Percent of total billed charges		8265.4	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2917.2	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	2722.72	8751.6	one or more instances of the item or service in the 12 months prior to posting the file
"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury"	43840	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Glucose; quantitative, blood (except reagent strip)"	82947	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		16.37		Case rate		16.37	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	43.92	one or more instances of the item or service in the 12 months prior to posting the file
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)"	82951	CPT				Outpatient	Facility			107	107	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	68			Percent of total billed charges		72.76	90			Percent of total billed charges		96.3		53.57		Case rate		53.57	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	80			Percent of total billed charges		85.6	27			Percent of total billed charges		29.96	85			Percent of total billed charges		90.95	27			Percent of total billed charges		29.96	27			Percent of total billed charges		32.1	80			Percent of total billed charges		85.6	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	29.96	96.3	one or more instances of the item or service in the 12 months prior to posting the file
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)"	82952	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		16.31		Case rate		16.31	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	43.2	one or more instances of the item or service in the 12 months prior to posting the file
"Gonadotropin, chorionic (hCG); qualitative"	84703	CPT				Outpatient	Facility			92	92	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	68			Percent of total billed charges		62.56	90			Percent of total billed charges		82.8		31.27		Case rate		31.27	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	85			Percent of total billed charges		78.2	27			Percent of total billed charges		25.76	27			Percent of total billed charges		27.6	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	25.76	82.8	one or more instances of the item or service in the 12 months prior to posting the file
"Gonadotropin, chorionic (hCG); quantitative"	84702	CPT				Outpatient	Facility			171	171	27			Percent of total billed charges		47.88	90			Percent of total billed charges		153.9	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	68			Percent of total billed charges		116.27	90			Percent of total billed charges		153.9		62.66		Case rate		62.66	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	90			Percent of total billed charges		153.9	80			Percent of total billed charges		136.8	27			Percent of total billed charges		47.88	85			Percent of total billed charges		145.35	27			Percent of total billed charges		47.88	27			Percent of total billed charges		51.3	80			Percent of total billed charges		136.8	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	90			Percent of total billed charges		153.9	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	27			Percent of total billed charges		47.88	47.88	153.9	one or more instances of the item or service in the 12 months prior to posting the file
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant"	27291	CPT				Outpatient	Facility			19844	19844	27			Percent of total billed charges		5556.32	90			Percent of total billed charges		17859.6	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	68			Percent of total billed charges		13493.92	90			Percent of total billed charges		17859.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	90			Percent of total billed charges		17859.6	80			Percent of total billed charges		15875.2	27			Percent of total billed charges		5556.32	85			Percent of total billed charges		16867.4	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5953.2	80			Percent of total billed charges		15875.2	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	90			Percent of total billed charges		17859.6	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	27			Percent of total billed charges		5556.32	5556.32	17859.6	one or more instances of the item or service in the 12 months prior to posting the file
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant"	27279	CPT				Outpatient	Facility			1227.43	1227.43	27			Percent of total billed charges		343.9604	90			Percent of total billed charges		1105.59	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	68			Percent of total billed charges		835.33	90			Percent of total billed charges		1105.59		4465.2		Case rate		4465.2	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	90			Percent of total billed charges		1105.59	80			Percent of total billed charges		982.74	27			Percent of total billed charges		343.9604	85			Percent of total billed charges		1044.17	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		368.53	80			Percent of total billed charges		982.74	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	90			Percent of total billed charges		1105.59	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	27			Percent of total billed charges		343.9604	343.9604	4465.2	zero instances of the item or service in the 12 months prior to posting the file
"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)"	82713	CPT				Outpatient	Facility			252	252	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	68			Percent of total billed charges		171.36	90			Percent of total billed charges		226.8		270.33		Case rate		270.33	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	85			Percent of total billed charges		214.2	27			Percent of total billed charges		70.56	27			Percent of total billed charges		75.6	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	70.56	270.33	one or more instances of the item or service in the 12 months prior to posting the file
"Hemoglobin (Hgb), quantitative, transcutaneous"	88738	CPT				Outpatient	Facility			27.1	27.1	27			Percent of total billed charges		7.868	90			Percent of total billed charges		25.29	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	68			Percent of total billed charges		19.11	90			Percent of total billed charges		25.29		20.89		Case rate		20.89	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	90			Percent of total billed charges		25.29	80			Percent of total billed charges		22.48	27			Percent of total billed charges		7.868	85			Percent of total billed charges		23.88	27			Percent of total billed charges		7.868	27			Percent of total billed charges		8.43	80			Percent of total billed charges		22.48	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	90			Percent of total billed charges		25.29	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	27			Percent of total billed charges		7.868	7.868	25.29	one or more instances of the item or service in the 12 months prior to posting the file
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)"	89501	CPT				Outpatient	Facility			36	36	27			Percent of total billed charges		10.08	90			Percent of total billed charges		32.4	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	68			Percent of total billed charges		24.48	90			Percent of total billed charges		32.4		75.13		Case rate		75.13	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	90			Percent of total billed charges		32.4	80			Percent of total billed charges		27.8	27			Percent of total billed charges		10.08	85			Percent of total billed charges		27.6	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.8	80			Percent of total billed charges		27.8	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	90			Percent of total billed charges		32.4	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	27			Percent of total billed charges		10.08	10.08	75.13	one or more instances of the item or service in the 12 months prior to posting the file
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)"	89500	CPT				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97		73.95		Case rate		73.95	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.8	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	73.95	zero instances of the item or service in the 12 months prior to posting the file
"Hemorrhoidectomy, external, 2 or more columns/groups"	46250	CPT				Outpatient	Facility			6182.89	6182.89	27			Percent of total billed charges		1731.2092	90			Percent of total billed charges		5564.6	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	68			Percent of total billed charges		4204.37	90			Percent of total billed charges		5564.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	90			Percent of total billed charges		5564.6	80			Percent of total billed charges		4946.31	27			Percent of total billed charges		1731.2092	85			Percent of total billed charges		5255.46	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1854.87	80			Percent of total billed charges		4946.31	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	90			Percent of total billed charges		5564.6	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	27			Percent of total billed charges		1731.2092	1731.2092	5564.6	one or more instances of the item or service in the 12 months prior to posting the file
"Hemorrhoidectomy, internal, by rubber band ligation(s)"	46221	CPT				Outpatient	Facility			1725.68	1725.68	27			Percent of total billed charges		483.1904	90			Percent of total billed charges		1553.11	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	68			Percent of total billed charges		1173.46	90			Percent of total billed charges		1553.11		2912.82		Case rate		2912.82	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	90			Percent of total billed charges		1553.11	80			Percent of total billed charges		1380.54	27			Percent of total billed charges		483.1904	85			Percent of total billed charges		1466.83	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		517.7	80			Percent of total billed charges		1380.54	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	90			Percent of total billed charges		1553.11	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	27			Percent of total billed charges		483.1904	483.1904	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)"	80076	CPT				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8		33.98		Case rate		33.98	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	91.8	one or more instances of the item or service in the 12 months prior to posting the file
"Hepatitis A antibody (HAAb), IgM antibody"	86709	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		46.85		Case rate		46.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	46.85	one or more instances of the item or service in the 12 months prior to posting the file
"Hepatitis C antibody; confirmatory test (eg, immunoblot)"	86804	CPT				Outpatient	Facility			137	137	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	68			Percent of total billed charges		93.16	90			Percent of total billed charges		123.3		64.47		Case rate		64.47	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	80			Percent of total billed charges		109.6	27			Percent of total billed charges		38.36	85			Percent of total billed charges		116.45	27			Percent of total billed charges		38.36	27			Percent of total billed charges		41.1	80			Percent of total billed charges		109.6	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	38.36	123.3	zero instances of the item or service in the 12 months prior to posting the file
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed"	78227	CPT				Outpatient	Facility			1782.93	1782.93	27			Percent of total billed charges		499.2204	90			Percent of total billed charges		1604.64	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	68			Percent of total billed charges		1212.39	90			Percent of total billed charges		1604.64		2450.16		Case rate		2450.16	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	90			Percent of total billed charges		1604.64	80			Percent of total billed charges		1426.34	27			Percent of total billed charges		499.2204	85			Percent of total billed charges		1515.49	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		534.88	80			Percent of total billed charges		1426.34	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	90			Percent of total billed charges		1604.64	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	27			Percent of total billed charges		499.2204	499.2204	2450.16	one or more instances of the item or service in the 12 months prior to posting the file
"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each"	81382	CPT				Outpatient	Facility			317	317	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	68			Percent of total billed charges		215.56	90			Percent of total billed charges		275.3		583.07		Case rate		583.07	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	80			Percent of total billed charges		253.6	27			Percent of total billed charges		88.76	85			Percent of total billed charges		269.45	27			Percent of total billed charges		88.76	27			Percent of total billed charges		95.1	80			Percent of total billed charges		253.6	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	88.76	583.07	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib [platelet], alpha polypeptide [GPIba]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-2a/b (T145M)"	81106	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-4a/b (R143Q)"	81108	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 [CD49B, alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant (eg, HPA-5a/b [K505E])"	81109	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Hysterosalpingography, radiological supervision and interpretation"	74740	CPT				Outpatient	Facility			860	860	27			Percent of total billed charges		240.8	90			Percent of total billed charges		774	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	68			Percent of total billed charges		584.8	90			Percent of total billed charges		774		397.24		Case rate		397.24	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	90			Percent of total billed charges		774	80			Percent of total billed charges		688	27			Percent of total billed charges		240.8	85			Percent of total billed charges		731	27			Percent of total billed charges		240.8	27			Percent of total billed charges		258	80			Percent of total billed charges		688	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	90			Percent of total billed charges		774	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	27			Percent of total billed charges		240.8	240.8	774	one or more instances of the item or service in the 12 months prior to posting the file
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C"	58558	CPT				Outpatient	Facility			6926.82	6926.82	27			Percent of total billed charges		1939.5096	90			Percent of total billed charges		6234.14	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	68			Percent of total billed charges		4710.24	90			Percent of total billed charges		6234.14		4465.2		Case rate		4465.2	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	90			Percent of total billed charges		6234.14	80			Percent of total billed charges		5541.46	27			Percent of total billed charges		1939.5096	85			Percent of total billed charges		5887.8	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		2078.05	80			Percent of total billed charges		5541.46	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	90			Percent of total billed charges		6234.14	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	27			Percent of total billed charges		1939.5096	1939.5096	6234.14	one or more instances of the item or service in the 12 months prior to posting the file
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous"	10027	CPT				Outpatient	Facility			3397	3397	27			Percent of total billed charges		951.16	90			Percent of total billed charges		2757.3	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	68			Percent of total billed charges		2279.96	90			Percent of total billed charges		2757.3		2912.82		Case rate		2912.82	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	90			Percent of total billed charges		2757.3	80			Percent of total billed charges		2717.6	27			Percent of total billed charges		951.16	85			Percent of total billed charges		2787.45	27			Percent of total billed charges		951.16	27			Percent of total billed charges		1019.1	80			Percent of total billed charges		2717.6	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	90			Percent of total billed charges		2757.3	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	27			Percent of total billed charges		951.16	951.16	2757.3	one or more instances of the item or service in the 12 months prior to posting the file
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)"	90471	CPT				Outpatient	Facility			155.82	155.82	27			Percent of total billed charges		43.6296	90			Percent of total billed charges		140.24	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	68			Percent of total billed charges		105.96	90			Percent of total billed charges		140.24		43.97		Case rate		43.97	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	90			Percent of total billed charges		140.24	80			Percent of total billed charges		124.66	27			Percent of total billed charges		43.6296	85			Percent of total billed charges		132.45	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		46.75	80			Percent of total billed charges		124.66	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	90			Percent of total billed charges		140.24	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	27			Percent of total billed charges		43.6296	43.6296	140.24	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)"	83519	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		76.6		Case rate		76.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	76.6	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified"	83520	CPT				Outpatient	Facility			212	212	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	68			Percent of total billed charges		144.16	90			Percent of total billed charges		190.8		71.86		Case rate		71.86	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	80			Percent of total billed charges		169.6	27			Percent of total billed charges		59.36	85			Percent of total billed charges		180.2	27			Percent of total billed charges		59.36	27			Percent of total billed charges		63.6	80			Percent of total billed charges		169.6	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	59.36	190.8	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for tumor antigen, quantitative; CA 125"	86274	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		86.59		Case rate		86.59	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	86.59	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)"	86270	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		86.59		Case rate		86.59	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	86.59	one or more instances of the item or service in the 12 months prior to posting the file
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)"	86335	CPT				Outpatient	Facility			83	83	27			Percent of total billed charges		23.24	90			Percent of total billed charges		74.7	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	68			Percent of total billed charges		56.44	90			Percent of total billed charges		74.7		73.95		Case rate		73.95	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	90			Percent of total billed charges		74.7	80			Percent of total billed charges		66.4	27			Percent of total billed charges		23.24	85			Percent of total billed charges		70.55	27			Percent of total billed charges		23.24	27			Percent of total billed charges		24.9	80			Percent of total billed charges		66.4	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	90			Percent of total billed charges		74.7	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	27			Percent of total billed charges		23.24	23.24	74.7	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoglobulin light chains (ie, kappa, lambda), free, each"	83521	CPT				Outpatient	Facility			124	124	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	68			Percent of total billed charges		84.32	90			Percent of total billed charges		111.6		27.66		Case rate		27.66	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	80			Percent of total billed charges		99.2	27			Percent of total billed charges		34.72	85			Percent of total billed charges		105.4	27			Percent of total billed charges		34.72	27			Percent of total billed charges		37.2	80			Percent of total billed charges		99.2	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	34.72	111.6	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas"	27003	CPT				Outpatient	Facility			8526.64	8526.64	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	68			Percent of total billed charges		5798.12	90			Percent of total billed charges		7673.98		4465.2		Case rate		4465.2	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	85			Percent of total billed charges		7247.64	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2557.99	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	2387.4592	7673.98	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space"	27002	CPT				Outpatient	Facility			5238.52	5238.52	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	68			Percent of total billed charges		3562.19	90			Percent of total billed charges		4714.67		4465.2		Case rate		4465.2	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	85			Percent of total billed charges		4452.74	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1571.56	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	1466.7856	4714.67	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single"	10060	CPT				Outpatient	Facility			571.34	571.34	27			Percent of total billed charges		159.9752	90			Percent of total billed charges		514.21	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	68			Percent of total billed charges		388.51	90			Percent of total billed charges		514.21		526.85		Case rate		526.85	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	90			Percent of total billed charges		514.21	80			Percent of total billed charges		457.07	27			Percent of total billed charges		159.9752	85			Percent of total billed charges		485.64	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		171.4	80			Percent of total billed charges		457.07	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	90			Percent of total billed charges		514.21	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	27			Percent of total billed charges		159.9752	159.9752	526.85	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage of hematoma, seroma or fluid collection"	10140	CPT				Outpatient	Facility			4993	4993	27			Percent of total billed charges		1398.04	90			Percent of total billed charges		4493.7	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	68			Percent of total billed charges		3395.24	90			Percent of total billed charges		4493.7		2912.82		Case rate		2912.82	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	90			Percent of total billed charges		4493.7	80			Percent of total billed charges		3994.4	27			Percent of total billed charges		1398.04	85			Percent of total billed charges		4244.05	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1497.9	80			Percent of total billed charges		3994.4	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	90			Percent of total billed charges		4493.7	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	27			Percent of total billed charges		1398.04	1398.04	4493.7	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, leg or ankle; deep abscess or hematoma"	27603	CPT				Outpatient	Facility			5682.66	5682.66	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	68			Percent of total billed charges		3864.21	90			Percent of total billed charges		5114.39		3900.7		Case rate		3900.7	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	85			Percent of total billed charges		4827.26	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1704.8	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	1591.1448	5114.39	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, shoulder area; infected bursa"	22731	CPT				Outpatient	Facility			8586	8586	27			Percent of total billed charges		2404.08	90			Percent of total billed charges		7727.4	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	68			Percent of total billed charges		5838.48	90			Percent of total billed charges		7727.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	90			Percent of total billed charges		7727.4	80			Percent of total billed charges		6868.8	27			Percent of total billed charges		2404.08	85			Percent of total billed charges		7298.1	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2575.8	80			Percent of total billed charges		6868.8	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	90			Percent of total billed charges		7727.4	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	27			Percent of total billed charges		2404.08	2404.08	7727.4	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and removal of foreign body, subcutaneous tissues; complicated"	10121	CPT				Outpatient	Facility			5543	5543	27			Percent of total billed charges		1552.04	90			Percent of total billed charges		4988.7	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	68			Percent of total billed charges		3769.24	90			Percent of total billed charges		4988.7		3900.7		Case rate		3900.7	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	90			Percent of total billed charges		4988.7	80			Percent of total billed charges		4434.4	27			Percent of total billed charges		1552.04	85			Percent of total billed charges		4711.55	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1662.9	80			Percent of total billed charges		4434.4	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	90			Percent of total billed charges		4988.7	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	27			Percent of total billed charges		1552.04	1552.04	4988.7	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and removal of foreign body, subcutaneous tissues; simple"	10120	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot"	27005	CPT				Outpatient	Facility			8526.64	8526.64	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	68			Percent of total billed charges		5798.12	90			Percent of total billed charges		7673.98		4465.2		Case rate		4465.2	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	85			Percent of total billed charges		7247.64	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2557.99	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	2387.4592	7673.98	one or more instances of the item or service in the 12 months prior to posting the file
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)"	25000	CPT				Outpatient	Facility			4592.98	4592.98	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	68			Percent of total billed charges		3123.23	90			Percent of total billed charges		4133.68		4465.2		Case rate		4465.2	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	85			Percent of total billed charges		3904.03	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1377.89	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	1276.0344	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)"	87324	CPT				Outpatient	Facility			60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		49.85		Case rate		49.85	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	54	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool"	87338	CPT				Outpatient	Facility			106	106	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	68			Percent of total billed charges		72.08	90			Percent of total billed charges		95.4		59.84		Case rate		59.84	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	85			Percent of total billed charges		90.1	27			Percent of total billed charges		29.68	27			Percent of total billed charges		31.8	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	29.68	95.4	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism"	87449	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		49.85		Case rate		49.85	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	49.85	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza"	87804	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		68.87		Case rate		68.87	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	68.87	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])"	87811	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		38.95		Case rate		38.95	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	54.9	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A"	87880	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		68.81		Case rate		68.81	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	68.81	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique"	87801	CPT				Outpatient	Facility			577.14	577.14	27			Percent of total billed charges		161.5992	90			Percent of total billed charges		519.43	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	68			Percent of total billed charges		392.46	90			Percent of total billed charges		519.43		292.13		Case rate		292.13	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	90			Percent of total billed charges		519.43	80			Percent of total billed charges		461.71	27			Percent of total billed charges		161.5992	85			Percent of total billed charges		490.57	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		173.14	80			Percent of total billed charges		461.71	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	90			Percent of total billed charges		519.43	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	27			Percent of total billed charges		161.5992	161.5992	519.43	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism"	87799	CPT				Outpatient	Facility			358	358	27			Percent of total billed charges		100.24	90			Percent of total billed charges		322.2	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	68			Percent of total billed charges		243.44	90			Percent of total billed charges		322.2		231.73		Case rate		231.73	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	90			Percent of total billed charges		322.2	80			Percent of total billed charges		276.4	27			Percent of total billed charges		100.24	85			Percent of total billed charges		274.3	27			Percent of total billed charges		100.24	27			Percent of total billed charges		107.4	80			Percent of total billed charges		276.4	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	90			Percent of total billed charges		322.2	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	27			Percent of total billed charges		100.24	100.24	322.2	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique"	87481	CPT				Outpatient	Facility			32.81	32.81	27			Percent of total billed charges		9.1868	90			Percent of total billed charges		29.53	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	68			Percent of total billed charges		22.31	90			Percent of total billed charges		29.53		189.78		Case rate		189.78	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	90			Percent of total billed charges		29.53	80			Percent of total billed charges		26.25	27			Percent of total billed charges		9.1868	85			Percent of total billed charges		27.89	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.84	80			Percent of total billed charges		26.25	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	90			Percent of total billed charges		29.53	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	27			Percent of total billed charges		9.1868	9.1868	189.78	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87483	CPT				Outpatient	Facility			893	893	27			Percent of total billed charges		250.04	90			Percent of total billed charges		803.7	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	68			Percent of total billed charges		607.24	90			Percent of total billed charges		803.7		1734.37		Case rate		1734.37	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	90			Percent of total billed charges		803.7	80			Percent of total billed charges		714.4	27			Percent of total billed charges		250.04	85			Percent of total billed charges		759.05	27			Percent of total billed charges		250.04	27			Percent of total billed charges		267.9	80			Percent of total billed charges		714.4	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	90			Percent of total billed charges		803.7	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	27			Percent of total billed charges		250.04	250.04	1734.37	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique"	87490	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		94.67		Case rate		94.67	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	94.67	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique"	87493	CPT				Outpatient	Facility			195	195	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	68			Percent of total billed charges		132.6	90			Percent of total billed charges		175.5		155.12		Case rate		155.12	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	80			Percent of total billed charges		156	27			Percent of total billed charges		54.6	85			Percent of total billed charges		165.75	27			Percent of total billed charges		54.6	27			Percent of total billed charges		58.5	80			Percent of total billed charges		156	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	54.6	175.5	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed"	87522	CPT				Outpatient	Facility			158	158	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	68			Percent of total billed charges		107.44	90			Percent of total billed charges		142.2		178.27		Case rate		178.27	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	85			Percent of total billed charges		134.3	27			Percent of total billed charges		44.24	27			Percent of total billed charges		47.4	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	44.24	178.27	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed"	87536	CPT				Outpatient	Facility			297	297	27			Percent of total billed charges		83.16	90			Percent of total billed charges		267.3	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	68			Percent of total billed charges		201.96	90			Percent of total billed charges		267.3		354.11		Case rate		354.11	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	90			Percent of total billed charges		267.3	80			Percent of total billed charges		237.6	27			Percent of total billed charges		83.16	85			Percent of total billed charges		252.45	27			Percent of total billed charges		83.16	27			Percent of total billed charges		89.1	80			Percent of total billed charges		237.6	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	90			Percent of total billed charges		267.3	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	27			Percent of total billed charges		83.16	83.16	354.11	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types"	87502	CPT				Outpatient	Facility			402	402	27			Percent of total billed charges		112.56	90			Percent of total billed charges		361.8	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	68			Percent of total billed charges		273.36	90			Percent of total billed charges		361.8		398.65		Case rate		398.65	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	90			Percent of total billed charges		361.8	80			Percent of total billed charges		321.6	27			Percent of total billed charges		112.56	85			Percent of total billed charges		341.7	27			Percent of total billed charges		112.56	27			Percent of total billed charges		120.6	80			Percent of total billed charges		321.6	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	90			Percent of total billed charges		361.8	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	27			Percent of total billed charges		112.56	112.56	398.65	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique"	87563	CPT				Outpatient	Facility			62.55	62.55	27			Percent of total billed charges		17.514	90			Percent of total billed charges		56.3	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	68			Percent of total billed charges		42.53	90			Percent of total billed charges		56.3		146.04		Case rate		146.04	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	90			Percent of total billed charges		56.3	80			Percent of total billed charges		50.04	27			Percent of total billed charges		17.514	85			Percent of total billed charges		53.17	27			Percent of total billed charges		17.514	27			Percent of total billed charges		18.76	80			Percent of total billed charges		50.04	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	90			Percent of total billed charges		56.3	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	27			Percent of total billed charges		17.514	17.514	146.04	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique"	87590	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		111.88		Case rate		111.88	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	111.88	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique"	87634	CPT				Outpatient	Facility			169	169	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	68			Percent of total billed charges		114.92	90			Percent of total billed charges		152.1		292.13		Case rate		292.13	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	80			Percent of total billed charges		135.2	27			Percent of total billed charges		47.32	85			Percent of total billed charges		143.65	27			Percent of total billed charges		47.32	27			Percent of total billed charges		50.7	80			Percent of total billed charges		135.2	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	47.32	292.13	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87633	CPT				Outpatient	Facility			1360	1360	27			Percent of total billed charges		380.8	90			Percent of total billed charges		1224	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	68			Percent of total billed charges		924.8	90			Percent of total billed charges		1224		1734.37		Case rate		1734.37	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	90			Percent of total billed charges		1224	80			Percent of total billed charges		1088	27			Percent of total billed charges		380.8	85			Percent of total billed charges		1156	27			Percent of total billed charges		380.8	27			Percent of total billed charges		408	80			Percent of total billed charges		1088	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	90			Percent of total billed charges		1224	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	27			Percent of total billed charges		380.8	380.8	1734.37	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique"	87635	CPT				Outpatient	Facility			234	234	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	68			Percent of total billed charges		159.12	90			Percent of total billed charges		210.6		144.85		Case rate		144.85	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	85			Percent of total billed charges		198.9	27			Percent of total billed charges		65.52	27			Percent of total billed charges		70.2	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	65.52	210.6	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique"	87653	CPT				Outpatient	Facility			170	170	27			Percent of total billed charges		47.6	90			Percent of total billed charges		153	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	68			Percent of total billed charges		115.6	90			Percent of total billed charges		153		146.04		Case rate		146.04	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	90			Percent of total billed charges		153	80			Percent of total billed charges		136	27			Percent of total billed charges		47.6	85			Percent of total billed charges		144.5	27			Percent of total billed charges		47.6	27			Percent of total billed charges		51	80			Percent of total billed charges		136	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	90			Percent of total billed charges		153	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	27			Percent of total billed charges		47.6	47.6	153	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique"	87661	CPT				Outpatient	Facility			138	138	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	68			Percent of total billed charges		93.84	90			Percent of total billed charges		124.2		189.78		Case rate		189.78	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	85			Percent of total billed charges		117.3	27			Percent of total billed charges		38.64	27			Percent of total billed charges		41.4	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	38.64	189.78	zero instances of the item or service in the 12 months prior to posting the file
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use"	90686	CPT				Outpatient	Facility			27.7	27.7	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	68			Percent of total billed charges		19.52	90			Percent of total billed charges		25.83		136.67		Case rate		136.67	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	80			Percent of total billed charges		22.96	27			Percent of total billed charges		8.036	85			Percent of total billed charges		24.4	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.61	80			Percent of total billed charges		22.96	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	8.036	136.67	zero instances of the item or service in the 12 months prior to posting the file
"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use"	90658	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		132.94		Case rate		132.94	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	132.94	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)"	93566	CPT				Outpatient	Facility			433.54	433.54	27			Percent of total billed charges		121.3912	90			Percent of total billed charges		390.19	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	68			Percent of total billed charges		294.81	90			Percent of total billed charges		390.19		353.43		Case rate		353.43	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	90			Percent of total billed charges		390.19	80			Percent of total billed charges		346.83	27			Percent of total billed charges		121.3912	85			Percent of total billed charges		368.51	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		127.06	80			Percent of total billed charges		346.83	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	90			Percent of total billed charges		390.19	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	27			Percent of total billed charges		121.3912	121.3912	390.19	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)"	93567	CPT				Outpatient	Facility			1127.84	1127.84	27			Percent of total billed charges		315.7952	90			Percent of total billed charges		1015.06	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	68			Percent of total billed charges		766.93	90			Percent of total billed charges		1015.06		920.87		Case rate		920.87	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	90			Percent of total billed charges		1015.06	80			Percent of total billed charges		902.27	27			Percent of total billed charges		315.7952	85			Percent of total billed charges		958.66	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		338.35	80			Percent of total billed charges		902.27	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	90			Percent of total billed charges		1015.06	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	27			Percent of total billed charges		315.7952	315.7952	1015.06	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed"	27096	CPT				Outpatient	Facility			682.64	682.64	27			Percent of total billed charges		191.1392	90			Percent of total billed charges		614.38	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	68			Percent of total billed charges		464.2	90			Percent of total billed charges		614.38		558.86		Case rate		558.86	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	90			Percent of total billed charges		614.38	80			Percent of total billed charges		546.11	27			Percent of total billed charges		191.1392	85			Percent of total billed charges		580.24	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		204.79	80			Percent of total billed charges		546.11	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	90			Percent of total billed charges		614.38	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	27			Percent of total billed charges		191.1392	191.1392	614.38	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed"	64415	CPT				Outpatient	Facility			2973.3	2973.3	27			Percent of total billed charges		832.524	90			Percent of total billed charges		2675.97	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	68			Percent of total billed charges		2021.84	90			Percent of total billed charges		2675.97		1361.07		Case rate		1361.07	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	90			Percent of total billed charges		2675.97	80			Percent of total billed charges		2378.64	27			Percent of total billed charges		832.524	85			Percent of total billed charges		2527.3	27			Percent of total billed charges		832.524	27			Percent of total billed charges		891.99	80			Percent of total billed charges		2378.64	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	90			Percent of total billed charges		2675.97	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	27			Percent of total billed charges		832.524	832.524	2675.97	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	64454	CPT				Outpatient	Facility			2277.35	2277.35	27			Percent of total billed charges		640.458	90			Percent of total billed charges		2058.62	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	68			Percent of total billed charges		1555.4	90			Percent of total billed charges		2058.62		927.47		Case rate		927.47	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	90			Percent of total billed charges		2058.62	80			Percent of total billed charges		1829.88	27			Percent of total billed charges		640.458	85			Percent of total billed charges		1944.25	27			Percent of total billed charges		640.458	27			Percent of total billed charges		686.2	80			Percent of total billed charges		1829.88	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	90			Percent of total billed charges		2058.62	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	27			Percent of total billed charges		640.458	640.458	2058.62	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve"	64405	CPT				Outpatient	Facility			1563	1563	27			Percent of total billed charges		437.64	90			Percent of total billed charges		1406.7	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	68			Percent of total billed charges		1062.84	90			Percent of total billed charges		1406.7		1361.07		Case rate		1361.07	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	90			Percent of total billed charges		1406.7	80			Percent of total billed charges		1250.4	27			Percent of total billed charges		437.64	85			Percent of total billed charges		1327.55	27			Percent of total billed charges		437.64	27			Percent of total billed charges		468.9	80			Percent of total billed charges		1250.4	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	90			Percent of total billed charges		1406.7	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	27			Percent of total billed charges		437.64	437.64	1406.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	64425	CPT				Outpatient	Facility			2110.46	2110.46	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	68			Percent of total billed charges		1435.11	90			Percent of total billed charges		1899.41		1361.07		Case rate		1361.07	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	80			Percent of total billed charges		1688.37	27			Percent of total billed charges		590.9278	85			Percent of total billed charges		1793.89	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		633.14	80			Percent of total billed charges		1688.37	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	590.9278	1899.41	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	64451	CPT				Outpatient	Facility			2220.7	2220.7	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	68			Percent of total billed charges		1510.08	90			Percent of total billed charges		1998.63		558.86		Case rate		558.86	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	80			Percent of total billed charges		1776.56	27			Percent of total billed charges		621.796	85			Percent of total billed charges		1887.6	27			Percent of total billed charges		621.796	27			Percent of total billed charges		666.21	80			Percent of total billed charges		1776.56	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	621.796	1998.63	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	64427	CPT				Outpatient	Facility			4015	4015	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	68			Percent of total billed charges		2727.2	90			Percent of total billed charges		3613.5		2674.49		Case rate		2674.49	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	80			Percent of total billed charges		3212	27			Percent of total billed charges		1124.2	85			Percent of total billed charges		3412.75	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1204.5	80			Percent of total billed charges		3212	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	1124.2	3613.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed"	64445	CPT				Outpatient	Facility			2052.16	2052.16	27			Percent of total billed charges		574.6048	90			Percent of total billed charges		1846.94	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	68			Percent of total billed charges		1395.47	90			Percent of total billed charges		1846.94		1361.07		Case rate		1361.07	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	90			Percent of total billed charges		1846.94	80			Percent of total billed charges		1641.73	27			Percent of total billed charges		574.6048	85			Percent of total billed charges		1744.34	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		615.65	80			Percent of total billed charges		1641.73	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	90			Percent of total billed charges		1846.94	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	27			Percent of total billed charges		574.6048	574.6048	1846.94	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	64400	CPT				Outpatient	Facility			1135.26	1135.26	27			Percent of total billed charges		317.8727	90			Percent of total billed charges		1021.73	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	68			Percent of total billed charges		771.98	90			Percent of total billed charges		1021.73		927.47		Case rate		927.47	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	90			Percent of total billed charges		1021.73	80			Percent of total billed charges		908.21	27			Percent of total billed charges		317.8727	85			Percent of total billed charges		964.97	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		340.58	80			Percent of total billed charges		908.21	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	90			Percent of total billed charges		1021.73	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	27			Percent of total billed charges		317.8727	317.8727	1021.73	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)"	64492	CPT				Outpatient	Facility			1022	1022	27			Percent of total billed charges		276.16	90			Percent of total billed charges		919.8	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	68			Percent of total billed charges		694.96	90			Percent of total billed charges		919.8		788.38		Case rate		788.38	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	90			Percent of total billed charges		919.8	80			Percent of total billed charges		817.6	27			Percent of total billed charges		276.16	85			Percent of total billed charges		868.7	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.6	80			Percent of total billed charges		817.6	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	90			Percent of total billed charges		919.8	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	27			Percent of total billed charges		276.16	276.16	919.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)"	62323	CPT				Outpatient	Facility			2186.78	2186.78	27			Percent of total billed charges		612.2984	90			Percent of total billed charges		1968.1	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	68			Percent of total billed charges		1487.01	90			Percent of total billed charges		1968.1		1140.4		Case rate		1140.4	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	90			Percent of total billed charges		1968.1	80			Percent of total billed charges		1749.42	27			Percent of total billed charges		612.2984	85			Percent of total billed charges		1858.76	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		656.03	80			Percent of total billed charges		1749.42	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	90			Percent of total billed charges		1968.1	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	27			Percent of total billed charges		612.2984	612.2984	1968.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s); single or multiple trigger point(s), 3 or more muscles"	20553	CPT				Outpatient	Facility			937.04	937.04	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	68			Percent of total billed charges		637.19	90			Percent of total billed charges		843.34		266.05		Case rate		266.05	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	80			Percent of total billed charges		749.63	27			Percent of total billed charges		262.3712	85			Percent of total billed charges		796.48	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		271.11	80			Percent of total billed charges		749.63	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	262.3712	843.34	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, anesthetic agent; stellate ganglion (cervical sympathetic)"	64510	CPT				Outpatient	Facility			4015	4015	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	68			Percent of total billed charges		2727.2	90			Percent of total billed charges		3613.5		2674.49		Case rate		2674.49	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	80			Percent of total billed charges		3212	27			Percent of total billed charges		1124.2	85			Percent of total billed charges		3412.75	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1204.5	80			Percent of total billed charges		3212	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	90			Percent of total billed charges		3613.5	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	27			Percent of total billed charges		1124.2	1124.2	3613.5	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed"	37191	CPT				Outpatient	Facility			17239	17239	27			Percent of total billed charges		4826.92	90			Percent of total billed charges		15515.1	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	68			Percent of total billed charges		11722.52	90			Percent of total billed charges		15515.1		8704.59		Case rate		8704.59	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	90			Percent of total billed charges		15515.1	80			Percent of total billed charges		13791.2	27			Percent of total billed charges		4826.92	85			Percent of total billed charges		14653.15	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		5171.7	80			Percent of total billed charges		13791.2	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	90			Percent of total billed charges		15515.1	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	27			Percent of total billed charges		4826.92	4826.92	15515.1	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)"	51701	CPT				Outpatient	Facility			273.48	273.48	27			Percent of total billed charges		76.5744	90			Percent of total billed charges		246.13	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	68			Percent of total billed charges		185.97	90			Percent of total billed charges		246.13		240.99		Case rate		240.99	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	90			Percent of total billed charges		246.13	80			Percent of total billed charges		218.78	27			Percent of total billed charges		76.5744	85			Percent of total billed charges		232.46	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		82.04	80			Percent of total billed charges		218.78	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	90			Percent of total billed charges		246.13	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	27			Percent of total billed charges		76.5744	76.5744	246.13	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)"	33225	CPT				Outpatient	Facility			1526	1526	27			Percent of total billed charges		427.27	90			Percent of total billed charges		1373.4	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	68			Percent of total billed charges		1037.68	90			Percent of total billed charges		1373.4		4352.3		Case rate		4352.3	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	90			Percent of total billed charges		1373.4	80			Percent of total billed charges		1220.8	27			Percent of total billed charges		427.27	85			Percent of total billed charges		1297.1	27			Percent of total billed charges		427.27	27			Percent of total billed charges		457.8	80			Percent of total billed charges		1220.8	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	90			Percent of total billed charges		1373.4	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	27			Percent of total billed charges		427.27	427.27	4352.3	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older"	36569	CPT				Outpatient	Facility			3299	3299	27			Percent of total billed charges		923.72	90			Percent of total billed charges		2969.1	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	68			Percent of total billed charges		2243.32	90			Percent of total billed charges		2969.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	90			Percent of total billed charges		2969.1	80			Percent of total billed charges		2639.2	27			Percent of total billed charges		923.72	85			Percent of total billed charges		2704.15	27			Percent of total billed charges		923.72	27			Percent of total billed charges		989.7	80			Percent of total billed charges		2639.2	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	90			Percent of total billed charges		2969.1	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	27			Percent of total billed charges		923.72	923.72	2969.1	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)"	51703	CPT				Outpatient	Facility			473.29	473.29	27			Percent of total billed charges		132.5212	90			Percent of total billed charges		425.96	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	68			Percent of total billed charges		321.84	90			Percent of total billed charges		425.96		389.11		Case rate		389.11	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	90			Percent of total billed charges		425.96	80			Percent of total billed charges		378.63	27			Percent of total billed charges		132.5212	85			Percent of total billed charges		402.3	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		141.99	80			Percent of total billed charges		378.63	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	90			Percent of total billed charges		425.96	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	27			Percent of total billed charges		132.5212	132.5212	425.96	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)"	51702	CPT				Outpatient	Facility			427.36	427.36	27			Percent of total billed charges		119.9408	90			Percent of total billed charges		387.32	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	68			Percent of total billed charges		292.64	90			Percent of total billed charges		387.32		240.99		Case rate		240.99	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	90			Percent of total billed charges		387.32	80			Percent of total billed charges		344.29	27			Percent of total billed charges		119.9408	85			Percent of total billed charges		365.81	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		129.11	80			Percent of total billed charges		344.29	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	90			Percent of total billed charges		387.32	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	27			Percent of total billed charges		119.9408	119.9408	387.32	zero instances of the item or service in the 12 months prior to posting the file
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older"	36561	CPT				Outpatient	Facility			8612	8612	27			Percent of total billed charges		2411.36	90			Percent of total billed charges		7750.8	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	68			Percent of total billed charges		5856.16	90			Percent of total billed charges		7750.8		4465.2		Case rate		4465.2	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	90			Percent of total billed charges		7750.8	80			Percent of total billed charges		6889.6	27			Percent of total billed charges		2411.36	85			Percent of total billed charges		7320.2	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2583.6	80			Percent of total billed charges		6889.6	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	90			Percent of total billed charges		7750.8	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	27			Percent of total billed charges		2411.36	2411.36	7750.8	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous"	49418	CPT				Outpatient	Facility			11525	11525	27			Percent of total billed charges		3227	90			Percent of total billed charges		10372.5	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	68			Percent of total billed charges		7837	90			Percent of total billed charges		10372.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	90			Percent of total billed charges		10372.5	80			Percent of total billed charges		9220	27			Percent of total billed charges		3227	85			Percent of total billed charges		9796.25	27			Percent of total billed charges		3227	27			Percent of total billed charges		3457.5	80			Percent of total billed charges		9220	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	90			Percent of total billed charges		10372.5	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	27			Percent of total billed charges		3227	3227	10372.5	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only"	33990	CPT				Outpatient	Facility			162509.66	162509.66	27			Percent of total billed charges		45502.7048	90			Percent of total billed charges		146258.69	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	68			Percent of total billed charges		110506.57	90			Percent of total billed charges		146258.69		11713.38		Case rate		11713.38	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	90			Percent of total billed charges		146258.69	80			Percent of total billed charges		127007.73	27			Percent of total billed charges		45502.7048	85			Percent of total billed charges		138133.21	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		48752.9	80			Percent of total billed charges		127007.73	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	90			Percent of total billed charges		146258.69	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	27			Percent of total billed charges		45502.7048	45502.7048	146258.69	one or more instances of the item or service in the 12 months prior to posting the file
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)"	38900	CPT				Outpatient	Facility			1210.52	1210.52	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	68			Percent of total billed charges		823.15	90			Percent of total billed charges		1089.47		1953.17		Case rate		1953.17	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	80			Percent of total billed charges		968.42	27			Percent of total billed charges		338.9456	85			Percent of total billed charges		1027.94	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		363.16	80			Percent of total billed charges		968.42	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	90			Percent of total billed charges		1089.47	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	27			Percent of total billed charges		338.9456	338.9456	1953.17	one or more instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)"	96366	CPT				Outpatient	Facility			179.8	179.8	27			Percent of total billed charges		50.344	90			Percent of total billed charges		161.82	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	68			Percent of total billed charges		122.26	90			Percent of total billed charges		161.82		155.46		Case rate		155.46	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	90			Percent of total billed charges		161.82	80			Percent of total billed charges		143.84	27			Percent of total billed charges		50.344	85			Percent of total billed charges		152.83	27			Percent of total billed charges		50.344	27			Percent of total billed charges		53.94	80			Percent of total billed charges		143.84	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	90			Percent of total billed charges		161.82	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	27			Percent of total billed charges		50.344	50.344	161.82	one or more instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour"	96365	CPT				Outpatient	Facility			371	371	27			Percent of total billed charges		103.88	90			Percent of total billed charges		333.9	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	68			Percent of total billed charges		252.27	90			Percent of total billed charges		333.9		484.74		Case rate		484.74	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	90			Percent of total billed charges		333.9	80			Percent of total billed charges		296.8	27			Percent of total billed charges		103.88	85			Percent of total billed charges		315.35	27			Percent of total billed charges		103.88	27			Percent of total billed charges		111.3	80			Percent of total billed charges		296.8	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	90			Percent of total billed charges		333.9	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	27			Percent of total billed charges		103.88	103.88	484.74	zero instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)"	96361	CPT				Outpatient	Facility			127.2	127.2	27			Percent of total billed charges		35.616	90			Percent of total billed charges		114.48	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	68			Percent of total billed charges		86.5	90			Percent of total billed charges		114.48		116.34		Case rate		116.34	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	90			Percent of total billed charges		114.48	80			Percent of total billed charges		101.76	27			Percent of total billed charges		35.616	85			Percent of total billed charges		108.12	27			Percent of total billed charges		35.616	27			Percent of total billed charges		38.16	80			Percent of total billed charges		101.76	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	90			Percent of total billed charges		114.48	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	27			Percent of total billed charges		35.616	35.616	116.34	zero instances of the item or service in the 12 months prior to posting the file
"Introduction of needle or intracatheter, upper or lower extremity artery"	36140	CPT				Outpatient	Facility			683.7	683.7	27			Percent of total billed charges		191.436	90			Percent of total billed charges		615.33	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	68			Percent of total billed charges		464.92	90			Percent of total billed charges		615.33		558.86		Case rate		558.86	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	90			Percent of total billed charges		615.33	80			Percent of total billed charges		546.96	27			Percent of total billed charges		191.436	85			Percent of total billed charges		581.14	27			Percent of total billed charges		191.436	27			Percent of total billed charges		205.11	80			Percent of total billed charges		546.96	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	90			Percent of total billed charges		615.33	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	27			Percent of total billed charges		191.436	191.436	615.33	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)"	49320	CPT				Outpatient	Facility			15320	15320	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	68			Percent of total billed charges		10417.6	90			Percent of total billed charges		13788		4465.2		Case rate		4465.2	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	85			Percent of total billed charges		12722	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4596	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	4279.6	13788	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, appendectomy"	44970	CPT				Outpatient	Facility			14452.04	14452.04	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	68			Percent of total billed charges		9827.39	90			Percent of total billed charges		12706.84		8704.59		Case rate		8704.59	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	85			Percent of total billed charges		12274.23	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4335.61	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	4046.5712	12706.84	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)"	44180	CPT				Outpatient	Facility			5716	5716	27			Percent of total billed charges		1600.48	90			Percent of total billed charges		5144.4	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	68			Percent of total billed charges		3886.88	90			Percent of total billed charges		5144.4		11713.38		Case rate		11713.38	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	90			Percent of total billed charges		5144.4	80			Percent of total billed charges		4572.8	27			Percent of total billed charges		1600.48	85			Percent of total billed charges		4858.6	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1714.8	80			Percent of total billed charges		4572.8	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	90			Percent of total billed charges		5144.4	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	27			Percent of total billed charges		1600.48	1600.48	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)"	43270	CPT				Outpatient	Facility			23984.62	23984.62	27			Percent of total billed charges		6715.6936	90			Percent of total billed charges		21586.16	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	68			Percent of total billed charges		16279.54	90			Percent of total billed charges		21586.16		6271.6		Case rate		6271.6	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	90			Percent of total billed charges		21586.16	80			Percent of total billed charges		19187.7	27			Percent of total billed charges		6715.6936	85			Percent of total billed charges		20386.93	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		7195.39	80			Percent of total billed charges		19187.7	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	90			Percent of total billed charges		21586.16	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	27			Percent of total billed charges		6715.6936	6715.6936	21586.16	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh"	43271	CPT				Outpatient	Facility			27897.72	27897.72	27			Percent of total billed charges		8091.3616	90			Percent of total billed charges		26007.95	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	68			Percent of total billed charges		19650.45	90			Percent of total billed charges		26007.95		11713.38		Case rate		11713.38	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	90			Percent of total billed charges		26007.95	80			Percent of total billed charges		23118.18	27			Percent of total billed charges		8091.3616	85			Percent of total billed charges		24563.06	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8669.32	80			Percent of total billed charges		23118.18	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	90			Percent of total billed charges		26007.95	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	27			Percent of total billed charges		8091.3616	8091.3616	26007.95	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less"	58550	CPT				Outpatient	Facility			15320	15320	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	68			Percent of total billed charges		10417.6	90			Percent of total billed charges		13788		11713.38		Case rate		11713.38	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	85			Percent of total billed charges		12722	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4596	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	4279.6	13788	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	58552	CPT				Outpatient	Facility			26277	26277	27			Percent of total billed charges		7357.56	90			Percent of total billed charges		23649.3	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	68			Percent of total billed charges		17868.36	90			Percent of total billed charges		23649.3		11713.38		Case rate		11713.38	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	90			Percent of total billed charges		23649.3	80			Percent of total billed charges		21021.6	27			Percent of total billed charges		7357.56	85			Percent of total billed charges		22335.45	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7883.1	80			Percent of total billed charges		21021.6	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	90			Percent of total billed charges		23649.3	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	27			Percent of total billed charges		7357.56	7357.56	23649.3	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy"	44205	CPT				Outpatient	Facility			13658.1	13658.1	27			Percent of total billed charges		3824.268	90			Percent of total billed charges		12292.29	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	68			Percent of total billed charges		9277.51	90			Percent of total billed charges		12292.29		11713.38		Case rate		11713.38	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	90			Percent of total billed charges		12292.29	80			Percent of total billed charges		10926.48	27			Percent of total billed charges		3824.268	85			Percent of total billed charges		11609.38	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		4097.43	80			Percent of total billed charges		10926.48	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	90			Percent of total billed charges		12292.29	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	27			Percent of total billed charges		3824.268	3824.268	12292.29	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; repair initial inguinal hernia"	49650	CPT				Outpatient	Facility			13985.64	13985.64	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	68			Percent of total billed charges		9510.24	90			Percent of total billed charges		12587.08		5515.17		Case rate		5515.17	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	85			Percent of total billed charges		11887.79	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		4195.69	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	3915.9792	12587.08	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; repair recurrent inguinal hernia"	49651	CPT				Outpatient	Facility			14405.32	14405.32	27			Percent of total billed charges		4033.4896	90			Percent of total billed charges		12964.79	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	68			Percent of total billed charges		9795.62	90			Percent of total billed charges		12964.79		8704.59		Case rate		8704.59	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	90			Percent of total billed charges		12964.79	80			Percent of total billed charges		11524.26	27			Percent of total billed charges		4033.4896	85			Percent of total billed charges		12244.52	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4321.6	80			Percent of total billed charges		11524.26	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	90			Percent of total billed charges		12964.79	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	27			Percent of total billed charges		4033.4896	4033.4896	12964.79	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with biopsy (single or multiple)"	49321	CPT				Outpatient	Facility			15320	15320	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	68			Percent of total billed charges		10417.6	90			Percent of total billed charges		13788		5515.17		Case rate		5515.17	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	85			Percent of total billed charges		12722	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4596	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	4279.6	13788	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)"	58670	CPT				Outpatient	Facility			14452.04	14452.04	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	68			Percent of total billed charges		9827.39	90			Percent of total billed charges		12706.84		4465.2		Case rate		4465.2	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	85			Percent of total billed charges		12274.23	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4335.61	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	4046.5712	12706.84	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)"	58660	CPT				Outpatient	Facility			14886.02	14886.02	27			Percent of total billed charges		4168.0856	90			Percent of total billed charges		13397.42	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	68			Percent of total billed charges		10122.49	90			Percent of total billed charges		13397.42		6271.6		Case rate		6271.6	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	90			Percent of total billed charges		13397.42	80			Percent of total billed charges		11908.82	27			Percent of total billed charges		4168.0856	85			Percent of total billed charges		12653.12	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4465.81	80			Percent of total billed charges		11908.82	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	90			Percent of total billed charges		13397.42	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	27			Percent of total billed charges		4168.0856	4168.0856	13397.42	one or more instances of the item or service in the 12 months prior to posting the file
"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed"	93452	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Ligamentous reconstruction (augmentation), knee; extra-articular"	27427	CPT				Outpatient	Facility			2264	2264	27			Percent of total billed charges		633.92	90			Percent of total billed charges		2037.6	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	68			Percent of total billed charges		1539.52	90			Percent of total billed charges		2037.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	90			Percent of total billed charges		2037.6	80			Percent of total billed charges		1811.2	27			Percent of total billed charges		633.92	85			Percent of total billed charges		1924.4	27			Percent of total billed charges		633.92	27			Percent of total billed charges		679.2	80			Percent of total billed charges		1811.2	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	90			Percent of total billed charges		2037.6	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	27			Percent of total billed charges		633.92	633.92	4465.2	zero instances of the item or service in the 12 months prior to posting the file
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)"	93922	CPT				Outpatient	Facility			782.8	782.8	27			Percent of total billed charges		219.184	90			Percent of total billed charges		704.52	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	68			Percent of total billed charges		532.3	90			Percent of total billed charges		704.52		826.77		Case rate		826.77	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	90			Percent of total billed charges		704.52	80			Percent of total billed charges		626.24	27			Percent of total billed charges		219.184	85			Percent of total billed charges		665.38	27			Percent of total billed charges		219.184	27			Percent of total billed charges		234.84	80			Percent of total billed charges		626.24	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	90			Percent of total billed charges		704.52	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	27			Percent of total billed charges		219.184	219.184	826.77	one or more instances of the item or service in the 12 months prior to posting the file
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)"	83718	CPT				Outpatient	Facility			96	96	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	68			Percent of total billed charges		65.27	90			Percent of total billed charges		86.4		34.04		Case rate		34.04	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	85			Percent of total billed charges		81.6	27			Percent of total billed charges		26.88	27			Percent of total billed charges		27.8	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	26.88	86.4	zero instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)"	74181	CPT				Outpatient	Facility			2460.67	2460.67	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	68			Percent of total billed charges		1673.26	90			Percent of total billed charges		2214.6		899.93		Case rate		899.93	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	85			Percent of total billed charges		2091.57	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		738.2	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	688.9876	2214.6	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)"	73221	CPT				Outpatient	Facility			1722.16	1722.16	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	68			Percent of total billed charges		1171.07	90			Percent of total billed charges		1549.94		970.15		Case rate		970.15	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	85			Percent of total billed charges		1463.84	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		516.65	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	482.2048	1549.94	zero instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)"	70552	CPT				Outpatient	Facility			3565.86	3565.86	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	68			Percent of total billed charges		2424.78	90			Percent of total billed charges		3209.27		1313.42		Case rate		1313.42	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	85			Percent of total billed charges		2727.98	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		1069.76	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	998.4408	3209.27	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material"	70551	CPT				Outpatient	Facility			1722.16	1722.16	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	68			Percent of total billed charges		1171.07	90			Percent of total billed charges		1549.94		888.69		Case rate		888.69	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	85			Percent of total billed charges		1463.84	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		516.65	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	482.2048	1549.94	zero instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences"	70553	CPT				Outpatient	Facility			2987	2987	27			Percent of total billed charges		836.36	90			Percent of total billed charges		2688.3	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	68			Percent of total billed charges		2031.16	90			Percent of total billed charges		2688.3		1493.44		Case rate		1493.44	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	90			Percent of total billed charges		2688.3	80			Percent of total billed charges		2389.6	27			Percent of total billed charges		836.36	85			Percent of total billed charges		2538.95	27			Percent of total billed charges		836.36	27			Percent of total billed charges		896.1	80			Percent of total billed charges		2389.6	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	90			Percent of total billed charges		2688.3	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	27			Percent of total billed charges		836.36	836.36	2688.3	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)"	71550	CPT				Outpatient	Facility			2357.67	2357.67	27			Percent of total billed charges		660.1476	90			Percent of total billed charges		2121.9	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	68			Percent of total billed charges		1603.22	90			Percent of total billed charges		2121.9		1705.98		Case rate		1705.98	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	90			Percent of total billed charges		2121.9	80			Percent of total billed charges		1886.14	27			Percent of total billed charges		660.1476	85			Percent of total billed charges		2004.02	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		707.3	80			Percent of total billed charges		1886.14	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	90			Percent of total billed charges		2121.9	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	27			Percent of total billed charges		660.1476	660.1476	2121.9	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)"	70540	CPT				Outpatient	Facility			2460.67	2460.67	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	68			Percent of total billed charges		1673.26	90			Percent of total billed charges		2214.6		1152.77		Case rate		1152.77	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	85			Percent of total billed charges		2091.57	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		738.2	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	688.9876	2214.6	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences"	70543	CPT				Outpatient	Facility			3565.86	3565.86	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	68			Percent of total billed charges		2424.78	90			Percent of total billed charges		3209.27		1691.58		Case rate		1691.58	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	85			Percent of total billed charges		2727.98	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		1069.76	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	998.4408	3209.27	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)"	72195	CPT				Outpatient	Facility			2460.67	2460.67	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	68			Percent of total billed charges		1673.26	90			Percent of total billed charges		2214.6		1141.76		Case rate		1141.76	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	85			Percent of total billed charges		2091.57	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		738.2	80			Percent of total billed charges		1968.54	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	90			Percent of total billed charges		2214.6	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	27			Percent of total billed charges		688.9876	688.9876	2214.6	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences"	72197	CPT				Outpatient	Facility			4268.32	4268.32	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	68			Percent of total billed charges		2902.46	90			Percent of total billed charges		3841.49		1669.57		Case rate		1669.57	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	85			Percent of total billed charges		3627.07	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1270.5	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	1195.1296	3841.49	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material"	72141	CPT				Outpatient	Facility			1722.16	1722.16	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	68			Percent of total billed charges		1171.07	90			Percent of total billed charges		1549.94		855.67		Case rate		855.67	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	85			Percent of total billed charges		1463.84	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		516.65	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	482.2048	1549.94	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material"	72148	CPT				Outpatient	Facility			1722.16	1722.16	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	68			Percent of total billed charges		1171.07	90			Percent of total billed charges		1549.94		857.87		Case rate		857.87	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	85			Percent of total billed charges		1463.84	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		516.65	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	482.2048	1549.94	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material"	72146	CPT				Outpatient	Facility			2518	2518	27			Percent of total billed charges		705.04	90			Percent of total billed charges		2266.2	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	68			Percent of total billed charges		1712.24	90			Percent of total billed charges		2266.2		855.67		Case rate		855.67	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	90			Percent of total billed charges		2266.2	80			Percent of total billed charges		2014.4	27			Percent of total billed charges		705.04	85			Percent of total billed charges		2140.3	27			Percent of total billed charges		705.04	27			Percent of total billed charges		755.4	80			Percent of total billed charges		2014.4	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	90			Percent of total billed charges		2266.2	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	27			Percent of total billed charges		705.04	705.04	2266.2	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical"	72156	CPT				Outpatient	Facility			4268.32	4268.32	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	68			Percent of total billed charges		2902.46	90			Percent of total billed charges		3841.49		1507.1		Case rate		1507.1	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	85			Percent of total billed charges		3627.07	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1270.5	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	1195.1296	3841.49	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences"	70546	CPT				Outpatient	Facility			2318.38	2318.38	27			Percent of total billed charges		649.1464	90			Percent of total billed charges		2086.54	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	68			Percent of total billed charges		1576.5	90			Percent of total billed charges		2086.54		1812.61		Case rate		1812.61	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	90			Percent of total billed charges		2086.54	80			Percent of total billed charges		1854.7	27			Percent of total billed charges		649.1464	85			Percent of total billed charges		1970.62	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		695.51	80			Percent of total billed charges		1854.7	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	90			Percent of total billed charges		2086.54	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	27			Percent of total billed charges		649.1464	649.1464	2086.54	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	77049	CPT				Outpatient	Facility			2333	2333	27			Percent of total billed charges		653.24	90			Percent of total billed charges		2099.7	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	68			Percent of total billed charges		1586.44	90			Percent of total billed charges		2099.7		1456.35		Case rate		1456.35	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	90			Percent of total billed charges		2099.7	80			Percent of total billed charges		1866.4	27			Percent of total billed charges		653.24	85			Percent of total billed charges		1983.05	27			Percent of total billed charges		653.24	27			Percent of total billed charges		699.9	80			Percent of total billed charges		1866.4	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	90			Percent of total billed charges		2099.7	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	27			Percent of total billed charges		653.24	653.24	2099.7	one or more instances of the item or service in the 12 months prior to posting the file
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation"	94667	CPT				Outpatient	Facility			81.62	81.62	27			Percent of total billed charges		22.8536	90			Percent of total billed charges		73.46	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	68			Percent of total billed charges		55.5	90			Percent of total billed charges		73.46		142.93		Case rate		142.93	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	90			Percent of total billed charges		73.46	80			Percent of total billed charges		65.3	27			Percent of total billed charges		22.8536	85			Percent of total billed charges		69.38	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		24.49	80			Percent of total billed charges		65.3	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	90			Percent of total billed charges		73.46	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	27			Percent of total billed charges		22.8536	22.8536	142.93	one or more instances of the item or service in the 12 months prior to posting the file
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"	19271	CPT				Outpatient	Facility			8105	8105	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	68			Percent of total billed charges		5511.4	90			Percent of total billed charges		7294.5		4465.2		Case rate		4465.2	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	80			Percent of total billed charges		6484	27			Percent of total billed charges		2269.4	85			Percent of total billed charges		6889.25	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2431.5	80			Percent of total billed charges		6484	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	2269.4	7294.5	one or more instances of the item or service in the 12 months prior to posting the file
"Mastotomy with exploration or drainage of abscess, deep"	19020	CPT				Outpatient	Facility			4585	4585	27			Percent of total billed charges		1273.8	90			Percent of total billed charges		4126.5	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	68			Percent of total billed charges		3117.8	90			Percent of total billed charges		4126.5		3900.7		Case rate		3900.7	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	90			Percent of total billed charges		4126.5	80			Percent of total billed charges		3668	27			Percent of total billed charges		1273.8	85			Percent of total billed charges		3897.25	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1375.5	80			Percent of total billed charges		3668	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	90			Percent of total billed charges		4126.5	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	27			Percent of total billed charges		1273.8	1273.8	4126.5	one or more instances of the item or service in the 12 months prior to posting the file
"Maximum breathing capacity, maximal voluntary ventilation"	94200	CPT				Outpatient	Facility			68.9	68.9	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	68			Percent of total billed charges		46.85	90			Percent of total billed charges		62.01		118.6		Case rate		118.6	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	80			Percent of total billed charges		55.12	27			Percent of total billed charges		19.292	85			Percent of total billed charges		58.56	27			Percent of total billed charges		19.292	27			Percent of total billed charges		20.67	80			Percent of total billed charges		55.12	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	19.292	118.6	one or more instances of the item or service in the 12 months prior to posting the file
"Mercury, quantitative"	83825	CPT				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31		67.63		Case rate		67.63	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	67.63	one or more instances of the item or service in the 12 months prior to posting the file
"Microsomal antibodies (eg, thyroid or liver-kidney), each"	86376	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		60.51		Case rate		60.51	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	60.51	one or more instances of the item or service in the 12 months prior to posting the file
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older"	99156	CPT				Outpatient	Facility			608.44	608.44	27			Percent of total billed charges		170.3632	90			Percent of total billed charges		547.6	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	68			Percent of total billed charges		413.74	90			Percent of total billed charges		547.6		521.43		Case rate		521.43	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	90			Percent of total billed charges		547.6	80			Percent of total billed charges		486.75	27			Percent of total billed charges		170.3632	85			Percent of total billed charges		517.17	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		182.53	80			Percent of total billed charges		486.75	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	90			Percent of total billed charges		547.6	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	27			Percent of total billed charges		170.3632	170.3632	547.6	one or more instances of the item or service in the 12 months prior to posting the file
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)"	99153	CPT				Outpatient	Facility			93.27	93.27	27			Percent of total billed charges		26.1184	90			Percent of total billed charges		83.95	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	68			Percent of total billed charges		63.43	90			Percent of total billed charges		83.95		75.53		Case rate		75.53	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	90			Percent of total billed charges		83.95	80			Percent of total billed charges		74.62	27			Percent of total billed charges		26.1184	85			Percent of total billed charges		79.29	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		27.98	80			Percent of total billed charges		74.62	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	90			Percent of total billed charges		83.95	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	27			Percent of total billed charges		26.1184	26.1184	83.95	one or more instances of the item or service in the 12 months prior to posting the file
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older"	99152	CPT				Outpatient	Facility			686.88	686.88	27			Percent of total billed charges		192.3264	90			Percent of total billed charges		618.19	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	68			Percent of total billed charges		467.08	90			Percent of total billed charges		618.19		85.01		Case rate		85.01	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	90			Percent of total billed charges		618.19	80			Percent of total billed charges		549.5	27			Percent of total billed charges		192.3264	85			Percent of total billed charges		583.85	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		206.06	80			Percent of total billed charges		549.5	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	90			Percent of total billed charges		618.19	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	27			Percent of total billed charges		192.3264	192.3264	618.19	one or more instances of the item or service in the 12 months prior to posting the file
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 Shaw-related subfamily, member 3)"	81403	CPT				Outpatient	Facility			455	455	27			Percent of total billed charges		127.4	90			Percent of total billed charges		409.5	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	68			Percent of total billed charges		279.4	90			Percent of total billed charges		409.5		873.06		Case rate		873.06	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	90			Percent of total billed charges		409.5	80			Percent of total billed charges		364	27			Percent of total billed charges		127.4	85			Percent of total billed charges		386.75	27			Percent of total billed charges		127.4	27			Percent of total billed charges		136.5	80			Percent of total billed charges		364	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	90			Percent of total billed charges		409.5	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	27			Percent of total billed charges		127.4	127.4	873.06	one or more instances of the item or service in the 12 months prior to posting the file
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen"	86356	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		111.43		Case rate		111.43	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	111.43	one or more instances of the item or service in the 12 months prior to posting the file
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)"	81291	CPT				Outpatient	Facility			121	121	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	68			Percent of total billed charges		82.27	90			Percent of total billed charges		108.9		278.05		Case rate		278.05	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	85			Percent of total billed charges		102.85	27			Percent of total billed charges		33.88	27			Percent of total billed charges		36.3	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	33.88	278.05	one or more instances of the item or service in the 12 months prior to posting the file
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy"	31256	CPT				Outpatient	Facility			10704	10704	27			Percent of total billed charges		2997.12	90			Percent of total billed charges		9633.6	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	68			Percent of total billed charges		7278.72	90			Percent of total billed charges		9633.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	90			Percent of total billed charges		9633.6	80			Percent of total billed charges		8563.2	27			Percent of total billed charges		2997.12	85			Percent of total billed charges		9098.4	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		3211.2	80			Percent of total billed charges		8563.2	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	90			Percent of total billed charges		9633.6	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	27			Percent of total billed charges		2997.12	2997.12	9633.6	one or more instances of the item or service in the 12 months prior to posting the file
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus"	31267	CPT				Outpatient	Facility			20738	20738	27			Percent of total billed charges		5806.64	90			Percent of total billed charges		18664.2	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	68			Percent of total billed charges		14101.84	90			Percent of total billed charges		18664.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	90			Percent of total billed charges		18664.2	80			Percent of total billed charges		16590.4	27			Percent of total billed charges		5806.64	85			Percent of total billed charges		17627.3	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		6221.4	80			Percent of total billed charges		16590.4	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	90			Percent of total billed charges		18664.2	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	27			Percent of total billed charges		5806.64	5806.64	18664.2	one or more instances of the item or service in the 12 months prior to posting the file
"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)"	43752	CPT				Outpatient	Facility			4958.68	4958.68	27			Percent of total billed charges		1388.4304	90			Percent of total billed charges		4462.81	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	68			Percent of total billed charges		3371.9	90			Percent of total billed charges		4462.81		4465.2		Case rate		4465.2	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	90			Percent of total billed charges		4462.81	80			Percent of total billed charges		3966.94	27			Percent of total billed charges		1388.4304	85			Percent of total billed charges		4214.88	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1487.6	80			Percent of total billed charges		3966.94	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	90			Percent of total billed charges		4462.81	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	27			Percent of total billed charges		1388.4304	1388.4304	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Nephelometry, each analyte not elsewhere specified"	83883	CPT				Outpatient	Facility			120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		56.56		Case rate		56.56	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional"	75580	CPT				Outpatient	Facility			4342	4342	27			Percent of total billed charges		1215.76	90			Percent of total billed charges		3907.8	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	68			Percent of total billed charges		2952.56	90			Percent of total billed charges		3907.8	100			Percent of total billed charges		4342	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	90			Percent of total billed charges		3907.8	80			Percent of total billed charges		3473.6	27			Percent of total billed charges		1215.76	85			Percent of total billed charges		3690.7	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1272.6	80			Percent of total billed charges		3473.6	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	90			Percent of total billed charges		3907.8	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	27			Percent of total billed charges		1215.76	1215.76	4342	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."	99215	CPT				Outpatient	Facility			599.96	599.96	27			Percent of total billed charges		167.9888	90			Percent of total billed charges		539.96	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	68			Percent of total billed charges		407.97	90			Percent of total billed charges		539.96	100			Percent of total billed charges		599.96	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	90			Percent of total billed charges		539.96	80			Percent of total billed charges		479.97	27			Percent of total billed charges		167.9888	85			Percent of total billed charges		509.97	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		179.99	80			Percent of total billed charges		479.97	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	90			Percent of total billed charges		539.96	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	27			Percent of total billed charges		167.9888	167.9888	599.96	zero instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 27 minutes must be met or exceeded."	99214	CPT				Outpatient	Facility			310.58	310.58	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	68			Percent of total billed charges		211.19	90			Percent of total billed charges		279.52	100			Percent of total billed charges		310.58	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	80			Percent of total billed charges		248.46	27			Percent of total billed charges		86.9624	85			Percent of total billed charges		263.99	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		93.17	80			Percent of total billed charges		248.46	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	86.9624	310.58	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."	99212	CPT				Outpatient	Facility			231.08	231.08	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	68			Percent of total billed charges		157.13	90			Percent of total billed charges		207.97	100			Percent of total billed charges		231.08	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	80			Percent of total billed charges		184.86	27			Percent of total billed charges		64.7024	85			Percent of total billed charges		196.42	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		69.32	80			Percent of total billed charges		184.86	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	64.7024	231.08	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each"	26746	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		6271.6		Case rate		6271.6	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed"	27814	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation"	25607	CPT				Outpatient	Facility			20449	20449	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	68			Percent of total billed charges		13905.32	90			Percent of total billed charges		18404.1		6271.6		Case rate		6271.6	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	80			Percent of total billed charges		16359.2	27			Percent of total billed charges		5725.72	85			Percent of total billed charges		17381.65	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		6134.7	80			Percent of total billed charges		16359.2	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	90			Percent of total billed charges		18404.1	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	27			Percent of total billed charges		5725.72	5725.72	18404.1	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement"	27236	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed"	27511	CPT				Outpatient	Facility			21903.84	21903.84	27			Percent of total billed charges		6133.0752	90			Percent of total billed charges		19713.46	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	68			Percent of total billed charges		14894.61	90			Percent of total billed charges		19713.46		11713.38		Case rate		11713.38	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	90			Percent of total billed charges		19713.46	80			Percent of total billed charges		17523.07	27			Percent of total billed charges		6133.0752	85			Percent of total billed charges		18618.26	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6571.15	80			Percent of total billed charges		17523.07	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	90			Percent of total billed charges		19713.46	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	27			Percent of total billed charges		6133.0752	6133.0752	19713.46	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed"	24579	CPT				Outpatient	Facility			45639	45639	27			Percent of total billed charges		12778.92	90			Percent of total billed charges		41075.1	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	68			Percent of total billed charges		31034.52	90			Percent of total billed charges		41075.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	90			Percent of total billed charges		41075.1	80			Percent of total billed charges		36511.2	27			Percent of total billed charges		12778.92	85			Percent of total billed charges		38793.15	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		13691.7	80			Percent of total billed charges		36511.2	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	90			Percent of total billed charges		41075.1	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	27			Percent of total billed charges		12778.92	12778.92	41075.1	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage"	24515	CPT				Outpatient	Facility			24811.42	24811.42	27			Percent of total billed charges		6947.1976	90			Percent of total billed charges		22327.27	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	68			Percent of total billed charges		16871.77	90			Percent of total billed charges		22327.27		5515.17		Case rate		5515.17	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	90			Percent of total billed charges		22327.27	80			Percent of total billed charges		19849.14	27			Percent of total billed charges		6947.1976	85			Percent of total billed charges		21089.71	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		7443.43	80			Percent of total billed charges		19849.14	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	90			Percent of total billed charges		22327.27	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	27			Percent of total billed charges		6947.1976	6947.1976	22327.27	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of medial malleolus fracture, includes internal fixation, when performed"	27766	CPT				Outpatient	Facility			9126	9126	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	68			Percent of total billed charges		6205.68	90			Percent of total billed charges		8213.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	85			Percent of total billed charges		7757.1	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2737.8	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	2555.27	8213.4	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each"	27485	CPT				Outpatient	Facility			18805.22	18805.22	27			Percent of total billed charges		5265.4616	90			Percent of total billed charges		16924.7	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	68			Percent of total billed charges		12787.55	90			Percent of total billed charges		16924.7		5515.17		Case rate		5515.17	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	90			Percent of total billed charges		16924.7	80			Percent of total billed charges		15044.18	27			Percent of total billed charges		5265.4616	85			Percent of total billed charges		15984.44	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5641.57	80			Percent of total billed charges		15044.18	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	90			Percent of total billed charges		16924.7	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	27			Percent of total billed charges		5265.4616	5265.4616	16924.7	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement"	24666	CPT				Outpatient	Facility			37458.27	37458.27	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	68			Percent of total billed charges		25471.63	90			Percent of total billed charges		33712.45		5515.17		Case rate		5515.17	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	80			Percent of total billed charges		29966.62	27			Percent of total billed charges		10488.3184	85			Percent of total billed charges		31839.54	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		11237.48	80			Percent of total billed charges		29966.62	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	10488.3184	33712.45	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed"	27615	CPT				Outpatient	Facility			18257.44	18257.44	27			Percent of total billed charges		5112.0832	90			Percent of total billed charges		16431.7	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	68			Percent of total billed charges		12415.06	90			Percent of total billed charges		16431.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	90			Percent of total billed charges		16431.7	80			Percent of total billed charges		14605.95	27			Percent of total billed charges		5112.0832	85			Percent of total billed charges		15518.82	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5477.23	80			Percent of total billed charges		14605.95	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	90			Percent of total billed charges		16431.7	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	27			Percent of total billed charges		5112.0832	5112.0832	16431.7	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip"	27822	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed"	24685	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Opiates, 1 or more"	80361	CPT				Outpatient	Facility			39.9	39.9	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	68			Percent of total billed charges		27.13	90			Percent of total billed charges		35.91		65.93		Case rate		65.93	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	80			Percent of total billed charges		31.92	27			Percent of total billed charges		11.172	85			Percent of total billed charges		33.92	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.97	80			Percent of total billed charges		31.92	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	11.172	65.93	one or more instances of the item or service in the 12 months prior to posting the file
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head"	27278	CPT				Outpatient	Facility			5238.52	5238.52	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	68			Percent of total billed charges		3562.19	90			Percent of total billed charges		4714.67		4465.2		Case rate		4465.2	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	85			Percent of total billed charges		4452.74	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1571.56	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	1466.7856	4714.67	one or more instances of the item or service in the 12 months prior to posting the file
"Osteotomy; metacarpal, each"	26565	CPT				Outpatient	Facility			10034	10034	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	68			Percent of total billed charges		6823.12	90			Percent of total billed charges		9027.6		6271.6		Case rate		6271.6	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	80			Percent of total billed charges		8027.2	27			Percent of total billed charges		2709.52	85			Percent of total billed charges		8527.9	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2710.2	80			Percent of total billed charges		8027.2	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	2709.52	9027.6	one or more instances of the item or service in the 12 months prior to posting the file
"Ova and parasites, direct smears, concentration and identification"	87177	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		37.03		Case rate		37.03	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	50.4	one or more instances of the item or service in the 12 months prior to posting the file
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions"	11056	CPT				Outpatient	Facility			595.72	595.72	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	68			Percent of total billed charges		405.09	90			Percent of total billed charges		536.15		278.78		Case rate		278.78	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	85			Percent of total billed charges		506.36	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		178.72	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	166.8016	536.15	one or more instances of the item or service in the 12 months prior to posting the file
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe"	27124	CPT				Outpatient	Facility			5395.76	5395.76	27			Percent of total billed charges		1510.8127	90			Percent of total billed charges		4856.18	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	68			Percent of total billed charges		3669.12	90			Percent of total billed charges		4856.18		4465.2		Case rate		4465.2	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	90			Percent of total billed charges		4856.18	80			Percent of total billed charges		4316.61	27			Percent of total billed charges		1510.8127	85			Percent of total billed charges		4586.4	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1618.73	80			Percent of total billed charges		4316.61	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	90			Percent of total billed charges		4856.18	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	27			Percent of total billed charges		1510.8127	1510.8127	4856.18	one or more instances of the item or service in the 12 months prior to posting the file
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus"	27122	CPT				Outpatient	Facility			5094.36	5094.36	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	68			Percent of total billed charges		3464.16	90			Percent of total billed charges		4584.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	85			Percent of total billed charges		4327.21	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1527.31	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	1426.4208	4584.92	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation"	26650	CPT				Outpatient	Facility			9994	9994	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	68			Percent of total billed charges		6795.92	90			Percent of total billed charges		8994.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	85			Percent of total billed charges		8494.9	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2998.2	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	2798.32	8994.6	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch"	92933	CPT				Outpatient	Facility			34550.7	34550.7	27			Percent of total billed charges		9674.196	90			Percent of total billed charges		31095.63	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	68			Percent of total billed charges		23494.48	90			Percent of total billed charges		31095.63		5075.65		Case rate		5075.65	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	90			Percent of total billed charges		31095.63	80			Percent of total billed charges		27640.56	27			Percent of total billed charges		9674.196	85			Percent of total billed charges		29368.1	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		10365.21	80			Percent of total billed charges		27640.56	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	90			Percent of total billed charges		31095.63	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	27			Percent of total billed charges		9674.196	9674.196	31095.63	zero instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel"	92941	CPT				Outpatient	Facility			22503.8	22503.8	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	68			Percent of total billed charges		15272.58	90			Percent of total billed charges		20253.42		5085.92		Case rate		5085.92	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	85			Percent of total billed charges		19127.23	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6751.14	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	6301.064	20253.42	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel"	92943	CPT				Outpatient	Facility			32148.74	32148.74	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	68			Percent of total billed charges		21861.14	90			Percent of total billed charges		27933.87		5085.92		Case rate		5085.92	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	85			Percent of total billed charges		27326.43	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9644.62	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	9001.6472	27933.87	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (List separately in addition to code for primary procedure)"	92938	CPT				Outpatient	Facility			19699.79	19699.79	27			Percent of total billed charges		5515.9412	90			Percent of total billed charges		17729.81	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	68			Percent of total billed charges		13395.86	90			Percent of total billed charges		17729.81		2266.81		Case rate		2266.81	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	90			Percent of total billed charges		17729.81	80			Percent of total billed charges		15759.83	27			Percent of total billed charges		5515.9412	85			Percent of total billed charges		16744.82	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5909.94	80			Percent of total billed charges		15759.83	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	90			Percent of total billed charges		17729.81	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	27			Percent of total billed charges		5515.9412	5515.9412	17729.81	one or more instances of the item or service in the 12 months prior to posting the file
"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly"	32717	CPT				Outpatient	Facility			15941.34	15941.34	27			Percent of total billed charges		4463.5752	90			Percent of total billed charges		14347.21	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	68			Percent of total billed charges		10840.11	90			Percent of total billed charges		14347.21		13672.19		Case rate		13672.19	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	90			Percent of total billed charges		14347.21	80			Percent of total billed charges		12753.07	27			Percent of total billed charges		4463.5752	85			Percent of total billed charges		13550.14	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4782.4	80			Percent of total billed charges		12753.07	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	90			Percent of total billed charges		14347.21	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	27			Percent of total billed charges		4463.5752	4463.5752	14347.21	one or more instances of the item or service in the 12 months prior to posting the file
"Pericardiocentesis, including imaging guidance, when performed"	32716	CPT				Outpatient	Facility			5447.34	5447.34	27			Percent of total billed charges		1525.2552	90			Percent of total billed charges		4902.61	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	68			Percent of total billed charges		3704.19	90			Percent of total billed charges		4902.61		8704.59		Case rate		8704.59	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	90			Percent of total billed charges		4902.61	80			Percent of total billed charges		4357.87	27			Percent of total billed charges		1525.2552	85			Percent of total billed charges		4627.24	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1634.2	80			Percent of total billed charges		4357.87	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	90			Percent of total billed charges		4902.61	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	27			Percent of total billed charges		1525.2552	1525.2552	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)"	93463	CPT				Outpatient	Facility			277.14	277.14	27			Percent of total billed charges		80.3992	90			Percent of total billed charges		258.43	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	68			Percent of total billed charges		195.26	90			Percent of total billed charges		258.43	100			Percent of total billed charges		277.14	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	90			Percent of total billed charges		258.43	80			Percent of total billed charges		229.71	27			Percent of total billed charges		80.3992	85			Percent of total billed charges		244.07	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		86.14	80			Percent of total billed charges		229.71	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	90			Percent of total billed charges		258.43	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	27			Percent of total billed charges		80.3992	80.3992	277.14	one or more instances of the item or service in the 12 months prior to posting the file
"Phlebotomy, therapeutic (separate procedure)"	99195	CPT				Outpatient	Facility			522	522	27			Percent of total billed charges		146.16	90			Percent of total billed charges		469.8	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	68			Percent of total billed charges		354.96	90			Percent of total billed charges		469.8		494.33		Case rate		494.33	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	90			Percent of total billed charges		469.8	80			Percent of total billed charges		417.6	27			Percent of total billed charges		146.16	85			Percent of total billed charges		443.7	27			Percent of total billed charges		146.16	27			Percent of total billed charges		156.6	80			Percent of total billed charges		417.6	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	90			Percent of total billed charges		469.8	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	27			Percent of total billed charges		146.16	146.16	494.33	one or more instances of the item or service in the 12 months prior to posting the file
"Phosphatase, acid; prostatic"	84066	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	68			Percent of total billed charges		18.77	90			Percent of total billed charges		24.84		40.19		Case rate		40.19	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	85			Percent of total billed charges		23.46	27			Percent of total billed charges		7.727	27			Percent of total billed charges		8.27	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	7.727	40.19	zero instances of the item or service in the 12 months prior to posting the file
"Phosphatase, alkaline"	84075	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.56		Case rate		21.56	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
"Phosphatase, alkaline; isoenzymes"	84080	CPT				Outpatient	Facility			95	95	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	68			Percent of total billed charges		64.6	90			Percent of total billed charges		85.5		61.47		Case rate		61.47	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	85			Percent of total billed charges		80.75	27			Percent of total billed charges		26.6	27			Percent of total billed charges		27.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	26.6	85.5	one or more instances of the item or service in the 12 months prior to posting the file
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family."	97163	CPT				Outpatient	Facility			500.58	500.58	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	68			Percent of total billed charges		340.39	90			Percent of total billed charges		450.52		474.35		Case rate		474.35	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	85			Percent of total billed charges		425.49	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		150.17	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	140.1624	474.35	one or more instances of the item or service in the 12 months prior to posting the file
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 27 minutes are spent face-to-face with the patient and/or family."	97162	CPT				Outpatient	Facility			500.58	500.58	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	68			Percent of total billed charges		340.39	90			Percent of total billed charges		450.52		474.35		Case rate		474.35	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	85			Percent of total billed charges		425.49	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		150.17	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	140.1624	474.35	one or more instances of the item or service in the 12 months prior to posting the file
"Plethysmography for determination of lung volumes and, when performed, airway resistance"	94726	CPT				Outpatient	Facility			951	951	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	68			Percent of total billed charges		646.68	90			Percent of total billed charges		855.9		278.5		Case rate		278.5	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	80			Percent of total billed charges		760.8	27			Percent of total billed charges		266.27	85			Percent of total billed charges		808.35	27			Percent of total billed charges		266.27	27			Percent of total billed charges		275.3	80			Percent of total billed charges		760.8	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	90			Percent of total billed charges		855.9	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	27			Percent of total billed charges		266.27	266.27	855.9	one or more instances of the item or service in the 12 months prior to posting the file
"Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure"	99024	CPT				Outpatient	Facility			105.17	105.17	27			Percent of total billed charges		29.4476	90			Percent of total billed charges		94.65	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	68			Percent of total billed charges		71.52	90			Percent of total billed charges		94.65	100			Percent of total billed charges		105.17	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	90			Percent of total billed charges		94.65	80			Percent of total billed charges		84.14	27			Percent of total billed charges		29.4476	85			Percent of total billed charges		89.39	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		31.55	80			Percent of total billed charges		84.14	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	90			Percent of total billed charges		94.65	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	27			Percent of total billed charges		29.4476	29.4476	105.17	one or more instances of the item or service in the 12 months prior to posting the file
"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)"	37185	CPT				Outpatient	Facility			7605	7605	27			Percent of total billed charges		2129.4	90			Percent of total billed charges		6844.5	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	68			Percent of total billed charges		5171.4	90			Percent of total billed charges		6844.5		5859.51		Case rate		5859.51	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	90			Percent of total billed charges		6844.5	80			Percent of total billed charges		6084	27			Percent of total billed charges		2129.4	85			Percent of total billed charges		6464.25	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2271.5	80			Percent of total billed charges		6084	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	90			Percent of total billed charges		6844.5	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	27			Percent of total billed charges		2129.4	2129.4	6844.5	one or more instances of the item or service in the 12 months prior to posting the file
"Procainamide; with metabolites (eg, n-acetyl procainamide)"	80192	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		69.72		Case rate		69.72	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	69.72	zero instances of the item or service in the 12 months prior to posting the file
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)"	84157	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		16.65		Case rate		16.65	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	41.4	one or more instances of the item or service in the 12 months prior to posting the file
"Protein, total, except by refractometry; serum, plasma or whole blood"	84155	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		15.24		Case rate		15.24	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	41.4	zero instances of the item or service in the 12 months prior to posting the file
"Protein; electrophoretic fractionation and quantitation, serum"	84165	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		73.95		Case rate		73.95	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	73.95	one or more instances of the item or service in the 12 months prior to posting the file
"Pulmonary perfusion imaging (eg, particulate)"	78580	CPT				Outpatient	Facility			1421.4	1421.4	27			Percent of total billed charges		397.992	90			Percent of total billed charges		1279.26	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	68			Percent of total billed charges		966.55	90			Percent of total billed charges		1279.26		1246.98		Case rate		1246.98	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	90			Percent of total billed charges		1279.26	80			Percent of total billed charges		1137.12	27			Percent of total billed charges		397.992	85			Percent of total billed charges		1208.19	27			Percent of total billed charges		397.992	27			Percent of total billed charges		426.42	80			Percent of total billed charges		1137.12	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	90			Percent of total billed charges		1279.26	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	27			Percent of total billed charges		397.992	397.992	1279.26	one or more instances of the item or service in the 12 months prior to posting the file
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	94618	CPT				Outpatient	Facility			387	387	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	68			Percent of total billed charges		263.16	90			Percent of total billed charges		348.3		75.93		Case rate		75.93	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	80			Percent of total billed charges		279.6	27			Percent of total billed charges		108.36	85			Percent of total billed charges		327.95	27			Percent of total billed charges		108.36	27			Percent of total billed charges		116.1	80			Percent of total billed charges		279.6	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	108.36	348.3	one or more instances of the item or service in the 12 months prior to posting the file
"Puncture aspiration of abscess, hematoma, bulla, or cyst"	10160	CPT				Outpatient	Facility			900	900	27			Percent of total billed charges		252	90			Percent of total billed charges		810	27			Percent of total billed charges		252	27			Percent of total billed charges		252	68			Percent of total billed charges		612	90			Percent of total billed charges		810		526.85		Case rate		526.85	27			Percent of total billed charges		252	27			Percent of total billed charges		252	90			Percent of total billed charges		810	80			Percent of total billed charges		720	27			Percent of total billed charges		252	85			Percent of total billed charges		765	27			Percent of total billed charges		252	27			Percent of total billed charges		270	80			Percent of total billed charges		720	27			Percent of total billed charges		252	27			Percent of total billed charges		252	27			Percent of total billed charges		252	27			Percent of total billed charges		252	90			Percent of total billed charges		810	27			Percent of total billed charges		252	27			Percent of total billed charges		252	27			Percent of total billed charges		252	252	810	one or more instances of the item or service in the 12 months prior to posting the file
"Quantitation of therapeutic drug, not elsewhere specified"	80299	CPT				Outpatient	Facility			136	136	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	68			Percent of total billed charges		92.48	90			Percent of total billed charges		122.4		77.56		Case rate		77.56	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	85			Percent of total billed charges		115.6	27			Percent of total billed charges		38.08	27			Percent of total billed charges		40.8	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	38.08	122.4	one or more instances of the item or service in the 12 months prior to posting the file
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use"	90375	CPT				Outpatient	Facility			11984	11984	27			Percent of total billed charges		3355.52	90			Percent of total billed charges		10785.6	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	68			Percent of total billed charges		8149.12	90			Percent of total billed charges		10785.6		1354.24		Case rate		1354.24	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	90			Percent of total billed charges		10785.6	80			Percent of total billed charges		9587.2	27			Percent of total billed charges		3355.52	85			Percent of total billed charges		10186.4	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3595.2	80			Percent of total billed charges		9587.2	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	90			Percent of total billed charges		10785.6	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	27			Percent of total billed charges		3355.52	3355.52	10785.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, abdomen; 1 view"	74018	CPT				Outpatient	Facility			200.85	200.85	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	68			Percent of total billed charges		136.58	90			Percent of total billed charges		180.76		105.79		Case rate		105.79	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	85			Percent of total billed charges		170.72	27			Percent of total billed charges		56.238	27			Percent of total billed charges		60.26	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	56.238	180.76	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation"	76080	CPT				Outpatient	Facility			375	375	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	27			Percent of total billed charges		105	27			Percent of total billed charges		105	68			Percent of total billed charges		255	90			Percent of total billed charges		337.5		177.03		Case rate		177.03	27			Percent of total billed charges		105	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	80			Percent of total billed charges		270	27			Percent of total billed charges		105	85			Percent of total billed charges		318.75	27			Percent of total billed charges		105	27			Percent of total billed charges		112.5	80			Percent of total billed charges		270	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	105	337.5	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, chest; 4 or more views"	71048	CPT				Outpatient	Facility			249.59	249.58	27			Percent of total billed charges		69.8824	90			Percent of total billed charges		224.63	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	68			Percent of total billed charges		169.72	90			Percent of total billed charges		224.63		155.46		Case rate		155.46	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	90			Percent of total billed charges		224.63	80			Percent of total billed charges		199.67	27			Percent of total billed charges		69.8824	85			Percent of total billed charges		212.15	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		74.88	80			Percent of total billed charges		199.67	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	90			Percent of total billed charges		224.63	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	27			Percent of total billed charges		69.8824	69.8824	224.63	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	74270	CPT				Outpatient	Facility			954.81	954.81	27			Percent of total billed charges		267.3468	90			Percent of total billed charges		859.33	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	68			Percent of total billed charges		649.27	90			Percent of total billed charges		859.33		834.33		Case rate		834.33	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	90			Percent of total billed charges		859.33	80			Percent of total billed charges		763.85	27			Percent of total billed charges		267.3468	85			Percent of total billed charges		811.59	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		276.44	80			Percent of total billed charges		763.85	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	90			Percent of total billed charges		859.33	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	27			Percent of total billed charges		267.3468	267.3468	859.33	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74220	CPT				Outpatient	Facility			490.27	490.27	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	68			Percent of total billed charges		333.39	90			Percent of total billed charges		441.25		357.44		Case rate		357.44	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	85			Percent of total billed charges		416.74	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		147.08	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	137.2784	441.25	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, facial bones; complete, minimum of 3 views"	70150	CPT				Outpatient	Facility			327.71	327.71	27			Percent of total billed charges		91.7588	90			Percent of total billed charges		294.94	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	68			Percent of total billed charges		222.84	90			Percent of total billed charges		294.94		173.7		Case rate		173.7	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	90			Percent of total billed charges		294.94	80			Percent of total billed charges		262.17	27			Percent of total billed charges		91.7588	85			Percent of total billed charges		278.55	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		98.31	80			Percent of total billed charges		262.17	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	90			Percent of total billed charges		294.94	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	27			Percent of total billed charges		91.7588	91.7588	294.94	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, femur; minimum 2 views"	73552	CPT				Outpatient	Facility			200.85	200.85	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	68			Percent of total billed charges		136.58	90			Percent of total billed charges		180.76		127.68		Case rate		127.68	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	85			Percent of total billed charges		170.72	27			Percent of total billed charges		56.238	27			Percent of total billed charges		60.26	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	56.238	180.76	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, finger(s), minimum of 2 views"	73140	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		152.19		Case rate		152.19	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, foot; complete, minimum of 3 views"	73627	CPT				Outpatient	Facility			139.05	139.05	27			Percent of total billed charges		38.934	90			Percent of total billed charges		125.14	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	68			Percent of total billed charges		94.55	90			Percent of total billed charges		125.14		127.68		Case rate		127.68	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	90			Percent of total billed charges		125.14	80			Percent of total billed charges		111.24	27			Percent of total billed charges		38.934	85			Percent of total billed charges		118.19	27			Percent of total billed charges		38.934	27			Percent of total billed charges		41.72	80			Percent of total billed charges		111.24	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	90			Percent of total billed charges		125.14	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	27			Percent of total billed charges		38.934	38.934	127.68	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hand; 2 views"	73120	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		114.09		Case rate		114.09	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	73501	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		115.78		Case rate		115.78	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	73502	CPT				Outpatient	Facility			200.85	200.85	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	68			Percent of total billed charges		136.58	90			Percent of total billed charges		180.76		178.66		Case rate		178.66	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	85			Percent of total billed charges		170.72	27			Percent of total billed charges		56.238	27			Percent of total billed charges		60.26	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	56.238	180.76	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, knee; both knees, standing, anteroposterior"	73565	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		158.79		Case rate		158.79	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	183.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, knee; complete, 4 or more views"	73564	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		175.39		Case rate		175.39	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)"	77075	CPT				Outpatient	Facility			474.83	474.83	27			Percent of total billed charges		132.9524	90			Percent of total billed charges		427.35	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	68			Percent of total billed charges		322.88	90			Percent of total billed charges		427.35		419.03		Case rate		419.03	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	90			Percent of total billed charges		427.35	80			Percent of total billed charges		379.86	27			Percent of total billed charges		132.9524	85			Percent of total billed charges		403.61	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		142.45	80			Percent of total billed charges		379.86	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	90			Percent of total billed charges		427.35	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	27			Percent of total billed charges		132.9524	132.9524	427.35	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, pelvis; 1 or 2 views"	72170	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		95.85		Case rate		95.85	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, ribs, unilateral; 2 views"	71100	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		127.99		Case rate		127.99	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, sacroiliac joints; 3 or more views"	72202	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		140.56		Case rate		140.56	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, sacrum and coccyx, minimum of 2 views"	72220	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		119.05		Case rate		119.05	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, shoulder; 1 view"	72720	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		69.38		Case rate		69.38	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	183.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views"	70220	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		135.59		Case rate		135.59	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	183.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, skull; less than 4 views"	70250	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		133.96		Case rate		133.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study"	74250	CPT				Outpatient	Facility			490.27	490.27	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	68			Percent of total billed charges		333.39	90			Percent of total billed charges		441.25		433.65		Case rate		433.65	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	85			Percent of total billed charges		416.74	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		147.08	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	137.2784	441.25	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, cervical; 2 or 3 views"	72040	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		142.2		Case rate		142.2	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, cervical; 4 or 5 views"	72050	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		198.53		Case rate		198.53	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views"	72083	CPT				Outpatient	Facility			350	350	27			Percent of total billed charges		98	90			Percent of total billed charges		315	27			Percent of total billed charges		98	27			Percent of total billed charges		98	68			Percent of total billed charges		238	90			Percent of total billed charges		315		274.49		Case rate		274.49	27			Percent of total billed charges		98	27			Percent of total billed charges		98	90			Percent of total billed charges		315	80			Percent of total billed charges		270	27			Percent of total billed charges		98	85			Percent of total billed charges		297.5	27			Percent of total billed charges		98	27			Percent of total billed charges		105	80			Percent of total billed charges		270	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	90			Percent of total billed charges		315	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	98	315	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views"	72114	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		234.94		Case rate		234.94	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine; thoracic, minimum of 4 views"	72074	CPT				Outpatient	Facility			264.71	264.71	27			Percent of total billed charges		74.1188	90			Percent of total billed charges		238.24	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	68			Percent of total billed charges		180	90			Percent of total billed charges		238.24		162.12		Case rate		162.12	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	90			Percent of total billed charges		238.24	80			Percent of total billed charges		211.77	27			Percent of total billed charges		74.1188	85			Percent of total billed charges		225	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		79.41	80			Percent of total billed charges		211.77	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	90			Percent of total billed charges		238.24	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	27			Percent of total billed charges		74.1188	74.1188	238.24	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral"	70327	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		208.47		Case rate		208.47	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	208.47	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	74246	CPT				Outpatient	Facility			545.9	545.9	27			Percent of total billed charges		152.852	90			Percent of total billed charges		491.31	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	68			Percent of total billed charges		371.21	90			Percent of total billed charges		491.31		503.2		Case rate		503.2	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	90			Percent of total billed charges		491.31	80			Percent of total billed charges		436.72	27			Percent of total billed charges		152.852	85			Percent of total billed charges		464.02	27			Percent of total billed charges		152.852	27			Percent of total billed charges		163.77	80			Percent of total billed charges		436.72	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	90			Percent of total billed charges		491.31	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	27			Percent of total billed charges		152.852	152.852	503.2	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74240	CPT				Outpatient	Facility			490.27	490.27	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	68			Percent of total billed charges		333.39	90			Percent of total billed charges		441.25		436.98		Case rate		436.98	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	85			Percent of total billed charges		416.74	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		147.08	80			Percent of total billed charges		392.22	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	90			Percent of total billed charges		441.25	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	27			Percent of total billed charges		137.2784	137.2784	441.25	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; calcaneus, minimum of 2 views"	73650	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		104.15		Case rate		104.15	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; forearm, 2 views"	72790	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		105.79		Case rate		105.79	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; scapula, complete"	72710	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		74.34		Case rate		74.34	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiological examination, surgical specimen"	76098	CPT				Outpatient	Facility			189.22	189.22	27			Percent of total billed charges		52.9816	90			Percent of total billed charges		170.29	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	68			Percent of total billed charges		127.67	90			Percent of total billed charges		170.29		83.77		Case rate		83.77	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	90			Percent of total billed charges		170.29	80			Percent of total billed charges		151.37	27			Percent of total billed charges		52.9816	85			Percent of total billed charges		160.83	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		56.76	80			Percent of total billed charges		151.37	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	90			Percent of total billed charges		170.29	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	27			Percent of total billed charges		52.9816	52.9816	170.29	one or more instances of the item or service in the 12 months prior to posting the file
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family."	97164	CPT				Outpatient	Facility			163	163	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	68			Percent of total billed charges		110.84	90			Percent of total billed charges		146.7		322.44		Case rate		322.44	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	85			Percent of total billed charges		138.55	27			Percent of total billed charges		45.64	27			Percent of total billed charges		48.9	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	45.64	322.44	one or more instances of the item or service in the 12 months prior to posting the file
"Reduction of volvulus, intussusception, internal hernia, by laparotomy"	44050	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of foreign body, external eye; corneal, without slit lamp"	65220	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)"	20670	CPT				Outpatient	Facility			5239	5239	27			Percent of total billed charges		1466.92	90			Percent of total billed charges		4715.1	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	68			Percent of total billed charges		3562.52	90			Percent of total billed charges		4715.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	90			Percent of total billed charges		4715.1	80			Percent of total billed charges		4191.2	27			Percent of total billed charges		1466.92	85			Percent of total billed charges		4453.15	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1571.7	80			Percent of total billed charges		4191.2	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	90			Percent of total billed charges		4715.1	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	27			Percent of total billed charges		1466.92	1466.92	4715.1	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)"	49623	CPT				Outpatient	Facility			11544.46	11544.46	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	68			Percent of total billed charges		7850.23	90			Percent of total billed charges		10390.01	100			Percent of total billed charges		11544.46	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	80			Percent of total billed charges		9235.57	27			Percent of total billed charges		3232.4488	85			Percent of total billed charges		9812.79	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3463.34	80			Percent of total billed charges		9235.57	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	3232.4488	11544.46	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion"	36590	CPT				Outpatient	Facility			3202	3202	27			Percent of total billed charges		896.56	90			Percent of total billed charges		2781.8	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	68			Percent of total billed charges		2177.36	90			Percent of total billed charges		2781.8		2912.82		Case rate		2912.82	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	90			Percent of total billed charges		2781.8	80			Percent of total billed charges		2561.6	27			Percent of total billed charges		896.56	85			Percent of total billed charges		2721.7	27			Percent of total billed charges		896.56	27			Percent of total billed charges		960.6	80			Percent of total billed charges		2561.6	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	90			Percent of total billed charges		2781.8	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	27			Percent of total billed charges		896.56	896.56	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Removal, under anesthesia, of external fixation system"	20694	CPT				Outpatient	Facility			4256.96	4256.96	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	68			Percent of total billed charges		2794.73	90			Percent of total billed charges		3831.26		2912.82		Case rate		2912.82	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	80			Percent of total billed charges		3405.57	27			Percent of total billed charges		1191.9488	85			Percent of total billed charges		3618.42	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1277.09	80			Percent of total billed charges		3405.57	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	1191.9488	3831.26	one or more instances of the item or service in the 12 months prior to posting the file
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)"	80069	CPT				Outpatient	Facility			107	107	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	68			Percent of total billed charges		72.76	90			Percent of total billed charges		96.3		36.13		Case rate		36.13	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	80			Percent of total billed charges		85.6	27			Percent of total billed charges		29.96	85			Percent of total billed charges		90.95	27			Percent of total billed charges		29.96	27			Percent of total billed charges		32.1	80			Percent of total billed charges		85.6	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	90			Percent of total billed charges		96.3	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	27			Percent of total billed charges		29.96	29.96	96.3	one or more instances of the item or service in the 12 months prior to posting the file
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated"	49507	CPT				Outpatient	Facility			9138.26	9138.26	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	68			Percent of total billed charges		6214.02	90			Percent of total billed charges		8224.43		11713.38		Case rate		11713.38	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	80			Percent of total billed charges		7310.61	27			Percent of total billed charges		2558.7127	85			Percent of total billed charges		7767.52	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2741.48	80			Percent of total billed charges		7310.61	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	2558.7127	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Repair lip, full thickness; vermilion only"	40650	CPT				Outpatient	Facility			2589	2589	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	68			Percent of total billed charges		1760.52	90			Percent of total billed charges		2327.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	80			Percent of total billed charges		2071.2	27			Percent of total billed charges		724.92	85			Percent of total billed charges		2200.65	27			Percent of total billed charges		724.92	27			Percent of total billed charges		776.7	80			Percent of total billed charges		2071.2	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	724.92	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible"	49593	CPT				Outpatient	Facility			11545.52	11545.52	27			Percent of total billed charges		3232.7456	90			Percent of total billed charges		10390.97	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	68			Percent of total billed charges		7850.95	90			Percent of total billed charges		10390.97	100			Percent of total billed charges		11545.52	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	90			Percent of total billed charges		10390.97	80			Percent of total billed charges		9236.42	27			Percent of total billed charges		3232.7456	85			Percent of total billed charges		9813.69	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3463.66	80			Percent of total billed charges		9236.42	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	90			Percent of total billed charges		10390.97	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	27			Percent of total billed charges		3232.7456	3232.7456	11545.52	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated"	49592	CPT				Outpatient	Facility			16989.68	16989.68	27			Percent of total billed charges		4757.1104	90			Percent of total billed charges		15290.71	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	68			Percent of total billed charges		11552.98	90			Percent of total billed charges		15290.71	100			Percent of total billed charges		16989.68	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	90			Percent of total billed charges		15290.71	80			Percent of total billed charges		13591.74	27			Percent of total billed charges		4757.1104	85			Percent of total billed charges		14441.23	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		5096.9	80			Percent of total billed charges		13591.74	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	90			Percent of total billed charges		15290.71	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	27			Percent of total billed charges		4757.1104	4757.1104	16989.68	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated"	49618	CPT				Outpatient	Facility			11544.46	11544.46	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	68			Percent of total billed charges		7850.23	90			Percent of total billed charges		10390.01	100			Percent of total billed charges		11544.46	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	80			Percent of total billed charges		9235.57	27			Percent of total billed charges		3232.4488	85			Percent of total billed charges		9812.79	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3463.34	80			Percent of total billed charges		9235.57	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	90			Percent of total billed charges		10390.01	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	27			Percent of total billed charges		3232.4488	3232.4488	11544.46	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)"	67900	CPT				Outpatient	Facility			6337.74	6337.74	27			Percent of total billed charges		1774.5672	90			Percent of total billed charges		5703.97	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	68			Percent of total billed charges		4279.66	90			Percent of total billed charges		5703.97		5515.17		Case rate		5515.17	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	90			Percent of total billed charges		5703.97	80			Percent of total billed charges		5070.19	27			Percent of total billed charges		1774.5672	85			Percent of total billed charges		5387.08	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1901.32	80			Percent of total billed charges		5070.19	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	90			Percent of total billed charges		5703.97	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	27			Percent of total billed charges		1774.5672	1774.5672	5703.97	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic"	23412	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		8704.59		Case rate		8704.59	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon"	26350	CPT				Outpatient	Facility			9465.8	9465.8	27			Percent of total billed charges		2650.424	90			Percent of total billed charges		8519.22	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	68			Percent of total billed charges		6436.74	90			Percent of total billed charges		8519.22		2912.82		Case rate		2912.82	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	90			Percent of total billed charges		8519.22	80			Percent of total billed charges		7572.64	27			Percent of total billed charges		2650.424	85			Percent of total billed charges		8045.93	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2739.74	80			Percent of total billed charges		7572.64	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	90			Percent of total billed charges		8519.22	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	27			Percent of total billed charges		2650.424	2650.424	8519.22	one or more instances of the item or service in the 12 months prior to posting the file
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated"	49521	CPT				Outpatient	Facility			39373	39373	27			Percent of total billed charges		11024.44	90			Percent of total billed charges		35435.7	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	68			Percent of total billed charges		26773.64	90			Percent of total billed charges		35435.7		11713.38		Case rate		11713.38	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	90			Percent of total billed charges		35435.7	80			Percent of total billed charges		31498.4	27			Percent of total billed charges		11024.44	85			Percent of total billed charges		33467.05	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11811.9	80			Percent of total billed charges		31498.4	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	90			Percent of total billed charges		35435.7	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	27			Percent of total billed charges		11024.44	11024.44	35435.7	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, dislocating peroneal tendons; without fibular osteotomy"	27675	CPT				Outpatient	Facility			9039	9039	27			Percent of total billed charges		2530.92	90			Percent of total billed charges		8135.1	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	68			Percent of total billed charges		6146.52	90			Percent of total billed charges		8135.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	90			Percent of total billed charges		8135.1	80			Percent of total billed charges		7231.2	27			Percent of total billed charges		2530.92	85			Percent of total billed charges		7683.15	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2711.7	80			Percent of total billed charges		7231.2	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	90			Percent of total billed charges		8135.1	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	27			Percent of total billed charges		2530.92	2530.92	8135.1	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon"	27659	CPT				Outpatient	Facility			22170	22170	27			Percent of total billed charges		6207.6	90			Percent of total billed charges		19953	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	68			Percent of total billed charges		15075.6	90			Percent of total billed charges		19953		3900.7		Case rate		3900.7	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	90			Percent of total billed charges		19953	80			Percent of total billed charges		17736	27			Percent of total billed charges		6207.6	85			Percent of total billed charges		18844.5	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6651	80			Percent of total billed charges		17736	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	90			Percent of total billed charges		19953	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	27			Percent of total billed charges		6207.6	6207.6	19953	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	12052	CPT				Outpatient	Facility			836.34	836.34	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	68			Percent of total billed charges		568.71	90			Percent of total billed charges		752.71		2912.82		Case rate		2912.82	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	80			Percent of total billed charges		669.07	27			Percent of total billed charges		234.1752	85			Percent of total billed charges		710.89	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		250.9	80			Percent of total billed charges		669.07	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	234.1752	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	12053	CPT				Outpatient	Facility			861.67	861.67	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	68			Percent of total billed charges		585.94	90			Percent of total billed charges		775.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	80			Percent of total billed charges		689.34	27			Percent of total billed charges		241.2676	85			Percent of total billed charges		732.42	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		258.5	80			Percent of total billed charges		689.34	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	241.2676	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm"	12042	CPT				Outpatient	Facility			826.27	826.27	27			Percent of total billed charges		231.3556	90			Percent of total billed charges		743.64	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	68			Percent of total billed charges		561.86	90			Percent of total billed charges		743.64		2912.82		Case rate		2912.82	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	90			Percent of total billed charges		743.64	80			Percent of total billed charges		661.02	27			Percent of total billed charges		231.3556	85			Percent of total billed charges		702.33	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		247.88	80			Percent of total billed charges		661.02	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	90			Percent of total billed charges		743.64	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	27			Percent of total billed charges		231.3556	231.3556	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm"	12044	CPT				Outpatient	Facility			2520.15	2520.15	27			Percent of total billed charges		705.642	90			Percent of total billed charges		2268.14	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	68			Percent of total billed charges		1713.7	90			Percent of total billed charges		2268.14		3900.7		Case rate		3900.7	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	90			Percent of total billed charges		2268.14	80			Percent of total billed charges		2016.12	27			Percent of total billed charges		705.642	85			Percent of total billed charges		2142.13	27			Percent of total billed charges		705.642	27			Percent of total billed charges		756.04	80			Percent of total billed charges		2016.12	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	90			Percent of total billed charges		2268.14	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	27			Percent of total billed charges		705.642	705.642	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm"	12032	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm"	12034	CPT				Outpatient	Facility			2544.65	2544.65	27			Percent of total billed charges		712.502	90			Percent of total billed charges		2290.18	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	68			Percent of total billed charges		1727.36	90			Percent of total billed charges		2290.18		3900.7		Case rate		3900.7	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	90			Percent of total billed charges		2290.18	80			Percent of total billed charges		2035.72	27			Percent of total billed charges		712.502	85			Percent of total billed charges		2162.95	27			Percent of total billed charges		712.502	27			Percent of total billed charges		763.4	80			Percent of total billed charges		2035.72	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	90			Percent of total billed charges		2290.18	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	27			Percent of total billed charges		712.502	712.502	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, primary, open or percutaneous, ruptured Achilles tendon"	27650	CPT				Outpatient	Facility			9126	9126	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	68			Percent of total billed charges		6205.68	90			Percent of total billed charges		8213.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	85			Percent of total billed charges		7757.1	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2737.8	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	2555.27	8213.4	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, secondary, Achilles tendon, with or without graft"	27654	CPT				Outpatient	Facility			20914.86	20914.86	27			Percent of total billed charges		5856.1608	90			Percent of total billed charges		18823.37	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	68			Percent of total billed charges		14222.1	90			Percent of total billed charges		18823.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	90			Percent of total billed charges		18823.37	80			Percent of total billed charges		16731.89	27			Percent of total billed charges		5856.1608	85			Percent of total billed charges		17777.63	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		6274.46	80			Percent of total billed charges		16731.89	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	90			Percent of total billed charges		18823.37	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	27			Percent of total billed charges		5856.1608	5856.1608	18823.37	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, tendon, extensor, foot; primary or secondary, each tendon"	27208	CPT				Outpatient	Facility			14160.54	14160.54	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	68			Percent of total billed charges		9629.17	90			Percent of total billed charges		12744.49		4465.2		Case rate		4465.2	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	80			Percent of total billed charges		11327.43	27			Percent of total billed charges		3964.9512	85			Percent of total billed charges		12036.46	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		4248.16	80			Percent of total billed charges		11327.43	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	3964.9512	12744.49	one or more instances of the item or service in the 12 months prior to posting the file
"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site"	36578	CPT				Outpatient	Facility			8750	8750	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	68			Percent of total billed charges		5950	90			Percent of total billed charges		7875		3900.7		Case rate		3900.7	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	85			Percent of total billed charges		7437.5	27			Percent of total billed charges		2450	27			Percent of total billed charges		2625	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	2450	7875	one or more instances of the item or service in the 12 months prior to posting the file
"Resection, partial or complete, phalangeal base, each toe"	27126	CPT				Outpatient	Facility			9173.24	9173.24	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	68			Percent of total billed charges		6237.8	90			Percent of total billed charges		8255.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	85			Percent of total billed charges		7797.25	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2751.97	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	2568.5072	8255.92	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed"	37225	CPT				Outpatient	Facility			34252.84	34252.84	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	68			Percent of total billed charges		23291.93	90			Percent of total billed charges		27827.56		8704.59		Case rate		8704.59	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	80			Percent of total billed charges		27402.27	27			Percent of total billed charges		9590.7952	85			Percent of total billed charges		29114.91	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		10275.85	80			Percent of total billed charges		27402.27	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	9590.7952	27827.56	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty"	37224	CPT				Outpatient	Facility			16551.9	16551.9	27			Percent of total billed charges		4634.532	90			Percent of total billed charges		14896.71	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	68			Percent of total billed charges		11255.29	90			Percent of total billed charges		14896.71		11713.38		Case rate		11713.38	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	90			Percent of total billed charges		14896.71	80			Percent of total billed charges		13241.52	27			Percent of total billed charges		4634.532	85			Percent of total billed charges		14069.12	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4965.57	80			Percent of total billed charges		13241.52	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	90			Percent of total billed charges		14896.71	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	27			Percent of total billed charges		4634.532	4634.532	14896.71	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed"	37226	CPT				Outpatient	Facility			34769.88	34769.88	27			Percent of total billed charges		9735.5664	90			Percent of total billed charges		31292.89	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	68			Percent of total billed charges		23643.52	90			Percent of total billed charges		31292.89		11713.38		Case rate		11713.38	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	90			Percent of total billed charges		31292.89	80			Percent of total billed charges		27815.9	27			Percent of total billed charges		9735.5664	85			Percent of total billed charges		29554.4	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		10427.96	80			Percent of total billed charges		27815.9	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	90			Percent of total billed charges		31292.89	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	27			Percent of total billed charges		9735.5664	9735.5664	31292.89	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)"	37222	CPT				Outpatient	Facility			15904.24	15904.24	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	68			Percent of total billed charges		10814.88	90			Percent of total billed charges		14313.82		5859.51		Case rate		5859.51	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	80			Percent of total billed charges		12723.39	27			Percent of total billed charges		4453.1872	85			Percent of total billed charges		13518.6	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4771.27	80			Percent of total billed charges		12723.39	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	4453.1872	14313.82	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed"	37221	CPT				Outpatient	Facility			32148.74	32148.74	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	68			Percent of total billed charges		21861.14	90			Percent of total billed charges		27933.87		11713.38		Case rate		11713.38	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	85			Percent of total billed charges		27326.43	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9644.62	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	9001.6472	27933.87	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)"	37232	CPT				Outpatient	Facility			49571.96	49571.96	27			Percent of total billed charges		13880.1488	90			Percent of total billed charges		44614.76	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	68			Percent of total billed charges		33708.93	90			Percent of total billed charges		44614.76		4352.3		Case rate		4352.3	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	90			Percent of total billed charges		44614.76	80			Percent of total billed charges		39657.57	27			Percent of total billed charges		13880.1488	85			Percent of total billed charges		42136.17	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		14871.59	80			Percent of total billed charges		39657.57	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	90			Percent of total billed charges		44614.76	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	27			Percent of total billed charges		13880.1488	13880.1488	44614.76	one or more instances of the item or service in the 12 months prior to posting the file
"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy"	43860	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report"	92741	CPT				Outpatient	Facility			68.9	68.9	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	68			Percent of total billed charges		46.85	90			Percent of total billed charges		62.01		41.32		Case rate		41.32	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	80			Percent of total billed charges		55.12	27			Percent of total billed charges		19.292	85			Percent of total billed charges		58.56	27			Percent of total billed charges		19.292	27			Percent of total billed charges		20.67	80			Percent of total billed charges		55.12	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	90			Percent of total billed charges		62.01	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	27			Percent of total billed charges		19.292	19.292	62.01	one or more instances of the item or service in the 12 months prior to posting the file
"Secondary closure of surgical wound or dehiscence, extensive or complicated"	13160	CPT				Outpatient	Facility			7551.44	7551.44	27			Percent of total billed charges		2114.4032	90			Percent of total billed charges		6796.3	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	68			Percent of total billed charges		5134.98	90			Percent of total billed charges		6796.3		3900.7		Case rate		3900.7	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	90			Percent of total billed charges		6796.3	80			Percent of total billed charges		6041.15	27			Percent of total billed charges		2114.4032	85			Percent of total billed charges		6418.72	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2265.43	80			Percent of total billed charges		6041.15	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	90			Percent of total billed charges		6796.3	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	27			Percent of total billed charges		2114.4032	2114.4032	6796.3	one or more instances of the item or service in the 12 months prior to posting the file
"Sedimentation rate, erythrocyte; automated"	85652	CPT				Outpatient	Facility			33.9	33.9	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	68			Percent of total billed charges		23.05	90			Percent of total billed charges		27.51		11.23		Case rate		11.23	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	85			Percent of total billed charges		27.82	27			Percent of total billed charges		9.492	27			Percent of total billed charges		10.17	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	9.492	27.51	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36245	CPT				Outpatient	Facility			11417	11417	27			Percent of total billed charges		3196.76	90			Percent of total billed charges		10275.3	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	68			Percent of total billed charges		7763.56	90			Percent of total billed charges		10275.3		558.86		Case rate		558.86	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	90			Percent of total billed charges		10275.3	80			Percent of total billed charges		9133.6	27			Percent of total billed charges		3196.76	85			Percent of total billed charges		9704.45	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3425.1	80			Percent of total billed charges		9133.6	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	90			Percent of total billed charges		10275.3	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	27			Percent of total billed charges		3196.76	3196.76	10275.3	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36247	CPT				Outpatient	Facility			12269.5	12269.5	27			Percent of total billed charges		3435.46	90			Percent of total billed charges		11042.55	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	68			Percent of total billed charges		8343.26	90			Percent of total billed charges		11042.55		558.86		Case rate		558.86	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	90			Percent of total billed charges		11042.55	80			Percent of total billed charges		9815.6	27			Percent of total billed charges		3435.46	85			Percent of total billed charges		10429.08	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3680.85	80			Percent of total billed charges		9815.6	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	90			Percent of total billed charges		11042.55	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	27			Percent of total billed charges		3435.46	3435.46	11042.55	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, left or right pulmonary artery"	36014	CPT				Outpatient	Facility			705.38	705.38	27			Percent of total billed charges		197.5064	90			Percent of total billed charges		634.84	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	68			Percent of total billed charges		479.66	90			Percent of total billed charges		634.84		558.86		Case rate		558.86	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	90			Percent of total billed charges		634.84	80			Percent of total billed charges		564.3	27			Percent of total billed charges		197.5064	85			Percent of total billed charges		599.57	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		211.61	80			Percent of total billed charges		564.3	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	90			Percent of total billed charges		634.84	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	27			Percent of total billed charges		197.5064	197.5064	634.84	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, segmental or subsegmental pulmonary artery"	36015	CPT				Outpatient	Facility			723.84	723.84	27			Percent of total billed charges		202.6752	90			Percent of total billed charges		651.46	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	68			Percent of total billed charges		492.21	90			Percent of total billed charges		651.46		558.86		Case rate		558.86	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	90			Percent of total billed charges		651.46	80			Percent of total billed charges		579.07	27			Percent of total billed charges		202.6752	85			Percent of total billed charges		615.26	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		217.15	80			Percent of total billed charges		579.07	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	90			Percent of total billed charges		651.46	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	27			Percent of total billed charges		202.6752	202.6752	651.46	one or more instances of the item or service in the 12 months prior to posting the file
"Semen analysis; sperm presence and motility of sperm, if performed"	89321	CPT				Outpatient	Facility			148	148	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	68			Percent of total billed charges		100.64	90			Percent of total billed charges		133.2		50.13		Case rate		50.13	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	85			Percent of total billed charges		125.8	27			Percent of total billed charges		41.44	27			Percent of total billed charges		44.4	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	41.44	133.2	one or more instances of the item or service in the 12 months prior to posting the file
"Sesamoidectomy, first toe (separate procedure)"	27315	CPT				Outpatient	Facility			5238.52	5238.52	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	68			Percent of total billed charges		3562.19	90			Percent of total billed charges		4714.67		5515.17		Case rate		5515.17	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	85			Percent of total billed charges		4452.74	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1571.56	80			Percent of total billed charges		4190.82	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	90			Percent of total billed charges		4714.67	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	27			Percent of total billed charges		1466.7856	1466.7856	5515.17	one or more instances of the item or service in the 12 months prior to posting the file
"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)"	45350	CPT				Outpatient	Facility			4135	4135	27			Percent of total billed charges		1157.8	90			Percent of total billed charges		3721.5	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	68			Percent of total billed charges		2711.8	90			Percent of total billed charges		3721.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	90			Percent of total billed charges		3721.5	80			Percent of total billed charges		3278	27			Percent of total billed charges		1157.8	85			Percent of total billed charges		3514.75	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1240.5	80			Percent of total billed charges		3278	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	90			Percent of total billed charges		3721.5	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	27			Percent of total billed charges		1157.8	1157.8	3721.5	one or more instances of the item or service in the 12 months prior to posting the file
"Sigmoidoscopy, flexible; with removal of foreign body(s)"	45332	CPT				Outpatient	Facility			3511.78	3511.78	27			Percent of total billed charges		983.2984	90			Percent of total billed charges		3160.6	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	68			Percent of total billed charges		2388.01	90			Percent of total billed charges		3160.6		2912.82		Case rate		2912.82	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	90			Percent of total billed charges		3160.6	80			Percent of total billed charges		2709.42	27			Percent of total billed charges		983.2984	85			Percent of total billed charges		2985.01	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		1053.53	80			Percent of total billed charges		2709.42	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	90			Percent of total billed charges		3160.6	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	27			Percent of total billed charges		983.2984	983.2984	3160.6	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	12013	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	12015	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 27.0 cm"	12006	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Skin test; tuberculosis, intradermal"	86580	CPT				Outpatient	Facility			86	86	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	68			Percent of total billed charges		58.48	90			Percent of total billed charges		77.4		42.34		Case rate		42.34	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	85			Percent of total billed charges		73.1	27			Percent of total billed charges		24.08	27			Percent of total billed charges		25.8	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	24.08	77.4	zero instances of the item or service in the 12 months prior to posting the file
"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)"	95806	CPT				Outpatient	Facility			1040.92	1040.92	27			Percent of total billed charges		291.4576	90			Percent of total billed charges		936.83	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	68			Percent of total billed charges		707.83	90			Percent of total billed charges		936.83		892.64		Case rate		892.64	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	90			Percent of total billed charges		936.83	80			Percent of total billed charges		832.74	27			Percent of total billed charges		291.4576	85			Percent of total billed charges		884.78	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		312.27	80			Percent of total billed charges		832.74	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	90			Percent of total billed charges		936.83	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	27			Percent of total billed charges		291.4576	291.4576	936.83	one or more instances of the item or service in the 12 months prior to posting the file
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types"	87206	CPT				Outpatient	Facility			32	32	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	68			Percent of total billed charges		21.76	90			Percent of total billed charges		27.8		22.47		Case rate		22.47	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	80			Percent of total billed charges		25.6	27			Percent of total billed charges		8.96	85			Percent of total billed charges		27.2	27			Percent of total billed charges		8.96	27			Percent of total billed charges		9.6	80			Percent of total billed charges		25.6	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	8.96	27.8	one or more instances of the item or service in the 12 months prior to posting the file
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types"	87205	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		17.78		Case rate		17.78	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	48.6	one or more instances of the item or service in the 12 months prior to posting the file
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes"	99407	CPT				Outpatient	Facility			183	183	27			Percent of total billed charges		51.24	90			Percent of total billed charges		164.7	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	68			Percent of total billed charges		124.44	90			Percent of total billed charges		164.7		166.75		Case rate		166.75	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	90			Percent of total billed charges		164.7	80			Percent of total billed charges		146.4	27			Percent of total billed charges		51.24	85			Percent of total billed charges		155.55	27			Percent of total billed charges		51.24	27			Percent of total billed charges		54.9	80			Percent of total billed charges		146.4	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	90			Percent of total billed charges		164.7	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	27			Percent of total billed charges		51.24	51.24	166.75	one or more instances of the item or service in the 12 months prior to posting the file
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes"	99406	CPT				Outpatient	Facility			97.5	97.5	27			Percent of total billed charges		27.3	90			Percent of total billed charges		87.75	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	68			Percent of total billed charges		66.3	90			Percent of total billed charges		87.75		83.21		Case rate		83.21	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	90			Percent of total billed charges		87.75	80			Percent of total billed charges		78	27			Percent of total billed charges		27.3	85			Percent of total billed charges		82.88	27			Percent of total billed charges		27.3	27			Percent of total billed charges		29.25	80			Percent of total billed charges		78	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	90			Percent of total billed charges		87.75	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	27			Percent of total billed charges		27.3	27.3	87.75	one or more instances of the item or service in the 12 months prior to posting the file
"Sodium; serum, plasma or whole blood"	84295	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		20.04		Case rate		20.04	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	54.9	one or more instances of the item or service in the 12 months prior to posting the file
"Spinal puncture, lumbar, diagnostic"	62270	CPT				Outpatient	Facility			2162.4	2162.4	27			Percent of total billed charges		605.472	90			Percent of total billed charges		1946.16	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	68			Percent of total billed charges		1470.43	90			Percent of total billed charges		1946.16		1361.07		Case rate		1361.07	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	90			Percent of total billed charges		1946.16	80			Percent of total billed charges		1729.92	27			Percent of total billed charges		605.472	85			Percent of total billed charges		1838.04	27			Percent of total billed charges		605.472	27			Percent of total billed charges		648.72	80			Percent of total billed charges		1729.92	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	90			Percent of total billed charges		1946.16	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	27			Percent of total billed charges		605.472	605.472	1946.16	one or more instances of the item or service in the 12 months prior to posting the file
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)"	89220	CPT				Outpatient	Facility			57.3	57.3	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	68			Percent of total billed charges		38.96	90			Percent of total billed charges		51.57		75.02		Case rate		75.02	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	80			Percent of total billed charges		45.84	27			Percent of total billed charges		16.044	85			Percent of total billed charges		48.7	27			Percent of total billed charges		16.044	27			Percent of total billed charges		17.19	80			Percent of total billed charges		45.84	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	16.044	75.02	one or more instances of the item or service in the 12 months prior to posting the file
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen"	84378	CPT				Outpatient	Facility			92	92	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	68			Percent of total billed charges		62.56	90			Percent of total billed charges		82.8		47.98		Case rate		47.98	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	85			Percent of total billed charges		78.2	27			Percent of total billed charges		25.76	27			Percent of total billed charges		27.6	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	25.76	82.8	one or more instances of the item or service in the 12 months prior to posting the file
"Syphilis test, non-treponemal antibody; quantitative"	86593	CPT				Outpatient	Facility			32.4	32.4	27			Percent of total billed charges		9.072	90			Percent of total billed charges		29.16	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	68			Percent of total billed charges		22.03	90			Percent of total billed charges		29.16		18.29		Case rate		18.29	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	90			Percent of total billed charges		29.16	80			Percent of total billed charges		25.92	27			Percent of total billed charges		9.072	85			Percent of total billed charges		27.54	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.72	80			Percent of total billed charges		25.92	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	90			Percent of total billed charges		29.16	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	27			Percent of total billed charges		9.072	9.072	29.16	one or more instances of the item or service in the 12 months prior to posting the file
"Tenotomy, open, extensor, foot or toe, each tendon"	27234	CPT				Outpatient	Facility			4869	4869	27			Percent of total billed charges		1363.32	90			Percent of total billed charges		4382.1	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	68			Percent of total billed charges		3310.92	90			Percent of total billed charges		4382.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	90			Percent of total billed charges		4382.1	80			Percent of total billed charges		3895.2	27			Percent of total billed charges		1363.32	85			Percent of total billed charges		4138.65	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1460.7	80			Percent of total billed charges		3895.2	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	90			Percent of total billed charges		4382.1	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	27			Percent of total billed charges		1363.32	1363.32	4382.1	one or more instances of the item or service in the 12 months prior to posting the file
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon"	25290	CPT				Outpatient	Facility			9734	9734	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	68			Percent of total billed charges		6619.12	90			Percent of total billed charges		8760.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	85			Percent of total billed charges		8273.9	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2920.2	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	2725.52	8760.6	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes"	97527	CPT				Outpatient	Facility			163	163	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	68			Percent of total billed charges		110.84	90			Percent of total billed charges		146.7		149.2		Case rate		149.2	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	85			Percent of total billed charges		138.55	27			Percent of total billed charges		45.64	27			Percent of total billed charges		48.9	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	45.64	149.2	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)"	97116	CPT				Outpatient	Facility			120.51	120.51	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	68			Percent of total billed charges		81.95	90			Percent of total billed charges		108.46		123.96		Case rate		123.96	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	80			Percent of total billed charges		96.41	27			Percent of total billed charges		33.7427	85			Percent of total billed charges		102.43	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		36.15	80			Percent of total billed charges		96.41	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	33.7427	123.96	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities"	97112	CPT				Outpatient	Facility			125	125	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	68			Percent of total billed charges		85	90			Percent of total billed charges		112.5		145.7		Case rate		145.7	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	85			Percent of total billed charges		106.25	27			Percent of total billed charges		35	27			Percent of total billed charges		37.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	35	145.7	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility"	97110	CPT				Outpatient	Facility			125	125	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	68			Percent of total billed charges		85	90			Percent of total billed charges		112.5		141.86		Case rate		141.86	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	85			Percent of total billed charges		106.25	27			Percent of total billed charges		35	27			Percent of total billed charges		37.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	35	141.86	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)"	96375	CPT				Outpatient	Facility			183.38	183.38	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	68			Percent of total billed charges		124.7	90			Percent of total billed charges		165.04		167.26		Case rate		167.26	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	80			Percent of total billed charges		146.7	27			Percent of total billed charges		51.3464	85			Percent of total billed charges		155.87	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		55.01	80			Percent of total billed charges		146.7	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	51.3464	167.26	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular"	96372	CPT				Outpatient	Facility			172.78	172.78	27			Percent of total billed charges		48.3784	90			Percent of total billed charges		155.5	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	68			Percent of total billed charges		117.49	90			Percent of total billed charges		155.5		148.8		Case rate		148.8	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	90			Percent of total billed charges		155.5	80			Percent of total billed charges		138.22	27			Percent of total billed charges		48.3784	85			Percent of total billed charges		146.86	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		51.83	80			Percent of total billed charges		138.22	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	90			Percent of total billed charges		155.5	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	27			Percent of total billed charges		48.3784	48.3784	155.5	zero instances of the item or service in the 12 months prior to posting the file
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance"	32555	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Thrombolysis, coronary; by intravenous infusion"	92977	CPT				Outpatient	Facility			787	787	27			Percent of total billed charges		220.36	90			Percent of total billed charges		708.3	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	68			Percent of total billed charges		535.16	90			Percent of total billed charges		708.3		1129.06		Case rate		1129.06	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	90			Percent of total billed charges		708.3	80			Percent of total billed charges		629.6	27			Percent of total billed charges		220.36	85			Percent of total billed charges		668.95	27			Percent of total billed charges		220.36	27			Percent of total billed charges		236.1	80			Percent of total billed charges		629.6	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	90			Percent of total billed charges		708.3	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	27			Percent of total billed charges		220.36	220.36	1129.06	one or more instances of the item or service in the 12 months prior to posting the file
"Thromboplastin inhibition, tissue"	85705	CPT				Outpatient	Facility			60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		40.08		Case rate		40.08	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	54	zero instances of the item or service in the 12 months prior to posting the file
"Thromboplastin time, partial (PTT); plasma or whole blood"	85727	CPT				Outpatient	Facility			75	75	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	68			Percent of total billed charges		51	90			Percent of total billed charges		67.5		25.01		Case rate		25.01	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	85			Percent of total billed charges		63.75	27			Percent of total billed charges		21	27			Percent of total billed charges		22.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	21	67.5	one or more instances of the item or service in the 12 months prior to posting the file
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)"	87220	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		17.78		Case rate		17.78	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	46.8	zero instances of the item or service in the 12 months prior to posting the file
"Total thyroid lobectomy, unilateral; with or without isthmusectomy"	60220	CPT				Outpatient	Facility			16069.6	16069.6	27			Percent of total billed charges		4499.488	90			Percent of total billed charges		14462.64	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	68			Percent of total billed charges		10927.33	90			Percent of total billed charges		14462.64		3900.7		Case rate		3900.7	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	90			Percent of total billed charges		14462.64	80			Percent of total billed charges		12755.68	27			Percent of total billed charges		4499.488	85			Percent of total billed charges		13659.16	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4820.88	80			Percent of total billed charges		12755.68	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	90			Percent of total billed charges		14462.64	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	27			Percent of total billed charges		4499.488	4499.488	14462.64	one or more instances of the item or service in the 12 months prior to posting the file
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)"	37239	CPT				Outpatient	Facility			15904.24	15904.24	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	68			Percent of total billed charges		10814.88	90			Percent of total billed charges		14313.82		2760.41		Case rate		2760.41	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	80			Percent of total billed charges		12723.39	27			Percent of total billed charges		4453.1872	85			Percent of total billed charges		13518.6	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4771.27	80			Percent of total billed charges		12723.39	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	90			Percent of total billed charges		14313.82	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	27			Percent of total billed charges		4453.1872	4453.1872	14313.82	one or more instances of the item or service in the 12 months prior to posting the file
"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein"	37238	CPT				Outpatient	Facility			33113.37	33113.37	27			Percent of total billed charges		9271.7436	90			Percent of total billed charges		29802.03	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	68			Percent of total billed charges		22517.09	90			Percent of total billed charges		29802.03		5515.17		Case rate		5515.17	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	90			Percent of total billed charges		29802.03	80			Percent of total billed charges		26490.7	27			Percent of total billed charges		9271.7436	85			Percent of total billed charges		27146.36	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9934.01	80			Percent of total billed charges		26490.7	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	90			Percent of total billed charges		29802.03	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	27			Percent of total billed charges		9271.7436	9271.7436	29802.03	one or more instances of the item or service in the 12 months prior to posting the file
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein"	37248	CPT				Outpatient	Facility			17409.88	17409.88	27			Percent of total billed charges		4874.7664	90			Percent of total billed charges		15668.89	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	68			Percent of total billed charges		11838.72	90			Percent of total billed charges		15668.89		8704.59		Case rate		8704.59	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	90			Percent of total billed charges		15668.89	80			Percent of total billed charges		13927.9	27			Percent of total billed charges		4874.7664	85			Percent of total billed charges		14798.4	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		5222.96	80			Percent of total billed charges		13927.9	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	90			Percent of total billed charges		15668.89	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	27			Percent of total billed charges		4874.7664	4874.7664	15668.89	one or more instances of the item or service in the 12 months prior to posting the file
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)"	64488	CPT				Outpatient	Facility			911	911	27			Percent of total billed charges		255.08	90			Percent of total billed charges		819.9	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	68			Percent of total billed charges		619.48	90			Percent of total billed charges		819.9		780.48		Case rate		780.48	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	90			Percent of total billed charges		819.9	80			Percent of total billed charges		727.8	27			Percent of total billed charges		255.08	85			Percent of total billed charges		774.35	27			Percent of total billed charges		255.08	27			Percent of total billed charges		273.3	80			Percent of total billed charges		727.8	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	90			Percent of total billed charges		819.9	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	27			Percent of total billed charges		255.08	255.08	819.9	one or more instances of the item or service in the 12 months prior to posting the file
"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage"	27245	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Treatment of missed abortion, completed surgically; first trimester"	59820	CPT				Outpatient	Facility			6724.64	6724.64	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	68			Percent of total billed charges		4572.76	90			Percent of total billed charges		6052.18		6271.6		Case rate		6271.6	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	80			Percent of total billed charges		5379.71	27			Percent of total billed charges		1882.8992	85			Percent of total billed charges		5715.94	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		2017.39	80			Percent of total billed charges		5379.71	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	1882.8992	6271.6	one or more instances of the item or service in the 12 months prior to posting the file
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage"	27759	CPT				Outpatient	Facility			37458.27	37458.27	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	68			Percent of total billed charges		25471.63	90			Percent of total billed charges		33712.45		5515.17		Case rate		5515.17	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	80			Percent of total billed charges		29966.62	27			Percent of total billed charges		10488.3184	85			Percent of total billed charges		31839.54	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		11237.48	80			Percent of total billed charges		29966.62	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	90			Percent of total billed charges		33712.45	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	27			Percent of total billed charges		10488.3184	10488.3184	33712.45	one or more instances of the item or service in the 12 months prior to posting the file
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)"	32551	CPT				Outpatient	Facility			3265	3265	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	68			Percent of total billed charges		2220.2	90			Percent of total billed charges		2938.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	85			Percent of total billed charges		2775.25	27			Percent of total billed charges		914.2	27			Percent of total billed charges		979.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	914.2	2938.5	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)"	76705	CPT				Outpatient	Facility			386.25	386.25	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	68			Percent of total billed charges		262.65	90			Percent of total billed charges		347.62		297.83		Case rate		297.83	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	80			Percent of total billed charges		279	27			Percent of total billed charges		108.15	85			Percent of total billed charges		327.31	27			Percent of total billed charges		108.15	27			Percent of total billed charges		115.88	80			Percent of total billed charges		279	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	108.15	347.62	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	76641	CPT				Outpatient	Facility			378.01	378.01	27			Percent of total billed charges		105.8427	90			Percent of total billed charges		340.21	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	68			Percent of total billed charges		257.05	90			Percent of total billed charges		340.21		342.54		Case rate		342.54	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	90			Percent of total billed charges		340.21	80			Percent of total billed charges		272.41	27			Percent of total billed charges		105.8427	85			Percent of total billed charges		321.31	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		113.4	80			Percent of total billed charges		272.41	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	90			Percent of total billed charges		340.21	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	27			Percent of total billed charges		105.8427	105.8427	342.54	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, chest (includes mediastinum), real time with image documentation"	76604	CPT				Outpatient	Facility			349.17	349.17	27			Percent of total billed charges		97.7676	90			Percent of total billed charges		314.25	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	68			Percent of total billed charges		237.44	90			Percent of total billed charges		314.25		152.19		Case rate		152.19	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	90			Percent of total billed charges		314.25	80			Percent of total billed charges		279.34	27			Percent of total billed charges		97.7676	85			Percent of total billed charges		296.79	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		104.75	80			Percent of total billed charges		279.34	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	90			Percent of total billed charges		314.25	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	27			Percent of total billed charges		97.7676	97.7676	314.25	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation"	76881	CPT				Outpatient	Facility			327.63	327.63	27			Percent of total billed charges		92.0164	90			Percent of total billed charges		297.57	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	68			Percent of total billed charges		224.83	90			Percent of total billed charges		297.57		140.56		Case rate		140.56	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	90			Percent of total billed charges		297.57	80			Percent of total billed charges		264.5	27			Percent of total billed charges		92.0164	85			Percent of total billed charges		271.04	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		99.19	80			Percent of total billed charges		264.5	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	90			Percent of total billed charges		297.57	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	27			Percent of total billed charges		92.0164	92.0164	297.57	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)"	76885	CPT				Outpatient	Facility			513.97	513.97	27			Percent of total billed charges		143.9116	90			Percent of total billed charges		462.57	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	68			Percent of total billed charges		349.5	90			Percent of total billed charges		462.57		453.35		Case rate		453.35	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	90			Percent of total billed charges		462.57	80			Percent of total billed charges		411.18	27			Percent of total billed charges		143.9116	85			Percent of total billed charges		436.87	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		154.19	80			Percent of total billed charges		411.18	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	90			Percent of total billed charges		462.57	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	27			Percent of total billed charges		143.9116	143.9116	462.57	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation"	76882	CPT				Outpatient	Facility			567	567	27			Percent of total billed charges		158.76	90			Percent of total billed charges		510.3	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	68			Percent of total billed charges		385.56	90			Percent of total billed charges		510.3		163.76		Case rate		163.76	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	90			Percent of total billed charges		510.3	80			Percent of total billed charges		453.6	27			Percent of total billed charges		158.76	85			Percent of total billed charges		481.95	27			Percent of total billed charges		158.76	27			Percent of total billed charges		170.1	80			Percent of total billed charges		453.6	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	90			Percent of total billed charges		510.3	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	27			Percent of total billed charges		158.76	158.76	510.3	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete"	76856	CPT				Outpatient	Facility			500.58	500.58	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	68			Percent of total billed charges		340.39	90			Percent of total billed charges		450.52		365.74		Case rate		365.74	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	85			Percent of total billed charges		425.49	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		150.17	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	140.1624	450.52	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)"	76810	CPT				Outpatient	Facility			543	543	27			Percent of total billed charges		152.04	90			Percent of total billed charges		488.7	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	68			Percent of total billed charges		369.24	90			Percent of total billed charges		488.7		206.83		Case rate		206.83	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	90			Percent of total billed charges		488.7	80			Percent of total billed charges		434.4	27			Percent of total billed charges		152.04	85			Percent of total billed charges		461.55	27			Percent of total billed charges		152.04	27			Percent of total billed charges		162.9	80			Percent of total billed charges		434.4	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	90			Percent of total billed charges		488.7	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	27			Percent of total billed charges		152.04	152.04	488.7	zero instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation"	76805	CPT				Outpatient	Facility			500.58	500.58	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	68			Percent of total billed charges		340.39	90			Percent of total billed charges		450.52		438.62		Case rate		438.62	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	85			Percent of total billed charges		425.49	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		150.17	80			Percent of total billed charges		400.46	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	90			Percent of total billed charges		450.52	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	27			Percent of total billed charges		140.1624	140.1624	450.52	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)"	76802	CPT				Outpatient	Facility			355.35	355.35	27			Percent of total billed charges		99.498	90			Percent of total billed charges		319.82	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	68			Percent of total billed charges		241.64	90			Percent of total billed charges		319.82		105.96		Case rate		105.96	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	90			Percent of total billed charges		319.82	80			Percent of total billed charges		274.27	27			Percent of total billed charges		99.498	85			Percent of total billed charges		272.05	27			Percent of total billed charges		99.498	27			Percent of total billed charges		106.6	80			Percent of total billed charges		274.27	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	90			Percent of total billed charges		319.82	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	27			Percent of total billed charges		99.498	99.498	319.82	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation"	76801	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		352.53		Case rate		352.53	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses"	76815	CPT				Outpatient	Facility			351.23	351.23	27			Percent of total billed charges		98.3444	90			Percent of total billed charges		316.11	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	68			Percent of total billed charges		238.84	90			Percent of total billed charges		316.11		251.48		Case rate		251.48	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	90			Percent of total billed charges		316.11	80			Percent of total billed charges		270.98	27			Percent of total billed charges		98.3444	85			Percent of total billed charges		298.55	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		105.37	80			Percent of total billed charges		270.98	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	90			Percent of total billed charges		316.11	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	27			Percent of total billed charges		98.3444	98.3444	316.11	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, scrotum and contents"	76870	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		352.53		Case rate		352.53	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum"	49329	CPT				Outpatient	Facility			13985.64	13985.64	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	68			Percent of total billed charges		9510.24	90			Percent of total billed charges		12587.08		4465.2		Case rate		4465.2	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	85			Percent of total billed charges		11887.79	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		4195.69	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	3915.9792	12587.08	one or more instances of the item or service in the 12 months prior to posting the file
"Unlisted procedure, dentoalveolar structures"	41899	CPT				Outpatient	Facility			4291	4291	27			Percent of total billed charges		1201.48	90			Percent of total billed charges		3861.9	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	68			Percent of total billed charges		2917.88	90			Percent of total billed charges		3861.9		3900.7		Case rate		3900.7	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	90			Percent of total billed charges		3861.9	80			Percent of total billed charges		3432.8	27			Percent of total billed charges		1201.48	85			Percent of total billed charges		3647.35	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1277.3	80			Percent of total billed charges		3432.8	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	90			Percent of total billed charges		3861.9	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	27			Percent of total billed charges		1201.48	1201.48	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Unlisted procedure, musculoskeletal system, general"	20999	CPT				Outpatient	Facility			1782.3	1782.3	27			Percent of total billed charges		499.044	90			Percent of total billed charges		1604.07	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	68			Percent of total billed charges		1211.96	90			Percent of total billed charges		1604.07		2912.82		Case rate		2912.82	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	90			Percent of total billed charges		1604.07	80			Percent of total billed charges		1425.84	27			Percent of total billed charges		499.044	85			Percent of total billed charges		1514.96	27			Percent of total billed charges		499.044	27			Percent of total billed charges		534.69	80			Percent of total billed charges		1425.84	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	90			Percent of total billed charges		1604.07	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	27			Percent of total billed charges		499.044	499.044	2912.82	zero instances of the item or service in the 12 months prior to posting the file
"Unlisted procedure, nervous system"	64999	CPT				Outpatient	Facility			3482.1	3482.1	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	68			Percent of total billed charges		2367.83	90			Percent of total billed charges		3133.89		2912.82		Case rate		2912.82	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	80			Percent of total billed charges		2785.68	27			Percent of total billed charges		974.988	85			Percent of total billed charges		2959.78	27			Percent of total billed charges		974.988	27			Percent of total billed charges		1044.63	80			Percent of total billed charges		2785.68	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	974.988	3133.89	one or more instances of the item or service in the 12 months prior to posting the file
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy"	81003	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		9.37		Case rate		9.37	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	20.07	zero instances of the item or service in the 12 months prior to posting the file
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy"	81002	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		14.45		Case rate		14.45	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	27.9	zero instances of the item or service in the 12 months prior to posting the file
"Urine pregnancy test, by visual color comparison methods"	81025	CPT				Outpatient	Facility			92	92	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	68			Percent of total billed charges		62.56	90			Percent of total billed charges		82.8		35.85		Case rate		35.85	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	85			Percent of total billed charges		78.2	27			Percent of total billed charges		25.76	27			Percent of total billed charges		27.6	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	25.76	82.8	zero instances of the item or service in the 12 months prior to posting the file
"Urography, retrograde, with or without KUB"	74420	CPT				Outpatient	Facility			1242	1242	27			Percent of total billed charges		347.76	90			Percent of total billed charges		1117.8	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	68			Percent of total billed charges		844.56	90			Percent of total billed charges		1117.8		259.78		Case rate		259.78	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	90			Percent of total billed charges		1117.8	80			Percent of total billed charges		993.6	27			Percent of total billed charges		347.76	85			Percent of total billed charges		1055.7	27			Percent of total billed charges		347.76	27			Percent of total billed charges		372.6	80			Percent of total billed charges		993.6	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	90			Percent of total billed charges		1117.8	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	27			Percent of total billed charges		347.76	347.76	1117.8	one or more instances of the item or service in the 12 months prior to posting the file
"Vaginal hysterectomy, for uterus 250 g or less"	58260	CPT				Outpatient	Facility			14023	14023	27			Percent of total billed charges		3926.44	90			Percent of total billed charges		12620.7	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	68			Percent of total billed charges		9535.64	90			Percent of total billed charges		12620.7		11713.38		Case rate		11713.38	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	90			Percent of total billed charges		12620.7	80			Percent of total billed charges		11218.4	27			Percent of total billed charges		3926.44	85			Percent of total billed charges		11919.55	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		4206.9	80			Percent of total billed charges		11218.4	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	90			Percent of total billed charges		12620.7	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	27			Percent of total billed charges		3926.44	3926.44	12620.7	one or more instances of the item or service in the 12 months prior to posting the file
"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)"	58262	CPT				Outpatient	Facility			13227.8	13227.8	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	68			Percent of total billed charges		8995.58	90			Percent of total billed charges		11905.92		11713.38		Case rate		11713.38	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	85			Percent of total billed charges		11244.48	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3968.64	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	3704.064	11905.92	one or more instances of the item or service in the 12 months prior to posting the file
"Vanillylmandelic acid (VMA), urine"	84585	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		64.47		Case rate		64.47	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	64.47	zero instances of the item or service in the 12 months prior to posting the file
"Venography, caval, inferior, with serialography, radiological supervision and interpretation"	75825	CPT				Outpatient	Facility			10055.8	10055.8	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	68			Percent of total billed charges		6837.94	90			Percent of total billed charges		9050.22		276.13		Case rate		276.13	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	80			Percent of total billed charges		8044.64	27			Percent of total billed charges		2715.624	85			Percent of total billed charges		8547.43	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2716.74	80			Percent of total billed charges		8044.64	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	90			Percent of total billed charges		9050.22	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	27			Percent of total billed charges		2715.624	2715.624	9050.22	one or more instances of the item or service in the 12 months prior to posting the file
"Venography, extremity, bilateral, radiological supervision and interpretation"	75822	CPT				Outpatient	Facility			1887	1887	27			Percent of total billed charges		527.36	90			Percent of total billed charges		1698.3	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	68			Percent of total billed charges		1273.16	90			Percent of total billed charges		1698.3		326		Case rate		326	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	90			Percent of total billed charges		1698.3	80			Percent of total billed charges		1509.6	27			Percent of total billed charges		527.36	85			Percent of total billed charges		1603.95	27			Percent of total billed charges		527.36	27			Percent of total billed charges		566.1	80			Percent of total billed charges		1509.6	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	90			Percent of total billed charges		1698.3	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	27			Percent of total billed charges		527.36	527.36	1698.3	one or more instances of the item or service in the 12 months prior to posting the file
"Venography, extremity, unilateral, radiological supervision and interpretation"	75820	CPT				Outpatient	Facility			2422	2422	27			Percent of total billed charges		678.16	90			Percent of total billed charges		2179.8	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	68			Percent of total billed charges		1646.96	90			Percent of total billed charges		2179.8		272.85		Case rate		272.85	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	90			Percent of total billed charges		2179.8	80			Percent of total billed charges		1937.6	27			Percent of total billed charges		678.16	85			Percent of total billed charges		2058.7	27			Percent of total billed charges		678.16	27			Percent of total billed charges		726.6	80			Percent of total billed charges		1937.6	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	90			Percent of total billed charges		2179.8	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	27			Percent of total billed charges		678.16	678.16	2179.8	one or more instances of the item or service in the 12 months prior to posting the file
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day"	94002	CPT				Outpatient	Facility			1636.64	1636.64	27			Percent of total billed charges		458.2592	90			Percent of total billed charges		1472.98	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	68			Percent of total billed charges		1112.92	90			Percent of total billed charges		1472.98		636.36		Case rate		636.36	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	90			Percent of total billed charges		1472.98	80			Percent of total billed charges		1279.31	27			Percent of total billed charges		458.2592	85			Percent of total billed charges		1391.14	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		490.99	80			Percent of total billed charges		1279.31	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	90			Percent of total billed charges		1472.98	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	27			Percent of total billed charges		458.2592	458.2592	1472.98	one or more instances of the item or service in the 12 months prior to posting the file
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus"	87254	CPT				Outpatient	Facility			94	94	27			Percent of total billed charges		26.32	90			Percent of total billed charges		84.6	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	68			Percent of total billed charges		63.92	90			Percent of total billed charges		84.6		81.4		Case rate		81.4	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	90			Percent of total billed charges		84.6	80			Percent of total billed charges		75.2	27			Percent of total billed charges		26.32	85			Percent of total billed charges		79.9	27			Percent of total billed charges		26.32	27			Percent of total billed charges		27.2	80			Percent of total billed charges		75.2	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	90			Percent of total billed charges		84.6	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	27			Percent of total billed charges		26.32	26.32	84.6	zero instances of the item or service in the 12 months prior to posting the file
"Vitamin D; 25 hydroxy, includes fraction(s), if performed"	82276	CPT				Outpatient	Facility			223	223	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	68			Percent of total billed charges		151.64	90			Percent of total billed charges		200.7		125.21		Case rate		125.21	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	80			Percent of total billed charges		178.4	27			Percent of total billed charges		62.44	85			Percent of total billed charges		189.55	27			Percent of total billed charges		62.44	27			Percent of total billed charges		66.9	80			Percent of total billed charges		178.4	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	62.44	200.7	one or more instances of the item or service in the 12 months prior to posting the file
"Volume measurement for timed collection, each"	81050	CPT				Outpatient	Facility			37.1	37.1	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	68			Percent of total billed charges		25.23	90			Percent of total billed charges		33.39		15.13		Case rate		15.13	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	85			Percent of total billed charges		31.54	27			Percent of total billed charges		10.388	27			Percent of total billed charges		11.13	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	10.388	33.39	one or more instances of the item or service in the 12 months prior to posting the file
5% dextrose/normal saline (500 ml = 1 unit)	J7042	HCPCS				Outpatient	Facility	500	ML	120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		6.1		Case rate		6.1	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance	49083	CPT				Outpatient	Facility			4478	4478	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	68			Percent of total billed charges		2745.04	90			Percent of total billed charges		4027.2		3900.7		Case rate		3900.7	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	80			Percent of total billed charges		3582.4	27			Percent of total billed charges		1253.84	85			Percent of total billed charges		3806.3	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1343.4	80			Percent of total billed charges		3582.4	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	1253.84	4027.2	one or more instances of the item or service in the 12 months prior to posting the file
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance	49082	CPT				Outpatient	Facility			4123.4	4123.4	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	68			Percent of total billed charges		2703.91	90			Percent of total billed charges		3711.06		3900.7		Case rate		3900.7	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	85			Percent of total billed charges		3504.89	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1237.02	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	1154.552	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
accutray nerve block	272	RC				Outpatient	Facility			19.7	19.7	27			Percent of total billed charges		5.516	90			Percent of total billed charges		17.73	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	68			Percent of total billed charges		13.4	90			Percent of total billed charges		17.73	100			Percent of total billed charges		19.7	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	90			Percent of total billed charges		17.73	80			Percent of total billed charges		15.76	27			Percent of total billed charges		5.516	85			Percent of total billed charges		16.75	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.91	80			Percent of total billed charges		15.76	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	90			Percent of total billed charges		17.73	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	27			Percent of total billed charges		5.516	5.516	19.7	zero instances of the item or service in the 12 months prior to posting the file
Acetylcholine receptor (AChR); binding antibody	86041	CPT				Outpatient	Facility			43.74	43.74	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	68			Percent of total billed charges		29.74	90			Percent of total billed charges		39.37	100			Percent of total billed charges		43.74	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	80			Percent of total billed charges		34.99	27			Percent of total billed charges		12.2472	85			Percent of total billed charges		37.18	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		13.12	80			Percent of total billed charges		34.99	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	12.2472	43.74	one or more instances of the item or service in the 12 months prior to posting the file
Acetylcholine receptor (AChR); modulating antibody	86043	CPT				Outpatient	Facility			52.8	52.8	27			Percent of total billed charges		14.784	90			Percent of total billed charges		47.52	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	68			Percent of total billed charges		35.9	90			Percent of total billed charges		47.52	100			Percent of total billed charges		52.8	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	90			Percent of total billed charges		47.52	80			Percent of total billed charges		42.24	27			Percent of total billed charges		14.784	85			Percent of total billed charges		44.88	27			Percent of total billed charges		14.784	27			Percent of total billed charges		15.84	80			Percent of total billed charges		42.24	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	90			Percent of total billed charges		47.52	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	27			Percent of total billed charges		14.784	14.784	52.8	one or more instances of the item or service in the 12 months prior to posting the file
Activated Protein C (APC) resistance assay	85277	CPT				Outpatient	Facility			27.8	27.8	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	68			Percent of total billed charges		19.58	90			Percent of total billed charges		25.92		63.73		Case rate		63.73	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	85			Percent of total billed charges		24.48	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.64	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	8.064	63.73	one or more instances of the item or service in the 12 months prior to posting the file
Acute gastrointestinal blood loss imaging	78278	CPT				Outpatient	Facility			2163	2163	27			Percent of total billed charges		605.64	90			Percent of total billed charges		1946.7	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	68			Percent of total billed charges		1470.84	90			Percent of total billed charges		1946.7		1867.37		Case rate		1867.37	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	90			Percent of total billed charges		1946.7	80			Percent of total billed charges		1727.4	27			Percent of total billed charges		605.64	85			Percent of total billed charges		1838.55	27			Percent of total billed charges		605.64	27			Percent of total billed charges		648.9	80			Percent of total billed charges		1727.4	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	90			Percent of total billed charges		1946.7	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	27			Percent of total billed charges		605.64	605.64	1946.7	one or more instances of the item or service in the 12 months prior to posting the file
"acute myocardial infarction, expired with mcc"	273	MS-DRG				Inpatient	Facility			32417.65	32417.65		4475		Per Diem		4475	90			Percent of total billed charges		29175.88		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		22044	90			Percent of total billed charges		29175.88		33292.33		Case rate		33292.33		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		29175.88	80			Percent of total billed charges		25934.12		4475		Per Diem		4475	85			Percent of total billed charges		27555		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		25934.12		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		29175.88		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	33292.33	one or more instances of the item or service in the 12 months prior to posting the file
"aftercare, musculoskeletal system and connective tissue without cc/mcc"	561	MS-DRG				Inpatient	Facility			6391.97	6391.97		4475		Per Diem		22375	90			Percent of total billed charges		5752.77		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		4346.54	90			Percent of total billed charges		5752.77		12500.08		Case rate		12500.08		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		5752.77	80			Percent of total billed charges		5113.58		4475		Per Diem		22375	85			Percent of total billed charges		5433.17		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		5113.58		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		5752.77		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	22375	one or more instances of the item or service in the 12 months prior to posting the file
Alcohol biomarkers; 1 or 2	80321	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		56.27		Case rate		56.27	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	56.27	one or more instances of the item or service in the 12 months prior to posting the file
"alcohol, drug abuse or dependence without rehabilitation therapy with mcc"	896	MS-DRG				Inpatient	Facility			32695.42	32695.42		4475		Per Diem		26850	90			Percent of total billed charges		29425.88		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		22232.89	90			Percent of total billed charges		29425.88		26750.56		Case rate		26750.56		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		29425.88	80			Percent of total billed charges		26156.34		4475		Per Diem		26850	85			Percent of total billed charges		27791.11		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		26156.34		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		29425.88		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	29425.88	one or more instances of the item or service in the 12 months prior to posting the file
Aldolase	82085	CPT				Outpatient	Facility			35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		40.42		Case rate		40.42	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	40.42	one or more instances of the item or service in the 12 months prior to posting the file
"allergen, mites, d farinae ige"	272	RC				Outpatient	Facility			10.6	10.6	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	68			Percent of total billed charges		7.21	90			Percent of total billed charges		9.54	100			Percent of total billed charges		10.6	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	85			Percent of total billed charges		9.01	27			Percent of total billed charges		2.968	27			Percent of total billed charges		3.18	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	2.968	10.6	zero instances of the item or service in the 12 months prior to posting the file
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio)	82107	CPT				Outpatient	Facility			98.4	98.4	27			Percent of total billed charges		27.552	90			Percent of total billed charges		88.56	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	68			Percent of total billed charges		66.91	90			Percent of total billed charges		88.56		268.02		Case rate		268.02	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	90			Percent of total billed charges		88.56	80			Percent of total billed charges		78.72	27			Percent of total billed charges		27.552	85			Percent of total billed charges		83.64	27			Percent of total billed charges		27.552	27			Percent of total billed charges		29.52	80			Percent of total billed charges		78.72	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	90			Percent of total billed charges		88.56	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	27			Percent of total billed charges		27.552	27.552	268.02	one or more instances of the item or service in the 12 months prior to posting the file
Alpha-fetoprotein (AFP); serum	82105	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		69.77		Case rate		69.77	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	69.77	one or more instances of the item or service in the 12 months prior to posting the file
Amphetamines; 5 or more	80326	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		80.95		Case rate		80.95	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	80.95	one or more instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 16mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 18mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 20mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 25mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amputation for circulatory system disorders except upper limb and toe with cc	240	MS-DRG				Inpatient	Facility			36708.72	36708.72		4475		Per Diem		13425	90			Percent of total billed charges		32737.85		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		24961.93	90			Percent of total billed charges		32737.85		51458.99		Case rate		51458.99		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32737.85	80			Percent of total billed charges		29366.98		4475		Per Diem		13425	85			Percent of total billed charges		31202.41		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		29366.98		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32737.85		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	51458.99	one or more instances of the item or service in the 12 months prior to posting the file
amputation for musculoskeletal system and connective tissue disorders with cc	475	MS-DRG				Inpatient	Facility			66921.08	66921.08		4475		Per Diem		13425	90			Percent of total billed charges		60227.97		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		45506.33	90			Percent of total billed charges		60227.97		40484.16		Case rate		40484.16		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		60227.97	80			Percent of total billed charges		53536.86		4475		Per Diem		13425	85			Percent of total billed charges		56882.92		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		53536.86		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		60227.97		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	60227.97	one or more instances of the item or service in the 12 months prior to posting the file
Amylase	82150	CPT				Outpatient	Facility			79	79	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	68			Percent of total billed charges		53.72	90			Percent of total billed charges		71.1		26.93		Case rate		26.93	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	85			Percent of total billed charges		67.15	27			Percent of total billed charges		22.12	27			Percent of total billed charges		23.7	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	22.12	71.1	one or more instances of the item or service in the 12 months prior to posting the file
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	C1713	CPT				Outpatient	Facility			341.08	341.08	27			Percent of total billed charges		95.5024	90			Percent of total billed charges		276.97	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	68			Percent of total billed charges		231.93	90			Percent of total billed charges		276.97		1383.03		Case rate		1383.03	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	90			Percent of total billed charges		276.97	80			Percent of total billed charges		272.86	27			Percent of total billed charges		95.5024	85			Percent of total billed charges		279.92	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		102.32	80			Percent of total billed charges		272.86	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	90			Percent of total billed charges		276.97	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	27			Percent of total billed charges		95.5024	95.5024	1383.03	one or more instances of the item or service in the 12 months prior to posting the file
angina pectoris	311	MS-DRG				Inpatient	Facility			7235.81	7235.81		4475		Per Diem		4475	90			Percent of total billed charges		6512.23		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		4920.35	90			Percent of total billed charges		6512.23		10692.61		Case rate		10692.61		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		6512.23	80			Percent of total billed charges		5788.65		4475		Per Diem		4475	85			Percent of total billed charges		6150.44		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		5788.65		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		6512.23		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	10692.61	one or more instances of the item or service in the 12 months prior to posting the file
Antibody identification; platelet antibodies	86022	CPT				Outpatient	Facility			96	96	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	68			Percent of total billed charges		65.27	90			Percent of total billed charges		86.4		76.49		Case rate		76.49	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	85			Percent of total billed charges		81.6	27			Percent of total billed charges		26.88	27			Percent of total billed charges		27.8	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	26.88	86.4	one or more instances of the item or service in the 12 months prior to posting the file
Antibody identification; platelet associated immunoglobulin assay	86023	CPT				Outpatient	Facility			32.9	32.9	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	68			Percent of total billed charges		22.37	90			Percent of total billed charges		29.61		51.82		Case rate		51.82	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	85			Percent of total billed charges		27.96	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.87	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	9.212	51.82	zero instances of the item or service in the 12 months prior to posting the file
Antibody; Blastomyces	86612	CPT				Outpatient	Facility			14.61	14.61	27			Percent of total billed charges		4.0908	90			Percent of total billed charges		13.15	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	68			Percent of total billed charges		9.93	90			Percent of total billed charges		13.15		53.68		Case rate		53.68	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	90			Percent of total billed charges		13.15	80			Percent of total billed charges		11.69	27			Percent of total billed charges		4.0908	85			Percent of total billed charges		12.42	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.38	80			Percent of total billed charges		11.69	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	90			Percent of total billed charges		13.15	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	27			Percent of total billed charges		4.0908	4.0908	53.68	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Chlamydia	86631	CPT				Outpatient	Facility			11.52	11.52	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	68			Percent of total billed charges		7.83	90			Percent of total billed charges		10.37		49.22		Case rate		49.22	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	80			Percent of total billed charges		9.22	27			Percent of total billed charges		3.2256	85			Percent of total billed charges		9.79	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.46	80			Percent of total billed charges		9.22	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	3.2256	49.22	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Coccidioides	86635	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		47.76		Case rate		47.76	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	47.76	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Francisella tularensis	86668	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		58.93		Case rate		58.93	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	58.93	zero instances of the item or service in the 12 months prior to posting the file
Antibody; histoplasma	86698	CPT				Outpatient	Facility			6079.16	6079.16	27			Percent of total billed charges		1702.1648	90			Percent of total billed charges		5471.24	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	68			Percent of total billed charges		4133.83	90			Percent of total billed charges		5471.24		57.35		Case rate		57.35	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	90			Percent of total billed charges		5471.24	80			Percent of total billed charges		4863.32	27			Percent of total billed charges		1702.1648	85			Percent of total billed charges		5167.27	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1823.75	80			Percent of total billed charges		4863.32	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	90			Percent of total billed charges		5471.24	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	27			Percent of total billed charges		1702.1648	1702.1648	5471.24	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; HIV-1	86701	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		36.97		Case rate		36.97	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	55.8	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; mumps	86735	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		54.3		Case rate		54.3	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	54.3	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; mycoplasma	86738	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		55.1		Case rate		55.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	55.1	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; rubella	86762	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		59.89		Case rate		59.89	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	59.89	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Treponema pallidum	86780	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		55.1		Case rate		55.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	55.1	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Trichinella	86784	CPT				Outpatient	Facility			135	135	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	68			Percent of total billed charges		91.8	90			Percent of total billed charges		121.5		52.27		Case rate		52.27	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	80			Percent of total billed charges		108	27			Percent of total billed charges		37.8	85			Percent of total billed charges		114.75	27			Percent of total billed charges		37.8	27			Percent of total billed charges		40.5	80			Percent of total billed charges		108	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	37.8	121.5	one or more instances of the item or service in the 12 months prior to posting the file
"Apligraf, per square centimeter"	Q4101	CPT				Outpatient	Facility			86.93	86.93	27			Percent of total billed charges		24.3404	90			Percent of total billed charges		78.24	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	68			Percent of total billed charges		59.11	90			Percent of total billed charges		78.24		197.46		Case rate		197.46	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	90			Percent of total billed charges		78.24	80			Percent of total billed charges		69.54	27			Percent of total billed charges		24.3404	85			Percent of total billed charges		73.89	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		26.08	80			Percent of total billed charges		69.54	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	90			Percent of total billed charges		78.24	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	27			Percent of total billed charges		24.3404	24.3404	197.46	one or more instances of the item or service in the 12 months prior to posting the file
Appendectomy	44950	CPT				Outpatient	Facility			9687	9687	27			Percent of total billed charges		2712.36	90			Percent of total billed charges		8718.3	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	68			Percent of total billed charges		6587.16	90			Percent of total billed charges		8718.3		11713.38		Case rate		11713.38	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	90			Percent of total billed charges		8718.3	80			Percent of total billed charges		7749.6	27			Percent of total billed charges		2712.36	85			Percent of total billed charges		8233.95	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2906.1	80			Percent of total billed charges		7749.6	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	90			Percent of total billed charges		8718.3	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	27			Percent of total billed charges		2712.36	2712.36	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
appendix procedures with cc	398	MS-DRG				Inpatient	Facility			35187.06	35187.06		4475		Per Diem		8950	90			Percent of total billed charges		31668.35		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		23927.2	90			Percent of total billed charges		31668.35	100			Percent of total billed charges		35187.06		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		31668.35	80			Percent of total billed charges		27149.65		4475		Per Diem		8950	85			Percent of total billed charges		29909		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		27149.65		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		31668.35		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	35187.06	one or more instances of the item or service in the 12 months prior to posting the file
Application of long leg splint (thigh to ankle or toes)	29505	CPT				Outpatient	Facility			544.97	544.97	27			Percent of total billed charges		152.5916	90			Percent of total billed charges		490.47	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	68			Percent of total billed charges		370.58	90			Percent of total billed charges		490.47		404.41		Case rate		404.41	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	90			Percent of total billed charges		490.47	80			Percent of total billed charges		435.98	27			Percent of total billed charges		152.5916	85			Percent of total billed charges		463.22	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		163.49	80			Percent of total billed charges		435.98	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	90			Percent of total billed charges		490.47	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	27			Percent of total billed charges		152.5916	152.5916	490.47	one or more instances of the item or service in the 12 months prior to posting the file
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	C5275	CPT				Outpatient	Facility			5625	5625	27			Percent of total billed charges		1575	90			Percent of total billed charges		5062.5	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	68			Percent of total billed charges		3825	90			Percent of total billed charges		5062.5		3900.7		Case rate		3900.7	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	90			Percent of total billed charges		5062.5	80			Percent of total billed charges		4500	27			Percent of total billed charges		1575	85			Percent of total billed charges		4781.25	27			Percent of total billed charges		1575	27			Percent of total billed charges		1687.5	80			Percent of total billed charges		4500	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	90			Percent of total billed charges		5062.5	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	27			Percent of total billed charges		1575	1575	5062.5	one or more instances of the item or service in the 12 months prior to posting the file
Application of rigid total contact leg cast	29445	CPT				Outpatient	Facility			1121	1121	27			Percent of total billed charges		313.88	90			Percent of total billed charges		1008.9	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	68			Percent of total billed charges		762.27	90			Percent of total billed charges		1008.9		906.36		Case rate		906.36	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	90			Percent of total billed charges		1008.9	80			Percent of total billed charges		896.8	27			Percent of total billed charges		313.88	85			Percent of total billed charges		952.85	27			Percent of total billed charges		313.88	27			Percent of total billed charges		336.3	80			Percent of total billed charges		896.8	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	90			Percent of total billed charges		1008.9	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	27			Percent of total billed charges		313.88	313.88	1008.9	one or more instances of the item or service in the 12 months prior to posting the file
Application of short arm splint (forearm to hand); static	29125	CPT				Outpatient	Facility			438.84	438.84	27			Percent of total billed charges		122.8752	90			Percent of total billed charges		394.96	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	68			Percent of total billed charges		298.41	90			Percent of total billed charges		394.96		404.41		Case rate		404.41	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	90			Percent of total billed charges		394.96	80			Percent of total billed charges		351.07	27			Percent of total billed charges		122.8752	85			Percent of total billed charges		373.01	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		131.65	80			Percent of total billed charges		351.07	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	90			Percent of total billed charges		394.96	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	27			Percent of total billed charges		122.8752	122.8752	404.41	one or more instances of the item or service in the 12 months prior to posting the file
Application of short leg splint (calf to foot)	29515	CPT				Outpatient	Facility			519.4	519.4	27			Percent of total billed charges		145.432	90			Percent of total billed charges		467.46	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	68			Percent of total billed charges		353.19	90			Percent of total billed charges		467.46		404.41		Case rate		404.41	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	90			Percent of total billed charges		467.46	80			Percent of total billed charges		415.52	27			Percent of total billed charges		145.432	85			Percent of total billed charges		441.49	27			Percent of total billed charges		145.432	27			Percent of total billed charges		155.82	80			Percent of total billed charges		415.52	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	90			Percent of total billed charges		467.46	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	27			Percent of total billed charges		145.432	145.432	467.46	zero instances of the item or service in the 12 months prior to posting the file
arbovirus abs igg/igm	272	RC				Outpatient	Facility			293	293	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	68			Percent of total billed charges		199.24	90			Percent of total billed charges		263.7	100			Percent of total billed charges		293	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	80			Percent of total billed charges		234.4	27			Percent of total billed charges		82.04	85			Percent of total billed charges		249.05	27			Percent of total billed charges		82.04	27			Percent of total billed charges		87.9	80			Percent of total billed charges		234.4	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	82.04	293	zero instances of the item or service in the 12 months prior to posting the file
Arsenic	82175	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		78.97		Case rate		78.97	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	78.97	one or more instances of the item or service in the 12 months prior to posting the file
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction	29888	CPT				Outpatient	Facility			25436.94	25436.94	27			Percent of total billed charges		7122.3432	90			Percent of total billed charges		22793.25	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	68			Percent of total billed charges		17297.12	90			Percent of total billed charges		22793.25		4465.2		Case rate		4465.2	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	90			Percent of total billed charges		22793.25	80			Percent of total billed charges		20349.55	27			Percent of total billed charges		7122.3432	85			Percent of total billed charges		21621.4	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7631.08	80			Percent of total billed charges		20349.55	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	90			Percent of total billed charges		22793.25	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	27			Percent of total billed charges		7122.3432	7122.3432	22793.25	zero instances of the item or service in the 12 months prior to posting the file
b pertussis iga	272	RC				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4	100			Percent of total billed charges		46	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	46	zero instances of the item or service in the 12 months prior to posting the file
b pertussis igm immunoblot	272	RC				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4	100			Percent of total billed charges		46	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	46	zero instances of the item or service in the 12 months prior to posting the file
"ballon, drug alluding 6x120mm"	275	RC				Outpatient	Facility			3275	3275	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	68			Percent of total billed charges		2247.4	90			Percent of total billed charges		2974.5	100			Percent of total billed charges		3275	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	80			Percent of total billed charges		2644	27			Percent of total billed charges		919.8	85			Percent of total billed charges		2709.25	27			Percent of total billed charges		919.8	27			Percent of total billed charges		991.5	80			Percent of total billed charges		2644	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	919.8	3275	zero instances of the item or service in the 12 months prior to posting the file
"balloon, 7.0mmx200mm"	275	RC				Outpatient	Facility			290	290	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	68			Percent of total billed charges		197.2	90			Percent of total billed charges		261	100			Percent of total billed charges		290	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	80			Percent of total billed charges		232	27			Percent of total billed charges		81.2	85			Percent of total billed charges		246.5	27			Percent of total billed charges		81.2	27			Percent of total billed charges		87	80			Percent of total billed charges		232	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	81.2	290	zero instances of the item or service in the 12 months prior to posting the file
"balloon, 7.0mmx200mm 135cm"	275	RC				Outpatient	Facility			290	290	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	68			Percent of total billed charges		197.2	90			Percent of total billed charges		261	100			Percent of total billed charges		290	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	80			Percent of total billed charges		232	27			Percent of total billed charges		81.2	85			Percent of total billed charges		246.5	27			Percent of total billed charges		81.2	27			Percent of total billed charges		87	80			Percent of total billed charges		232	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	90			Percent of total billed charges		261	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	27			Percent of total billed charges		81.2	81.2	290	zero instances of the item or service in the 12 months prior to posting the file
Barbiturates	80345	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		65.93		Case rate		65.93	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	65.93	one or more instances of the item or service in the 12 months prior to posting the file
beta hydroxybutyric acid	271	RC				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3	100			Percent of total billed charges		57	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	57	zero instances of the item or service in the 12 months prior to posting the file
Beta-2 microglobulin	82232	CPT				Outpatient	Facility			60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		67.34		Case rate		67.34	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	67.34	one or more instances of the item or service in the 12 months prior to posting the file
Beta-amyloid; 1-42 (Abeta 42)	82234	CPT				Outpatient	Facility			454	454	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	68			Percent of total billed charges		278.72	90			Percent of total billed charges		408.6	100			Percent of total billed charges		454	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	85			Percent of total billed charges		385.9	27			Percent of total billed charges		127.12	27			Percent of total billed charges		136.2	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	127.12	454	one or more instances of the item or service in the 12 months prior to posting the file
Bile acids; total	82239	CPT				Outpatient	Facility			20.2	20.2	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	68			Percent of total billed charges		13.74	90			Percent of total billed charges		18.18		71.24		Case rate		71.24	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	85			Percent of total billed charges		17.17	27			Percent of total billed charges		5.656	27			Percent of total billed charges		6.06	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	5.656	71.24	one or more instances of the item or service in the 12 months prior to posting the file
biliband eye shield	272	RC				Outpatient	Facility			15.3	15.3	27			Percent of total billed charges		4.274	90			Percent of total billed charges		13.77	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	68			Percent of total billed charges		10.4	90			Percent of total billed charges		13.77	100			Percent of total billed charges		15.3	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	90			Percent of total billed charges		13.77	80			Percent of total billed charges		12.24	27			Percent of total billed charges		4.274	85			Percent of total billed charges		13.01	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.59	80			Percent of total billed charges		12.24	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	90			Percent of total billed charges		13.77	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	27			Percent of total billed charges		4.274	4.274	15.3	zero instances of the item or service in the 12 months prior to posting the file
Bilirubin; direct	82248	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		20.89		Case rate		20.89	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	52.2	one or more instances of the item or service in the 12 months prior to posting the file
biopsies of musculoskeletal system and connective tissue with cc	478	MS-DRG				Inpatient	Facility			31534.26	31534.26		4475		Per Diem		17900	90			Percent of total billed charges		27380.83		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		21443.3	90			Percent of total billed charges		27380.83		39773.85		Case rate		39773.85		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27380.83	80			Percent of total billed charges		25227.41		4475		Per Diem		17900	85			Percent of total billed charges		26804.12		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		25227.41		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27380.83		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	39773.85	one or more instances of the item or service in the 12 months prior to posting the file
bipolar energy cable	272	RC				Outpatient	Facility			899	899	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	68			Percent of total billed charges		611.32	90			Percent of total billed charges		809.1	100			Percent of total billed charges		899	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	80			Percent of total billed charges		719.2	27			Percent of total billed charges		251.72	85			Percent of total billed charges		764.15	27			Percent of total billed charges		251.72	27			Percent of total billed charges		269.7	80			Percent of total billed charges		719.2	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	251.72	899	zero instances of the item or service in the 12 months prior to posting the file
bipolar forceps 8mm	272	RC				Outpatient	Facility			781	781	27			Percent of total billed charges		218.68	90			Percent of total billed charges		702.9	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	68			Percent of total billed charges		531.08	90			Percent of total billed charges		702.9	100			Percent of total billed charges		781	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	90			Percent of total billed charges		702.9	80			Percent of total billed charges		624.8	27			Percent of total billed charges		218.68	85			Percent of total billed charges		663.85	27			Percent of total billed charges		218.68	27			Percent of total billed charges		234.3	80			Percent of total billed charges		624.8	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	90			Percent of total billed charges		702.9	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	27			Percent of total billed charges		218.68	218.68	781	zero instances of the item or service in the 12 months prior to posting the file
Bleeding time	85002	CPT				Outpatient	Facility			55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		20.1		Case rate		20.1	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	49.5	zero instances of the item or service in the 12 months prior to posting the file
brca1 and brca2 syndrome panel	270	RC				Outpatient	Facility			2704	2704	27			Percent of total billed charges		785.12	90			Percent of total billed charges		2523.6	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	68			Percent of total billed charges		1906.72	90			Percent of total billed charges		2523.6	100			Percent of total billed charges		2704	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	90			Percent of total billed charges		2523.6	80			Percent of total billed charges		2243.2	27			Percent of total billed charges		785.12	85			Percent of total billed charges		2383.4	27			Percent of total billed charges		785.12	27			Percent of total billed charges		841.2	80			Percent of total billed charges		2243.2	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	90			Percent of total billed charges		2523.6	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	27			Percent of total billed charges		785.12	785.12	2704	zero instances of the item or service in the 12 months prior to posting the file
bronchitis and asthma with cc/mcc	202	MS-DRG				Inpatient	Facility			27645.32	27645.32		4475		Per Diem		13425	90			Percent of total billed charges		24880.79		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		18798.82	90			Percent of total billed charges		24880.79		11716.85		Case rate		11716.85		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		24880.79	80			Percent of total billed charges		22116.26		4475		Per Diem		13425	85			Percent of total billed charges		23498.52		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		22116.26		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		24880.79		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	24880.79	one or more instances of the item or service in the 12 months prior to posting the file
bupivacaine 2ml	250	RC				Outpatient	Facility			10.6	10.6	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	68			Percent of total billed charges		7.21	90			Percent of total billed charges		9.54	100			Percent of total billed charges		10.6	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	85			Percent of total billed charges		9.01	27			Percent of total billed charges		2.968	27			Percent of total billed charges		3.18	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	2.968	10.6	zero instances of the item or service in the 12 months prior to posting the file
Buprenorphine	80348	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		65.93		Case rate		65.93	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	65.93	one or more instances of the item or service in the 12 months prior to posting the file
C-peptide	84681	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		86.59		Case rate		86.59	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	86.59	one or more instances of the item or service in the 12 months prior to posting the file
Cadmium	82270	CPT				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97		98.39		Case rate		98.39	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.8	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	98.39	one or more instances of the item or service in the 12 months prior to posting the file
"calcitonin,salmon 2ml"	258	RC				Outpatient	Facility			39.4	39.4	27			Percent of total billed charges		11.032	90			Percent of total billed charges		35.46	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	68			Percent of total billed charges		26.79	90			Percent of total billed charges		35.46	100			Percent of total billed charges		39.4	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	90			Percent of total billed charges		35.46	80			Percent of total billed charges		31.52	27			Percent of total billed charges		11.032	85			Percent of total billed charges		33.49	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.82	80			Percent of total billed charges		31.52	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	90			Percent of total billed charges		35.46	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	27			Percent of total billed charges		11.032	11.032	39.4	zero instances of the item or service in the 12 months prior to posting the file
Calcium; total	82310	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.45		Case rate		21.45	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
Calculus; infrared spectroscopy	82365	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		53.68		Case rate		53.68	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	53.68	one or more instances of the item or service in the 12 months prior to posting the file
cannula long 8mm	272	RC				Outpatient	Facility			2160	2160	27			Percent of total billed charges		604.8	90			Percent of total billed charges		1944	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	68			Percent of total billed charges		1468.8	90			Percent of total billed charges		1944	100			Percent of total billed charges		2160	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	90			Percent of total billed charges		1944	80			Percent of total billed charges		1727	27			Percent of total billed charges		604.8	85			Percent of total billed charges		1836	27			Percent of total billed charges		604.8	27			Percent of total billed charges		648	80			Percent of total billed charges		1727	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	90			Percent of total billed charges		1944	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	27			Percent of total billed charges		604.8	604.8	2160	zero instances of the item or service in the 12 months prior to posting the file
cannula regular 8mm	272	RC				Outpatient	Facility			1992	1992	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	68			Percent of total billed charges		1354.56	90			Percent of total billed charges		1792.8	100			Percent of total billed charges		1992	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	80			Percent of total billed charges		1593.6	27			Percent of total billed charges		557.76	85			Percent of total billed charges		1693.2	27			Percent of total billed charges		557.76	27			Percent of total billed charges		597.6	80			Percent of total billed charges		1593.6	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	90			Percent of total billed charges		1792.8	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	27			Percent of total billed charges		557.76	557.76	1992	zero instances of the item or service in the 12 months prior to posting the file
Carbamazepine; total	80156	CPT				Outpatient	Facility			176	176	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	68			Percent of total billed charges		119.68	90			Percent of total billed charges		158.4		60.63		Case rate		60.63	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	85			Percent of total billed charges		149.6	27			Percent of total billed charges		49.27	27			Percent of total billed charges		52.8	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	49.27	158.4	one or more instances of the item or service in the 12 months prior to posting the file
Carbohydrate deficient transferrin	82373	CPT				Outpatient	Facility			144	144	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	68			Percent of total billed charges		97.92	90			Percent of total billed charges		129.6		75.13		Case rate		75.13	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	85			Percent of total billed charges		122.4	27			Percent of total billed charges		40.32	27			Percent of total billed charges		43.2	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	40.32	129.6	one or more instances of the item or service in the 12 months prior to posting the file
Carbon dioxide (bicarbonate)	82374	CPT				Outpatient	Facility			12.7	12.7	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	68			Percent of total billed charges		8.64	90			Percent of total billed charges		11.43		20.32		Case rate		20.32	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	85			Percent of total billed charges		10.8	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.81	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	3.556	20.32	zero instances of the item or service in the 12 months prior to posting the file
Carboxyhemoglobin; qualitative	82376	CPT				Outpatient	Facility			155.1	155.1	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	68			Percent of total billed charges		105.47	90			Percent of total billed charges		139.59		58.54		Case rate		58.54	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	80			Percent of total billed charges		124.08	27			Percent of total billed charges		43.427	85			Percent of total billed charges		131.84	27			Percent of total billed charges		43.427	27			Percent of total billed charges		46.53	80			Percent of total billed charges		124.08	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	43.427	139.59	one or more instances of the item or service in the 12 months prior to posting the file
Carboxyhemoglobin; quantitative	82375	CPT				Outpatient	Facility			100.8	100.8	27			Percent of total billed charges		27.224	90			Percent of total billed charges		90.72	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	68			Percent of total billed charges		68.54	90			Percent of total billed charges		90.72		51.26		Case rate		51.26	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	90			Percent of total billed charges		90.72	80			Percent of total billed charges		80.64	27			Percent of total billed charges		27.224	85			Percent of total billed charges		85.68	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.24	80			Percent of total billed charges		80.64	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	90			Percent of total billed charges		90.72	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	27			Percent of total billed charges		27.224	27.224	90.72	one or more instances of the item or service in the 12 months prior to posting the file
cardiac arrhythmia and conduction disorders with cc	279	MS-DRG				Inpatient	Facility			18260.7	18260.7		4475		Per Diem		8950	90			Percent of total billed charges		16434.63		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		12417.27	90			Percent of total billed charges		16434.63		15782.07		Case rate		15782.07		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16434.63	80			Percent of total billed charges		14608.56		4475		Per Diem		8950	85			Percent of total billed charges		15521.59		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		14608.56		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16434.63		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	16434.63	one or more instances of the item or service in the 12 months prior to posting the file
cardiac arrhythmia and conduction disorders with mcc	278	MS-DRG				Inpatient	Facility			23268.41	23268.41		4475		Per Diem		8950	90			Percent of total billed charges		20941.57		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		15822.52	90			Percent of total billed charges		20941.57		20779.56		Case rate		20779.56		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		20941.57	80			Percent of total billed charges		18614.73		4475		Per Diem		8950	85			Percent of total billed charges		19778.15		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		18614.73		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		20941.57		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	20941.57	one or more instances of the item or service in the 12 months prior to posting the file
cardiac congenital and valvular disorders without mcc	277	MS-DRG				Inpatient	Facility			10853.83	10853.83		4475		Per Diem		4475	90			Percent of total billed charges		9768.45		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		7380.6	90			Percent of total billed charges		9768.45		16768.25		Case rate		16768.25		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9768.45	80			Percent of total billed charges		8683.06		4475		Per Diem		4475	85			Percent of total billed charges		9225.76		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		8683.06		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9768.45		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	16768.25	one or more instances of the item or service in the 12 months prior to posting the file
"Cardioverter-defibrillator, dual chamber (implantable)"	C1721	CPT				Outpatient	Facility			52560	52560	27			Percent of total billed charges		14716.8	90			Percent of total billed charges		47274	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	68			Percent of total billed charges		35740.8	90			Percent of total billed charges		47274		53627.5		Case rate		53627.5	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	90			Percent of total billed charges		47274	80			Percent of total billed charges		42048	27			Percent of total billed charges		14716.8	85			Percent of total billed charges		44676	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		15768	80			Percent of total billed charges		42048	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	90			Percent of total billed charges		47274	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	27			Percent of total billed charges		14716.8	14716.8	53627.5	one or more instances of the item or service in the 12 months prior to posting the file
Carotene	82380	CPT				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97		38.39		Case rate		38.39	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.8	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	38.39	one or more instances of the item or service in the 12 months prior to posting the file
Catecholamines; fractionated	82384	CPT				Outpatient	Facility			81	81	27			Percent of total billed charges		22.68	90			Percent of total billed charges		72.9	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	68			Percent of total billed charges		55.08	90			Percent of total billed charges		72.9		105.05		Case rate		105.05	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	90			Percent of total billed charges		72.9	80			Percent of total billed charges		64.8	27			Percent of total billed charges		22.68	85			Percent of total billed charges		68.85	27			Percent of total billed charges		22.68	27			Percent of total billed charges		24.3	80			Percent of total billed charges		64.8	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	90			Percent of total billed charges		72.9	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	27			Percent of total billed charges		22.68	22.68	105.05	one or more instances of the item or service in the 12 months prior to posting the file
Catecholamines; total urine	82382	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		113.63		Case rate		113.63	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	113.63	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, balloon dilatation, non-vascular"	C1726	CPT				Outpatient	Facility			725	725	27			Percent of total billed charges		203	90			Percent of total billed charges		652.5	27			Percent of total billed charges		203	27			Percent of total billed charges		203	68			Percent of total billed charges		493	90			Percent of total billed charges		652.5		2798.51		Case rate		2798.51	27			Percent of total billed charges		203	27			Percent of total billed charges		203	90			Percent of total billed charges		652.5	80			Percent of total billed charges		580	27			Percent of total billed charges		203	85			Percent of total billed charges		616.25	27			Percent of total billed charges		203	27			Percent of total billed charges		217.5	80			Percent of total billed charges		580	27			Percent of total billed charges		203	27			Percent of total billed charges		203	27			Percent of total billed charges		203	27			Percent of total billed charges		203	90			Percent of total billed charges		652.5	27			Percent of total billed charges		203	27			Percent of total billed charges		203	27			Percent of total billed charges		203	203	2798.51	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, drainage"	C1729	CPT				Outpatient	Facility			254.38	254.38	27			Percent of total billed charges		71.2264	90			Percent of total billed charges		227.94	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	68			Percent of total billed charges		172.98	90			Percent of total billed charges		227.94		272.03		Case rate		272.03	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	90			Percent of total billed charges		227.94	80			Percent of total billed charges		203.5	27			Percent of total billed charges		71.2264	85			Percent of total billed charges		216.22	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		76.31	80			Percent of total billed charges		203.5	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	90			Percent of total billed charges		227.94	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	27			Percent of total billed charges		71.2264	71.2264	272.03	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, guiding (may include infusion/perfusion capability)"	C1887	CPT				Outpatient	Facility			114.2	114.2	27			Percent of total billed charges		31.976	90			Percent of total billed charges		102.78	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	68			Percent of total billed charges		77.66	90			Percent of total billed charges		102.78		387.98		Case rate		387.98	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	90			Percent of total billed charges		102.78	80			Percent of total billed charges		91.36	27			Percent of total billed charges		31.976	85			Percent of total billed charges		97.07	27			Percent of total billed charges		31.976	27			Percent of total billed charges		34.26	80			Percent of total billed charges		91.36	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	90			Percent of total billed charges		102.78	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	27			Percent of total billed charges		31.976	31.976	387.98	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, transluminal angioplasty, drug-coated, non-laser"	C2623	CPT				Outpatient	Facility			7625	7625	27			Percent of total billed charges		2135	90			Percent of total billed charges		6862.5	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	68			Percent of total billed charges		5185	90			Percent of total billed charges		6862.5		5427.77		Case rate		5427.77	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	90			Percent of total billed charges		6862.5	80			Percent of total billed charges		6100	27			Percent of total billed charges		2135	85			Percent of total billed charges		6481.25	27			Percent of total billed charges		2135	27			Percent of total billed charges		2277.5	80			Percent of total billed charges		6100	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	90			Percent of total billed charges		6862.5	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	27			Percent of total billed charges		2135	2135	6862.5	zero instances of the item or service in the 12 months prior to posting the file
"Catheter, transluminal atherectomy, directional"	C1714	CPT				Outpatient	Facility			8750	8750	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	68			Percent of total billed charges		5950	90			Percent of total billed charges		7875		9294.49		Case rate		9294.49	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	85			Percent of total billed charges		7437.5	27			Percent of total billed charges		2450	27			Percent of total billed charges		2625	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	2450	9294.49	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, ureteral"	C1758	CPT				Outpatient	Facility			105.13	105.12	27			Percent of total billed charges		29.4336	90			Percent of total billed charges		94.61	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	68			Percent of total billed charges		71.48	90			Percent of total billed charges		94.61		162.8		Case rate		162.8	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	90			Percent of total billed charges		94.61	80			Percent of total billed charges		84.1	27			Percent of total billed charges		29.4336	85			Percent of total billed charges		89.36	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		31.54	80			Percent of total billed charges		84.1	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	90			Percent of total billed charges		94.61	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	27			Percent of total billed charges		29.4336	29.4336	162.8	one or more instances of the item or service in the 12 months prior to posting the file
cautery hook 8mm assy	272	RC				Outpatient	Facility			399	399	27			Percent of total billed charges		111.72	90			Percent of total billed charges		359.1	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	68			Percent of total billed charges		271.32	90			Percent of total billed charges		359.1	100			Percent of total billed charges		399	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	90			Percent of total billed charges		359.1	80			Percent of total billed charges		319.2	27			Percent of total billed charges		111.72	85			Percent of total billed charges		339.15	27			Percent of total billed charges		111.72	27			Percent of total billed charges		119.7	80			Percent of total billed charges		319.2	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	90			Percent of total billed charges		359.1	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	27			Percent of total billed charges		111.72	111.72	399	zero instances of the item or service in the 12 months prior to posting the file
cellulitis with mcc	602	MS-DRG				Inpatient	Facility			23256.43	23256.42		4475		Per Diem		8950	90			Percent of total billed charges		20927.78		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		15814.37	90			Percent of total billed charges		20927.78		19492.14		Case rate		19492.14		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		20927.78	80			Percent of total billed charges		18605.14		4475		Per Diem		8950	85			Percent of total billed charges		19767.96		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		18605.14		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		20927.78		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	20927.78	one or more instances of the item or service in the 12 months prior to posting the file
cellulitis without mcc	603	MS-DRG				Inpatient	Facility			24626.89	24626.89		4475		Per Diem		13425	90			Percent of total billed charges		22164.2		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		16746.29	90			Percent of total billed charges		22164.2		13679.69		Case rate		13679.69		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22164.2	80			Percent of total billed charges		19701.51		4475		Per Diem		13425	85			Percent of total billed charges		20932.86		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		19701.51		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22164.2		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	22164.2	one or more instances of the item or service in the 12 months prior to posting the file
Ceruloplasmin	82390	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		44.71		Case rate		44.71	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	44.71	one or more instances of the item or service in the 12 months prior to posting the file
Cesarean delivery only	59514	CPT				Outpatient	Facility			6264.6	6264.6	27			Percent of total billed charges		1754.088	90			Percent of total billed charges		5638.14	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	68			Percent of total billed charges		4259.93	90			Percent of total billed charges		5638.14		8704.59		Case rate		8704.59	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	90			Percent of total billed charges		5638.14	80			Percent of total billed charges		5011.68	27			Percent of total billed charges		1754.088	85			Percent of total billed charges		5324.91	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1879.38	80			Percent of total billed charges		5011.68	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	90			Percent of total billed charges		5638.14	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	27			Percent of total billed charges		1754.088	1754.088	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
cesarean section with sterilization with mcc	783	MS-DRG				Inpatient	Facility			20274.06	20274.06		4475		Per Diem		8950	90			Percent of total billed charges		18246.65		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		13786.36	90			Percent of total billed charges		18246.65		24711.6		Case rate		24711.6		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18246.65	80			Percent of total billed charges		16219.25		4475		Per Diem		8950	85			Percent of total billed charges		17232.95		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		16219.25		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18246.65		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	24711.6	one or more instances of the item or service in the 12 months prior to posting the file
cesarean section without sterilization without cc/mcc	788	MS-DRG				Inpatient	Facility			24127.39	24127.39		4475		Per Diem		13425	90			Percent of total billed charges		21715.55		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		16407.31	90			Percent of total billed charges		21715.55		13866.78		Case rate		13866.78		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21715.55	80			Percent of total billed charges		19272.71		4475		Per Diem		13425	85			Percent of total billed charges		20509.13		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		19272.71		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21715.55		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	21715.55	one or more instances of the item or service in the 12 months prior to posting the file
charger balloon 9x40	272	RC				Outpatient	Facility			315	315	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	68			Percent of total billed charges		214.2	90			Percent of total billed charges		273.5	100			Percent of total billed charges		315	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	85			Percent of total billed charges		267.75	27			Percent of total billed charges		88.2	27			Percent of total billed charges		94.5	80			Percent of total billed charges		252	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	90			Percent of total billed charges		273.5	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	27			Percent of total billed charges		88.2	88.2	315	zero instances of the item or service in the 12 months prior to posting the file
Chemiluminescent assay	82397	CPT				Outpatient	Facility			111	111	27			Percent of total billed charges		31.08	90			Percent of total billed charges		99.9	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	68			Percent of total billed charges		75.48	90			Percent of total billed charges		99.9		58.76		Case rate		58.76	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	90			Percent of total billed charges		99.9	80			Percent of total billed charges		88.8	27			Percent of total billed charges		31.08	85			Percent of total billed charges		94.35	27			Percent of total billed charges		31.08	27			Percent of total billed charges		33.3	80			Percent of total billed charges		88.8	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	90			Percent of total billed charges		99.9	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	27			Percent of total billed charges		31.08	31.08	99.9	one or more instances of the item or service in the 12 months prior to posting the file
Chloride; blood	82435	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		19.14		Case rate		19.14	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	zero instances of the item or service in the 12 months prior to posting the file
Chloride; urine	82436	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		23.93		Case rate		23.93	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	23.93	one or more instances of the item or service in the 12 months prior to posting the file
Cholecystectomy	47600	CPT				Outpatient	Facility			14841	14841	27			Percent of total billed charges		4155.48	90			Percent of total billed charges		13356.9	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	68			Percent of total billed charges		10091.88	90			Percent of total billed charges		13356.9		11713.38		Case rate		11713.38	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	90			Percent of total billed charges		13356.9	80			Percent of total billed charges		11872.8	27			Percent of total billed charges		4155.48	85			Percent of total billed charges		12614.85	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4452.3	80			Percent of total billed charges		11872.8	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	90			Percent of total billed charges		13356.9	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	27			Percent of total billed charges		4155.48	4155.48	13356.9	one or more instances of the item or service in the 12 months prior to posting the file
Chromium	82495	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		84.39		Case rate		84.39	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	84.39	one or more instances of the item or service in the 12 months prior to posting the file
Chromosome analysis; analyze 20-25 cells	88264	CPT				Outpatient	Facility			234	234	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	68			Percent of total billed charges		159.12	90			Percent of total billed charges		210.6		681.69		Case rate		681.69	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	85			Percent of total billed charges		198.9	27			Percent of total billed charges		65.52	27			Percent of total billed charges		70.2	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	65.52	681.69	one or more instances of the item or service in the 12 months prior to posting the file
chronic obstructive pulmonary disease with cc	191	MS-DRG				Inpatient	Facility			20588.63	20588.63		4475		Per Diem		8950	90			Percent of total billed charges		18529.77		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		14000.27	90			Percent of total billed charges		18529.77		18084.21		Case rate		18084.21		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18529.77	80			Percent of total billed charges		16470.9		4475		Per Diem		8950	85			Percent of total billed charges		17500.34		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		16470.9		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18529.77		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	18529.77	one or more instances of the item or service in the 12 months prior to posting the file
chronic obstructive pulmonary disease without cc/mcc	192	MS-DRG				Inpatient	Facility			13742.19	13742.19		4475		Per Diem		4475	90			Percent of total billed charges		12367.97		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		9344.69	90			Percent of total billed charges		12367.97		15661.57		Case rate		15661.57		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12367.97	80			Percent of total billed charges		10993.75		4475		Per Diem		4475	85			Percent of total billed charges		11680.86		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		10993.75		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12367.97		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	15661.57	one or more instances of the item or service in the 12 months prior to posting the file
"chymotrypsin,fecal"	279	RC				Outpatient	Facility			187	187	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	68			Percent of total billed charges		127.16	90			Percent of total billed charges		168.3	100			Percent of total billed charges		187	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	80			Percent of total billed charges		149.6	27			Percent of total billed charges		52.36	85			Percent of total billed charges		158.95	27			Percent of total billed charges		52.36	27			Percent of total billed charges		56.1	80			Percent of total billed charges		149.6	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	52.36	187	zero instances of the item or service in the 12 months prior to posting the file
"circulatory disorders except ami, with cardiac catheterization with mcc"	276	MS-DRG				Inpatient	Facility			39160.27	39160.27		4475		Per Diem		8950	90			Percent of total billed charges		35244.24		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		26627.98	90			Percent of total billed charges		35244.24		35464.46		Case rate		35464.46		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		35244.24	80			Percent of total billed charges		31327.22		4475		Per Diem		8950	85			Percent of total billed charges		33276.23		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		31327.22		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		35244.24		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	35464.46	one or more instances of the item or service in the 12 months prior to posting the file
Citrate	82507	CPT				Outpatient	Facility			145	145	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	68			Percent of total billed charges		98.6	90			Percent of total billed charges		127.5		115.72		Case rate		115.72	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	80			Percent of total billed charges		116	27			Percent of total billed charges		40.6	85			Percent of total billed charges		123.25	27			Percent of total billed charges		40.6	27			Percent of total billed charges		43.5	80			Percent of total billed charges		116	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	40.6	127.5	one or more instances of the item or service in the 12 months prior to posting the file
Claviculectomy; partial	23120	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		6271.6		Case rate		6271.6	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
clip applier large 8mm	272	RC				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2	100			Percent of total billed charges		48	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	48	zero instances of the item or service in the 12 months prior to posting the file
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation	27788	CPT				Outpatient	Facility			1327.3	1327.3	27			Percent of total billed charges		371.924	90			Percent of total billed charges		1197.27	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	68			Percent of total billed charges		904.6	90			Percent of total billed charges		1197.27		2912.82		Case rate		2912.82	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	90			Percent of total billed charges		1197.27	80			Percent of total billed charges		1064.24	27			Percent of total billed charges		371.924	85			Percent of total billed charges		1127.76	27			Percent of total billed charges		371.924	27			Percent of total billed charges		399.09	80			Percent of total billed charges		1064.24	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	90			Percent of total billed charges		1197.27	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	27			Percent of total billed charges		371.924	371.924	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia	27266	CPT				Outpatient	Facility			3835.08	3835.08	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	68			Percent of total billed charges		2607.85	90			Percent of total billed charges		3451.57		3900.7		Case rate		3900.7	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	80			Percent of total billed charges		2768.06	27			Percent of total billed charges		1073.8224	85			Percent of total billed charges		3259.82	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1150.52	80			Percent of total billed charges		2768.06	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	1073.8224	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation	23600	CPT				Outpatient	Facility			674	674	27			Percent of total billed charges		188.72	90			Percent of total billed charges		606.6	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	68			Percent of total billed charges		458.32	90			Percent of total billed charges		606.6		595.77		Case rate		595.77	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	90			Percent of total billed charges		606.6	80			Percent of total billed charges		539.2	27			Percent of total billed charges		188.72	85			Percent of total billed charges		572.9	27			Percent of total billed charges		188.72	27			Percent of total billed charges		202.2	80			Percent of total billed charges		539.2	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	90			Percent of total billed charges		606.6	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	27			Percent of total billed charges		188.72	188.72	606.6	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of temporomandibular dislocation; initial or subsequent	21480	CPT				Outpatient	Facility			479.12	479.12	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	68			Percent of total billed charges		325.8	90			Percent of total billed charges		431.21		2912.82		Case rate		2912.82	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	80			Percent of total billed charges		383.3	27			Percent of total billed charges		134.1536	85			Percent of total billed charges		407.25	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		143.74	80			Percent of total billed charges		383.3	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	90			Percent of total billed charges		431.21	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	27			Percent of total billed charges		134.1536	134.1536	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Clotting; factor XI (PTA)	85270	CPT				Outpatient	Facility			71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9		74.51		Case rate		74.51	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	74.51	zero instances of the item or service in the 12 months prior to posting the file
Clotting; factor XII (Hageman)	85270	CPT				Outpatient	Facility			73	73	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	68			Percent of total billed charges		49.64	90			Percent of total billed charges		65.7		80.55		Case rate		80.55	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	80			Percent of total billed charges		58.4	27			Percent of total billed charges		20.44	85			Percent of total billed charges		62.05	27			Percent of total billed charges		20.44	27			Percent of total billed charges		21.9	80			Percent of total billed charges		58.4	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	20.44	80.55	one or more instances of the item or service in the 12 months prior to posting the file
Coagulation time; activated	85347	CPT				Outpatient	Facility			47.7	47.7	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	68			Percent of total billed charges		32.44	90			Percent of total billed charges		42.93		17.84		Case rate		17.84	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	80			Percent of total billed charges		38.16	27			Percent of total billed charges		13.356	85			Percent of total billed charges		40.54	27			Percent of total billed charges		13.356	27			Percent of total billed charges		14.31	80			Percent of total billed charges		38.16	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	13.356	42.93	one or more instances of the item or service in the 12 months prior to posting the file
Collection of blood specimen from a completely implantable venous access device	36591	CPT				Outpatient	Facility			356.2	356.2	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	68			Percent of total billed charges		242.22	90			Percent of total billed charges		320.58		169.97		Case rate		169.97	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	80			Percent of total billed charges		274.96	27			Percent of total billed charges		99.736	85			Percent of total billed charges		272.77	27			Percent of total billed charges		99.736	27			Percent of total billed charges		106.86	80			Percent of total billed charges		274.96	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	99.736	320.58	one or more instances of the item or service in the 12 months prior to posting the file
Collection of venous blood by venipuncture	36415	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		8.47		Case rate		8.47	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	22.95	zero instances of the item or service in the 12 months prior to posting the file
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage	57454	CPT				Outpatient	Facility			4490	4490	27			Percent of total billed charges		1257.2	90			Percent of total billed charges		4041	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	68			Percent of total billed charges		2753.2	90			Percent of total billed charges		4041		3900.7		Case rate		3900.7	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	90			Percent of total billed charges		4041	80			Percent of total billed charges		3592	27			Percent of total billed charges		1257.2	85			Percent of total billed charges		3816.5	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1347	80			Percent of total billed charges		3592	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	90			Percent of total billed charges		4041	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	27			Percent of total billed charges		1257.2	1257.2	4041	one or more instances of the item or service in the 12 months prior to posting the file
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix	57461	CPT				Outpatient	Facility			9473	9473	27			Percent of total billed charges		2652.44	90			Percent of total billed charges		8525.7	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	68			Percent of total billed charges		6441.64	90			Percent of total billed charges		8525.7		3900.7		Case rate		3900.7	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	90			Percent of total billed charges		8525.7	80			Percent of total billed charges		7578.4	27			Percent of total billed charges		2652.44	85			Percent of total billed charges		8052.05	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2741.9	80			Percent of total billed charges		7578.4	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	90			Percent of total billed charges		8525.7	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	27			Percent of total billed charges		2652.44	2652.44	8525.7	one or more instances of the item or service in the 12 months prior to posting the file
Complement; total hemolytic (CH50)	86162	CPT				Outpatient	Facility			73	73	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	68			Percent of total billed charges		49.64	90			Percent of total billed charges		65.7		84.56		Case rate		84.56	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	80			Percent of total billed charges		58.4	27			Percent of total billed charges		20.44	85			Percent of total billed charges		62.05	27			Percent of total billed charges		20.44	27			Percent of total billed charges		21.9	80			Percent of total billed charges		58.4	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	90			Percent of total billed charges		65.7	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	27			Percent of total billed charges		20.44	20.44	84.56	one or more instances of the item or service in the 12 months prior to posting the file
complications of treatment with mcc	919	MS-DRG				Inpatient	Facility			19372.13	19372.13		4475		Per Diem		4475	90			Percent of total billed charges		17434.92		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		13173.05	90			Percent of total billed charges		17434.92		25926.1		Case rate		25926.1		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		17434.92	80			Percent of total billed charges		15497.7		4475		Per Diem		4475	85			Percent of total billed charges		16466.31		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		15497.7		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		17434.92		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	25926.1	one or more instances of the item or service in the 12 months prior to posting the file
Computed tomography guidance for placement of radiation therapy fields	77014	CPT				Outpatient	Facility			690.1	690.1	27			Percent of total billed charges		193.227	90			Percent of total billed charges		621.09	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	68			Percent of total billed charges		469.27	90			Percent of total billed charges		621.09		434.33		Case rate		434.33	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	90			Percent of total billed charges		621.09	80			Percent of total billed charges		552.08	27			Percent of total billed charges		193.227	85			Percent of total billed charges		586.58	27			Percent of total billed charges		193.227	27			Percent of total billed charges		207.03	80			Percent of total billed charges		552.08	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	90			Percent of total billed charges		621.09	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	27			Percent of total billed charges		193.227	193.227	621.09	one or more instances of the item or service in the 12 months prior to posting the file
concomitant left atrial appendage closure and cardiac ablation	317	MS-DRG				Inpatient	Facility			15707.44	15707.44		4475		Per Diem		8950	90			Percent of total billed charges		14475.7		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		10681.06	90			Percent of total billed charges		14475.7	100			Percent of total billed charges		15707.44		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14475.7	80			Percent of total billed charges		12565.95		4475		Per Diem		8950	85			Percent of total billed charges		13351.32		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		12565.95		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14475.7		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	15707.44	one or more instances of the item or service in the 12 months prior to posting the file
"Connective tissue, non-human (includes synthetic)"	C1763	CPT				Outpatient	Facility			3971.55	3971.55	27			Percent of total billed charges		1112.034	90			Percent of total billed charges		3574.4	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	68			Percent of total billed charges		2700.65	90			Percent of total billed charges		3574.4		7144.26		Case rate		7144.26	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	90			Percent of total billed charges		3574.4	80			Percent of total billed charges		3177.24	27			Percent of total billed charges		1112.034	85			Percent of total billed charges		3375.82	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1191.46	80			Percent of total billed charges		3177.24	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	90			Percent of total billed charges		3574.4	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	27			Percent of total billed charges		1112.034	1112.034	7144.26	one or more instances of the item or service in the 12 months prior to posting the file
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour	94644	CPT				Outpatient	Facility			387	387	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	68			Percent of total billed charges		263.16	90			Percent of total billed charges		348.3		237.94		Case rate		237.94	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	80			Percent of total billed charges		279.6	27			Percent of total billed charges		108.36	85			Percent of total billed charges		327.95	27			Percent of total billed charges		108.36	27			Percent of total billed charges		116.1	80			Percent of total billed charges		279.6	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	90			Percent of total billed charges		348.3	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	27			Percent of total billed charges		108.36	108.36	348.3	one or more instances of the item or service in the 12 months prior to posting the file
Copper	82525	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		51.65		Case rate		51.65	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	51.65	one or more instances of the item or service in the 12 months prior to posting the file
coronary intravascular lithotripsy with intraluminal device without mcc	324	MS-DRG				Inpatient	Facility			112606.4	112606.4		4475		Per Diem		17900	90			Percent of total billed charges		101345.76		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		76572.35	90			Percent of total billed charges		101345.76	100			Percent of total billed charges		112606.4		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		101345.76	80			Percent of total billed charges		90085.12		4475		Per Diem		17900	85			Percent of total billed charges		95715.44		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		90085.12		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		101345.76		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	112606.4	one or more instances of the item or service in the 12 months prior to posting the file
covid antibody igg	271	RC				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6	100			Percent of total billed charges		204	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	204	zero instances of the item or service in the 12 months prior to posting the file
covid collection	279	RC				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9	100			Percent of total billed charges		31	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	31	zero instances of the item or service in the 12 months prior to posting the file
cranial and peripheral nerve disorders with mcc	73	MS-DRG				Inpatient	Facility			32794.87	32794.87		4475		Per Diem		13425	90			Percent of total billed charges		29785.38		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		22504.51	90			Percent of total billed charges		29785.38		22006.74		Case rate		22006.74		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		29785.38	80			Percent of total billed charges		26475.9		4475		Per Diem		13425	85			Percent of total billed charges		27127.64		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		26475.9		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		29785.38		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	29785.38	one or more instances of the item or service in the 12 months prior to posting the file
"creatinine, body fluid"	271	RC				Outpatient	Facility			13.8	13.8	27			Percent of total billed charges		3.864	90			Percent of total billed charges		12.42	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	68			Percent of total billed charges		9.38	90			Percent of total billed charges		12.42	100			Percent of total billed charges		13.8	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	90			Percent of total billed charges		12.42	80			Percent of total billed charges		11.04	27			Percent of total billed charges		3.864	85			Percent of total billed charges		11.73	27			Percent of total billed charges		3.864	27			Percent of total billed charges		4.14	80			Percent of total billed charges		11.04	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	90			Percent of total billed charges		12.42	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	27			Percent of total billed charges		3.864	3.864	13.8	zero instances of the item or service in the 12 months prior to posting the file
Cyclosporine	80158	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		75.13		Case rate		75.13	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	75.13	one or more instances of the item or service in the 12 months prior to posting the file
Cystourethroscopy (separate procedure)	52000	CPT				Outpatient	Facility			2015	2015	27			Percent of total billed charges		564.2	90			Percent of total billed charges		1813.5	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	68			Percent of total billed charges		1370.2	90			Percent of total billed charges		1813.5		1456.41		Case rate		1456.41	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	90			Percent of total billed charges		1813.5	80			Percent of total billed charges		1612	27			Percent of total billed charges		564.2	85			Percent of total billed charges		1712.75	27			Percent of total billed charges		564.2	27			Percent of total billed charges		604.5	80			Percent of total billed charges		1612	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	90			Percent of total billed charges		1813.5	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	27			Percent of total billed charges		564.2	564.2	1813.5	one or more instances of the item or service in the 12 months prior to posting the file
Debridement of nail(s) by any method(s); 1 to 5	11720	CPT				Outpatient	Facility			327.54	327.54	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	68			Percent of total billed charges		222.73	90			Percent of total billed charges		294.79		278.78		Case rate		278.78	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	80			Percent of total billed charges		262.03	27			Percent of total billed charges		91.7112	85			Percent of total billed charges		278.41	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		98.26	80			Percent of total billed charges		262.03	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	91.7112	278.78	one or more instances of the item or service in the 12 months prior to posting the file
Declotting by thrombolytic agent of implanted vascular access device or catheter	36593	CPT				Outpatient	Facility			988.98	988.98	27			Percent of total billed charges		276.9144	90			Percent of total billed charges		890.08	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	68			Percent of total billed charges		672.51	90			Percent of total billed charges		890.08		914.55		Case rate		914.55	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	90			Percent of total billed charges		890.08	80			Percent of total billed charges		791.18	27			Percent of total billed charges		276.9144	85			Percent of total billed charges		840.63	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		296.69	80			Percent of total billed charges		791.18	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	90			Percent of total billed charges		890.08	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	27			Percent of total billed charges		276.9144	276.9144	914.55	one or more instances of the item or service in the 12 months prior to posting the file
Decompression; unspecified nerve(s) (specify)	64722	CPT				Outpatient	Facility			6197	6197	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	68			Percent of total billed charges		4213.96	90			Percent of total billed charges		5577.3		2912.82		Case rate		2912.82	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	80			Percent of total billed charges		4957.6	27			Percent of total billed charges		1735.16	85			Percent of total billed charges		5267.45	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1859.1	80			Percent of total billed charges		4957.6	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	1735.16	5577.3	one or more instances of the item or service in the 12 months prior to posting the file
degenerative nervous system disorders without mcc	57	MS-DRG				Inpatient	Facility			17561.22	17561.22		4475		Per Diem		22375	90			Percent of total billed charges		15805.1		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		11941.63	90			Percent of total billed charges		15805.1		17158.27		Case rate		17158.27		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		15805.1	80			Percent of total billed charges		14048.98		4475		Per Diem		22375	85			Percent of total billed charges		14927.04		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		14048.98		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		15805.1		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	22375	one or more instances of the item or service in the 12 months prior to posting the file
Dehydroepiandrosterone-sulfate (DHEA-S)	82627	CPT				Outpatient	Facility			79	79	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	68			Percent of total billed charges		53.72	90			Percent of total billed charges		71.1		92.52		Case rate		92.52	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	85			Percent of total billed charges		67.15	27			Percent of total billed charges		22.12	27			Percent of total billed charges		23.7	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	22.12	92.52	one or more instances of the item or service in the 12 months prior to posting the file
diabetes with mcc	637	MS-DRG				Inpatient	Facility			35691.61	35691.61		4475		Per Diem		22375	90			Percent of total billed charges		32122.45		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		24270.29	90			Percent of total billed charges		32122.45		20056.58		Case rate		20056.58		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		32122.45	80			Percent of total billed charges		27553.29		4475		Per Diem		22375	85			Percent of total billed charges		27337.87		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		27553.29		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		32122.45		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	32122.45	one or more instances of the item or service in the 12 months prior to posting the file
diabetes without cc/mcc	639	MS-DRG				Inpatient	Facility			10795.12	10795.12		4475		Per Diem		8950	90			Percent of total billed charges		9715.61		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		7340.68	90			Percent of total billed charges		9715.61		12417.64		Case rate		12417.64		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9715.61	80			Percent of total billed charges		8636.1		4475		Per Diem		8950	85			Percent of total billed charges		9175.85		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		8636.1		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9715.61		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	12417.64	one or more instances of the item or service in the 12 months prior to posting the file
Dihydrotestosterone (DHT)	82642	CPT				Outpatient	Facility			55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		121.82		Case rate		121.82	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	121.82	one or more instances of the item or service in the 12 months prior to posting the file
"disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc"	443	MS-DRG				Inpatient	Facility			17509.27	17509.27		4475		Per Diem		8950	90			Percent of total billed charges		15758.35		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		11906.31	90			Percent of total billed charges		15758.35		18122.27		Case rate		18122.27		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		15758.35	80			Percent of total billed charges		14007.42		4475		Per Diem		8950	85			Percent of total billed charges		14882.89		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		14007.42		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		15758.35		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	18122.27	one or more instances of the item or service in the 12 months prior to posting the file
disorders of pancreas except malignancy without cc/mcc	440	MS-DRG				Inpatient	Facility			13953.79	13953.79		4475		Per Diem		13425	90			Percent of total billed charges		12558.41		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		9488.58	90			Percent of total billed charges		12558.41		18255.45		Case rate		18255.45		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		12558.41	80			Percent of total billed charges		11163.03		4475		Per Diem		13425	85			Percent of total billed charges		11860.72		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		11163.03		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		12558.41		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	18255.45	one or more instances of the item or service in the 12 months prior to posting the file
disorders of the biliary tract with cc	445	MS-DRG				Inpatient	Facility			15924.15	15924.15		4475		Per Diem		13425	90			Percent of total billed charges		14331.74		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		10827.42	90			Percent of total billed charges		14331.74		18724.76		Case rate		18724.76		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14331.74	80			Percent of total billed charges		12739.32		4475		Per Diem		13425	85			Percent of total billed charges		13535.53		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		12739.32		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14331.74		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	18724.76	one or more instances of the item or service in the 12 months prior to posting the file
"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	J7639	HCPCS				Outpatient	Facility	1	ME	688.5	688.5	27			Percent of total billed charges		192.78	90			Percent of total billed charges		619.65	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	68			Percent of total billed charges		468.18	90			Percent of total billed charges		619.65		275.79		Case rate		275.79	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	90			Percent of total billed charges		619.65	80			Percent of total billed charges		550.8	27			Percent of total billed charges		192.78	85			Percent of total billed charges		585.22	27			Percent of total billed charges		192.78	27			Percent of total billed charges		206.55	80			Percent of total billed charges		550.8	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	90			Percent of total billed charges		619.65	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	27			Percent of total billed charges		192.78	192.78	619.65	one or more instances of the item or service in the 12 months prior to posting the file
Drainage of finger abscess; simple	26010	CPT				Outpatient	Facility			849.06	849.06	27			Percent of total billed charges		237.7368	90			Percent of total billed charges		764.15	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	68			Percent of total billed charges		577.36	90			Percent of total billed charges		764.15		526.85		Case rate		526.85	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	90			Percent of total billed charges		764.15	80			Percent of total billed charges		679.25	27			Percent of total billed charges		237.7368	85			Percent of total billed charges		721.7	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		254.72	80			Percent of total billed charges		679.25	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	90			Percent of total billed charges		764.15	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	27			Percent of total billed charges		237.7368	237.7368	764.15	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of extracranial arteries; complete bilateral study	93880	CPT				Outpatient	Facility			1358.05	1358.04	27			Percent of total billed charges		380.2512	90			Percent of total billed charges		1222.24	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	68			Percent of total billed charges		923.47	90			Percent of total billed charges		1222.24		1418.19		Case rate		1418.19	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	90			Percent of total billed charges		1222.24	80			Percent of total billed charges		1086.44	27			Percent of total billed charges		380.2512	85			Percent of total billed charges		1154.34	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		407.41	80			Percent of total billed charges		1086.44	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	90			Percent of total billed charges		1222.24	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	27			Percent of total billed charges		380.2512	380.2512	1418.19	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	93970	CPT				Outpatient	Facility			1346.21	1346.21	27			Percent of total billed charges		376.9388	90			Percent of total billed charges		1211.59	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	68			Percent of total billed charges		915.42	90			Percent of total billed charges		1211.59		1422.2		Case rate		1422.2	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	90			Percent of total billed charges		1211.59	80			Percent of total billed charges		1076.97	27			Percent of total billed charges		376.9388	85			Percent of total billed charges		1144.27	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		403.86	80			Percent of total billed charges		1076.97	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	90			Percent of total billed charges		1211.59	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	27			Percent of total billed charges		376.9388	376.9388	1422.2	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	93971	CPT				Outpatient	Facility			877.56	877.56	27			Percent of total billed charges		245.7168	90			Percent of total billed charges		789.8	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	68			Percent of total billed charges		596.74	90			Percent of total billed charges		789.8		927.3		Case rate		927.3	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	90			Percent of total billed charges		789.8	80			Percent of total billed charges		702.05	27			Percent of total billed charges		245.7168	85			Percent of total billed charges		745.93	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		263.27	80			Percent of total billed charges		702.05	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	90			Percent of total billed charges		789.8	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	27			Percent of total billed charges		245.7168	245.7168	927.3	zero instances of the item or service in the 12 months prior to posting the file
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	93925	CPT				Outpatient	Facility			1565.6	1565.6	27			Percent of total billed charges		438.368	90			Percent of total billed charges		1409.04	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	68			Percent of total billed charges		1064.61	90			Percent of total billed charges		1409.04		1654.44		Case rate		1654.44	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	90			Percent of total billed charges		1409.04	80			Percent of total billed charges		1252.48	27			Percent of total billed charges		438.368	85			Percent of total billed charges		1327.76	27			Percent of total billed charges		438.368	27			Percent of total billed charges		469.68	80			Percent of total billed charges		1252.48	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	90			Percent of total billed charges		1409.04	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	27			Percent of total billed charges		438.368	438.368	1654.44	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	93926	CPT				Outpatient	Facility			994.98	994.98	27			Percent of total billed charges		278.5944	90			Percent of total billed charges		895.48	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	68			Percent of total billed charges		676.59	90			Percent of total billed charges		895.48		1051.49		Case rate		1051.49	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	90			Percent of total billed charges		895.48	80			Percent of total billed charges		795.98	27			Percent of total billed charges		278.5944	85			Percent of total billed charges		845.73	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		298.49	80			Percent of total billed charges		795.98	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	90			Percent of total billed charges		895.48	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	27			Percent of total billed charges		278.5944	278.5944	1051.49	one or more instances of the item or service in the 12 months prior to posting the file
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional	99271	CPT				Outpatient	Facility			216.24	216.24	27			Percent of total billed charges		60.5472	90			Percent of total billed charges		194.62	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	68			Percent of total billed charges		147.04	90			Percent of total billed charges		194.62	100			Percent of total billed charges		216.24	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	90			Percent of total billed charges		194.62	80			Percent of total billed charges		172.99	27			Percent of total billed charges		60.5472	85			Percent of total billed charges		183.8	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		64.87	80			Percent of total billed charges		172.99	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	90			Percent of total billed charges		194.62	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	27			Percent of total billed charges		60.5472	60.5472	216.24	one or more instances of the item or service in the 12 months prior to posting the file
Enterolysis (freeing of intestinal adhesion) (separate procedure)	44005	CPT				Outpatient	Facility			7472.32	7472.32	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	68			Percent of total billed charges		5081.18	90			Percent of total billed charges		6725.09		11713.38		Case rate		11713.38	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	80			Percent of total billed charges		5977.86	27			Percent of total billed charges		2092.2496	85			Percent of total billed charges		6351.47	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2241.7	80			Percent of total billed charges		5977.86	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	90			Percent of total billed charges		6725.09	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	27			Percent of total billed charges		2092.2496	2092.2496	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc"	391	MS-DRG				Inpatient	Facility			5277.85	5277.85		4475		Per Diem		8950	90			Percent of total billed charges		4750.06		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		3588.94	90			Percent of total billed charges		4750.06		16793.62		Case rate		16793.62		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		4750.06	80			Percent of total billed charges		4222.27		4475		Per Diem		8950	85			Percent of total billed charges		4486.17		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		4222.27		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		4750.06		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	16793.62	one or more instances of the item or service in the 12 months prior to posting the file
"esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc"	392	MS-DRG				Inpatient	Facility			11826.46	11826.46		4475		Per Diem		4475	90			Percent of total billed charges		10643.81		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		8041.99	90			Percent of total billed charges		10643.81		12503.25		Case rate		12503.25		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10643.81	80			Percent of total billed charges		9461.16		4475		Per Diem		4475	85			Percent of total billed charges		10052.49		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		9461.16		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10643.81		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	12503.25	one or more instances of the item or service in the 12 months prior to posting the file
ethilon suture 4-0 1667g	272	RC				Outpatient	Facility			16.45	16.45	27			Percent of total billed charges		4.606	90			Percent of total billed charges		14.81	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	68			Percent of total billed charges		11.19	90			Percent of total billed charges		14.81	100			Percent of total billed charges		16.45	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	90			Percent of total billed charges		14.81	80			Percent of total billed charges		13.16	27			Percent of total billed charges		4.606	85			Percent of total billed charges		13.98	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.94	80			Percent of total billed charges		13.16	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	90			Percent of total billed charges		14.81	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	27			Percent of total billed charges		4.606	4.606	16.45	zero instances of the item or service in the 12 months prior to posting the file
euphora balloon 2.0mmx1000	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora balloon 2.0x12	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora balloon 2.0x6	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora balloon 27x20	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora rx balloon 3 x 12	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora rx balloon 4.0x12	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
Evacuation of subungual hematoma	11740	CPT				Outpatient	Facility			204.58	204.58	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	68			Percent of total billed charges		139.11	90			Percent of total billed charges		184.12		155.97		Case rate		155.97	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	80			Percent of total billed charges		163.66	27			Percent of total billed charges		57.2724	85			Percent of total billed charges		173.89	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		61.37	80			Percent of total billed charges		163.66	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	57.2724	184.12	one or more instances of the item or service in the 12 months prior to posting the file
"Event recorder, cardiac (implantable)"	C1764	CPT				Outpatient	Facility			13487.5	13487.5	27			Percent of total billed charges		3776.5	90			Percent of total billed charges		12138.75	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	68			Percent of total billed charges		9171.5	90			Percent of total billed charges		12138.75		35450.6		Case rate		35450.6	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	90			Percent of total billed charges		12138.75	80			Percent of total billed charges		10790	27			Percent of total billed charges		3776.5	85			Percent of total billed charges		11464.38	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		4046.25	80			Percent of total billed charges		10790	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	90			Percent of total billed charges		12138.75	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	27			Percent of total billed charges		3776.5	3776.5	35450.6	one or more instances of the item or service in the 12 months prior to posting the file
Exploration of penetrating wound (separate procedure); extremity	20103	CPT				Outpatient	Facility			5831.06	5831.06	27			Percent of total billed charges		1632.6968	90			Percent of total billed charges		5247.95	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	68			Percent of total billed charges		3965.12	90			Percent of total billed charges		5247.95		5515.17		Case rate		5515.17	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	90			Percent of total billed charges		5247.95	80			Percent of total billed charges		4664.85	27			Percent of total billed charges		1632.6968	85			Percent of total billed charges		4956.4	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1749.32	80			Percent of total billed charges		4664.85	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	90			Percent of total billed charges		5247.95	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	27			Percent of total billed charges		1632.6968	1632.6968	5515.17	one or more instances of the item or service in the 12 months prior to posting the file
express stent ld 8x57	272	RC				Outpatient	Facility			2722	2722	27			Percent of total billed charges		790.16	90			Percent of total billed charges		2539.8	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	68			Percent of total billed charges		1918.96	90			Percent of total billed charges		2539.8	100			Percent of total billed charges		2722	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	90			Percent of total billed charges		2539.8	80			Percent of total billed charges		2257.6	27			Percent of total billed charges		790.16	85			Percent of total billed charges		2398.7	27			Percent of total billed charges		790.16	27			Percent of total billed charges		846.6	80			Percent of total billed charges		2257.6	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	90			Percent of total billed charges		2539.8	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	27			Percent of total billed charges		790.16	790.16	2722	zero instances of the item or service in the 12 months prior to posting the file
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report	93226	CPT				Outpatient	Facility			454.74	454.74	27			Percent of total billed charges		127.3272	90			Percent of total billed charges		409.27	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	68			Percent of total billed charges		279.22	90			Percent of total billed charges		409.27		420.16		Case rate		420.16	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	90			Percent of total billed charges		409.27	80			Percent of total billed charges		363.79	27			Percent of total billed charges		127.3272	85			Percent of total billed charges		386.53	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		136.42	80			Percent of total billed charges		363.79	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	90			Percent of total billed charges		409.27	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	27			Percent of total billed charges		127.3272	127.3272	420.16	one or more instances of the item or service in the 12 months prior to posting the file
fenestrated bipolar forceps	272	RC				Outpatient	Facility			538	538	27			Percent of total billed charges		150.64	90			Percent of total billed charges		484.2	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	68			Percent of total billed charges		365.84	90			Percent of total billed charges		484.2	100			Percent of total billed charges		538	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	90			Percent of total billed charges		484.2	80			Percent of total billed charges		427.4	27			Percent of total billed charges		150.64	85			Percent of total billed charges		457.3	27			Percent of total billed charges		150.64	27			Percent of total billed charges		161.4	80			Percent of total billed charges		427.4	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	90			Percent of total billed charges		484.2	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	27			Percent of total billed charges		150.64	150.64	538	zero instances of the item or service in the 12 months prior to posting the file
Fetal biophysical profile; without non-stress testing	76819	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		231.61		Case rate		231.61	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	zero instances of the item or service in the 12 months prior to posting the file
Fetal lung maturity assessment; lamellar body density	83664	CPT				Outpatient	Facility			19.1	19.1	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	68			Percent of total billed charges		12.99	90			Percent of total billed charges		17.19		80.44		Case rate		80.44	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	85			Percent of total billed charges		16.24	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.73	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	5.348	80.44	zero instances of the item or service in the 12 months prior to posting the file
Fibrinogen; activity	85384	CPT				Outpatient	Facility			104	104	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	68			Percent of total billed charges		70.72	90			Percent of total billed charges		93.6		40.47		Case rate		40.47	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	85			Percent of total billed charges		88.4	27			Percent of total billed charges		29.12	27			Percent of total billed charges		31.2	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	29.12	93.6	one or more instances of the item or service in the 12 months prior to posting the file
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries"	A9552	CPT				Outpatient	Facility			708.64	708.64	27			Percent of total billed charges		198.4192	90			Percent of total billed charges		637.78	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	68			Percent of total billed charges		481.88	90			Percent of total billed charges		637.78		2153.51		Case rate		2153.51	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	90			Percent of total billed charges		637.78	80			Percent of total billed charges		566.91	27			Percent of total billed charges		198.4192	85			Percent of total billed charges		602.34	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		212.59	80			Percent of total billed charges		566.91	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	90			Percent of total billed charges		637.78	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	27			Percent of total billed charges		198.4192	198.4192	2153.51	one or more instances of the item or service in the 12 months prior to posting the file
"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"	A6209	CPT				Outpatient	Facility			118.72	118.72	27			Percent of total billed charges		33.2416	90			Percent of total billed charges		106.85	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	68			Percent of total billed charges		80.73	90			Percent of total billed charges		106.85	100			Percent of total billed charges		118.72	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	90			Percent of total billed charges		106.85	80			Percent of total billed charges		94.98	27			Percent of total billed charges		33.2416	85			Percent of total billed charges		100.91	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		35.62	80			Percent of total billed charges		94.98	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	90			Percent of total billed charges		106.85	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	27			Percent of total billed charges		33.2416	33.2416	118.72	one or more instances of the item or service in the 12 months prior to posting the file
"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing"	A6210	CPT				Outpatient	Facility			46.57	46.57	27			Percent of total billed charges		13.0396	90			Percent of total billed charges		41.91	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	68			Percent of total billed charges		31.67	90			Percent of total billed charges		41.91	100			Percent of total billed charges		46.57	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	90			Percent of total billed charges		41.91	80			Percent of total billed charges		37.26	27			Percent of total billed charges		13.0396	85			Percent of total billed charges		39.58	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.97	80			Percent of total billed charges		37.26	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	90			Percent of total billed charges		41.91	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	27			Percent of total billed charges		13.0396	13.0396	46.57	one or more instances of the item or service in the 12 months prior to posting the file
foot procedures with cc	504	MS-DRG				Inpatient	Facility			11784.17	11784.17		4475		Per Diem		4475	90			Percent of total billed charges		10605.75		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		8013.24	90			Percent of total billed charges		10605.75		27686		Case rate		27686		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10605.75	80			Percent of total billed charges		9427.34		4475		Per Diem		4475	85			Percent of total billed charges		10016.54		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		9427.34		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10605.75		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	27686	one or more instances of the item or service in the 12 months prior to posting the file
fractures of hip and pelvis with mcc	535	MS-DRG				Inpatient	Facility			19972.06	19972.06		4475		Per Diem		17900	90			Percent of total billed charges		17974.85		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		13581	90			Percent of total billed charges		17974.85		18775.49		Case rate		18775.49		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		17974.85	80			Percent of total billed charges		15977.65		4475		Per Diem		17900	85			Percent of total billed charges		16976.25		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		15977.65		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		17974.85		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	18775.49	one or more instances of the item or service in the 12 months prior to posting the file
full thickness burn without skin graft or inhalation injury	934	MS-DRG				Inpatient	Facility			27808.38	27808.38		4475		Per Diem		17900	90			Percent of total billed charges		27727.54		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		20949.7	90			Percent of total billed charges		27727.54		29550.55		Case rate		29550.55		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27727.54	80			Percent of total billed charges		24646.7		4475		Per Diem		17900	85			Percent of total billed charges		26187.12		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		24646.7		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27727.54		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	29550.55	one or more instances of the item or service in the 12 months prior to posting the file
furosemide 20 mg.	250	RC				Outpatient	Facility			19.2	19.2	27			Percent of total billed charges		5.376	90			Percent of total billed charges		17.27	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	68			Percent of total billed charges		13.06	90			Percent of total billed charges		17.27	100			Percent of total billed charges		19.2	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	90			Percent of total billed charges		17.27	80			Percent of total billed charges		15.36	27			Percent of total billed charges		5.376	85			Percent of total billed charges		16.32	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.76	80			Percent of total billed charges		15.36	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	90			Percent of total billed charges		17.27	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	27			Percent of total billed charges		5.376	5.376	19.2	zero instances of the item or service in the 12 months prior to posting the file
Gammaglobulin (immunoglobulin); IgE	82785	CPT				Outpatient	Facility			60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		68.47		Case rate		68.47	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	68.47	one or more instances of the item or service in the 12 months prior to posting the file
Gastrin	82941	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		73.39		Case rate		73.39	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	73.39	zero instances of the item or service in the 12 months prior to posting the file
gastrointestinal hemorrhage with mcc	377	MS-DRG				Inpatient	Facility			43687.98	43687.98		4475		Per Diem		17900	90			Percent of total billed charges		39319.18		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		29707.82	90			Percent of total billed charges		39319.18		24806.73		Case rate		24806.73		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		39319.18	80			Percent of total billed charges		34950.38		4475		Per Diem		17900	85			Percent of total billed charges		37134.78		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		34950.38		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		39319.18		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	39319.18	one or more instances of the item or service in the 12 months prior to posting the file
gastrointestinal obstruction with cc	389	MS-DRG				Inpatient	Facility			16707.41	16707.4		4475		Per Diem		13425	90			Percent of total billed charges		15036.66		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		11361.04	90			Percent of total billed charges		15036.66		17792.48		Case rate		17792.48		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15036.66	80			Percent of total billed charges		13365.92		4475		Per Diem		13425	85			Percent of total billed charges		14201.29		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		13365.92		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15036.66		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	17792.48	one or more instances of the item or service in the 12 months prior to posting the file
gastrointestinal obstruction with mcc	388	MS-DRG				Inpatient	Facility			19634.42	19634.42		4475		Per Diem		8950	90			Percent of total billed charges		17670.98		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		13351.41	90			Percent of total billed charges		17670.98		24001.3		Case rate		24001.3		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		17670.98	80			Percent of total billed charges		15707.54		4475		Per Diem		8950	85			Percent of total billed charges		16689.26		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		15707.54		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		17670.98		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	24001.3	one or more instances of the item or service in the 12 months prior to posting the file
gastrointestinal obstruction without cc/mcc	390	MS-DRG				Inpatient	Facility			12797.33	12797.32		4475		Per Diem		8950	90			Percent of total billed charges		11607.59		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		8770.18	90			Percent of total billed charges		11607.59		13549.68		Case rate		13549.68		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11607.59	80			Percent of total billed charges		10317.86		4475		Per Diem		8950	85			Percent of total billed charges		10962.73		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10317.86		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11607.59		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	13549.68	one or more instances of the item or service in the 12 months prior to posting the file
genetic nb 2nd screen	271	RC				Outpatient	Facility			272	272	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	68			Percent of total billed charges		184.96	90			Percent of total billed charges		244.8	100			Percent of total billed charges		272	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	80			Percent of total billed charges		217.6	27			Percent of total billed charges		76.16	85			Percent of total billed charges		231.2	27			Percent of total billed charges		76.16	27			Percent of total billed charges		81.6	80			Percent of total billed charges		217.6	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	76.16	272	zero instances of the item or service in the 12 months prior to posting the file
Gentamicin	80170	CPT				Outpatient	Facility			200	200	27			Percent of total billed charges		56	90			Percent of total billed charges		180	27			Percent of total billed charges		56	27			Percent of total billed charges		56	68			Percent of total billed charges		136	90			Percent of total billed charges		180		68.19		Case rate		68.19	27			Percent of total billed charges		56	27			Percent of total billed charges		56	90			Percent of total billed charges		180	80			Percent of total billed charges		160	27			Percent of total billed charges		56	85			Percent of total billed charges		170	27			Percent of total billed charges		56	27			Percent of total billed charges		60	80			Percent of total billed charges		160	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	90			Percent of total billed charges		180	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	56	180	one or more instances of the item or service in the 12 months prior to posting the file
Glucose; post glucose dose (includes glucose)	82950	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		19.76		Case rate		19.76	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	54.9	one or more instances of the item or service in the 12 months prior to posting the file
Gonadotropin; follicle stimulating hormone (FSH)	82701	CPT				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08		77.34		Case rate		77.34	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	77.34	one or more instances of the item or service in the 12 months prior to posting the file
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter"	Q4133	CPT				Outpatient	Facility			4512.5	4512.5	27			Percent of total billed charges		1263.5	90			Percent of total billed charges		4061.25	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	68			Percent of total billed charges		2768.5	90			Percent of total billed charges		4061.25		876.5		Case rate		876.5	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	90			Percent of total billed charges		4061.25	80			Percent of total billed charges		3610	27			Percent of total billed charges		1263.5	85			Percent of total billed charges		3835.62	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1353.75	80			Percent of total billed charges		3610	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	90			Percent of total billed charges		4061.25	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	27			Percent of total billed charges		1263.5	1263.5	4061.25	one or more instances of the item or service in the 12 months prior to posting the file
Guide wire	C1769	CPT				Outpatient	Facility			4813	4813	27			Percent of total billed charges		1347.64	90			Percent of total billed charges		4331.7	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	68			Percent of total billed charges		3272.84	90			Percent of total billed charges		4331.7		1294		Case rate		1294	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	90			Percent of total billed charges		4331.7	80			Percent of total billed charges		3850.4	27			Percent of total billed charges		1347.64	85			Percent of total billed charges		4091.05	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1443.9	80			Percent of total billed charges		3850.4	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	90			Percent of total billed charges		4331.7	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	27			Percent of total billed charges		1347.64	1347.64	4331.7	one or more instances of the item or service in the 12 months prior to posting the file
"guidewire str, 0.018x270cm 25g"	275	RC				Outpatient	Facility			263	263	27			Percent of total billed charges		73.64	90			Percent of total billed charges		236.7	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	68			Percent of total billed charges		178.84	90			Percent of total billed charges		236.7	100			Percent of total billed charges		263	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	90			Percent of total billed charges		236.7	80			Percent of total billed charges		210.4	27			Percent of total billed charges		73.64	85			Percent of total billed charges		223.55	27			Percent of total billed charges		73.64	27			Percent of total billed charges		78.9	80			Percent of total billed charges		210.4	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	90			Percent of total billed charges		236.7	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	27			Percent of total billed charges		73.64	73.64	263	zero instances of the item or service in the 12 months prior to posting the file
"guidewire, 0.018x220mm"	275	RC				Outpatient	Facility			2765	2765	27			Percent of total billed charges		774.2	90			Percent of total billed charges		2488.5	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	68			Percent of total billed charges		1880.2	90			Percent of total billed charges		2488.5	100			Percent of total billed charges		2765	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	90			Percent of total billed charges		2488.5	80			Percent of total billed charges		2212	27			Percent of total billed charges		774.2	85			Percent of total billed charges		2350.25	27			Percent of total billed charges		774.2	27			Percent of total billed charges		829.5	80			Percent of total billed charges		2212	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	90			Percent of total billed charges		2488.5	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	27			Percent of total billed charges		774.2	774.2	2765	zero instances of the item or service in the 12 months prior to posting the file
Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated)	99001	CPT				Outpatient	Facility			32.9	32.9	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	68			Percent of total billed charges		22.37	90			Percent of total billed charges		29.61		27.23		Case rate		27.23	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	85			Percent of total billed charges		27.96	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.87	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	9.212	29.61	one or more instances of the item or service in the 12 months prior to posting the file
heart failure and shock with mcc	291	MS-DRG				Inpatient	Facility			21999.17	21999.16		4475		Per Diem		13425	90			Percent of total billed charges		19799.25		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		14959.43	90			Percent of total billed charges		19799.25		23227.75		Case rate		23227.75		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19799.25	80			Percent of total billed charges		17599.33		4475		Per Diem		13425	85			Percent of total billed charges		18699.29		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		17599.33		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19799.25		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	23227.75	one or more instances of the item or service in the 12 months prior to posting the file
Hepatitis A antibody (HAAb)	86708	CPT				Outpatient	Facility			44	44	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	68			Percent of total billed charges		29.92	90			Percent of total billed charges		39.6		51.6		Case rate		51.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	85			Percent of total billed charges		37.4	27			Percent of total billed charges		12.32	27			Percent of total billed charges		13.2	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	12.32	51.6	one or more instances of the item or service in the 12 months prior to posting the file
Hepatitis B core antibody (HBcAb); IgM antibody	86705	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		48.94		Case rate		48.94	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	48.94	one or more instances of the item or service in the 12 months prior to posting the file
hernia procedures except inguinal and femoral with cc	354	MS-DRG				Inpatient	Facility			61276.76	61276.76		4475		Per Diem		27952	90			Percent of total billed charges		55158.08		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		41675	90			Percent of total billed charges		55158.08		27045.23		Case rate		27045.23		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		55158.08	80			Percent of total billed charges		49029.41		4475		Per Diem		27952	85			Percent of total billed charges		52093.75		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		49029.41		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		55158.08		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	55158.08	one or more instances of the item or service in the 12 months prior to posting the file
hernia procedures except inguinal and femoral with mcc	353	MS-DRG				Inpatient	Facility			58977.04	58977.04		4475		Per Diem		8950	90			Percent of total billed charges		52779.34		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		40104.39	90			Percent of total billed charges		52779.34		43150.97		Case rate		43150.97		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		52779.34	80			Percent of total billed charges		47181.63		4475		Per Diem		8950	85			Percent of total billed charges		50127.48		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		47181.63		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		52779.34		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	52779.34	one or more instances of the item or service in the 12 months prior to posting the file
hip and femur procedures except major joint with cc	481	MS-DRG				Inpatient	Facility			37581.69	37581.69		4475		Per Diem		17900	90			Percent of total billed charges		33823.52		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		25555.55	90			Percent of total billed charges		33823.52		40766.38		Case rate		40766.38		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33823.52	80			Percent of total billed charges		27065.35		4475		Per Diem		17900	85			Percent of total billed charges		31944.44		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		27065.35		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33823.52		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	40766.38	one or more instances of the item or service in the 12 months prior to posting the file
hip and femur procedures except major joint with mcc	480	MS-DRG				Inpatient	Facility			53600.38	53600.38		4475		Per Diem		17900	90			Percent of total billed charges		48240.34		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		36448.26	90			Percent of total billed charges		48240.34		52987.41		Case rate		52987.41		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		48240.34	80			Percent of total billed charges		42780.3		4475		Per Diem		17900	85			Percent of total billed charges		45560.32		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		42780.3		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		48240.34		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	52987.41	one or more instances of the item or service in the 12 months prior to posting the file
hip and femur procedures except major joint without cc/mcc	482	MS-DRG				Inpatient	Facility			29219.04	29219.04		4475		Per Diem		13425	90			Percent of total billed charges		26297.14		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		19868.95	90			Percent of total billed charges		26297.14		34500.48		Case rate		34500.48		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		26297.14	80			Percent of total billed charges		23375.23		4475		Per Diem		13425	85			Percent of total billed charges		24836.18		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		23375.23		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		26297.14		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	34500.48	one or more instances of the item or service in the 12 months prior to posting the file
histoplasma mycelia	271	RC				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31	100			Percent of total billed charges		15.9	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	15.9	zero instances of the item or service in the 12 months prior to posting the file
histoplasma precipitin	271	RC				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31	100			Percent of total billed charges		15.9	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	15.9	zero instances of the item or service in the 12 months prior to posting the file
histoplasma yeast	271	RC				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31	100			Percent of total billed charges		15.9	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	15.9	zero instances of the item or service in the 12 months prior to posting the file
Homocysteine	82790	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		74.57		Case rate		74.57	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	74.57	one or more instances of the item or service in the 12 months prior to posting the file
"Hospital observation service, per hour"	G0378	CPT				Outpatient	Facility			55.12	55.12	27			Percent of total billed charges		15.4336	90			Percent of total billed charges		49.61	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	68			Percent of total billed charges		37.48	90			Percent of total billed charges		49.61		165.12		Case rate		165.12	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	90			Percent of total billed charges		49.61	80			Percent of total billed charges		44.1	27			Percent of total billed charges		15.4336	85			Percent of total billed charges		46.85	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		16.54	80			Percent of total billed charges		44.1	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	90			Percent of total billed charges		49.61	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	27			Percent of total billed charges		15.4336	15.4336	165.12	one or more instances of the item or service in the 12 months prior to posting the file
"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose"	J7323	HCPCS				Outpatient	Facility	1	UN	1486	1486	27			Percent of total billed charges		416.08	90			Percent of total billed charges		1337.4	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	68			Percent of total billed charges		1010.48	90			Percent of total billed charges		1337.4		831.23		Case rate		831.23	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	90			Percent of total billed charges		1337.4	80			Percent of total billed charges		1188.8	27			Percent of total billed charges		416.08	85			Percent of total billed charges		1263.1	27			Percent of total billed charges		416.08	27			Percent of total billed charges		445.8	80			Percent of total billed charges		1188.8	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	90			Percent of total billed charges		1337.4	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	27			Percent of total billed charges		416.08	416.08	1337.4	one or more instances of the item or service in the 12 months prior to posting the file
hypertension without mcc	275	MS-DRG				Inpatient	Facility			26232.5	26232.5		4475		Per Diem		13425	90			Percent of total billed charges		23609.25		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		17838.1	90			Percent of total billed charges		23609.25		12477.89		Case rate		12477.89		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23609.25	80			Percent of total billed charges		20986		4475		Per Diem		13425	85			Percent of total billed charges		22297.62		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		20986		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23609.25		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	23609.25	one or more instances of the item or service in the 12 months prior to posting the file
"Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components"	C2624	CPT				Outpatient	Facility			546.25	546.25	27			Percent of total billed charges		152.95	90			Percent of total billed charges		491.62	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	68			Percent of total billed charges		371.45	90			Percent of total billed charges		491.62		2713.64		Case rate		2713.64	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	90			Percent of total billed charges		491.62	80			Percent of total billed charges		437	27			Percent of total billed charges		152.95	85			Percent of total billed charges		464.31	27			Percent of total billed charges		152.95	27			Percent of total billed charges		163.88	80			Percent of total billed charges		437	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	90			Percent of total billed charges		491.62	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	27			Percent of total billed charges		152.95	152.95	2713.64	one or more instances of the item or service in the 12 months prior to posting the file
"Implantable/insertable device, not otherwise classified"	C1889	CPT				Outpatient	Facility			977.63	977.63	27			Percent of total billed charges		273.7364	90			Percent of total billed charges		879.87	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	68			Percent of total billed charges		664.79	90			Percent of total billed charges		879.87		1512.86		Case rate		1512.86	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	90			Percent of total billed charges		879.87	80			Percent of total billed charges		782.1	27			Percent of total billed charges		273.7364	85			Percent of total billed charges		827.99	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		293.29	80			Percent of total billed charges		782.1	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	90			Percent of total billed charges		879.87	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	27			Percent of total billed charges		273.7364	273.7364	1512.86	one or more instances of the item or service in the 12 months prior to posting the file
implt neurostim elctr each	278	RC				Outpatient	Facility			3783	3783	27			Percent of total billed charges		1059.24	90			Percent of total billed charges		3404.7	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	68			Percent of total billed charges		2572.44	90			Percent of total billed charges		3404.7	100			Percent of total billed charges		3783	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	90			Percent of total billed charges		3404.7	80			Percent of total billed charges		2726.4	27			Percent of total billed charges		1059.24	85			Percent of total billed charges		3215.55	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1134.9	80			Percent of total billed charges		2726.4	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	90			Percent of total billed charges		3404.7	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	27			Percent of total billed charges		1059.24	1059.24	3783	zero instances of the item or service in the 12 months prior to posting the file
Incision and drainage of Bartholin's gland abscess	56420	CPT				Outpatient	Facility			541.53	541.53	27			Percent of total billed charges		151.6274	90			Percent of total billed charges		487.38	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	68			Percent of total billed charges		368.24	90			Percent of total billed charges		487.38		3900.7		Case rate		3900.7	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	90			Percent of total billed charges		487.38	80			Percent of total billed charges		433.22	27			Percent of total billed charges		151.6274	85			Percent of total billed charges		460.3	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		162.46	80			Percent of total billed charges		433.22	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	90			Percent of total billed charges		487.38	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	27			Percent of total billed charges		151.6274	151.6274	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)	46040	CPT				Outpatient	Facility			2769.76	2769.76	27			Percent of total billed charges		803.5327	90			Percent of total billed charges		2762.78	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	68			Percent of total billed charges		2087.44	90			Percent of total billed charges		2762.78		4465.2		Case rate		4465.2	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	90			Percent of total billed charges		2762.78	80			Percent of total billed charges		2455.81	27			Percent of total billed charges		803.5327	85			Percent of total billed charges		2609.3	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		920.93	80			Percent of total billed charges		2455.81	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	90			Percent of total billed charges		2762.78	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	27			Percent of total billed charges		803.5327	803.5327	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis	87270	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		49.85		Case rate		49.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	49.85	zero instances of the item or service in the 12 months prior to posting the file
Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1	87274	CPT				Outpatient	Facility			71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9		49.85		Case rate		49.85	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	63.9	one or more instances of the item or service in the 12 months prior to posting the file
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus	87902	CPT				Outpatient	Facility			157	157	27			Percent of total billed charges		43.96	90			Percent of total billed charges		141.3	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	68			Percent of total billed charges		106.76	90			Percent of total billed charges		141.3		1392.45		Case rate		1392.45	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	90			Percent of total billed charges		141.3	80			Percent of total billed charges		125.6	27			Percent of total billed charges		43.96	85			Percent of total billed charges		133.45	27			Percent of total billed charges		43.96	27			Percent of total billed charges		47.1	80			Percent of total billed charges		125.6	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	90			Percent of total billed charges		141.3	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	27			Percent of total billed charges		43.96	43.96	1392.45	one or more instances of the item or service in the 12 months prior to posting the file
infectious and parasitic diseases with o.r. procedures with mcc	853	MS-DRG				Inpatient	Facility			76514.34	76514.34		4475		Per Diem		27216	90			Percent of total billed charges		68862.91		4475		Per Diem		27216		4475		Per Diem		27216	68			Percent of total billed charges		52029.75	90			Percent of total billed charges		68862.91		100929.76		Case rate		100929.76		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		68862.91	80			Percent of total billed charges		61211.47		4475		Per Diem		27216	85			Percent of total billed charges		65037.19		4475		Per Diem		27216		4475		Per Diem		27216	80			Percent of total billed charges		61211.47		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		68862.91		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	27216	100929.76	one or more instances of the item or service in the 12 months prior to posting the file
inguinal and femoral hernia procedures with mcc	350	MS-DRG				Inpatient	Facility			250498.72	250498.72		4475		Per Diem		26850	90			Percent of total billed charges		225448.85		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		170339.13	90			Percent of total billed charges		225448.85		37154.61		Case rate		37154.61		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		225448.85	80			Percent of total billed charges		200398.98		4475		Per Diem		26850	85			Percent of total billed charges		212923.91		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		200398.98		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		225448.85		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	225448.85	one or more instances of the item or service in the 12 months prior to posting the file
Injection procedure; radioactive tracer for identification of sentinel node	38792	CPT				Outpatient	Facility			3127	3127	27			Percent of total billed charges		875.56	90			Percent of total billed charges		2714.3	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	68			Percent of total billed charges		2126.36	90			Percent of total billed charges		2714.3		927.13		Case rate		927.13	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	90			Percent of total billed charges		2714.3	80			Percent of total billed charges		2501.6	27			Percent of total billed charges		875.56	85			Percent of total billed charges		2657.95	27			Percent of total billed charges		875.56	27			Percent of total billed charges		938.1	80			Percent of total billed charges		2501.6	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	90			Percent of total billed charges		2714.3	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	27			Percent of total billed charges		875.56	875.56	2714.3	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, acetaminophen, not otherwise specified,10 mg"	J0131	HCPCS				Outpatient	Facility	10	ME	71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9		1.58		Case rate		1.58	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	63.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, acetylcysteine, 100 mg"	J0132	HCPCS				Outpatient	Facility	100	ME	59.35	59.35	27			Percent of total billed charges		16.618	90			Percent of total billed charges		53.42	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	68			Percent of total billed charges		40.36	90			Percent of total billed charges		53.42		3.5		Case rate		3.5	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	90			Percent of total billed charges		53.42	80			Percent of total billed charges		47.48	27			Percent of total billed charges		16.618	85			Percent of total billed charges		50.45	27			Percent of total billed charges		16.618	27			Percent of total billed charges		17.8	80			Percent of total billed charges		47.48	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	90			Percent of total billed charges		53.42	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	27			Percent of total billed charges		16.618	16.618	53.42	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, alteplase recombinant, 1 mg"	J2997	HCPCS				Outpatient	Facility	1	ME	761	761	27			Percent of total billed charges		213.08	90			Percent of total billed charges		684.9	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	68			Percent of total billed charges		517.48	90			Percent of total billed charges		684.9		523.18		Case rate		523.18	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	90			Percent of total billed charges		684.9	80			Percent of total billed charges		608.8	27			Percent of total billed charges		213.08	85			Percent of total billed charges		646.85	27			Percent of total billed charges		213.08	27			Percent of total billed charges		227.3	80			Percent of total billed charges		608.8	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	90			Percent of total billed charges		684.9	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	27			Percent of total billed charges		213.08	213.08	684.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, amiodarone hydrochloride, 27 mg"	J0272	HCPCS				Outpatient	Facility	27	ME	78.7	78.7	27			Percent of total billed charges		22.036	90			Percent of total billed charges		70.83	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	68			Percent of total billed charges		53.52	90			Percent of total billed charges		70.83		2.77		Case rate		2.77	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	90			Percent of total billed charges		70.83	80			Percent of total billed charges		62.96	27			Percent of total billed charges		22.036	85			Percent of total billed charges		66.9	27			Percent of total billed charges		22.036	27			Percent of total billed charges		23.61	80			Percent of total billed charges		62.96	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	90			Percent of total billed charges		70.83	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	27			Percent of total billed charges		22.036	22.036	70.83	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ampicillin sodium, 500 mg"	J0290	HCPCS				Outpatient	Facility	500	ME	16.75	16.75	27			Percent of total billed charges		4.69	90			Percent of total billed charges		15.08	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	68			Percent of total billed charges		11.39	90			Percent of total billed charges		15.08		4.85		Case rate		4.85	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	90			Percent of total billed charges		15.08	80			Percent of total billed charges		13.4	27			Percent of total billed charges		4.69	85			Percent of total billed charges		14.24	27			Percent of total billed charges		4.69	27			Percent of total billed charges		5.02	80			Percent of total billed charges		13.4	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	90			Percent of total billed charges		15.08	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	27			Percent of total billed charges		4.69	4.69	15.08	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm"	J0295	HCPCS				Outpatient	Facility	1.5	GR	71.9	71.9	27			Percent of total billed charges		20.132	90			Percent of total billed charges		64.71	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	68			Percent of total billed charges		48.89	90			Percent of total billed charges		64.71		13.94		Case rate		13.94	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	90			Percent of total billed charges		64.71	80			Percent of total billed charges		57.52	27			Percent of total billed charges		20.132	85			Percent of total billed charges		61.12	27			Percent of total billed charges		20.132	27			Percent of total billed charges		21.57	80			Percent of total billed charges		57.52	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	90			Percent of total billed charges		64.71	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	27			Percent of total billed charges		20.132	20.132	64.71	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, atropine sulfate, 0.01 mg"	J0461	HCPCS				Outpatient	Facility	0.01	ME	124	124	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	68			Percent of total billed charges		84.32	90			Percent of total billed charges		111.6		0.45		Case rate		0.45	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	80			Percent of total billed charges		99.2	27			Percent of total billed charges		34.72	85			Percent of total billed charges		105.4	27			Percent of total billed charges		34.72	27			Percent of total billed charges		37.2	80			Percent of total billed charges		99.2	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	90			Percent of total billed charges		111.6	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	27			Percent of total billed charges		34.72	34.72	111.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg"	J0702	HCPCS				Outpatient	Facility	3	ME	136	136	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	68			Percent of total billed charges		92.48	90			Percent of total billed charges		122.4		41.55		Case rate		41.55	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	85			Percent of total billed charges		115.6	27			Percent of total billed charges		38.08	27			Percent of total billed charges		40.8	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	38.08	122.4	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, bezlotoxumab, 10 mg"	J0565	HCPCS				Outpatient	Facility	10	ME	14553.85	14553.85	27			Percent of total billed charges		4075.078	90			Percent of total billed charges		12798.46	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	68			Percent of total billed charges		9896.62	90			Percent of total billed charges		12798.46		245.61		Case rate		245.61	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	90			Percent of total billed charges		12798.46	80			Percent of total billed charges		11643.08	27			Percent of total billed charges		4075.078	85			Percent of total billed charges		12370.77	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4366.16	80			Percent of total billed charges		11643.08	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	90			Percent of total billed charges		12798.46	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	27			Percent of total billed charges		4075.078	4075.078	12798.46	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, butorphanol tartrate, 1 mg"	J0595	HCPCS				Outpatient	Facility	1	ME	54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		18.8		Case rate		18.8	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	48.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, caffeine citrate, 5 mg"	J0706	HCPCS				Outpatient	Facility	5	ME	54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		3.61		Case rate		3.61	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	48.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, cefazolin sodium, 500 mg"	J0690	HCPCS				Outpatient	Facility	500	ME	37	37	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	68			Percent of total billed charges		25.16	90			Percent of total billed charges		33.3		4.35		Case rate		4.35	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	85			Percent of total billed charges		31.45	27			Percent of total billed charges		10.36	27			Percent of total billed charges		11.1	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	10.36	33.3	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, cefepime hydrochloride, 500 mg"	J0692	HCPCS				Outpatient	Facility	500	ME	55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		10.84		Case rate		10.84	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	49.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ceftazidime and avibactam, 0.5 g/0.125 g"	J0714	HCPCS				Outpatient	Facility	1	EA	2027.85	2027.85	27			Percent of total billed charges		568.078	90			Percent of total billed charges		1827.76	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	68			Percent of total billed charges		1380.98	90			Percent of total billed charges		1827.76		558.69		Case rate		558.69	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	90			Percent of total billed charges		1827.76	80			Percent of total billed charges		1624.68	27			Percent of total billed charges		568.078	85			Percent of total billed charges		1726.22	27			Percent of total billed charges		568.078	27			Percent of total billed charges		609.26	80			Percent of total billed charges		1624.68	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	90			Percent of total billed charges		1827.76	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	27			Percent of total billed charges		568.078	568.078	1827.76	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ceftazidime, per 500 mg"	J0713	HCPCS				Outpatient	Facility	500	ME	57.3	57.3	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	68			Percent of total billed charges		38.96	90			Percent of total billed charges		51.57		12.36		Case rate		12.36	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	80			Percent of total billed charges		45.84	27			Percent of total billed charges		16.044	85			Percent of total billed charges		48.7	27			Percent of total billed charges		16.044	27			Percent of total billed charges		17.19	80			Percent of total billed charges		45.84	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	90			Percent of total billed charges		51.57	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	27			Percent of total billed charges		16.044	16.044	51.57	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, centruroides immune f(ab)2, up to 120 milligrams"	J0716	HCPCS				Outpatient	Facility	1	UN	19483.22	19483.22	27			Percent of total billed charges		5455.3016	90			Percent of total billed charges		17534.9	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	68			Percent of total billed charges		13248.59	90			Percent of total billed charges		17534.9		31221.93		Case rate		31221.93	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	90			Percent of total billed charges		17534.9	80			Percent of total billed charges		15586.58	27			Percent of total billed charges		5455.3016	85			Percent of total billed charges		16560.74	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5844.97	80			Percent of total billed charges		15586.58	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	90			Percent of total billed charges		17534.9	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	27			Percent of total billed charges		5455.3016	5455.3016	31221.93	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, chlorpromazine hcl, up to 50 mg"	J3227	HCPCS				Outpatient	Facility	50	ME	163	163	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	68			Percent of total billed charges		110.84	90			Percent of total billed charges		146.7		215.98		Case rate		215.98	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	85			Percent of total billed charges		138.55	27			Percent of total billed charges		45.64	27			Percent of total billed charges		48.9	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	45.64	215.98	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, desmopressin acetate, per 1 mcg"	J2597	HCPCS				Outpatient	Facility	1	UN	242.8	242.8	27			Percent of total billed charges		67.984	90			Percent of total billed charges		218.52	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	68			Percent of total billed charges		165.1	90			Percent of total billed charges		218.52		48.32		Case rate		48.32	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	90			Percent of total billed charges		218.52	80			Percent of total billed charges		194.24	27			Percent of total billed charges		67.984	85			Percent of total billed charges		206.38	27			Percent of total billed charges		67.984	27			Percent of total billed charges		72.84	80			Percent of total billed charges		194.24	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	90			Percent of total billed charges		218.52	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	27			Percent of total billed charges		67.984	67.984	218.52	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, dexamethasone sodium phosphate, 1 mg"	J1100	HCPCS				Outpatient	Facility	1	ME	35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		0.79		Case rate		0.79	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, diazepam, up to 5 mg"	J3360	HCPCS				Outpatient	Facility	5	ME	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		41.83		Case rate		41.83	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	41.83	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, dicyclomine hcl, up to 20 mg"	J0500	HCPCS				Outpatient	Facility	20	ME	182	182	27			Percent of total billed charges		50.96	90			Percent of total billed charges		163.8	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	68			Percent of total billed charges		123.76	90			Percent of total billed charges		163.8		162.86		Case rate		162.86	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	90			Percent of total billed charges		163.8	80			Percent of total billed charges		145.6	27			Percent of total billed charges		50.96	85			Percent of total billed charges		154.7	27			Percent of total billed charges		50.96	27			Percent of total billed charges		54.6	80			Percent of total billed charges		145.6	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	90			Percent of total billed charges		163.8	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	27			Percent of total billed charges		50.96	50.96	163.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, diphenhydramine hcl, up to 50 mg"	J1200	HCPCS				Outpatient	Facility	50	ME	35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		6.04		Case rate		6.04	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, enoxaparin sodium, 10 mg"	J1650	HCPCS				Outpatient	Facility	10	ME	75	75	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	68			Percent of total billed charges		51	90			Percent of total billed charges		67.5		5.14		Case rate		5.14	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	85			Percent of total billed charges		63.75	27			Percent of total billed charges		21	27			Percent of total billed charges		22.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	21	67.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ertapenem sodium, 500 mg"	J1335	HCPCS				Outpatient	Facility	500	ME	185	185	27			Percent of total billed charges		51.8	90			Percent of total billed charges		166.5	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	68			Percent of total billed charges		125.8	90			Percent of total billed charges		166.5		96.81		Case rate		96.81	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	90			Percent of total billed charges		166.5	80			Percent of total billed charges		148	27			Percent of total billed charges		51.8	85			Percent of total billed charges		157.25	27			Percent of total billed charges		51.8	27			Percent of total billed charges		55.5	80			Percent of total billed charges		148	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	90			Percent of total billed charges		166.5	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	27			Percent of total billed charges		51.8	51.8	166.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, fentanyl citrate, 0.1 mg"	J2710	HCPCS				Outpatient	Facility	0.1	ME	35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		3.95		Case rate		3.95	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml"	A9579	CPT				Outpatient	Facility			38	38	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	68			Percent of total billed charges		25.84	90			Percent of total billed charges		34.2		8.81		Case rate		8.81	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	80			Percent of total billed charges		27.4	27			Percent of total billed charges		10.64	85			Percent of total billed charges		32.3	27			Percent of total billed charges		10.64	27			Percent of total billed charges		11.4	80			Percent of total billed charges		27.4	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	10.64	34.2	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, gadopiclenol, 1 ml"	A9573	CPT				Outpatient	Facility			38	38	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	68			Percent of total billed charges		25.84	90			Percent of total billed charges		34.2	100			Percent of total billed charges		38	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	80			Percent of total billed charges		27.4	27			Percent of total billed charges		10.64	85			Percent of total billed charges		32.3	27			Percent of total billed charges		10.64	27			Percent of total billed charges		11.4	80			Percent of total billed charges		27.4	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	90			Percent of total billed charges		34.2	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	27			Percent of total billed charges		10.64	10.64	38	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, gadoxetate disodium, 1 ml"	A9581	CPT				Outpatient	Facility			51.5	51.5	27			Percent of total billed charges		14.42	90			Percent of total billed charges		46.35	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	68			Percent of total billed charges		35.02	90			Percent of total billed charges		46.35		93.88		Case rate		93.88	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	90			Percent of total billed charges		46.35	80			Percent of total billed charges		41.2	27			Percent of total billed charges		14.42	85			Percent of total billed charges		43.78	27			Percent of total billed charges		14.42	27			Percent of total billed charges		15.45	80			Percent of total billed charges		41.2	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	90			Percent of total billed charges		46.35	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	27			Percent of total billed charges		14.42	14.42	93.88	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, haloperidol, up to 5 mg"	J1627	HCPCS				Outpatient	Facility	5	ME	35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		6.66		Case rate		6.66	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, heparin sodium, per 1000 units"	J1644	HCPCS				Outpatient	Facility	1000	UN	37	37	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	68			Percent of total billed charges		25.16	90			Percent of total billed charges		33.3		1.58		Case rate		1.58	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	85			Percent of total billed charges		31.45	27			Percent of total billed charges		10.36	27			Percent of total billed charges		11.1	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	10.36	33.3	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, inclisiran, 1 mg"	J1276	HCPCS				Outpatient	Facility	1	ME	12353	12353	27			Percent of total billed charges		3458.84	90			Percent of total billed charges		11117.7	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	68			Percent of total billed charges		8400.04	90			Percent of total billed charges		11117.7		40.81		Case rate		40.81	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	90			Percent of total billed charges		11117.7	80			Percent of total billed charges		9882.4	27			Percent of total billed charges		3458.84	85			Percent of total billed charges		10500.05	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3705.9	80			Percent of total billed charges		9882.4	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	90			Percent of total billed charges		11117.7	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	27			Percent of total billed charges		3458.84	3458.84	11117.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, insulin, per 5 units"	J1815	HCPCS				Outpatient	Facility	5	UN	0.85	0.85	27			Percent of total billed charges		0.238	90			Percent of total billed charges		0.76	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	68			Percent of total billed charges		0.58	90			Percent of total billed charges		0.76		5.36		Case rate		5.36	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	90			Percent of total billed charges		0.76	80			Percent of total billed charges		0.68	27			Percent of total billed charges		0.238	85			Percent of total billed charges		0.72	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.26	80			Percent of total billed charges		0.68	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	90			Percent of total billed charges		0.76	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	27			Percent of total billed charges		0.238	0.238	5.36	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, iron sucrose, 1 mg"	J1756	HCPCS				Outpatient	Facility	1	ME	179	179	27			Percent of total billed charges		50.12	90			Percent of total billed charges		161.1	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	68			Percent of total billed charges		121.72	90			Percent of total billed charges		161.1		1.3		Case rate		1.3	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	90			Percent of total billed charges		161.1	80			Percent of total billed charges		143.2	27			Percent of total billed charges		50.12	85			Percent of total billed charges		152.15	27			Percent of total billed charges		50.12	27			Percent of total billed charges		53.7	80			Percent of total billed charges		143.2	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	90			Percent of total billed charges		161.1	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	27			Percent of total billed charges		50.12	50.12	161.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ketorolac tromethamine, per 15 mg"	J1885	HCPCS				Outpatient	Facility	15	ME	33	33	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	68			Percent of total billed charges		22.44	90			Percent of total billed charges		29.7		3.9		Case rate		3.9	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	85			Percent of total billed charges		27.05	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.9	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	9.24	29.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, levofloxacin, 250 mg"	J1956	HCPCS				Outpatient	Facility	250	ME	53.6	53.6	27			Percent of total billed charges		15.008	90			Percent of total billed charges		48.24	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	68			Percent of total billed charges		36.45	90			Percent of total billed charges		48.24		6.83		Case rate		6.83	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	90			Percent of total billed charges		48.24	80			Percent of total billed charges		42.88	27			Percent of total billed charges		15.008	85			Percent of total billed charges		45.56	27			Percent of total billed charges		15.008	27			Percent of total billed charges		16.08	80			Percent of total billed charges		42.88	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	90			Percent of total billed charges		48.24	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	27			Percent of total billed charges		15.008	15.008	48.24	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, methocarbamol, up to 10 ml"	J2700	HCPCS				Outpatient	Facility	10	ML	26.55	26.55	27			Percent of total billed charges		7.434	90			Percent of total billed charges		23.9	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	68			Percent of total billed charges		18.05	90			Percent of total billed charges		23.9		44.09		Case rate		44.09	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	90			Percent of total billed charges		23.9	80			Percent of total billed charges		21.24	27			Percent of total billed charges		7.434	85			Percent of total billed charges		22.57	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.96	80			Percent of total billed charges		21.24	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	90			Percent of total billed charges		23.9	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	27			Percent of total billed charges		7.434	7.434	44.09	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, metoclopramide hcl, up to 10 mg"	J2765	HCPCS				Outpatient	Facility	10	ME	40	40	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	68			Percent of total billed charges		27.2	90			Percent of total billed charges		36		6.44		Case rate		6.44	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	85			Percent of total billed charges		34	27			Percent of total billed charges		11.2	27			Percent of total billed charges		12	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	11.2	36	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, morphine sulfate, up to 10 mg"	J2270	HCPCS				Outpatient	Facility	10	ME	42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		20.66		Case rate		20.66	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	37.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, naloxone hydrochloride, per 1 mg"	J2310	HCPCS				Outpatient	Facility	1	ME	152	152	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	68			Percent of total billed charges		103.36	90			Percent of total billed charges		136.8		63.39		Case rate		63.39	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	85			Percent of total billed charges		129.2	27			Percent of total billed charges		42.56	27			Percent of total billed charges		45.6	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	42.56	136.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg"	Q9968	CPT				Outpatient	Facility			845	845	27			Percent of total billed charges		236.6	90			Percent of total billed charges		760.5	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	68			Percent of total billed charges		574.6	90			Percent of total billed charges		760.5		98.39		Case rate		98.39	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	90			Percent of total billed charges		760.5	80			Percent of total billed charges		676	27			Percent of total billed charges		236.6	85			Percent of total billed charges		718.25	27			Percent of total billed charges		236.6	27			Percent of total billed charges		253.5	80			Percent of total billed charges		676	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	90			Percent of total billed charges		760.5	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	27			Percent of total billed charges		236.6	236.6	760.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, octreotide, depot form for intramuscular injection, 1 mg"	J2353	HCPCS				Outpatient	Facility	1	ME	89	89	27			Percent of total billed charges		24.92	90			Percent of total billed charges		80.1	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	68			Percent of total billed charges		60.52	90			Percent of total billed charges		80.1		1261.77		Case rate		1261.77	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	90			Percent of total billed charges		80.1	80			Percent of total billed charges		71.2	27			Percent of total billed charges		24.92	85			Percent of total billed charges		75.65	27			Percent of total billed charges		24.92	27			Percent of total billed charges		26.7	80			Percent of total billed charges		71.2	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	90			Percent of total billed charges		80.1	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	27			Percent of total billed charges		24.92	24.92	1261.77	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ondansetron hydrochloride, per 1 mg"	J2405	HCPCS				Outpatient	Facility	1	ME	39	39	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	68			Percent of total billed charges		26.52	90			Percent of total billed charges		35.1		0.56		Case rate		0.56	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	85			Percent of total billed charges		33.15	27			Percent of total billed charges		10.92	27			Percent of total billed charges		11.7	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	10.92	35.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, oxytocin, up to 10 units"	J2590	HCPCS				Outpatient	Facility	10	UN	40	40	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	68			Percent of total billed charges		27.2	90			Percent of total billed charges		36		4.4		Case rate		4.4	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	85			Percent of total billed charges		34	27			Percent of total billed charges		11.2	27			Percent of total billed charges		12	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	11.2	36	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, penicillin g benzathine, 100,000 units"	J0561	HCPCS				Outpatient	Facility	100000	UN	811	811	27			Percent of total billed charges		227.08	90			Percent of total billed charges		729.9	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	68			Percent of total billed charges		551.48	90			Percent of total billed charges		729.9		102.01		Case rate		102.01	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	90			Percent of total billed charges		729.9	80			Percent of total billed charges		648.8	27			Percent of total billed charges		227.08	85			Percent of total billed charges		689.35	27			Percent of total billed charges		227.08	27			Percent of total billed charges		243.3	80			Percent of total billed charges		648.8	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	90			Percent of total billed charges		729.9	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	27			Percent of total billed charges		227.08	227.08	729.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, phytonadione (vitamin k), per 1 mg"	J3427	HCPCS				Outpatient	Facility	1	ME	56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		18.46		Case rate		18.46	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	50.4	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, promethazine hcl, up to 50 mg"	J2550	HCPCS				Outpatient	Facility	50	ME	34	34	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	68			Percent of total billed charges		23.12	90			Percent of total billed charges		27.6		15.64		Case rate		15.64	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	80			Percent of total billed charges		27.2	27			Percent of total billed charges		9.52	85			Percent of total billed charges		27.9	27			Percent of total billed charges		9.52	27			Percent of total billed charges		10.2	80			Percent of total billed charges		27.2	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	9.52	27.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, propofol, 10 mg"	J2704	HCPCS				Outpatient	Facility	10	ME	70	70	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	68			Percent of total billed charges		47.6	90			Percent of total billed charges		63		0.34		Case rate		0.34	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	85			Percent of total billed charges		59.5	27			Percent of total billed charges		19.6	27			Percent of total billed charges		21	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	19.6	63	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, rho d immune globulin, human, full dose, 270 micrograms (1500 i.u.)"	J2790	HCPCS				Outpatient	Facility	270	UN	231.92	231.92	27			Percent of total billed charges		64.9376	90			Percent of total billed charges		208.73	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	68			Percent of total billed charges		157.71	90			Percent of total billed charges		208.73		490.21		Case rate		490.21	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	90			Percent of total billed charges		208.73	80			Percent of total billed charges		185.54	27			Percent of total billed charges		64.9376	85			Percent of total billed charges		197.13	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		69.58	80			Percent of total billed charges		185.54	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	90			Percent of total billed charges		208.73	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	27			Percent of total billed charges		64.9376	64.9376	490.21	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, risankizumab-rzaa, intravenous, 1 mg"	J2327	HCPCS				Outpatient	Facility	1	ME	35271.95	35271.95	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	68			Percent of total billed charges		23991.73	90			Percent of total billed charges		31753.76	100			Percent of total billed charges		35271.95	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	80			Percent of total billed charges		27225.56	27			Percent of total billed charges		9878.946	85			Percent of total billed charges		29989.66	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		10584.58	80			Percent of total billed charges		27225.56	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	9878.946	35271.95	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, sulfur hexafluoride lipid microspheres, per ml"	Q9950	CPT				Outpatient	Facility			138	138	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	68			Percent of total billed charges		93.84	90			Percent of total billed charges		124.2		118.15		Case rate		118.15	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	85			Percent of total billed charges		117.3	27			Percent of total billed charges		38.64	27			Percent of total billed charges		41.4	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	38.64	124.2	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, vancomycin hcl, 500 mg"	J3370	HCPCS				Outpatient	Facility	500	ME	137.06	137.06	27			Percent of total billed charges		38.3768	90			Percent of total billed charges		123.35	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	68			Percent of total billed charges		93.2	90			Percent of total billed charges		123.35		15.52		Case rate		15.52	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	90			Percent of total billed charges		123.35	80			Percent of total billed charges		109.65	27			Percent of total billed charges		38.3768	85			Percent of total billed charges		116.5	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		41.12	80			Percent of total billed charges		109.65	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	90			Percent of total billed charges		123.35	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	27			Percent of total billed charges		38.3768	38.3768	123.35	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, vedolizumab, intravenous, 1 mg"	J3380	HCPCS				Outpatient	Facility	1	ME	27869.5	27869.5	27			Percent of total billed charges		7803.46	90			Percent of total billed charges		25082.55	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	68			Percent of total billed charges		18951.26	90			Percent of total billed charges		25082.55		127.85		Case rate		127.85	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	90			Percent of total billed charges		25082.55	80			Percent of total billed charges		22295.6	27			Percent of total billed charges		7803.46	85			Percent of total billed charges		23689.08	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		8360.85	80			Percent of total billed charges		22295.6	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	90			Percent of total billed charges		25082.55	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	27			Percent of total billed charges		7803.46	7803.46	25082.55	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg"	J3420	HCPCS				Outpatient	Facility	1000	UN	82.25	82.25	27			Percent of total billed charges		23.03	90			Percent of total billed charges		74.02	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	68			Percent of total billed charges		55.93	90			Percent of total billed charges		74.02		9.54		Case rate		9.54	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	90			Percent of total billed charges		74.02	80			Percent of total billed charges		65.8	27			Percent of total billed charges		23.03	85			Percent of total billed charges		69.91	27			Percent of total billed charges		23.03	27			Percent of total billed charges		24.68	80			Percent of total billed charges		65.8	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	90			Percent of total billed charges		74.02	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	27			Percent of total billed charges		23.03	23.03	74.02	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ziprasidone mesylate, 10 mg"	J3486	HCPCS				Outpatient	Facility	10	ME	241	241	27			Percent of total billed charges		67.48	90			Percent of total billed charges		216.9	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	68			Percent of total billed charges		163.88	90			Percent of total billed charges		216.9		69.77		Case rate		69.77	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	90			Percent of total billed charges		216.9	80			Percent of total billed charges		192.8	27			Percent of total billed charges		67.48	85			Percent of total billed charges		204.85	27			Percent of total billed charges		67.48	27			Percent of total billed charges		72.3	80			Percent of total billed charges		192.8	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	90			Percent of total billed charges		216.9	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	27			Percent of total billed charges		67.48	67.48	216.9	one or more instances of the item or service in the 12 months prior to posting the file
innova vascular stent 6x80	272	RC				Outpatient	Facility			2759	2759	27			Percent of total billed charges		772.52	90			Percent of total billed charges		2483.1	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	68			Percent of total billed charges		1876.12	90			Percent of total billed charges		2483.1	100			Percent of total billed charges		2759	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	90			Percent of total billed charges		2483.1	80			Percent of total billed charges		2207.2	27			Percent of total billed charges		772.52	85			Percent of total billed charges		2345.15	27			Percent of total billed charges		772.52	27			Percent of total billed charges		827.7	80			Percent of total billed charges		2207.2	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	90			Percent of total billed charges		2483.1	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	27			Percent of total billed charges		772.52	772.52	2759	zero instances of the item or service in the 12 months prior to posting the file
Insertion of intrauterine device (IUD)	58270	CPT				Outpatient	Facility			3265	3265	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	68			Percent of total billed charges		2220.2	90			Percent of total billed charges		2938.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	85			Percent of total billed charges		2775.25	27			Percent of total billed charges		914.2	27			Percent of total billed charges		979.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	914.2	2938.5	one or more instances of the item or service in the 12 months prior to posting the file
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular	33208	CPT				Outpatient	Facility			33920	33920	27			Percent of total billed charges		9497.6	90			Percent of total billed charges		27527	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	68			Percent of total billed charges		22765.6	90			Percent of total billed charges		27527		8704.59		Case rate		8704.59	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	90			Percent of total billed charges		27527	80			Percent of total billed charges		27136	27			Percent of total billed charges		9497.6	85			Percent of total billed charges		27832	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		10176	80			Percent of total billed charges		27136	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	90			Percent of total billed charges		27527	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	27			Percent of total billed charges		9497.6	9497.6	27527	one or more instances of the item or service in the 12 months prior to posting the file
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)	33211	CPT				Outpatient	Facility			16065	16065	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	68			Percent of total billed charges		10924.2	90			Percent of total billed charges		14458.5		8704.59		Case rate		8704.59	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	85			Percent of total billed charges		13655.25	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4819.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	4498.2	14458.5	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)"	A4314	CPT				Outpatient	Facility			52.21	52.21	27			Percent of total billed charges		14.6188	90			Percent of total billed charges		46.99	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	68			Percent of total billed charges		35.5	90			Percent of total billed charges		46.99		159.25		Case rate		159.25	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	90			Percent of total billed charges		46.99	80			Percent of total billed charges		41.77	27			Percent of total billed charges		14.6188	85			Percent of total billed charges		44.38	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		15.66	80			Percent of total billed charges		41.77	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	90			Percent of total billed charges		46.99	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	27			Percent of total billed charges		14.6188	14.6188	159.25	one or more instances of the item or service in the 12 months prior to posting the file
instrument introducer 8mm	272	RC				Outpatient	Facility			2905	2905	27			Percent of total billed charges		813.4	90			Percent of total billed charges		2614.5	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	68			Percent of total billed charges		1975.4	90			Percent of total billed charges		2614.5	100			Percent of total billed charges		2905	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	90			Percent of total billed charges		2614.5	80			Percent of total billed charges		2324	27			Percent of total billed charges		813.4	85			Percent of total billed charges		2469.25	27			Percent of total billed charges		813.4	27			Percent of total billed charges		871.5	80			Percent of total billed charges		2324	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	90			Percent of total billed charges		2614.5	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	27			Percent of total billed charges		813.4	813.4	2905	zero instances of the item or service in the 12 months prior to posting the file
Insulin antibodies	86337	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		89.13		Case rate		89.13	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	89.13	one or more instances of the item or service in the 12 months prior to posting the file
Insulin; total	83525	CPT				Outpatient	Facility			32.9	32.9	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	68			Percent of total billed charges		22.37	90			Percent of total billed charges		29.61		47.59		Case rate		47.59	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	85			Percent of total billed charges		27.96	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.87	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	9.212	47.59	one or more instances of the item or service in the 12 months prior to posting the file
interstitial lung disease with mcc	196	MS-DRG				Inpatient	Facility			27177.75	27177.75		4475		Per Diem		17900	90			Percent of total billed charges		27159.98		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		20520.87	90			Percent of total billed charges		27159.98		22434.83		Case rate		22434.83		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27159.98	80			Percent of total billed charges		24142.2		4475		Per Diem		17900	85			Percent of total billed charges		25651.09		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		24142.2		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27159.98		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	27159.98	one or more instances of the item or service in the 12 months prior to posting the file
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours	65	MS-DRG				Inpatient	Facility			23461.78	23461.78		4475		Per Diem		13425	90			Percent of total billed charges		21115.6		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		15954.01	90			Percent of total billed charges		21115.6		24521.34		Case rate		24521.34		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21115.6	80			Percent of total billed charges		18769.42		4475		Per Diem		13425	85			Percent of total billed charges		19942.51		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		18769.42		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21115.6		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	24521.34	one or more instances of the item or service in the 12 months prior to posting the file
intracranial hemorrhage or cerebral infarction with mcc	64	MS-DRG				Inpatient	Facility			33857.19	33857.19		4475		Per Diem		8950	90			Percent of total billed charges		27471.47		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		22722.89	90			Percent of total billed charges		27471.47		31874.89		Case rate		31874.89		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27471.47	80			Percent of total billed charges		27085.75		4475		Per Diem		8950	85			Percent of total billed charges		27778.61		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		27085.75		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27471.47		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	31874.89	one or more instances of the item or service in the 12 months prior to posting the file
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser"	C1894	CPT				Outpatient	Facility			173.25	173.25	27			Percent of total billed charges		48.51	90			Percent of total billed charges		155.92	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	68			Percent of total billed charges		117.81	90			Percent of total billed charges		155.92		211.18		Case rate		211.18	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	90			Percent of total billed charges		155.92	80			Percent of total billed charges		138.6	27			Percent of total billed charges		48.51	85			Percent of total billed charges		147.26	27			Percent of total billed charges		48.51	27			Percent of total billed charges		51.98	80			Percent of total billed charges		138.6	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	90			Percent of total billed charges		155.92	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	27			Percent of total billed charges		48.51	48.51	211.18	one or more instances of the item or service in the 12 months prior to posting the file
Iron	83540	CPT				Outpatient	Facility			79	79	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	68			Percent of total billed charges		53.72	90			Percent of total billed charges		71.1		26.93		Case rate		26.93	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	85			Percent of total billed charges		67.15	27			Percent of total billed charges		22.12	27			Percent of total billed charges		23.7	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	22.12	71.1	one or more instances of the item or service in the 12 months prior to posting the file
Iron binding capacity	83550	CPT				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8		36.35		Case rate		36.35	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	91.8	one or more instances of the item or service in the 12 months prior to posting the file
Irrigation of corpora cavernosa for priapism	54220	CPT				Outpatient	Facility			3566.9	3566.9	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	68			Percent of total billed charges		2425.49	90			Percent of total billed charges		3210.21		2912.82		Case rate		2912.82	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	80			Percent of total billed charges		2753.52	27			Percent of total billed charges		998.732	85			Percent of total billed charges		2731.86	27			Percent of total billed charges		998.732	27			Percent of total billed charges		1070.07	80			Percent of total billed charges		2753.52	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	998.732	3210.21	one or more instances of the item or service in the 12 months prior to posting the file
kidney and urinary tract infections with mcc	689	MS-DRG				Inpatient	Facility			27276.15	27276.15		4475		Per Diem		17900	90			Percent of total billed charges		27275.54		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		20608.18	90			Percent of total billed charges		27275.54		18388.63		Case rate		18388.63		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27275.54	80			Percent of total billed charges		24244.92		4475		Per Diem		17900	85			Percent of total billed charges		25760.23		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		24244.92		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27275.54		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	27275.54	one or more instances of the item or service in the 12 months prior to posting the file
kidney and urinary tract infections without mcc	690	MS-DRG				Inpatient	Facility			19204.97	19204.97		4475		Per Diem		13425	90			Percent of total billed charges		17274.47		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		12759.38	90			Percent of total billed charges		17274.47		13895.32		Case rate		13895.32		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17274.47	80			Percent of total billed charges		15363.98		4475		Per Diem		13425	85			Percent of total billed charges		16324.22		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		15363.98		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17274.47		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	17274.47	one or more instances of the item or service in the 12 months prior to posting the file
Lactate (lactic acid)	83605	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		48.15		Case rate		48.15	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	48.15	one or more instances of the item or service in the 12 months prior to posting the file
Lamotrigine	80175	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		55.15		Case rate		55.15	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	55.15	one or more instances of the item or service in the 12 months prior to posting the file
laparoscopic cholecystectomy without c.d.e. with cc	418	MS-DRG				Inpatient	Facility			36944.32	36944.32		4475		Per Diem		13425	90			Percent of total billed charges		33249.89		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		25122.14	90			Percent of total billed charges		33249.89		27001.07		Case rate		27001.07		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		33249.89	80			Percent of total billed charges		29555.46		4475		Per Diem		13425	85			Percent of total billed charges		31402.67		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		29555.46		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		33249.89		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	33249.89	one or more instances of the item or service in the 12 months prior to posting the file
laparoscopic cholecystectomy without c.d.e. with mcc	417	MS-DRG				Inpatient	Facility			47376.29	47376.29		4475		Per Diem		17900	90			Percent of total billed charges		42638.66		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		32215.88	90			Percent of total billed charges		42638.66		33723.59		Case rate		33723.59		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		42638.66	80			Percent of total billed charges		37901.03		4475		Per Diem		17900	85			Percent of total billed charges		40269.85		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		37901.03		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		42638.66		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	42638.66	one or more instances of the item or service in the 12 months prior to posting the file
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy	59151	CPT				Outpatient	Facility			14452.04	14452.04	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	68			Percent of total billed charges		9827.39	90			Percent of total billed charges		12706.84		8704.59		Case rate		8704.59	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	85			Percent of total billed charges		12274.23	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4335.61	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	4046.5712	12706.84	one or more instances of the item or service in the 12 months prior to posting the file
Lead	83655	CPT				Outpatient	Facility			11.7	11.7	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	68			Percent of total billed charges		7.96	90			Percent of total billed charges		10.53		50.41		Case rate		50.41	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	85			Percent of total billed charges		9.94	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.51	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	3.276	50.41	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)"	C1895	CPT				Outpatient	Facility			1995	1995	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	68			Percent of total billed charges		1356.6	90			Percent of total billed charges		1795.5		51686.86		Case rate		51686.86	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	85			Percent of total billed charges		1695.75	27			Percent of total billed charges		558.6	27			Percent of total billed charges		598.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	558.6	51686.86	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)"	C1777	CPT				Outpatient	Facility			5985	5985	27			Percent of total billed charges		1675.8	90			Percent of total billed charges		5386.5	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	68			Percent of total billed charges		4069.8	90			Percent of total billed charges		5386.5		8923.11		Case rate		8923.11	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	90			Percent of total billed charges		5386.5	80			Percent of total billed charges		4788	27			Percent of total billed charges		1675.8	85			Percent of total billed charges		5087.25	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1795.5	80			Percent of total billed charges		4788	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	90			Percent of total billed charges		5386.5	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	27			Percent of total billed charges		1675.8	1675.8	8923.11	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)"	C1896	CPT				Outpatient	Facility			1995	1995	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	68			Percent of total billed charges		1356.6	90			Percent of total billed charges		1795.5		5056.73		Case rate		5056.73	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	85			Percent of total billed charges		1695.75	27			Percent of total billed charges		558.6	27			Percent of total billed charges		598.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	558.6	5056.73	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, neurostimulator (implantable)"	C1778	CPT				Outpatient	Facility			3688	3688	27			Percent of total billed charges		1032.64	90			Percent of total billed charges		3319.2	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	68			Percent of total billed charges		2507.84	90			Percent of total billed charges		3319.2		3141.89		Case rate		3141.89	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	90			Percent of total billed charges		3319.2	80			Percent of total billed charges		2950.4	27			Percent of total billed charges		1032.64	85			Percent of total billed charges		3134.8	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1106.4	80			Percent of total billed charges		2950.4	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	90			Percent of total billed charges		3319.2	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	27			Percent of total billed charges		1032.64	1032.64	3319.2	zero instances of the item or service in the 12 months prior to posting the file
Leukocyte alkaline phosphatase with count	85540	CPT				Outpatient	Facility			87	87	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	68			Percent of total billed charges		59.16	90			Percent of total billed charges		78.3		35.79		Case rate		35.79	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	85			Percent of total billed charges		73.95	27			Percent of total billed charges		24.36	27			Percent of total billed charges		26.1	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	24.36	78.3	zero instances of the item or service in the 12 months prior to posting the file
lisisnopril/hctz	250	RC				Outpatient	Facility			44.7	44.7	27			Percent of total billed charges		12.516	90			Percent of total billed charges		40.23	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	68			Percent of total billed charges		27.4	90			Percent of total billed charges		40.23	100			Percent of total billed charges		44.7	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	90			Percent of total billed charges		40.23	80			Percent of total billed charges		35.76	27			Percent of total billed charges		12.516	85			Percent of total billed charges		38	27			Percent of total billed charges		12.516	27			Percent of total billed charges		13.41	80			Percent of total billed charges		35.76	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	90			Percent of total billed charges		40.23	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	27			Percent of total billed charges		12.516	12.516	44.7	zero instances of the item or service in the 12 months prior to posting the file
Lithium	80178	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		27.49		Case rate		27.49	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	27.49	one or more instances of the item or service in the 12 months prior to posting the file
"Low osmolar contrast material, 270-399 mg/ml iodine concentration, per ml"	Q9967	CPT				Outpatient	Facility			3.09	3.09	27			Percent of total billed charges		0.8652	90			Percent of total billed charges		2.78	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	68			Percent of total billed charges		2.1	90			Percent of total billed charges		2.78		2.71		Case rate		2.71	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	90			Percent of total billed charges		2.78	80			Percent of total billed charges		2.47	27			Percent of total billed charges		0.8652	85			Percent of total billed charges		2.63	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.93	80			Percent of total billed charges		2.47	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	90			Percent of total billed charges		2.78	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	27			Percent of total billed charges		0.8652	0.8652	2.78	one or more instances of the item or service in the 12 months prior to posting the file
"lower extremity and humerus procedures except hip, foot and femur with cc"	493	MS-DRG				Inpatient	Facility			63973.36	63973.36		4475		Per Diem		13425	90			Percent of total billed charges		57576.02		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		43501.88	90			Percent of total billed charges		57576.02		37443.17		Case rate		37443.17		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		57576.02	80			Percent of total billed charges		51178.69		4475		Per Diem		13425	85			Percent of total billed charges		54377.36		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		51178.69		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		57576.02		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	57576.02	one or more instances of the item or service in the 12 months prior to posting the file
"lower extremity and humerus procedures except hip, foot and femur without cc/mcc"	494	MS-DRG				Inpatient	Facility			60076.75	60076.75		4475		Per Diem		13425	90			Percent of total billed charges		54069.08		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		40852.19	90			Percent of total billed charges		54069.08		27050.67		Case rate		27050.67		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		54069.08	80			Percent of total billed charges		48061.4		4475		Per Diem		13425	85			Percent of total billed charges		51065.24		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		48061.4		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		54069.08		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	54069.08	one or more instances of the item or service in the 12 months prior to posting the file
lutonix balloon 6x120	272	RC				Outpatient	Facility			4763	4763	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	68			Percent of total billed charges		3238.84	90			Percent of total billed charges		4276.7	100			Percent of total billed charges		4763	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	80			Percent of total billed charges		3810.4	27			Percent of total billed charges		1333.64	85			Percent of total billed charges		4048.55	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1427.9	80			Percent of total billed charges		3810.4	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	1333.64	4763	zero instances of the item or service in the 12 months prior to posting the file
Magnesium	83735	CPT				Outpatient	Facility			84	84	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	68			Percent of total billed charges		57.12	90			Percent of total billed charges		75.6		27.89		Case rate		27.89	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	85			Percent of total billed charges		71.4	27			Percent of total billed charges		23.52	27			Percent of total billed charges		25.2	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	23.52	75.6	one or more instances of the item or service in the 12 months prior to posting the file
major chest trauma with cc	184	MS-DRG				Inpatient	Facility			14180.16	14180.16		4475		Per Diem		8950	90			Percent of total billed charges		12762.14		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9642.51	90			Percent of total billed charges		12762.14		19967.79		Case rate		19967.79		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12762.14	80			Percent of total billed charges		11344.13		4475		Per Diem		8950	85			Percent of total billed charges		12053.14		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		11344.13		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12762.14		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	19967.79	one or more instances of the item or service in the 12 months prior to posting the file
major shoulder or elbow joint procedures with cc/mcc	507	MS-DRG				Inpatient	Facility			56709.83	56709.83		4475		Per Diem		17900	90			Percent of total billed charges		51038.85		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		38562.68	90			Percent of total billed charges		51038.85		26937.65		Case rate		26937.65		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		51038.85	80			Percent of total billed charges		45367.86		4475		Per Diem		17900	85			Percent of total billed charges		48203.36		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		45367.86		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		51038.85		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	51038.85	one or more instances of the item or service in the 12 months prior to posting the file
major skin disorders with mcc	595	MS-DRG				Inpatient	Facility			12713.48	12713.48		4475		Per Diem		8950	90			Percent of total billed charges		11442.13		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		8645.17	90			Percent of total billed charges		11442.13		25691.44		Case rate		25691.44		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11442.13	80			Percent of total billed charges		10170.78		4475		Per Diem		8950	85			Percent of total billed charges		10806.46		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10170.78		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11442.13		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	25691.44	one or more instances of the item or service in the 12 months prior to posting the file
major small and large bowel procedures with cc	327	MS-DRG				Inpatient	Facility			43595.53	43595.52		4475		Per Diem		17900	90			Percent of total billed charges		39235.97		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		29644.96	90			Percent of total billed charges		39235.97		54154.34		Case rate		54154.34		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		39235.97	80			Percent of total billed charges		34876.42		4475		Per Diem		17900	85			Percent of total billed charges		37056.2		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		34876.42		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		39235.97		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	54154.34	one or more instances of the item or service in the 12 months prior to posting the file
major small and large bowel procedures with mcc	329	MS-DRG				Inpatient	Facility			80557.06	80557.06		4475		Per Diem		27952	90			Percent of total billed charges		72501.35		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		54778.8	90			Percent of total billed charges		72501.35		84332.75		Case rate		84332.75		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		72501.35	80			Percent of total billed charges		64445.65		4475		Per Diem		27952	85			Percent of total billed charges		68473.5		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		64445.65		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		72501.35		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	84332.75	one or more instances of the item or service in the 12 months prior to posting the file
major thumb or joint procedures	506	MS-DRG				Inpatient	Facility			34329.14	34329.14		4475		Per Diem		26850	90			Percent of total billed charges		27896.23		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		23343.82	90			Percent of total billed charges		27896.23		21711.84		Case rate		21711.84		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		27896.23	80			Percent of total billed charges		27463.31		4475		Per Diem		26850	85			Percent of total billed charges		29179.77		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		27463.31		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		27896.23		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	27896.23	one or more instances of the item or service in the 12 months prior to posting the file
Mesh (implantable)	C1781	CPT				Outpatient	Facility			1135.5	1135.5	27			Percent of total billed charges		317.94	90			Percent of total billed charges		1021.95	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	68			Percent of total billed charges		772.14	90			Percent of total billed charges		1021.95		4748.97		Case rate		4748.97	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	90			Percent of total billed charges		1021.95	80			Percent of total billed charges		908.4	27			Percent of total billed charges		317.94	85			Percent of total billed charges		965.18	27			Percent of total billed charges		317.94	27			Percent of total billed charges		340.65	80			Percent of total billed charges		908.4	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	90			Percent of total billed charges		1021.95	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	27			Percent of total billed charges		317.94	317.94	4748.97	one or more instances of the item or service in the 12 months prior to posting the file
Metanephrines	83835	CPT				Outpatient	Facility			78	78	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	68			Percent of total billed charges		53.04	90			Percent of total billed charges		70.2		70.51		Case rate		70.51	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	80			Percent of total billed charges		62.4	27			Percent of total billed charges		21.84	85			Percent of total billed charges		66.3	27			Percent of total billed charges		21.84	27			Percent of total billed charges		23.4	80			Percent of total billed charges		62.4	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	21.84	70.51	one or more instances of the item or service in the 12 months prior to posting the file
Metatarsal joint implant	L8641	CPT				Outpatient	Facility			3375	3375	27			Percent of total billed charges		945	90			Percent of total billed charges		2737.5	27			Percent of total billed charges		945	27			Percent of total billed charges		945	68			Percent of total billed charges		2295	90			Percent of total billed charges		2737.5		2253.43		Case rate		2253.43	27			Percent of total billed charges		945	27			Percent of total billed charges		945	90			Percent of total billed charges		2737.5	80			Percent of total billed charges		2700	27			Percent of total billed charges		945	85			Percent of total billed charges		2768.75	27			Percent of total billed charges		945	27			Percent of total billed charges		1012.5	80			Percent of total billed charges		2700	27			Percent of total billed charges		945	27			Percent of total billed charges		945	27			Percent of total billed charges		945	27			Percent of total billed charges		945	90			Percent of total billed charges		2737.5	27			Percent of total billed charges		945	27			Percent of total billed charges		945	27			Percent of total billed charges		945	945	2737.5	one or more instances of the item or service in the 12 months prior to posting the file
Methadone	80358	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		85.07		Case rate		85.07	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	85.07	one or more instances of the item or service in the 12 months prior to posting the file
"miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc"	640	MS-DRG				Inpatient	Facility			20586.59	20586.59		4475		Per Diem		17900	90			Percent of total billed charges		18527.93		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		13998.88	90			Percent of total billed charges		18527.93		17199.5		Case rate		17199.5		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		18527.93	80			Percent of total billed charges		16469.27		4475		Per Diem		17900	85			Percent of total billed charges		17498.6		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		16469.27		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		18527.93		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	18527.93	one or more instances of the item or service in the 12 months prior to posting the file
Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)	44139	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		5859.51		Case rate		5859.51	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	6529.18	one or more instances of the item or service in the 12 months prior to posting the file
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)	99157	CPT				Outpatient	Facility			435	435	27			Percent of total billed charges		121.8	90			Percent of total billed charges		391.5	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	68			Percent of total billed charges		295.8	90			Percent of total billed charges		391.5		395.43		Case rate		395.43	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	90			Percent of total billed charges		391.5	80			Percent of total billed charges		348	27			Percent of total billed charges		121.8	85			Percent of total billed charges		369.75	27			Percent of total billed charges		121.8	27			Percent of total billed charges		127.5	80			Percent of total billed charges		348	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	90			Percent of total billed charges		391.5	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	27			Percent of total billed charges		121.8	121.8	395.43	one or more instances of the item or service in the 12 months prior to posting the file
mustang balloon 5x200	272	RC				Outpatient	Facility			503	503	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	68			Percent of total billed charges		342.04	90			Percent of total billed charges		452.7	100			Percent of total billed charges		503	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	85			Percent of total billed charges		427.55	27			Percent of total billed charges		140.84	27			Percent of total billed charges		150.9	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	140.84	503	zero instances of the item or service in the 12 months prior to posting the file
Mycophenolate (mycophenolic acid)	80180	CPT				Outpatient	Facility			37	37	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	68			Percent of total billed charges		25.16	90			Percent of total billed charges		33.3		75.13		Case rate		75.13	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	85			Percent of total billed charges		31.45	27			Percent of total billed charges		10.36	27			Percent of total billed charges		11.1	80			Percent of total billed charges		29.6	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	90			Percent of total billed charges		33.3	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	27			Percent of total billed charges		10.36	10.36	75.13	one or more instances of the item or service in the 12 months prior to posting the file
mycoplasma pneumoniae igm	271	RC				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97	100			Percent of total billed charges		23.3	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.81	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	23.3	zero instances of the item or service in the 12 months prior to posting the file
Myoglobin	83874	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		53.8		Case rate		53.8	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
Nasal smear for eosinophils	89190	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		24.1		Case rate		24.1	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	52.2	zero instances of the item or service in the 12 months prior to posting the file
needle driver 8mm	272	RC				Outpatient	Facility			582	582	27			Percent of total billed charges		162.96	90			Percent of total billed charges		523.8	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	68			Percent of total billed charges		395.76	90			Percent of total billed charges		523.8	100			Percent of total billed charges		582	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	90			Percent of total billed charges		523.8	80			Percent of total billed charges		465.6	27			Percent of total billed charges		162.96	85			Percent of total billed charges		494.7	27			Percent of total billed charges		162.96	27			Percent of total billed charges		174.6	80			Percent of total billed charges		465.6	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	90			Percent of total billed charges		523.8	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	27			Percent of total billed charges		162.96	162.96	582	zero instances of the item or service in the 12 months prior to posting the file
Needle insertion(s) without injection(s); 3 or more muscles	20561	CPT				Outpatient	Facility			116	116	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	68			Percent of total billed charges		78.88	90			Percent of total billed charges		104.4		144.4		Case rate		144.4	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	80			Percent of total billed charges		92.8	27			Percent of total billed charges		32.48	85			Percent of total billed charges		98.6	27			Percent of total billed charges		32.48	27			Percent of total billed charges		34.8	80			Percent of total billed charges		92.8	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	32.48	144.4	one or more instances of the item or service in the 12 months prior to posting the file
Neuroplasty and/or transposition; ulnar nerve at wrist	64719	CPT				Outpatient	Facility			6197	6197	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	68			Percent of total billed charges		4213.96	90			Percent of total billed charges		5577.3		3900.7		Case rate		3900.7	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	80			Percent of total billed charges		4957.6	27			Percent of total billed charges		1735.16	85			Percent of total billed charges		5267.45	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1859.1	80			Percent of total billed charges		4957.6	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	90			Percent of total billed charges		5577.3	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	27			Percent of total billed charges		1735.16	1735.16	5577.3	one or more instances of the item or service in the 12 months prior to posting the file
non-extensive o.r. procedures unrelated to principal diagnosis with cc	988	MS-DRG				Inpatient	Facility			20029.22	20029.22		4475		Per Diem		22375	90			Percent of total billed charges		18026.3		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		13619.87	90			Percent of total billed charges		18026.3		33844.08		Case rate		33844.08		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		18026.3	80			Percent of total billed charges		16023.38		4475		Per Diem		22375	85			Percent of total billed charges		17024.84		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		16023.38		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		18026.3		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	33844.08	one or more instances of the item or service in the 12 months prior to posting the file
non-formulary handling fee	250	RC				Outpatient	Facility			7.5	7.5	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	68			Percent of total billed charges		5.1	90			Percent of total billed charges		6.75	100			Percent of total billed charges		7.5	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	80			Percent of total billed charges		6	27			Percent of total billed charges		2.1	85			Percent of total billed charges		6.38	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.25	80			Percent of total billed charges		6	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	2.1	7.5	zero instances of the item or service in the 12 months prior to posting the file
Noninvasive ear or pulse oximetry for oxygen saturation; single determination	94760	CPT				Outpatient	Facility			58.3	58.3	27			Percent of total billed charges		16.324	90			Percent of total billed charges		52.47	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	68			Percent of total billed charges		39.64	90			Percent of total billed charges		52.47		19.59		Case rate		19.59	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	90			Percent of total billed charges		52.47	80			Percent of total billed charges		46.64	27			Percent of total billed charges		16.324	85			Percent of total billed charges		49.56	27			Percent of total billed charges		16.324	27			Percent of total billed charges		17.49	80			Percent of total billed charges		46.64	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	90			Percent of total billed charges		52.47	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	27			Percent of total billed charges		16.324	16.324	52.47	zero instances of the item or service in the 12 months prior to posting the file
normal newborn	795	MS-DRG				Inpatient	Facility			4051.9	4051.9							90	3646.71		Percent of total billed charges		3646.71													68	2755.292		Percent of total billed charges		2755.29	90	3646.71		Percent of total billed charges		3646.71		2070.66		per diem	PerDiem*Lengthofstay	2070.66													90	3646.71		Percent of total billed charges		3646.71	80	3241.52		Percent of total billed charges		3241.52							85	3444.115		Percent of total billed charges		3444.12													80	3241.52		Percent of total billed charges		3241.52																									90	3646.71		Percent of total billed charges		3646.71																			3646.71	3646.71	one or more instances of the item or service in the 12 months prior to posting the file
Nucleotidase 5'-	83915	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		46.4		Case rate		46.4	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	46.4	one or more instances of the item or service in the 12 months prior to posting the file
obturator bladeless 8mm	272	RC				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8	100			Percent of total billed charges		102	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	102	zero instances of the item or service in the 12 months prior to posting the file
obturator blunt 8mm	272	RC				Outpatient	Facility			1827	1827	27			Percent of total billed charges		511.84	90			Percent of total billed charges		1645.2	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	68			Percent of total billed charges		1243.04	90			Percent of total billed charges		1645.2	100			Percent of total billed charges		1827	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	90			Percent of total billed charges		1645.2	80			Percent of total billed charges		1462.4	27			Percent of total billed charges		511.84	85			Percent of total billed charges		1553.8	27			Percent of total billed charges		511.84	27			Percent of total billed charges		548.4	80			Percent of total billed charges		1462.4	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	90			Percent of total billed charges		1645.2	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	27			Percent of total billed charges		511.84	511.84	1827	zero instances of the item or service in the 12 months prior to posting the file
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments	25608	CPT				Outpatient	Facility			21676	21676	27			Percent of total billed charges		6069.27	90			Percent of total billed charges		19508.4	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	68			Percent of total billed charges		14739.68	90			Percent of total billed charges		19508.4		6271.6		Case rate		6271.6	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	90			Percent of total billed charges		19508.4	80			Percent of total billed charges		17340.8	27			Percent of total billed charges		6069.27	85			Percent of total billed charges		18424.6	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6502.8	80			Percent of total billed charges		17340.8	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	90			Percent of total billed charges		19508.4	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	27			Percent of total billed charges		6069.27	6069.27	19508.4	one or more instances of the item or service in the 12 months prior to posting the file
oseltamivir 27 mg capsule	250	RC				Outpatient	Facility			13.15	13.15	27			Percent of total billed charges		3.682	90			Percent of total billed charges		11.84	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	68			Percent of total billed charges		8.94	90			Percent of total billed charges		11.84	100			Percent of total billed charges		13.15	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	90			Percent of total billed charges		11.84	80			Percent of total billed charges		10.52	27			Percent of total billed charges		3.682	85			Percent of total billed charges		11.18	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.95	80			Percent of total billed charges		10.52	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	90			Percent of total billed charges		11.84	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	27			Percent of total billed charges		3.682	3.682	13.15	zero instances of the item or service in the 12 months prior to posting the file
Osmolality; blood	83927	CPT				Outpatient	Facility			80	80	27			Percent of total billed charges		22.4	90			Percent of total billed charges		72	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	68			Percent of total billed charges		54.4	90			Percent of total billed charges		72		27.49		Case rate		27.49	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	90			Percent of total billed charges		72	80			Percent of total billed charges		64	27			Percent of total billed charges		22.4	85			Percent of total billed charges		68	27			Percent of total billed charges		22.4	27			Percent of total billed charges		24	80			Percent of total billed charges		64	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	90			Percent of total billed charges		72	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	27			Percent of total billed charges		22.4	22.4	72	one or more instances of the item or service in the 12 months prior to posting the file
Osmolality; urine	83935	CPT				Outpatient	Facility			20.2	20.2	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	68			Percent of total billed charges		13.74	90			Percent of total billed charges		18.18		27.39		Case rate		27.39	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	85			Percent of total billed charges		17.17	27			Percent of total billed charges		5.656	27			Percent of total billed charges		6.06	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	5.656	27.39	one or more instances of the item or service in the 12 months prior to posting the file
Osteocalcin (bone g1a protein)	83937	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		124.25		Case rate		124.25	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	124.25	zero instances of the item or service in the 12 months prior to posting the file
osteomyelitis with cc	540	MS-DRG				Inpatient	Facility			10825.23	10825.23		4475		Per Diem		8950	90			Percent of total billed charges		9742.71		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		7361.16	90			Percent of total billed charges		9742.71		19663.37		Case rate		19663.37		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9742.71	80			Percent of total billed charges		8660.18		4475		Per Diem		8950	85			Percent of total billed charges		9201.45		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		8660.18		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9742.71		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	19663.37	one or more instances of the item or service in the 12 months prior to posting the file
other circulatory system diagnoses with cc	315	MS-DRG				Inpatient	Facility			18477.96	18477.96		4475		Per Diem		8950	90			Percent of total billed charges		16627.16		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		12565.01	90			Percent of total billed charges		16627.16		20735.17		Case rate		20735.17		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16627.16	80			Percent of total billed charges		14782.37		4475		Per Diem		8950	85			Percent of total billed charges		15706.27		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		14782.37		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16627.16		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	20735.17	one or more instances of the item or service in the 12 months prior to posting the file
other digestive system o.r. procedures with cc	357	MS-DRG				Inpatient	Facility			57653.01	57653.01		4475		Per Diem		4475	90			Percent of total billed charges		51887.71		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		39204.05	90			Percent of total billed charges		51887.71		46014.38		Case rate		46014.38		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		51887.71	80			Percent of total billed charges		46122.41		4475		Per Diem		4475	85			Percent of total billed charges		49005.06		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		46122.41		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		51887.71		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	51887.71	one or more instances of the item or service in the 12 months prior to posting the file
"other endocrine, nutritional and metabolic o.r. procedures with cc"	629	MS-DRG				Inpatient	Facility			46124.94	46124.94		4475		Per Diem		17900	90			Percent of total billed charges		41512.45		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		31364.96	90			Percent of total billed charges		41512.45		37902.96		Case rate		37902.96		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		41512.45	80			Percent of total billed charges		36899.95		4475		Per Diem		17900	85			Percent of total billed charges		39206.2		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		36899.95		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		41512.45		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	41512.45	one or more instances of the item or service in the 12 months prior to posting the file
"other injury, poisoning and toxic effect diagnoses without mcc"	923	MS-DRG				Inpatient	Facility			6845.71	6845.71		4475		Per Diem		8950	90			Percent of total billed charges		6161.14		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		4655.08	90			Percent of total billed charges		6161.14		11888.08		Case rate		11888.08		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		6161.14	80			Percent of total billed charges		5476.57		4475		Per Diem		8950	85			Percent of total billed charges		5818.85		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		5476.57		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		6161.14		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	11888.08	one or more instances of the item or service in the 12 months prior to posting the file
other kidney and urinary tract diagnoses with cc	699	MS-DRG				Inpatient	Facility			20911.52	20911.52		4475		Per Diem		8950	90			Percent of total billed charges		18820.37		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		14219.83	90			Percent of total billed charges		18820.37		20186.59		Case rate		20186.59		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18820.37	80			Percent of total billed charges		16729.22		4475		Per Diem		8950	85			Percent of total billed charges		17774.79		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		16729.22		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18820.37		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	20186.59	one or more instances of the item or service in the 12 months prior to posting the file
other major cardiovascular procedures with cc	271	MS-DRG				Inpatient	Facility			99261.59	99261.59		4475		Per Diem		22375	90			Percent of total billed charges		89335.43		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		67497.88	90			Percent of total billed charges		89335.43		56529.42		Case rate		56529.42		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		89335.43	80			Percent of total billed charges		79409.27		4475		Per Diem		22375	85			Percent of total billed charges		84372.35		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		79409.27		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		89335.43		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	89335.43	one or more instances of the item or service in the 12 months prior to posting the file
other major cardiovascular procedures with mcc	270	MS-DRG				Inpatient	Facility			125068.64	125068.64		4475		Per Diem		17900	90			Percent of total billed charges		112561.78		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		85046.68	90			Percent of total billed charges		112561.78		80857.33		Case rate		80857.33		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		112561.78	80			Percent of total billed charges		100054.91		4475		Per Diem		17900	85			Percent of total billed charges		106278.34		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		100054.91		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		112561.78		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	112561.78	one or more instances of the item or service in the 12 months prior to posting the file
other major cardiovascular procedures without cc/mcc	272	MS-DRG				Inpatient	Facility			153424.13	153424.13		4475		Per Diem		17900	90			Percent of total billed charges		138081.72		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		104327.41	90			Percent of total billed charges		138081.72		40487.33		Case rate		40487.33		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		138081.72	80			Percent of total billed charges		122739.3		4475		Per Diem		17900	85			Percent of total billed charges		127410.51		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		122739.3		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		138081.72		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	138081.72	one or more instances of the item or service in the 12 months prior to posting the file
other musculoskeletal system and connective tissue diagnoses with cc	565	MS-DRG				Inpatient	Facility			27234.44	27234.44		4475		Per Diem		17900	90			Percent of total billed charges		25410.99		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		19199.42	90			Percent of total billed charges		25410.99		15090.79		Case rate		15090.79		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		25410.99	80			Percent of total billed charges		22587.55		4475		Per Diem		17900	85			Percent of total billed charges		23999.27		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		22587.55		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		25410.99		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	25410.99	one or more instances of the item or service in the 12 months prior to posting the file
other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc	843	MS-DRG				Inpatient	Facility			21004.77	21004.77		4475		Per Diem		17900	90			Percent of total billed charges		18904.29		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		14273.24	90			Percent of total billed charges		18904.29		27127.84		Case rate		27127.84		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		18904.29	80			Percent of total billed charges		16803.82		4475		Per Diem		17900	85			Percent of total billed charges		17854.05		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		16803.82		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		18904.29		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	27127.84	one or more instances of the item or service in the 12 months prior to posting the file
other o.r. procedures for injuries with cc	908	MS-DRG				Inpatient	Facility			63376.45	63376.45		4475		Per Diem		22375	90			Percent of total billed charges		57038.8		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		42795.99	90			Percent of total billed charges		57038.8		39608.96		Case rate		39608.96		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		57038.8	80			Percent of total billed charges		50701.16		4475		Per Diem		22375	85			Percent of total billed charges		53869.98		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		50701.16		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		57038.8		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	57038.8	one or more instances of the item or service in the 12 months prior to posting the file
"other skin, subcutaneous tissue and breast procedures with cc"	580	MS-DRG				Inpatient	Facility			46185.44	46185.44		4475		Per Diem		13425	90			Percent of total billed charges		41566.9		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		31406.1	90			Percent of total billed charges		41566.9		27174.34		Case rate		27174.34		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		41566.9	80			Percent of total billed charges		36948.35		4475		Per Diem		13425	85			Percent of total billed charges		39257.62		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		36948.35		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		41566.9		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	41566.9	one or more instances of the item or service in the 12 months prior to posting the file
other vascular procedures with mcc	252	MS-DRG				Inpatient	Facility			53366.32	53366.32		4475		Per Diem		27952	90			Percent of total billed charges		48029.69		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		36279.1	90			Percent of total billed charges		48029.69		59091.59		Case rate		59091.59		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		48029.69	80			Percent of total billed charges		42693.06		4475		Per Diem		27952	85			Percent of total billed charges		45361.37		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		42693.06		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		48029.69		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	59091.59	one or more instances of the item or service in the 12 months prior to posting the file
Oxalate	83945	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		60.12		Case rate		60.12	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	60.12	one or more instances of the item or service in the 12 months prior to posting the file
Oxcarbazepine	80183	CPT				Outpatient	Facility			34.32	34.32	27			Percent of total billed charges		9.6096	90			Percent of total billed charges		27.89	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	68			Percent of total billed charges		23.34	90			Percent of total billed charges		27.89		55.15		Case rate		55.15	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	90			Percent of total billed charges		27.89	80			Percent of total billed charges		27.46	27			Percent of total billed charges		9.6096	85			Percent of total billed charges		29.17	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		10.3	80			Percent of total billed charges		27.46	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	90			Percent of total billed charges		27.89	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	27			Percent of total billed charges		9.6096	9.6096	55.15	one or more instances of the item or service in the 12 months prior to posting the file
Oxycodone	80365	CPT				Outpatient	Facility			39.91	39.91	27			Percent of total billed charges		11.1748	90			Percent of total billed charges		35.92	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	68			Percent of total billed charges		27.14	90			Percent of total billed charges		35.92		65.93		Case rate		65.93	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	90			Percent of total billed charges		35.92	80			Percent of total billed charges		31.93	27			Percent of total billed charges		11.1748	85			Percent of total billed charges		33.92	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.97	80			Percent of total billed charges		31.93	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	90			Percent of total billed charges		35.92	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	27			Percent of total billed charges		11.1748	11.1748	65.93	one or more instances of the item or service in the 12 months prior to posting the file
Parathormone (parathyroid hormone)	83970	CPT				Outpatient	Facility			137	137	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	68			Percent of total billed charges		93.16	90			Percent of total billed charges		123.3		171.78		Case rate		171.78	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	80			Percent of total billed charges		109.6	27			Percent of total billed charges		38.36	85			Percent of total billed charges		116.45	27			Percent of total billed charges		38.36	27			Percent of total billed charges		41.1	80			Percent of total billed charges		109.6	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	90			Percent of total billed charges		123.3	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	27			Percent of total billed charges		38.36	38.36	171.78	one or more instances of the item or service in the 12 months prior to posting the file
pca pump	260	RC				Outpatient	Facility			35.1	35.1	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	68			Percent of total billed charges		23.87	90			Percent of total billed charges		31.59	100			Percent of total billed charges		35.1	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	80			Percent of total billed charges		27.08	27			Percent of total billed charges		9.827	85			Percent of total billed charges		29.84	27			Percent of total billed charges		9.827	27			Percent of total billed charges		10.53	80			Percent of total billed charges		27.08	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	9.827	35.1	zero instances of the item or service in the 12 months prior to posting the file
Pelvic examination under anesthesia (other than local)	57410	CPT				Outpatient	Facility			6592.14	6592.14	27			Percent of total billed charges		1845.7992	90			Percent of total billed charges		5932.93	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	68			Percent of total billed charges		4482.66	90			Percent of total billed charges		5932.93		3900.7		Case rate		3900.7	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	90			Percent of total billed charges		5932.93	80			Percent of total billed charges		5273.71	27			Percent of total billed charges		1845.7992	85			Percent of total billed charges		5603.32	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1977.64	80			Percent of total billed charges		5273.71	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	90			Percent of total billed charges		5932.93	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	27			Percent of total billed charges		1845.7992	1845.7992	5932.93	one or more instances of the item or service in the 12 months prior to posting the file
percutaneous cardiovascular procedures without intraluminal device with mcc	250	MS-DRG				Inpatient	Facility			101336.36	101336.36		4475		Per Diem		22375	90			Percent of total billed charges		91202.72		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		68908.72	90			Percent of total billed charges		91202.72		51757.06		Case rate		51757.06		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		91202.72	80			Percent of total billed charges		81069.09		4475		Per Diem		22375	85			Percent of total billed charges		86135.91		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		81069.09		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		91202.72		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	91202.72	one or more instances of the item or service in the 12 months prior to posting the file
Percutaneous skeletal fixation of distal radioulnar dislocation	25671	CPT				Outpatient	Facility			9571.8	9571.8	27			Percent of total billed charges		2680.104	90			Percent of total billed charges		8614.62	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	68			Percent of total billed charges		6508.82	90			Percent of total billed charges		8614.62		2912.82		Case rate		2912.82	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	90			Percent of total billed charges		8614.62	80			Percent of total billed charges		7657.44	27			Percent of total billed charges		2680.104	85			Percent of total billed charges		8136.03	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2771.54	80			Percent of total billed charges		7657.44	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	90			Percent of total billed charges		8614.62	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	27			Percent of total billed charges		2680.104	2680.104	8614.62	one or more instances of the item or service in the 12 months prior to posting the file
peripheral vascular disorders with cc	270	MS-DRG				Inpatient	Facility			24031.31	24031.3		4475		Per Diem		13425	90			Percent of total billed charges		21627.17		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		16341.29	90			Percent of total billed charges		21627.17		17015.59		Case rate		17015.59		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21627.17	80			Percent of total billed charges		19225.04		4475		Per Diem		13425	85			Percent of total billed charges		20426.61		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		19225.04		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21627.17		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	21627.17	one or more instances of the item or service in the 12 months prior to posting the file
peripheral vascular disorders with mcc	299	MS-DRG				Inpatient	Facility			14814.96	14814.96		4475		Per Diem		8950	90			Percent of total billed charges		13333.46		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		10074.17	90			Percent of total billed charges		13333.46		22000.4		Case rate		22000.4		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		13333.46	80			Percent of total billed charges		11851.96		4475		Per Diem		8950	85			Percent of total billed charges		12592.71		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		11851.96		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		13333.46		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	22000.4	one or more instances of the item or service in the 12 months prior to posting the file
"peripheral, cranial nerve and other nervous system procedures with mcc"	40	MS-DRG				Inpatient	Facility			327615.48	327615.48		4475		Per Diem		52778	90			Percent of total billed charges		295753.93		4475		Per Diem		52778		4475		Per Diem		52778	68			Percent of total billed charges		223458.53	90			Percent of total billed charges		295753.93		59380.15		Case rate		59380.15		4475		Per Diem		52778		4475		Per Diem		52778	90			Percent of total billed charges		295753.93	80			Percent of total billed charges		262792.38		4475		Per Diem		52778	85			Percent of total billed charges		279323.16		4475		Per Diem		52778		4475		Per Diem		52778	80			Percent of total billed charges		262792.38		4475		Per Diem		52778		4475		Per Diem		52778		4475		Per Diem		52778		4475		Per Diem		52778	90			Percent of total billed charges		295753.93		4475		Per Diem		52778		4475		Per Diem		52778		4475		Per Diem		52778	52778	295753.93	one or more instances of the item or service in the 12 months prior to posting the file
peritoneal adhesiolysis with cc	336	MS-DRG				Inpatient	Facility			53185.52	53185.52		4475		Per Diem		17900	90			Percent of total billed charges		47866.96		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		36166.15	90			Percent of total billed charges		47866.96		43686.87		Case rate		43686.87		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		47866.96	80			Percent of total billed charges		42548.41		4475		Per Diem		17900	85			Percent of total billed charges		45207.69		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		42548.41		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		47866.96		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	47866.96	one or more instances of the item or service in the 12 months prior to posting the file
permanent cardiac pacemaker implant with cc	243	MS-DRG				Inpatient	Facility			79054.37	79054.37		4475		Per Diem		8950	90			Percent of total billed charges		71148.93		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		53756.97	90			Percent of total billed charges		71148.93		55146.86		Case rate		55146.86		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		71148.93	80			Percent of total billed charges		63243.5		4475		Per Diem		8950	85			Percent of total billed charges		67196.21		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		63243.5		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		71148.93		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	71148.93	one or more instances of the item or service in the 12 months prior to posting the file
Phenytoin; free	80186	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		57.24		Case rate		57.24	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	57.24	one or more instances of the item or service in the 12 months prior to posting the file
Phenytoin; total	80185	CPT				Outpatient	Facility			163	163	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	68			Percent of total billed charges		110.84	90			Percent of total billed charges		146.7		55.15		Case rate		55.15	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	85			Percent of total billed charges		138.55	27			Percent of total billed charges		45.64	27			Percent of total billed charges		48.9	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	45.64	146.7	one or more instances of the item or service in the 12 months prior to posting the file
Phosphatidylglycerol	84081	CPT				Outpatient	Facility			115	115	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	68			Percent of total billed charges		78.2	90			Percent of total billed charges		103.5		68.76		Case rate		68.76	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	85			Percent of total billed charges		97.75	27			Percent of total billed charges		32.2	27			Percent of total billed charges		34.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	32.2	103.5	zero instances of the item or service in the 12 months prior to posting the file
Phospholipid neutralization; platelet	85597	CPT				Outpatient	Facility			101	101	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	68			Percent of total billed charges		68.68	90			Percent of total billed charges		90.9		74.8		Case rate		74.8	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	85			Percent of total billed charges		85.85	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.3	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27.27	90.9	zero instances of the item or service in the 12 months prior to posting the file
Phosphorus inorganic (phosphate); urine	84105	CPT				Outpatient	Facility			12.7	12.7	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	68			Percent of total billed charges		8.64	90			Percent of total billed charges		11.43		24.05		Case rate		24.05	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	85			Percent of total billed charges		10.8	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.81	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	3.556	24.05	zero instances of the item or service in the 12 months prior to posting the file
pinnacle intro sheath 6fx11cm	272	RC				Outpatient	Facility			34.9	34.9	27			Percent of total billed charges		9.772	90			Percent of total billed charges		31.41	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	68			Percent of total billed charges		23.73	90			Percent of total billed charges		31.41	100			Percent of total billed charges		34.9	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	90			Percent of total billed charges		31.41	80			Percent of total billed charges		27.92	27			Percent of total billed charges		9.772	85			Percent of total billed charges		29.67	27			Percent of total billed charges		9.772	27			Percent of total billed charges		10.47	80			Percent of total billed charges		27.92	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	90			Percent of total billed charges		31.41	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	27			Percent of total billed charges		9.772	9.772	34.9	zero instances of the item or service in the 12 months prior to posting the file
pleural effusion with mcc	186	MS-DRG				Inpatient	Facility			43736.14	43736.14		4475		Per Diem		22375	90			Percent of total billed charges		39362.53		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		29740.58	90			Percent of total billed charges		39362.53		26991.55		Case rate		26991.55		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		39362.53	80			Percent of total billed charges		34988.91		4475		Per Diem		22375	85			Percent of total billed charges		37175.72		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		34988.91		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		39362.53		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	39362.53	one or more instances of the item or service in the 12 months prior to posting the file
pleural effusion without cc/mcc	188	MS-DRG				Inpatient	Facility			11991.05	11991.05		4475		Per Diem		8950	90			Percent of total billed charges		10791.94		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		8153.91	90			Percent of total billed charges		10791.94		18087.38		Case rate		18087.38		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		10791.94	80			Percent of total billed charges		9592.84		4475		Per Diem		8950	85			Percent of total billed charges		10192.39		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		9592.84		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		10791.94		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	18087.38	one or more instances of the item or service in the 12 months prior to posting the file
pneumothorax with mcc	199	MS-DRG				Inpatient	Facility			24526.39	24526.39		4475		Per Diem		13425	90			Percent of total billed charges		22073.75		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		16677.95	90			Percent of total billed charges		22073.75		29252.48		Case rate		29252.48		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22073.75	80			Percent of total billed charges		19621.11		4475		Per Diem		13425	85			Percent of total billed charges		20847.43		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		19621.11		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22073.75		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	29252.48	one or more instances of the item or service in the 12 months prior to posting the file
poisoning and toxic effects of drugs without mcc	918	MS-DRG				Inpatient	Facility			22736.31	22736.31		4475		Per Diem		13425	90			Percent of total billed charges		20732.68		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		15664.69	90			Percent of total billed charges		20732.68		10978		Case rate		10978		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20732.68	80			Percent of total billed charges		18429.05		4475		Per Diem		13425	85			Percent of total billed charges		19580.86		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		18429.05		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20732.68		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	20732.68	one or more instances of the item or service in the 12 months prior to posting the file
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh	78815	CPT				Outpatient	Facility			10574	10574	27			Percent of total billed charges		2960.72	90			Percent of total billed charges		9516.6	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	68			Percent of total billed charges		7190.32	90			Percent of total billed charges		9516.6		9612.87		Case rate		9612.87	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	90			Percent of total billed charges		9516.6	80			Percent of total billed charges		8459.2	27			Percent of total billed charges		2960.72	85			Percent of total billed charges		8987.9	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		3172.2	80			Percent of total billed charges		8459.2	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	90			Percent of total billed charges		9516.6	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	27			Percent of total billed charges		2960.72	2960.72	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body	78816	CPT				Outpatient	Facility			9278.11	9278.11	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	68			Percent of total billed charges		6329.51	90			Percent of total billed charges		8377.3		9612.87		Case rate		9612.87	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	85			Percent of total billed charges		7911.89	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2792.43	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	2600.6708	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
postoperative and post-traumatic infections with mcc	862	MS-DRG				Inpatient	Facility			55569.9	55569.9		4475		Per Diem		13425	90			Percent of total billed charges		50012.91		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		37787.53	90			Percent of total billed charges		50012.91		27332.89		Case rate		27332.89		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		50012.91	80			Percent of total billed charges		44455.92		4475		Per Diem		13425	85			Percent of total billed charges		47234.41		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		44455.92		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		50012.91		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	50012.91	one or more instances of the item or service in the 12 months prior to posting the file
postoperative or post-traumatic infections with o.r. procedures with mcc	856	MS-DRG				Inpatient	Facility			92712.46	92712.46		4475		Per Diem		22375	90			Percent of total billed charges		83711.21		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		63248.47	90			Percent of total billed charges		83711.21		66600.51		Case rate		66600.51		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		83711.21	80			Percent of total billed charges		74409.96		4475		Per Diem		22375	85			Percent of total billed charges		79060.59		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		74409.96		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		83711.21		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	83711.21	one or more instances of the item or service in the 12 months prior to posting the file
pounce arterial thromb sys	272	RC				Outpatient	Facility			15197	15197	27			Percent of total billed charges		4255.16	90			Percent of total billed charges		13677.3	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	68			Percent of total billed charges		10333.96	90			Percent of total billed charges		13677.3	100			Percent of total billed charges		15197	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	90			Percent of total billed charges		13677.3	80			Percent of total billed charges		12157.6	27			Percent of total billed charges		4255.16	85			Percent of total billed charges		12917.45	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4559.1	80			Percent of total billed charges		12157.6	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	90			Percent of total billed charges		13677.3	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	27			Percent of total billed charges		4255.16	4255.16	15197	zero instances of the item or service in the 12 months prior to posting the file
Prealbumin	84134	CPT				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7		60.68		Case rate		60.68	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	60.68	one or more instances of the item or service in the 12 months prior to posting the file
Pregnenolone	84140	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		86.03		Case rate		86.03	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	86.03	one or more instances of the item or service in the 12 months prior to posting the file
pressure monitoring kit	272	RC				Outpatient	Facility			44	44	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	68			Percent of total billed charges		29.92	90			Percent of total billed charges		39.6	100			Percent of total billed charges		44	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	85			Percent of total billed charges		37.4	27			Percent of total billed charges		12.32	27			Percent of total billed charges		13.2	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	12.32	44	zero instances of the item or service in the 12 months prior to posting the file
Procalcitonin (PCT)	84145	CPT				Outpatient	Facility			252	252	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	68			Percent of total billed charges		171.36	90			Percent of total billed charges		226.8		113.3		Case rate		113.3	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	85			Percent of total billed charges		214.2	27			Percent of total billed charges		70.56	27			Percent of total billed charges		75.6	80			Percent of total billed charges		201.6	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	90			Percent of total billed charges		226.8	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	27			Percent of total billed charges		70.56	70.56	226.8	one or more instances of the item or service in the 12 months prior to posting the file
Progesterone	84144	CPT				Outpatient	Facility			148	148	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	68			Percent of total billed charges		100.64	90			Percent of total billed charges		133.2		86.82		Case rate		86.82	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	85			Percent of total billed charges		125.8	27			Percent of total billed charges		41.44	27			Percent of total billed charges		44.4	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	41.44	133.2	one or more instances of the item or service in the 12 months prior to posting the file
Proinsulin	84206	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		111.09		Case rate		111.09	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	111.09	one or more instances of the item or service in the 12 months prior to posting the file
prolene suture sz.0	270	RC				Outpatient	Facility			2.2	2.2	27			Percent of total billed charges		0.616	90			Percent of total billed charges		1.98	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	68			Percent of total billed charges		1.5	90			Percent of total billed charges		1.98	100			Percent of total billed charges		2.2	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	90			Percent of total billed charges		1.98	80			Percent of total billed charges		1.76	27			Percent of total billed charges		0.616	85			Percent of total billed charges		1.87	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.66	80			Percent of total billed charges		1.76	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	90			Percent of total billed charges		1.98	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	27			Percent of total billed charges		0.616	0.616	2.2	zero instances of the item or service in the 12 months prior to posting the file
Prostate specific antigen (PSA); total	84153	CPT				Outpatient	Facility			67	67	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	68			Percent of total billed charges		45.56	90			Percent of total billed charges		60.3		76.55		Case rate		76.55	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	85			Percent of total billed charges		56.95	27			Percent of total billed charges		18.76	27			Percent of total billed charges		20.1	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	18.76	76.55	one or more instances of the item or service in the 12 months prior to posting the file
Prothrombin time	85610	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		17.84		Case rate		17.84	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	44.1	one or more instances of the item or service in the 12 months prior to posting the file
Pyridoxal phosphate (Vitamin B-6)	84207	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		116.91		Case rate		116.91	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	116.91	one or more instances of the item or service in the 12 months prior to posting the file
pyruvic acid b	276	RC				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6	100			Percent of total billed charges		54	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	54	zero instances of the item or service in the 12 months prior to posting the file
Reconstruction of dislocating patella; with patellectomy	27424	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
red blood cell disorders without mcc	812	MS-DRG				Inpatient	Facility			13355.11	13355.11		4475		Per Diem		8950	90			Percent of total billed charges		12019.6		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9081.47	90			Percent of total billed charges		12019.6		15801.09		Case rate		15801.09		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12019.6	80			Percent of total billed charges		10684.09		4475		Per Diem		8950	85			Percent of total billed charges		11351.84		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10684.09		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12019.6		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	15801.09	one or more instances of the item or service in the 12 months prior to posting the file
reload stapler 60 2.5 white	272	RC				Outpatient	Facility			765	765	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	68			Percent of total billed charges		520.2	90			Percent of total billed charges		688.5	100			Percent of total billed charges		765	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	85			Percent of total billed charges		650.25	27			Percent of total billed charges		214.2	27			Percent of total billed charges		229.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	214.2	765	zero instances of the item or service in the 12 months prior to posting the file
reload stapler 60 3.5 blue	272	RC				Outpatient	Facility			765	765	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	68			Percent of total billed charges		520.2	90			Percent of total billed charges		688.5	100			Percent of total billed charges		765	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	85			Percent of total billed charges		650.25	27			Percent of total billed charges		214.2	27			Percent of total billed charges		229.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	214.2	765	zero instances of the item or service in the 12 months prior to posting the file
Removal of ankle implant	27704	CPT				Outpatient	Facility			9994	9994	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	68			Percent of total billed charges		6795.92	90			Percent of total billed charges		8994.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	85			Percent of total billed charges		8494.9	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2998.2	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	2798.32	8994.6	one or more instances of the item or service in the 12 months prior to posting the file
Removal of fecal impaction or foreign body (separate procedure) under anesthesia	45915	CPT				Outpatient	Facility			6002.78	6002.78	27			Percent of total billed charges		1680.7784	90			Percent of total billed charges		5402.5	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	68			Percent of total billed charges		4081.89	90			Percent of total billed charges		5402.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	90			Percent of total billed charges		5402.5	80			Percent of total billed charges		4802.22	27			Percent of total billed charges		1680.7784	85			Percent of total billed charges		5102.36	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1800.83	80			Percent of total billed charges		4802.22	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	90			Percent of total billed charges		5402.5	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	27			Percent of total billed charges		1680.7784	1680.7784	5402.5	one or more instances of the item or service in the 12 months prior to posting the file
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system	33264	CPT				Outpatient	Facility			36359	36359	27			Percent of total billed charges		10180.52	90			Percent of total billed charges		32723.1	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	68			Percent of total billed charges		24724.12	90			Percent of total billed charges		32723.1		8704.59		Case rate		8704.59	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	90			Percent of total billed charges		32723.1	80			Percent of total billed charges		29087.2	27			Percent of total billed charges		10180.52	85			Percent of total billed charges		27905.15	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10907.7	80			Percent of total billed charges		29087.2	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	90			Percent of total billed charges		32723.1	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	27			Percent of total billed charges		10180.52	10180.52	32723.1	one or more instances of the item or service in the 12 months prior to posting the file
Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)	15853	CPT				Outpatient	Facility			159	159	27			Percent of total billed charges		44.52	90			Percent of total billed charges		143.1	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	68			Percent of total billed charges		108.12	90			Percent of total billed charges		143.1	100			Percent of total billed charges		159	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	90			Percent of total billed charges		143.1	80			Percent of total billed charges		127.2	27			Percent of total billed charges		44.52	85			Percent of total billed charges		135.15	27			Percent of total billed charges		44.52	27			Percent of total billed charges		47.7	80			Percent of total billed charges		127.2	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	90			Percent of total billed charges		143.1	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	27			Percent of total billed charges		44.52	44.52	159	one or more instances of the item or service in the 12 months prior to posting the file
renal failure with mcc	682	MS-DRG				Inpatient	Facility			25705.71	25705.71		4475		Per Diem		13425	90			Percent of total billed charges		23135.14		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		17479.88	90			Percent of total billed charges		23135.14		29071.73		Case rate		29071.73		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23135.14	80			Percent of total billed charges		20564.57		4475		Per Diem		13425	85			Percent of total billed charges		21849.85		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		20564.57		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23135.14		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	29071.73	one or more instances of the item or service in the 12 months prior to posting the file
renal failure without cc/mcc	684	MS-DRG				Inpatient	Facility			15895.22	15895.22		4475		Per Diem		13425	90			Percent of total billed charges		14275.7		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		10808.75	90			Percent of total billed charges		14275.7		19498.48		Case rate		19498.48		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14275.7	80			Percent of total billed charges		12716.18		4475		Per Diem		13425	85			Percent of total billed charges		13510.94		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		12716.18		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14275.7		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	19498.48	one or more instances of the item or service in the 12 months prior to posting the file
Renin	84244	CPT				Outpatient	Facility			78	78	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	68			Percent of total billed charges		53.04	90			Percent of total billed charges		70.2		91.51		Case rate		91.51	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	80			Percent of total billed charges		62.4	27			Percent of total billed charges		21.84	85			Percent of total billed charges		66.3	27			Percent of total billed charges		21.84	27			Percent of total billed charges		23.4	80			Percent of total billed charges		62.4	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	90			Percent of total billed charges		70.2	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	27			Percent of total billed charges		21.84	21.84	91.51	one or more instances of the item or service in the 12 months prior to posting the file
Reopening of recent laparotomy	49002	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue	41250	CPT				Outpatient	Facility			4822	4822	27			Percent of total billed charges		1350.16	90			Percent of total billed charges		4339.8	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	68			Percent of total billed charges		3278.96	90			Percent of total billed charges		4339.8		3900.7		Case rate		3900.7	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	90			Percent of total billed charges		4339.8	80			Percent of total billed charges		3857.6	27			Percent of total billed charges		1350.16	85			Percent of total billed charges		4098.7	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1446.6	80			Percent of total billed charges		3857.6	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	90			Percent of total billed charges		4339.8	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	27			Percent of total billed charges		1350.16	1350.16	4339.8	one or more instances of the item or service in the 12 months prior to posting the file
Repositioning of previously placed central venous catheter under fluoroscopic guidance	36597	CPT				Outpatient	Facility			4578	4578	27			Percent of total billed charges		1271.84	90			Percent of total billed charges		4120.2	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	68			Percent of total billed charges		3113.04	90			Percent of total billed charges		4120.2		2912.82		Case rate		2912.82	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	90			Percent of total billed charges		4120.2	80			Percent of total billed charges		3662.4	27			Percent of total billed charges		1271.84	85			Percent of total billed charges		3891.3	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1373.4	80			Percent of total billed charges		3662.4	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	90			Percent of total billed charges		4120.2	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	27			Percent of total billed charges		1271.84	1271.84	4120.2	one or more instances of the item or service in the 12 months prior to posting the file
Reptilase test	85635	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		40.98		Case rate		40.98	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	40.98	zero instances of the item or service in the 12 months prior to posting the file
resolute onyx stent 2.75x26	272	RC				Outpatient	Facility			3246	3246	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	68			Percent of total billed charges		2207.27	90			Percent of total billed charges		2921.4	100			Percent of total billed charges		3246	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	80			Percent of total billed charges		2596.8	27			Percent of total billed charges		908.88	85			Percent of total billed charges		2759.1	27			Percent of total billed charges		908.88	27			Percent of total billed charges		973.8	80			Percent of total billed charges		2596.8	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	908.88	3246	zero instances of the item or service in the 12 months prior to posting the file
respiratory neoplasms with cc	181	MS-DRG				Inpatient	Facility			43273.87	43273.87		4475		Per Diem		27216	90			Percent of total billed charges		38955.48		4475		Per Diem		27216		4475		Per Diem		27216	68			Percent of total billed charges		29433.03	90			Percent of total billed charges		38955.48		27248.17		Case rate		27248.17		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		38955.48	80			Percent of total billed charges		34627.1		4475		Per Diem		27216	85			Percent of total billed charges		36791.29		4475		Per Diem		27216		4475		Per Diem		27216	80			Percent of total billed charges		34627.1		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		38955.48		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	27216	38955.48	one or more instances of the item or service in the 12 months prior to posting the file
respiratory neoplasms with mcc	180	MS-DRG				Inpatient	Facility			23534.03	23534.03		4475		Per Diem		8950	90			Percent of total billed charges		21180.63		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		16003.14	90			Percent of total billed charges		21180.63		35832.3		Case rate		35832.3		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		21180.63	80			Percent of total billed charges		18827.22		4475		Per Diem		8950	85			Percent of total billed charges		20003.93		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		18827.22		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		21180.63		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	35832.3	one or more instances of the item or service in the 12 months prior to posting the file
respiratory system diagnosis with ventilator support <=96 hours	208	MS-DRG				Inpatient	Facility			97701.49	97701.49		4475		Per Diem		17900	90			Percent of total billed charges		87931.34		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		66437.01	90			Percent of total billed charges		87931.34		45652.89		Case rate		45652.89		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		87931.34	80			Percent of total billed charges		78161.19		4475		Per Diem		17900	85			Percent of total billed charges		82746.27		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		78161.19		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		87931.34		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	87931.34	one or more instances of the item or service in the 12 months prior to posting the file
Reticulated platelet assay	85055	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		148.75		Case rate		148.75	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	148.75	zero instances of the item or service in the 12 months prior to posting the file
revision of hip or knee replacement with cc	467	MS-DRG				Inpatient	Facility			72490.43	72490.43		4475		Per Diem		22375	90			Percent of total billed charges		65241.39		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		49293.49	90			Percent of total billed charges		65241.39		61193.96		Case rate		61193.96		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		65241.39	80			Percent of total billed charges		57992.34		4475		Per Diem		22375	85			Percent of total billed charges		61616.87		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		57992.34		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		65241.39		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	65241.39	one or more instances of the item or service in the 12 months prior to posting the file
Rheumatoid factor; qualitative	86427	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		25.57		Case rate		25.57	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	64.8	zero instances of the item or service in the 12 months prior to posting the file
Russell viper venom time (includes venom); diluted	85613	CPT				Outpatient	Facility			33.9	33.9	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	68			Percent of total billed charges		23.05	90			Percent of total billed charges		27.51		39.85		Case rate		39.85	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	85			Percent of total billed charges		27.82	27			Percent of total billed charges		9.492	27			Percent of total billed charges		10.17	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	9.492	39.85	one or more instances of the item or service in the 12 months prior to posting the file
s core dermal allograft<26sqcm	278	RC				Outpatient	Facility			4795	4795	27			Percent of total billed charges		1342.6	90			Percent of total billed charges		4315.5	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	68			Percent of total billed charges		3260.6	90			Percent of total billed charges		4315.5	100			Percent of total billed charges		4795	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	90			Percent of total billed charges		4315.5	80			Percent of total billed charges		3836	27			Percent of total billed charges		1342.6	85			Percent of total billed charges		4075.75	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1438.5	80			Percent of total billed charges		3836	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	90			Percent of total billed charges		4315.5	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	27			Percent of total billed charges		1342.6	1342.6	4795	zero instances of the item or service in the 12 months prior to posting the file
Selenium	84255	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		106.24		Case rate		106.24	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	106.24	one or more instances of the item or service in the 12 months prior to posting the file
septic arthritis with cc	549	MS-DRG				Inpatient	Facility			26245.79	26245.79		4475		Per Diem		17900	90			Percent of total billed charges		23621.21		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		17847.14	90			Percent of total billed charges		23621.21		19416.03		Case rate		19416.03		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		23621.21	80			Percent of total billed charges		20996.63		4475		Per Diem		17900	85			Percent of total billed charges		22278.92		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		20996.63		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		23621.21		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	23621.21	one or more instances of the item or service in the 12 months prior to posting the file
septicemia or severe sepsis with mv >96 hours	870	MS-DRG				Inpatient	Facility			262496.94	262496.94		4475		Per Diem		44750	90			Percent of total billed charges		236247.25		4475		Per Diem		44750		4475		Per Diem		44750	68			Percent of total billed charges		178497.92	90			Percent of total billed charges		236247.25		138740.76		Case rate		138740.76		4475		Per Diem		44750		4475		Per Diem		44750	90			Percent of total billed charges		236247.25	80			Percent of total billed charges		209997.55		4475		Per Diem		44750	85			Percent of total billed charges		223122.4		4475		Per Diem		44750		4475		Per Diem		44750	80			Percent of total billed charges		209997.55		4475		Per Diem		44750		4475		Per Diem		44750		4475		Per Diem		44750		4475		Per Diem		44750	90			Percent of total billed charges		236247.25		4475		Per Diem		44750		4475		Per Diem		44750		4475		Per Diem		44750	44750	236247.25	one or more instances of the item or service in the 12 months prior to posting the file
septicemia or severe sepsis without mv >96 hours with mcc	871	MS-DRG				Inpatient	Facility			37927.43	37927.43		4475		Per Diem		17900	90			Percent of total billed charges		34135.59		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		25791.33	90			Percent of total billed charges		34135.59		32781.8		Case rate		32781.8		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		34135.59	80			Percent of total billed charges		27342.74		4475		Per Diem		17900	85			Percent of total billed charges		32239.17		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		27342.74		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		34135.59		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	34135.59	one or more instances of the item or service in the 12 months prior to posting the file
septicemia or severe sepsis without mv >96 hours without mcc	872	MS-DRG				Inpatient	Facility			20653.55	20653.55		4475		Per Diem		13425	90			Percent of total billed charges		18588.2		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		14044.41	90			Percent of total billed charges		18588.2		25843.65		Case rate		25843.65		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18588.2	80			Percent of total billed charges		16522.84		4475		Per Diem		13425	85			Percent of total billed charges		17555.52		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		16522.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18588.2		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	25843.65	one or more instances of the item or service in the 12 months prior to posting the file
Serotonin	84260	CPT				Outpatient	Facility			55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		127.93		Case rate		127.93	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	127.93	zero instances of the item or service in the 12 months prior to posting the file
Sex hormone binding globulin (SHBG)	84270	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		90.43		Case rate		90.43	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	90.43	one or more instances of the item or service in the 12 months prior to posting the file
sherpa nx guidecath 7fr	272	RC				Outpatient	Facility			122	122	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	68			Percent of total billed charges		82.96	90			Percent of total billed charges		109.8	100			Percent of total billed charges		122	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	85			Percent of total billed charges		103.7	27			Percent of total billed charges		34.16	27			Percent of total billed charges		36.6	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	34.16	122	zero instances of the item or service in the 12 months prior to posting the file
signs and symptoms without mcc	948	MS-DRG				Inpatient	Facility			11906.77	11906.77		4475		Per Diem		13425	90			Percent of total billed charges		10716.09		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		8096.6	90			Percent of total billed charges		10716.09		11101.67		Case rate		11101.67		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		10716.09	80			Percent of total billed charges		9525.42		4475		Per Diem		13425	85			Percent of total billed charges		10120.75		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		9525.42		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		10716.09		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	13425	one or more instances of the item or service in the 12 months prior to posting the file
simple pneumonia and pleurisy with cc	194	MS-DRG				Inpatient	Facility			22927.44	22927.44		4475		Per Diem		13425	90			Percent of total billed charges		20635.59		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		15591.34	90			Percent of total billed charges		20635.59		17262.92		Case rate		17262.92		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20635.59	80			Percent of total billed charges		18342.75		4475		Per Diem		13425	85			Percent of total billed charges		19489.17		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		18342.75		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20635.59		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	20635.59	one or more instances of the item or service in the 12 months prior to posting the file
simple pneumonia and pleurisy without cc/mcc	195	MS-DRG				Inpatient	Facility			10873.47	10873.46		4475		Per Diem		4475	90			Percent of total billed charges		9786.12		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		7393.96	90			Percent of total billed charges		9786.12		14164.86		Case rate		14164.86		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9786.12	80			Percent of total billed charges		8698.77		4475		Per Diem		4475	85			Percent of total billed charges		9242.45		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		8698.77		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9786.12		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	14164.86	one or more instances of the item or service in the 12 months prior to posting the file
sinus tarsi stent	272	RC				Outpatient	Facility			2496	2496	27			Percent of total billed charges		698.88	90			Percent of total billed charges		2246.4	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	68			Percent of total billed charges		1697.27	90			Percent of total billed charges		2246.4	100			Percent of total billed charges		2496	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	90			Percent of total billed charges		2246.4	80			Percent of total billed charges		1996.8	27			Percent of total billed charges		698.88	85			Percent of total billed charges		2121.6	27			Percent of total billed charges		698.88	27			Percent of total billed charges		748.8	80			Percent of total billed charges		1996.8	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	90			Percent of total billed charges		2246.4	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	27			Percent of total billed charges		698.88	698.88	2496	zero instances of the item or service in the 12 months prior to posting the file
skin debridement with cc	571	MS-DRG				Inpatient	Facility			40129.07	40129.07		4475		Per Diem		17900	90			Percent of total billed charges		36116.16		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		27277.77	90			Percent of total billed charges		36116.16		26268.56		Case rate		26268.56		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		36116.16	80			Percent of total billed charges		32103.26		4475		Per Diem		17900	85			Percent of total billed charges		34109.71		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		32103.26		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		36116.16		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	36116.16	one or more instances of the item or service in the 12 months prior to posting the file
skin ulcers with mcc	592	MS-DRG				Inpatient	Facility			20670.91	20670.91		4475		Per Diem		13425	90			Percent of total billed charges		18603.82		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		14056.22	90			Percent of total billed charges		18603.82		21689.64		Case rate		21689.64		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18603.82	80			Percent of total billed charges		16536.73		4475		Per Diem		13425	85			Percent of total billed charges		17570.27		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		16536.73		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18603.82		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	21689.64	one or more instances of the item or service in the 12 months prior to posting the file
Sodium; other source	84272	CPT				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08		20.21		Case rate		20.21	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	20.21	zero instances of the item or service in the 12 months prior to posting the file
Sodium; urine	84270	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		21.06		Case rate		21.06	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	21.06	one or more instances of the item or service in the 12 months prior to posting the file
soft tissue procedures with cc	501	MS-DRG				Inpatient	Facility			52114.51	52114.5		4475		Per Diem		22375	90			Percent of total billed charges		46903.05		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		35437.86	90			Percent of total billed charges		46903.05		29905.7		Case rate		29905.7		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		46903.05	80			Percent of total billed charges		41691.6		4475		Per Diem		22375	85			Percent of total billed charges		44297.33		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		41691.6		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		46903.05		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	46903.05	one or more instances of the item or service in the 12 months prior to posting the file
Somatomedin	84275	CPT				Outpatient	Facility			76	76	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	68			Percent of total billed charges		51.68	90			Percent of total billed charges		68.4		88.46		Case rate		88.46	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	80			Percent of total billed charges		60.8	27			Percent of total billed charges		21.27	85			Percent of total billed charges		64.6	27			Percent of total billed charges		21.27	27			Percent of total billed charges		22.8	80			Percent of total billed charges		60.8	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	21.27	88.46	one or more instances of the item or service in the 12 months prior to posting the file
spinal anes kit	272	RC				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2	100			Percent of total billed charges		58	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	58	zero instances of the item or service in the 12 months prior to posting the file
sprinter otw balloon 2.0x20	272	RC				Outpatient	Facility			474	474	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	68			Percent of total billed charges		322.32	90			Percent of total billed charges		426.6	100			Percent of total billed charges		474	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	85			Percent of total billed charges		402.9	27			Percent of total billed charges		132.72	27			Percent of total billed charges		142.2	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	132.72	474	zero instances of the item or service in the 12 months prior to posting the file
sprinter otw balloon 3.0x12	272	RC				Outpatient	Facility			474	474	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	68			Percent of total billed charges		322.32	90			Percent of total billed charges		426.6	100			Percent of total billed charges		474	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	85			Percent of total billed charges		402.9	27			Percent of total billed charges		132.72	27			Percent of total billed charges		142.2	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	132.72	474	zero instances of the item or service in the 12 months prior to posting the file
stapler 60 spu is4000	272	RC				Outpatient	Facility			1760	1760	27			Percent of total billed charges		492.8	90			Percent of total billed charges		1584	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	68			Percent of total billed charges		1196.8	90			Percent of total billed charges		1584	100			Percent of total billed charges		1760	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	90			Percent of total billed charges		1584	80			Percent of total billed charges		1408	27			Percent of total billed charges		492.8	85			Percent of total billed charges		1496	27			Percent of total billed charges		492.8	27			Percent of total billed charges		527	80			Percent of total billed charges		1408	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	90			Percent of total billed charges		1584	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	27			Percent of total billed charges		492.8	492.8	1760	zero instances of the item or service in the 12 months prior to posting the file
stapler bladeless obtu 12mm	272	RC				Outpatient	Facility			2589	2589	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	68			Percent of total billed charges		1760.52	90			Percent of total billed charges		2327.1	100			Percent of total billed charges		2589	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	80			Percent of total billed charges		2071.2	27			Percent of total billed charges		724.92	85			Percent of total billed charges		2200.65	27			Percent of total billed charges		724.92	27			Percent of total billed charges		776.7	80			Percent of total billed charges		2071.2	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	90			Percent of total billed charges		2327.1	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	27			Percent of total billed charges		724.92	724.92	2589	zero instances of the item or service in the 12 months prior to posting the file
stapler cannula 12mm	272	RC				Outpatient	Facility			4150	4150	27			Percent of total billed charges		1162	90			Percent of total billed charges		3735	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	68			Percent of total billed charges		2722	90			Percent of total billed charges		3735	100			Percent of total billed charges		4150	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	90			Percent of total billed charges		3735	80			Percent of total billed charges		3320	27			Percent of total billed charges		1162	85			Percent of total billed charges		3527.5	27			Percent of total billed charges		1162	27			Percent of total billed charges		1245	80			Percent of total billed charges		3320	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	90			Percent of total billed charges		3735	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	27			Percent of total billed charges		1162	1162	4150	zero instances of the item or service in the 12 months prior to posting the file
"stent, 4.0mmx150mm"	275	RC				Outpatient	Facility			436	436	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	68			Percent of total billed charges		296.48	90			Percent of total billed charges		392.4	100			Percent of total billed charges		436	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	80			Percent of total billed charges		348.8	27			Percent of total billed charges		122.08	85			Percent of total billed charges		370.6	27			Percent of total billed charges		122.08	27			Percent of total billed charges		127.8	80			Percent of total billed charges		348.8	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	90			Percent of total billed charges		392.4	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	27			Percent of total billed charges		122.08	122.08	436	zero instances of the item or service in the 12 months prior to posting the file
"Stent, coated/covered, with delivery system"	C1874	CPT				Outpatient	Facility			10375	10375	27			Percent of total billed charges		2905	90			Percent of total billed charges		9337.5	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	68			Percent of total billed charges		7055	90			Percent of total billed charges		9337.5		15591.49		Case rate		15591.49	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	90			Percent of total billed charges		9337.5	80			Percent of total billed charges		8270	27			Percent of total billed charges		2905	85			Percent of total billed charges		8818.75	27			Percent of total billed charges		2905	27			Percent of total billed charges		3112.5	80			Percent of total billed charges		8270	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	90			Percent of total billed charges		9337.5	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	27			Percent of total billed charges		2905	2905	15591.49	one or more instances of the item or service in the 12 months prior to posting the file
"Stent, non-coated/non-covered, with delivery system"	C1876	CPT				Outpatient	Facility			4000	4000	27			Percent of total billed charges		1120	90			Percent of total billed charges		3600	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	68			Percent of total billed charges		2720	90			Percent of total billed charges		3600		5645		Case rate		5645	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	90			Percent of total billed charges		3600	80			Percent of total billed charges		3200	27			Percent of total billed charges		1120	85			Percent of total billed charges		3400	27			Percent of total billed charges		1120	27			Percent of total billed charges		1200	80			Percent of total billed charges		3200	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	90			Percent of total billed charges		3600	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	27			Percent of total billed charges		1120	1120	5645	one or more instances of the item or service in the 12 months prior to posting the file
"Stent, non-coronary, temporary, without delivery system"	C2617	CPT				Outpatient	Facility			502.5	502.5	27			Percent of total billed charges		140.7	90			Percent of total billed charges		452.25	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	68			Percent of total billed charges		341.7	90			Percent of total billed charges		452.25		350.55		Case rate		350.55	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	90			Percent of total billed charges		452.25	80			Percent of total billed charges		402	27			Percent of total billed charges		140.7	85			Percent of total billed charges		427.12	27			Percent of total billed charges		140.7	27			Percent of total billed charges		150.75	80			Percent of total billed charges		402	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	90			Percent of total billed charges		452.25	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	27			Percent of total billed charges		140.7	140.7	452.25	one or more instances of the item or service in the 12 months prior to posting the file
"stent,6mmx220mm"	275	RC				Outpatient	Facility			479	479	27			Percent of total billed charges		134.12	90			Percent of total billed charges		431.1	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	68			Percent of total billed charges		325.72	90			Percent of total billed charges		431.1	100			Percent of total billed charges		479	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	90			Percent of total billed charges		431.1	80			Percent of total billed charges		383.2	27			Percent of total billed charges		134.12	85			Percent of total billed charges		407.15	27			Percent of total billed charges		134.12	27			Percent of total billed charges		143.7	80			Percent of total billed charges		383.2	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	90			Percent of total billed charges		431.1	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	27			Percent of total billed charges		134.12	134.12	479	zero instances of the item or service in the 12 months prior to posting the file
"stent,self exp 6mmx200mmx127cm"	275	RC				Outpatient	Facility			4025	4025	27			Percent of total billed charges		1127	90			Percent of total billed charges		3622.5	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	68			Percent of total billed charges		2737	90			Percent of total billed charges		3622.5	100			Percent of total billed charges		4025	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	90			Percent of total billed charges		3622.5	80			Percent of total billed charges		3220	27			Percent of total billed charges		1127	85			Percent of total billed charges		3421.25	27			Percent of total billed charges		1127	27			Percent of total billed charges		1207.5	80			Percent of total billed charges		3220	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	90			Percent of total billed charges		3622.5	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	27			Percent of total billed charges		1127	1127	4025	zero instances of the item or service in the 12 months prior to posting the file
steriling balloon 6x220	278	RC				Outpatient	Facility			758	758	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	68			Percent of total billed charges		515.44	90			Percent of total billed charges		682.2	100			Percent of total billed charges		758	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	85			Percent of total billed charges		644.3	27			Percent of total billed charges		212.24	27			Percent of total billed charges		227.4	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	212.24	758	zero instances of the item or service in the 12 months prior to posting the file
sterling balloon 2.5x220mm	272	RC				Outpatient	Facility			758	758	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	68			Percent of total billed charges		515.44	90			Percent of total billed charges		682.2	100			Percent of total billed charges		758	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	85			Percent of total billed charges		644.3	27			Percent of total billed charges		212.24	27			Percent of total billed charges		227.4	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	212.24	758	zero instances of the item or service in the 12 months prior to posting the file
"stomach, esophageal and duodenal procedures with cc"	327	MS-DRG				Inpatient	Facility			53992.86	53992.86		4475		Per Diem		22375	90			Percent of total billed charges		48593.57		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		36715.14	90			Percent of total billed charges		48593.57		60214.12		Case rate		60214.12		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		48593.57	80			Percent of total billed charges		43194.29		4475		Per Diem		22375	85			Percent of total billed charges		45893.93		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		43194.29		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		48593.57		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	60214.12	one or more instances of the item or service in the 12 months prior to posting the file
"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative"	86581	CPT				Outpatient	Facility			87.68	87.68	27			Percent of total billed charges		24.5504	90			Percent of total billed charges		78.91	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	68			Percent of total billed charges		59.62	90			Percent of total billed charges		78.91	100			Percent of total billed charges		87.68	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	90			Percent of total billed charges		78.91	80			Percent of total billed charges		70.14	27			Percent of total billed charges		24.5504	85			Percent of total billed charges		74.53	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		26.3	80			Percent of total billed charges		70.14	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	90			Percent of total billed charges		78.91	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	27			Percent of total billed charges		24.5504	24.5504	87.68	one or more instances of the item or service in the 12 months prior to posting the file
subclass 1	270	RC				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08	100			Percent of total billed charges		21.2	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	21.2	zero instances of the item or service in the 12 months prior to posting the file
subclass 3	270	RC				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08	100			Percent of total billed charges		21.2	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	21.2	zero instances of the item or service in the 12 months prior to posting the file
suction irrigator 8mm	272	RC				Outpatient	Facility			880	880	27			Percent of total billed charges		246.4	90			Percent of total billed charges		792	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	68			Percent of total billed charges		598.4	90			Percent of total billed charges		792	100			Percent of total billed charges		880	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	90			Percent of total billed charges		792	80			Percent of total billed charges		704	27			Percent of total billed charges		246.4	85			Percent of total billed charges		748	27			Percent of total billed charges		246.4	27			Percent of total billed charges		264	80			Percent of total billed charges		704	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	90			Percent of total billed charges		792	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	27			Percent of total billed charges		246.4	246.4	880	zero instances of the item or service in the 12 months prior to posting the file
Surgical supply; miscellaneous	A4649	CPT				Outpatient	Facility			1115.63	1115.63	27			Percent of total billed charges		312.3764	90			Percent of total billed charges		1004.07	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	68			Percent of total billed charges		758.63	90			Percent of total billed charges		1004.07		272.25		Case rate		272.25	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	90			Percent of total billed charges		1004.07	80			Percent of total billed charges		892.5	27			Percent of total billed charges		312.3764	85			Percent of total billed charges		948.29	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		334.69	80			Percent of total billed charges		892.5	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	90			Percent of total billed charges		1004.07	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	27			Percent of total billed charges		312.3764	312.3764	1004.07	one or more instances of the item or service in the 12 months prior to posting the file
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)	S2900	CPT				Outpatient	Facility			0.01	0.01				Percent of total billed charges	code is bundled with other services		90			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services		68			Percent of total billed charges		0.01	90			Percent of total billed charges		0.01	100			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services		90			Percent of total billed charges		0.01	80			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services		85			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services		80			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services		90			Percent of total billed charges		0.01				Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services					Percent of total billed charges	code is bundled with other services			0.01	one or more instances of the item or service in the 12 months prior to posting the file
suture prolene sz 3-0 rb1	272	RC				Outpatient	Facility			45	45	27			Percent of total billed charges		12.6	90			Percent of total billed charges		40.5	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	68			Percent of total billed charges		27.6	90			Percent of total billed charges		40.5	100			Percent of total billed charges		45	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	90			Percent of total billed charges		40.5	80			Percent of total billed charges		36	27			Percent of total billed charges		12.6	85			Percent of total billed charges		38.25	27			Percent of total billed charges		12.6	27			Percent of total billed charges		13.5	80			Percent of total billed charges		36	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	90			Percent of total billed charges		40.5	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	27			Percent of total billed charges		12.6	12.6	45	zero instances of the item or service in the 12 months prior to posting the file
syncope and collapse	312	MS-DRG				Inpatient	Facility			34509.22	34509.22		4475		Per Diem		4475	90			Percent of total billed charges		31058.3		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		23466.27	90			Percent of total billed charges		31058.3		15170.06		Case rate		15170.06		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		31058.3	80			Percent of total billed charges		27607.38		4475		Per Diem		4475	85			Percent of total billed charges		29332.84		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		27607.38		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		31058.3		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	31058.3	one or more instances of the item or service in the 12 months prior to posting the file
T cells; total count	86359	CPT				Outpatient	Facility			134	134	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	68			Percent of total billed charges		91.12	90			Percent of total billed charges		120.6		156.99		Case rate		156.99	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	85			Percent of total billed charges		113.9	27			Percent of total billed charges		37.52	27			Percent of total billed charges		40.2	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	37.52	156.99	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 27 millicuries"	A9560	CPT				Outpatient	Facility			511	511	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	68			Percent of total billed charges		347.48	90			Percent of total billed charges		459.9		638.68		Case rate		638.68	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	80			Percent of total billed charges		408.8	27			Percent of total billed charges		143.08	85			Percent of total billed charges		434.35	27			Percent of total billed charges		143.08	27			Percent of total billed charges		153.3	80			Percent of total billed charges		408.8	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	143.08	638.68	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"	A9562	CPT				Outpatient	Facility			1093.86	1093.86	27			Percent of total billed charges		306.2708	90			Percent of total billed charges		984.47	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	68			Percent of total billed charges		743.82	90			Percent of total billed charges		984.47		5297.49		Case rate		5297.49	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	90			Percent of total billed charges		984.47	80			Percent of total billed charges		875.09	27			Percent of total billed charges		306.2708	85			Percent of total billed charges		929.78	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		327.16	80			Percent of total billed charges		875.09	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	90			Percent of total billed charges		984.47	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	27			Percent of total billed charges		306.2708	306.2708	5297.49	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"	A9541	CPT				Outpatient	Facility			298.7	298.7	27			Percent of total billed charges		83.636	90			Percent of total billed charges		268.83	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	68			Percent of total billed charges		203.12	90			Percent of total billed charges		268.83		1827.13		Case rate		1827.13	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	90			Percent of total billed charges		268.83	80			Percent of total billed charges		238.96	27			Percent of total billed charges		83.636	85			Percent of total billed charges		253.9	27			Percent of total billed charges		83.636	27			Percent of total billed charges		89.61	80			Percent of total billed charges		238.96	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	90			Percent of total billed charges		268.83	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	27			Percent of total billed charges		83.636	83.636	1827.13	one or more instances of the item or service in the 12 months prior to posting the file
"tendonitis, myositis and bursitis with mcc"	557	MS-DRG				Inpatient	Facility			27819.67	27819.67		4475		Per Diem		33993	90			Percent of total billed charges		27737.7		4475		Per Diem		33993		4475		Per Diem		33993	68			Percent of total billed charges		20957.38	90			Percent of total billed charges		27737.7		18968.92		Case rate		18968.92		4475		Per Diem		33993		4475		Per Diem		33993	90			Percent of total billed charges		27737.7	80			Percent of total billed charges		24655.74		4475		Per Diem		33993	85			Percent of total billed charges		26196.72		4475		Per Diem		33993		4475		Per Diem		33993	80			Percent of total billed charges		24655.74		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993	90			Percent of total billed charges		27737.7		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993	33993	33993	one or more instances of the item or service in the 12 months prior to posting the file
"tendonitis, myositis and bursitis without mcc"	558	MS-DRG				Inpatient	Facility			16269.43	16269.43		4475		Per Diem		8950	90			Percent of total billed charges		14642.49		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		11063.21	90			Percent of total billed charges		14642.49		13213.56		Case rate		13213.56		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14642.49	80			Percent of total billed charges		12715.54		4475		Per Diem		8950	85			Percent of total billed charges		13829.02		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		12715.54		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14642.49		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	14642.49	one or more instances of the item or service in the 12 months prior to posting the file
Testosterone; total	84403	CPT				Outpatient	Facility			207	207	27			Percent of total billed charges		57.96	90			Percent of total billed charges		186.3	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	68			Percent of total billed charges		140.76	90			Percent of total billed charges		186.3		107.42		Case rate		107.42	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	90			Percent of total billed charges		186.3	80			Percent of total billed charges		165.6	27			Percent of total billed charges		57.96	85			Percent of total billed charges		175.95	27			Percent of total billed charges		57.96	27			Percent of total billed charges		62.1	80			Percent of total billed charges		165.6	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	90			Percent of total billed charges		186.3	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	27			Percent of total billed charges		57.96	57.96	186.3	one or more instances of the item or service in the 12 months prior to posting the file
Theophylline	80198	CPT				Outpatient	Facility			172	172	27			Percent of total billed charges		48.16	90			Percent of total billed charges		154.8	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	68			Percent of total billed charges		116.96	90			Percent of total billed charges		154.8		58.82		Case rate		58.82	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	90			Percent of total billed charges		154.8	80			Percent of total billed charges		137.6	27			Percent of total billed charges		48.16	85			Percent of total billed charges		146.2	27			Percent of total billed charges		48.16	27			Percent of total billed charges		51.6	80			Percent of total billed charges		137.6	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	90			Percent of total billed charges		154.8	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	27			Percent of total billed charges		48.16	48.16	154.8	one or more instances of the item or service in the 12 months prior to posting the file
Thrombin time; plasma	85670	CPT				Outpatient	Facility			19.6	19.6	27			Percent of total billed charges		5.488	90			Percent of total billed charges		17.64	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	68			Percent of total billed charges		13.33	90			Percent of total billed charges		17.64		24.05		Case rate		24.05	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	90			Percent of total billed charges		17.64	80			Percent of total billed charges		15.68	27			Percent of total billed charges		5.488	85			Percent of total billed charges		16.66	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.88	80			Percent of total billed charges		15.68	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	90			Percent of total billed charges		17.64	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	27			Percent of total billed charges		5.488	5.488	24.05	one or more instances of the item or service in the 12 months prior to posting the file
Thyroglobulin	84432	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		66.84		Case rate		66.84	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	66.84	one or more instances of the item or service in the 12 months prior to posting the file
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)	84479	CPT				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97		26.93		Case rate		26.93	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.8	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	26.93	one or more instances of the item or service in the 12 months prior to posting the file
Thyroid stimulating hormone (TSH)	84443	CPT				Outpatient	Facility			203	203	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	68			Percent of total billed charges		138.04	90			Percent of total billed charges		182.7		69.89		Case rate		69.89	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	80			Percent of total billed charges		162.4	27			Percent of total billed charges		56.84	85			Percent of total billed charges		172.55	27			Percent of total billed charges		56.84	27			Percent of total billed charges		60.9	80			Percent of total billed charges		162.4	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	56.84	182.7	one or more instances of the item or service in the 12 months prior to posting the file
Thyroxine binding globulin (TBG)	84442	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		61.47		Case rate		61.47	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	61.47	zero instances of the item or service in the 12 months prior to posting the file
Thyroxine; free	84439	CPT				Outpatient	Facility			110	110	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	68			Percent of total billed charges		74.8	90			Percent of total billed charges		99		37.54		Case rate		37.54	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	80			Percent of total billed charges		88	27			Percent of total billed charges		30.8	85			Percent of total billed charges		93.5	27			Percent of total billed charges		30.8	27			Percent of total billed charges		33	80			Percent of total billed charges		88	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	90			Percent of total billed charges		99	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	27			Percent of total billed charges		30.8	30.8	99	one or more instances of the item or service in the 12 months prior to posting the file
total t3	271	RC				Outpatient	Facility			115	115	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	68			Percent of total billed charges		78.2	90			Percent of total billed charges		103.5	100			Percent of total billed charges		115	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	85			Percent of total billed charges		97.75	27			Percent of total billed charges		32.2	27			Percent of total billed charges		34.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	32.2	115	zero instances of the item or service in the 12 months prior to posting the file
"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report"	C8925	CPT				Outpatient	Facility			2316	2316	27			Percent of total billed charges		648.48	90			Percent of total billed charges		2084.4	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	68			Percent of total billed charges		1574.88	90			Percent of total billed charges		2084.4		3627.64		Case rate		3627.64	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	90			Percent of total billed charges		2084.4	80			Percent of total billed charges		1852.8	27			Percent of total billed charges		648.48	85			Percent of total billed charges		1968.6	27			Percent of total billed charges		648.48	27			Percent of total billed charges		694.8	80			Percent of total billed charges		1852.8	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	90			Percent of total billed charges		2084.4	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	27			Percent of total billed charges		648.48	648.48	3627.64	one or more instances of the item or service in the 12 months prior to posting the file
Transferase; alanine amino (ALT) (SGPT)	84460	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		22.07		Case rate		22.07	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	59.4	one or more instances of the item or service in the 12 months prior to posting the file
"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography"	C8929	CPT				Outpatient	Facility			1695.38	1695.38	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	68			Percent of total billed charges		1152.86	90			Percent of total billed charges		1525.84		3175.31		Case rate		3175.31	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	80			Percent of total billed charges		1356.3	27			Percent of total billed charges		474.7064	85			Percent of total billed charges		1441.07	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		508.61	80			Percent of total billed charges		1356.3	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	90			Percent of total billed charges		1525.84	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	27			Percent of total billed charges		474.7064	474.7064	3175.31	one or more instances of the item or service in the 12 months prior to posting the file
Trauma response team associated with hospital critical care service	G0390	CPT				Outpatient	Facility			3104.74	3104.74	27			Percent of total billed charges		869.3272	90			Percent of total billed charges		2794.27	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	68			Percent of total billed charges		2111.22	90			Percent of total billed charges		2794.27	100			Percent of total billed charges		3104.74	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	90			Percent of total billed charges		2794.27	80			Percent of total billed charges		2483.79	27			Percent of total billed charges		869.3272	85			Percent of total billed charges		2639.03	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		931.42	80			Percent of total billed charges		2483.79	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	90			Percent of total billed charges		2794.27	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	27			Percent of total billed charges		869.3272	869.3272	3104.74	one or more instances of the item or service in the 12 months prior to posting the file
traumatic stupor and coma <1 hour with cc	86	MS-DRG				Inpatient	Facility			21292.82	21292.82		4475		Per Diem		13425	90			Percent of total billed charges		19163.54		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		14479.12	90			Percent of total billed charges		19163.54		24927.23		Case rate		24927.23		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19163.54	80			Percent of total billed charges		17034.26		4475		Per Diem		13425	85			Percent of total billed charges		18098.9		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		17034.26		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19163.54		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	24927.23	one or more instances of the item or service in the 12 months prior to posting the file
tray epidural combined spinal	272	RC				Outpatient	Facility			135	135	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	68			Percent of total billed charges		91.8	90			Percent of total billed charges		121.5	100			Percent of total billed charges		135	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	80			Percent of total billed charges		108	27			Percent of total billed charges		37.8	85			Percent of total billed charges		114.75	27			Percent of total billed charges		37.8	27			Percent of total billed charges		40.5	80			Percent of total billed charges		108	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	90			Percent of total billed charges		121.5	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	27			Percent of total billed charges		37.8	37.8	135	zero instances of the item or service in the 12 months prior to posting the file
Treatment of closed elbow dislocation; without anesthesia	24600	CPT				Outpatient	Facility			3249.27	3249.27	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	68			Percent of total billed charges		2209.51	90			Percent of total billed charges		2924.35		2912.82		Case rate		2912.82	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	80			Percent of total billed charges		2599.42	27			Percent of total billed charges		909.7984	85			Percent of total billed charges		2761.89	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		974.78	80			Percent of total billed charges		2599.42	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	909.7984	2924.35	one or more instances of the item or service in the 12 months prior to posting the file
Triglycerides	84478	CPT				Outpatient	Facility			72	72	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	68			Percent of total billed charges		48.96	90			Percent of total billed charges		64.8		23.88		Case rate		23.88	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	85			Percent of total billed charges		61.2	27			Percent of total billed charges		20.16	27			Percent of total billed charges		21.6	80			Percent of total billed charges		57.6	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	90			Percent of total billed charges		64.8	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	27			Percent of total billed charges		20.16	20.16	64.8	one or more instances of the item or service in the 12 months prior to posting the file
Triiodothyronine T3; reverse	84482	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		65.59		Case rate		65.59	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	65.59	one or more instances of the item or service in the 12 months prior to posting the file
Triiodothyronine T3; total (TT-3)	84480	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		58.99		Case rate		58.99	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	58.99	one or more instances of the item or service in the 12 months prior to posting the file
trimethobenzamide	250	RC				Outpatient	Facility			4.3	4.3	27			Percent of total billed charges		1.204	90			Percent of total billed charges		3.87	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	68			Percent of total billed charges		2.92	90			Percent of total billed charges		3.87	100			Percent of total billed charges		4.3	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	90			Percent of total billed charges		3.87	80			Percent of total billed charges		3.44	27			Percent of total billed charges		1.204	85			Percent of total billed charges		3.66	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.29	80			Percent of total billed charges		3.44	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	90			Percent of total billed charges		3.87	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	27			Percent of total billed charges		1.204	1.204	4.3	zero instances of the item or service in the 12 months prior to posting the file
"Tubing (oxygen), per foot"	A4616	CPT				Outpatient	Facility			3.33	3.33	27			Percent of total billed charges		0.9324	90			Percent of total billed charges		3	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	68			Percent of total billed charges		2.26	90			Percent of total billed charges		3	100			Percent of total billed charges		3.33	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	90			Percent of total billed charges		3	80			Percent of total billed charges		2.66	27			Percent of total billed charges		0.9324	85			Percent of total billed charges		2.83	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		1	80			Percent of total billed charges		2.66	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	90			Percent of total billed charges		3	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	27			Percent of total billed charges		0.9324	0.9324	3.33	one or more instances of the item or service in the 12 months prior to posting the file
uncomplicated peptic ulcer with mcc	383	MS-DRG				Inpatient	Facility			55310.31	55310.31		4475		Per Diem		17900	90			Percent of total billed charges		49779.27		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		37611.01	90			Percent of total billed charges		49779.27		20253.18		Case rate		20253.18		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		49779.27	80			Percent of total billed charges		44248.25		4475		Per Diem		17900	85			Percent of total billed charges		47013.76		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		44248.25		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		49779.27		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	49779.27	one or more instances of the item or service in the 12 months prior to posting the file
Unlisted chemistry procedure	84999	CPT				Outpatient	Facility			206	206	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	68			Percent of total billed charges		140.08	90			Percent of total billed charges		185.4		156.48		Case rate		156.48	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	85			Percent of total billed charges		175.1	27			Percent of total billed charges		57.68	27			Percent of total billed charges		61.8	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	57.68	185.4	zero instances of the item or service in the 12 months prior to posting the file
Unlisted microbiology procedure	87999	CPT				Outpatient	Facility			468	468	27			Percent of total billed charges		131.04	90			Percent of total billed charges		421.2	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	68			Percent of total billed charges		318.24	90			Percent of total billed charges		421.2		117.36		Case rate		117.36	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	90			Percent of total billed charges		421.2	80			Percent of total billed charges		374.4	27			Percent of total billed charges		131.04	85			Percent of total billed charges		397.8	27			Percent of total billed charges		131.04	27			Percent of total billed charges		140.4	80			Percent of total billed charges		374.4	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	90			Percent of total billed charges		421.2	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	27			Percent of total billed charges		131.04	131.04	421.2	one or more instances of the item or service in the 12 months prior to posting the file
Unlisted pulmonary service or procedure	94799	CPT				Outpatient	Facility			446	446	27			Percent of total billed charges		124.88	90			Percent of total billed charges		401.4	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	68			Percent of total billed charges		273.27	90			Percent of total billed charges		401.4		112.9		Case rate		112.9	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	90			Percent of total billed charges		401.4	80			Percent of total billed charges		356.8	27			Percent of total billed charges		124.88	85			Percent of total billed charges		379.1	27			Percent of total billed charges		124.88	27			Percent of total billed charges		133.8	80			Percent of total billed charges		356.8	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	90			Percent of total billed charges		401.4	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	27			Percent of total billed charges		124.88	124.88	401.4	one or more instances of the item or service in the 12 months prior to posting the file
upper limb and toe amputation for circulatory system disorders with cc	256	MS-DRG				Inpatient	Facility			32633.31	32633.31		4475		Per Diem		8950	90			Percent of total billed charges		29369.98		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		22190.65	90			Percent of total billed charges		29369.98		33568.21		Case rate		33568.21		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		29369.98	80			Percent of total billed charges		26106.65		4475		Per Diem		8950	85			Percent of total billed charges		27738.31		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		26106.65		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		29369.98		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	33568.21	one or more instances of the item or service in the 12 months prior to posting the file
vaginal delivery with o.r. procedures except sterilization and/or d&c	768	MS-DRG				Inpatient	Facility			33666.61	33666.6		4475		Per Diem		13425	90			Percent of total billed charges		27299.94		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		22793.29	90			Percent of total billed charges		27299.94		14076.07		Case rate		14076.07		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27299.94	80			Percent of total billed charges		26933.27		4475		Per Diem		13425	85			Percent of total billed charges		27616.61		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		26933.27		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27299.94		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	27299.94	one or more instances of the item or service in the 12 months prior to posting the file
vaginal delivery without sterilization or d&c without cc/mcc	807	MS-DRG				Inpatient	Facility			17998.93	17998.93		4475		Per Diem		8950	90			Percent of total billed charges		16199.04		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		12239.27	90			Percent of total billed charges		16199.04		6674.96		Case rate		6674.96		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16199.04	80			Percent of total billed charges		14399.14		4475		Per Diem		8950	85			Percent of total billed charges		15299.09		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		14399.14		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16199.04		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	16199.04	one or more instances of the item or service in the 12 months prior to posting the file
Valproic acid (dipropylacetic acid); total	80164	CPT				Outpatient	Facility			144	144	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	68			Percent of total billed charges		97.92	90			Percent of total billed charges		129.6		56.34		Case rate		56.34	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	85			Percent of total billed charges		122.4	27			Percent of total billed charges		40.32	27			Percent of total billed charges		43.2	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	40.32	129.6	one or more instances of the item or service in the 12 months prior to posting the file
Vancomycin	80202	CPT				Outpatient	Facility			144	144	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	68			Percent of total billed charges		97.92	90			Percent of total billed charges		129.6		56.34		Case rate		56.34	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	85			Percent of total billed charges		122.4	27			Percent of total billed charges		40.32	27			Percent of total billed charges		43.2	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	40.32	129.6	one or more instances of the item or service in the 12 months prior to posting the file
vdrl csf	272	RC				Outpatient	Facility			12.7	12.7	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	68			Percent of total billed charges		8.64	90			Percent of total billed charges		11.43	100			Percent of total billed charges		12.7	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	85			Percent of total billed charges		10.8	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.81	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	3.556	12.7	zero instances of the item or service in the 12 months prior to posting the file
Vedolizumab	80270	CPT				Outpatient	Facility			170.7	170.7	27			Percent of total billed charges		47.796	90			Percent of total billed charges		153.63	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	68			Percent of total billed charges		116.08	90			Percent of total billed charges		153.63		114.65		Case rate		114.65	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	90			Percent of total billed charges		153.63	80			Percent of total billed charges		136.56	27			Percent of total billed charges		47.796	85			Percent of total billed charges		145.1	27			Percent of total billed charges		47.796	27			Percent of total billed charges		51.21	80			Percent of total billed charges		136.56	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	90			Percent of total billed charges		153.63	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	27			Percent of total billed charges		47.796	47.796	153.63	one or more instances of the item or service in the 12 months prior to posting the file
Vitamin A	84590	CPT				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08		48.32		Case rate		48.32	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	48.32	one or more instances of the item or service in the 12 months prior to posting the file
Vitamin K	84597	CPT				Outpatient	Facility			79	79	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	68			Percent of total billed charges		53.72	90			Percent of total billed charges		71.1		57.13		Case rate		57.13	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	85			Percent of total billed charges		67.15	27			Percent of total billed charges		22.12	27			Percent of total billed charges		23.7	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	22.12	71.1	one or more instances of the item or service in the 12 months prior to posting the file
volcano 185cm	481	RC				Outpatient	Facility			1820	1820	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	68			Percent of total billed charges		1237.6	90			Percent of total billed charges		1638	100			Percent of total billed charges		1820	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	80			Percent of total billed charges		1456	27			Percent of total billed charges		509.6	85			Percent of total billed charges		1547	27			Percent of total billed charges		509.6	27			Percent of total billed charges		546	80			Percent of total billed charges		1456	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	509.6	1820	zero instances of the item or service in the 12 months prior to posting the file
"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf"	L4361	CPT				Outpatient	Facility			71.05	71.05	27			Percent of total billed charges		19.894	90			Percent of total billed charges		63.94	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	68			Percent of total billed charges		48.31	90			Percent of total billed charges		63.94		1521.44		Case rate		1521.44	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	90			Percent of total billed charges		63.94	80			Percent of total billed charges		56.84	27			Percent of total billed charges		19.894	85			Percent of total billed charges		60.39	27			Percent of total billed charges		19.894	27			Percent of total billed charges		21.32	80			Percent of total billed charges		56.84	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	90			Percent of total billed charges		63.94	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	27			Percent of total billed charges		19.894	19.894	1521.44	one or more instances of the item or service in the 12 months prior to posting the file
Wound closure utilizing tissue adhesive(s) only	G0168	CPT				Outpatient	Facility			48.66	48.66	27			Percent of total billed charges		13.6248	90			Percent of total billed charges		43.79	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	68			Percent of total billed charges		33.09	90			Percent of total billed charges		43.79		2912.82		Case rate		2912.82	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	90			Percent of total billed charges		43.79	80			Percent of total billed charges		38.93	27			Percent of total billed charges		13.6248	85			Percent of total billed charges		41.36	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		14.6	80			Percent of total billed charges		38.93	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	90			Percent of total billed charges		43.79	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	27			Percent of total billed charges		13.6248	13.6248	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Wound suction, disposable, includes dressing, all accessories and components, any type, each"	A9272	CPT				Outpatient	Facility			1237.5	1237.5	27			Percent of total billed charges		346.5	90			Percent of total billed charges		1113.75	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	68			Percent of total billed charges		841.5	90			Percent of total billed charges		1113.75	100			Percent of total billed charges		1237.5	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	90			Percent of total billed charges		1113.75	80			Percent of total billed charges		990	27			Percent of total billed charges		346.5	85			Percent of total billed charges		1051.88	27			Percent of total billed charges		346.5	27			Percent of total billed charges		371.25	80			Percent of total billed charges		990	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	90			Percent of total billed charges		1113.75	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	27			Percent of total billed charges		346.5	346.5	1237.5	one or more instances of the item or service in the 12 months prior to posting the file
xience alpine 2.25mmx12	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience alpine 2.25mmx18	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience alpine stent 2.5mmx12mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 2.5x23	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.00x27	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.0mmx18mm	271	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.25mmx18	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.5mmx18	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)"	27802	CPT				Outpatient	Facility			4621	4621	27			Percent of total billed charges		1293.88	90			Percent of total billed charges		4158.9	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	68			Percent of total billed charges		3142.27	90			Percent of total billed charges		4158.9		2912.82		Case rate		2912.82	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	90			Percent of total billed charges		4158.9	80			Percent of total billed charges		3696.8	27			Percent of total billed charges		1293.88	85			Percent of total billed charges		3927.85	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1386.3	80			Percent of total billed charges		3696.8	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	90			Percent of total billed charges		4158.9	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	27			Percent of total billed charges		1293.88	1293.88	4158.9	one or more instances of the item or service in the 12 months prior to posting the file
"Adenoidectomy, primary; younger than age 12"	42727	CPT				Outpatient	Facility			9756	9756	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	68			Percent of total billed charges		6634.08	90			Percent of total billed charges		8780.4		5515.17		Case rate		5515.17	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	80			Percent of total billed charges		7804.8	27			Percent of total billed charges		2731.68	85			Percent of total billed charges		8292.6	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2926.8	80			Percent of total billed charges		7804.8	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	2731.68	8780.4	one or more instances of the item or service in the 12 months prior to posting the file
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 27.0 sq cm"	14041	CPT				Outpatient	Facility			6704	6704	27			Percent of total billed charges		1877.12	90			Percent of total billed charges		6033.6	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	68			Percent of total billed charges		4558.72	90			Percent of total billed charges		6033.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	90			Percent of total billed charges		6033.6	80			Percent of total billed charges		5363.2	27			Percent of total billed charges		1877.12	85			Percent of total billed charges		5698.4	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		2011.2	80			Percent of total billed charges		5363.2	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	90			Percent of total billed charges		6033.6	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	27			Percent of total billed charges		1877.12	1877.12	6033.6	one or more instances of the item or service in the 12 months prior to posting the file
"Albumin; other source, quantitative, each specimen"	82042	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		32.35		Case rate		32.35	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	55.8	one or more instances of the item or service in the 12 months prior to posting the file
"Alkaloids, not otherwise specified"	80323	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		156.37		Case rate		156.37	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	156.37	one or more instances of the item or service in the 12 months prior to posting the file
"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)"	86005	CPT				Outpatient	Facility			95	95	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	68			Percent of total billed charges		64.6	90			Percent of total billed charges		85.5		33.14		Case rate		33.14	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	85			Percent of total billed charges		80.75	27			Percent of total billed charges		26.6	27			Percent of total billed charges		27.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	26.6	85.5	zero instances of the item or service in the 12 months prior to posting the file
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each"	86008	CPT				Outpatient	Facility			7.4	7.4	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	68			Percent of total billed charges		5.03	90			Percent of total billed charges		6.66		74.63		Case rate		74.63	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	80			Percent of total billed charges		5.92	27			Percent of total billed charges		2.072	85			Percent of total billed charges		6.29	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.22	80			Percent of total billed charges		5.92	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	2.072	74.63	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, foot; midtarsal (eg, Chopart type procedure)"	27800	CPT				Outpatient	Facility			6981.16	6981.16	27			Percent of total billed charges		1954.7248	90			Percent of total billed charges		6273.04	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	68			Percent of total billed charges		4747.19	90			Percent of total billed charges		6273.04		11713.38		Case rate		11713.38	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	90			Percent of total billed charges		6273.04	80			Percent of total billed charges		5584.93	27			Percent of total billed charges		1954.7248	85			Percent of total billed charges		5933.99	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		2094.35	80			Percent of total billed charges		5584.93	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	90			Percent of total billed charges		6273.04	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	27			Percent of total billed charges		1954.7248	1954.7248	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, foot; transmetatarsal"	27805	CPT				Outpatient	Facility			8883	8883	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	68			Percent of total billed charges		6040.44	90			Percent of total billed charges		7994.7		11713.38		Case rate		11713.38	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	85			Percent of total billed charges		7550.55	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2664.9	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	2487.24	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, toe; interphalangeal joint"	27825	CPT				Outpatient	Facility			5094.36	5094.36	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	68			Percent of total billed charges		3464.16	90			Percent of total billed charges		4584.92		3900.7		Case rate		3900.7	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	85			Percent of total billed charges		4327.21	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1527.31	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	1426.4208	4584.92	one or more instances of the item or service in the 12 months prior to posting the file
"Amputation, toe; metatarsophalangeal joint"	27820	CPT				Outpatient	Facility			5401	5401	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	68			Percent of total billed charges		3672.68	90			Percent of total billed charges		4860.9		3900.7		Case rate		3900.7	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	85			Percent of total billed charges		4590.85	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1620.3	80			Percent of total billed charges		4320.8	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	90			Percent of total billed charges		4860.9	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	27			Percent of total billed charges		1512.27	1512.27	4860.9	one or more instances of the item or service in the 12 months prior to posting the file
"Angiography, extremity, bilateral, radiological supervision and interpretation"	75716	CPT				Outpatient	Facility			6568.82	6568.82	27			Percent of total billed charges		1839.2696	90			Percent of total billed charges		5911.94	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	68			Percent of total billed charges		4466.8	90			Percent of total billed charges		5911.94		355.64		Case rate		355.64	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	90			Percent of total billed charges		5911.94	80			Percent of total billed charges		5255.06	27			Percent of total billed charges		1839.2696	85			Percent of total billed charges		5583.5	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1970.65	80			Percent of total billed charges		5255.06	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	90			Percent of total billed charges		5911.94	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	27			Percent of total billed charges		1839.2696	1839.2696	5911.94	one or more instances of the item or service in the 12 months prior to posting the file
"Angiography, extremity, unilateral, radiological supervision and interpretation"	75710	CPT				Outpatient	Facility			9063	9063	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	68			Percent of total billed charges		6162.84	90			Percent of total billed charges		8156.7		344.23		Case rate		344.23	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	85			Percent of total billed charges		7703.55	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2718.9	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	2537.64	8156.7	zero instances of the item or service in the 12 months prior to posting the file
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation"	75736	CPT				Outpatient	Facility			24.98	24.98	27			Percent of total billed charges		6.9944	90			Percent of total billed charges		22.49	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	68			Percent of total billed charges		16.99	90			Percent of total billed charges		22.49		293.43		Case rate		293.43	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	90			Percent of total billed charges		22.49	80			Percent of total billed charges		19.99	27			Percent of total billed charges		6.9944	85			Percent of total billed charges		21.24	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		7.5	80			Percent of total billed charges		19.99	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	90			Percent of total billed charges		22.49	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	27			Percent of total billed charges		6.9944	6.9944	293.43	one or more instances of the item or service in the 12 months prior to posting the file
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)"	75774	CPT				Outpatient	Facility			342.38	342.38	27			Percent of total billed charges		95.8664	90			Percent of total billed charges		278.14	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	68			Percent of total billed charges		232.82	90			Percent of total billed charges		278.14		254.82		Case rate		254.82	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	90			Percent of total billed charges		278.14	80			Percent of total billed charges		273.9	27			Percent of total billed charges		95.8664	85			Percent of total billed charges		291.02	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		102.71	80			Percent of total billed charges		273.9	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	90			Percent of total billed charges		278.14	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	27			Percent of total billed charges		95.8664	95.8664	278.14	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody elution (RBC), each elution"	86860	CPT				Outpatient	Facility			168	168	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	68			Percent of total billed charges		114.24	90			Percent of total billed charges		151.2		117.36		Case rate		117.36	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	80			Percent of total billed charges		134.4	27			Percent of total billed charges		47.04	85			Percent of total billed charges		142.8	27			Percent of total billed charges		47.04	27			Percent of total billed charges		50.4	80			Percent of total billed charges		134.4	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	47.04	151.2	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody identification, RBC antibodies, each panel for each serum technique"	86870	CPT				Outpatient	Facility			408	408	27			Percent of total billed charges		114.24	90			Percent of total billed charges		367.2	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	68			Percent of total billed charges		277.44	90			Percent of total billed charges		367.2		117.36		Case rate		117.36	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	90			Percent of total billed charges		367.2	80			Percent of total billed charges		326.4	27			Percent of total billed charges		114.24	85			Percent of total billed charges		346.8	27			Percent of total billed charges		114.24	27			Percent of total billed charges		122.4	80			Percent of total billed charges		326.4	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	90			Percent of total billed charges		367.2	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	27			Percent of total billed charges		114.24	114.24	367.2	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; bacterium, not elsewhere specified"	86609	CPT				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8		53.57		Case rate		53.57	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	91.8	zero instances of the item or service in the 12 months prior to posting the file
"Antibody; Chlamydia, IgM"	86632	CPT				Outpatient	Facility			11.52	11.52	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	68			Percent of total billed charges		7.83	90			Percent of total billed charges		10.37		52.78		Case rate		52.78	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	80			Percent of total billed charges		9.22	27			Percent of total billed charges		3.2256	85			Percent of total billed charges		9.79	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.46	80			Percent of total billed charges		9.22	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	90			Percent of total billed charges		10.37	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	27			Percent of total billed charges		3.2256	3.2256	52.78	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; cytomegalovirus (CMV), IgM"	86645	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		70.11		Case rate		70.11	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	70.11	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)"	86665	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		75.47		Case rate		75.47	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	75.47	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; helminth, not elsewhere specified"	86682	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		54.14		Case rate		54.14	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	54.14	zero instances of the item or service in the 12 months prior to posting the file
"Antibody; hepatitis, delta agent"	86692	CPT				Outpatient	Facility			11.7	11.7	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	68			Percent of total billed charges		7.96	90			Percent of total billed charges		10.53		71.41		Case rate		71.41	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	85			Percent of total billed charges		9.94	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.51	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	3.276	71.41	zero instances of the item or service in the 12 months prior to posting the file
"Antibody; herpes simplex, non-specific type test"	86694	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		59.89		Case rate		59.89	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	59.89	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; herpes simplex, type 2"	86696	CPT				Outpatient	Facility			27.8	27.8	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	68			Percent of total billed charges		19.58	90			Percent of total billed charges		25.92		104.71		Case rate		104.71	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	85			Percent of total billed charges		24.48	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.64	80			Percent of total billed charges		23.04	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	90			Percent of total billed charges		25.92	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	27			Percent of total billed charges		8.064	8.064	104.71	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; HIV-1 and HIV-2, single result"	86703	CPT				Outpatient	Facility			51	51	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	68			Percent of total billed charges		34.68	90			Percent of total billed charges		45.9		57.07		Case rate		57.07	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	85			Percent of total billed charges		43.35	27			Percent of total billed charges		14.27	27			Percent of total billed charges		15.3	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	14.27	57.07	zero instances of the item or service in the 12 months prior to posting the file
"Antibody; protozoa, not elsewhere specified"	86753	CPT				Outpatient	Facility			27	27	27			Percent of total billed charges		7.56	90			Percent of total billed charges		24.3	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	68			Percent of total billed charges		18.36	90			Percent of total billed charges		24.3		51.6		Case rate		51.6	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	90			Percent of total billed charges		24.3	80			Percent of total billed charges		21.6	27			Percent of total billed charges		7.56	85			Percent of total billed charges		22.95	27			Percent of total billed charges		7.56	27			Percent of total billed charges		8.1	80			Percent of total billed charges		21.6	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	90			Percent of total billed charges		24.3	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	27			Percent of total billed charges		7.56	7.56	51.6	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; virus, not elsewhere specified"	86790	CPT				Outpatient	Facility			69	69	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	68			Percent of total billed charges		46.92	90			Percent of total billed charges		62.1		53.57		Case rate		53.57	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	80			Percent of total billed charges		55.2	27			Percent of total billed charges		19.32	85			Percent of total billed charges		58.65	27			Percent of total billed charges		19.32	27			Percent of total billed charges		20.7	80			Percent of total billed charges		55.2	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	19.32	62.1	one or more instances of the item or service in the 12 months prior to posting the file
"Antibody; West Nile virus, IgM"	86788	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		70.11		Case rate		70.11	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	70.11	one or more instances of the item or service in the 12 months prior to posting the file
"Aortography, thoracic, by serialography, radiological supervision and interpretation"	75605	CPT				Outpatient	Facility			9063	9063	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	68			Percent of total billed charges		6162.84	90			Percent of total billed charges		8156.7		337.46		Case rate		337.46	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	85			Percent of total billed charges		7703.55	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2718.9	80			Percent of total billed charges		7250.4	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	90			Percent of total billed charges		8156.7	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	27			Percent of total billed charges		2537.64	2537.64	8156.7	one or more instances of the item or service in the 12 months prior to posting the file
"Apolipoprotein, each"	82172	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		87.78		Case rate		87.78	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	87.78	one or more instances of the item or service in the 12 months prior to posting the file
"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)"	20692	CPT				Outpatient	Facility			33429.22	33429.22	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	68			Percent of total billed charges		22731.87	90			Percent of total billed charges		27086.3		4465.2		Case rate		4465.2	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	80			Percent of total billed charges		26743.38	27			Percent of total billed charges		9360.1816	85			Percent of total billed charges		27414.84	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		10027.77	80			Percent of total billed charges		26743.38	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	9360.1816	27086.3	one or more instances of the item or service in the 12 months prior to posting the file
"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system"	20690	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		3900.7		Case rate		3900.7	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Application of multi-layer compression system; leg (below knee), including ankle and foot"	29581	CPT				Outpatient	Facility			478.06	478.06	27			Percent of total billed charges		133.8568	90			Percent of total billed charges		427.25	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	68			Percent of total billed charges		325.08	90			Percent of total billed charges		427.25		404.41		Case rate		404.41	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	90			Percent of total billed charges		427.25	80			Percent of total billed charges		382.45	27			Percent of total billed charges		133.8568	85			Percent of total billed charges		406.35	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		143.42	80			Percent of total billed charges		382.45	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	90			Percent of total billed charges		427.25	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	27			Percent of total billed charges		133.8568	133.8568	427.25	zero instances of the item or service in the 12 months prior to posting the file
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"	15276	CPT				Outpatient	Facility			277	277	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	68			Percent of total billed charges		208.76	90			Percent of total billed charges		276.3		1953.17		Case rate		1953.17	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	80			Percent of total billed charges		245.6	27			Percent of total billed charges		80.36	85			Percent of total billed charges		260.95	27			Percent of total billed charges		80.36	27			Percent of total billed charges		92.1	80			Percent of total billed charges		245.6	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	80.36	1953.17	one or more instances of the item or service in the 12 months prior to posting the file
"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous"	36620	CPT				Outpatient	Facility			3265	3265	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	68			Percent of total billed charges		2220.2	90			Percent of total billed charges		2938.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	85			Percent of total billed charges		2775.25	27			Percent of total billed charges		914.2	27			Percent of total billed charges		979.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	914.2	2938.5	one or more instances of the item or service in the 12 months prior to posting the file
"Arterial puncture, withdrawal of blood for diagnosis"	36600	CPT				Outpatient	Facility			226.84	226.84	27			Percent of total billed charges		63.5152	90			Percent of total billed charges		204.16	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	68			Percent of total billed charges		154.25	90			Percent of total billed charges		204.16		81.51		Case rate		81.51	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	90			Percent of total billed charges		204.16	80			Percent of total billed charges		181.47	27			Percent of total billed charges		63.5152	85			Percent of total billed charges		192.81	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		68.05	80			Percent of total billed charges		181.47	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	90			Percent of total billed charges		204.16	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	27			Percent of total billed charges		63.5152	63.5152	204.16	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance"	20605	CPT				Outpatient	Facility			3249.27	3249.27	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	68			Percent of total billed charges		2209.51	90			Percent of total billed charges		2924.35		2912.82		Case rate		2912.82	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	80			Percent of total billed charges		2599.42	27			Percent of total billed charges		909.7984	85			Percent of total billed charges		2761.89	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		974.78	80			Percent of total billed charges		2599.42	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	90			Percent of total billed charges		2924.35	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	27			Percent of total billed charges		909.7984	909.7984	2924.35	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance"	20610	CPT				Outpatient	Facility			2779.3	2779.3	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	68			Percent of total billed charges		2093.92	90			Percent of total billed charges		2771.37		2912.82		Case rate		2912.82	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	80			Percent of total billed charges		2463.44	27			Percent of total billed charges		806.204	85			Percent of total billed charges		2617.4	27			Percent of total billed charges		806.204	27			Percent of total billed charges		923.79	80			Percent of total billed charges		2463.44	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	806.204	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance"	20600	CPT				Outpatient	Facility			9277.86	9277.86	27			Percent of total billed charges		2600.6008	90			Percent of total billed charges		8377.07	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	68			Percent of total billed charges		6329.34	90			Percent of total billed charges		8377.07		2912.82		Case rate		2912.82	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	90			Percent of total billed charges		8377.07	80			Percent of total billed charges		7446.29	27			Percent of total billed charges		2600.6008	85			Percent of total billed charges		7911.68	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2792.36	80			Percent of total billed charges		7446.29	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	90			Percent of total billed charges		8377.07	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	27			Percent of total billed charges		2600.6008	2600.6008	8377.07	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrodesis, great toe; metatarsophalangeal joint"	27750	CPT				Outpatient	Facility			18363.44	18363.44	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	68			Percent of total billed charges		12487.14	90			Percent of total billed charges		16527.1		5515.17		Case rate		5515.17	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	80			Percent of total billed charges		14690.75	27			Percent of total billed charges		5141.7632	85			Percent of total billed charges		15608.92	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5509.03	80			Percent of total billed charges		14690.75	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	90			Percent of total billed charges		16527.1	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	27			Percent of total billed charges		5141.7632	5141.7632	16527.1	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrodesis, interphalangeal joint, with or without internal fixation"	26860	CPT				Outpatient	Facility			9734	9734	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	68			Percent of total billed charges		6619.12	90			Percent of total billed charges		8760.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	85			Percent of total billed charges		8273.9	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2920.2	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	2725.52	8760.6	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft"	27127	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		23426.75		Case rate		23426.75	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	23426.75	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroplasty, radial head; with implant"	24366	CPT				Outpatient	Facility			33429.22	33429.22	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	68			Percent of total billed charges		22731.87	90			Percent of total billed charges		27086.3		6271.6		Case rate		6271.6	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	80			Percent of total billed charges		26743.38	27			Percent of total billed charges		9360.1816	85			Percent of total billed charges		27414.84	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		10027.77	80			Percent of total billed charges		26743.38	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	90			Percent of total billed charges		27086.3	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	27			Percent of total billed charges		9360.1816	9360.1816	27086.3	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)"	29892	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis"	29899	CPT				Outpatient	Facility			20499	20499	27			Percent of total billed charges		5739.72	90			Percent of total billed charges		18449.1	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	68			Percent of total billed charges		13939.32	90			Percent of total billed charges		18449.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	90			Percent of total billed charges		18449.1	80			Percent of total billed charges		16399.2	27			Percent of total billed charges		5739.72	85			Percent of total billed charges		17424.15	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		6149.7	80			Percent of total billed charges		16399.2	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	90			Percent of total billed charges		18449.1	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	27			Percent of total billed charges		5739.72	5739.72	18449.1	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture"	29879	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		4465.2		Case rate		4465.2	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)"	29877	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		5515.17		Case rate		5515.17	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; for infection, lavage and drainage"	29871	CPT				Outpatient	Facility			7523.88	7523.88	27			Percent of total billed charges		2106.6864	90			Percent of total billed charges		6771.49	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	68			Percent of total billed charges		5116.24	90			Percent of total billed charges		6771.49		4465.2		Case rate		4465.2	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	90			Percent of total billed charges		6771.49	80			Percent of total billed charges		6019.1	27			Percent of total billed charges		2106.6864	85			Percent of total billed charges		6395.3	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2257.16	80			Percent of total billed charges		6019.1	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	90			Percent of total billed charges		6771.49	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	27			Percent of total billed charges		2106.6864	2106.6864	6771.49	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)"	29875	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		5515.17		Case rate		5515.17	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)"	29876	CPT				Outpatient	Facility			7976	7976	27			Percent of total billed charges		2233.27	90			Percent of total billed charges		7178.4	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	68			Percent of total billed charges		5423.68	90			Percent of total billed charges		7178.4		5515.17		Case rate		5515.17	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	90			Percent of total billed charges		7178.4	80			Percent of total billed charges		6380.8	27			Percent of total billed charges		2233.27	85			Percent of total billed charges		6779.6	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2392.8	80			Percent of total billed charges		6380.8	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	90			Percent of total billed charges		7178.4	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	27			Percent of total billed charges		2233.27	2233.27	7178.4	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed"	29880	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		5515.17		Case rate		5515.17	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed"	29881	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		5515.17		Case rate		5515.17	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)"	29805	CPT				Outpatient	Facility			10147	10147	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	68			Percent of total billed charges		6899.96	90			Percent of total billed charges		9132.3		4465.2		Case rate		4465.2	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	85			Percent of total billed charges		8624.95	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2744.1	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	2741.16	9132.3	one or more instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	29822	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	zero instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)"	29824	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		6271.6		Case rate		6271.6	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	zero instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; synovectomy, complete"	29821	CPT				Outpatient	Facility			9252	9252	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	68			Percent of total billed charges		6291.36	90			Percent of total billed charges		8326.8		4465.2		Case rate		4465.2	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	80			Percent of total billed charges		7401.6	27			Percent of total billed charges		2590.56	85			Percent of total billed charges		7864.2	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2775.6	80			Percent of total billed charges		7401.6	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	2590.56	8326.8	zero instances of the item or service in the 12 months prior to posting the file
"Arthroscopy, shoulder, surgical; with rotator cuff repair"	29827	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		6271.6		Case rate		6271.6	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body"	22744	CPT				Outpatient	Facility			10147	10147	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	68			Percent of total billed charges		6899.96	90			Percent of total billed charges		9132.3		5515.17		Case rate		5515.17	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	85			Percent of total billed charges		8624.95	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2744.1	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	2741.16	9132.3	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)"	27310	CPT				Outpatient	Facility			9126	9126	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	68			Percent of total billed charges		6205.68	90			Percent of total billed charges		8213.4		5515.17		Case rate		5515.17	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	85			Percent of total billed charges		7757.1	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2737.8	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	2555.27	8213.4	one or more instances of the item or service in the 12 months prior to posting the file
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint"	26070	CPT				Outpatient	Facility			4592.98	4592.98	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	68			Percent of total billed charges		3123.23	90			Percent of total billed charges		4133.68		3900.7		Case rate		3900.7	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	85			Percent of total billed charges		3904.03	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1377.89	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	1276.0344	4133.68	one or more instances of the item or service in the 12 months prior to posting the file
"Ascorbic acid (Vitamin C), blood"	82180	CPT				Outpatient	Facility			37.1	37.1	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	68			Percent of total billed charges		25.23	90			Percent of total billed charges		33.39		41.15		Case rate		41.15	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	85			Percent of total billed charges		31.54	27			Percent of total billed charges		10.388	27			Percent of total billed charges		11.13	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	10.388	41.15	one or more instances of the item or service in the 12 months prior to posting the file
"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report"	92652	CPT				Outpatient	Facility			558.62	558.62	27			Percent of total billed charges		156.4475	90			Percent of total billed charges		502.76	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	68			Percent of total billed charges		379.86	90			Percent of total billed charges		502.76		310.14		Case rate		310.14	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	90			Percent of total billed charges		502.76	80			Percent of total billed charges		446.9	27			Percent of total billed charges		156.4475	85			Percent of total billed charges		474.83	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		167.59	80			Percent of total billed charges		446.9	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	90			Percent of total billed charges		502.76	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	27			Percent of total billed charges		156.4475	156.4475	502.76	one or more instances of the item or service in the 12 months prior to posting the file
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)"	80048	CPT				Outpatient	Facility			104	104	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	68			Percent of total billed charges		70.72	90			Percent of total billed charges		93.6		35.22		Case rate		35.22	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	85			Percent of total billed charges		88.4	27			Percent of total billed charges		29.12	27			Percent of total billed charges		31.2	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	29.12	93.6	one or more instances of the item or service in the 12 months prior to posting the file
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative"	81206	CPT				Outpatient	Facility			377	377	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	68			Percent of total billed charges		256.36	90			Percent of total billed charges		339.3		772.91		Case rate		772.91	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	85			Percent of total billed charges		320.45	27			Percent of total billed charges		105.56	27			Percent of total billed charges		113.1	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	105.56	772.91	one or more instances of the item or service in the 12 months prior to posting the file
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative"	81207	CPT				Outpatient	Facility			377	377	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	68			Percent of total billed charges		256.36	90			Percent of total billed charges		339.3		682.76		Case rate		682.76	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	85			Percent of total billed charges		320.45	27			Percent of total billed charges		105.56	27			Percent of total billed charges		113.1	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	105.56	682.76	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy or excision of lymph node(s); open, deep axillary node(s)"	38525	CPT				Outpatient	Facility			7875.39	7875.39	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	68			Percent of total billed charges		5355.27	90			Percent of total billed charges		7087.85		3900.7		Case rate		3900.7	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	80			Percent of total billed charges		6270.31	27			Percent of total billed charges		2205.1092	85			Percent of total billed charges		6694.08	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2362.62	80			Percent of total billed charges		6270.31	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	2205.1092	7087.85	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy or excision of lymph node(s); open, deep cervical node(s)"	38510	CPT				Outpatient	Facility			8105	8105	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	68			Percent of total billed charges		5511.4	90			Percent of total billed charges		7294.5		3900.7		Case rate		3900.7	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	80			Percent of total billed charges		6484	27			Percent of total billed charges		2269.4	85			Percent of total billed charges		6889.25	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2431.5	80			Percent of total billed charges		6484	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	90			Percent of total billed charges		7294.5	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	27			Percent of total billed charges		2269.4	2269.4	7294.5	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	38531	CPT				Outpatient	Facility			9846.34	9846.34	27			Percent of total billed charges		2756.9752	90			Percent of total billed charges		8861.71	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	68			Percent of total billed charges		6695.51	90			Percent of total billed charges		8861.71		3900.7		Case rate		3900.7	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	90			Percent of total billed charges		8861.71	80			Percent of total billed charges		7877.07	27			Percent of total billed charges		2756.9752	85			Percent of total billed charges		8369.39	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2953.9	80			Percent of total billed charges		7877.07	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	90			Percent of total billed charges		8861.71	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	27			Percent of total billed charges		2756.9752	2756.9752	8861.71	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)"	20245	CPT				Outpatient	Facility			7966	7966	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	68			Percent of total billed charges		5416.88	90			Percent of total billed charges		7169.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	80			Percent of total billed charges		6372.8	27			Percent of total billed charges		2230.48	85			Percent of total billed charges		6771.1	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2389.8	80			Percent of total billed charges		6372.8	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	2230.48	7169.4	one or more instances of the item or service in the 12 months prior to posting the file
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)"	20240	CPT				Outpatient	Facility			7514.34	7514.34	27			Percent of total billed charges		2104.0152	90			Percent of total billed charges		6762.91	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	68			Percent of total billed charges		5109.75	90			Percent of total billed charges		6762.91		3900.7		Case rate		3900.7	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	90			Percent of total billed charges		6762.91	80			Percent of total billed charges		6011.47	27			Percent of total billed charges		2104.0152	85			Percent of total billed charges		6387.19	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2254.3	80			Percent of total billed charges		6011.47	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	90			Percent of total billed charges		6762.91	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	27			Percent of total billed charges		2104.0152	2104.0152	6762.91	one or more instances of the item or service in the 12 months prior to posting the file
"Blepharoplasty, upper eyelid; with excessive skin weighting down lid"	15823	CPT				Outpatient	Facility			7312.94	7312.94	27			Percent of total billed charges		2047.6232	90			Percent of total billed charges		6581.65	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	68			Percent of total billed charges		4972.8	90			Percent of total billed charges		6581.65		6271.6		Case rate		6271.6	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	90			Percent of total billed charges		6581.65	80			Percent of total billed charges		5850.35	27			Percent of total billed charges		2047.6232	85			Percent of total billed charges		6216	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2193.88	80			Percent of total billed charges		5850.35	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	90			Percent of total billed charges		6581.65	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	27			Percent of total billed charges		2047.6232	2047.6232	6581.65	one or more instances of the item or service in the 12 months prior to posting the file
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)"	85027	CPT				Outpatient	Facility			69	69	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	68			Percent of total billed charges		46.92	90			Percent of total billed charges		62.1		26.93		Case rate		26.93	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	80			Percent of total billed charges		55.2	27			Percent of total billed charges		19.32	85			Percent of total billed charges		58.65	27			Percent of total billed charges		19.32	27			Percent of total billed charges		20.7	80			Percent of total billed charges		55.2	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	90			Percent of total billed charges		62.1	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	27			Percent of total billed charges		19.32	19.32	62.1	one or more instances of the item or service in the 12 months prior to posting the file
"Blood count; leukocyte (WBC), automated"	85048	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		10.56		Case rate		10.56	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	27.9	zero instances of the item or service in the 12 months prior to posting the file
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each"	86905	CPT				Outpatient	Facility			84.1	84.1	27			Percent of total billed charges		23.548	90			Percent of total billed charges		75.69	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	68			Percent of total billed charges		57.19	90			Percent of total billed charges		75.69		18.06		Case rate		18.06	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	90			Percent of total billed charges		75.69	80			Percent of total billed charges		67.27	27			Percent of total billed charges		23.548	85			Percent of total billed charges		71.48	27			Percent of total billed charges		23.548	27			Percent of total billed charges		25.23	80			Percent of total billed charges		67.27	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	90			Percent of total billed charges		75.69	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	27			Percent of total billed charges		23.548	23.548	75.69	one or more instances of the item or service in the 12 months prior to posting the file
"Blood typing, serologic; Rh (D)"	86901	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		14.11		Case rate		14.11	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	50.4	one or more instances of the item or service in the 12 months prior to posting the file
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)"	31622	CPT				Outpatient	Facility			3625.2	3625.2	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	68			Percent of total billed charges		2465.14	90			Percent of total billed charges		3262.68		2912.82		Case rate		2912.82	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	80			Percent of total billed charges		2900.16	27			Percent of total billed charges		1015.056	85			Percent of total billed charges		2781.42	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1087.56	80			Percent of total billed charges		2900.16	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	1015.056	3262.68	one or more instances of the item or service in the 12 months prior to posting the file
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage"	31624	CPT				Outpatient	Facility			5236.38	5236.38	27			Percent of total billed charges		1466.1864	90			Percent of total billed charges		4712.74	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	68			Percent of total billed charges		3560.74	90			Percent of total billed charges		4712.74		3900.7		Case rate		3900.7	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	90			Percent of total billed charges		4712.74	80			Percent of total billed charges		4189.1	27			Percent of total billed charges		1466.1864	85			Percent of total billed charges		4450.92	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1570.91	80			Percent of total billed charges		4189.1	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	90			Percent of total billed charges		4712.74	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	27			Percent of total billed charges		1466.1864	1466.1864	4712.74	one or more instances of the item or service in the 12 months prior to posting the file
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings"	31623	CPT				Outpatient	Facility			3625.2	3625.2	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	68			Percent of total billed charges		2465.14	90			Percent of total billed charges		3262.68		3900.7		Case rate		3900.7	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	80			Percent of total billed charges		2900.16	27			Percent of total billed charges		1015.056	85			Percent of total billed charges		2781.42	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1087.56	80			Percent of total billed charges		2900.16	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	90			Percent of total billed charges		3262.68	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	27			Percent of total billed charges		1015.056	1015.056	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Calcium; urine quantitative, timed specimen"	82340	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		25.12		Case rate		25.12	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	25.12	one or more instances of the item or service in the 12 months prior to posting the file
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report"	92715	CPT				Outpatient	Facility			875.56	875.56	27			Percent of total billed charges		245.1568	90			Percent of total billed charges		788	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	68			Percent of total billed charges		595.38	90			Percent of total billed charges		788		777.26		Case rate		777.26	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	90			Percent of total billed charges		788	80			Percent of total billed charges		700.45	27			Percent of total billed charges		245.1568	85			Percent of total billed charges		744.23	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		262.67	80			Percent of total billed charges		700.45	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	90			Percent of total billed charges		788	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	27			Percent of total billed charges		245.1568	245.1568	788	zero instances of the item or service in the 12 months prior to posting the file
"Cardioversion, elective, electrical conversion of arrhythmia; external"	92960	CPT				Outpatient	Facility			2653	2653	27			Percent of total billed charges		742.84	90			Percent of total billed charges		2387.7	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	68			Percent of total billed charges		1804.04	90			Percent of total billed charges		2387.7		2478.95		Case rate		2478.95	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	90			Percent of total billed charges		2387.7	80			Percent of total billed charges		2122.4	27			Percent of total billed charges		742.84	85			Percent of total billed charges		2255.05	27			Percent of total billed charges		742.84	27			Percent of total billed charges		795.9	80			Percent of total billed charges		2122.4	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	90			Percent of total billed charges		2387.7	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	27			Percent of total billed charges		742.84	742.84	2478.95	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography"	93459	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Catheterization of umbilical vein for diagnosis or therapy, newborn"	36510	CPT				Outpatient	Facility			522.58	522.58	27			Percent of total billed charges		146.3224	90			Percent of total billed charges		470.32	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	68			Percent of total billed charges		355.35	90			Percent of total billed charges		470.32		448.21		Case rate		448.21	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	90			Percent of total billed charges		470.32	80			Percent of total billed charges		418.06	27			Percent of total billed charges		146.3224	85			Percent of total billed charges		444.19	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		156.77	80			Percent of total billed charges		418.06	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	90			Percent of total billed charges		470.32	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	27			Percent of total billed charges		146.3224	146.3224	470.32	one or more instances of the item or service in the 12 months prior to posting the file
"Chemical cauterization of granulation tissue (ie, proud flesh)"	17250	CPT				Outpatient	Facility			3172.15	3172.15	27			Percent of total billed charges		888.202	90			Percent of total billed charges		2754.94	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	68			Percent of total billed charges		2157.06	90			Percent of total billed charges		2754.94		2912.82		Case rate		2912.82	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	90			Percent of total billed charges		2754.94	80			Percent of total billed charges		2537.72	27			Percent of total billed charges		888.202	85			Percent of total billed charges		2696.33	27			Percent of total billed charges		888.202	27			Percent of total billed charges		951.64	80			Percent of total billed charges		2537.72	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	90			Percent of total billed charges		2754.94	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	27			Percent of total billed charges		888.202	888.202	2912.82	zero instances of the item or service in the 12 months prior to posting the file
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)"	96415	CPT				Outpatient	Facility			291	291	27			Percent of total billed charges		81.48	90			Percent of total billed charges		261.9	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	68			Percent of total billed charges		197.88	90			Percent of total billed charges		261.9		235.23		Case rate		235.23	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	90			Percent of total billed charges		261.9	80			Percent of total billed charges		232.8	27			Percent of total billed charges		81.48	85			Percent of total billed charges		247.35	27			Percent of total billed charges		81.48	27			Percent of total billed charges		87.3	80			Percent of total billed charges		232.8	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	90			Percent of total billed charges		261.9	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	27			Percent of total billed charges		81.48	81.48	261.9	one or more instances of the item or service in the 12 months prior to posting the file
"Cholesterol, serum or whole blood, total"	82465	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		18.12		Case rate		18.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	48.6	one or more instances of the item or service in the 12 months prior to posting the file
"Chromotubation of oviduct, including materials"	58350	CPT				Outpatient	Facility			13227.8	13227.8	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	68			Percent of total billed charges		8995.58	90			Percent of total billed charges		11905.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	85			Percent of total billed charges		11244.48	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3968.64	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	3704.064	11905.92	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each"	26742	CPT				Outpatient	Facility			4562.24	4562.24	27			Percent of total billed charges		1277.4272	90			Percent of total billed charges		4106.02	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	68			Percent of total billed charges		3102.32	90			Percent of total billed charges		4106.02		3900.7		Case rate		3900.7	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	90			Percent of total billed charges		4106.02	80			Percent of total billed charges		3649.79	27			Percent of total billed charges		1277.4272	85			Percent of total billed charges		3877.9	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1368.67	80			Percent of total billed charges		3649.79	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	90			Percent of total billed charges		4106.02	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	27			Percent of total billed charges		1277.4272	1277.4272	4106.02	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation"	27810	CPT				Outpatient	Facility			5036	5036	27			Percent of total billed charges		1410.08	90			Percent of total billed charges		4532.4	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	68			Percent of total billed charges		3424.48	90			Percent of total billed charges		4532.4		2912.82		Case rate		2912.82	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	90			Percent of total billed charges		4532.4	80			Percent of total billed charges		4027.8	27			Percent of total billed charges		1410.08	85			Percent of total billed charges		4270.6	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1510.8	80			Percent of total billed charges		4027.8	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	90			Percent of total billed charges		4532.4	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	27			Percent of total billed charges		1410.08	1410.08	4532.4	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each"	26755	CPT				Outpatient	Facility			694.5	694.5	27			Percent of total billed charges		194.46	90			Percent of total billed charges		625.05	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	68			Percent of total billed charges		472.26	90			Percent of total billed charges		625.05		595.77		Case rate		595.77	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	90			Percent of total billed charges		625.05	80			Percent of total billed charges		555.6	27			Percent of total billed charges		194.46	85			Percent of total billed charges		590.32	27			Percent of total billed charges		194.46	27			Percent of total billed charges		208.35	80			Percent of total billed charges		555.6	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	90			Percent of total billed charges		625.05	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	27			Percent of total billed charges		194.46	194.46	625.05	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction"	24505	CPT				Outpatient	Facility			4594	4594	27			Percent of total billed charges		1276.32	90			Percent of total billed charges		4134.6	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	68			Percent of total billed charges		3123.92	90			Percent of total billed charges		4134.6		2912.82		Case rate		2912.82	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	90			Percent of total billed charges		4134.6	80			Percent of total billed charges		3675.2	27			Percent of total billed charges		1276.32	85			Percent of total billed charges		3904.9	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1378.2	80			Percent of total billed charges		3675.2	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	90			Percent of total billed charges		4134.6	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	27			Percent of total billed charges		1276.32	1276.32	4134.6	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of metacarpal fracture, single; with manipulation, each bone"	26605	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia"	26700	CPT				Outpatient	Facility			791	791	27			Percent of total billed charges		221.48	90			Percent of total billed charges		711.9	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	68			Percent of total billed charges		537.88	90			Percent of total billed charges		711.9		595.77		Case rate		595.77	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	90			Percent of total billed charges		711.9	80			Percent of total billed charges		632.8	27			Percent of total billed charges		221.48	85			Percent of total billed charges		672.35	27			Percent of total billed charges		221.48	27			Percent of total billed charges		237.3	80			Percent of total billed charges		632.8	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	90			Percent of total billed charges		711.9	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	27			Percent of total billed charges		221.48	221.48	711.9	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each"	26725	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia"	23650	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal"	44625	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; protein C, antigen"	85272	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		50.01		Case rate		50.01	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	50.01	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; protein S, free"	85276	CPT				Outpatient	Facility			87	87	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	68			Percent of total billed charges		59.16	90			Percent of total billed charges		78.3		63.73		Case rate		63.73	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	85			Percent of total billed charges		73.95	27			Percent of total billed charges		24.36	27			Percent of total billed charges		26.1	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	24.36	78.3	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting inhibitors or anticoagulants; protein S, total"	85275	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		48.32		Case rate		48.32	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	48.32	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting; factor VII (proconvertin, stable factor)"	85227	CPT				Outpatient	Facility			37.68	37.68	27			Percent of total billed charges		10.5504	90			Percent of total billed charges		33.91	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	68			Percent of total billed charges		25.62	90			Percent of total billed charges		33.91		74.51		Case rate		74.51	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	90			Percent of total billed charges		33.91	80			Percent of total billed charges		27.14	27			Percent of total billed charges		10.5504	85			Percent of total billed charges		32.03	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		11.3	80			Percent of total billed charges		27.14	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	90			Percent of total billed charges		33.91	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	27			Percent of total billed charges		10.5504	10.5504	74.51	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting; factor VIII (AHG), 1-stage"	85240	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		74.51		Case rate		74.51	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	74.51	one or more instances of the item or service in the 12 months prior to posting the file
"Clotting; factor VIII, VW factor, ristocetin cofactor"	85245	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		95.46		Case rate		95.46	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	95.46	one or more instances of the item or service in the 12 months prior to posting the file
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte"	85397	CPT				Outpatient	Facility			141.6	141.6	27			Percent of total billed charges		39.648	90			Percent of total billed charges		127.44	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	68			Percent of total billed charges		96.29	90			Percent of total billed charges		127.44		127.42		Case rate		127.42	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	90			Percent of total billed charges		127.44	80			Percent of total billed charges		113.27	27			Percent of total billed charges		39.648	85			Percent of total billed charges		120.36	27			Percent of total billed charges		39.648	27			Percent of total billed charges		42.48	80			Percent of total billed charges		113.27	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	90			Percent of total billed charges		127.44	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	27			Percent of total billed charges		39.648	39.648	127.42	one or more instances of the item or service in the 12 months prior to posting the file
"Colectomy, partial; with anastomosis"	44140	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)"	44143	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Collagen cross links, any method"	82523	CPT				Outpatient	Facility			168	168	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	68			Percent of total billed charges		114.24	90			Percent of total billed charges		151.2		77.73		Case rate		77.73	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	80			Percent of total billed charges		134.4	27			Percent of total billed charges		47.04	85			Percent of total billed charges		142.8	27			Percent of total billed charges		47.04	27			Percent of total billed charges		50.4	80			Percent of total billed charges		134.4	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	90			Percent of total billed charges		151.2	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	27			Percent of total billed charges		47.04	47.04	151.2	one or more instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	45378	CPT				Outpatient	Facility			4810	4810	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	68			Percent of total billed charges		3270.8	90			Percent of total billed charges		4329		3900.7		Case rate		3900.7	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	85			Percent of total billed charges		4088.5	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1443	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	1346.8	4329	zero instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)"	45398	CPT				Outpatient	Facility			4810	4810	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	68			Percent of total billed charges		3270.8	90			Percent of total billed charges		4329		3900.7		Case rate		3900.7	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	85			Percent of total billed charges		4088.5	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1443	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	1346.8	4329	one or more instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with control of bleeding, any method"	45382	CPT				Outpatient	Facility			2635.16	2635.16	27			Percent of total billed charges		737.8448	90			Percent of total billed charges		2371.64	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	68			Percent of total billed charges		1791.91	90			Percent of total billed charges		2371.64		3900.7		Case rate		3900.7	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	90			Percent of total billed charges		2371.64	80			Percent of total billed charges		2108.13	27			Percent of total billed charges		737.8448	85			Percent of total billed charges		2239.89	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		790.55	80			Percent of total billed charges		2108.13	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	90			Percent of total billed charges		2371.64	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	27			Percent of total billed charges		737.8448	737.8448	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	45381	CPT				Outpatient	Facility			4810	4810	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	68			Percent of total billed charges		3270.8	90			Percent of total billed charges		4329		3900.7		Case rate		3900.7	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	85			Percent of total billed charges		4088.5	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1443	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	1346.8	4329	one or more instances of the item or service in the 12 months prior to posting the file
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	45385	CPT				Outpatient	Facility			4810	4810	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	68			Percent of total billed charges		3270.8	90			Percent of total billed charges		4329		3900.7		Case rate		3900.7	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	85			Percent of total billed charges		4088.5	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1443	80			Percent of total billed charges		3848	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	90			Percent of total billed charges		4329	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	27			Percent of total billed charges		1346.8	1346.8	4329	zero instances of the item or service in the 12 months prior to posting the file
"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)"	57273	CPT				Outpatient	Facility			21599	21599	27			Percent of total billed charges		6047.72	90			Percent of total billed charges		19439.1	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	68			Percent of total billed charges		14687.32	90			Percent of total billed charges		19439.1		11713.38		Case rate		11713.38	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	90			Percent of total billed charges		19439.1	80			Percent of total billed charges		17279.2	27			Percent of total billed charges		6047.72	85			Percent of total billed charges		18359.15	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6479.7	80			Percent of total billed charges		17279.2	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	90			Percent of total billed charges		19439.1	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	27			Percent of total billed charges		6047.72	6047.72	19439.1	one or more instances of the item or service in the 12 months prior to posting the file
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen"	82542	CPT				Outpatient	Facility			377	377	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	68			Percent of total billed charges		256.36	90			Percent of total billed charges		339.3		100.26		Case rate		100.26	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	85			Percent of total billed charges		320.45	27			Percent of total billed charges		105.56	27			Percent of total billed charges		113.1	80			Percent of total billed charges		271.6	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	90			Percent of total billed charges		339.3	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	27			Percent of total billed charges		105.56	105.56	339.3	one or more instances of the item or service in the 12 months prior to posting the file
"Complement; antigen, each component"	86160	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		49.96		Case rate		49.96	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	49.96	one or more instances of the item or service in the 12 months prior to posting the file
"Complement; functional activity, each component"	86161	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		49.96		Case rate		49.96	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	49.96	one or more instances of the item or service in the 12 months prior to posting the file
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)"	80053	CPT				Outpatient	Facility			119	119	27			Percent of total billed charges		33.32	90			Percent of total billed charges		107.1	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	68			Percent of total billed charges		80.92	90			Percent of total billed charges		107.1		43.92		Case rate		43.92	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	90			Percent of total billed charges		107.1	80			Percent of total billed charges		95.2	27			Percent of total billed charges		33.32	85			Percent of total billed charges		101.15	27			Percent of total billed charges		33.32	27			Percent of total billed charges		35.7	80			Percent of total billed charges		95.2	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	90			Percent of total billed charges		107.1	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	27			Percent of total billed charges		33.32	33.32	107.1	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	74174	CPT				Outpatient	Facility			2012	2012	27			Percent of total billed charges		563.36	90			Percent of total billed charges		1810.8	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	68			Percent of total billed charges		1368.16	90			Percent of total billed charges		1810.8		1949.05		Case rate		1949.05	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	90			Percent of total billed charges		1810.8	80			Percent of total billed charges		1609.6	27			Percent of total billed charges		563.36	85			Percent of total billed charges		1710.2	27			Percent of total billed charges		563.36	27			Percent of total billed charges		603.6	80			Percent of total billed charges		1609.6	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	90			Percent of total billed charges		1810.8	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	27			Percent of total billed charges		563.36	563.36	1949.05	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	75635	CPT				Outpatient	Facility			2322.65	2322.65	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	68			Percent of total billed charges		1579.4	90			Percent of total billed charges		2090.38		1616.9		Case rate		1616.9	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	85			Percent of total billed charges		1974.25	27			Percent of total billed charges		650.342	27			Percent of total billed charges		696.8	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	650.342	2090.38	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	70496	CPT				Outpatient	Facility			2377	2377	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	68			Percent of total billed charges		1616.36	90			Percent of total billed charges		2139.3		1252.63		Case rate		1252.63	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	80			Percent of total billed charges		1901.6	27			Percent of total billed charges		665.56	85			Percent of total billed charges		2020.45	27			Percent of total billed charges		665.56	27			Percent of total billed charges		713.1	80			Percent of total billed charges		1901.6	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	665.56	2139.3	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)"	75574	CPT				Outpatient	Facility			2786.06	2786.06	27			Percent of total billed charges		808.0968	90			Percent of total billed charges		2597.45	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	68			Percent of total billed charges		1962.52	90			Percent of total billed charges		2597.45		1317.49		Case rate		1317.49	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	90			Percent of total billed charges		2597.45	80			Percent of total billed charges		2278.85	27			Percent of total billed charges		808.0968	85			Percent of total billed charges		2453.15	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		865.82	80			Percent of total billed charges		2278.85	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	90			Percent of total billed charges		2597.45	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	27			Percent of total billed charges		808.0968	808.0968	2597.45	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	70498	CPT				Outpatient	Facility			2377	2377	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	68			Percent of total billed charges		1616.36	90			Percent of total billed charges		2139.3		1251.5		Case rate		1251.5	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	80			Percent of total billed charges		1901.6	27			Percent of total billed charges		665.56	85			Percent of total billed charges		2020.45	27			Percent of total billed charges		665.56	27			Percent of total billed charges		713.1	80			Percent of total billed charges		1901.6	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	90			Percent of total billed charges		2139.3	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	27			Percent of total billed charges		665.56	665.56	2139.3	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	72191	CPT				Outpatient	Facility			2322.65	2322.65	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	68			Percent of total billed charges		1579.4	90			Percent of total billed charges		2090.38		1356.38		Case rate		1356.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	85			Percent of total billed charges		1974.25	27			Percent of total billed charges		650.342	27			Percent of total billed charges		696.8	80			Percent of total billed charges		1858.12	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	90			Percent of total billed charges		2090.38	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	27			Percent of total billed charges		650.342	650.342	2090.38	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen and pelvis; with contrast material(s)"	74177	CPT				Outpatient	Facility			1576.93	1576.93	27			Percent of total billed charges		441.5404	90			Percent of total billed charges		1419.24	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	68			Percent of total billed charges		1072.31	90			Percent of total billed charges		1419.24		1553.33		Case rate		1553.33	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	90			Percent of total billed charges		1419.24	80			Percent of total billed charges		1261.54	27			Percent of total billed charges		441.5404	85			Percent of total billed charges		1340.39	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		473.08	80			Percent of total billed charges		1261.54	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	90			Percent of total billed charges		1419.24	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	27			Percent of total billed charges		441.5404	441.5404	1553.33	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen and pelvis; without contrast material"	74176	CPT				Outpatient	Facility			1143.3	1143.3	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	68			Percent of total billed charges		777.44	90			Percent of total billed charges		1027.97		706.25		Case rate		706.25	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	85			Percent of total billed charges		971.8	27			Percent of total billed charges		320.124	27			Percent of total billed charges		342.99	80			Percent of total billed charges		914.64	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	90			Percent of total billed charges		1027.97	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	27			Percent of total billed charges		320.124	320.124	1027.97	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen; with contrast material(s)"	74160	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		1198.09		Case rate		1198.09	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen; without contrast material"	74150	CPT				Outpatient	Facility			1507.92	1507.92	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	68			Percent of total billed charges		1025.39	90			Percent of total billed charges		1357.13		563.2		Case rate		563.2	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	80			Percent of total billed charges		1206.34	27			Percent of total billed charges		422.2176	85			Percent of total billed charges		1271.73	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		452.38	80			Percent of total billed charges		1206.34	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	422.2176	1357.13	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections"	74170	CPT				Outpatient	Facility			2335.01	2335.01	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	68			Percent of total billed charges		1587.81	90			Percent of total billed charges		2101.51		1276		Case rate		1276	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	85			Percent of total billed charges		1984.76	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		700.5	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	653.8027	2101.51	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections"	72127	CPT				Outpatient	Facility			2338	2338	27			Percent of total billed charges		654.64	90			Percent of total billed charges		2104.2	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	68			Percent of total billed charges		1589.84	90			Percent of total billed charges		2104.2		963.55		Case rate		963.55	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	90			Percent of total billed charges		2104.2	80			Percent of total billed charges		1870.4	27			Percent of total billed charges		654.64	85			Percent of total billed charges		1987.3	27			Percent of total billed charges		654.64	27			Percent of total billed charges		701.4	80			Percent of total billed charges		1870.4	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	90			Percent of total billed charges		2104.2	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	27			Percent of total billed charges		654.64	654.64	2104.2	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, head or brain; with contrast material(s)"	70460	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		662.21		Case rate		662.21	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, head or brain; without contrast material"	70450	CPT				Outpatient	Facility			1107.25	1107.25	27			Percent of total billed charges		310.03	90			Percent of total billed charges		996.52	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	68			Percent of total billed charges		752.93	90			Percent of total billed charges		996.52		457.53		Case rate		457.53	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	90			Percent of total billed charges		996.52	80			Percent of total billed charges		885.8	27			Percent of total billed charges		310.03	85			Percent of total billed charges		941.16	27			Percent of total billed charges		310.03	27			Percent of total billed charges		332.18	80			Percent of total billed charges		885.8	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	90			Percent of total billed charges		996.52	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	27			Percent of total billed charges		310.03	310.03	996.52	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections"	70470	CPT				Outpatient	Facility			2335.01	2335.01	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	68			Percent of total billed charges		1587.81	90			Percent of total billed charges		2101.51		794.25		Case rate		794.25	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	85			Percent of total billed charges		1984.76	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		700.5	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	653.8027	2101.51	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium"	75571	CPT				Outpatient	Facility			447.02	447.02	27			Percent of total billed charges		125.1656	90			Percent of total billed charges		402.32	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	68			Percent of total billed charges		273.97	90			Percent of total billed charges		402.32		492.75		Case rate		492.75	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	90			Percent of total billed charges		402.32	80			Percent of total billed charges		357.62	27			Percent of total billed charges		125.1656	85			Percent of total billed charges		379.97	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		134.11	80			Percent of total billed charges		357.62	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	90			Percent of total billed charges		402.32	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	27			Percent of total billed charges		125.1656	125.1656	492.75	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lower extremity; without contrast material"	73700	CPT				Outpatient	Facility			1055.75	1055.75	27			Percent of total billed charges		295.61	90			Percent of total billed charges		950.18	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	68			Percent of total billed charges		717.91	90			Percent of total billed charges		950.18		572.01		Case rate		572.01	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	90			Percent of total billed charges		950.18	80			Percent of total billed charges		844.6	27			Percent of total billed charges		295.61	85			Percent of total billed charges		897.39	27			Percent of total billed charges		295.61	27			Percent of total billed charges		316.72	80			Percent of total billed charges		844.6	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	90			Percent of total billed charges		950.18	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	27			Percent of total billed charges		295.61	295.61	950.18	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections"	73702	CPT				Outpatient	Facility			2362.01	2362	27			Percent of total billed charges		661.36	90			Percent of total billed charges		2125.8	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	68			Percent of total billed charges		1606.16	90			Percent of total billed charges		2125.8		959.14		Case rate		959.14	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	90			Percent of total billed charges		2125.8	80			Percent of total billed charges		1889.6	27			Percent of total billed charges		661.36	85			Percent of total billed charges		2007.7	27			Percent of total billed charges		661.36	27			Percent of total billed charges		708.6	80			Percent of total billed charges		1889.6	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	90			Percent of total billed charges		2125.8	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	27			Percent of total billed charges		661.36	661.36	2125.8	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	70488	CPT				Outpatient	Facility			2335.01	2335.01	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	68			Percent of total billed charges		1587.81	90			Percent of total billed charges		2101.51		875.71		Case rate		875.71	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	85			Percent of total billed charges		1984.76	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		700.5	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	653.8027	2101.51	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)"	70481	CPT				Outpatient	Facility			1910	1910	27			Percent of total billed charges		534.8	90			Percent of total billed charges		1719	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	68			Percent of total billed charges		1298.8	90			Percent of total billed charges		1719		888.92		Case rate		888.92	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	90			Percent of total billed charges		1719	80			Percent of total billed charges		1527	27			Percent of total billed charges		534.8	85			Percent of total billed charges		1623.5	27			Percent of total billed charges		534.8	27			Percent of total billed charges		573	80			Percent of total billed charges		1527	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	90			Percent of total billed charges		1719	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	27			Percent of total billed charges		534.8	534.8	1719	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, pelvis; with contrast material(s)"	72193	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		1200.3		Case rate		1200.3	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, pelvis; without contrast material"	72192	CPT				Outpatient	Facility			1632.55	1632.55	27			Percent of total billed charges		457.114	90			Percent of total billed charges		1469.3	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	68			Percent of total billed charges		1110.13	90			Percent of total billed charges		1469.3		569.81		Case rate		569.81	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	90			Percent of total billed charges		1469.3	80			Percent of total billed charges		1276.04	27			Percent of total billed charges		457.114	85			Percent of total billed charges		1387.67	27			Percent of total billed charges		457.114	27			Percent of total billed charges		489.76	80			Percent of total billed charges		1276.04	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	90			Percent of total billed charges		1469.3	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	27			Percent of total billed charges		457.114	457.114	1469.3	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections"	72194	CPT				Outpatient	Facility			2335.01	2335.01	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	68			Percent of total billed charges		1587.81	90			Percent of total billed charges		2101.51		1272.72		Case rate		1272.72	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	85			Percent of total billed charges		1984.76	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		700.5	80			Percent of total billed charges		1868.01	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	90			Percent of total billed charges		2101.51	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	27			Percent of total billed charges		653.8027	653.8027	2101.51	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, soft tissue neck; without contrast material"	70490	CPT				Outpatient	Facility			1543	1543	27			Percent of total billed charges		432.04	90			Percent of total billed charges		1388.7	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	68			Percent of total billed charges		1049.24	90			Percent of total billed charges		1388.7		627.05		Case rate		627.05	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	90			Percent of total billed charges		1388.7	80			Percent of total billed charges		1234.4	27			Percent of total billed charges		432.04	85			Percent of total billed charges		1311.55	27			Percent of total billed charges		432.04	27			Percent of total billed charges		462.9	80			Percent of total billed charges		1234.4	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	90			Percent of total billed charges		1388.7	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	27			Percent of total billed charges		432.04	432.04	1388.7	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thoracic spine; without contrast material"	72127	CPT				Outpatient	Facility			1670	1670	27			Percent of total billed charges		467.6	90			Percent of total billed charges		1503	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	68			Percent of total billed charges		1135.6	90			Percent of total billed charges		1503		574.21		Case rate		574.21	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	90			Percent of total billed charges		1503	80			Percent of total billed charges		1336	27			Percent of total billed charges		467.6	85			Percent of total billed charges		1419.5	27			Percent of total billed charges		467.6	27			Percent of total billed charges		501	80			Percent of total billed charges		1336	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	90			Percent of total billed charges		1503	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	27			Percent of total billed charges		467.6	467.6	1503	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thorax, diagnostic; with contrast material(s)"	71260	CPT				Outpatient	Facility			1380.2	1380.2	27			Percent of total billed charges		386.456	90			Percent of total billed charges		1242.18	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	68			Percent of total billed charges		938.54	90			Percent of total billed charges		1242.18		778.9		Case rate		778.9	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	90			Percent of total billed charges		1242.18	80			Percent of total billed charges		1104.16	27			Percent of total billed charges		386.456	85			Percent of total billed charges		1173.17	27			Percent of total billed charges		386.456	27			Percent of total billed charges		414.06	80			Percent of total billed charges		1104.16	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	90			Percent of total billed charges		1242.18	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	27			Percent of total billed charges		386.456	386.456	1242.18	zero instances of the item or service in the 12 months prior to posting the file
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	71270	CPT				Outpatient	Facility			2385.48	2385.48	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	68			Percent of total billed charges		1622.13	90			Percent of total billed charges		2146.93		963.55		Case rate		963.55	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	85			Percent of total billed charges		2027.66	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		715.64	80			Percent of total billed charges		1908.38	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	90			Percent of total billed charges		2146.93	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	27			Percent of total billed charges		667.9344	667.9344	2146.93	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, upper extremity; with contrast material(s)"	73201	CPT				Outpatient	Facility			1971.42	1971.42	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	68			Percent of total billed charges		1340.57	90			Percent of total billed charges		1774.27		1027.56		Case rate		1027.56	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	85			Percent of total billed charges		1675.71	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		591.43	80			Percent of total billed charges		1577.14	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	90			Percent of total billed charges		1774.27	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	27			Percent of total billed charges		551.9976	551.9976	1774.27	one or more instances of the item or service in the 12 months prior to posting the file
"Computed tomography, upper extremity; without contrast material"	73200	CPT				Outpatient	Facility			1507.92	1507.92	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	68			Percent of total billed charges		1025.39	90			Percent of total billed charges		1357.13		756.88		Case rate		756.88	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	80			Percent of total billed charges		1206.34	27			Percent of total billed charges		422.2176	85			Percent of total billed charges		1271.73	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		452.38	80			Percent of total billed charges		1206.34	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	90			Percent of total billed charges		1357.13	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	27			Percent of total billed charges		422.2176	422.2176	1357.13	one or more instances of the item or service in the 12 months prior to posting the file
"Concentration (any type), for infectious agents"	87015	CPT				Outpatient	Facility			91	91	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	68			Percent of total billed charges		61.88	90			Percent of total billed charges		81.9		27.77		Case rate		27.77	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	85			Percent of total billed charges		77.35	27			Percent of total billed charges		25.48	27			Percent of total billed charges		27.3	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	25.48	81.9	one or more instances of the item or service in the 12 months prior to posting the file
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method"	27901	CPT				Outpatient	Facility			477.5	477.5	27			Percent of total billed charges		133.7	90			Percent of total billed charges		429.75	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	68			Percent of total billed charges		324.7	90			Percent of total billed charges		429.75		414.29		Case rate		414.29	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	90			Percent of total billed charges		429.75	80			Percent of total billed charges		382	27			Percent of total billed charges		133.7	85			Percent of total billed charges		405.88	27			Percent of total billed charges		133.7	27			Percent of total billed charges		143.25	80			Percent of total billed charges		382	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	90			Percent of total billed charges		429.75	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	27			Percent of total billed charges		133.7	133.7	429.75	one or more instances of the item or service in the 12 months prior to posting the file
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method"	27292	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		3900.7		Case rate		3900.7	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Creatine kinase (CK), (CPK); isoenzymes"	82552	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		55.72		Case rate		55.72	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	55.72	one or more instances of the item or service in the 12 months prior to posting the file
"Creatine kinase (CK), (CPK); MB fraction only"	82553	CPT				Outpatient	Facility			20.6	20.6	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	68			Percent of total billed charges		14.01	90			Percent of total billed charges		18.54		48.04		Case rate		48.04	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	85			Percent of total billed charges		17.51	27			Percent of total billed charges		5.768	27			Percent of total billed charges		6.18	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	5.768	48.04	one or more instances of the item or service in the 12 months prior to posting the file
"Creatine kinase (CK), (CPK); total"	82550	CPT				Outpatient	Facility			79	79	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	68			Percent of total billed charges		53.72	90			Percent of total billed charges		71.1		27.1		Case rate		27.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	85			Percent of total billed charges		67.15	27			Percent of total billed charges		22.12	27			Percent of total billed charges		23.7	80			Percent of total billed charges		63.2	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	90			Percent of total billed charges		71.1	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	27			Percent of total billed charges		22.12	22.12	71.1	one or more instances of the item or service in the 12 months prior to posting the file
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)"	82595	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		26.93		Case rate		26.93	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	27.9	one or more instances of the item or service in the 12 months prior to posting the file
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)"	89060	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		73.95		Case rate		73.95	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	73.95	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates"	87070	CPT				Outpatient	Facility			106	106	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	68			Percent of total billed charges		72.08	90			Percent of total billed charges		95.4		35.9		Case rate		35.9	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	85			Percent of total billed charges		90.1	27			Percent of total billed charges		29.68	27			Percent of total billed charges		31.8	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	29.68	95.4	zero instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)"	87040	CPT				Outpatient	Facility			126	126	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	68			Percent of total billed charges		85.68	90			Percent of total billed charges		113.4		42.96		Case rate		42.96	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	85			Percent of total billed charges		107.1	27			Percent of total billed charges		35.27	27			Percent of total billed charges		37.8	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	35.27	113.4	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate"	87046	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		39.29		Case rate		39.29	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species"	87045	CPT				Outpatient	Facility			115	115	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	68			Percent of total billed charges		78.2	90			Percent of total billed charges		103.5		39.29		Case rate		39.29	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	85			Percent of total billed charges		97.75	27			Percent of total billed charges		32.2	27			Percent of total billed charges		34.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	32.2	103.5	zero instances of the item or service in the 12 months prior to posting the file
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine"	87088	CPT				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8		33.64		Case rate		33.64	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	91.8	zero instances of the item or service in the 12 months prior to posting the file
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood"	87103	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		85.18		Case rate		85.18	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	85.18	zero instances of the item or service in the 12 months prior to posting the file
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail"	87101	CPT				Outpatient	Facility			91	91	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	68			Percent of total billed charges		61.88	90			Percent of total billed charges		81.9		32.06		Case rate		32.06	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	85			Percent of total billed charges		77.35	27			Percent of total billed charges		25.48	27			Percent of total billed charges		27.3	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	25.48	81.9	zero instances of the item or service in the 12 months prior to posting the file
"Culture, fungi, definitive identification, each organism; mold"	87107	CPT				Outpatient	Facility			131.4	131.4	27			Percent of total billed charges		36.792	90			Percent of total billed charges		118.26	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	68			Percent of total billed charges		89.35	90			Percent of total billed charges		118.26		42.96		Case rate		42.96	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	90			Percent of total billed charges		118.26	80			Percent of total billed charges		105.12	27			Percent of total billed charges		36.792	85			Percent of total billed charges		111.69	27			Percent of total billed charges		36.792	27			Percent of total billed charges		39.42	80			Percent of total billed charges		105.12	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	90			Percent of total billed charges		118.26	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	27			Percent of total billed charges		36.792	36.792	118.26	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, fungi, definitive identification, each organism; yeast"	87106	CPT				Outpatient	Facility			152	152	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	68			Percent of total billed charges		103.36	90			Percent of total billed charges		136.8		42.96		Case rate		42.96	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	85			Percent of total billed charges		129.2	27			Percent of total billed charges		42.56	27			Percent of total billed charges		45.6	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	42.56	136.8	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, presumptive, pathogenic organisms, screening only"	87081	CPT				Outpatient	Facility			32	32	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	68			Percent of total billed charges		21.76	90			Percent of total billed charges		27.8		27.6		Case rate		27.6	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	80			Percent of total billed charges		25.6	27			Percent of total billed charges		8.96	85			Percent of total billed charges		27.2	27			Percent of total billed charges		8.96	27			Percent of total billed charges		9.6	80			Percent of total billed charges		25.6	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	90			Percent of total billed charges		27.8	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	27			Percent of total billed charges		8.96	8.96	27.8	zero instances of the item or service in the 12 months prior to posting the file
"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)"	87153	CPT				Outpatient	Facility			195	195	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	68			Percent of total billed charges		132.6	90			Percent of total billed charges		175.5		480.05		Case rate		480.05	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	80			Percent of total billed charges		156	27			Percent of total billed charges		54.6	85			Percent of total billed charges		165.75	27			Percent of total billed charges		54.6	27			Percent of total billed charges		58.5	80			Percent of total billed charges		156	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	90			Percent of total billed charges		175.5	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	27			Percent of total billed charges		54.6	54.6	480.05	one or more instances of the item or service in the 12 months prior to posting the file
"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcription, when performed, per culture or isolate, 6 or more targets"	87154	CPT				Outpatient	Facility			708	708	27			Percent of total billed charges		198.24	90			Percent of total billed charges		637.2	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	68			Percent of total billed charges		481.44	90			Percent of total billed charges		637.2		104.32		Case rate		104.32	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	90			Percent of total billed charges		637.2	80			Percent of total billed charges		566.4	27			Percent of total billed charges		198.24	85			Percent of total billed charges		601.8	27			Percent of total billed charges		198.24	27			Percent of total billed charges		212.4	80			Percent of total billed charges		566.4	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	90			Percent of total billed charges		637.2	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	27			Percent of total billed charges		198.24	198.24	637.2	one or more instances of the item or service in the 12 months prior to posting the file
"Cyclic citrullinated peptide (CCP), antibody"	86200	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		53.91		Case rate		53.91	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	53.91	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)"	52332	CPT				Outpatient	Facility			9623	9623	27			Percent of total billed charges		2694.44	90			Percent of total billed charges		8660.7	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	68			Percent of total billed charges		6543.64	90			Percent of total billed charges		8660.7		3900.7		Case rate		3900.7	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	90			Percent of total billed charges		8660.7	80			Percent of total billed charges		7698.4	27			Percent of total billed charges		2694.44	85			Percent of total billed charges		8179.55	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2786.9	80			Percent of total billed charges		7698.4	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	90			Percent of total billed charges		8660.7	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	27			Percent of total billed charges		2694.44	2694.44	8660.7	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service"	52005	CPT				Outpatient	Facility			6097	6097	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	68			Percent of total billed charges		4145.96	90			Percent of total billed charges		5487.3		3900.7		Case rate		3900.7	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	80			Percent of total billed charges		4877.6	27			Percent of total billed charges		1707.16	85			Percent of total billed charges		5182.45	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1829.1	80			Percent of total billed charges		4877.6	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	90			Percent of total billed charges		5487.3	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	27			Percent of total billed charges		1707.16	1707.16	5487.3	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic"	52351	CPT				Outpatient	Facility			6448	6448	27			Percent of total billed charges		1805.44	90			Percent of total billed charges		5803.2	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	68			Percent of total billed charges		4384.64	90			Percent of total billed charges		5803.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	90			Percent of total billed charges		5803.2	80			Percent of total billed charges		5158.4	27			Percent of total billed charges		1805.44	85			Percent of total billed charges		5480.8	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1934.4	80			Percent of total billed charges		5158.4	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	90			Percent of total billed charges		5803.2	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	27			Percent of total billed charges		1805.44	1805.44	5803.2	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)"	52353	CPT				Outpatient	Facility			14902	14902	27			Percent of total billed charges		4172.56	90			Percent of total billed charges		13411.8	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	68			Percent of total billed charges		10133.36	90			Percent of total billed charges		13411.8		5515.17		Case rate		5515.17	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	90			Percent of total billed charges		13411.8	80			Percent of total billed charges		11921.6	27			Percent of total billed charges		4172.56	85			Percent of total billed charges		12666.7	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4470.6	80			Percent of total billed charges		11921.6	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	90			Percent of total billed charges		13411.8	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	27			Percent of total billed charges		4172.56	4172.56	13411.8	one or more instances of the item or service in the 12 months prior to posting the file
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)"	52356	CPT				Outpatient	Facility			12913	12913	27			Percent of total billed charges		3615.64	90			Percent of total billed charges		11621.7	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	68			Percent of total billed charges		8780.84	90			Percent of total billed charges		11621.7		6271.6		Case rate		6271.6	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	90			Percent of total billed charges		11621.7	80			Percent of total billed charges		10327.4	27			Percent of total billed charges		3615.64	85			Percent of total billed charges		10976.05	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3873.9	80			Percent of total billed charges		10327.4	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	90			Percent of total billed charges		11621.7	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	27			Percent of total billed charges		3615.64	3615.64	11621.7	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	97598	CPT				Outpatient	Facility			598.9	598.9	27			Percent of total billed charges		167.692	90			Percent of total billed charges		539.01	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	68			Percent of total billed charges		407.25	90			Percent of total billed charges		539.01		272.87		Case rate		272.87	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	90			Percent of total billed charges		539.01	80			Percent of total billed charges		479.12	27			Percent of total billed charges		167.692	85			Percent of total billed charges		509.06	27			Percent of total billed charges		167.692	27			Percent of total billed charges		179.67	80			Percent of total billed charges		479.12	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	90			Percent of total billed charges		539.01	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	27			Percent of total billed charges		167.692	167.692	539.01	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less"	97597	CPT				Outpatient	Facility			816.2	816.2	27			Percent of total billed charges		227.536	90			Percent of total billed charges		734.58	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	68			Percent of total billed charges		555.02	90			Percent of total billed charges		734.58		565.69		Case rate		565.69	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	90			Percent of total billed charges		734.58	80			Percent of total billed charges		652.96	27			Percent of total billed charges		227.536	85			Percent of total billed charges		693.77	27			Percent of total billed charges		227.536	27			Percent of total billed charges		244.86	80			Percent of total billed charges		652.96	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	90			Percent of total billed charges		734.58	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	27			Percent of total billed charges		227.536	227.536	734.58	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle"	11011	CPT				Outpatient	Facility			879	879	27			Percent of total billed charges		246.12	90			Percent of total billed charges		791.1	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	68			Percent of total billed charges		597.72	90			Percent of total billed charges		791.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	90			Percent of total billed charges		791.1	80			Percent of total billed charges		703.2	27			Percent of total billed charges		246.12	85			Percent of total billed charges		747.15	27			Percent of total billed charges		246.12	27			Percent of total billed charges		263.7	80			Percent of total billed charges		703.2	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	90			Percent of total billed charges		791.1	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	27			Percent of total billed charges		246.12	246.12	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone"	11012	CPT				Outpatient	Facility			5682.66	5682.66	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	68			Percent of total billed charges		3864.21	90			Percent of total billed charges		5114.39		3900.7		Case rate		3900.7	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	85			Percent of total billed charges		4827.26	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1704.8	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	1591.1448	5114.39	one or more instances of the item or service in the 12 months prior to posting the file
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less"	11044	CPT				Outpatient	Facility			4123.4	4123.4	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	68			Percent of total billed charges		2703.91	90			Percent of total billed charges		3711.06		3900.7		Case rate		3900.7	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	85			Percent of total billed charges		3504.89	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1237.02	80			Percent of total billed charges		3298.72	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	90			Percent of total billed charges		3711.06	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	27			Percent of total billed charges		1154.552	1154.552	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output"	99465	CPT				Outpatient	Facility			1869.84	1869.84	27			Percent of total billed charges		523.5552	90			Percent of total billed charges		1682.86	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	68			Percent of total billed charges		1271.49	90			Percent of total billed charges		1682.86	100			Percent of total billed charges		1869.84	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	90			Percent of total billed charges		1682.86	80			Percent of total billed charges		1495.87	27			Percent of total billed charges		523.5552	85			Percent of total billed charges		1589.36	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		560.95	80			Percent of total billed charges		1495.87	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	90			Percent of total billed charges		1682.86	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	27			Percent of total billed charges		523.5552	523.5552	1869.84	one or more instances of the item or service in the 12 months prior to posting the file
"Deoxycortisol, 11-"	82634	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		121.82		Case rate		121.82	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	121.82	zero instances of the item or service in the 12 months prior to posting the file
"Desoxycorticosterone, 11-"	82633	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		127.93		Case rate		127.93	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	127.93	zero instances of the item or service in the 12 months prior to posting the file
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)"	64634	CPT				Outpatient	Facility			963.54	963.54	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	68			Percent of total billed charges		655.21	90			Percent of total billed charges		867.19		788.38		Case rate		788.38	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	85			Percent of total billed charges		819.01	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		279.06	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	269.7912	867.19	one or more instances of the item or service in the 12 months prior to posting the file
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	77066	CPT				Outpatient	Facility			573.71	573.71	27			Percent of total billed charges		160.6388	90			Percent of total billed charges		516.34	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	68			Percent of total billed charges		390.12	90			Percent of total billed charges		516.34		494.95		Case rate		494.95	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	90			Percent of total billed charges		516.34	80			Percent of total billed charges		458.97	27			Percent of total billed charges		160.6388	85			Percent of total billed charges		487.65	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		172.11	80			Percent of total billed charges		458.97	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	90			Percent of total billed charges		516.34	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	27			Percent of total billed charges		160.6388	160.6388	516.34	one or more instances of the item or service in the 12 months prior to posting the file
"Doppler velocimetry, fetal; umbilical artery"	76820	CPT				Outpatient	Facility			318	318	27			Percent of total billed charges		89.04	90			Percent of total billed charges		276.2	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	68			Percent of total billed charges		216.24	90			Percent of total billed charges		276.2		105.79		Case rate		105.79	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	90			Percent of total billed charges		276.2	80			Percent of total billed charges		254.4	27			Percent of total billed charges		89.04	85			Percent of total billed charges		270.3	27			Percent of total billed charges		89.04	27			Percent of total billed charges		95.4	80			Percent of total billed charges		254.4	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	90			Percent of total billed charges		276.2	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	27			Percent of total billed charges		89.04	89.04	276.2	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach"	58800	CPT				Outpatient	Facility			7129	7129	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	68			Percent of total billed charges		4847.72	90			Percent of total billed charges		6416.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	85			Percent of total billed charges		6059.65	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		2138.7	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	1996.12	6416.1	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open"	49020	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Drainage of tendon sheath, digit and/or palm, each"	26020	CPT				Outpatient	Facility			4553	4553	27			Percent of total billed charges		1274.84	90			Percent of total billed charges		4097.7	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	68			Percent of total billed charges		2796.04	90			Percent of total billed charges		4097.7		3900.7		Case rate		3900.7	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	90			Percent of total billed charges		4097.7	80			Percent of total billed charges		3642.4	27			Percent of total billed charges		1274.84	85			Percent of total billed charges		3870.05	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1365.9	80			Percent of total billed charges		3642.4	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	90			Percent of total billed charges		4097.7	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	27			Percent of total billed charges		1274.84	1274.84	4097.7	one or more instances of the item or service in the 12 months prior to posting the file
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)"	16025	CPT				Outpatient	Facility			836.34	836.34	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	68			Percent of total billed charges		568.71	90			Percent of total billed charges		752.71		565.69		Case rate		565.69	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	80			Percent of total billed charges		669.07	27			Percent of total billed charges		234.1752	85			Percent of total billed charges		710.89	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		250.9	80			Percent of total billed charges		669.07	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	90			Percent of total billed charges		752.71	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	27			Percent of total billed charges		234.1752	234.1752	752.71	one or more instances of the item or service in the 12 months prior to posting the file
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)"	16020	CPT				Outpatient	Facility			613.74	613.74	27			Percent of total billed charges		171.8472	90			Percent of total billed charges		552.37	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	68			Percent of total billed charges		417.34	90			Percent of total billed charges		552.37		565.69		Case rate		565.69	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	90			Percent of total billed charges		552.37	80			Percent of total billed charges		490.99	27			Percent of total billed charges		171.8472	85			Percent of total billed charges		521.68	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		184.12	80			Percent of total billed charges		490.99	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	90			Percent of total billed charges		552.37	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	27			Percent of total billed charges		171.8472	171.8472	565.69	one or more instances of the item or service in the 12 months prior to posting the file
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service"	80277	CPT				Outpatient	Facility			176	176	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	68			Percent of total billed charges		119.68	90			Percent of total billed charges		158.4		258.6		Case rate		258.6	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	85			Percent of total billed charges		149.6	27			Percent of total billed charges		49.27	27			Percent of total billed charges		52.8	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	49.27	258.6	zero instances of the item or service in the 12 months prior to posting the file
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service"	80275	CPT				Outpatient	Facility			34	34	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	68			Percent of total billed charges		23.12	90			Percent of total billed charges		27.6		52.44		Case rate		52.44	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	80			Percent of total billed charges		27.2	27			Percent of total billed charges		9.52	85			Percent of total billed charges		27.9	27			Percent of total billed charges		9.52	27			Percent of total billed charges		10.2	80			Percent of total billed charges		27.2	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	90			Percent of total billed charges		27.6	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	27			Percent of total billed charges		9.52	9.52	52.44	zero instances of the item or service in the 12 months prior to posting the file
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)"	77081	CPT				Outpatient	Facility			206	206	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	68			Percent of total billed charges		140.08	90			Percent of total billed charges		185.4		120.41		Case rate		120.41	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	85			Percent of total billed charges		175.1	27			Percent of total billed charges		57.68	27			Percent of total billed charges		61.8	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	57.68	185.4	one or more instances of the item or service in the 12 months prior to posting the file
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	77080	CPT				Outpatient	Facility			325.48	325.48	27			Percent of total billed charges		91.1344	90			Percent of total billed charges		292.93	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	68			Percent of total billed charges		221.33	90			Percent of total billed charges		292.93		156.76		Case rate		156.76	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	90			Percent of total billed charges		292.93	80			Percent of total billed charges		260.38	27			Percent of total billed charges		91.1344	85			Percent of total billed charges		276.66	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		97.64	80			Percent of total billed charges		260.38	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	90			Percent of total billed charges		292.93	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	27			Percent of total billed charges		91.1344	91.1344	292.93	one or more instances of the item or service in the 12 months prior to posting the file
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study"	93975	CPT				Outpatient	Facility			1626	1626	27			Percent of total billed charges		455.27	90			Percent of total billed charges		1463.4	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	68			Percent of total billed charges		1105.68	90			Percent of total billed charges		1463.4		1678.54		Case rate		1678.54	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	90			Percent of total billed charges		1463.4	80			Percent of total billed charges		1270.8	27			Percent of total billed charges		455.27	85			Percent of total billed charges		1382.1	27			Percent of total billed charges		455.27	27			Percent of total billed charges		487.8	80			Percent of total billed charges		1270.8	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	90			Percent of total billed charges		1463.4	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	27			Percent of total billed charges		455.27	455.27	1678.54	one or more instances of the item or service in the 12 months prior to posting the file
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report"	93312	CPT				Outpatient	Facility			2415.74	2415.74	27			Percent of total billed charges		676.4072	90			Percent of total billed charges		2174.17	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	68			Percent of total billed charges		1642.7	90			Percent of total billed charges		2174.17		1604.93		Case rate		1604.93	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	90			Percent of total billed charges		2174.17	80			Percent of total billed charges		1932.59	27			Percent of total billed charges		676.4072	85			Percent of total billed charges		2053.38	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		724.72	80			Percent of total billed charges		1932.59	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	90			Percent of total billed charges		2174.17	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	27			Percent of total billed charges		676.4072	676.4072	2174.17	one or more instances of the item or service in the 12 months prior to posting the file
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report"	92705	CPT				Outpatient	Facility			133.9	133.9	27			Percent of total billed charges		37.492	90			Percent of total billed charges		120.51	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	68			Percent of total billed charges		91.05	90			Percent of total billed charges		120.51		91		Case rate		91	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	90			Percent of total billed charges		120.51	80			Percent of total billed charges		107.12	27			Percent of total billed charges		37.492	85			Percent of total billed charges		113.82	27			Percent of total billed charges		37.492	27			Percent of total billed charges		40.17	80			Percent of total billed charges		107.12	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	90			Percent of total billed charges		120.51	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	27			Percent of total billed charges		37.492	37.492	120.51	zero instances of the item or service in the 12 months prior to posting the file
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement"	93640	CPT				Outpatient	Facility			2459	2459	27			Percent of total billed charges		688.52	90			Percent of total billed charges		2213.1	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	68			Percent of total billed charges		1672.12	90			Percent of total billed charges		2213.1		2235.42		Case rate		2235.42	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	90			Percent of total billed charges		2213.1	80			Percent of total billed charges		1967.2	27			Percent of total billed charges		688.52	85			Percent of total billed charges		2090.15	27			Percent of total billed charges		688.52	27			Percent of total billed charges		737.7	80			Percent of total billed charges		1967.2	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	90			Percent of total billed charges		2213.1	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	27			Percent of total billed charges		688.52	688.52	2235.42	one or more instances of the item or service in the 12 months prior to posting the file
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making"	99273	CPT				Outpatient	Facility			1003.82	1003.82	27			Percent of total billed charges		271.0696	90			Percent of total billed charges		903.44	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	68			Percent of total billed charges		682.6	90			Percent of total billed charges		903.44	100			Percent of total billed charges		1003.82	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	90			Percent of total billed charges		903.44	80			Percent of total billed charges		803.06	27			Percent of total billed charges		271.0696	85			Percent of total billed charges		853.25	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.15	80			Percent of total billed charges		803.06	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	90			Percent of total billed charges		903.44	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	27			Percent of total billed charges		271.0696	271.0696	1003.82	one or more instances of the item or service in the 12 months prior to posting the file
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making"	99274	CPT				Outpatient	Facility			1207.34	1207.34	27			Percent of total billed charges		338.0552	90			Percent of total billed charges		1086.61	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	68			Percent of total billed charges		820.99	90			Percent of total billed charges		1086.61	100			Percent of total billed charges		1207.34	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	90			Percent of total billed charges		1086.61	80			Percent of total billed charges		965.87	27			Percent of total billed charges		338.0552	85			Percent of total billed charges		1026.24	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		362.2	80			Percent of total billed charges		965.87	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	90			Percent of total billed charges		1086.61	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	27			Percent of total billed charges		338.0552	338.0552	1207.34	one or more instances of the item or service in the 12 months prior to posting the file
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)"	92979	CPT				Outpatient	Facility			240.62	240.62	27			Percent of total billed charges		67.3736	90			Percent of total billed charges		216.56	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	68			Percent of total billed charges		163.62	90			Percent of total billed charges		216.56		2271.93		Case rate		2271.93	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	90			Percent of total billed charges		216.56	80			Percent of total billed charges		192.5	27			Percent of total billed charges		67.3736	85			Percent of total billed charges		204.53	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		72.19	80			Percent of total billed charges		192.5	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	90			Percent of total billed charges		216.56	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	27			Percent of total billed charges		67.3736	67.3736	2271.93	zero instances of the item or service in the 12 months prior to posting the file
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)"	92978	CPT				Outpatient	Facility			4606.76	4606.76	27			Percent of total billed charges		1279.8927	90			Percent of total billed charges		4146.08	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	68			Percent of total billed charges		3132.6	90			Percent of total billed charges		4146.08		4563.87		Case rate		4563.87	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	90			Percent of total billed charges		4146.08	80			Percent of total billed charges		3685.41	27			Percent of total billed charges		1279.8927	85			Percent of total billed charges		3915.75	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1382.03	80			Percent of total billed charges		3685.41	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	90			Percent of total billed charges		4146.08	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	27			Percent of total billed charges		1279.8927	1279.8927	4563.87	zero instances of the item or service in the 12 months prior to posting the file
"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal"	44020	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple"	43239	CPT				Outpatient	Facility			4536.8	4536.8	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	68			Percent of total billed charges		2785.02	90			Percent of total billed charges		4083.12		3900.7		Case rate		3900.7	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	85			Percent of total billed charges		3856.27	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1361.04	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	1270.304	4083.12	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)"	43247	CPT				Outpatient	Facility			4536.8	4536.8	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	68			Percent of total billed charges		2785.02	90			Percent of total billed charges		4083.12		3900.7		Case rate		3900.7	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	85			Percent of total billed charges		3856.27	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1361.04	80			Percent of total billed charges		3629.44	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	90			Percent of total billed charges		4083.12	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	27			Percent of total billed charges		1270.304	1270.304	4083.12	one or more instances of the item or service in the 12 months prior to posting the file
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	43251	CPT				Outpatient	Facility			5774	5774	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	68			Percent of total billed charges		3926.32	90			Percent of total billed charges		5196.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	80			Percent of total billed charges		4619.2	27			Percent of total billed charges		1616.72	85			Percent of total billed charges		4907.9	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1732.2	80			Percent of total billed charges		4619.2	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	90			Percent of total billed charges		5196.6	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	27			Percent of total billed charges		1616.72	1616.72	5196.6	one or more instances of the item or service in the 12 months prior to posting the file
"Estradiol; free, direct measurement (eg, equilibrium dialysis)"	82681	CPT				Outpatient	Facility			227.64	227.64	27			Percent of total billed charges		63.7392	90			Percent of total billed charges		204.88	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	68			Percent of total billed charges		154.8	90			Percent of total billed charges		204.88		116.23		Case rate		116.23	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	90			Percent of total billed charges		204.88	80			Percent of total billed charges		182.11	27			Percent of total billed charges		63.7392	85			Percent of total billed charges		193.49	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		68.29	80			Percent of total billed charges		182.11	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	90			Percent of total billed charges		204.88	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	27			Percent of total billed charges		63.7392	63.7392	204.88	one or more instances of the item or service in the 12 months prior to posting the file
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19270), open, male or female, 1 or more lesions"	19120	CPT				Outpatient	Facility			7875.39	7875.39	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	68			Percent of total billed charges		5355.27	90			Percent of total billed charges		7087.85		4465.2		Case rate		4465.2	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	80			Percent of total billed charges		6270.31	27			Percent of total billed charges		2205.1092	85			Percent of total billed charges		6694.08	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2362.62	80			Percent of total billed charges		6270.31	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	90			Percent of total billed charges		7087.85	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	27			Percent of total billed charges		2205.1092	2205.1092	7087.85	one or more instances of the item or service in the 12 months prior to posting the file
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal"	11750	CPT				Outpatient	Facility			827.92	827.92	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	68			Percent of total billed charges		563.67	90			Percent of total billed charges		746.03		2912.82		Case rate		2912.82	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	80			Percent of total billed charges		663.14	27			Percent of total billed charges		232.0976	85			Percent of total billed charges		704.58	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		248.68	80			Percent of total billed charges		663.14	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	232.0976	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"	11421	CPT				Outpatient	Facility			3686	3686	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	68			Percent of total billed charges		2506.48	90			Percent of total billed charges		3317.4		2912.82		Case rate		2912.82	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	80			Percent of total billed charges		2948.8	27			Percent of total billed charges		1032.08	85			Percent of total billed charges		3133.1	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1105.8	80			Percent of total billed charges		2948.8	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	90			Percent of total billed charges		3317.4	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	27			Percent of total billed charges		1032.08	1032.08	3317.4	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"	11424	CPT				Outpatient	Facility			5682.66	5682.66	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	68			Percent of total billed charges		3864.21	90			Percent of total billed charges		5114.39		3900.7		Case rate		3900.7	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	85			Percent of total billed charges		4827.26	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1704.8	80			Percent of total billed charges		4546.13	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	90			Percent of total billed charges		5114.39	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	27			Percent of total billed charges		1591.1448	1591.1448	5114.39	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm"	11402	CPT				Outpatient	Facility			2779.3	2779.3	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	68			Percent of total billed charges		2093.92	90			Percent of total billed charges		2771.37		2912.82		Case rate		2912.82	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	80			Percent of total billed charges		2463.44	27			Percent of total billed charges		806.204	85			Percent of total billed charges		2617.4	27			Percent of total billed charges		806.204	27			Percent of total billed charges		923.79	80			Percent of total billed charges		2463.44	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	90			Percent of total billed charges		2771.37	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	27			Percent of total billed charges		806.204	806.204	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm"	11403	CPT				Outpatient	Facility			3403.66	3403.66	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	68			Percent of total billed charges		2314.49	90			Percent of total billed charges		2763.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	85			Percent of total billed charges		2793.11	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		1021.1	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	953.0248	2763.29	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm"	11404	CPT				Outpatient	Facility			3403.66	3403.66	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	68			Percent of total billed charges		2314.49	90			Percent of total billed charges		2763.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	85			Percent of total billed charges		2793.11	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		1021.1	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	953.0248	2763.29	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm"	11406	CPT				Outpatient	Facility			4941.72	4941.72	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	68			Percent of total billed charges		3360.37	90			Percent of total billed charges		4447.55		3900.7		Case rate		3900.7	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	85			Percent of total billed charges		4200.46	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1482.52	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	1383.6816	4447.55	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, interdigital (Morton) neuroma, single, each"	27080	CPT				Outpatient	Facility			4592.98	4592.98	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	68			Percent of total billed charges		3123.23	90			Percent of total billed charges		4133.68		4465.2		Case rate		4465.2	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	85			Percent of total billed charges		3904.03	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1377.89	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	1276.0344	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm"	11644	CPT				Outpatient	Facility			2959.52	2959.52	27			Percent of total billed charges		827.6656	90			Percent of total billed charges		2663.57	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	68			Percent of total billed charges		2012.47	90			Percent of total billed charges		2663.57		3900.7		Case rate		3900.7	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	90			Percent of total billed charges		2663.57	80			Percent of total billed charges		2367.62	27			Percent of total billed charges		827.6656	85			Percent of total billed charges		2515.59	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		887.86	80			Percent of total billed charges		2367.62	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	90			Percent of total billed charges		2663.57	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	27			Percent of total billed charges		827.6656	827.6656	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm"	11606	CPT				Outpatient	Facility			4941.72	4941.72	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	68			Percent of total billed charges		3360.37	90			Percent of total billed charges		4447.55		3900.7		Case rate		3900.7	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	85			Percent of total billed charges		4200.46	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1482.52	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	1383.6816	4447.55	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less"	11440	CPT				Outpatient	Facility			3482.1	3482.1	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	68			Percent of total billed charges		2367.83	90			Percent of total billed charges		3133.89		2912.82		Case rate		2912.82	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	80			Percent of total billed charges		2785.68	27			Percent of total billed charges		974.988	85			Percent of total billed charges		2959.78	27			Percent of total billed charges		974.988	27			Percent of total billed charges		1044.63	80			Percent of total billed charges		2785.68	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	90			Percent of total billed charges		3133.89	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	27			Percent of total billed charges		974.988	974.988	3133.89	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, prepatellar bursa"	27340	CPT				Outpatient	Facility			5553	5553	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	68			Percent of total billed charges		3776.04	90			Percent of total billed charges		4997.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	85			Percent of total billed charges		4720.05	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1665.9	80			Percent of total billed charges		4442.4	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	90			Percent of total billed charges		4997.7	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	27			Percent of total billed charges		1554.84	1554.84	4997.7	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater"	27632	CPT				Outpatient	Facility			12370.2	12370.2	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	68			Percent of total billed charges		8411.74	90			Percent of total billed charges		11133.18		3900.7		Case rate		3900.7	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	80			Percent of total billed charges		9896.16	27			Percent of total billed charges		3463.656	85			Percent of total billed charges		10514.67	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3711.06	80			Percent of total billed charges		9896.16	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	3463.656	11133.18	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm"	27618	CPT				Outpatient	Facility			5088	5088	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	68			Percent of total billed charges		3459.84	90			Percent of total billed charges		4579.2		3900.7		Case rate		3900.7	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	80			Percent of total billed charges		4070.4	27			Percent of total billed charges		1424.64	85			Percent of total billed charges		4324.8	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1526.4	80			Percent of total billed charges		4070.4	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	1424.64	4579.2	one or more instances of the item or service in the 12 months prior to posting the file
"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater"	24073	CPT				Outpatient	Facility			8610	8610	27			Percent of total billed charges		2410.8	90			Percent of total billed charges		7749	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	68			Percent of total billed charges		5854.8	90			Percent of total billed charges		7749		3900.7		Case rate		3900.7	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	90			Percent of total billed charges		7749	80			Percent of total billed charges		6888	27			Percent of total billed charges		2410.8	85			Percent of total billed charges		7318.5	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2583	80			Percent of total billed charges		6888	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	90			Percent of total billed charges		7749	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	27			Percent of total billed charges		2410.8	2410.8	7749	one or more instances of the item or service in the 12 months prior to posting the file
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody"	86235	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		74.63		Case rate		74.63	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	74.63	one or more instances of the item or service in the 12 months prior to posting the file
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant"	81241	CPT				Outpatient	Facility			86	86	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	68			Percent of total billed charges		58.48	90			Percent of total billed charges		77.4		345.87		Case rate		345.87	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	85			Percent of total billed charges		73.1	27			Percent of total billed charges		24.08	27			Percent of total billed charges		25.8	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	24.08	345.87	one or more instances of the item or service in the 12 months prior to posting the file
"Fasciectomy, plantar fascia; partial (separate procedure)"	27060	CPT				Outpatient	Facility			10490	10490	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	68			Percent of total billed charges		7133.2	90			Percent of total billed charges		9441		3900.7		Case rate		3900.7	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	80			Percent of total billed charges		8392	27			Percent of total billed charges		2937.2	85			Percent of total billed charges		8916.5	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		3147	80			Percent of total billed charges		8392	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	90			Percent of total billed charges		9441	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	27			Percent of total billed charges		2937.2	2937.2	9441	one or more instances of the item or service in the 12 months prior to posting the file
"Fat or lipids, feces; qualitative"	82705	CPT				Outpatient	Facility			12.7	12.7	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	68			Percent of total billed charges		8.64	90			Percent of total billed charges		11.43		21.23		Case rate		21.23	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	85			Percent of total billed charges		10.8	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.81	80			Percent of total billed charges		10.16	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	90			Percent of total billed charges		11.43	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	27			Percent of total billed charges		3.556	3.556	21.23	one or more instances of the item or service in the 12 months prior to posting the file
"Fibrin degradation products, D-dimer; quantitative"	85379	CPT				Outpatient	Facility			122	122	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	68			Percent of total billed charges		82.96	90			Percent of total billed charges		109.8		42.34		Case rate		42.34	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	85			Percent of total billed charges		103.7	27			Percent of total billed charges		34.16	27			Percent of total billed charges		36.6	80			Percent of total billed charges		97.6	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	90			Percent of total billed charges		109.8	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	27			Percent of total billed charges		34.16	34.16	109.8	one or more instances of the item or service in the 12 months prior to posting the file
"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative"	85362	CPT				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4		27.68		Case rate		27.68	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	41.4	one or more instances of the item or service in the 12 months prior to posting the file
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)"	88185	CPT				Outpatient	Facility			17.08	17.08	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	68			Percent of total billed charges		11.61	90			Percent of total billed charges		15.37		272.19		Case rate		272.19	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	80			Percent of total billed charges		13.66	27			Percent of total billed charges		4.7824	85			Percent of total billed charges		14.52	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		5.12	80			Percent of total billed charges		13.66	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	4.7824	272.19	one or more instances of the item or service in the 12 months prior to posting the file
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker"	88184	CPT				Outpatient	Facility			17.08	17.08	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	68			Percent of total billed charges		11.61	90			Percent of total billed charges		15.37		465.09		Case rate		465.09	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	80			Percent of total billed charges		13.66	27			Percent of total billed charges		4.7824	85			Percent of total billed charges		14.52	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		5.12	80			Percent of total billed charges		13.66	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	90			Percent of total billed charges		15.37	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	27			Percent of total billed charges		4.7824	4.7824	465.09	one or more instances of the item or service in the 12 months prior to posting the file
"Flow cytometry, interpretation; 16 or more markers"	88189	CPT				Outpatient	Facility			120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		615.19		Case rate		615.19	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	615.19	one or more instances of the item or service in the 12 months prior to posting the file
"Fluorescent noninfectious agent antibody; titer, each antibody"	86256	CPT				Outpatient	Facility			42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		73.95		Case rate		73.95	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	73.95	zero instances of the item or service in the 12 months prior to posting the file
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)"	77002	CPT				Outpatient	Facility			386	386	27			Percent of total billed charges		108.08	90			Percent of total billed charges		347.4	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	68			Percent of total billed charges		262.48	90			Percent of total billed charges		347.4		514.77		Case rate		514.77	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	90			Percent of total billed charges		347.4	80			Percent of total billed charges		278.8	27			Percent of total billed charges		108.08	85			Percent of total billed charges		327.1	27			Percent of total billed charges		108.08	27			Percent of total billed charges		115.8	80			Percent of total billed charges		278.8	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	90			Percent of total billed charges		347.4	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	27			Percent of total billed charges		108.08	108.08	514.77	one or more instances of the item or service in the 12 months prior to posting the file
"Gabapentin, whole blood, serum, or plasma"	80171	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	68			Percent of total billed charges		18.77	90			Percent of total billed charges		24.84		90.15		Case rate		90.15	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	85			Percent of total billed charges		23.46	27			Percent of total billed charges		7.727	27			Percent of total billed charges		8.27	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	7.727	90.15	zero instances of the item or service in the 12 months prior to posting the file
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)"	82703	CPT				Outpatient	Facility			217.3	217.3	27			Percent of total billed charges		60.844	90			Percent of total billed charges		195.57	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	68			Percent of total billed charges		147.76	90			Percent of total billed charges		195.57		108.5		Case rate		108.5	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	90			Percent of total billed charges		195.57	80			Percent of total billed charges		173.84	27			Percent of total billed charges		60.844	85			Percent of total billed charges		184.7	27			Percent of total billed charges		60.844	27			Percent of total billed charges		65.19	80			Percent of total billed charges		173.84	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	90			Percent of total billed charges		195.57	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	27			Percent of total billed charges		60.844	60.844	195.57	zero instances of the item or service in the 12 months prior to posting the file
"Gastric emptying imaging study (eg, solid, liquid, or both)"	78264	CPT				Outpatient	Facility			2083.69	2083.69	27			Percent of total billed charges		583.4332	90			Percent of total billed charges		1875.32	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	68			Percent of total billed charges		1416.91	90			Percent of total billed charges		1875.32		1816.79		Case rate		1816.79	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	90			Percent of total billed charges		1875.32	80			Percent of total billed charges		1666.95	27			Percent of total billed charges		583.4332	85			Percent of total billed charges		1771.14	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		625.11	80			Percent of total billed charges		1666.95	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	90			Percent of total billed charges		1875.32	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	27			Percent of total billed charges		583.4332	583.4332	1875.32	one or more instances of the item or service in the 12 months prior to posting the file
"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed"	43753	CPT				Outpatient	Facility			4981.89	4981.89	27			Percent of total billed charges		1394.9292	90			Percent of total billed charges		4483.7	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	68			Percent of total billed charges		3387.69	90			Percent of total billed charges		4483.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	90			Percent of total billed charges		4483.7	80			Percent of total billed charges		3985.51	27			Percent of total billed charges		1394.9292	85			Percent of total billed charges		4234.61	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1494.57	80			Percent of total billed charges		3985.51	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	90			Percent of total billed charges		4483.7	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	27			Percent of total billed charges		1394.9292	1394.9292	4483.7	one or more instances of the item or service in the 12 months prior to posting the file
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class"	86258	CPT				Outpatient	Facility			14.04	14.04	27			Percent of total billed charges		3.9312	90			Percent of total billed charges		12.64	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	68			Percent of total billed charges		9.55	90			Percent of total billed charges		12.64		55.15		Case rate		55.15	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	90			Percent of total billed charges		12.64	80			Percent of total billed charges		11.23	27			Percent of total billed charges		3.9312	85			Percent of total billed charges		11.93	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		4.21	80			Percent of total billed charges		11.23	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	90			Percent of total billed charges		12.64	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	27			Percent of total billed charges		3.9312	3.9312	55.15	one or more instances of the item or service in the 12 months prior to posting the file
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use"	82962	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		13.66		Case rate		13.66	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	21.96	zero instances of the item or service in the 12 months prior to posting the file
"Glucose, body fluid, other than blood"	82945	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		16.37		Case rate		16.37	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	43.92	one or more instances of the item or service in the 12 months prior to posting the file
"Glutamyltransferase, gamma (GGT)"	82977	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		29.97		Case rate		29.97	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	29.97	one or more instances of the item or service in the 12 months prior to posting the file
"Growth hormone, human (HGH) (somatotropin)"	82703	CPT				Outpatient	Facility			102	102	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	68			Percent of total billed charges		69.36	90			Percent of total billed charges		91.8		69.38		Case rate		69.38	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	85			Percent of total billed charges		86.7	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.6	80			Percent of total billed charges		81.6	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	90			Percent of total billed charges		91.8	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27			Percent of total billed charges		27.56	27.56	91.8	one or more instances of the item or service in the 12 months prior to posting the file
"Heavy metal (eg, arsenic, barium, beryllium, bismuth, antimony, mercury); quantitative, each, not elsewhere specified"	82718	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		91.39		Case rate		91.39	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	91.39	one or more instances of the item or service in the 12 months prior to posting the file
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)"	85460	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		32.18		Case rate		32.18	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	32.18	zero instances of the item or service in the 12 months prior to posting the file
"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin"	88740	CPT				Outpatient	Facility			155.1	155.1	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	68			Percent of total billed charges		105.47	90			Percent of total billed charges		139.59		39.01		Case rate		39.01	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	80			Percent of total billed charges		124.08	27			Percent of total billed charges		43.427	85			Percent of total billed charges		131.84	27			Percent of total billed charges		43.427	27			Percent of total billed charges		46.53	80			Percent of total billed charges		124.08	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	90			Percent of total billed charges		139.59	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	27			Percent of total billed charges		43.427	43.427	139.59	one or more instances of the item or service in the 12 months prior to posting the file
"Hemorrhoidectomy, internal and external, 2 or more columns/groups"	46260	CPT				Outpatient	Facility			8135.5	8135.5	27			Percent of total billed charges		2277.94	90			Percent of total billed charges		7321.95	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	68			Percent of total billed charges		5532.14	90			Percent of total billed charges		7321.95		4465.2		Case rate		4465.2	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	90			Percent of total billed charges		7321.95	80			Percent of total billed charges		6508.4	27			Percent of total billed charges		2277.94	85			Percent of total billed charges		6915.18	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2440.65	80			Percent of total billed charges		6508.4	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	90			Percent of total billed charges		7321.95	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	27			Percent of total billed charges		2277.94	2277.94	7321.95	one or more instances of the item or service in the 12 months prior to posting the file
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use"	90744	CPT				Outpatient	Facility			118	118	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	68			Percent of total billed charges		80.24	90			Percent of total billed charges		106.2		184.42		Case rate		184.42	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	80			Percent of total billed charges		94.4	27			Percent of total billed charges		33.04	85			Percent of total billed charges		100.3	27			Percent of total billed charges		33.04	27			Percent of total billed charges		35.4	80			Percent of total billed charges		94.4	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	33.04	184.42	one or more instances of the item or service in the 12 months prior to posting the file
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C272Y, H63D)"	81256	CPT				Outpatient	Facility			212	212	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	68			Percent of total billed charges		144.16	90			Percent of total billed charges		190.8		278.1		Case rate		278.1	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	80			Percent of total billed charges		169.6	27			Percent of total billed charges		59.36	85			Percent of total billed charges		180.2	27			Percent of total billed charges		59.36	27			Percent of total billed charges		63.6	80			Percent of total billed charges		169.6	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	90			Percent of total billed charges		190.8	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	27			Percent of total billed charges		59.36	59.36	278.1	one or more instances of the item or service in the 12 months prior to posting the file
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen"	86812	CPT				Outpatient	Facility			112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		164.1		Case rate		164.1	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	164.1	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y)"	81112	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex], antigen CD41 [GPIIb]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-3a/b (I843S)"	81107	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa, antigen CD61] [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-6a/b (R489Q)"	81110	CPT				Outpatient	Facility			118.29	118.29	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	68			Percent of total billed charges		80.44	90			Percent of total billed charges		106.46		576.19		Case rate		576.19	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	85			Percent of total billed charges		100.55	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		35.49	80			Percent of total billed charges		94.63	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	90			Percent of total billed charges		106.46	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	27			Percent of total billed charges		33.1212	33.1212	576.19	one or more instances of the item or service in the 12 months prior to posting the file
"Hydroxycorticosteroids, 17- (17-OHCS)"	83491	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		74.51		Case rate		74.51	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	74.51	zero instances of the item or service in the 12 months prior to posting the file
"Hydroxyindolacetic acid, 5-(HIAA)"	83497	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		53.68		Case rate		53.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	53.68	one or more instances of the item or service in the 12 months prior to posting the file
"Hydroxyprogesterone, 17-d"	83498	CPT				Outpatient	Facility			97	97	27			Percent of total billed charges		27.16	90			Percent of total billed charges		87.3	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	68			Percent of total billed charges		65.96	90			Percent of total billed charges		87.3		113.07		Case rate		113.07	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	90			Percent of total billed charges		87.3	80			Percent of total billed charges		77.6	27			Percent of total billed charges		27.16	85			Percent of total billed charges		82.45	27			Percent of total billed charges		27.16	27			Percent of total billed charges		29.1	80			Percent of total billed charges		77.6	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	90			Percent of total billed charges		87.3	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	27			Percent of total billed charges		27.16	27.16	113.07	one or more instances of the item or service in the 12 months prior to posting the file
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)"	58563	CPT				Outpatient	Facility			13227.8	13227.8	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	68			Percent of total billed charges		8995.58	90			Percent of total billed charges		11905.92		11713.38		Case rate		11713.38	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	85			Percent of total billed charges		11244.48	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3968.64	80			Percent of total billed charges		10583.04	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	90			Percent of total billed charges		11905.92	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	27			Percent of total billed charges		3704.064	3704.064	11905.92	one or more instances of the item or service in the 12 months prior to posting the file
"Hysteroscopy, surgical; with removal of impacted foreign body"	58562	CPT				Outpatient	Facility			6724.64	6724.64	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	68			Percent of total billed charges		4572.76	90			Percent of total billed charges		6052.18		4465.2		Case rate		4465.2	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	80			Percent of total billed charges		5379.71	27			Percent of total billed charges		1882.8992	85			Percent of total billed charges		5715.94	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		2017.39	80			Percent of total billed charges		5379.71	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	90			Percent of total billed charges		6052.18	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	27			Percent of total billed charges		1882.8992	1882.8992	6052.18	one or more instances of the item or service in the 12 months prior to posting the file
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)"	90472	CPT				Outpatient	Facility			27.56	27.56	27			Percent of total billed charges		7.7168	90			Percent of total billed charges		24.8	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	68			Percent of total billed charges		18.74	90			Percent of total billed charges		24.8		39.57		Case rate		39.57	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	90			Percent of total billed charges		24.8	80			Percent of total billed charges		22.05	27			Percent of total billed charges		7.7168	85			Percent of total billed charges		23.43	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		8.27	80			Percent of total billed charges		22.05	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	90			Percent of total billed charges		24.8	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	27			Percent of total billed charges		7.7168	7.7168	39.57	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method"	83516	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		47.98		Case rate		47.98	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	47.98	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified"	86317	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		62.38		Case rate		62.38	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	62.38	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each"	86316	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		86.59		Case rate		86.59	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	86.59	one or more instances of the item or service in the 12 months prior to posting the file
"Immunoassay for tumor antigen, quantitative; CA 19-9"	86271	CPT				Outpatient	Facility			74	74	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	68			Percent of total billed charges		50.32	90			Percent of total billed charges		66.6		86.59		Case rate		86.59	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	85			Percent of total billed charges		62.9	27			Percent of total billed charges		20.72	27			Percent of total billed charges		22.2	80			Percent of total billed charges		59.2	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	90			Percent of total billed charges		66.6	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	27			Percent of total billed charges		20.72	20.72	86.59	one or more instances of the item or service in the 12 months prior to posting the file
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	88350	CPT				Outpatient	Facility			134.72	134.72	27			Percent of total billed charges		37.7216	90			Percent of total billed charges		121.25	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	68			Percent of total billed charges		91.61	90			Percent of total billed charges		121.25		216.82		Case rate		216.82	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	90			Percent of total billed charges		121.25	80			Percent of total billed charges		107.78	27			Percent of total billed charges		37.7216	85			Percent of total billed charges		114.51	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		40.42	80			Percent of total billed charges		107.78	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	90			Percent of total billed charges		121.25	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	27			Percent of total billed charges		37.7216	37.7216	216.82	one or more instances of the item or service in the 12 months prior to posting the file
"Immunofluorescence, per specimen; initial single antibody stain procedure"	88346	CPT				Outpatient	Facility			134.71	134.71	27			Percent of total billed charges		37.7188	90			Percent of total billed charges		121.24	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	68			Percent of total billed charges		91.6	90			Percent of total billed charges		121.24		327.12		Case rate		327.12	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	90			Percent of total billed charges		121.24	80			Percent of total billed charges		107.77	27			Percent of total billed charges		37.7188	85			Percent of total billed charges		114.5	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		40.41	80			Percent of total billed charges		107.77	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	90			Percent of total billed charges		121.24	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	27			Percent of total billed charges		37.7188	37.7188	327.12	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple"	10061	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region"	27271	CPT				Outpatient	Facility			6024	6024	27			Percent of total billed charges		1686.72	90			Percent of total billed charges		5421.6	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	68			Percent of total billed charges		4096.32	90			Percent of total billed charges		5421.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	90			Percent of total billed charges		5421.6	80			Percent of total billed charges		4819.2	27			Percent of total billed charges		1686.72	85			Percent of total billed charges		5120.4	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1807.2	80			Percent of total billed charges		4819.2	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	90			Percent of total billed charges		5421.6	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	27			Percent of total billed charges		1686.72	1686.72	5421.6	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma"	26990	CPT				Outpatient	Facility			9173.24	9173.24	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	68			Percent of total billed charges		6237.8	90			Percent of total billed charges		8255.92		2912.82		Case rate		2912.82	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	85			Percent of total billed charges		7797.25	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2751.97	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	2568.5072	8255.92	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, perianal abscess, superficial"	46050	CPT				Outpatient	Facility			3344	3344	27			Percent of total billed charges		936.32	90			Percent of total billed charges		2709.6	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	68			Percent of total billed charges		2273.92	90			Percent of total billed charges		2709.6		2912.82		Case rate		2912.82	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	90			Percent of total billed charges		2709.6	80			Percent of total billed charges		2675.2	27			Percent of total billed charges		936.32	85			Percent of total billed charges		2742.4	27			Percent of total billed charges		936.32	27			Percent of total billed charges		1003.2	80			Percent of total billed charges		2675.2	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	90			Percent of total billed charges		2709.6	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	27			Percent of total billed charges		936.32	936.32	2709.6	one or more instances of the item or service in the 12 months prior to posting the file
"Incision and drainage, upper arm or elbow area; bursa"	23931	CPT				Outpatient	Facility			4954.64	4954.64	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	68			Percent of total billed charges		3369.16	90			Percent of total billed charges		4459.18		3900.7		Case rate		3900.7	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	85			Percent of total billed charges		4211.44	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1486.39	80			Percent of total billed charges		3963.71	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	90			Percent of total billed charges		4459.18	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	27			Percent of total billed charges		1387.2992	1387.2992	4459.18	one or more instances of the item or service in the 12 months prior to posting the file
"Incision of thrombosed hemorrhoid, external"	46083	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	11106	CPT				Outpatient	Facility			1099.22	1099.22	27			Percent of total billed charges		307.7816	90			Percent of total billed charges		989.3	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	68			Percent of total billed charges		747.47	90			Percent of total billed charges		989.3		388.15		Case rate		388.15	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	90			Percent of total billed charges		989.3	80			Percent of total billed charges		879.38	27			Percent of total billed charges		307.7816	85			Percent of total billed charges		934.34	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		329.77	80			Percent of total billed charges		879.38	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	90			Percent of total billed charges		989.3	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	27			Percent of total billed charges		307.7816	307.7816	989.3	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus"	87275	CPT				Outpatient	Facility			86.52	86.52	27			Percent of total billed charges		24.2256	90			Percent of total billed charges		77.87	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	68			Percent of total billed charges		58.83	90			Percent of total billed charges		77.87		49.85		Case rate		49.85	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	90			Percent of total billed charges		77.87	80			Percent of total billed charges		69.22	27			Percent of total billed charges		24.2256	85			Percent of total billed charges		73.54	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		25.96	80			Percent of total billed charges		69.22	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	90			Percent of total billed charges		77.87	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	27			Percent of total billed charges		24.2256	24.2256	77.87	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium"	87327	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		57.52		Case rate		57.52	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	57.52	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Escherichia coli 0157"	87335	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		52.67		Case rate		52.67	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	52.67	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization"	87341	CPT				Outpatient	Facility			45.84	45.84	27			Percent of total billed charges		12.8352	90			Percent of total billed charges		41.26	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	68			Percent of total billed charges		31.17	90			Percent of total billed charges		41.26		43.01		Case rate		43.01	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	90			Percent of total billed charges		41.26	80			Percent of total billed charges		36.67	27			Percent of total billed charges		12.8352	85			Percent of total billed charges		38.96	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		13.75	80			Percent of total billed charges		36.67	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	90			Percent of total billed charges		41.26	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	27			Percent of total billed charges		12.8352	12.8352	43.01	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)"	87340	CPT				Outpatient	Facility			32.9	32.9	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	68			Percent of total billed charges		22.37	90			Percent of total billed charges		29.61		43.01		Case rate		43.01	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	85			Percent of total billed charges		27.96	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.87	80			Percent of total billed charges		26.32	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	90			Percent of total billed charges		29.61	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	27			Percent of total billed charges		9.212	9.212	43.01	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum"	87385	CPT				Outpatient	Facility			91.8	91.8	27			Percent of total billed charges		25.704	90			Percent of total billed charges		82.62	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	68			Percent of total billed charges		62.42	90			Percent of total billed charges		82.62		55.15		Case rate		55.15	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	90			Percent of total billed charges		82.62	80			Percent of total billed charges		73.44	27			Percent of total billed charges		25.704	85			Percent of total billed charges		78.03	27			Percent of total billed charges		25.704	27			Percent of total billed charges		27.54	80			Percent of total billed charges		73.44	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	90			Percent of total billed charges		82.62	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	27			Percent of total billed charges		25.704	25.704	82.62	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result"	87389	CPT				Outpatient	Facility			39.3	39.3	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	68			Percent of total billed charges		26.72	90			Percent of total billed charges		35.37		79.03		Case rate		79.03	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	85			Percent of total billed charges		33.4	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.79	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	11.004	79.03	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus"	87425	CPT				Outpatient	Facility			33.9	33.9	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	68			Percent of total billed charges		23.05	90			Percent of total billed charges		27.51		49.85		Case rate		49.85	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	85			Percent of total billed charges		27.82	27			Percent of total billed charges		9.492	27			Percent of total billed charges		10.17	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	9.492	49.85	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies"	87806	CPT				Outpatient	Facility			154	154	27			Percent of total billed charges		43.12	90			Percent of total billed charges		138.6	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	68			Percent of total billed charges		104.72	90			Percent of total billed charges		138.6		136.38		Case rate		136.38	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	90			Percent of total billed charges		138.6	80			Percent of total billed charges		123.2	27			Percent of total billed charges		43.12	85			Percent of total billed charges		127.9	27			Percent of total billed charges		43.12	27			Percent of total billed charges		46.2	80			Percent of total billed charges		123.2	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	90			Percent of total billed charges		138.6	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	27			Percent of total billed charges		43.12	43.12	138.6	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified"	87899	CPT				Outpatient	Facility			293	293	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	68			Percent of total billed charges		199.24	90			Percent of total billed charges		263.7		66.84		Case rate		66.84	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	80			Percent of total billed charges		234.4	27			Percent of total billed charges		82.04	85			Percent of total billed charges		249.05	27			Percent of total billed charges		82.04	27			Percent of total billed charges		87.9	80			Percent of total billed charges		234.4	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	90			Percent of total billed charges		263.7	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	27			Percent of total billed charges		82.04	82.04	263.7	zero instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism"	87798	CPT				Outpatient	Facility			123	123	27			Percent of total billed charges		34.44	90			Percent of total billed charges		110.7	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	68			Percent of total billed charges		83.64	90			Percent of total billed charges		110.7		146.04		Case rate		146.04	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	90			Percent of total billed charges		110.7	80			Percent of total billed charges		98.4	27			Percent of total billed charges		34.44	85			Percent of total billed charges		104.55	27			Percent of total billed charges		34.44	27			Percent of total billed charges		36.9	80			Percent of total billed charges		98.4	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	90			Percent of total billed charges		110.7	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	27			Percent of total billed charges		34.44	34.44	146.04	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique"	87471	CPT				Outpatient	Facility			264	264	27			Percent of total billed charges		73.92	90			Percent of total billed charges		237.6	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	68			Percent of total billed charges		179.52	90			Percent of total billed charges		237.6		146.04		Case rate		146.04	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	90			Percent of total billed charges		237.6	80			Percent of total billed charges		211.2	27			Percent of total billed charges		73.92	85			Percent of total billed charges		224.4	27			Percent of total billed charges		73.92	27			Percent of total billed charges		79.2	80			Percent of total billed charges		211.2	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	90			Percent of total billed charges		237.6	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	27			Percent of total billed charges		73.92	73.92	237.6	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique"	87491	CPT				Outpatient	Facility			138	138	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	68			Percent of total billed charges		93.84	90			Percent of total billed charges		124.2		146.04		Case rate		146.04	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	85			Percent of total billed charges		117.3	27			Percent of total billed charges		38.64	27			Percent of total billed charges		41.4	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	38.64	146.04	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification"	87497	CPT				Outpatient	Facility			229	229	27			Percent of total billed charges		64.12	90			Percent of total billed charges		206.1	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	68			Percent of total billed charges		155.72	90			Percent of total billed charges		206.1		178.27		Case rate		178.27	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	90			Percent of total billed charges		206.1	80			Percent of total billed charges		183.2	27			Percent of total billed charges		64.12	85			Percent of total billed charges		194.65	27			Percent of total billed charges		64.12	27			Percent of total billed charges		68.7	80			Percent of total billed charges		183.2	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	90			Percent of total billed charges		206.1	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	27			Percent of total billed charges		64.12	64.12	206.1	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed"	87498	CPT				Outpatient	Facility			201	201	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	68			Percent of total billed charges		136.68	90			Percent of total billed charges		180.9		146.04		Case rate		146.04	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	80			Percent of total billed charges		160.8	27			Percent of total billed charges		56.27	85			Percent of total billed charges		170.85	27			Percent of total billed charges		56.27	27			Percent of total billed charges		60.3	80			Percent of total billed charges		160.8	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	90			Percent of total billed charges		180.9	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	27			Percent of total billed charges		56.27	56.27	180.9	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87507	CPT				Outpatient	Facility			627	627	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	68			Percent of total billed charges		426.36	90			Percent of total billed charges		564.3		1734.37		Case rate		1734.37	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	80			Percent of total billed charges		501.6	27			Percent of total billed charges		175.56	85			Percent of total billed charges		532.95	27			Percent of total billed charges		175.56	27			Percent of total billed charges		188.1	80			Percent of total billed charges		501.6	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	175.56	1734.37	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique"	87529	CPT				Outpatient	Facility			326	326	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	68			Percent of total billed charges		221.68	90			Percent of total billed charges		293.4		146.04		Case rate		146.04	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	80			Percent of total billed charges		260.8	27			Percent of total billed charges		91.27	85			Percent of total billed charges		277.1	27			Percent of total billed charges		91.27	27			Percent of total billed charges		97.8	80			Percent of total billed charges		260.8	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	91.27	293.4	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique"	87591	CPT				Outpatient	Facility			138	138	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	68			Percent of total billed charges		93.84	90			Percent of total billed charges		124.2		146.04		Case rate		146.04	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	85			Percent of total billed charges		117.3	27			Percent of total billed charges		38.64	27			Percent of total billed charges		41.4	80			Percent of total billed charges		110.4	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	90			Percent of total billed charges		124.2	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	27			Percent of total billed charges		38.64	38.64	146.04	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets"	87632	CPT				Outpatient	Facility			825	825	27			Percent of total billed charges		231	90			Percent of total billed charges		742.5	27			Percent of total billed charges		231	27			Percent of total billed charges		231	68			Percent of total billed charges		561	90			Percent of total billed charges		742.5		907.43		Case rate		907.43	27			Percent of total billed charges		231	27			Percent of total billed charges		231	90			Percent of total billed charges		742.5	80			Percent of total billed charges		660	27			Percent of total billed charges		231	85			Percent of total billed charges		701.25	27			Percent of total billed charges		231	27			Percent of total billed charges		247.5	80			Percent of total billed charges		660	27			Percent of total billed charges		231	27			Percent of total billed charges		231	27			Percent of total billed charges		231	27			Percent of total billed charges		231	90			Percent of total billed charges		742.5	27			Percent of total billed charges		231	27			Percent of total billed charges		231	27			Percent of total billed charges		231	231	907.43	one or more instances of the item or service in the 12 months prior to posting the file
"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique"	87651	CPT				Outpatient	Facility			169	169	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	68			Percent of total billed charges		114.92	90			Percent of total billed charges		152.1		146.04		Case rate		146.04	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	80			Percent of total billed charges		135.2	27			Percent of total billed charges		47.32	85			Percent of total billed charges		143.65	27			Percent of total billed charges		47.32	27			Percent of total billed charges		50.7	80			Percent of total billed charges		135.2	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	90			Percent of total billed charges		152.1	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	27			Percent of total billed charges		47.32	47.32	152.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)"	54235	CPT				Outpatient	Facility			907.36	907.36	27			Percent of total billed charges		254.0608	90			Percent of total billed charges		816.62	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	68			Percent of total billed charges		617	90			Percent of total billed charges		816.62		697.21		Case rate		697.21	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	90			Percent of total billed charges		816.62	80			Percent of total billed charges		725.89	27			Percent of total billed charges		254.0608	85			Percent of total billed charges		771.26	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		272.21	80			Percent of total billed charges		725.89	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	90			Percent of total billed charges		816.62	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	27			Percent of total billed charges		254.0608	254.0608	816.62	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)"	93568	CPT				Outpatient	Facility			902.06	902.06	27			Percent of total billed charges		252.5768	90			Percent of total billed charges		811.85	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	68			Percent of total billed charges		613.4	90			Percent of total billed charges		811.85		736.22		Case rate		736.22	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	90			Percent of total billed charges		811.85	80			Percent of total billed charges		721.65	27			Percent of total billed charges		252.5768	85			Percent of total billed charges		766.75	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		270.62	80			Percent of total billed charges		721.65	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	90			Percent of total billed charges		811.85	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	27			Percent of total billed charges		252.5768	252.5768	811.85	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to code for primary procedure)"	93573	CPT				Outpatient	Facility			1419.5	1419.5	27			Percent of total billed charges		397.46	90			Percent of total billed charges		1277.55	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	68			Percent of total billed charges		965.26	90			Percent of total billed charges		1277.55	100			Percent of total billed charges		1419.5	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	90			Percent of total billed charges		1277.55	80			Percent of total billed charges		1135.6	27			Percent of total billed charges		397.46	85			Percent of total billed charges		1206.58	27			Percent of total billed charges		397.46	27			Percent of total billed charges		425.85	80			Percent of total billed charges		1135.6	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	90			Percent of total billed charges		1277.55	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	27			Percent of total billed charges		397.46	397.46	1419.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection procedure for myelography and/or computed tomography, lumbar"	62274	CPT				Outpatient	Facility			372.86	372.86	27			Percent of total billed charges		104.4008	90			Percent of total billed charges		335.57	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	68			Percent of total billed charges		253.54	90			Percent of total billed charges		335.57		474.07		Case rate		474.07	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	90			Percent of total billed charges		335.57	80			Percent of total billed charges		298.29	27			Percent of total billed charges		104.4008	85			Percent of total billed charges		316.93	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		111.86	80			Percent of total billed charges		298.29	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	90			Percent of total billed charges		335.57	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	27			Percent of total billed charges		104.4008	104.4008	474.07	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed"	64447	CPT				Outpatient	Facility			2110.46	2110.46	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	68			Percent of total billed charges		1435.11	90			Percent of total billed charges		1899.41		1361.07		Case rate		1361.07	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	80			Percent of total billed charges		1688.37	27			Percent of total billed charges		590.9278	85			Percent of total billed charges		1793.89	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		633.14	80			Percent of total billed charges		1688.37	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	90			Percent of total billed charges		1899.41	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	27			Percent of total billed charges		590.9278	590.9278	1899.41	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	64450	CPT				Outpatient	Facility			1474.46	1474.46	27			Percent of total billed charges		412.8488	90			Percent of total billed charges		1327.01	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	68			Percent of total billed charges		1002.63	90			Percent of total billed charges		1327.01		1361.07		Case rate		1361.07	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	90			Percent of total billed charges		1327.01	80			Percent of total billed charges		1179.57	27			Percent of total billed charges		412.8488	85			Percent of total billed charges		1253.29	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		442.34	80			Percent of total billed charges		1179.57	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	90			Percent of total billed charges		1327.01	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	27			Percent of total billed charges		412.8488	412.8488	1361.07	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)"	64484	CPT				Outpatient	Facility			1472	1472	27			Percent of total billed charges		412.16	90			Percent of total billed charges		1324.8	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	68			Percent of total billed charges		1000.96	90			Percent of total billed charges		1324.8		1137.19		Case rate		1137.19	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	90			Percent of total billed charges		1324.8	80			Percent of total billed charges		1177.6	27			Percent of total billed charges		412.16	85			Percent of total billed charges		1251.2	27			Percent of total billed charges		412.16	27			Percent of total billed charges		441.6	80			Percent of total billed charges		1177.6	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	90			Percent of total billed charges		1324.8	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	27			Percent of total billed charges		412.16	412.16	1324.8	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level"	64483	CPT				Outpatient	Facility			2776.84	2776.84	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	68			Percent of total billed charges		1956.25	90			Percent of total billed charges		2589.16		2273.3		Case rate		2273.3	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	80			Percent of total billed charges		2271.47	27			Percent of total billed charges		805.5152	85			Percent of total billed charges		2445.31	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		863.05	80			Percent of total billed charges		2271.47	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	805.5152	2589.16	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)"	64491	CPT				Outpatient	Facility			963.54	963.54	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	68			Percent of total billed charges		655.21	90			Percent of total billed charges		867.19		788.38		Case rate		788.38	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	85			Percent of total billed charges		819.01	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		279.06	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	269.7912	867.19	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level"	64490	CPT				Outpatient	Facility			2776.84	2776.84	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	68			Percent of total billed charges		1956.25	90			Percent of total billed charges		2589.16		2273.3		Case rate		2273.3	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	80			Percent of total billed charges		2271.47	27			Percent of total billed charges		805.5152	85			Percent of total billed charges		2445.31	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		863.05	80			Percent of total billed charges		2271.47	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	90			Percent of total billed charges		2589.16	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	27			Percent of total billed charges		805.5152	805.5152	2589.16	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)"	64494	CPT				Outpatient	Facility			963.54	963.54	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	68			Percent of total billed charges		655.21	90			Percent of total billed charges		867.19		788.38		Case rate		788.38	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	85			Percent of total billed charges		819.01	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		279.06	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	269.7912	867.19	zero instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level"	64493	CPT				Outpatient	Facility			2775.08	2775.08	27			Percent of total billed charges		777.0224	90			Percent of total billed charges		2497.57	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	68			Percent of total billed charges		1887.05	90			Percent of total billed charges		2497.57		2273.3		Case rate		2273.3	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	90			Percent of total billed charges		2497.57	80			Percent of total billed charges		2220.06	27			Percent of total billed charges		777.0224	85			Percent of total billed charges		2358.82	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		832.52	80			Percent of total billed charges		2220.06	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	90			Percent of total billed charges		2497.57	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	27			Percent of total billed charges		777.0224	777.0224	2497.57	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)"	64495	CPT				Outpatient	Facility			963.54	963.54	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	68			Percent of total billed charges		655.21	90			Percent of total billed charges		867.19		788.38		Case rate		788.38	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	85			Percent of total billed charges		819.01	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		279.06	80			Percent of total billed charges		770.83	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	90			Percent of total billed charges		867.19	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	27			Percent of total billed charges		269.7912	269.7912	867.19	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	62326	CPT				Outpatient	Facility			2016.12	2016.12	27			Percent of total billed charges		564.5136	90			Percent of total billed charges		1814.51	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	68			Percent of total billed charges		1370.96	90			Percent of total billed charges		1814.51		967.78		Case rate		967.78	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	90			Percent of total billed charges		1814.51	80			Percent of total billed charges		1612.9	27			Percent of total billed charges		564.5136	85			Percent of total billed charges		1713.7	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		604.84	80			Percent of total billed charges		1612.9	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	90			Percent of total billed charges		1814.51	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	27			Percent of total billed charges		564.5136	564.5136	1814.51	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)"	62321	CPT				Outpatient	Facility			2220.7	2220.7	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	68			Percent of total billed charges		1510.08	90			Percent of total billed charges		1998.63		1158.92		Case rate		1158.92	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	80			Percent of total billed charges		1776.56	27			Percent of total billed charges		621.796	85			Percent of total billed charges		1887.6	27			Percent of total billed charges		621.796	27			Percent of total billed charges		666.21	80			Percent of total billed charges		1776.56	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	90			Percent of total billed charges		1998.63	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	27			Percent of total billed charges		621.796	621.796	1998.63	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)"	20552	CPT				Outpatient	Facility			937.04	937.04	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	68			Percent of total billed charges		637.19	90			Percent of total billed charges		843.34		233.93		Case rate		233.93	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	80			Percent of total billed charges		749.63	27			Percent of total billed charges		262.3712	85			Percent of total billed charges		796.48	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		271.11	80			Percent of total billed charges		749.63	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	90			Percent of total billed charges		843.34	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	27			Percent of total billed charges		262.3712	262.3712	843.34	one or more instances of the item or service in the 12 months prior to posting the file
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)"	20550	CPT				Outpatient	Facility			808.78	808.78	27			Percent of total billed charges		226.4584	90			Percent of total billed charges		727.9	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	68			Percent of total billed charges		549.97	90			Percent of total billed charges		727.9		927.47		Case rate		927.47	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	90			Percent of total billed charges		727.9	80			Percent of total billed charges		647.02	27			Percent of total billed charges		226.4584	85			Percent of total billed charges		687.46	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		242.63	80			Percent of total billed charges		647.02	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	90			Percent of total billed charges		727.9	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	27			Percent of total billed charges		226.4584	226.4584	927.47	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, epidural, of blood or clot patch"	62273	CPT				Outpatient	Facility			2136.43	2136.43	27			Percent of total billed charges		598.2004	90			Percent of total billed charges		1922.79	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	68			Percent of total billed charges		1452.77	90			Percent of total billed charges		1922.79		1361.07		Case rate		1361.07	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	90			Percent of total billed charges		1922.79	80			Percent of total billed charges		1709.14	27			Percent of total billed charges		598.2004	85			Percent of total billed charges		1815.97	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		640.93	80			Percent of total billed charges		1709.14	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	90			Percent of total billed charges		1922.79	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	27			Percent of total billed charges		598.2004	598.2004	1922.79	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older"	36571	CPT				Outpatient	Facility			8894.81	8894.81	27			Percent of total billed charges		2490.5468	90			Percent of total billed charges		8005.33	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	68			Percent of total billed charges		6048.47	90			Percent of total billed charges		8005.33		4465.2		Case rate		4465.2	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	90			Percent of total billed charges		8005.33	80			Percent of total billed charges		7115.85	27			Percent of total billed charges		2490.5468	85			Percent of total billed charges		7560.59	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2668.44	80			Percent of total billed charges		7115.85	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	90			Percent of total billed charges		8005.33	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	27			Percent of total billed charges		2490.5468	2490.5468	8005.33	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	36573	CPT				Outpatient	Facility			3650	3650	27			Percent of total billed charges		1022	90			Percent of total billed charges		3275	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	68			Percent of total billed charges		2482	90			Percent of total billed charges		3275		2912.82		Case rate		2912.82	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	90			Percent of total billed charges		3275	80			Percent of total billed charges		2920	27			Percent of total billed charges		1022	85			Percent of total billed charges		3102.5	27			Percent of total billed charges		1022	27			Percent of total billed charges		1095	80			Percent of total billed charges		2920	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	90			Percent of total billed charges		3275	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	27			Percent of total billed charges		1022	1022	3275	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older"	36558	CPT				Outpatient	Facility			8750	8750	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	68			Percent of total billed charges		5950	90			Percent of total billed charges		7875		3900.7		Case rate		3900.7	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	85			Percent of total billed charges		7437.5	27			Percent of total billed charges		2450	27			Percent of total billed charges		2625	80			Percent of total billed charges		7000	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	90			Percent of total billed charges		7875	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	27			Percent of total billed charges		2450	2450	7875	one or more instances of the item or service in the 12 months prior to posting the file
"Insertion, subcutaneous cardiac rhythm monitor, including programming"	33275	CPT				Outpatient	Facility			23105.88	23105.88	27			Percent of total billed charges		6469.6464	90			Percent of total billed charges		20795.29	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	68			Percent of total billed charges		15712	90			Percent of total billed charges		20795.29		8704.59		Case rate		8704.59	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	90			Percent of total billed charges		20795.29	80			Percent of total billed charges		18484.7	27			Percent of total billed charges		6469.6464	85			Percent of total billed charges		19640	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6931.76	80			Percent of total billed charges		18484.7	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	90			Percent of total billed charges		20795.29	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	27			Percent of total billed charges		6469.6464	6469.6464	20795.29	one or more instances of the item or service in the 12 months prior to posting the file
"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis)"	64727	CPT				Outpatient	Facility			4807	4807	27			Percent of total billed charges		1345.96	90			Percent of total billed charges		4326.3	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	68			Percent of total billed charges		3268.76	90			Percent of total billed charges		4326.3		1456.41		Case rate		1456.41	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	90			Percent of total billed charges		4326.3	80			Percent of total billed charges		3845.6	27			Percent of total billed charges		1345.96	85			Percent of total billed charges		4085.95	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1442.1	80			Percent of total billed charges		3845.6	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	90			Percent of total billed charges		4326.3	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	27			Percent of total billed charges		1345.96	1345.96	4326.3	one or more instances of the item or service in the 12 months prior to posting the file
"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)"	93662	CPT				Outpatient	Facility			7297	7297	27			Percent of total billed charges		2043.16	90			Percent of total billed charges		6567.3	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	68			Percent of total billed charges		4961.96	90			Percent of total billed charges		6567.3		4860.4		Case rate		4860.4	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	90			Percent of total billed charges		6567.3	80			Percent of total billed charges		5837.6	27			Percent of total billed charges		2043.16	85			Percent of total billed charges		6202.45	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2189.1	80			Percent of total billed charges		5837.6	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	90			Percent of total billed charges		6567.3	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	27			Percent of total billed charges		2043.16	2043.16	6567.3	one or more instances of the item or service in the 12 months prior to posting the file
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)"	37253	CPT				Outpatient	Facility			431.42	431.42	27			Percent of total billed charges		120.7976	90			Percent of total billed charges		388.27	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	68			Percent of total billed charges		293.37	90			Percent of total billed charges		388.27		727.21		Case rate		727.21	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	90			Percent of total billed charges		388.27	80			Percent of total billed charges		345.14	27			Percent of total billed charges		120.7976	85			Percent of total billed charges		366.71	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		129.43	80			Percent of total billed charges		345.14	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	90			Percent of total billed charges		388.27	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	27			Percent of total billed charges		120.7976	120.7976	727.21	one or more instances of the item or service in the 12 months prior to posting the file
"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)"	37252	CPT				Outpatient	Facility			1471.27	1471.27	27			Percent of total billed charges		411.9584	90			Percent of total billed charges		1324.15	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	68			Percent of total billed charges		1000.47	90			Percent of total billed charges		1324.15		1456.41		Case rate		1456.41	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	90			Percent of total billed charges		1324.15	80			Percent of total billed charges		1177.02	27			Percent of total billed charges		411.9584	85			Percent of total billed charges		1250.59	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		441.38	80			Percent of total billed charges		1177.02	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	90			Percent of total billed charges		1324.15	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	27			Percent of total billed charges		411.9584	411.9584	1456.41	one or more instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)"	96367	CPT				Outpatient	Facility			272	272	27			Percent of total billed charges		78.96	90			Percent of total billed charges		253.8	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	68			Percent of total billed charges		191.76	90			Percent of total billed charges		253.8		244.43		Case rate		244.43	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	90			Percent of total billed charges		253.8	80			Percent of total billed charges		225.6	27			Percent of total billed charges		78.96	85			Percent of total billed charges		239.7	27			Percent of total billed charges		78.96	27			Percent of total billed charges		84.6	80			Percent of total billed charges		225.6	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	90			Percent of total billed charges		253.8	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	27			Percent of total billed charges		78.96	78.96	253.8	zero instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)"	96368	CPT				Outpatient	Facility			168.5	168.5	27			Percent of total billed charges		47.18	90			Percent of total billed charges		151.65	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	68			Percent of total billed charges		114.58	90			Percent of total billed charges		151.65		145.19		Case rate		145.19	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	90			Percent of total billed charges		151.65	80			Percent of total billed charges		134.8	27			Percent of total billed charges		47.18	85			Percent of total billed charges		143.22	27			Percent of total billed charges		47.18	27			Percent of total billed charges		50.55	80			Percent of total billed charges		134.8	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	90			Percent of total billed charges		151.65	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	27			Percent of total billed charges		47.18	47.18	151.65	zero instances of the item or service in the 12 months prior to posting the file
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour"	96360	CPT				Outpatient	Facility			518	518	27			Percent of total billed charges		145.04	90			Percent of total billed charges		466.2	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	68			Percent of total billed charges		352.24	90			Percent of total billed charges		466.2		397.97		Case rate		397.97	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	90			Percent of total billed charges		466.2	80			Percent of total billed charges		414.4	27			Percent of total billed charges		145.04	85			Percent of total billed charges		440.3	27			Percent of total billed charges		145.04	27			Percent of total billed charges		155.4	80			Percent of total billed charges		414.4	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	90			Percent of total billed charges		466.2	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	27			Percent of total billed charges		145.04	145.04	466.2	one or more instances of the item or service in the 12 months prior to posting the file
"Introduction of catheter, aorta"	36200	CPT				Outpatient	Facility			4627.08	4627.08	27			Percent of total billed charges		1295.8624	90			Percent of total billed charges		4167.07	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	68			Percent of total billed charges		3148.45	90			Percent of total billed charges		4167.07		558.86		Case rate		558.86	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	90			Percent of total billed charges		4167.07	80			Percent of total billed charges		3704.06	27			Percent of total billed charges		1295.8624	85			Percent of total billed charges		3935.57	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1389.02	80			Percent of total billed charges		3704.06	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	90			Percent of total billed charges		4167.07	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	27			Percent of total billed charges		1295.8624	1295.8624	4167.07	one or more instances of the item or service in the 12 months prior to posting the file
"Introduction of catheter, right heart or main pulmonary artery"	36013	CPT				Outpatient	Facility			684.76	684.76	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	68			Percent of total billed charges		465.64	90			Percent of total billed charges		616.27		558.86		Case rate		558.86	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	80			Percent of total billed charges		547.81	27			Percent of total billed charges		191.7327	85			Percent of total billed charges		582.05	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		205.43	80			Percent of total billed charges		547.81	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	191.7327	616.27	one or more instances of the item or service in the 12 months prior to posting the file
"Introduction of catheter, superior or inferior vena cava"	36010	CPT				Outpatient	Facility			726	726	27			Percent of total billed charges		203.27	90			Percent of total billed charges		653.4	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	68			Percent of total billed charges		493.68	90			Percent of total billed charges		653.4		558.86		Case rate		558.86	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	90			Percent of total billed charges		653.4	80			Percent of total billed charges		580.8	27			Percent of total billed charges		203.27	85			Percent of total billed charges		617.1	27			Percent of total billed charges		203.27	27			Percent of total billed charges		217.8	80			Percent of total billed charges		580.8	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	90			Percent of total billed charges		653.4	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	27			Percent of total billed charges		203.27	203.27	653.4	one or more instances of the item or service in the 12 months prior to posting the file
"Introduction of needle or intracatheter, vein"	36000	CPT				Outpatient	Facility			266.06	266.06	27			Percent of total billed charges		74.4968	90			Percent of total billed charges		239.45	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	68			Percent of total billed charges		180.92	90			Percent of total billed charges		239.45		74.46		Case rate		74.46	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	90			Percent of total billed charges		239.45	80			Percent of total billed charges		212.85	27			Percent of total billed charges		74.4968	85			Percent of total billed charges		226.15	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		79.82	80			Percent of total billed charges		212.85	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	90			Percent of total billed charges		239.45	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	27			Percent of total billed charges		74.4968	74.4968	239.45	one or more instances of the item or service in the 12 months prior to posting the file
"Intubation, endotracheal, emergency procedure"	31500	CPT				Outpatient	Facility			977.32	977.32	27			Percent of total billed charges		273.6496	90			Percent of total billed charges		879.59	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	68			Percent of total billed charges		664.58	90			Percent of total billed charges		879.59		901.73		Case rate		901.73	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	90			Percent of total billed charges		879.59	80			Percent of total billed charges		781.86	27			Percent of total billed charges		273.6496	85			Percent of total billed charges		827.72	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		293.2	80			Percent of total billed charges		781.86	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	90			Percent of total billed charges		879.59	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	27			Percent of total billed charges		273.6496	273.6496	901.73	one or more instances of the item or service in the 12 months prior to posting the file
"Irradiation of blood product, each unit"	86945	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		105.62		Case rate		105.62	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	105.62	one or more instances of the item or service in the 12 months prior to posting the file
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative"	82009	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		18.8		Case rate		18.8	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	one or more instances of the item or service in the 12 months prior to posting the file
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative"	82010	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		33.98		Case rate		33.98	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	33.98	zero instances of the item or service in the 12 months prior to posting the file
"Ketosteroids, 17- (17-KS); total"	83586	CPT				Outpatient	Facility			33.9	33.9	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	68			Percent of total billed charges		23.05	90			Percent of total billed charges		27.51		53.29		Case rate		53.29	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	85			Percent of total billed charges		27.82	27			Percent of total billed charges		9.492	27			Percent of total billed charges		10.17	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	9.492	53.29	zero instances of the item or service in the 12 months prior to posting the file
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)"	78708	CPT				Outpatient	Facility			1732.46	1732.46	27			Percent of total billed charges		485.0888	90			Percent of total billed charges		1559.21	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	68			Percent of total billed charges		1178.07	90			Percent of total billed charges		1559.21		773.59		Case rate		773.59	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	90			Percent of total billed charges		1559.21	80			Percent of total billed charges		1385.97	27			Percent of total billed charges		485.0888	85			Percent of total billed charges		1472.59	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		519.74	80			Percent of total billed charges		1385.97	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	90			Percent of total billed charges		1559.21	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	27			Percent of total billed charges		485.0888	485.0888	1559.21	one or more instances of the item or service in the 12 months prior to posting the file
"Lactate dehydrogenase (LD), (LDH)"	83615	CPT				Outpatient	Facility			75	75	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	68			Percent of total billed charges		51	90			Percent of total billed charges		67.5		25.12		Case rate		25.12	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	85			Percent of total billed charges		63.75	27			Percent of total billed charges		21	27			Percent of total billed charges		22.5	80			Percent of total billed charges		60	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	90			Percent of total billed charges		67.5	27			Percent of total billed charges		21	27			Percent of total billed charges		21	27			Percent of total billed charges		21	21	67.5	one or more instances of the item or service in the 12 months prior to posting the file
"Lactoferrin, fecal; qualitative"	83627	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		82.02		Case rate		82.02	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	82.02	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)"	57425	CPT				Outpatient	Facility			6898	6898	27			Percent of total billed charges		1931.44	90			Percent of total billed charges		6208.2	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	68			Percent of total billed charges		4690.64	90			Percent of total billed charges		6208.2		6271.6		Case rate		6271.6	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	90			Percent of total billed charges		6208.2	80			Percent of total billed charges		5518.4	27			Percent of total billed charges		1931.44	85			Percent of total billed charges		5863.3	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		2069.4	80			Percent of total billed charges		5518.4	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	90			Percent of total billed charges		6208.2	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	27			Percent of total billed charges		1931.44	1931.44	6271.6	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components"	43774	CPT				Outpatient	Facility			483.83	483.82	27			Percent of total billed charges		135.4696	90			Percent of total billed charges		435.44	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	68			Percent of total billed charges		329	90			Percent of total billed charges		435.44		9139.26		Case rate		9139.26	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	90			Percent of total billed charges		435.44	80			Percent of total billed charges		387.06	27			Percent of total billed charges		135.4696	85			Percent of total billed charges		411.25	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		145.15	80			Percent of total billed charges		387.06	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	90			Percent of total billed charges		435.44	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	27			Percent of total billed charges		135.4696	135.4696	9139.26	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)"	44213	CPT				Outpatient	Facility			3627.5	3627.5	27			Percent of total billed charges		1015.98	90			Percent of total billed charges		3267.45	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	68			Percent of total billed charges		2468.74	90			Percent of total billed charges		3267.45		5859.51		Case rate		5859.51	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	90			Percent of total billed charges		3267.45	80			Percent of total billed charges		2904.4	27			Percent of total billed charges		1015.98	85			Percent of total billed charges		2785.92	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1089.15	80			Percent of total billed charges		2904.4	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	90			Percent of total billed charges		3267.45	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	27			Percent of total billed charges		1015.98	1015.98	5859.51	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; cholecystectomy with cholangiography"	47563	CPT				Outpatient	Facility			14825	14825	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	68			Percent of total billed charges		10081	90			Percent of total billed charges		13342.5		11713.38		Case rate		11713.38	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	80			Percent of total billed charges		11860	27			Percent of total billed charges		4151	85			Percent of total billed charges		12601.25	27			Percent of total billed charges		4151	27			Percent of total billed charges		4447.5	80			Percent of total billed charges		11860	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	4151	13342.5	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; cholecystectomy"	47562	CPT				Outpatient	Facility			13985.64	13985.64	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	68			Percent of total billed charges		9510.24	90			Percent of total billed charges		12587.08		11713.38		Case rate		11713.38	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	85			Percent of total billed charges		11887.79	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		4195.69	80			Percent of total billed charges		11188.51	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	90			Percent of total billed charges		12587.08	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	27			Percent of total billed charges		3915.9792	3915.9792	12587.08	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)"	44207	CPT				Outpatient	Facility			5392.22	5392.22	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	68			Percent of total billed charges		3666.71	90			Percent of total billed charges		4853		8704.59		Case rate		8704.59	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	85			Percent of total billed charges		4583.39	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1617.67	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	1509.8216	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)"	49322	CPT				Outpatient	Facility			14452.04	14452.04	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	68			Percent of total billed charges		9827.39	90			Percent of total billed charges		12706.84		5515.17		Case rate		5515.17	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	85			Percent of total billed charges		12274.23	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4335.61	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	4046.5712	12706.84	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method"	58662	CPT				Outpatient	Facility			14452.04	14452.04	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	68			Percent of total billed charges		9827.39	90			Percent of total billed charges		12706.84		6271.6		Case rate		6271.6	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	85			Percent of total billed charges		12274.23	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4335.61	80			Percent of total billed charges		11561.63	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	90			Percent of total billed charges		12706.84	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	27			Percent of total billed charges		4046.5712	4046.5712	12706.84	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)"	58661	CPT				Outpatient	Facility			15320	15320	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	68			Percent of total billed charges		10417.6	90			Percent of total billed charges		13788		6271.6		Case rate		6271.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	85			Percent of total billed charges		12722	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4596	80			Percent of total billed charges		12256	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	90			Percent of total billed charges		13788	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	27			Percent of total billed charges		4279.6	4279.6	13788	one or more instances of the item or service in the 12 months prior to posting the file
"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple"	38570	CPT				Outpatient	Facility			16493	16493	27			Percent of total billed charges		4618.04	90			Percent of total billed charges		14843.7	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	68			Percent of total billed charges		11215.24	90			Percent of total billed charges		14843.7		11713.38		Case rate		11713.38	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	90			Percent of total billed charges		14843.7	80			Percent of total billed charges		13194.4	27			Percent of total billed charges		4618.04	85			Percent of total billed charges		14019.05	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4947.9	80			Percent of total billed charges		13194.4	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	90			Percent of total billed charges		14843.7	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	27			Percent of total billed charges		4618.04	4618.04	14843.7	one or more instances of the item or service in the 12 months prior to posting the file
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)"	80061	CPT				Outpatient	Facility			156	156	27			Percent of total billed charges		43.68	90			Percent of total billed charges		140.4	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	68			Percent of total billed charges		106.08	90			Percent of total billed charges		140.4		55.72		Case rate		55.72	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	90			Percent of total billed charges		140.4	80			Percent of total billed charges		124.8	27			Percent of total billed charges		43.68	85			Percent of total billed charges		132.6	27			Percent of total billed charges		43.68	27			Percent of total billed charges		46.8	80			Percent of total billed charges		124.8	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	90			Percent of total billed charges		140.4	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	27			Percent of total billed charges		43.68	43.68	140.4	one or more instances of the item or service in the 12 months prior to posting the file
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed"	83704	CPT				Outpatient	Facility			87	87	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	68			Percent of total billed charges		59.16	90			Percent of total billed charges		78.3		170.65		Case rate		170.65	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	85			Percent of total billed charges		73.95	27			Percent of total billed charges		24.36	27			Percent of total billed charges		26.1	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	24.36	170.65	one or more instances of the item or service in the 12 months prior to posting the file
"Lipoprotein, direct measurement; LDL cholesterol"	83721	CPT				Outpatient	Facility			33.9	33.9	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	68			Percent of total billed charges		23.05	90			Percent of total billed charges		27.51		43.69		Case rate		43.69	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	85			Percent of total billed charges		27.82	27			Percent of total billed charges		9.492	27			Percent of total billed charges		10.17	80			Percent of total billed charges		27.12	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	90			Percent of total billed charges		27.51	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	27			Percent of total billed charges		9.492	9.492	43.69	zero instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences"	74183	CPT				Outpatient	Facility			3565.86	3565.86	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	68			Percent of total billed charges		2424.78	90			Percent of total billed charges		3209.27		1676.17		Case rate		1676.17	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	85			Percent of total billed charges		2727.98	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		1069.76	80			Percent of total billed charges		2752.69	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	90			Percent of total billed charges		3209.27	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	27			Percent of total billed charges		998.4408	998.4408	3209.27	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)"	73722	CPT				Outpatient	Facility			2525.56	2525.56	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	68			Percent of total billed charges		1717.38	90			Percent of total billed charges		2273		1689.77		Case rate		1689.77	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	80			Percent of total billed charges		2020.45	27			Percent of total billed charges		707.1568	85			Percent of total billed charges		2146.73	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		757.67	80			Percent of total billed charges		2020.45	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	707.1568	2273	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material"	73721	CPT				Outpatient	Facility			1722.16	1722.16	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	68			Percent of total billed charges		1171.07	90			Percent of total billed charges		1549.94		967.95		Case rate		967.95	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	85			Percent of total billed charges		1463.84	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		516.65	80			Percent of total billed charges		1377.73	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	90			Percent of total billed charges		1549.94	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	27			Percent of total billed charges		482.2048	482.2048	1549.94	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences"	73723	CPT				Outpatient	Facility			3454.74	3454.74	27			Percent of total billed charges		967.3272	90			Percent of total billed charges		3109.27	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	68			Percent of total billed charges		2349.22	90			Percent of total billed charges		3109.27		2041.46		Case rate		2041.46	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	90			Percent of total billed charges		3109.27	80			Percent of total billed charges		2763.79	27			Percent of total billed charges		967.3272	85			Percent of total billed charges		2936.53	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		1036.42	80			Percent of total billed charges		2763.79	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	90			Percent of total billed charges		3109.27	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	27			Percent of total billed charges		967.3272	967.3272	3109.27	zero instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences"	73223	CPT				Outpatient	Facility			4088.07	4088.07	27			Percent of total billed charges		1144.6596	90			Percent of total billed charges		3679.26	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	68			Percent of total billed charges		2779.89	90			Percent of total billed charges		3679.26		2048.06		Case rate		2048.06	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	90			Percent of total billed charges		3679.26	80			Percent of total billed charges		3270.46	27			Percent of total billed charges		1144.6596	85			Percent of total billed charges		3474.86	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1226.42	80			Percent of total billed charges		3270.46	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	90			Percent of total billed charges		3679.26	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	27			Percent of total billed charges		1144.6596	1144.6596	3679.26	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences"	71552	CPT				Outpatient	Facility			4135.04	4135.04	27			Percent of total billed charges		1157.8112	90			Percent of total billed charges		3721.53	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	68			Percent of total billed charges		2711.82	90			Percent of total billed charges		3721.53		2502.54		Case rate		2502.54	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	90			Percent of total billed charges		3721.53	80			Percent of total billed charges		3278.03	27			Percent of total billed charges		1157.8112	85			Percent of total billed charges		3514.78	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1240.51	80			Percent of total billed charges		3278.03	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	90			Percent of total billed charges		3721.53	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	27			Percent of total billed charges		1157.8112	1157.8112	3721.53	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)"	73718	CPT				Outpatient	Facility			1365	1365	27			Percent of total billed charges		382.2	90			Percent of total billed charges		1227.5	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	68			Percent of total billed charges		927.2	90			Percent of total billed charges		1227.5		1133.01		Case rate		1133.01	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	90			Percent of total billed charges		1227.5	80			Percent of total billed charges		1092	27			Percent of total billed charges		382.2	85			Percent of total billed charges		1160.25	27			Percent of total billed charges		382.2	27			Percent of total billed charges		409.5	80			Percent of total billed charges		1092	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	90			Percent of total billed charges		1227.5	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	27			Percent of total billed charges		382.2	382.2	1227.5	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)"	72149	CPT				Outpatient	Facility			2525.56	2525.56	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	68			Percent of total billed charges		1717.38	90			Percent of total billed charges		2273		1322.23		Case rate		1322.23	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	80			Percent of total billed charges		2020.45	27			Percent of total billed charges		707.1568	85			Percent of total billed charges		2146.73	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		757.67	80			Percent of total billed charges		2020.45	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	90			Percent of total billed charges		2273	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	27			Percent of total billed charges		707.1568	707.1568	2273	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar"	72158	CPT				Outpatient	Facility			4268.32	4268.32	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	68			Percent of total billed charges		2902.46	90			Percent of total billed charges		3841.49		1500.55		Case rate		1500.55	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	85			Percent of total billed charges		3627.07	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1270.5	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	1195.1296	3841.49	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic"	72157	CPT				Outpatient	Facility			4268.32	4268.32	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	68			Percent of total billed charges		2902.46	90			Percent of total billed charges		3841.49		1509.3		Case rate		1509.3	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	85			Percent of total billed charges		3627.07	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1270.5	80			Percent of total billed charges		3414.66	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	90			Percent of total billed charges		3841.49	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	27			Percent of total billed charges		1195.1296	1195.1296	3841.49	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)"	73218	CPT				Outpatient	Facility			1778.81	1778.81	27			Percent of total billed charges		498.0668	90			Percent of total billed charges		1600.93	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	68			Percent of total billed charges		1209.59	90			Percent of total billed charges		1600.93		1597.37		Case rate		1597.37	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	90			Percent of total billed charges		1600.93	80			Percent of total billed charges		1423.05	27			Percent of total billed charges		498.0668	85			Percent of total billed charges		1511.99	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		533.64	80			Percent of total billed charges		1423.05	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	90			Percent of total billed charges		1600.93	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	27			Percent of total billed charges		498.0668	498.0668	1600.93	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences"	73220	CPT				Outpatient	Facility			1820	1820	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	68			Percent of total billed charges		1237.6	90			Percent of total billed charges		1638		2206.57		Case rate		2206.57	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	80			Percent of total billed charges		1456	27			Percent of total billed charges		509.6	85			Percent of total billed charges		1547	27			Percent of total billed charges		509.6	27			Percent of total billed charges		546	80			Percent of total billed charges		1456	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	90			Percent of total billed charges		1638	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	27			Percent of total billed charges		509.6	509.6	2206.57	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance angiography, head; without contrast material(s)"	70544	CPT				Outpatient	Facility			1762	1762	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	68			Percent of total billed charges		1198.16	90			Percent of total billed charges		1585.8		1110.99		Case rate		1110.99	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	80			Percent of total billed charges		1409.6	27			Percent of total billed charges		493.36	85			Percent of total billed charges		1497.7	27			Percent of total billed charges		493.36	27			Percent of total billed charges		527.6	80			Percent of total billed charges		1409.6	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	493.36	1585.8	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance angiography, neck; without contrast material(s)"	70547	CPT				Outpatient	Facility			1762	1762	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	68			Percent of total billed charges		1198.16	90			Percent of total billed charges		1585.8		1115.4		Case rate		1115.4	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	80			Percent of total billed charges		1409.6	27			Percent of total billed charges		493.36	85			Percent of total billed charges		1497.7	27			Percent of total billed charges		493.36	27			Percent of total billed charges		527.6	80			Percent of total billed charges		1409.6	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	90			Percent of total billed charges		1585.8	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	27			Percent of total billed charges		493.36	493.36	1585.8	one or more instances of the item or service in the 12 months prior to posting the file
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	77021	CPT				Outpatient	Facility			485.99	485.99	27			Percent of total billed charges		136.0772	90			Percent of total billed charges		437.39	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	68			Percent of total billed charges		327.47	90			Percent of total billed charges		437.39		2061.22		Case rate		2061.22	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	90			Percent of total billed charges		437.39	80			Percent of total billed charges		388.79	27			Percent of total billed charges		136.0772	85			Percent of total billed charges		413.09	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		145.8	80			Percent of total billed charges		388.79	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	90			Percent of total billed charges		437.39	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	27			Percent of total billed charges		136.0772	136.0772	2061.22	one or more instances of the item or service in the 12 months prior to posting the file
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent"	94668	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		133.84		Case rate		133.84	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	133.84	one or more instances of the item or service in the 12 months prior to posting the file
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)"	23700	CPT				Outpatient	Facility			3835.08	3835.08	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	68			Percent of total billed charges		2607.85	90			Percent of total billed charges		3451.57		2912.82		Case rate		2912.82	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	80			Percent of total billed charges		2768.06	27			Percent of total billed charges		1073.8224	85			Percent of total billed charges		3259.82	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1150.52	80			Percent of total billed charges		2768.06	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	90			Percent of total billed charges		3451.57	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	27			Percent of total billed charges		1073.8224	1073.8224	3451.57	one or more instances of the item or service in the 12 months prior to posting the file
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes"	97140	CPT				Outpatient	Facility			126	126	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	68			Percent of total billed charges		85.68	90			Percent of total billed charges		113.4		131.3		Case rate		131.3	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	85			Percent of total billed charges		107.1	27			Percent of total billed charges		35.27	27			Percent of total billed charges		37.8	80			Percent of total billed charges		100.8	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	90			Percent of total billed charges		113.4	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	27			Percent of total billed charges		35.27	35.27	131.3	one or more instances of the item or service in the 12 months prior to posting the file
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen"	83789	CPT				Outpatient	Facility			89.64	89.64	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	68			Percent of total billed charges		60.96	90			Percent of total billed charges		80.68		100.31		Case rate		100.31	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	80			Percent of total billed charges		71.71	27			Percent of total billed charges		25.0992	85			Percent of total billed charges		76.19	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		26.89	80			Percent of total billed charges		71.71	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	90			Percent of total billed charges		80.68	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	27			Percent of total billed charges		25.0992	25.0992	100.31	one or more instances of the item or service in the 12 months prior to posting the file
"Mastectomy, radical, including pectoral muscles, axillary lymph nodes"	19275	CPT				Outpatient	Facility			7690	7690	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	68			Percent of total billed charges		5229.2	90			Percent of total billed charges		6921		11713.38		Case rate		11713.38	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	85			Percent of total billed charges		6536.5	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2277	80			Percent of total billed charges		6152	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	90			Percent of total billed charges		6921	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	27			Percent of total billed charges		2153.2	2153.2	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Mastectomy, simple, complete"	19273	CPT				Outpatient	Facility			12762.04	12762.04	27			Percent of total billed charges		3601.3712	90			Percent of total billed charges		11575.84	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	68			Percent of total billed charges		8746.19	90			Percent of total billed charges		11575.84		5515.17		Case rate		5515.17	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	90			Percent of total billed charges		11575.84	80			Percent of total billed charges		10279.63	27			Percent of total billed charges		3601.3712	85			Percent of total billed charges		10932.73	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3858.61	80			Percent of total billed charges		10279.63	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	90			Percent of total billed charges		11575.84	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	27			Percent of total billed charges		3601.3712	3601.3712	11575.84	one or more instances of the item or service in the 12 months prior to posting the file
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)"	80359	CPT				Outpatient	Facility			39.9	39.9	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	68			Percent of total billed charges		27.13	90			Percent of total billed charges		35.91		65.93		Case rate		65.93	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	80			Percent of total billed charges		31.92	27			Percent of total billed charges		11.172	85			Percent of total billed charges		33.92	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.97	80			Percent of total billed charges		31.92	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	90			Percent of total billed charges		35.91	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	27			Percent of total billed charges		11.172	11.172	65.93	one or more instances of the item or service in the 12 months prior to posting the file
"Molecular cytogenetics; DNA probe, each (eg, FISH)"	88271	CPT				Outpatient	Facility			1010	1010	27			Percent of total billed charges		272.8	90			Percent of total billed charges		909	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	68			Percent of total billed charges		686.8	90			Percent of total billed charges		909		100.99		Case rate		100.99	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	90			Percent of total billed charges		909	80			Percent of total billed charges		808	27			Percent of total billed charges		272.8	85			Percent of total billed charges		858.5	27			Percent of total billed charges		272.8	27			Percent of total billed charges		273	80			Percent of total billed charges		808	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	90			Percent of total billed charges		909	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	27			Percent of total billed charges		272.8	272.8	909	one or more instances of the item or service in the 12 months prior to posting the file
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)"	81400	CPT				Outpatient	Facility			246	246	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	68			Percent of total billed charges		167.27	90			Percent of total billed charges		221.4		271.5		Case rate		271.5	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	80			Percent of total billed charges		196.8	27			Percent of total billed charges		68.88	85			Percent of total billed charges		209.1	27			Percent of total billed charges		68.88	27			Percent of total billed charges		73.8	80			Percent of total billed charges		196.8	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	90			Percent of total billed charges		221.4	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	27			Percent of total billed charges		68.88	68.88	271.5	one or more instances of the item or service in the 12 months prior to posting the file
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)"	81338	CPT				Outpatient	Facility			542	542	27			Percent of total billed charges		151.76	90			Percent of total billed charges		487.8	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	68			Percent of total billed charges		368.56	90			Percent of total billed charges		487.8		708.67		Case rate		708.67	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	90			Percent of total billed charges		487.8	80			Percent of total billed charges		433.6	27			Percent of total billed charges		151.76	85			Percent of total billed charges		460.7	27			Percent of total billed charges		151.76	27			Percent of total billed charges		162.6	80			Percent of total billed charges		433.6	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	90			Percent of total billed charges		487.8	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	27			Percent of total billed charges		151.76	151.76	708.67	zero instances of the item or service in the 12 months prior to posting the file
"Myelography, lumbosacral, radiological supervision and interpretation"	72265	CPT				Outpatient	Facility			2158.88	2158.88	27			Percent of total billed charges		604.4864	90			Percent of total billed charges		1942.99	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	68			Percent of total billed charges		1468.04	90			Percent of total billed charges		1942.99		349.2		Case rate		349.2	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	90			Percent of total billed charges		1942.99	80			Percent of total billed charges		1727.1	27			Percent of total billed charges		604.4864	85			Percent of total billed charges		1835.05	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		647.66	80			Percent of total billed charges		1727.1	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	90			Percent of total billed charges		1942.99	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	27			Percent of total billed charges		604.4864	604.4864	1942.99	one or more instances of the item or service in the 12 months prior to posting the file
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection"	78452	CPT				Outpatient	Facility			2544.1	2544.1	27			Percent of total billed charges		712.348	90			Percent of total billed charges		2279.69	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	68			Percent of total billed charges		1729.99	90			Percent of total billed charges		2279.69		2274.63		Case rate		2274.63	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	90			Percent of total billed charges		2279.69	80			Percent of total billed charges		2035.27	27			Percent of total billed charges		712.348	85			Percent of total billed charges		2162.48	27			Percent of total billed charges		712.348	27			Percent of total billed charges		763.23	80			Percent of total billed charges		2035.27	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	90			Percent of total billed charges		2279.69	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	27			Percent of total billed charges		712.348	712.348	2274.63	one or more instances of the item or service in the 12 months prior to posting the file
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)"	78451	CPT				Outpatient	Facility			1757.18	1757.18	27			Percent of total billed charges		492.0104	90			Percent of total billed charges		1581.46	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	68			Percent of total billed charges		1194.88	90			Percent of total billed charges		1581.46		1700.1		Case rate		1700.1	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	90			Percent of total billed charges		1581.46	80			Percent of total billed charges		1405.74	27			Percent of total billed charges		492.0104	85			Percent of total billed charges		1493.6	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		527.15	80			Percent of total billed charges		1405.74	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	90			Percent of total billed charges		1581.46	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	27			Percent of total billed charges		492.0104	492.0104	1700.1	one or more instances of the item or service in the 12 months prior to posting the file
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	31254	CPT				Outpatient	Facility			19564	19564	27			Percent of total billed charges		5477.92	90			Percent of total billed charges		17607.6	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	68			Percent of total billed charges		13273.52	90			Percent of total billed charges		17607.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	90			Percent of total billed charges		17607.6	80			Percent of total billed charges		15651.2	27			Percent of total billed charges		5477.92	85			Percent of total billed charges		16629.4	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5869.2	80			Percent of total billed charges		15651.2	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	90			Percent of total billed charges		17607.6	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	27			Percent of total billed charges		5477.92	5477.92	17607.6	one or more instances of the item or service in the 12 months prior to posting the file
"Natural killer (NK) cells, total count"	86357	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		156.99		Case rate		156.99	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	156.99	one or more instances of the item or service in the 12 months prior to posting the file
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters"	97606	CPT				Outpatient	Facility			445	445	27			Percent of total billed charges		124.6	90			Percent of total billed charges		400.5	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	68			Percent of total billed charges		272.6	90			Percent of total billed charges		400.5		278.78		Case rate		278.78	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	90			Percent of total billed charges		400.5	80			Percent of total billed charges		356	27			Percent of total billed charges		124.6	85			Percent of total billed charges		378.25	27			Percent of total billed charges		124.6	27			Percent of total billed charges		133.5	80			Percent of total billed charges		356	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	90			Percent of total billed charges		400.5	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	27			Percent of total billed charges		124.6	124.6	400.5	one or more instances of the item or service in the 12 months prior to posting the file
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters"	97605	CPT				Outpatient	Facility			595.72	595.72	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	68			Percent of total billed charges		405.09	90			Percent of total billed charges		536.15		278.78		Case rate		278.78	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	85			Percent of total billed charges		506.36	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		178.72	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	166.8016	536.15	one or more instances of the item or service in the 12 months prior to posting the file
"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified"	64708	CPT				Outpatient	Facility			12370.2	12370.2	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	68			Percent of total billed charges		8411.74	90			Percent of total billed charges		11133.18		3900.7		Case rate		3900.7	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	80			Percent of total billed charges		9896.16	27			Percent of total billed charges		3463.656	85			Percent of total billed charges		10514.67	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3711.06	80			Percent of total billed charges		9896.16	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	90			Percent of total billed charges		11133.18	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	27			Percent of total billed charges		3463.656	3463.656	11133.18	one or more instances of the item or service in the 12 months prior to posting the file
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)"	94761	CPT				Outpatient	Facility			47.7	47.7	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	68			Percent of total billed charges		32.44	90			Percent of total billed charges		42.93		38.44		Case rate		38.44	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	80			Percent of total billed charges		38.16	27			Percent of total billed charges		13.356	85			Percent of total billed charges		40.54	27			Percent of total billed charges		13.356	27			Percent of total billed charges		14.31	80			Percent of total billed charges		38.16	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	90			Percent of total billed charges		42.93	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	27			Percent of total billed charges		13.356	13.356	42.93	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."	99205	CPT				Outpatient	Facility			575.58	575.58	27			Percent of total billed charges		161.1624	90			Percent of total billed charges		518.02	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	68			Percent of total billed charges		391.39	90			Percent of total billed charges		518.02	100			Percent of total billed charges		575.58	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	90			Percent of total billed charges		518.02	80			Percent of total billed charges		460.46	27			Percent of total billed charges		161.1624	85			Percent of total billed charges		489.24	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		172.67	80			Percent of total billed charges		460.46	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	90			Percent of total billed charges		518.02	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	27			Percent of total billed charges		161.1624	161.1624	575.58	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 27 minutes must be met or exceeded."	99203	CPT				Outpatient	Facility			310.58	310.58	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	68			Percent of total billed charges		211.19	90			Percent of total billed charges		279.52	100			Percent of total billed charges		310.58	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	80			Percent of total billed charges		248.46	27			Percent of total billed charges		86.9624	85			Percent of total billed charges		263.99	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		93.17	80			Percent of total billed charges		248.46	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	90			Percent of total billed charges		279.52	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	27			Percent of total billed charges		86.9624	86.9624	310.58	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."	99204	CPT				Outpatient	Facility			400.68	400.68	27			Percent of total billed charges		112.1904	90			Percent of total billed charges		360.61	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	68			Percent of total billed charges		272.46	90			Percent of total billed charges		360.61	100			Percent of total billed charges		400.68	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	90			Percent of total billed charges		360.61	80			Percent of total billed charges		320.54	27			Percent of total billed charges		112.1904	85			Percent of total billed charges		340.58	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		120.2	80			Percent of total billed charges		320.54	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	90			Percent of total billed charges		360.61	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	27			Percent of total billed charges		112.1904	112.1904	400.68	zero instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."	99202	CPT				Outpatient	Facility			245	245	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	68			Percent of total billed charges		166.6	90			Percent of total billed charges		220.5	100			Percent of total billed charges		245	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	80			Percent of total billed charges		196	27			Percent of total billed charges		68.6	85			Percent of total billed charges		208.25	27			Percent of total billed charges		68.6	27			Percent of total billed charges		73.5	80			Percent of total billed charges		196	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	90			Percent of total billed charges		220.5	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	27			Percent of total billed charges		68.6	68.6	245	one or more instances of the item or service in the 12 months prior to posting the file
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."	99213	CPT				Outpatient	Facility			231.08	231.08	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	68			Percent of total billed charges		157.13	90			Percent of total billed charges		207.97	100			Percent of total billed charges		231.08	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	80			Percent of total billed charges		184.86	27			Percent of total billed charges		64.7024	85			Percent of total billed charges		196.42	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		69.32	80			Percent of total billed charges		184.86	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	90			Percent of total billed charges		207.97	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	27			Percent of total billed charges		64.7024	64.7024	231.08	zero instances of the item or service in the 12 months prior to posting the file
"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)"	49905	CPT				Outpatient	Facility			3849	3849	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	68			Percent of total billed charges		2617.32	90			Percent of total billed charges		3464.1		5859.51		Case rate		5859.51	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	80			Percent of total billed charges		2779.2	27			Percent of total billed charges		1077.72	85			Percent of total billed charges		3271.65	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1154.7	80			Percent of total billed charges		2779.2	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	90			Percent of total billed charges		3464.1	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	27			Percent of total billed charges		1077.72	1077.72	5859.51	one or more instances of the item or service in the 12 months prior to posting the file
"Omentectomy, epiploectomy, resection of omentum (separate procedure)"	49255	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of acromioclavicular dislocation, acute or chronic"	23550	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of calcaneal fracture, includes internal fixation, when performed"	27415	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		4465.2		Case rate		4465.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed"	26665	CPT				Outpatient	Facility			10034	10034	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	68			Percent of total billed charges		6823.12	90			Percent of total billed charges		9027.6		5515.17		Case rate		5515.17	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	80			Percent of total billed charges		8027.2	27			Percent of total billed charges		2709.52	85			Percent of total billed charges		8527.9	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2710.2	80			Percent of total billed charges		8027.2	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	90			Percent of total billed charges		9027.6	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	27			Percent of total billed charges		2709.52	2709.52	9027.6	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of clavicular fracture, includes internal fixation, when performed"	23515	CPT				Outpatient	Facility			17364.92	17364.92	27			Percent of total billed charges		4862.1776	90			Percent of total billed charges		15627.43	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	68			Percent of total billed charges		11808.15	90			Percent of total billed charges		15627.43		4465.2		Case rate		4465.2	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	90			Percent of total billed charges		15627.43	80			Percent of total billed charges		13891.94	27			Percent of total billed charges		4862.1776	85			Percent of total billed charges		14760.18	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		5209.48	80			Percent of total billed charges		13891.94	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	90			Percent of total billed charges		15627.43	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	27			Percent of total billed charges		4862.1776	4862.1776	15627.43	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed"	27792	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		4465.2		Case rate		4465.2	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed"	27829	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		3900.7		Case rate		3900.7	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula"	27827	CPT				Outpatient	Facility			44104	44104	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	68			Percent of total billed charges		29990.72	90			Percent of total billed charges		39693.6		5515.17		Case rate		5515.17	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	80			Percent of total billed charges		35273.2	27			Percent of total billed charges		12349.12	85			Percent of total billed charges		37488.4	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		13231.2	80			Percent of total billed charges		35273.2	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	12349.12	39693.6	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed"	27505	CPT				Outpatient	Facility			14160.54	14160.54	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	68			Percent of total billed charges		9629.17	90			Percent of total billed charges		12744.49		4465.2		Case rate		4465.2	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	80			Percent of total billed charges		11327.43	27			Percent of total billed charges		3964.9512	85			Percent of total billed charges		12036.46	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		4248.16	80			Percent of total billed charges		11327.43	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	90			Percent of total billed charges		12744.49	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	27			Percent of total billed charges		3964.9512	3964.9512	12744.49	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each"	27525	CPT				Outpatient	Facility			8526.64	8526.64	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	68			Percent of total billed charges		5798.12	90			Percent of total billed charges		7673.98		4465.2		Case rate		4465.2	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	85			Percent of total billed charges		7247.64	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2557.99	80			Percent of total billed charges		6821.31	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	90			Percent of total billed charges		7673.98	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	27			Percent of total billed charges		2387.4592	2387.4592	7673.98	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair"	27524	CPT				Outpatient	Facility			8883	8883	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	68			Percent of total billed charges		6040.44	90			Percent of total billed charges		7994.7		4465.2		Case rate		4465.2	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	85			Percent of total billed charges		7550.55	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2664.9	80			Percent of total billed charges		7106.4	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	90			Percent of total billed charges		7994.7	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	27			Percent of total billed charges		2487.24	2487.24	7994.7	one or more instances of the item or service in the 12 months prior to posting the file
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each"	26735	CPT				Outpatient	Facility			9173.24	9173.24	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	68			Percent of total billed charges		6237.8	90			Percent of total billed charges		8255.92		5515.17		Case rate		5515.17	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	85			Percent of total billed charges		7797.25	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2751.97	80			Percent of total billed charges		7338.59	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	90			Percent of total billed charges		8255.92	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	27			Percent of total billed charges		2568.5072	2568.5072	8255.92	one or more instances of the item or service in the 12 months prior to posting the file
"Orchiopexy, inguinal or scrotal approach"	54640	CPT				Outpatient	Facility			10587	10587	27			Percent of total billed charges		2964.36	90			Percent of total billed charges		9527.3	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	68			Percent of total billed charges		7199.16	90			Percent of total billed charges		9527.3		5515.17		Case rate		5515.17	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	90			Percent of total billed charges		9527.3	80			Percent of total billed charges		8469.6	27			Percent of total billed charges		2964.36	85			Percent of total billed charges		8998.95	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		3176.1	80			Percent of total billed charges		8469.6	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	90			Percent of total billed charges		9527.3	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	27			Percent of total billed charges		2964.36	2964.36	9527.3	one or more instances of the item or service in the 12 months prior to posting the file
"Organic acids; total, quantitative, each specimen"	83918	CPT				Outpatient	Facility			118	118	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	68			Percent of total billed charges		80.24	90			Percent of total billed charges		106.2		98.22		Case rate		98.22	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	80			Percent of total billed charges		94.4	27			Percent of total billed charges		33.04	85			Percent of total billed charges		100.3	27			Percent of total billed charges		33.04	27			Percent of total billed charges		35.4	80			Percent of total billed charges		94.4	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	90			Percent of total billed charges		106.2	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	27			Percent of total billed charges		33.04	33.04	106.2	one or more instances of the item or service in the 12 months prior to posting the file
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	97760	CPT				Outpatient	Facility			317	317	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	68			Percent of total billed charges		215.56	90			Percent of total billed charges		275.3		192.72		Case rate		192.72	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	80			Percent of total billed charges		253.6	27			Percent of total billed charges		88.76	85			Percent of total billed charges		269.45	27			Percent of total billed charges		88.76	27			Percent of total billed charges		95.1	80			Percent of total billed charges		253.6	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	90			Percent of total billed charges		275.3	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	27			Percent of total billed charges		88.76	88.76	275.3	one or more instances of the item or service in the 12 months prior to posting the file
"Ostectomy, calcaneus"	27118	CPT				Outpatient	Facility			9994	9994	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	68			Percent of total billed charges		6795.92	90			Percent of total billed charges		8994.6		5515.17		Case rate		5515.17	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	85			Percent of total billed charges		8494.9	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2998.2	80			Percent of total billed charges		7995.2	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	90			Percent of total billed charges		8994.6	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	27			Percent of total billed charges		2798.32	2798.32	8994.6	one or more instances of the item or service in the 12 months prior to posting the file
"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])"	27416	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		5515.17		Case rate		5515.17	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Osteotomy, tarsal bones, other than calcaneus or talus"	27274	CPT				Outpatient	Facility			19927	19927	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	68			Percent of total billed charges		13551.04	90			Percent of total billed charges		17935.2		3900.7		Case rate		3900.7	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	85			Percent of total billed charges		16938.8	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5978.4	80			Percent of total billed charges		15942.4	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	90			Percent of total billed charges		17935.2	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	27			Percent of total billed charges		5579.84	5579.84	17935.2	one or more instances of the item or service in the 12 months prior to posting the file
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)"	27277	CPT				Outpatient	Facility			21431	21431	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	68			Percent of total billed charges		14573.08	90			Percent of total billed charges		19277.9		5515.17		Case rate		5515.17	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	80			Percent of total billed charges		17144.8	27			Percent of total billed charges		6000.68	85			Percent of total billed charges		18216.35	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6429.3	80			Percent of total billed charges		17144.8	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	6000.68	19277.9	one or more instances of the item or service in the 12 months prior to posting the file
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal"	27276	CPT				Outpatient	Facility			19353	19353	27			Percent of total billed charges		5418.84	90			Percent of total billed charges		17417.7	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	68			Percent of total billed charges		13160.04	90			Percent of total billed charges		17417.7		5515.17		Case rate		5515.17	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	90			Percent of total billed charges		17417.7	80			Percent of total billed charges		15482.4	27			Percent of total billed charges		5418.84	85			Percent of total billed charges		16450.05	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5805.9	80			Percent of total billed charges		15482.4	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	90			Percent of total billed charges		17417.7	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	27			Percent of total billed charges		5418.84	5418.84	17417.7	one or more instances of the item or service in the 12 months prior to posting the file
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each"	27278	CPT				Outpatient	Facility			9724	9724	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	68			Percent of total billed charges		6612.32	90			Percent of total billed charges		8751.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	85			Percent of total billed charges		8265.4	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2917.2	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	2722.72	8751.6	one or more instances of the item or service in the 12 months prior to posting the file
"Ovarian cystectomy, unilateral or bilateral"	58925	CPT				Outpatient	Facility			14125	14125	27			Percent of total billed charges		3955	90			Percent of total billed charges		12712.5	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	68			Percent of total billed charges		9605	90			Percent of total billed charges		12712.5		4465.2		Case rate		4465.2	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	90			Percent of total billed charges		12712.5	80			Percent of total billed charges		11270	27			Percent of total billed charges		3955	85			Percent of total billed charges		12006.25	27			Percent of total billed charges		3955	27			Percent of total billed charges		4237.5	80			Percent of total billed charges		11270	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	90			Percent of total billed charges		12712.5	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	27			Percent of total billed charges		3955	3955	12712.5	one or more instances of the item or service in the 12 months prior to posting the file
"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization"	78072	CPT				Outpatient	Facility			2703.87	2703.86	27			Percent of total billed charges		785.0808	90			Percent of total billed charges		2523.48	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	68			Percent of total billed charges		1906.63	90			Percent of total billed charges		2523.48		2263.53		Case rate		2263.53	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	90			Percent of total billed charges		2523.48	80			Percent of total billed charges		2243.09	27			Percent of total billed charges		785.0808	85			Percent of total billed charges		2383.29	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		841.16	80			Percent of total billed charges		2243.09	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	90			Percent of total billed charges		2523.48	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	27			Percent of total billed charges		785.0808	785.0808	2523.48	one or more instances of the item or service in the 12 months prior to posting the file
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion"	11055	CPT				Outpatient	Facility			595.72	595.72	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	68			Percent of total billed charges		405.09	90			Percent of total billed charges		536.15		278.78		Case rate		278.78	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	85			Percent of total billed charges		506.36	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		178.72	80			Percent of total billed charges		476.58	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	90			Percent of total billed charges		536.15	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	27			Percent of total billed charges		166.8016	166.8016	536.15	one or more instances of the item or service in the 12 months prior to posting the file
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger"	26236	CPT				Outpatient	Facility			4592.98	4592.98	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	68			Percent of total billed charges		3123.23	90			Percent of total billed charges		4133.68		4465.2		Case rate		4465.2	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	85			Percent of total billed charges		3904.03	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1377.89	80			Percent of total billed charges		3674.38	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	90			Percent of total billed charges		4133.68	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	27			Percent of total billed charges		1276.0344	1276.0344	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia"	27640	CPT				Outpatient	Facility			9427.64	9427.64	27			Percent of total billed charges		2639.7392	90			Percent of total billed charges		8484.88	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	68			Percent of total billed charges		6410.8	90			Percent of total billed charges		8484.88		3900.7		Case rate		3900.7	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	90			Percent of total billed charges		8484.88	80			Percent of total billed charges		7542.11	27			Percent of total billed charges		2639.7392	85			Percent of total billed charges		8013.49	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2727.29	80			Percent of total billed charges		7542.11	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	90			Percent of total billed charges		8484.88	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	27			Percent of total billed charges		2639.7392	2639.7392	8484.88	one or more instances of the item or service in the 12 months prior to posting the file
"Particle agglutination; screen, each antibody"	86403	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		48.04		Case rate		48.04	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	48.04	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous skeletal fixation of femoral fracture, proximal end, neck"	27235	CPT				Outpatient	Facility			8867.66	8867.66	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	68			Percent of total billed charges		6027.01	90			Percent of total billed charges		7980.89		3900.7		Case rate		3900.7	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	80			Percent of total billed charges		7094.13	27			Percent of total billed charges		2482.9448	85			Percent of total billed charges		7537.51	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2660.3	80			Percent of total billed charges		7094.13	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	2482.9448	7980.89	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation"	33340	CPT				Outpatient	Facility			5856	5856	27			Percent of total billed charges		1639.68	90			Percent of total billed charges		5270.4	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	68			Percent of total billed charges		3982.08	90			Percent of total billed charges		5270.4		3900.7		Case rate		3900.7	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	90			Percent of total billed charges		5270.4	80			Percent of total billed charges		4684.8	27			Percent of total billed charges		1639.68	85			Percent of total billed charges		4977.6	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1756.8	80			Percent of total billed charges		4684.8	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	90			Percent of total billed charges		5270.4	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	27			Percent of total billed charges		1639.68	1639.68	5270.4	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)"	92929	CPT				Outpatient	Facility			20274	20274	27			Percent of total billed charges		5676.72	90			Percent of total billed charges		18246.6	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	68			Percent of total billed charges		13786.32	90			Percent of total billed charges		18246.6		2268.1		Case rate		2268.1	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	90			Percent of total billed charges		18246.6	80			Percent of total billed charges		16219.2	27			Percent of total billed charges		5676.72	85			Percent of total billed charges		17232.9	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		6082.2	80			Percent of total billed charges		16219.2	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	90			Percent of total billed charges		18246.6	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	27			Percent of total billed charges		5676.72	5676.72	18246.6	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch"	92927	CPT				Outpatient	Facility			22503.8	22503.8	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	68			Percent of total billed charges		15272.58	90			Percent of total billed charges		20253.42		4536.15		Case rate		4536.15	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	85			Percent of total billed charges		19127.23	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6751.14	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	6301.064	20253.42	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch"	92924	CPT				Outpatient	Facility			34517	34517	27			Percent of total billed charges		9664.76	90			Percent of total billed charges		31065.3	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	68			Percent of total billed charges		23471.56	90			Percent of total billed charges		31065.3		4855.66		Case rate		4855.66	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	90			Percent of total billed charges		31065.3	80			Percent of total billed charges		27613.6	27			Percent of total billed charges		9664.76	85			Percent of total billed charges		29339.45	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		10355.1	80			Percent of total billed charges		27613.6	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	90			Percent of total billed charges		31065.3	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	27			Percent of total billed charges		9664.76	9664.76	31065.3	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)"	92934	CPT				Outpatient	Facility			2701.92	2701.92	27			Percent of total billed charges		784.5376	90			Percent of total billed charges		2701.73	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	68			Percent of total billed charges		2041.31	90			Percent of total billed charges		2701.73		2537.82		Case rate		2537.82	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	90			Percent of total billed charges		2701.73	80			Percent of total billed charges		2401.54	27			Percent of total billed charges		784.5376	85			Percent of total billed charges		2551.63	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		900.58	80			Percent of total billed charges		2401.54	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	90			Percent of total billed charges		2701.73	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	27			Percent of total billed charges		784.5376	784.5376	2701.73	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance"	37187	CPT				Outpatient	Facility			24313.22	24313.22	27			Percent of total billed charges		6807.7016	90			Percent of total billed charges		21881.9	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	68			Percent of total billed charges		16532.99	90			Percent of total billed charges		21881.9		11713.38		Case rate		11713.38	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	90			Percent of total billed charges		21881.9	80			Percent of total billed charges		19450.58	27			Percent of total billed charges		6807.7016	85			Percent of total billed charges		20666.24	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		7293.97	80			Percent of total billed charges		19450.58	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	90			Percent of total billed charges		21881.9	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	27			Percent of total billed charges		6807.7016	6807.7016	21881.9	one or more instances of the item or service in the 12 months prior to posting the file
"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel"	92937	CPT				Outpatient	Facility			32148.74	32148.74	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	68			Percent of total billed charges		21861.14	90			Percent of total billed charges		27933.87		4533.61		Case rate		4533.61	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	85			Percent of total billed charges		27326.43	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9644.62	80			Percent of total billed charges		25718.99	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	90			Percent of total billed charges		27933.87	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	27			Percent of total billed charges		9001.6472	9001.6472	27933.87	one or more instances of the item or service in the 12 months prior to posting the file
"Peritoneal lavage, including imaging guidance, when performed"	49084	CPT				Outpatient	Facility			1749	1749	27			Percent of total billed charges		489.72	90			Percent of total billed charges		1574.1	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	68			Percent of total billed charges		1189.32	90			Percent of total billed charges		1574.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	90			Percent of total billed charges		1574.1	80			Percent of total billed charges		1399.2	27			Percent of total billed charges		489.72	85			Percent of total billed charges		1486.65	27			Percent of total billed charges		489.72	27			Percent of total billed charges		524.7	80			Percent of total billed charges		1399.2	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	90			Percent of total billed charges		1574.1	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	27			Percent of total billed charges		489.72	489.72	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"pH; body fluid, not otherwise specified"	83986	CPT				Outpatient	Facility			7.4	7.4	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	68			Percent of total billed charges		5.03	90			Percent of total billed charges		6.66		14.9		Case rate		14.9	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	80			Percent of total billed charges		5.92	27			Percent of total billed charges		2.072	85			Percent of total billed charges		6.29	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.22	80			Percent of total billed charges		5.92	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	90			Percent of total billed charges		6.66	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	27			Percent of total billed charges		2.072	2.072	14.9	one or more instances of the item or service in the 12 months prior to posting the file
"Phenylalanine (PKU), blood"	84027	CPT				Outpatient	Facility			223	223	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	68			Percent of total billed charges		151.64	90			Percent of total billed charges		200.7		22.86		Case rate		22.86	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	80			Percent of total billed charges		178.4	27			Percent of total billed charges		62.44	85			Percent of total billed charges		189.55	27			Percent of total billed charges		62.44	27			Percent of total billed charges		66.9	80			Percent of total billed charges		178.4	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	90			Percent of total billed charges		200.7	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	27			Percent of total billed charges		62.44	62.44	200.7	one or more instances of the item or service in the 12 months prior to posting the file
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family."	97161	CPT				Outpatient	Facility			516	516	27			Percent of total billed charges		144.48	90			Percent of total billed charges		464.4	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	68			Percent of total billed charges		350.88	90			Percent of total billed charges		464.4		474.35		Case rate		474.35	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	90			Percent of total billed charges		464.4	80			Percent of total billed charges		412.8	27			Percent of total billed charges		144.48	85			Percent of total billed charges		438.6	27			Percent of total billed charges		144.48	27			Percent of total billed charges		154.8	80			Percent of total billed charges		412.8	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	90			Percent of total billed charges		464.4	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	27			Percent of total billed charges		144.48	144.48	474.35	one or more instances of the item or service in the 12 months prior to posting the file
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session"	99183	CPT				Outpatient	Facility			1880	1880	27			Percent of total billed charges		526.4	90			Percent of total billed charges		1692	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	68			Percent of total billed charges		1278.4	90			Percent of total billed charges		1692		558.86		Case rate		558.86	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	90			Percent of total billed charges		1692	80			Percent of total billed charges		1504	27			Percent of total billed charges		526.4	85			Percent of total billed charges		1598	27			Percent of total billed charges		526.4	27			Percent of total billed charges		564	80			Percent of total billed charges		1504	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	90			Percent of total billed charges		1692	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	27			Percent of total billed charges		526.4	526.4	1692	one or more instances of the item or service in the 12 months prior to posting the file
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist"	95810	CPT				Outpatient	Facility			4647	4647	27			Percent of total billed charges		1301.16	90			Percent of total billed charges		4182.3	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	68			Percent of total billed charges		3159.96	90			Percent of total billed charges		4182.3		4196.49		Case rate		4196.49	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	90			Percent of total billed charges		4182.3	80			Percent of total billed charges		3717.6	27			Percent of total billed charges		1301.16	85			Percent of total billed charges		3949.95	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1394.1	80			Percent of total billed charges		3717.6	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	90			Percent of total billed charges		4182.3	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	27			Percent of total billed charges		1301.16	1301.16	4196.49	one or more instances of the item or service in the 12 months prior to posting the file
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist"	95811	CPT				Outpatient	Facility			5154	5154	27			Percent of total billed charges		1443.12	90			Percent of total billed charges		4638.6	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	68			Percent of total billed charges		3504.72	90			Percent of total billed charges		4638.6		4655.54		Case rate		4655.54	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	90			Percent of total billed charges		4638.6	80			Percent of total billed charges		4123.2	27			Percent of total billed charges		1443.12	85			Percent of total billed charges		4380.9	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1546.2	80			Percent of total billed charges		4123.2	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	90			Percent of total billed charges		4638.6	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	27			Percent of total billed charges		1443.12	1443.12	4655.54	one or more instances of the item or service in the 12 months prior to posting the file
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)"	78814	CPT				Outpatient	Facility			3567	3567	27			Percent of total billed charges		998.76	90			Percent of total billed charges		3210.3	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	68			Percent of total billed charges		2425.56	90			Percent of total billed charges		3210.3		9612.87		Case rate		9612.87	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	90			Percent of total billed charges		3210.3	80			Percent of total billed charges		2753.6	27			Percent of total billed charges		998.76	85			Percent of total billed charges		2731.95	27			Percent of total billed charges		998.76	27			Percent of total billed charges		1070.1	80			Percent of total billed charges		2753.6	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	90			Percent of total billed charges		3210.3	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	27			Percent of total billed charges		998.76	998.76	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
"Potassium; serum, plasma or whole blood"	84132	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		19.81		Case rate		19.81	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	one or more instances of the item or service in the 12 months prior to posting the file
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	94640	CPT				Outpatient	Facility			372.06	372.06	27			Percent of total billed charges		104.1768	90			Percent of total billed charges		334.85	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	68			Percent of total billed charges		253	90			Percent of total billed charges		334.85		93.2		Case rate		93.2	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	90			Percent of total billed charges		334.85	80			Percent of total billed charges		297.65	27			Percent of total billed charges		104.1768	85			Percent of total billed charges		316.25	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		111.62	80			Percent of total billed charges		297.65	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	90			Percent of total billed charges		334.85	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	27			Percent of total billed charges		104.1768	104.1768	334.85	zero instances of the item or service in the 12 months prior to posting the file
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each"	86970	CPT				Outpatient	Facility			140.16	140.16	27			Percent of total billed charges		39.2448	90			Percent of total billed charges		126.14	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	68			Percent of total billed charges		95.31	90			Percent of total billed charges		126.14		136.95		Case rate		136.95	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	90			Percent of total billed charges		126.14	80			Percent of total billed charges		112.13	27			Percent of total billed charges		39.2448	85			Percent of total billed charges		119.14	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		42.05	80			Percent of total billed charges		112.13	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	90			Percent of total billed charges		126.14	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	27			Percent of total billed charges		39.2448	39.2448	136.95	one or more instances of the item or service in the 12 months prior to posting the file
"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel"	37184	CPT				Outpatient	Facility			34252.84	34252.84	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	68			Percent of total billed charges		23291.93	90			Percent of total billed charges		27827.56		11713.38		Case rate		11713.38	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	80			Percent of total billed charges		27402.27	27			Percent of total billed charges		9590.7952	85			Percent of total billed charges		29114.91	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		10275.85	80			Percent of total billed charges		27402.27	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	90			Percent of total billed charges		27827.56	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	27			Percent of total billed charges		9590.7952	9590.7952	27827.56	one or more instances of the item or service in the 12 months prior to posting the file
"Protein, total, except by refractometry; urine"	84156	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		15.24		Case rate		15.24	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	38.7	one or more instances of the item or service in the 12 months prior to posting the file
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)"	84166	CPT				Outpatient	Facility			121	121	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	68			Percent of total billed charges		82.27	90			Percent of total billed charges		108.9		73.95		Case rate		73.95	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	85			Percent of total billed charges		102.85	27			Percent of total billed charges		33.88	27			Percent of total billed charges		36.3	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	33.88	108.9	one or more instances of the item or service in the 12 months prior to posting the file
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each"	84182	CPT				Outpatient	Facility			27.17	27.17	27			Percent of total billed charges		7.8876	90			Percent of total billed charges		25.35	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	68			Percent of total billed charges		19.16	90			Percent of total billed charges		25.35		73.95		Case rate		73.95	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	90			Percent of total billed charges		25.35	80			Percent of total billed charges		22.54	27			Percent of total billed charges		7.8876	85			Percent of total billed charges		23.94	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		8.45	80			Percent of total billed charges		22.54	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	90			Percent of total billed charges		25.35	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	27			Percent of total billed charges		7.8876	7.8876	73.95	one or more instances of the item or service in the 12 months prior to posting the file
"Protoporphyrin, RBC; quantitative"	84202	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		59.72		Case rate		59.72	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	59.72	zero instances of the item or service in the 12 months prior to posting the file
"Punch biopsy of skin (including simple closure, when performed); single lesion"	11104	CPT				Outpatient	Facility			1221	1221	27			Percent of total billed charges		341.88	90			Percent of total billed charges		1098.9	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	68			Percent of total billed charges		827.27	90			Percent of total billed charges		1098.9		319.17		Case rate		319.17	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	90			Percent of total billed charges		1098.9	80			Percent of total billed charges		976.8	27			Percent of total billed charges		341.88	85			Percent of total billed charges		1037.85	27			Percent of total billed charges		341.88	27			Percent of total billed charges		366.3	80			Percent of total billed charges		976.8	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	90			Percent of total billed charges		1098.9	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	27			Percent of total billed charges		341.88	341.88	1098.9	one or more instances of the item or service in the 12 months prior to posting the file
"Rabies vaccine, for intramuscular use"	90675	CPT				Outpatient	Facility			1369	1369	27			Percent of total billed charges		383.32	90			Percent of total billed charges		1232.1	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	68			Percent of total billed charges		927.92	90			Percent of total billed charges		1232.1		2124.89		Case rate		2124.89	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	90			Percent of total billed charges		1232.1	80			Percent of total billed charges		1095.2	27			Percent of total billed charges		383.32	85			Percent of total billed charges		1163.65	27			Percent of total billed charges		383.32	27			Percent of total billed charges		410.7	80			Percent of total billed charges		1095.2	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	90			Percent of total billed charges		1232.1	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	27			Percent of total billed charges		383.32	383.32	2124.89	one or more instances of the item or service in the 12 months prior to posting the file
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum"	25116	CPT				Outpatient	Facility			9808	9808	27			Percent of total billed charges		2746.24	90			Percent of total billed charges		8827.2	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	68			Percent of total billed charges		6669.44	90			Percent of total billed charges		8827.2		5515.17		Case rate		5515.17	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	90			Percent of total billed charges		8827.2	80			Percent of total billed charges		7846.4	27			Percent of total billed charges		2746.24	85			Percent of total billed charges		8336.8	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2942.4	80			Percent of total billed charges		7846.4	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	90			Percent of total billed charges		8827.2	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	27			Percent of total billed charges		2746.24	2746.24	8827.2	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, abdomen; 2 views"	74019	CPT				Outpatient	Facility			200.85	200.85	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	68			Percent of total billed charges		136.58	90			Percent of total billed charges		180.76		127.29		Case rate		127.29	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	85			Percent of total billed charges		170.72	27			Percent of total billed charges		56.238	27			Percent of total billed charges		60.26	80			Percent of total billed charges		160.68	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	90			Percent of total billed charges		180.76	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	27			Percent of total billed charges		56.238	56.238	180.76	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, abdomen; 3 or more views"	74021	CPT				Outpatient	Facility			203.43	203.42	27			Percent of total billed charges		56.9576	90			Percent of total billed charges		183.08	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	68			Percent of total billed charges		138.33	90			Percent of total billed charges		183.08		150.5		Case rate		150.5	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	90			Percent of total billed charges		183.08	80			Percent of total billed charges		162.74	27			Percent of total billed charges		56.9576	85			Percent of total billed charges		172.91	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		61.03	80			Percent of total billed charges		162.74	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	90			Percent of total billed charges		183.08	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	27			Percent of total billed charges		56.9576	56.9576	183.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, ankle; 2 views"	73600	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		120.69		Case rate		120.69	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, ankle; complete, minimum of 3 views"	73610	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		140.56		Case rate		140.56	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, chest; 2 views"	71046	CPT				Outpatient	Facility			140.08	140.08	27			Percent of total billed charges		39.2224	90			Percent of total billed charges		126.07	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	68			Percent of total billed charges		95.25	90			Percent of total billed charges		126.07		114.09		Case rate		114.09	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	90			Percent of total billed charges		126.07	80			Percent of total billed charges		112.06	27			Percent of total billed charges		39.2224	85			Percent of total billed charges		119.07	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		42.02	80			Percent of total billed charges		112.06	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	90			Percent of total billed charges		126.07	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	27			Percent of total billed charges		39.2224	39.2224	126.07	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, chest; single view"	71045	CPT				Outpatient	Facility			134.93	134.93	27			Percent of total billed charges		37.7804	90			Percent of total billed charges		121.44	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	68			Percent of total billed charges		91.75	90			Percent of total billed charges		121.44		84.27		Case rate		84.27	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	90			Percent of total billed charges		121.44	80			Percent of total billed charges		107.94	27			Percent of total billed charges		37.7804	85			Percent of total billed charges		114.69	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		40.48	80			Percent of total billed charges		107.94	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	90			Percent of total billed charges		121.44	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	27			Percent of total billed charges		37.7804	37.7804	121.44	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74270	CPT				Outpatient	Facility			680.83	680.83	27			Percent of total billed charges		190.6324	90			Percent of total billed charges		612.75	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	68			Percent of total billed charges		462.96	90			Percent of total billed charges		612.75		541.24		Case rate		541.24	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	90			Percent of total billed charges		612.75	80			Percent of total billed charges		544.66	27			Percent of total billed charges		190.6324	85			Percent of total billed charges		578.71	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		204.25	80			Percent of total billed charges		544.66	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	90			Percent of total billed charges		612.75	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	27			Percent of total billed charges		190.6324	190.6324	612.75	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest"	74022	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		172		Case rate		172	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, elbow; 2 views"	72770	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		104.15		Case rate		104.15	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, elbow; complete, minimum of 3 views"	72780	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		119.05		Case rate		119.05	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, eye, for detection of foreign body"	70027	CPT				Outpatient	Facility			192.61	192.61	27			Percent of total billed charges		53.9308	90			Percent of total billed charges		173.35	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	68			Percent of total billed charges		127.97	90			Percent of total billed charges		173.35		117.42		Case rate		117.42	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	90			Percent of total billed charges		173.35	80			Percent of total billed charges		154.09	27			Percent of total billed charges		53.9308	85			Percent of total billed charges		163.72	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		57.78	80			Percent of total billed charges		154.09	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	90			Percent of total billed charges		173.35	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	27			Percent of total billed charges		53.9308	53.9308	173.35	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, facial bones; less than 3 views"	70140	CPT				Outpatient	Facility			206	206	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	68			Percent of total billed charges		140.08	90			Percent of total billed charges		185.4		110.75		Case rate		110.75	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	85			Percent of total billed charges		175.1	27			Percent of total billed charges		57.68	27			Percent of total billed charges		61.8	80			Percent of total billed charges		164.8	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	90			Percent of total billed charges		185.4	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	27			Percent of total billed charges		57.68	57.68	185.4	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, foot; 2 views"	73620	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		102.51		Case rate		102.51	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hand; minimum of 3 views"	73127	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		138.92		Case rate		138.92	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	73522	CPT				Outpatient	Facility			353.29	353.29	27			Percent of total billed charges		98.9212	90			Percent of total billed charges		317.96	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	68			Percent of total billed charges		240.24	90			Percent of total billed charges		317.96		195.2		Case rate		195.2	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	90			Percent of total billed charges		317.96	80			Percent of total billed charges		272.63	27			Percent of total billed charges		98.9212	85			Percent of total billed charges		270.3	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		105.99	80			Percent of total billed charges		272.63	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	90			Percent of total billed charges		317.96	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	27			Percent of total billed charges		98.9212	98.9212	317.96	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views"	73523	CPT				Outpatient	Facility			225.57	225.57	27			Percent of total billed charges		63.1596	90			Percent of total billed charges		203.01	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	68			Percent of total billed charges		153.39	90			Percent of total billed charges		203.01		229.98		Case rate		229.98	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	90			Percent of total billed charges		203.01	80			Percent of total billed charges		180.46	27			Percent of total billed charges		63.1596	85			Percent of total billed charges		191.73	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		67.67	80			Percent of total billed charges		180.46	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	90			Percent of total billed charges		203.01	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	27			Percent of total billed charges		63.1596	63.1596	229.98	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, knee; 1 or 2 views"	73560	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		127.99		Case rate		127.99	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, knee; 3 views"	73562	CPT				Outpatient	Facility			158.62	158.62	27			Percent of total billed charges		44.4475	90			Percent of total billed charges		142.76	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	68			Percent of total billed charges		107.86	90			Percent of total billed charges		142.76		157.1		Case rate		157.1	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	90			Percent of total billed charges		142.76	80			Percent of total billed charges		126.9	27			Percent of total billed charges		44.4475	85			Percent of total billed charges		134.83	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		47.59	80			Percent of total billed charges		126.9	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	90			Percent of total billed charges		142.76	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	27			Percent of total billed charges		44.4475	44.4475	157.1	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, mandible; complete, minimum of 4 views"	70110	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		158.79		Case rate		158.79	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, nasal bones, complete, minimum of 3 views"	70160	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		147.22		Case rate		147.22	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, pelvis; complete, minimum of 3 views"	72190	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		148.86		Case rate		148.86	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views"	71111	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		185.27		Case rate		185.27	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views"	71101	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		145.58		Case rate		145.58	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, shoulder; complete, minimum of 2 views"	72727	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		125.66		Case rate		125.66	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, skull; complete, minimum of 4 views"	70260	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		155.46		Case rate		155.46	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, cervical; 6 or more views"	72052	CPT				Outpatient	Facility			332	332	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	68			Percent of total billed charges		225.76	90			Percent of total billed charges		298.8		236.64		Case rate		236.64	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	85			Percent of total billed charges		272.2	27			Percent of total billed charges		92.96	27			Percent of total billed charges		99.6	80			Percent of total billed charges		265.6	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	90			Percent of total billed charges		298.8	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	27			Percent of total billed charges		92.96	92.96	298.8	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	72082	CPT				Outpatient	Facility			350	350	27			Percent of total billed charges		98	90			Percent of total billed charges		315	27			Percent of total billed charges		98	27			Percent of total billed charges		98	68			Percent of total billed charges		238	90			Percent of total billed charges		315		273.05		Case rate		273.05	27			Percent of total billed charges		98	27			Percent of total billed charges		98	90			Percent of total billed charges		315	80			Percent of total billed charges		270	27			Percent of total billed charges		98	85			Percent of total billed charges		297.5	27			Percent of total billed charges		98	27			Percent of total billed charges		105	80			Percent of total billed charges		270	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	90			Percent of total billed charges		315	27			Percent of total billed charges		98	27			Percent of total billed charges		98	27			Percent of total billed charges		98	98	315	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, lumbosacral; 2 or 3 views"	72100	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		143.89		Case rate		143.89	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views"	72120	CPT				Outpatient	Facility			201.4	201.4	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	68			Percent of total billed charges		136.95	90			Percent of total billed charges		181.26		148.86		Case rate		148.86	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	80			Percent of total billed charges		161.12	27			Percent of total billed charges		56.392	85			Percent of total billed charges		171.19	27			Percent of total billed charges		56.392	27			Percent of total billed charges		60.42	80			Percent of total billed charges		161.12	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	56.392	181.26	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine, lumbosacral; minimum of 4 views"	72110	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		191.93		Case rate		191.93	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine; thoracic, 3 views"	72072	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		140.56		Case rate		140.56	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	72080	CPT				Outpatient	Facility			216.3	216.3	27			Percent of total billed charges		60.564	90			Percent of total billed charges		194.67	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	68			Percent of total billed charges		147.08	90			Percent of total billed charges		194.67		122.38		Case rate		122.38	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	90			Percent of total billed charges		194.67	80			Percent of total billed charges		173.04	27			Percent of total billed charges		60.564	85			Percent of total billed charges		183.86	27			Percent of total billed charges		60.564	27			Percent of total billed charges		64.89	80			Percent of total billed charges		173.04	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	90			Percent of total billed charges		194.67	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	27			Percent of total billed charges		60.564	60.564	194.67	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	74227	CPT				Outpatient	Facility			540.75	540.75	27			Percent of total billed charges		151.41	90			Percent of total billed charges		486.68	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	68			Percent of total billed charges		367.71	90			Percent of total billed charges		486.68		519.74		Case rate		519.74	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	90			Percent of total billed charges		486.68	80			Percent of total billed charges		432.6	27			Percent of total billed charges		151.41	85			Percent of total billed charges		459.64	27			Percent of total billed charges		151.41	27			Percent of total billed charges		162.22	80			Percent of total billed charges		432.6	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	90			Percent of total billed charges		486.68	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	27			Percent of total billed charges		151.41	151.41	519.74	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, wrist; 2 views"	73100	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		127.29		Case rate		127.29	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination, wrist; complete, minimum of 3 views"	73110	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		160.49		Case rate		160.49	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction"	72750	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		95.85		Case rate		95.85	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	183.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; clavicle, complete"	72700	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		119.05		Case rate		119.05	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; humerus, minimum of 2 views"	72760	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		119.05		Case rate		119.05	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; lower extremity, infant, minimum of 2 views"	73592	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		119.05		Case rate		119.05	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	183.6	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; neck, soft tissue"	70360	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		112.39		Case rate		112.39	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; orbits, complete, minimum of 4 views"	70200	CPT				Outpatient	Facility			260	260	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	68			Percent of total billed charges		176.8	90			Percent of total billed charges		234		173.7		Case rate		173.7	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	80			Percent of total billed charges		208	27			Percent of total billed charges		72.8	85			Percent of total billed charges		221	27			Percent of total billed charges		72.8	27			Percent of total billed charges		78	80			Percent of total billed charges		208	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	72.8	234	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views"	71127	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		153.83		Case rate		153.83	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; sternum, minimum of 2 views"	71120	CPT				Outpatient	Facility			201.4	201.4	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	68			Percent of total billed charges		136.95	90			Percent of total billed charges		181.26		120.69		Case rate		120.69	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	80			Percent of total billed charges		161.12	27			Percent of total billed charges		56.392	85			Percent of total billed charges		171.19	27			Percent of total billed charges		56.392	27			Percent of total billed charges		60.42	80			Percent of total billed charges		161.12	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	90			Percent of total billed charges		181.26	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	27			Percent of total billed charges		56.392	56.392	181.26	one or more instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; tibia and fibula, 2 views"	73590	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		117.42		Case rate		117.42	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Radiologic examination; toe(s), minimum of 2 views"	73660	CPT				Outpatient	Facility			198.79	198.79	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	68			Percent of total billed charges		135.18	90			Percent of total billed charges		178.91		112.39		Case rate		112.39	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	85			Percent of total billed charges		168.97	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		59.64	80			Percent of total billed charges		159.03	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	90			Percent of total billed charges		178.91	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	27			Percent of total billed charges		55.6612	55.6612	178.91	zero instances of the item or service in the 12 months prior to posting the file
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)"	27313	CPT				Outpatient	Facility			9734	9734	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	68			Percent of total billed charges		6619.12	90			Percent of total billed charges		8760.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	85			Percent of total billed charges		8273.9	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2920.2	80			Percent of total billed charges		7787.2	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	90			Percent of total billed charges		8760.6	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	27			Percent of total billed charges		2725.52	2725.52	8760.6	one or more instances of the item or service in the 12 months prior to posting the file
"Release, tarsal tunnel (posterior tibial nerve decompression)"	27035	CPT				Outpatient	Facility			5292	5292	27			Percent of total billed charges		1481.76	90			Percent of total billed charges		4762.8	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	68			Percent of total billed charges		3598.56	90			Percent of total billed charges		4762.8		5515.17		Case rate		5515.17	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	90			Percent of total billed charges		4762.8	80			Percent of total billed charges		4233.6	27			Percent of total billed charges		1481.76	85			Percent of total billed charges		4498.2	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1587.6	80			Percent of total billed charges		4233.6	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	90			Percent of total billed charges		4762.8	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	27			Percent of total billed charges		1481.76	1481.76	5515.17	one or more instances of the item or service in the 12 months prior to posting the file
"Removal foreign body, intranasal; office type procedure"	27270	CPT				Outpatient	Facility			356.2	356.2	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	68			Percent of total billed charges		242.22	90			Percent of total billed charges		320.58		240.99		Case rate		240.99	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	80			Percent of total billed charges		274.96	27			Percent of total billed charges		99.736	85			Percent of total billed charges		272.77	27			Percent of total billed charges		99.736	27			Percent of total billed charges		106.86	80			Percent of total billed charges		274.96	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	90			Percent of total billed charges		320.58	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	27			Percent of total billed charges		99.736	99.736	320.58	one or more instances of the item or service in the 12 months prior to posting the file
"Removal impacted cerumen requiring instrumentation, unilateral"	69210	CPT				Outpatient	Facility			217	217	27			Percent of total billed charges		60.76	90			Percent of total billed charges		195.3	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	68			Percent of total billed charges		147.56	90			Percent of total billed charges		195.3		240.99		Case rate		240.99	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	90			Percent of total billed charges		195.3	80			Percent of total billed charges		173.6	27			Percent of total billed charges		60.76	85			Percent of total billed charges		184.45	27			Percent of total billed charges		60.76	27			Percent of total billed charges		65.1	80			Percent of total billed charges		173.6	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	90			Percent of total billed charges		195.3	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	27			Percent of total billed charges		60.76	60.76	240.99	one or more instances of the item or service in the 12 months prior to posting the file
"Removal impacted cerumen using irrigation/lavage, unilateral"	69209	CPT				Outpatient	Facility			204.58	204.58	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	68			Percent of total billed charges		139.11	90			Percent of total billed charges		184.12		84		Case rate		84	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	80			Percent of total billed charges		163.66	27			Percent of total billed charges		57.2724	85			Percent of total billed charges		173.89	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		61.37	80			Percent of total billed charges		163.66	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	90			Percent of total billed charges		184.12	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	27			Percent of total billed charges		57.2724	57.2724	184.12	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session"	97602	CPT				Outpatient	Facility			457.3	457.3	27			Percent of total billed charges		127.044	90			Percent of total billed charges		411.57	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	68			Percent of total billed charges		310.96	90			Percent of total billed charges		411.57		278.78		Case rate		278.78	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	90			Percent of total billed charges		411.57	80			Percent of total billed charges		365.84	27			Percent of total billed charges		127.044	85			Percent of total billed charges		388.7	27			Percent of total billed charges		127.044	27			Percent of total billed charges		137.19	80			Percent of total billed charges		365.84	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	90			Percent of total billed charges		411.57	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	27			Percent of total billed charges		127.044	127.044	411.57	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating"	65210	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of foreign body, external eye; conjunctival superficial"	65205	CPT				Outpatient	Facility			336.02	336.02	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	68			Percent of total billed charges		227.49	90			Percent of total billed charges		272.42		348.24		Case rate		348.24	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	80			Percent of total billed charges		268.82	27			Percent of total billed charges		94.0856	85			Percent of total billed charges		275.62	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		100.81	80			Percent of total billed charges		268.82	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	94.0856	348.24	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of foreign body, external eye; corneal, with slit lamp"	65222	CPT				Outpatient	Facility			4478	4478	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	68			Percent of total billed charges		2745.04	90			Percent of total billed charges		4027.2		3900.7		Case rate		3900.7	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	80			Percent of total billed charges		3582.4	27			Percent of total billed charges		1253.84	85			Percent of total billed charges		3806.3	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1343.4	80			Percent of total billed charges		3582.4	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	90			Percent of total billed charges		4027.2	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	27			Percent of total billed charges		1253.84	1253.84	4027.2	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of foreign body, foot; deep"	27192	CPT				Outpatient	Facility			4324.8	4324.8	27			Percent of total billed charges		1210.944	90			Percent of total billed charges		3892.32	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	68			Percent of total billed charges		2940.86	90			Percent of total billed charges		3892.32		3900.7		Case rate		3900.7	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	90			Percent of total billed charges		3892.32	80			Percent of total billed charges		3459.84	27			Percent of total billed charges		1210.944	85			Percent of total billed charges		3676.08	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1297.44	80			Percent of total billed charges		3459.84	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	90			Percent of total billed charges		3892.32	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	27			Percent of total billed charges		1210.944	1210.944	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)"	22375	CPT				Outpatient	Facility			4941.72	4941.72	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	68			Percent of total billed charges		3360.37	90			Percent of total billed charges		4447.55		4465.2		Case rate		4465.2	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	85			Percent of total billed charges		4200.46	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1482.52	80			Percent of total billed charges		3953.38	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	90			Percent of total billed charges		4447.55	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	27			Percent of total billed charges		1383.6816	1383.6816	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)"	50389	CPT				Outpatient	Facility			4373	4373	27			Percent of total billed charges		1224.44	90			Percent of total billed charges		3935.7	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	68			Percent of total billed charges		2973.64	90			Percent of total billed charges		3935.7		2912.82		Case rate		2912.82	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	90			Percent of total billed charges		3935.7	80			Percent of total billed charges		3498.4	27			Percent of total billed charges		1224.44	85			Percent of total billed charges		3717.05	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1311.9	80			Percent of total billed charges		3498.4	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	90			Percent of total billed charges		3935.7	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	27			Percent of total billed charges		1224.44	1224.44	3935.7	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions"	11200	CPT				Outpatient	Facility			569	569	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	68			Percent of total billed charges		386.92	90			Percent of total billed charges		512.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	80			Percent of total billed charges		455.2	27			Percent of total billed charges		159.32	85			Percent of total billed charges		483.65	27			Percent of total billed charges		159.32	27			Percent of total billed charges		170.7	80			Percent of total billed charges		455.2	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	159.32	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Removal of tunneled central venous catheter, without subcutaneous port or pump"	36589	CPT				Outpatient	Facility			3265	3265	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	68			Percent of total billed charges		2220.2	90			Percent of total billed charges		2938.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	85			Percent of total billed charges		2775.25	27			Percent of total billed charges		914.2	27			Percent of total billed charges		979.5	80			Percent of total billed charges		2612	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	90			Percent of total billed charges		2938.5	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	27			Percent of total billed charges		914.2	914.2	2938.5	one or more instances of the item or service in the 12 months prior to posting the file
"Removal, subcutaneous cardiac rhythm monitor"	33276	CPT				Outpatient	Facility			2037.32	2037.32	27			Percent of total billed charges		570.4496	90			Percent of total billed charges		1833.59	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	68			Percent of total billed charges		1385.38	90			Percent of total billed charges		1833.59		8704.59		Case rate		8704.59	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	90			Percent of total billed charges		1833.59	80			Percent of total billed charges		1629.86	27			Percent of total billed charges		570.4496	85			Percent of total billed charges		1731.72	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		611.2	80			Percent of total billed charges		1629.86	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	90			Percent of total billed charges		1833.59	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	27			Percent of total billed charges		570.4496	570.4496	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
"Repair blood vessel, direct; intrathoracic, without bypass"	35216	CPT				Outpatient	Facility			12785	12785	27			Percent of total billed charges		3607.8	90			Percent of total billed charges		11596.5	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	68			Percent of total billed charges		8761.8	90			Percent of total billed charges		11596.5		11713.38		Case rate		11713.38	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	90			Percent of total billed charges		11596.5	80			Percent of total billed charges		10278	27			Percent of total billed charges		3607.8	85			Percent of total billed charges		10952.25	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3865.5	80			Percent of total billed charges		10278	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	90			Percent of total billed charges		11596.5	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	27			Percent of total billed charges		3607.8	3607.8	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Repair blood vessel, direct; upper extremity"	35206	CPT				Outpatient	Facility			5392.22	5392.22	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	68			Percent of total billed charges		3666.71	90			Percent of total billed charges		4853		8704.59		Case rate		8704.59	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	85			Percent of total billed charges		4583.39	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1617.67	80			Percent of total billed charges		4313.78	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	90			Percent of total billed charges		4853	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	27			Percent of total billed charges		1509.8216	1509.8216	8704.59	one or more instances of the item or service in the 12 months prior to posting the file
"Repair initial inguinal hernia, age 5 years or older; reducible"	49505	CPT				Outpatient	Facility			9138.26	9138.26	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	68			Percent of total billed charges		6214.02	90			Percent of total billed charges		8224.43		5515.17		Case rate		5515.17	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	80			Percent of total billed charges		7310.61	27			Percent of total billed charges		2558.7127	85			Percent of total billed charges		7767.52	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2741.48	80			Percent of total billed charges		7310.61	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	90			Percent of total billed charges		8224.43	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	27			Percent of total billed charges		2558.7127	2558.7127	8224.43	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated"	49594	CPT				Outpatient	Facility			18010	18010	27			Percent of total billed charges		5042.8	90			Percent of total billed charges		16209	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	68			Percent of total billed charges		12246.8	90			Percent of total billed charges		16209	100			Percent of total billed charges		18010	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	90			Percent of total billed charges		16209	80			Percent of total billed charges		14408	27			Percent of total billed charges		5042.8	85			Percent of total billed charges		15278.5	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5403	80			Percent of total billed charges		14408	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	90			Percent of total billed charges		16209	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	27			Percent of total billed charges		5042.8	5042.8	18010	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated"	49596	CPT				Outpatient	Facility			11153.32	11153.32	27			Percent of total billed charges		3122.9296	90			Percent of total billed charges		10037.99	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	68			Percent of total billed charges		7584.26	90			Percent of total billed charges		10037.99	100			Percent of total billed charges		11153.32	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	90			Percent of total billed charges		10037.99	80			Percent of total billed charges		8922.66	27			Percent of total billed charges		3122.9296	85			Percent of total billed charges		9480.32	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3346	80			Percent of total billed charges		8922.66	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	90			Percent of total billed charges		10037.99	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	27			Percent of total billed charges		3122.9296	3122.9296	11153.32	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible"	49595	CPT				Outpatient	Facility			11892.26	11892.26	27			Percent of total billed charges		3329.8327	90			Percent of total billed charges		10703.03	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	68			Percent of total billed charges		8086.74	90			Percent of total billed charges		10703.03	100			Percent of total billed charges		11892.26	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	90			Percent of total billed charges		10703.03	80			Percent of total billed charges		9513.81	27			Percent of total billed charges		3329.8327	85			Percent of total billed charges		10108.42	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3567.68	80			Percent of total billed charges		9513.81	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	90			Percent of total billed charges		10703.03	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	27			Percent of total billed charges		3329.8327	3329.8327	11892.26	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible"	49591	CPT				Outpatient	Facility			12239	12239	27			Percent of total billed charges		3426.92	90			Percent of total billed charges		11015.1	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	68			Percent of total billed charges		8322.52	90			Percent of total billed charges		11015.1	100			Percent of total billed charges		12239	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	90			Percent of total billed charges		11015.1	80			Percent of total billed charges		9791.2	27			Percent of total billed charges		3426.92	85			Percent of total billed charges		10403.15	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3671.7	80			Percent of total billed charges		9791.2	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	90			Percent of total billed charges		11015.1	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	27			Percent of total billed charges		3426.92	3426.92	12239	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated"	49616	CPT				Outpatient	Facility			12238	12238	27			Percent of total billed charges		3426.64	90			Percent of total billed charges		11014.2	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	68			Percent of total billed charges		8321.84	90			Percent of total billed charges		11014.2	100			Percent of total billed charges		12238	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	90			Percent of total billed charges		11014.2	80			Percent of total billed charges		9790.4	27			Percent of total billed charges		3426.64	85			Percent of total billed charges		10402.3	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3671.4	80			Percent of total billed charges		9790.4	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	90			Percent of total billed charges		11014.2	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	27			Percent of total billed charges		3426.64	3426.64	12238	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach"	67904	CPT				Outpatient	Facility			7175	7175	27			Percent of total billed charges		2009	90			Percent of total billed charges		6457.5	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	68			Percent of total billed charges		4879	90			Percent of total billed charges		6457.5		5515.17		Case rate		5515.17	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	90			Percent of total billed charges		6457.5	80			Percent of total billed charges		5740	27			Percent of total billed charges		2009	85			Percent of total billed charges		6098.75	27			Percent of total billed charges		2009	27			Percent of total billed charges		2152.5	80			Percent of total billed charges		5740	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	90			Percent of total billed charges		6457.5	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	27			Percent of total billed charges		2009	2009	6457.5	one or more instances of the item or service in the 12 months prior to posting the file
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)"	25405	CPT				Outpatient	Facility			24695.88	24695.88	27			Percent of total billed charges		6914.8464	90			Percent of total billed charges		22226.29	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	68			Percent of total billed charges		16793.2	90			Percent of total billed charges		22226.29		5515.17		Case rate		5515.17	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	90			Percent of total billed charges		22226.29	80			Percent of total billed charges		19756.7	27			Percent of total billed charges		6914.8464	85			Percent of total billed charges		20991.5	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		7408.76	80			Percent of total billed charges		19756.7	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	90			Percent of total billed charges		22226.29	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	27			Percent of total billed charges		6914.8464	6914.8464	22226.29	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm"	13152	CPT				Outpatient	Facility			1584.7	1584.7	27			Percent of total billed charges		443.716	90			Percent of total billed charges		1426.23	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	68			Percent of total billed charges		1077.6	90			Percent of total billed charges		1426.23		4465.2		Case rate		4465.2	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	90			Percent of total billed charges		1426.23	80			Percent of total billed charges		1267.76	27			Percent of total billed charges		443.716	85			Percent of total billed charges		1347	27			Percent of total billed charges		443.716	27			Percent of total billed charges		475.41	80			Percent of total billed charges		1267.76	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	90			Percent of total billed charges		1426.23	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	27			Percent of total billed charges		443.716	443.716	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm"	13131	CPT				Outpatient	Facility			12741.6	12741.6	27			Percent of total billed charges		3567.648	90			Percent of total billed charges		11467.44	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	68			Percent of total billed charges		8664.29	90			Percent of total billed charges		11467.44		3900.7		Case rate		3900.7	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	90			Percent of total billed charges		11467.44	80			Percent of total billed charges		10193.27	27			Percent of total billed charges		3567.648	85			Percent of total billed charges		10827.36	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3822.48	80			Percent of total billed charges		10193.27	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	90			Percent of total billed charges		11467.44	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	27			Percent of total billed charges		3567.648	3567.648	11467.44	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm"	13121	CPT				Outpatient	Facility			4836.78	4836.78	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	68			Percent of total billed charges		3279.01	90			Percent of total billed charges		4353.1		4465.2		Case rate		4465.2	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	80			Percent of total billed charges		3869.42	27			Percent of total billed charges		1354.2984	85			Percent of total billed charges		4111.26	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1451.03	80			Percent of total billed charges		3869.42	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	90			Percent of total billed charges		4353.1	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	27			Percent of total billed charges		1354.2984	1354.2984	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, complex, trunk; 2.6 cm to 7.5 cm"	13101	CPT				Outpatient	Facility			1644	1644	27			Percent of total billed charges		460.32	90			Percent of total billed charges		1479.6	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	68			Percent of total billed charges		1117.92	90			Percent of total billed charges		1479.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	90			Percent of total billed charges		1479.6	80			Percent of total billed charges		1315.2	27			Percent of total billed charges		460.32	85			Percent of total billed charges		1397.4	27			Percent of total billed charges		460.32	27			Percent of total billed charges		493.2	80			Percent of total billed charges		1315.2	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	90			Percent of total billed charges		1479.6	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	27			Percent of total billed charges		460.32	460.32	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, flexor tendon, leg; primary, without graft, each tendon"	27658	CPT				Outpatient	Facility			10147	10147	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	68			Percent of total billed charges		6899.96	90			Percent of total billed charges		9132.3		2912.82		Case rate		2912.82	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	85			Percent of total billed charges		8624.95	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2744.1	80			Percent of total billed charges		8117.6	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	90			Percent of total billed charges		9132.3	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	27			Percent of total billed charges		2741.16	2741.16	9132.3	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"	12051	CPT				Outpatient	Facility			861.67	861.67	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	68			Percent of total billed charges		585.94	90			Percent of total billed charges		775.5		2912.82		Case rate		2912.82	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	80			Percent of total billed charges		689.34	27			Percent of total billed charges		241.2676	85			Percent of total billed charges		732.42	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		258.5	80			Percent of total billed charges		689.34	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	90			Percent of total billed charges		775.5	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	27			Percent of total billed charges		241.2676	241.2676	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm"	12035	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less"	12031	CPT				Outpatient	Facility			1714.02	1714.02	27			Percent of total billed charges		479.9256	90			Percent of total billed charges		1542.62	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	68			Percent of total billed charges		1165.53	90			Percent of total billed charges		1542.62		2912.82		Case rate		2912.82	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	90			Percent of total billed charges		1542.62	80			Percent of total billed charges		1371.22	27			Percent of total billed charges		479.9256	85			Percent of total billed charges		1456.92	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		514.21	80			Percent of total billed charges		1371.22	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	90			Percent of total billed charges		1542.62	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	27			Percent of total billed charges		479.9256	479.9256	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)"	27322	CPT				Outpatient	Facility			9126	9126	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	68			Percent of total billed charges		6205.68	90			Percent of total billed charges		8213.4		5515.17		Case rate		5515.17	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	85			Percent of total billed charges		7757.1	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2737.8	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	2555.27	8213.4	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis"	43333	CPT				Outpatient	Facility			17586	17586	27			Percent of total billed charges		4924.08	90			Percent of total billed charges		15827.4	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	68			Percent of total billed charges		11958.48	90			Percent of total billed charges		15827.4		11713.38		Case rate		11713.38	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	90			Percent of total billed charges		15827.4	80			Percent of total billed charges		14068.8	27			Percent of total billed charges		4924.08	85			Percent of total billed charges		14948.1	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		5275.8	80			Percent of total billed charges		14068.8	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	90			Percent of total billed charges		15827.4	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	27			Percent of total billed charges		4924.08	4924.08	15827.4	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis"	43332	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, primary, disrupted ligament, ankle; collateral"	27695	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		3900.7		Case rate		3900.7	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)"	27698	CPT				Outpatient	Facility			8867.66	8867.66	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	68			Percent of total billed charges		6027.01	90			Percent of total billed charges		7980.89		3900.7		Case rate		3900.7	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	80			Percent of total billed charges		7094.13	27			Percent of total billed charges		2482.9448	85			Percent of total billed charges		7537.51	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2660.3	80			Percent of total billed charges		7094.13	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	90			Percent of total billed charges		7980.89	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	27			Percent of total billed charges		2482.9448	2482.9448	7980.89	one or more instances of the item or service in the 12 months prior to posting the file
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon"	27200	CPT				Outpatient	Facility			8609.32	8609.32	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	68			Percent of total billed charges		5854.34	90			Percent of total billed charges		7748.39		4465.2		Case rate		4465.2	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	85			Percent of total billed charges		7317.92	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2582.8	80			Percent of total billed charges		6887.46	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	90			Percent of total billed charges		7748.39	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	27			Percent of total billed charges		2410.6096	2410.6096	7748.39	one or more instances of the item or service in the 12 months prior to posting the file
"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access"	36580	CPT				Outpatient	Facility			4962	4962	27			Percent of total billed charges		1389.36	90			Percent of total billed charges		4465.8	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	68			Percent of total billed charges		3374.16	90			Percent of total billed charges		4465.8		2912.82		Case rate		2912.82	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	90			Percent of total billed charges		4465.8	80			Percent of total billed charges		3969.6	27			Percent of total billed charges		1389.36	85			Percent of total billed charges		4217.7	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1488.6	80			Percent of total billed charges		3969.6	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	90			Percent of total billed charges		4465.8	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	27			Percent of total billed charges		1389.36	1389.36	4465.8	one or more instances of the item or service in the 12 months prior to posting the file
"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access"	36581	CPT				Outpatient	Facility			62.01	62.01	27			Percent of total billed charges		17.3627	90			Percent of total billed charges		55.81	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	68			Percent of total billed charges		42.17	90			Percent of total billed charges		55.81		3900.7		Case rate		3900.7	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	90			Percent of total billed charges		55.81	80			Percent of total billed charges		49.61	27			Percent of total billed charges		17.3627	85			Percent of total billed charges		52.71	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.61	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	90			Percent of total billed charges		55.81	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	27			Percent of total billed charges		17.3627	17.3627	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty"	37220	CPT				Outpatient	Facility			15156.94	15156.94	27			Percent of total billed charges		4243.9432	90			Percent of total billed charges		13641.25	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	68			Percent of total billed charges		10276.72	90			Percent of total billed charges		13641.25		11713.38		Case rate		11713.38	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	90			Percent of total billed charges		13641.25	80			Percent of total billed charges		12125.55	27			Percent of total billed charges		4243.9432	85			Percent of total billed charges		12783.4	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4547.08	80			Percent of total billed charges		12125.55	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	90			Percent of total billed charges		13641.25	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	27			Percent of total billed charges		4243.9432	4243.9432	13641.25	one or more instances of the item or service in the 12 months prior to posting the file
"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty"	37227	CPT				Outpatient	Facility			22503.8	22503.8	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	68			Percent of total billed charges		15272.58	90			Percent of total billed charges		20253.42		8704.59		Case rate		8704.59	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	85			Percent of total billed charges		19127.23	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6751.14	80			Percent of total billed charges		18003.04	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	90			Percent of total billed charges		20253.42	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	27			Percent of total billed charges		6301.064	6301.064	20253.42	one or more instances of the item or service in the 12 months prior to posting the file
"Revision of total hip arthroplasty; both components, with or without autograft or allograft"	27134	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)"	36832	CPT				Outpatient	Facility			16217	16217	27			Percent of total billed charges		4540.76	90			Percent of total billed charges		14595.3	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	68			Percent of total billed charges		11027.56	90			Percent of total billed charges		14595.3		5515.17		Case rate		5515.17	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	90			Percent of total billed charges		14595.3	80			Percent of total billed charges		12973.6	27			Percent of total billed charges		4540.76	85			Percent of total billed charges		13784.45	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4865.1	80			Percent of total billed charges		12973.6	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	90			Percent of total billed charges		14595.3	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	27			Percent of total billed charges		4540.76	4540.76	14595.3	one or more instances of the item or service in the 12 months prior to posting the file
"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use"	90384	CPT				Outpatient	Facility			174	174	27			Percent of total billed charges		48.72	90			Percent of total billed charges		156.6	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	68			Percent of total billed charges		118.32	90			Percent of total billed charges		156.6		494.78		Case rate		494.78	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	90			Percent of total billed charges		156.6	80			Percent of total billed charges		139.2	27			Percent of total billed charges		48.72	85			Percent of total billed charges		147.9	27			Percent of total billed charges		48.72	27			Percent of total billed charges		52.2	80			Percent of total billed charges		139.2	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	90			Percent of total billed charges		156.6	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	27			Percent of total billed charges		48.72	48.72	494.78	one or more instances of the item or service in the 12 months prior to posting the file
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed"	93451	CPT				Outpatient	Facility			13803.32	13803.32	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	68			Percent of total billed charges		9386.26	90			Percent of total billed charges		12422.99		13672.19		Case rate		13672.19	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	85			Percent of total billed charges		11732.82	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		4141	80			Percent of total billed charges		11042.66	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	90			Percent of total billed charges		12422.99	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	27			Percent of total billed charges		3864.9296	3864.9296	13672.19	one or more instances of the item or service in the 12 months prior to posting the file
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)"	77063	CPT				Outpatient	Facility			31.93	31.93	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	68			Percent of total billed charges		21.71	90			Percent of total billed charges		27.74		26.64		Case rate		26.64	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	80			Percent of total billed charges		25.54	27			Percent of total billed charges		8.9404	85			Percent of total billed charges		27.14	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		9.58	80			Percent of total billed charges		25.54	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	8.9404	27.74	one or more instances of the item or service in the 12 months prior to posting the file
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	77067	CPT				Outpatient	Facility			459.38	459.38	27			Percent of total billed charges		127.6264	90			Percent of total billed charges		413.44	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	68			Percent of total billed charges		312.38	90			Percent of total billed charges		413.44		408.81		Case rate		408.81	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	90			Percent of total billed charges		413.44	80			Percent of total billed charges		367.5	27			Percent of total billed charges		127.6264	85			Percent of total billed charges		390.47	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		137.81	80			Percent of total billed charges		367.5	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	90			Percent of total billed charges		413.44	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	27			Percent of total billed charges		127.6264	127.6264	413.44	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36246	CPT				Outpatient	Facility			6258.24	6258.24	27			Percent of total billed charges		1752.3072	90			Percent of total billed charges		5632.42	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	68			Percent of total billed charges		4255.6	90			Percent of total billed charges		5632.42		558.86		Case rate		558.86	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	90			Percent of total billed charges		5632.42	80			Percent of total billed charges		5006.59	27			Percent of total billed charges		1752.3072	85			Percent of total billed charges		5319.5	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1877.47	80			Percent of total billed charges		5006.59	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	90			Percent of total billed charges		5632.42	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	27			Percent of total billed charges		1752.3072	1752.3072	5632.42	one or more instances of the item or service in the 12 months prior to posting the file
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)"	36012	CPT				Outpatient	Facility			684.76	684.76	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	68			Percent of total billed charges		465.64	90			Percent of total billed charges		616.27		558.86		Case rate		558.86	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	80			Percent of total billed charges		547.81	27			Percent of total billed charges		191.7327	85			Percent of total billed charges		582.05	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		205.43	80			Percent of total billed charges		547.81	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	90			Percent of total billed charges		616.27	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	27			Percent of total billed charges		191.7327	191.7327	616.27	one or more instances of the item or service in the 12 months prior to posting the file
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes"	97535	CPT				Outpatient	Facility			125	125	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	68			Percent of total billed charges		85	90			Percent of total billed charges		112.5		149.25		Case rate		149.25	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	85			Percent of total billed charges		106.25	27			Percent of total billed charges		35	27			Percent of total billed charges		37.5	80			Percent of total billed charges		100	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	90			Percent of total billed charges		112.5	27			Percent of total billed charges		35	27			Percent of total billed charges		35	27			Percent of total billed charges		35	35	149.25	one or more instances of the item or service in the 12 months prior to posting the file
"Semen analysis; volume, count, motility, and differential"	89320	CPT				Outpatient	Facility			148	148	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	68			Percent of total billed charges		100.64	90			Percent of total billed charges		133.2		51.2		Case rate		51.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	85			Percent of total billed charges		125.8	27			Percent of total billed charges		41.44	27			Percent of total billed charges		44.4	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	41.44	133.2	zero instances of the item or service in the 12 months prior to posting the file
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft"	27520	CPT				Outpatient	Facility			9756	9756	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	68			Percent of total billed charges		6634.08	90			Percent of total billed charges		8780.4		5515.17		Case rate		5515.17	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	80			Percent of total billed charges		7804.8	27			Percent of total billed charges		2731.68	85			Percent of total billed charges		8292.6	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2926.8	80			Percent of total billed charges		7804.8	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	90			Percent of total billed charges		8780.4	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	27			Percent of total billed charges		2731.68	2731.68	8780.4	one or more instances of the item or service in the 12 months prior to posting the file
"Sickling of RBC, reduction"	85660	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		22.92		Case rate		22.92	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	36.9	zero instances of the item or service in the 12 months prior to posting the file
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	45327	CPT				Outpatient	Facility			3488.35	3488.35	27			Percent of total billed charges		976.738	90			Percent of total billed charges		3139.52	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	68			Percent of total billed charges		2372.08	90			Percent of total billed charges		3139.52		2912.82		Case rate		2912.82	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	90			Percent of total billed charges		3139.52	80			Percent of total billed charges		2790.68	27			Percent of total billed charges		976.738	85			Percent of total billed charges		2965.1	27			Percent of total billed charges		976.738	27			Percent of total billed charges		1046.5	80			Percent of total billed charges		2790.68	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	90			Percent of total billed charges		3139.52	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	27			Percent of total billed charges		976.738	976.738	3139.52	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"	12011	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	12014	CPT				Outpatient	Facility			468.5	468.5	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	68			Percent of total billed charges		318.58	90			Percent of total billed charges		421.65		489.42		Case rate		489.42	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	80			Percent of total billed charges		374.8	27			Percent of total billed charges		131.18	85			Percent of total billed charges		398.22	27			Percent of total billed charges		131.18	27			Percent of total billed charges		140.55	80			Percent of total billed charges		374.8	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	131.18	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less"	12001	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm"	12002	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm"	12004	CPT				Outpatient	Facility			442.02	442.02	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	68			Percent of total billed charges		270.57	90			Percent of total billed charges		397.82		489.42		Case rate		489.42	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	85			Percent of total billed charges		375.72	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		132.61	80			Percent of total billed charges		353.62	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	90			Percent of total billed charges		397.82	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	27			Percent of total billed charges		123.7656	123.7656	489.42	one or more instances of the item or service in the 12 months prior to posting the file
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)"	87207	CPT				Outpatient	Facility			136	136	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	68			Percent of total billed charges		92.48	90			Percent of total billed charges		122.4		73.95		Case rate		73.95	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	85			Percent of total billed charges		115.6	27			Percent of total billed charges		38.08	27			Percent of total billed charges		40.8	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	38.08	122.4	one or more instances of the item or service in the 12 months prior to posting the file
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)"	87210	CPT				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31		24.22		Case rate		24.22	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	24.22	zero instances of the item or service in the 12 months prior to posting the file
"Spectrophotometry, analyte not elsewhere specified"	84311	CPT				Outpatient	Facility			36.1	36.1	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	68			Percent of total billed charges		24.55	90			Percent of total billed charges		32.49		33.7		Case rate		33.7	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	85			Percent of total billed charges		27.68	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.83	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	10.108	33.7	one or more instances of the item or service in the 12 months prior to posting the file
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation"	94010	CPT				Outpatient	Facility			41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		171.95		Case rate		171.95	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	171.95	one or more instances of the item or service in the 12 months prior to posting the file
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"	15120	CPT				Outpatient	Facility			9274	9274	27			Percent of total billed charges		2599.52	90			Percent of total billed charges		8355.6	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	68			Percent of total billed charges		6313.12	90			Percent of total billed charges		8355.6		3900.7		Case rate		3900.7	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	90			Percent of total billed charges		8355.6	80			Percent of total billed charges		7427.2	27			Percent of total billed charges		2599.52	85			Percent of total billed charges		7891.4	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2785.2	80			Percent of total billed charges		7427.2	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	90			Percent of total billed charges		8355.6	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	27			Percent of total billed charges		2599.52	2599.52	8355.6	one or more instances of the item or service in the 12 months prior to posting the file
"Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15101	CPT				Outpatient	Facility			4388	4388	27			Percent of total billed charges		1227.64	90			Percent of total billed charges		3949.2	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	68			Percent of total billed charges		2983.84	90			Percent of total billed charges		3949.2		1953.17		Case rate		1953.17	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	90			Percent of total billed charges		3949.2	80			Percent of total billed charges		3510.4	27			Percent of total billed charges		1227.64	85			Percent of total billed charges		3729.8	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1316.4	80			Percent of total billed charges		3510.4	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	90			Percent of total billed charges		3949.2	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	27			Percent of total billed charges		1227.64	1227.64	3949.2	one or more instances of the item or service in the 12 months prior to posting the file
"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"	15100	CPT				Outpatient	Facility			7695.44	7695.44	27			Percent of total billed charges		2154.7232	90			Percent of total billed charges		6925.9	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	68			Percent of total billed charges		5232.9	90			Percent of total billed charges		6925.9		3900.7		Case rate		3900.7	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	90			Percent of total billed charges		6925.9	80			Percent of total billed charges		6156.35	27			Percent of total billed charges		2154.7232	85			Percent of total billed charges		6541.12	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2278.63	80			Percent of total billed charges		6156.35	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	90			Percent of total billed charges		6925.9	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	27			Percent of total billed charges		2154.7232	2154.7232	6925.9	one or more instances of the item or service in the 12 months prior to posting the file
"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)"	61782	CPT				Outpatient	Facility			3452	3452	27			Percent of total billed charges		966.56	90			Percent of total billed charges		3106.8	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	68			Percent of total billed charges		2347.36	90			Percent of total billed charges		3106.8		3138.62		Case rate		3138.62	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	90			Percent of total billed charges		3106.8	80			Percent of total billed charges		2761.6	27			Percent of total billed charges		966.56	85			Percent of total billed charges		2934.2	27			Percent of total billed charges		966.56	27			Percent of total billed charges		1035.6	80			Percent of total billed charges		2761.6	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	90			Percent of total billed charges		3106.8	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	27			Percent of total billed charges		966.56	966.56	3138.62	one or more instances of the item or service in the 12 months prior to posting the file
"Stimulants, synthetic"	80371	CPT				Outpatient	Facility			188	188	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	68			Percent of total billed charges		127.84	90			Percent of total billed charges		169.2		65.93		Case rate		65.93	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	80			Percent of total billed charges		150.4	27			Percent of total billed charges		52.64	85			Percent of total billed charges		159.8	27			Percent of total billed charges		52.64	27			Percent of total billed charges		56.4	80			Percent of total billed charges		150.4	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	52.64	169.2	zero instances of the item or service in the 12 months prior to posting the file
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children"	15002	CPT				Outpatient	Facility			6358	6358	27			Percent of total billed charges		1780.24	90			Percent of total billed charges		5722.2	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	68			Percent of total billed charges		4323.44	90			Percent of total billed charges		5722.2		3900.7		Case rate		3900.7	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	90			Percent of total billed charges		5722.2	80			Percent of total billed charges		5086.4	27			Percent of total billed charges		1780.24	85			Percent of total billed charges		5404.3	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1907.4	80			Percent of total billed charges		5086.4	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	90			Percent of total billed charges		5722.2	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	27			Percent of total billed charges		1780.24	1780.24	5722.2	one or more instances of the item or service in the 12 months prior to posting the file
"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme"	87185	CPT				Outpatient	Facility			23.52	23.52	27			Percent of total billed charges		6.5856	90			Percent of total billed charges		21.17	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	68			Percent of total billed charges		15.99	90			Percent of total billed charges		21.17		19.76		Case rate		19.76	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	90			Percent of total billed charges		21.17	80			Percent of total billed charges		18.82	27			Percent of total billed charges		6.5856	85			Percent of total billed charges		19.99	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		7.06	80			Percent of total billed charges		18.82	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	90			Percent of total billed charges		21.17	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	27			Percent of total billed charges		6.5856	6.5856	21.17	one or more instances of the item or service in the 12 months prior to posting the file
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate"	87186	CPT				Outpatient	Facility			106	106	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	68			Percent of total billed charges		72.08	90			Percent of total billed charges		95.4		36.02		Case rate		36.02	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	85			Percent of total billed charges		90.1	27			Percent of total billed charges		29.68	27			Percent of total billed charges		31.8	80			Percent of total billed charges		84.8	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	90			Percent of total billed charges		95.4	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	27			Percent of total billed charges		29.68	29.68	95.4	one or more instances of the item or service in the 12 months prior to posting the file
"Synovectomy, tendon sheath, foot; extensor"	27088	CPT				Outpatient	Facility			9733.83	9733.83	27			Percent of total billed charges		2725.4724	90			Percent of total billed charges		8760.45	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	68			Percent of total billed charges		6619	90			Percent of total billed charges		8760.45		3900.7		Case rate		3900.7	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	90			Percent of total billed charges		8760.45	80			Percent of total billed charges		7787.06	27			Percent of total billed charges		2725.4724	85			Percent of total billed charges		8273.76	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2920.15	80			Percent of total billed charges		7787.06	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	90			Percent of total billed charges		8760.45	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	27			Percent of total billed charges		2725.4724	2725.4724	8760.45	one or more instances of the item or service in the 12 months prior to posting the file
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)"	86592	CPT				Outpatient	Facility			54	54	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	68			Percent of total billed charges		36.72	90			Percent of total billed charges		48.6		17.78		Case rate		17.78	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	85			Percent of total billed charges		45.9	27			Percent of total billed charges		15.12	27			Percent of total billed charges		16.2	80			Percent of total billed charges		43.2	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	90			Percent of total billed charges		48.6	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	27			Percent of total billed charges		15.12	15.12	48.6	one or more instances of the item or service in the 12 months prior to posting the file
"T cells; absolute CD4 and CD8 count, including ratio"	86360	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		195.49		Case rate		195.49	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	195.49	one or more instances of the item or service in the 12 months prior to posting the file
"Tendon sheath incision (eg, for trigger finger)"	26055	CPT				Outpatient	Facility			5094.36	5094.36	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	68			Percent of total billed charges		3464.16	90			Percent of total billed charges		4584.92		3900.7		Case rate		3900.7	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	85			Percent of total billed charges		4327.21	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1527.31	80			Percent of total billed charges		4075.49	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	90			Percent of total billed charges		4584.92	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	27			Percent of total billed charges		1426.4208	1426.4208	4584.92	one or more instances of the item or service in the 12 months prior to posting the file
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open"	24358	CPT				Outpatient	Facility			8379.3	8379.3	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	68			Percent of total billed charges		5697.92	90			Percent of total billed charges		7541.37		4465.2		Case rate		4465.2	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	85			Percent of total billed charges		7122.4	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2513.79	80			Percent of total billed charges		6703.44	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	90			Percent of total billed charges		7541.37	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	27			Percent of total billed charges		2346.204	2346.204	7541.37	one or more instances of the item or service in the 12 months prior to posting the file
"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)"	27232	CPT				Outpatient	Facility			5207	5207	27			Percent of total billed charges		1457.96	90			Percent of total billed charges		4686.3	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	68			Percent of total billed charges		3540.76	90			Percent of total billed charges		4686.3		4465.2		Case rate		4465.2	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	90			Percent of total billed charges		4686.3	80			Percent of total billed charges		4165.6	27			Percent of total billed charges		1457.96	85			Percent of total billed charges		4425.95	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1562.1	80			Percent of total billed charges		4165.6	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	90			Percent of total billed charges		4686.3	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	27			Percent of total billed charges		1457.96	1457.96	4686.3	one or more instances of the item or service in the 12 months prior to posting the file
"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia"	27606	CPT				Outpatient	Facility			9724	9724	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	68			Percent of total billed charges		6612.32	90			Percent of total billed charges		8751.6		2912.82		Case rate		2912.82	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	85			Percent of total billed charges		8265.4	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2917.2	80			Percent of total billed charges		7779.2	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	90			Percent of total billed charges		8751.6	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	27			Percent of total billed charges		2722.72	2722.72	8751.6	one or more instances of the item or service in the 12 months prior to posting the file
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use"	90714	CPT				Outpatient	Facility			176	176	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	68			Percent of total billed charges		119.68	90			Percent of total billed charges		158.4		177.87		Case rate		177.87	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	85			Percent of total billed charges		149.6	27			Percent of total billed charges		49.27	27			Percent of total billed charges		52.8	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	49.27	177.87	one or more instances of the item or service in the 12 months prior to posting the file
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use"	90715	CPT				Outpatient	Facility			204	204	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	68			Percent of total billed charges		138.72	90			Percent of total billed charges		183.6		297.94		Case rate		297.94	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	85			Percent of total billed charges		173.4	27			Percent of total billed charges		57.12	27			Percent of total billed charges		61.2	80			Percent of total billed charges		163.2	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	90			Percent of total billed charges		183.6	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	27			Percent of total billed charges		57.12	57.12	297.94	one or more instances of the item or service in the 12 months prior to posting the file
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)"	96376	CPT				Outpatient	Facility			183.38	183.38	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	68			Percent of total billed charges		124.7	90			Percent of total billed charges		165.04		167.26		Case rate		167.26	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	80			Percent of total billed charges		146.7	27			Percent of total billed charges		51.3464	85			Percent of total billed charges		155.87	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		55.01	80			Percent of total billed charges		146.7	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	90			Percent of total billed charges		165.04	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	27			Percent of total billed charges		51.3464	51.3464	167.26	zero instances of the item or service in the 12 months prior to posting the file
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug"	96374	CPT				Outpatient	Facility			349.8	349.8	27			Percent of total billed charges		97.944	90			Percent of total billed charges		314.82	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	68			Percent of total billed charges		237.86	90			Percent of total billed charges		314.82		383.92		Case rate		383.92	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	90			Percent of total billed charges		314.82	80			Percent of total billed charges		279.84	27			Percent of total billed charges		97.944	85			Percent of total billed charges		297.33	27			Percent of total billed charges		97.944	27			Percent of total billed charges		104.94	80			Percent of total billed charges		279.84	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	90			Percent of total billed charges		314.82	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	27			Percent of total billed charges		97.944	97.944	383.92	one or more instances of the item or service in the 12 months prior to posting the file
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance"	32554	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Thrombolysis, cerebral, by intravenous infusion"	37195	CPT				Outpatient	Facility			838.46	838.46	27			Percent of total billed charges		234.7688	90			Percent of total billed charges		754.61	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	68			Percent of total billed charges		570.15	90			Percent of total billed charges		754.61		11713.38		Case rate		11713.38	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	90			Percent of total billed charges		754.61	80			Percent of total billed charges		670.77	27			Percent of total billed charges		234.7688	85			Percent of total billed charges		712.69	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		251.54	80			Percent of total billed charges		670.77	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	90			Percent of total billed charges		754.61	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	27			Percent of total billed charges		234.7688	234.7688	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each"	85732	CPT				Outpatient	Facility			23.3	23.3	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	68			Percent of total billed charges		15.84	90			Percent of total billed charges		20.97		26.93		Case rate		26.93	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	85			Percent of total billed charges		19.8	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.99	80			Percent of total billed charges		18.64	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	90			Percent of total billed charges		20.97	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	27			Percent of total billed charges		6.524	6.524	26.93	zero instances of the item or service in the 12 months prior to posting the file
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)"	78012	CPT				Outpatient	Facility			1074.29	1074.29	27			Percent of total billed charges		300.8012	90			Percent of total billed charges		966.86	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	68			Percent of total billed charges		727.52	90			Percent of total billed charges		966.86		467.91		Case rate		467.91	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	90			Percent of total billed charges		966.86	80			Percent of total billed charges		859.43	27			Percent of total billed charges		300.8012	85			Percent of total billed charges		913.15	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		322.29	80			Percent of total billed charges		859.43	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	90			Percent of total billed charges		966.86	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	27			Percent of total billed charges		300.8012	300.8012	966.86	one or more instances of the item or service in the 12 months prior to posting the file
"Thyroidectomy, total or complete"	60240	CPT				Outpatient	Facility			14825	14825	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	68			Percent of total billed charges		10081	90			Percent of total billed charges		13342.5		8704.59		Case rate		8704.59	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	80			Percent of total billed charges		11860	27			Percent of total billed charges		4151	85			Percent of total billed charges		12601.25	27			Percent of total billed charges		4151	27			Percent of total billed charges		4447.5	80			Percent of total billed charges		11860	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	90			Percent of total billed charges		13342.5	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	27			Percent of total billed charges		4151	4151	13342.5	one or more instances of the item or service in the 12 months prior to posting the file
"Tissue culture for neoplastic disorders; bone marrow, blood cells"	88237	CPT				Outpatient	Facility			234	234	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	68			Percent of total billed charges		159.12	90			Percent of total billed charges		210.6		677.63		Case rate		677.63	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	85			Percent of total billed charges		198.9	27			Percent of total billed charges		65.52	27			Percent of total billed charges		70.2	80			Percent of total billed charges		187.2	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	90			Percent of total billed charges		210.6	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	27			Percent of total billed charges		65.52	65.52	677.63	one or more instances of the item or service in the 12 months prior to posting the file
"Tissue transglutaminase, each immunoglobulin (Ig) class"	86364	CPT				Outpatient	Facility			27.2	27.2	27			Percent of total billed charges		7.896	90			Percent of total billed charges		25.38	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	68			Percent of total billed charges		19.18	90			Percent of total billed charges		25.38		55.15		Case rate		55.15	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	90			Percent of total billed charges		25.38	80			Percent of total billed charges		22.56	27			Percent of total billed charges		7.896	85			Percent of total billed charges		23.97	27			Percent of total billed charges		7.896	27			Percent of total billed charges		8.46	80			Percent of total billed charges		22.56	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	90			Percent of total billed charges		25.38	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	27			Percent of total billed charges		7.896	7.896	55.15	one or more instances of the item or service in the 12 months prior to posting the file
"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)"	58150	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)"	27690	CPT				Outpatient	Facility			21431	21431	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	68			Percent of total billed charges		14573.08	90			Percent of total billed charges		19277.9		5515.17		Case rate		5515.17	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	80			Percent of total billed charges		17144.8	27			Percent of total billed charges		6000.68	85			Percent of total billed charges		18216.35	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6429.3	80			Percent of total billed charges		17144.8	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	90			Percent of total billed charges		19277.9	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	27			Percent of total billed charges		6000.68	6000.68	19277.9	one or more instances of the item or service in the 12 months prior to posting the file
"Transfusion, blood or blood components"	36427	CPT				Outpatient	Facility			1290.02	1290.02	27			Percent of total billed charges		361.2056	90			Percent of total billed charges		1161.02	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	68			Percent of total billed charges		877.21	90			Percent of total billed charges		1161.02		1250.88		Case rate		1250.88	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	90			Percent of total billed charges		1161.02	80			Percent of total billed charges		1032.02	27			Percent of total billed charges		361.2056	85			Percent of total billed charges		1096.52	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		387.01	80			Percent of total billed charges		1032.02	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	90			Percent of total billed charges		1161.02	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	27			Percent of total billed charges		361.2056	361.2056	1250.88	zero instances of the item or service in the 12 months prior to posting the file
"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)"	37249	CPT				Outpatient	Facility			5059.5	5059.5	27			Percent of total billed charges		1416.66	90			Percent of total billed charges		4553.55	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	68			Percent of total billed charges		3440.46	90			Percent of total billed charges		4553.55		4465.2		Case rate		4465.2	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	90			Percent of total billed charges		4553.55	80			Percent of total billed charges		4047.6	27			Percent of total billed charges		1416.66	85			Percent of total billed charges		4270.58	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1517.85	80			Percent of total billed charges		4047.6	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	90			Percent of total billed charges		4553.55	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	27			Percent of total billed charges		1416.66	1416.66	4553.55	one or more instances of the item or service in the 12 months prior to posting the file
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)"	64486	CPT				Outpatient	Facility			802.87	802.87	27			Percent of total billed charges		224.8036	90			Percent of total billed charges		722.58	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	68			Percent of total billed charges		545.95	90			Percent of total billed charges		722.58		780.48		Case rate		780.48	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	90			Percent of total billed charges		722.58	80			Percent of total billed charges		642.3	27			Percent of total billed charges		224.8036	85			Percent of total billed charges		682.44	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		240.86	80			Percent of total billed charges		642.3	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	90			Percent of total billed charges		722.58	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	27			Percent of total billed charges		224.8036	224.8036	780.48	one or more instances of the item or service in the 12 months prior to posting the file
"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws"	24516	CPT				Outpatient	Facility			44104	44104	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	68			Percent of total billed charges		29990.72	90			Percent of total billed charges		39693.6		5515.17		Case rate		5515.17	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	80			Percent of total billed charges		35273.2	27			Percent of total billed charges		12349.12	85			Percent of total billed charges		37488.4	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		13231.2	80			Percent of total billed charges		35273.2	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	90			Percent of total billed charges		39693.6	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	27			Percent of total billed charges		12349.12	12349.12	39693.6	one or more instances of the item or service in the 12 months prior to posting the file
"Treatment of incomplete abortion, any trimester, completed surgically"	59812	CPT				Outpatient	Facility			7129	7129	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	68			Percent of total billed charges		4847.72	90			Percent of total billed charges		6416.1		6271.6		Case rate		6271.6	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	85			Percent of total billed charges		6059.65	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		2138.7	80			Percent of total billed charges		5703.2	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	90			Percent of total billed charges		6416.1	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	27			Percent of total billed charges		1996.12	1996.12	6416.1	one or more instances of the item or service in the 12 months prior to posting the file
"Troponin, quantitative"	84484	CPT				Outpatient	Facility			121	121	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	68			Percent of total billed charges		82.27	90			Percent of total billed charges		108.9		51.88		Case rate		51.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	85			Percent of total billed charges		102.85	27			Percent of total billed charges		33.88	27			Percent of total billed charges		36.3	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	33.88	108.9	one or more instances of the item or service in the 12 months prior to posting the file
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon"	86480	CPT				Outpatient	Facility			86	86	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	68			Percent of total billed charges		58.48	90			Percent of total billed charges		77.4		335.26		Case rate		335.26	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	85			Percent of total billed charges		73.1	27			Percent of total billed charges		24.08	27			Percent of total billed charges		25.8	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	24.08	335.26	one or more instances of the item or service in the 12 months prior to posting the file
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia"	69436	CPT				Outpatient	Facility			5994	5994	27			Percent of total billed charges		1678.32	90			Percent of total billed charges		5394.6	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	68			Percent of total billed charges		4075.92	90			Percent of total billed charges		5394.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	90			Percent of total billed charges		5394.6	80			Percent of total billed charges		4795.2	27			Percent of total billed charges		1678.32	85			Percent of total billed charges		5094.9	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1798.2	80			Percent of total billed charges		4795.2	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	90			Percent of total billed charges		5394.6	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	27			Percent of total billed charges		1678.32	1678.32	5394.6	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	76942	CPT				Outpatient	Facility			668.86	668.86	27			Percent of total billed charges		187.2708	90			Percent of total billed charges		601.97	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	68			Percent of total billed charges		454.82	90			Percent of total billed charges		601.97		137.29		Case rate		137.29	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	90			Percent of total billed charges		601.97	80			Percent of total billed charges		535.09	27			Percent of total billed charges		187.2708	85			Percent of total billed charges		568.53	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		200.66	80			Percent of total billed charges		535.09	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	90			Percent of total billed charges		601.97	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	27			Percent of total billed charges		187.2708	187.2708	601.97	zero instances of the item or service in the 12 months prior to posting the file
"Ultrasonic guidance, intraoperative"	76998	CPT				Outpatient	Facility			337.84	337.84	27			Percent of total billed charges		94.5952	90			Percent of total billed charges		274.06	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	68			Percent of total billed charges		229.73	90			Percent of total billed charges		274.06		201.81		Case rate		201.81	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	90			Percent of total billed charges		274.06	80			Percent of total billed charges		270.27	27			Percent of total billed charges		94.5952	85			Percent of total billed charges		277.16	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		101.35	80			Percent of total billed charges		270.27	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	90			Percent of total billed charges		274.06	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	27			Percent of total billed charges		94.5952	94.5952	274.06	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)"	76937	CPT				Outpatient	Facility			552.26	552.26	27			Percent of total billed charges		154.6327	90			Percent of total billed charges		497.03	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	68			Percent of total billed charges		375.54	90			Percent of total billed charges		497.03		85.01		Case rate		85.01	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	90			Percent of total billed charges		497.03	80			Percent of total billed charges		441.81	27			Percent of total billed charges		154.6327	85			Percent of total billed charges		469.42	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		165.68	80			Percent of total billed charges		441.81	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	90			Percent of total billed charges		497.03	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	27			Percent of total billed charges		154.6327	154.6327	497.03	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, abdominal, real time with image documentation; complete"	76700	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		395.55		Case rate		395.55	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	76642	CPT				Outpatient	Facility			276.34	276.34	27			Percent of total billed charges		80.1752	90			Percent of total billed charges		257.71	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	68			Percent of total billed charges		194.71	90			Percent of total billed charges		257.71		261.42		Case rate		261.42	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	90			Percent of total billed charges		257.71	80			Percent of total billed charges		229.07	27			Percent of total billed charges		80.1752	85			Percent of total billed charges		243.39	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		85.9	80			Percent of total billed charges		229.07	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	90			Percent of total billed charges		257.71	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	27			Percent of total billed charges		80.1752	80.1752	261.42	zero instances of the item or service in the 12 months prior to posting the file
"Ultrasound, elastography; parenchyma (eg, organ)"	76981	CPT				Outpatient	Facility			464.53	464.53	27			Percent of total billed charges		130.0684	90			Percent of total billed charges		418.08	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	68			Percent of total billed charges		315.88	90			Percent of total billed charges		418.08		377.37		Case rate		377.37	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	90			Percent of total billed charges		418.08	80			Percent of total billed charges		371.62	27			Percent of total billed charges		130.0684	85			Percent of total billed charges		394.85	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		139.36	80			Percent of total billed charges		371.62	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	90			Percent of total billed charges		418.08	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	27			Percent of total billed charges		130.0684	130.0684	418.08	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal"	76817	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		274.62		Case rate		274.62	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete"	76770	CPT				Outpatient	Facility			386.25	386.25	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	68			Percent of total billed charges		262.65	90			Percent of total billed charges		347.62		369.07		Case rate		369.07	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	80			Percent of total billed charges		279	27			Percent of total billed charges		108.15	85			Percent of total billed charges		327.31	27			Percent of total billed charges		108.15	27			Percent of total billed charges		115.88	80			Percent of total billed charges		279	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	90			Percent of total billed charges		347.62	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	27			Percent of total billed charges		108.15	108.15	369.07	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation"	76536	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		423.71		Case rate		423.71	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Ultrasound, transvaginal"	76827	CPT				Outpatient	Facility			552.08	552.08	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	68			Percent of total billed charges		375.41	90			Percent of total billed charges		496.87		227.85		Case rate		227.85	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	85			Percent of total billed charges		469.27	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		165.62	80			Percent of total billed charges		441.66	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	90			Percent of total billed charges		496.87	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	27			Percent of total billed charges		154.5824	154.5824	496.87	one or more instances of the item or service in the 12 months prior to posting the file
"Unlisted laparoscopy procedure, intestine (except rectum)"	44238	CPT				Outpatient	Facility			14119.2	14119.2	27			Percent of total billed charges		3953.376	90			Percent of total billed charges		12707.27	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	68			Percent of total billed charges		9601.06	90			Percent of total billed charges		12707.27		6271.6		Case rate		6271.6	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	90			Percent of total billed charges		12707.27	80			Percent of total billed charges		11295.36	27			Percent of total billed charges		3953.376	85			Percent of total billed charges		12001.32	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		4235.76	80			Percent of total billed charges		11295.36	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	90			Percent of total billed charges		12707.27	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	27			Percent of total billed charges		3953.376	3953.376	12707.27	one or more instances of the item or service in the 12 months prior to posting the file
"Unlisted procedure, skin, mucous membrane and subcutaneous tissue"	17999	CPT				Outpatient	Facility			569	569	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	68			Percent of total billed charges		386.92	90			Percent of total billed charges		512.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	80			Percent of total billed charges		455.2	27			Percent of total billed charges		159.32	85			Percent of total billed charges		483.65	27			Percent of total billed charges		159.32	27			Percent of total billed charges		170.7	80			Percent of total billed charges		455.2	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	90			Percent of total billed charges		512.1	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	27			Percent of total billed charges		159.32	159.32	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy"	81001	CPT				Outpatient	Facility			37.1	37.1	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	68			Percent of total billed charges		25.23	90			Percent of total billed charges		33.39		13.21		Case rate		13.21	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	85			Percent of total billed charges		31.54	27			Percent of total billed charges		10.388	27			Percent of total billed charges		11.13	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	10.388	33.39	zero instances of the item or service in the 12 months prior to posting the file
"Urinalysis; qualitative or semiquantitative, except immunoassays"	81005	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	68			Percent of total billed charges		18.77	90			Percent of total billed charges		24.84		9.03		Case rate		9.03	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	85			Percent of total billed charges		23.46	27			Percent of total billed charges		7.727	27			Percent of total billed charges		8.27	80			Percent of total billed charges		22.08	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	90			Percent of total billed charges		24.84	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	27			Percent of total billed charges		7.727	7.727	24.84	zero instances of the item or service in the 12 months prior to posting the file
"Vasopressin (antidiuretic hormone, ADH)"	84588	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		141.24		Case rate		141.24	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	141.24	one or more instances of the item or service in the 12 months prior to posting the file
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day"	94003	CPT				Outpatient	Facility			1215	1215	27			Percent of total billed charges		340.2	90			Percent of total billed charges		1093.5	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	68			Percent of total billed charges		826.2	90			Percent of total billed charges		1093.5		460.29		Case rate		460.29	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	90			Percent of total billed charges		1093.5	80			Percent of total billed charges		972	27			Percent of total billed charges		340.2	85			Percent of total billed charges		1032.75	27			Percent of total billed charges		340.2	27			Percent of total billed charges		364.5	80			Percent of total billed charges		972	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	90			Percent of total billed charges		1093.5	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	27			Percent of total billed charges		340.2	340.2	1093.5	one or more instances of the item or service in the 12 months prior to posting the file
"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)"	87255	CPT				Outpatient	Facility			61.95	61.95	27			Percent of total billed charges		17.346	90			Percent of total billed charges		55.76	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	68			Percent of total billed charges		42.13	90			Percent of total billed charges		55.76		140.9		Case rate		140.9	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	90			Percent of total billed charges		55.76	80			Percent of total billed charges		49.56	27			Percent of total billed charges		17.346	85			Percent of total billed charges		52.66	27			Percent of total billed charges		17.346	27			Percent of total billed charges		18.58	80			Percent of total billed charges		49.56	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	90			Percent of total billed charges		55.76	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	27			Percent of total billed charges		17.346	17.346	140.9	one or more instances of the item or service in the 12 months prior to posting the file
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect"	87252	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		108.5		Case rate		108.5	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	108.5	one or more instances of the item or service in the 12 months prior to posting the file
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed"	82652	CPT				Outpatient	Facility			136	136	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	68			Percent of total billed charges		92.48	90			Percent of total billed charges		122.4		208.24		Case rate		208.24	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	85			Percent of total billed charges		115.6	27			Percent of total billed charges		38.08	27			Percent of total billed charges		40.8	80			Percent of total billed charges		108.8	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	90			Percent of total billed charges		122.4	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	27			Percent of total billed charges		38.08	38.08	208.24	one or more instances of the item or service in the 12 months prior to posting the file
"Vitamin, not otherwise specified"	84591	CPT				Outpatient	Facility			127	127	27			Percent of total billed charges		35.84	90			Percent of total billed charges		115.2	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	68			Percent of total billed charges		87.04	90			Percent of total billed charges		115.2		71.01		Case rate		71.01	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	90			Percent of total billed charges		115.2	80			Percent of total billed charges		102.4	27			Percent of total billed charges		35.84	85			Percent of total billed charges		108.8	27			Percent of total billed charges		35.84	27			Percent of total billed charges		38.4	80			Percent of total billed charges		102.4	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	90			Percent of total billed charges		115.2	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	27			Percent of total billed charges		35.84	35.84	115.2	one or more instances of the item or service in the 12 months prior to posting the file
"Wedge excision of skin of nail fold (eg, for ingrown toenail)"	11765	CPT				Outpatient	Facility			468.5	468.5	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	68			Percent of total billed charges		318.58	90			Percent of total billed charges		421.65		278.78		Case rate		278.78	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	80			Percent of total billed charges		374.8	27			Percent of total billed charges		131.18	85			Percent of total billed charges		398.22	27			Percent of total billed charges		131.18	27			Percent of total billed charges		140.55	80			Percent of total billed charges		374.8	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	90			Percent of total billed charges		421.65	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	27			Percent of total billed charges		131.18	131.18	421.65	one or more instances of the item or service in the 12 months prior to posting the file
"5% dextrose and 0.45% normal saline, 1000 ml"	S5010	CPT				Outpatient	Facility			120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		43.64		Case rate		43.64	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
5% dextrose/water (500 ml = 1 unit)	J7060	HCPCS				Outpatient	Facility	500	ML	70	70	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	68			Percent of total billed charges		47.6	90			Percent of total billed charges		63		11.97		Case rate		11.97	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	85			Percent of total billed charges		59.5	27			Percent of total billed charges		19.6	27			Percent of total billed charges		21	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	19.6	63	one or more instances of the item or service in the 12 months prior to posting the file
acetate 10mg (con	250	RC				Outpatient	Facility			27.7	27.7	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	68			Percent of total billed charges		19.52	90			Percent of total billed charges		25.83	100			Percent of total billed charges		27.7	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	80			Percent of total billed charges		22.96	27			Percent of total billed charges		8.036	85			Percent of total billed charges		24.4	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.61	80			Percent of total billed charges		22.96	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	90			Percent of total billed charges		25.83	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	27			Percent of total billed charges		8.036	8.036	27.7	zero instances of the item or service in the 12 months prior to posting the file
Acetylcholine receptor (AChR); blocking antibody	86042	CPT				Outpatient	Facility			43.74	43.74	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	68			Percent of total billed charges		29.74	90			Percent of total billed charges		39.37	100			Percent of total billed charges		43.74	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	80			Percent of total billed charges		34.99	27			Percent of total billed charges		12.2472	85			Percent of total billed charges		37.18	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		13.12	80			Percent of total billed charges		34.99	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	90			Percent of total billed charges		39.37	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	27			Percent of total billed charges		12.2472	12.2472	43.74	one or more instances of the item or service in the 12 months prior to posting the file
"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram"	J7608	HCPCS				Outpatient	Facility	1	GR	26.8	26.8	27			Percent of total billed charges		7.504	90			Percent of total billed charges		24.12	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	68			Percent of total billed charges		18.22	90			Percent of total billed charges		24.12		46.97		Case rate		46.97	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	90			Percent of total billed charges		24.12	80			Percent of total billed charges		21.44	27			Percent of total billed charges		7.504	85			Percent of total billed charges		22.78	27			Percent of total billed charges		7.504	27			Percent of total billed charges		8.04	80			Percent of total billed charges		21.44	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	90			Percent of total billed charges		24.12	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	27			Percent of total billed charges		7.504	7.504	46.97	one or more instances of the item or service in the 12 months prior to posting the file
"acute myocardial infarction, discharged alive with cc"	271	MS-DRG				Inpatient	Facility			21318.94	21318.94		4475		Per Diem		8950	90			Percent of total billed charges		19187.05		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		14496.88	90			Percent of total billed charges		19187.05		27958.71		Case rate		27958.71		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		19187.05	80			Percent of total billed charges		17055.15		4475		Per Diem		8950	85			Percent of total billed charges		18121.1		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		17055.15		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		19187.05		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27958.71	one or more instances of the item or service in the 12 months prior to posting the file
"acute myocardial infarction, discharged alive with mcc"	270	MS-DRG				Inpatient	Facility			40277.52	40277.52		4475		Per Diem		13425	90			Percent of total billed charges		36276.76		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		27409.11	90			Percent of total billed charges		36276.76		37046.79		Case rate		37046.79		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		36276.76	80			Percent of total billed charges		32246.01		4475		Per Diem		13425	85			Percent of total billed charges		34261.39		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		32246.01		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		36276.76		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	37046.79	one or more instances of the item or service in the 12 months prior to posting the file
"acute myocardial infarction, discharged alive without cc/mcc"	272	MS-DRG				Inpatient	Facility			24408.1	24408.1		4475		Per Diem		8950	90			Percent of total billed charges		21967.29		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		16597.51	90			Percent of total billed charges		21967.29		22615.57		Case rate		22615.57		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		21967.29	80			Percent of total billed charges		19526.48		4475		Per Diem		8950	85			Percent of total billed charges		20746.88		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		19526.48		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		21967.29		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	22615.57	one or more instances of the item or service in the 12 months prior to posting the file
Adrenocorticotropic hormone (ACTH)	82024	CPT				Outpatient	Facility			145	145	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	68			Percent of total billed charges		98.6	90			Percent of total billed charges		127.5		160.71		Case rate		160.71	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	80			Percent of total billed charges		116	27			Percent of total billed charges		40.6	85			Percent of total billed charges		123.25	27			Percent of total billed charges		40.6	27			Percent of total billed charges		43.5	80			Percent of total billed charges		116	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	90			Percent of total billed charges		127.5	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	27			Percent of total billed charges		40.6	40.6	160.71	one or more instances of the item or service in the 12 months prior to posting the file
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis	94642	CPT				Outpatient	Facility			610	610	27			Percent of total billed charges		170.8	90			Percent of total billed charges		549	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	68			Percent of total billed charges		414.8	90			Percent of total billed charges		549		169.35		Case rate		169.35	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	90			Percent of total billed charges		549	80			Percent of total billed charges		488	27			Percent of total billed charges		170.8	85			Percent of total billed charges		518.5	27			Percent of total billed charges		170.8	27			Percent of total billed charges		183	80			Percent of total billed charges		488	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	90			Percent of total billed charges		549	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	27			Percent of total billed charges		170.8	170.8	549	one or more instances of the item or service in the 12 months prior to posting the file
aftercare with cc/mcc	949	MS-DRG				Inpatient	Facility			16665.07	16665.07		4475		Per Diem		8950	90			Percent of total billed charges		14998.56		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		11332.25	90			Percent of total billed charges		14998.56		8472.91		Case rate		8472.91		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14998.56	80			Percent of total billed charges		13332.06		4475		Per Diem		8950	85			Percent of total billed charges		14165.31		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		13332.06		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		14998.56		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	14998.56	one or more instances of the item or service in the 12 months prior to posting the file
"aftercare, musculoskeletal system and connective tissue with cc"	560	MS-DRG				Inpatient	Facility			21084.18	21084.18		4475		Per Diem		8950	90			Percent of total billed charges		18975.76		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		14337.24	90			Percent of total billed charges		18975.76		17018.76		Case rate		17018.76		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18975.76	80			Percent of total billed charges		16867.34		4475		Per Diem		8950	85			Percent of total billed charges		17921.55		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		16867.34		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		18975.76		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	18975.76	one or more instances of the item or service in the 12 months prior to posting the file
"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg"	J7613	HCPCS				Outpatient	Facility	1	ME	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		0.27		Case rate		0.27	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	4.95	one or more instances of the item or service in the 12 months prior to posting the file
Alcohol (ethanol); breath	82075	CPT				Outpatient	Facility			29	29	27			Percent of total billed charges		8.12	90			Percent of total billed charges		26.1	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	68			Percent of total billed charges		19.72	90			Percent of total billed charges		26.1		124.81		Case rate		124.81	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	90			Percent of total billed charges		26.1	80			Percent of total billed charges		23.2	27			Percent of total billed charges		8.12	85			Percent of total billed charges		24.65	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.7	80			Percent of total billed charges		23.2	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	90			Percent of total billed charges		26.1	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	27			Percent of total billed charges		8.12	8.12	124.81	one or more instances of the item or service in the 12 months prior to posting the file
"alcohol, drug abuse or dependence without rehabilitation therapy without mcc"	897	MS-DRG				Inpatient	Facility			22272.66	22272.66		4475		Per Diem		22375	90			Percent of total billed charges		20072.39		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		15165.81	90			Percent of total billed charges		20072.39		12392.27		Case rate		12392.27		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		20072.39	80			Percent of total billed charges		17842.13		4475		Per Diem		22375	85			Percent of total billed charges		18957.26		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		17842.13		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		20072.39		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	20072.39	one or more instances of the item or service in the 12 months prior to posting the file
Alcohols	80320	CPT				Outpatient	Facility			134	134	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	68			Percent of total billed charges		91.12	90			Percent of total billed charges		120.6		90.04		Case rate		90.04	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	85			Percent of total billed charges		113.9	27			Percent of total billed charges		37.52	27			Percent of total billed charges		40.2	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	37.52	120.6	one or more instances of the item or service in the 12 months prior to posting the file
Aldosterone	82088	CPT				Outpatient	Facility			144	144	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	68			Percent of total billed charges		97.92	90			Percent of total billed charges		129.6		169.58		Case rate		169.58	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	85			Percent of total billed charges		122.4	27			Percent of total billed charges		40.32	27			Percent of total billed charges		43.2	80			Percent of total billed charges		115.2	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	90			Percent of total billed charges		129.6	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	27			Percent of total billed charges		40.32	40.32	169.58	one or more instances of the item or service in the 12 months prior to posting the file
"allergen, mite d pterony ige"	272	RC				Outpatient	Facility			10.6	10.6	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	68			Percent of total billed charges		7.21	90			Percent of total billed charges		9.54	100			Percent of total billed charges		10.6	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	85			Percent of total billed charges		9.01	27			Percent of total billed charges		2.968	27			Percent of total billed charges		3.18	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	2.968	10.6	zero instances of the item or service in the 12 months prior to posting the file
Alpha-1-antitrypsin; phenotype	82104	CPT				Outpatient	Facility			44	44	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	68			Percent of total billed charges		29.92	90			Percent of total billed charges		39.6		60.18		Case rate		60.18	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	85			Percent of total billed charges		37.4	27			Percent of total billed charges		12.32	27			Percent of total billed charges		13.2	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	12.32	60.18	one or more instances of the item or service in the 12 months prior to posting the file
Aluminum	82108	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		106.01		Case rate		106.01	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	106.01	zero instances of the item or service in the 12 months prior to posting the file
Amikacin	80150	CPT				Outpatient	Facility			20.2	20.2	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	68			Percent of total billed charges		13.74	90			Percent of total billed charges		18.18		62.77		Case rate		62.77	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	85			Percent of total billed charges		17.17	27			Percent of total billed charges		5.656	27			Percent of total billed charges		6.06	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	5.656	62.77	one or more instances of the item or service in the 12 months prior to posting the file
Ammonia	82140	CPT				Outpatient	Facility			176	176	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	68			Percent of total billed charges		119.68	90			Percent of total billed charges		158.4		60.63		Case rate		60.63	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	85			Percent of total billed charges		149.6	27			Percent of total billed charges		49.27	27			Percent of total billed charges		52.8	80			Percent of total billed charges		140.8	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	90			Percent of total billed charges		158.4	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	27			Percent of total billed charges		49.27	49.27	158.4	one or more instances of the item or service in the 12 months prior to posting the file
"Amniotic membrane for surgical reconstruction, per procedure"	V2790	CPT				Outpatient	Facility			1500	1500	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	27			Percent of total billed charges		420	27			Percent of total billed charges		420	68			Percent of total billed charges		1020	90			Percent of total billed charges		1350		1924.95		Case rate		1924.95	27			Percent of total billed charges		420	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	80			Percent of total billed charges		1200	27			Percent of total billed charges		420	85			Percent of total billed charges		1275	27			Percent of total billed charges		420	27			Percent of total billed charges		450	80			Percent of total billed charges		1200	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	420	1924.95	one or more instances of the item or service in the 12 months prior to posting the file
Amphetamines; 1 or 2	80324	CPT				Outpatient	Facility			53.95	53.95	27			Percent of total billed charges		15.106	90			Percent of total billed charges		48.56	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	68			Percent of total billed charges		36.69	90			Percent of total billed charges		48.56		80.95		Case rate		80.95	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	90			Percent of total billed charges		48.56	80			Percent of total billed charges		43.16	27			Percent of total billed charges		15.106	85			Percent of total billed charges		45.86	27			Percent of total billed charges		15.106	27			Percent of total billed charges		16.18	80			Percent of total billed charges		43.16	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	90			Percent of total billed charges		48.56	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	27			Percent of total billed charges		15.106	15.106	80.95	one or more instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 22mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 27mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 31mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amplatzer amulet 34mm	278	RC				Outpatient	Facility			42500	42500	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	68			Percent of total billed charges		27900	90			Percent of total billed charges		38250	100			Percent of total billed charges		42500	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	85			Percent of total billed charges		36125	27			Percent of total billed charges		11900	27			Percent of total billed charges		12750	80			Percent of total billed charges		34000	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	90			Percent of total billed charges		38250	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	27			Percent of total billed charges		11900	11900	42500	zero instances of the item or service in the 12 months prior to posting the file
amputation for circulatory system disorders except upper limb and toe with mcc	239	MS-DRG				Inpatient	Facility			95422.44	95422.44		4475		Per Diem		22375	90			Percent of total billed charges		85880.19		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		64887.26	90			Percent of total billed charges		85880.19		67713.53		Case rate		67713.53		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		85880.19	80			Percent of total billed charges		76337.95		4475		Per Diem		22375	85			Percent of total billed charges		81109.07		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		76337.95		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		85880.19		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	85880.19	one or more instances of the item or service in the 12 months prior to posting the file
"amputation of lower limb for endocrine, nutritional and metabolic disorders with cc"	617	MS-DRG				Inpatient	Facility			51084.1	51084.1		4475		Per Diem		13425	90			Percent of total billed charges		45975.69		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		34737.18	90			Percent of total billed charges		45975.69		39656.53		Case rate		39656.53		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		45975.69	80			Percent of total billed charges		40867.27		4475		Per Diem		13425	85			Percent of total billed charges		43421.48		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		40867.27		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		45975.69		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	45975.69	one or more instances of the item or service in the 12 months prior to posting the file
"amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc"	616	MS-DRG				Inpatient	Facility			52058.26	52058.26		4475		Per Diem		17900	90			Percent of total billed charges		46852.43		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		35399.61	90			Percent of total billed charges		46852.43		56507.22		Case rate		56507.22		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		46852.43	80			Percent of total billed charges		41646.6		4475		Per Diem		17900	85			Percent of total billed charges		44249.52		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		41646.6		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		46852.43		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	56507.22	one or more instances of the item or service in the 12 months prior to posting the file
Androstenedione	82157	CPT				Outpatient	Facility			29.7	29.7	27			Percent of total billed charges		8.316	90			Percent of total billed charges		26.73	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	68			Percent of total billed charges		20.2	90			Percent of total billed charges		26.73		121.82		Case rate		121.82	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	90			Percent of total billed charges		26.73	80			Percent of total billed charges		23.76	27			Percent of total billed charges		8.316	85			Percent of total billed charges		25.24	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.91	80			Percent of total billed charges		23.76	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	90			Percent of total billed charges		26.73	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	27			Percent of total billed charges		8.316	8.316	121.82	one or more instances of the item or service in the 12 months prior to posting the file
Angiotensin I - converting enzyme (ACE)	82164	CPT				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7		60.8		Case rate		60.8	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	60.8	one or more instances of the item or service in the 12 months prior to posting the file
Anti-phosphatidylserine (phospholipid) antibody	86148	CPT				Outpatient	Facility			84	84	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	68			Percent of total billed charges		57.12	90			Percent of total billed charges		75.6		66.84		Case rate		66.84	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	85			Percent of total billed charges		71.4	27			Percent of total billed charges		23.52	27			Percent of total billed charges		25.2	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	23.52	75.6	one or more instances of the item or service in the 12 months prior to posting the file
Antibody identification; leukocyte antibodies	86021	CPT				Outpatient	Facility			88	88	27			Percent of total billed charges		24.64	90			Percent of total billed charges		79.2	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	68			Percent of total billed charges		59.84	90			Percent of total billed charges		79.2		62.66		Case rate		62.66	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	90			Percent of total billed charges		79.2	80			Percent of total billed charges		70.4	27			Percent of total billed charges		24.64	85			Percent of total billed charges		74.8	27			Percent of total billed charges		24.64	27			Percent of total billed charges		26.4	80			Percent of total billed charges		70.4	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	90			Percent of total billed charges		79.2	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	27			Percent of total billed charges		24.64	24.64	79.2	zero instances of the item or service in the 12 months prior to posting the file
Antibody; Aspergillus	86606	CPT				Outpatient	Facility			19.1	19.1	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	68			Percent of total billed charges		12.99	90			Percent of total billed charges		17.19		62.66		Case rate		62.66	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	85			Percent of total billed charges		16.24	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.73	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	5.348	62.66	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Bordetella	86615	CPT				Outpatient	Facility			20.6	20.6	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	68			Percent of total billed charges		14.01	90			Percent of total billed charges		18.54		54.87		Case rate		54.87	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	85			Percent of total billed charges		17.51	27			Percent of total billed charges		5.768	27			Percent of total billed charges		6.18	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	5.768	54.87	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Borrelia burgdorferi (Lyme disease)	86618	CPT				Outpatient	Facility			112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		70.84		Case rate		70.84	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	100.8	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Brucella	86622	CPT				Outpatient	Facility			20.2	20.2	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	68			Percent of total billed charges		13.74	90			Percent of total billed charges		18.18		37.14		Case rate		37.14	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	85			Percent of total billed charges		17.17	27			Percent of total billed charges		5.656	27			Percent of total billed charges		6.06	80			Percent of total billed charges		16.16	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	90			Percent of total billed charges		18.18	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	27			Percent of total billed charges		5.656	5.656	37.14	zero instances of the item or service in the 12 months prior to posting the file
Antibody; Coxiella burnetii (Q fever)	86638	CPT				Outpatient	Facility			101	101	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	68			Percent of total billed charges		68.68	90			Percent of total billed charges		90.9		50.41		Case rate		50.41	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	85			Percent of total billed charges		85.85	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.3	80			Percent of total billed charges		80.8	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	90			Percent of total billed charges		90.9	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27			Percent of total billed charges		27.27	27.27	90.9	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; cytomegalovirus (CMV)	86644	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		59.89		Case rate		59.89	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	59.89	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; Helicobacter pylori	86677	CPT				Outpatient	Facility			55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		70.11		Case rate		70.11	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	70.11	zero instances of the item or service in the 12 months prior to posting the file
Antibody; HIV-2	86702	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		56.27		Case rate		56.27	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	56.27	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; influenza virus	86710	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		56.39		Case rate		56.39	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	56.39	zero instances of the item or service in the 12 months prior to posting the file
Antibody; Leptospira	86720	CPT				Outpatient	Facility			77	77	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	68			Percent of total billed charges		52.36	90			Percent of total billed charges		69.3		67.4		Case rate		67.4	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	80			Percent of total billed charges		61.6	27			Percent of total billed charges		21.56	85			Percent of total billed charges		65.45	27			Percent of total billed charges		21.56	27			Percent of total billed charges		23.1	80			Percent of total billed charges		61.6	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	21.56	69.3	zero instances of the item or service in the 12 months prior to posting the file
Antibody; parvovirus	86747	CPT				Outpatient	Facility			55	55	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	68			Percent of total billed charges		37.4	90			Percent of total billed charges		49.5		62.55		Case rate		62.55	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	85			Percent of total billed charges		46.75	27			Percent of total billed charges		15.4	27			Percent of total billed charges		16.5	80			Percent of total billed charges		44	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	90			Percent of total billed charges		49.5	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	27			Percent of total billed charges		15.4	15.4	62.55	zero instances of the item or service in the 12 months prior to posting the file
Antibody; Rickettsia	86757	CPT				Outpatient	Facility			20.6	20.6	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	68			Percent of total billed charges		14.01	90			Percent of total billed charges		18.54		80.55		Case rate		80.55	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	85			Percent of total billed charges		17.51	27			Percent of total billed charges		5.768	27			Percent of total billed charges		6.18	80			Percent of total billed charges		16.48	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	90			Percent of total billed charges		18.54	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	27			Percent of total billed charges		5.768	5.768	80.55	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; rubeola	86765	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		53.57		Case rate		53.57	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	53.57	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])	86769	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		237.82		Case rate		237.82	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	237.82	zero instances of the item or service in the 12 months prior to posting the file
Antibody; varicella-zoster	86787	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		53.57		Case rate		53.57	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	53.57	one or more instances of the item or service in the 12 months prior to posting the file
Antibody; West Nile virus	86789	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		59.89		Case rate		59.89	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	59.89	one or more instances of the item or service in the 12 months prior to posting the file
Antinuclear antibodies (ANA); titer	86039	CPT				Outpatient	Facility			39.3	39.3	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	68			Percent of total billed charges		26.72	90			Percent of total billed charges		35.37		46.46		Case rate		46.46	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	85			Percent of total billed charges		33.4	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.79	80			Percent of total billed charges		31.44	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	90			Percent of total billed charges		35.37	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	27			Percent of total billed charges		11.004	11.004	46.46	one or more instances of the item or service in the 12 months prior to posting the file
Appendectomy; for ruptured appendix with abscess or generalized peritonitis	44960	CPT				Outpatient	Facility			7254.64	7254.64	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	68			Percent of total billed charges		4933.16	90			Percent of total billed charges		6529.18		11713.38		Case rate		11713.38	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	85			Percent of total billed charges		6166.44	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2176.39	80			Percent of total billed charges		5803.71	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	90			Percent of total billed charges		6529.18	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	27			Percent of total billed charges		2031.2992	2031.2992	11713.38	one or more instances of the item or service in the 12 months prior to posting the file
appendix procedures with mcc	397	MS-DRG				Inpatient	Facility			60834.37	60834.37		4475		Per Diem		17900	90			Percent of total billed charges		54750.93		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		44757.37	90			Percent of total billed charges		54750.93	100			Percent of total billed charges		60834.37		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		54750.93	80			Percent of total billed charges		48667.5		4475		Per Diem		17900	85			Percent of total billed charges		51709.21		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		48667.5		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		54750.93		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	60834.37	one or more instances of the item or service in the 12 months prior to posting the file
appendix procedures without cc/mcc	399	MS-DRG				Inpatient	Facility			35459.89	35459.89		4475		Per Diem		13425	90			Percent of total billed charges		31913.9		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		24112.73	90			Percent of total billed charges		31913.9	100			Percent of total billed charges		35459.89		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31913.9	80			Percent of total billed charges		27367.91		4475		Per Diem		13425	85			Percent of total billed charges		27140.91		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27367.91		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31913.9		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	35459.89	one or more instances of the item or service in the 12 months prior to posting the file
Application of a modality to 1 or more areas; hot or cold packs	97010	CPT				Outpatient	Facility			103	103	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	68			Percent of total billed charges		70.04	90			Percent of total billed charges		92.7		27.94		Case rate		27.94	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	80			Percent of total billed charges		82.4	27			Percent of total billed charges		27.84	85			Percent of total billed charges		87.55	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.9	80			Percent of total billed charges		82.4	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	90			Percent of total billed charges		92.7	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27			Percent of total billed charges		27.84	27.84	92.7	one or more instances of the item or service in the 12 months prior to posting the file
Application of a modality to 1 or more areas; paraffin bath	97018	CPT				Outpatient	Facility			96	96	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	68			Percent of total billed charges		65.27	90			Percent of total billed charges		86.4		47.08		Case rate		47.08	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	85			Percent of total billed charges		81.6	27			Percent of total billed charges		26.88	27			Percent of total billed charges		27.8	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	26.88	86.4	one or more instances of the item or service in the 12 months prior to posting the file
Application of finger splint; static	29127	CPT				Outpatient	Facility			465.2	465.2	27			Percent of total billed charges		130.256	90			Percent of total billed charges		418.68	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	68			Percent of total billed charges		316.34	90			Percent of total billed charges		418.68		404.41		Case rate		404.41	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	90			Percent of total billed charges		418.68	80			Percent of total billed charges		372.16	27			Percent of total billed charges		130.256	85			Percent of total billed charges		395.42	27			Percent of total billed charges		130.256	27			Percent of total billed charges		139.56	80			Percent of total billed charges		372.16	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	90			Percent of total billed charges		418.68	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	27			Percent of total billed charges		130.256	130.256	418.68	one or more instances of the item or service in the 12 months prior to posting the file
Application of long arm splint (shoulder to hand)	29105	CPT				Outpatient	Facility			504.56	504.56	27			Percent of total billed charges		141.2768	90			Percent of total billed charges		454.1	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	68			Percent of total billed charges		343.1	90			Percent of total billed charges		454.1		404.41		Case rate		404.41	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	90			Percent of total billed charges		454.1	80			Percent of total billed charges		403.65	27			Percent of total billed charges		141.2768	85			Percent of total billed charges		427.88	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		151.37	80			Percent of total billed charges		403.65	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	90			Percent of total billed charges		454.1	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	27			Percent of total billed charges		141.2768	141.2768	454.1	one or more instances of the item or service in the 12 months prior to posting the file
arm drape	272	RC				Outpatient	Facility			173	173	27			Percent of total billed charges		48.44	90			Percent of total billed charges		155.7	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	68			Percent of total billed charges		117.64	90			Percent of total billed charges		155.7	100			Percent of total billed charges		173	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	90			Percent of total billed charges		155.7	80			Percent of total billed charges		138.4	27			Percent of total billed charges		48.44	85			Percent of total billed charges		147.05	27			Percent of total billed charges		48.44	27			Percent of total billed charges		51.9	80			Percent of total billed charges		138.4	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	90			Percent of total billed charges		155.7	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	27			Percent of total billed charges		48.44	48.44	173	zero instances of the item or service in the 12 months prior to posting the file
asnis screw 3.0mm 22/5mm	272	RC				Outpatient	Facility			44	44	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	68			Percent of total billed charges		29.92	90			Percent of total billed charges		39.6	100			Percent of total billed charges		44	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	85			Percent of total billed charges		37.4	27			Percent of total billed charges		12.32	27			Percent of total billed charges		13.2	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	12.32	44	zero instances of the item or service in the 12 months prior to posting the file
atby-id complex	272	RC				Outpatient	Facility			365	365	27			Percent of total billed charges		102.2	90			Percent of total billed charges		327.5	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	68			Percent of total billed charges		248.2	90			Percent of total billed charges		327.5	100			Percent of total billed charges		365	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	90			Percent of total billed charges		327.5	80			Percent of total billed charges		292	27			Percent of total billed charges		102.2	85			Percent of total billed charges		310.25	27			Percent of total billed charges		102.2	27			Percent of total billed charges		109.5	80			Percent of total billed charges		292	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	90			Percent of total billed charges		327.5	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	27			Percent of total billed charges		102.2	102.2	365	zero instances of the item or service in the 12 months prior to posting the file
atherosclerosis without mcc	273	MS-DRG				Inpatient	Facility			14434.55	14434.55		4475		Per Diem		4475	90			Percent of total billed charges		12991.1		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		9815.49	90			Percent of total billed charges		12991.1		10784.57		Case rate		10784.57		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12991.1	80			Percent of total billed charges		11547.64		4475		Per Diem		4475	85			Percent of total billed charges		12269.37		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		11547.64		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12991.1		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	12991.1	one or more instances of the item or service in the 12 months prior to posting the file
b pertussis iga immunoblot	272	RC				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4	100			Percent of total billed charges		46	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	46	zero instances of the item or service in the 12 months prior to posting the file
b pertussis igg immunoblot	272	RC				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4	100			Percent of total billed charges		46	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	46	zero instances of the item or service in the 12 months prior to posting the file
b pertussis igm	272	RC				Outpatient	Facility			46	46	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	68			Percent of total billed charges		31.27	90			Percent of total billed charges		41.4	100			Percent of total billed charges		46	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	85			Percent of total billed charges		39.1	27			Percent of total billed charges		12.88	27			Percent of total billed charges		13.8	80			Percent of total billed charges		36.8	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	90			Percent of total billed charges		41.4	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	27			Percent of total billed charges		12.88	12.88	46	zero instances of the item or service in the 12 months prior to posting the file
"ballon, drug alluding 5x120mm"	275	RC				Outpatient	Facility			3275	3275	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	68			Percent of total billed charges		2247.4	90			Percent of total billed charges		2974.5	100			Percent of total billed charges		3275	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	80			Percent of total billed charges		2644	27			Percent of total billed charges		919.8	85			Percent of total billed charges		2709.25	27			Percent of total billed charges		919.8	27			Percent of total billed charges		991.5	80			Percent of total billed charges		2644	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	90			Percent of total billed charges		2974.5	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	27			Percent of total billed charges		919.8	919.8	3275	zero instances of the item or service in the 12 months prior to posting the file
"balloon, ezdilate 18-19-20"	272	RC				Outpatient	Facility			335	335	27			Percent of total billed charges		93.8	90			Percent of total billed charges		271.5	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	68			Percent of total billed charges		227.8	90			Percent of total billed charges		271.5	100			Percent of total billed charges		335	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	90			Percent of total billed charges		271.5	80			Percent of total billed charges		268	27			Percent of total billed charges		93.8	85			Percent of total billed charges		274.75	27			Percent of total billed charges		93.8	27			Percent of total billed charges		100.5	80			Percent of total billed charges		268	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	90			Percent of total billed charges		271.5	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	27			Percent of total billed charges		93.8	93.8	335	zero instances of the item or service in the 12 months prior to posting the file
"balloon,drug alluding 4.0x60mm"	275	RC				Outpatient	Facility			2738	2738	27			Percent of total billed charges		766.64	90			Percent of total billed charges		2464.2	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	68			Percent of total billed charges		1861.84	90			Percent of total billed charges		2464.2	100			Percent of total billed charges		2738	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	90			Percent of total billed charges		2464.2	80			Percent of total billed charges		2190.4	27			Percent of total billed charges		766.64	85			Percent of total billed charges		2327.3	27			Percent of total billed charges		766.64	27			Percent of total billed charges		821.4	80			Percent of total billed charges		2190.4	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	90			Percent of total billed charges		2464.2	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	27			Percent of total billed charges		766.64	766.64	2738	zero instances of the item or service in the 12 months prior to posting the file
Benzodiazepines; 13 or more	80347	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		103.08		Case rate		103.08	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	103.08	one or more instances of the item or service in the 12 months prior to posting the file
Beta-amyloid; 1-40 (Abeta 40)	82233	CPT				Outpatient	Facility			454	454	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	68			Percent of total billed charges		278.72	90			Percent of total billed charges		408.6	100			Percent of total billed charges		454	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	85			Percent of total billed charges		385.9	27			Percent of total billed charges		127.12	27			Percent of total billed charges		136.2	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	127.12	454	one or more instances of the item or service in the 12 months prior to posting the file
Bilirubin; total	82247	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		20.89		Case rate		20.89	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	one or more instances of the item or service in the 12 months prior to posting the file
Blood count; automated differential WBC count	85004	CPT				Outpatient	Facility			26.5	26.5	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	68			Percent of total billed charges		18.02	90			Percent of total billed charges		23.85		26.93		Case rate		26.93	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	85			Percent of total billed charges		22.52	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.95	80			Percent of total billed charges		21.2	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	90			Percent of total billed charges		23.85	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	27			Percent of total billed charges		7.42	7.42	26.93	zero instances of the item or service in the 12 months prior to posting the file
Blood count; hematocrit (Hct)	85014	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		9.88		Case rate		9.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	25.74	zero instances of the item or service in the 12 months prior to posting the file
Blood count; hemoglobin (Hgb)	85018	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		9.88		Case rate		9.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	25.74	zero instances of the item or service in the 12 months prior to posting the file
Bone age studies	77072	CPT				Outpatient	Facility			323.42	323.42	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	68			Percent of total billed charges		219.93	90			Percent of total billed charges		291.08		97.43		Case rate		97.43	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	85			Percent of total billed charges		274.91	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		97.03	80			Percent of total billed charges		258.74	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90			Percent of total billed charges		291.08	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	27			Percent of total billed charges		90.5576	90.5576	291.08	one or more instances of the item or service in the 12 months prior to posting the file
Bone and/or joint imaging; 3 phase study	78315	CPT				Outpatient	Facility			2085.75	2085.75	27			Percent of total billed charges		584.01	90			Percent of total billed charges		1877.18	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	68			Percent of total billed charges		1418.31	90			Percent of total billed charges		1877.18		1845.35		Case rate		1845.35	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	90			Percent of total billed charges		1877.18	80			Percent of total billed charges		1668.6	27			Percent of total billed charges		584.01	85			Percent of total billed charges		1772.89	27			Percent of total billed charges		584.01	27			Percent of total billed charges		625.72	80			Percent of total billed charges		1668.6	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	90			Percent of total billed charges		1877.18	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	27			Percent of total billed charges		584.01	584.01	1877.18	one or more instances of the item or service in the 12 months prior to posting the file
Bone and/or joint imaging; whole body	78276	CPT				Outpatient	Facility			1827.31	1827.31	27			Percent of total billed charges		511.9268	90			Percent of total billed charges		1647.27	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	68			Percent of total billed charges		1244.61	90			Percent of total billed charges		1647.27		1585.91		Case rate		1585.91	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	90			Percent of total billed charges		1647.27	80			Percent of total billed charges		1464.25	27			Percent of total billed charges		511.9268	85			Percent of total billed charges		1555.76	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		549.09	80			Percent of total billed charges		1464.25	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	90			Percent of total billed charges		1647.27	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	27			Percent of total billed charges		511.9268	511.9268	1647.27	one or more instances of the item or service in the 12 months prior to posting the file
Bone marrow harvesting for transplantation; autologous	38232	CPT				Outpatient	Facility			13227	13227	27			Percent of total billed charges		3703.84	90			Percent of total billed charges		11905.2	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	68			Percent of total billed charges		8995.04	90			Percent of total billed charges		11905.2		2912.82		Case rate		2912.82	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	90			Percent of total billed charges		11905.2	80			Percent of total billed charges		10582.4	27			Percent of total billed charges		3703.84	85			Percent of total billed charges		11243.8	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3968.4	80			Percent of total billed charges		10582.4	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	90			Percent of total billed charges		11905.2	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	27			Percent of total billed charges		3703.84	3703.84	11905.2	one or more instances of the item or service in the 12 months prior to posting the file
breast ovarian hereditary pan	279	RC				Outpatient	Facility			3476	3476	27			Percent of total billed charges		973.27	90			Percent of total billed charges		3127.4	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	68			Percent of total billed charges		2363.68	90			Percent of total billed charges		3127.4	100			Percent of total billed charges		3476	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	90			Percent of total billed charges		3127.4	80			Percent of total billed charges		2780.8	27			Percent of total billed charges		973.27	85			Percent of total billed charges		2954.6	27			Percent of total billed charges		973.27	27			Percent of total billed charges		1042.8	80			Percent of total billed charges		2780.8	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	90			Percent of total billed charges		3127.4	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	27			Percent of total billed charges		973.27	973.27	3476	zero instances of the item or service in the 12 months prior to posting the file
"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg"	J7626	HCPCS				Outpatient	Facility	0.5	ME	36.25	36.25	27			Percent of total billed charges		10.15	90			Percent of total billed charges		32.62	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	68			Percent of total billed charges		24.65	90			Percent of total billed charges		32.62		6.1		Case rate		6.1	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	90			Percent of total billed charges		32.62	80			Percent of total billed charges		29	27			Percent of total billed charges		10.15	85			Percent of total billed charges		27.81	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.88	80			Percent of total billed charges		29	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	90			Percent of total billed charges		32.62	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	27			Percent of total billed charges		10.15	10.15	32.62	one or more instances of the item or service in the 12 months prior to posting the file
bupicacaine 27 ml	250	RC				Outpatient	Facility			7.5	7.5	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	68			Percent of total billed charges		5.1	90			Percent of total billed charges		6.75	100			Percent of total billed charges		7.5	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	80			Percent of total billed charges		6	27			Percent of total billed charges		2.1	85			Percent of total billed charges		6.38	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.25	80			Percent of total billed charges		6	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	90			Percent of total billed charges		6.75	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	27			Percent of total billed charges		2.1	2.1	7.5	zero instances of the item or service in the 12 months prior to posting the file
C-reactive protein	86140	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.56		Case rate		21.56	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
C-reactive protein; high sensitivity (hsCRP)	86141	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		53.91		Case rate		53.91	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	53.91	one or more instances of the item or service in the 12 months prior to posting the file
cable kit blue 20m	272	RC				Outpatient	Facility			7900	7900	27			Percent of total billed charges		2212	90			Percent of total billed charges		7110	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	68			Percent of total billed charges		5372	90			Percent of total billed charges		7110	100			Percent of total billed charges		7900	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	90			Percent of total billed charges		7110	80			Percent of total billed charges		6320	27			Percent of total billed charges		2212	85			Percent of total billed charges		6715	27			Percent of total billed charges		2212	27			Percent of total billed charges		2370	80			Percent of total billed charges		6320	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	90			Percent of total billed charges		7110	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	27			Percent of total billed charges		2212	2212	7900	zero instances of the item or service in the 12 months prior to posting the file
cadiere foreps 8mm	272	RC				Outpatient	Facility			498	498	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	68			Percent of total billed charges		338.64	90			Percent of total billed charges		448.2	100			Percent of total billed charges		498	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	80			Percent of total billed charges		398.4	27			Percent of total billed charges		139.44	85			Percent of total billed charges		423.3	27			Percent of total billed charges		139.44	27			Percent of total billed charges		149.4	80			Percent of total billed charges		398.4	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	139.44	498	zero instances of the item or service in the 12 months prior to posting the file
Calcium; ionized	82327	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		56.96		Case rate		56.96	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	56.96	one or more instances of the item or service in the 12 months prior to posting the file
cannula reducer 12-8mm	272	RC				Outpatient	Facility			85	85	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	68			Percent of total billed charges		57.8	90			Percent of total billed charges		76.5	100			Percent of total billed charges		85	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	85			Percent of total billed charges		72.25	27			Percent of total billed charges		23.8	27			Percent of total billed charges		25.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	23.8	85	zero instances of the item or service in the 12 months prior to posting the file
cannula seal 5mm-8mm	272	RC				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9	100			Percent of total billed charges		61	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	61	zero instances of the item or service in the 12 months prior to posting the file
Carcinoembryonic antigen (CEA)	82378	CPT				Outpatient	Facility			227	227	27			Percent of total billed charges		63.84	90			Percent of total billed charges		207	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	68			Percent of total billed charges		156.4	90			Percent of total billed charges		207		78.92		Case rate		78.92	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	90			Percent of total billed charges		207	80			Percent of total billed charges		184	27			Percent of total billed charges		63.84	85			Percent of total billed charges		195.5	27			Percent of total billed charges		63.84	27			Percent of total billed charges		69	80			Percent of total billed charges		184	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	90			Percent of total billed charges		207	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	27			Percent of total billed charges		63.84	63.84	207	one or more instances of the item or service in the 12 months prior to posting the file
"cardiac arrest, unexplained with mcc"	296	MS-DRG				Inpatient	Facility			48401.41	48401.41		4475		Per Diem		4475	90			Percent of total billed charges		43561.27		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		32912.96	90			Percent of total billed charges		43561.27		22606.06		Case rate		22606.06		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		43561.27	80			Percent of total billed charges		38721.13		4475		Per Diem		4475	85			Percent of total billed charges		41141.2		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		38721.13		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		43561.27		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	43561.27	one or more instances of the item or service in the 12 months prior to posting the file
cardiac arrhythmia and conduction disorders without cc/mcc	310	MS-DRG				Inpatient	Facility			13763.6	13763.6		4475		Per Diem		8950	90			Percent of total billed charges		12387.24		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9359.25	90			Percent of total billed charges		12387.24		12341.53		Case rate		12341.53		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12387.24	80			Percent of total billed charges		11010.88		4475		Per Diem		8950	85			Percent of total billed charges		11699.06		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		11010.88		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12387.24		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	12387.24	one or more instances of the item or service in the 12 months prior to posting the file
Cardioassist-method of circulatory assist; external	92971	CPT				Outpatient	Facility			864.96	864.96	27			Percent of total billed charges		242.1888	90			Percent of total billed charges		778.46	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	68			Percent of total billed charges		588.17	90			Percent of total billed charges		778.46	100			Percent of total billed charges		864.96	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	90			Percent of total billed charges		778.46	80			Percent of total billed charges		691.97	27			Percent of total billed charges		242.1888	85			Percent of total billed charges		735.22	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		259.49	80			Percent of total billed charges		691.97	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	90			Percent of total billed charges		778.46	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	27			Percent of total billed charges		242.1888	242.1888	864.96	one or more instances of the item or service in the 12 months prior to posting the file
Catheter aspiration (separate procedure); nasotracheal	31720	CPT				Outpatient	Facility			116.9	116.9	27			Percent of total billed charges		32.732	90			Percent of total billed charges		105.21	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	68			Percent of total billed charges		79.49	90			Percent of total billed charges		105.21		150.04		Case rate		150.04	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	90			Percent of total billed charges		105.21	80			Percent of total billed charges		93.52	27			Percent of total billed charges		32.732	85			Percent of total billed charges		99.36	27			Percent of total billed charges		32.732	27			Percent of total billed charges		35.07	80			Percent of total billed charges		93.52	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	90			Percent of total billed charges		105.21	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	27			Percent of total billed charges		32.732	32.732	150.04	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, hemodialysis/peritoneal, long-term"	C1750	CPT				Outpatient	Facility			1042.5	1042.5	27			Percent of total billed charges		291.9	90			Percent of total billed charges		938.25	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	68			Percent of total billed charges		708.9	90			Percent of total billed charges		938.25		813.16		Case rate		813.16	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	90			Percent of total billed charges		938.25	80			Percent of total billed charges		834	27			Percent of total billed charges		291.9	85			Percent of total billed charges		886.12	27			Percent of total billed charges		291.9	27			Percent of total billed charges		312.75	80			Percent of total billed charges		834	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	90			Percent of total billed charges		938.25	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	27			Percent of total billed charges		291.9	291.9	938.25	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, hemodialysis/peritoneal, short-term"	C1752	CPT				Outpatient	Facility			422.31	422.31	27			Percent of total billed charges		118.2468	90			Percent of total billed charges		380.08	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	68			Percent of total billed charges		277.17	90			Percent of total billed charges		380.08		416.38		Case rate		416.38	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	90			Percent of total billed charges		380.08	80			Percent of total billed charges		337.85	27			Percent of total billed charges		118.2468	85			Percent of total billed charges		358.96	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		126.69	80			Percent of total billed charges		337.85	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	90			Percent of total billed charges		380.08	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	27			Percent of total billed charges		118.2468	118.2468	416.38	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)"	C1751	CPT				Outpatient	Facility			1601.25	1601.25	27			Percent of total billed charges		448.35	90			Percent of total billed charges		1441.12	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	68			Percent of total billed charges		1088.85	90			Percent of total billed charges		1441.12		416.38		Case rate		416.38	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	90			Percent of total billed charges		1441.12	80			Percent of total billed charges		1271	27			Percent of total billed charges		448.35	85			Percent of total billed charges		1361.06	27			Percent of total billed charges		448.35	27			Percent of total billed charges		480.38	80			Percent of total billed charges		1271	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	90			Percent of total billed charges		1441.12	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	27			Percent of total billed charges		448.35	448.35	1441.12	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, intravascular ultrasound"	C1753	CPT				Outpatient	Facility			1937.5	1937.5	27			Percent of total billed charges		542.5	90			Percent of total billed charges		1743.75	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	68			Percent of total billed charges		1317.5	90			Percent of total billed charges		1743.75		2094.3		Case rate		2094.3	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	90			Percent of total billed charges		1743.75	80			Percent of total billed charges		1550	27			Percent of total billed charges		542.5	85			Percent of total billed charges		1646.88	27			Percent of total billed charges		542.5	27			Percent of total billed charges		581.25	80			Percent of total billed charges		1550	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	90			Percent of total billed charges		1743.75	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	27			Percent of total billed charges		542.5	542.5	2094.3	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, thrombectomy/embolectomy"	C1757	CPT				Outpatient	Facility			12500	12500	27			Percent of total billed charges		3500	90			Percent of total billed charges		11250	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	68			Percent of total billed charges		8500	90			Percent of total billed charges		11250		663.34		Case rate		663.34	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	90			Percent of total billed charges		11250	80			Percent of total billed charges		10000	27			Percent of total billed charges		3500	85			Percent of total billed charges		10625	27			Percent of total billed charges		3500	27			Percent of total billed charges		3750	80			Percent of total billed charges		10000	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	90			Percent of total billed charges		11250	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	27			Percent of total billed charges		3500	3500	11250	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)"	C1725	CPT				Outpatient	Facility			250	250	27			Percent of total billed charges		70	90			Percent of total billed charges		225	27			Percent of total billed charges		70	27			Percent of total billed charges		70	68			Percent of total billed charges		170	90			Percent of total billed charges		225		632.07		Case rate		632.07	27			Percent of total billed charges		70	27			Percent of total billed charges		70	90			Percent of total billed charges		225	80			Percent of total billed charges		200	27			Percent of total billed charges		70	85			Percent of total billed charges		212.5	27			Percent of total billed charges		70	27			Percent of total billed charges		75	80			Percent of total billed charges		200	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	90			Percent of total billed charges		225	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	70	632.07	one or more instances of the item or service in the 12 months prior to posting the file
"Catheter, transluminal intravascular lithotripsy, coronary"	C1761	CPT				Outpatient	Facility			11750	11750	27			Percent of total billed charges		3290	90			Percent of total billed charges		10575	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	68			Percent of total billed charges		7990	90			Percent of total billed charges		10575		9294.49		Case rate		9294.49	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	90			Percent of total billed charges		10575	80			Percent of total billed charges		9400	27			Percent of total billed charges		3290	85			Percent of total billed charges		9987.5	27			Percent of total billed charges		3290	27			Percent of total billed charges		3525	80			Percent of total billed charges		9400	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	90			Percent of total billed charges		10575	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	27			Percent of total billed charges		3290	3290	10575	one or more instances of the item or service in the 12 months prior to posting the file
cesarean section with sterilization without cc/mcc	785	MS-DRG				Inpatient	Facility			31560.11	31560.11		4475		Per Diem		8950	90			Percent of total billed charges		27404.1		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		21460.87	90			Percent of total billed charges		27404.1		15246.17		Case rate		15246.17		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27404.1	80			Percent of total billed charges		25248.09		4475		Per Diem		8950	85			Percent of total billed charges		26826.09		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		25248.09		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27404.1		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27404.1	one or more instances of the item or service in the 12 months prior to posting the file
cesarean section without sterilization with cc	787	MS-DRG				Inpatient	Facility			32652.2	32652.2		4475		Per Diem		8950	90			Percent of total billed charges		29386.98		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		22203.49	90			Percent of total billed charges		29386.98		15642.54		Case rate		15642.54		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		29386.98	80			Percent of total billed charges		26121.76		4475		Per Diem		8950	85			Percent of total billed charges		27754.37		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		26121.76		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		29386.98		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	29386.98	one or more instances of the item or service in the 12 months prior to posting the file
cesarean section without sterilization with mcc	786	MS-DRG				Inpatient	Facility			116727.17	116727.17		4475		Per Diem		4475	90			Percent of total billed charges		105055.35		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		79375.16	90			Percent of total billed charges		105055.35		19387.49		Case rate		19387.49		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		105055.35	80			Percent of total billed charges		93382.54		4475		Per Diem		4475	85			Percent of total billed charges		99218.94		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		93382.54		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		105055.35		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	105055.35	one or more instances of the item or service in the 12 months prior to posting the file
Change of cystostomy tube; simple	51705	CPT				Outpatient	Facility			3396.24	3396.24	27			Percent of total billed charges		950.9472	90			Percent of total billed charges		2756.62	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	68			Percent of total billed charges		2279.44	90			Percent of total billed charges		2756.62		2912.82		Case rate		2912.82	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	90			Percent of total billed charges		2756.62	80			Percent of total billed charges		2716.99	27			Percent of total billed charges		950.9472	85			Percent of total billed charges		2786.8	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		1018.87	80			Percent of total billed charges		2716.99	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	90			Percent of total billed charges		2756.62	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	27			Percent of total billed charges		950.9472	950.9472	2756.62	one or more instances of the item or service in the 12 months prior to posting the file
Chloride; other source	82438	CPT				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08		20.83		Case rate		20.83	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	20.83	zero instances of the item or service in the 12 months prior to posting the file
chlorpheniramine/phenylephrine	250	RC				Outpatient	Facility			10.6	10.6	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	68			Percent of total billed charges		7.21	90			Percent of total billed charges		9.54	100			Percent of total billed charges		10.6	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	85			Percent of total billed charges		9.01	27			Percent of total billed charges		2.968	27			Percent of total billed charges		3.18	80			Percent of total billed charges		8.48	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	90			Percent of total billed charges		9.54	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	27			Percent of total billed charges		2.968	2.968	10.6	zero instances of the item or service in the 12 months prior to posting the file
cholecystectomy except by laparoscope without c.d.e. without cc/mcc	416	MS-DRG				Inpatient	Facility			56278.79	56278.79		4475		Per Diem		22375	90			Percent of total billed charges		50659.91		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		38276.38	90			Percent of total billed charges		50659.91		29033.68		Case rate		29033.68		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		50659.91	80			Percent of total billed charges		45031.03		4475		Per Diem		22375	85			Percent of total billed charges		47845.47		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		45031.03		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		50659.91		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	50659.91	one or more instances of the item or service in the 12 months prior to posting the file
"Choline c-11, diagnostic, per study dose up to 20 millicuries"	A9515	CPT				Outpatient	Facility			314.15	314.15	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	68			Percent of total billed charges		213.62	90			Percent of total billed charges		272.74	100			Percent of total billed charges		314.15	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	85			Percent of total billed charges		267.03	27			Percent of total billed charges		87.962	27			Percent of total billed charges		94.24	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	87.962	314.15	one or more instances of the item or service in the 12 months prior to posting the file
chronic obstructive pulmonary disease with mcc	190	MS-DRG				Inpatient	Facility			27074.23	27074.22		4475		Per Diem		13425	90			Percent of total billed charges		27066.8		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		20450.47	90			Percent of total billed charges		27066.8		21416.93		Case rate		21416.93		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27066.8	80			Percent of total billed charges		24059.38		4475		Per Diem		13425	85			Percent of total billed charges		25563.09		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		24059.38		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27066.8		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	27066.8	one or more instances of the item or service in the 12 months prior to posting the file
"circulatory disorders except ami, with cardiac catheterization without mcc"	277	MS-DRG				Inpatient	Facility			35299.02	35299.02		4475		Per Diem		4475	90			Percent of total billed charges		31769.12		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		24003.33	90			Percent of total billed charges		31769.12		24273.52		Case rate		24273.52		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		31769.12	80			Percent of total billed charges		27239.22		4475		Per Diem		4475	85			Percent of total billed charges		27004.17		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		27239.22		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		31769.12		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	31769.12	one or more instances of the item or service in the 12 months prior to posting the file
cirrhosis and alcoholic hepatitis with cc	433	MS-DRG				Inpatient	Facility			31311.6	31311.6		4475		Per Diem		8950	90			Percent of total billed charges		27180.44		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		21291.89	90			Percent of total billed charges		27180.44		24521.34		Case rate		24521.34		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27180.44	80			Percent of total billed charges		25049.27		4475		Per Diem		8950	85			Percent of total billed charges		26614.86		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		25049.27		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27180.44		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27180.44	one or more instances of the item or service in the 12 months prior to posting the file
city of globe labs	270	RC				Outpatient	Facility			150	150	27			Percent of total billed charges		42	90			Percent of total billed charges		135	27			Percent of total billed charges		42	27			Percent of total billed charges		42	68			Percent of total billed charges		102	90			Percent of total billed charges		135	100			Percent of total billed charges		150	27			Percent of total billed charges		42	27			Percent of total billed charges		42	90			Percent of total billed charges		135	80			Percent of total billed charges		120	27			Percent of total billed charges		42	85			Percent of total billed charges		127.5	27			Percent of total billed charges		42	27			Percent of total billed charges		45	80			Percent of total billed charges		120	27			Percent of total billed charges		42	27			Percent of total billed charges		42	27			Percent of total billed charges		42	27			Percent of total billed charges		42	90			Percent of total billed charges		135	27			Percent of total billed charges		42	27			Percent of total billed charges		42	27			Percent of total billed charges		42	42	150	zero instances of the item or service in the 12 months prior to posting the file
clip applier assembly med 8mm	272	RC				Outpatient	Facility			34.4	34.4	27			Percent of total billed charges		9.632	90			Percent of total billed charges		27.96	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	68			Percent of total billed charges		23.39	90			Percent of total billed charges		27.96	100			Percent of total billed charges		34.4	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	90			Percent of total billed charges		27.96	80			Percent of total billed charges		27.52	27			Percent of total billed charges		9.632	85			Percent of total billed charges		29.24	27			Percent of total billed charges		9.632	27			Percent of total billed charges		10.32	80			Percent of total billed charges		27.52	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	90			Percent of total billed charges		27.96	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	27			Percent of total billed charges		9.632	9.632	34.4	zero instances of the item or service in the 12 months prior to posting the file
Closed treatment of acromioclavicular dislocation; with manipulation	23545	CPT				Outpatient	Facility			1009.12	1009.12	27			Percent of total billed charges		272.5536	90			Percent of total billed charges		908.21	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	68			Percent of total billed charges		686.2	90			Percent of total billed charges		908.21		2912.82		Case rate		2912.82	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	90			Percent of total billed charges		908.21	80			Percent of total billed charges		807.3	27			Percent of total billed charges		272.5536	85			Percent of total billed charges		857.75	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.74	80			Percent of total billed charges		807.3	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	90			Percent of total billed charges		908.21	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	27			Percent of total billed charges		272.5536	272.5536	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of knee dislocation; without anesthesia	27550	CPT				Outpatient	Facility			3566.9	3566.9	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	68			Percent of total billed charges		2425.49	90			Percent of total billed charges		3210.21		2912.82		Case rate		2912.82	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	80			Percent of total billed charges		2753.52	27			Percent of total billed charges		998.732	85			Percent of total billed charges		2731.86	27			Percent of total billed charges		998.732	27			Percent of total billed charges		1070.07	80			Percent of total billed charges		2753.52	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	90			Percent of total billed charges		3210.21	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	27			Percent of total billed charges		998.732	998.732	3210.21	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of post hip arthroplasty dislocation; without anesthesia	27265	CPT				Outpatient	Facility			910.57	910.57	27			Percent of total billed charges		254.9596	90			Percent of total billed charges		819.51	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	68			Percent of total billed charges		619.19	90			Percent of total billed charges		819.51		2912.82		Case rate		2912.82	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	90			Percent of total billed charges		819.51	80			Percent of total billed charges		727.46	27			Percent of total billed charges		254.9596	85			Percent of total billed charges		773.98	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		273.17	80			Percent of total billed charges		727.46	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	90			Percent of total billed charges		819.51	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	27			Percent of total billed charges		254.9596	254.9596	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of radial head or neck fracture; with manipulation	24655	CPT				Outpatient	Facility			4750.92	4750.92	27			Percent of total billed charges		1330.2576	90			Percent of total billed charges		4275.83	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	68			Percent of total billed charges		3227.63	90			Percent of total billed charges		4275.83		2912.82		Case rate		2912.82	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	90			Percent of total billed charges		4275.83	80			Percent of total billed charges		3800.74	27			Percent of total billed charges		1330.2576	85			Percent of total billed charges		4038.27	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1425.27	80			Percent of total billed charges		3800.74	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	90			Percent of total billed charges		4275.83	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	27			Percent of total billed charges		1330.2576	1330.2576	4275.83	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of radial shaft fracture; with manipulation	25505	CPT				Outpatient	Facility			1362.1	1362.1	27			Percent of total billed charges		381.388	90			Percent of total billed charges		1225.89	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	68			Percent of total billed charges		926.23	90			Percent of total billed charges		1225.89		2912.82		Case rate		2912.82	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	90			Percent of total billed charges		1225.89	80			Percent of total billed charges		1089.68	27			Percent of total billed charges		381.388	85			Percent of total billed charges		1157.78	27			Percent of total billed charges		381.388	27			Percent of total billed charges		408.63	80			Percent of total billed charges		1089.68	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	90			Percent of total billed charges		1225.89	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	27			Percent of total billed charges		381.388	381.388	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Closed treatment of trimalleolar ankle fracture; with manipulation	27818	CPT				Outpatient	Facility			4256.96	4256.96	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	68			Percent of total billed charges		2794.73	90			Percent of total billed charges		3831.26		2912.82		Case rate		2912.82	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	80			Percent of total billed charges		3405.57	27			Percent of total billed charges		1191.9488	85			Percent of total billed charges		3618.42	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1277.09	80			Percent of total billed charges		3405.57	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	90			Percent of total billed charges		3831.26	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	27			Percent of total billed charges		1191.9488	1191.9488	3831.26	one or more instances of the item or service in the 12 months prior to posting the file
"Closure device, vascular (implantable/insertable)"	C1760	CPT				Outpatient	Facility			715	715	27			Percent of total billed charges		200.2	90			Percent of total billed charges		643.5	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	68			Percent of total billed charges		486.2	90			Percent of total billed charges		643.5		1981.4		Case rate		1981.4	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	90			Percent of total billed charges		643.5	80			Percent of total billed charges		572	27			Percent of total billed charges		200.2	85			Percent of total billed charges		607.75	27			Percent of total billed charges		200.2	27			Percent of total billed charges		214.5	80			Percent of total billed charges		572	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	90			Percent of total billed charges		643.5	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	27			Percent of total billed charges		200.2	200.2	1981.4	one or more instances of the item or service in the 12 months prior to posting the file
Clotting; factor IX (PTC or Christmas)	85250	CPT				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7		79.26		Case rate		79.26	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	79.26	zero instances of the item or service in the 12 months prior to posting the file
Clotting; factor XIII (fibrin stabilizing)	85290	CPT				Outpatient	Facility			260	260	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	68			Percent of total billed charges		176.8	90			Percent of total billed charges		234		68.02		Case rate		68.02	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	80			Percent of total billed charges		208	27			Percent of total billed charges		72.8	85			Percent of total billed charges		221	27			Percent of total billed charges		72.8	27			Percent of total billed charges		78	80			Percent of total billed charges		208	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	90			Percent of total billed charges		234	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	27			Percent of total billed charges		72.8	72.8	234	zero instances of the item or service in the 12 months prior to posting the file
coagulation disorders	813	MS-DRG				Inpatient	Facility			36988.34	36988.34		4475		Per Diem		17900	90			Percent of total billed charges		33279.51		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		25152.07	90			Percent of total billed charges		33279.51		22390.43		Case rate		22390.43		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33279.51	80			Percent of total billed charges		29590.67		4475		Per Diem		17900	85			Percent of total billed charges		31440.09		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		29590.67		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33279.51		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	33279.51	one or more instances of the item or service in the 12 months prior to posting the file
Cocaine	80353	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		65.93		Case rate		65.93	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	65.93	one or more instances of the item or service in the 12 months prior to posting the file
"coccidioides ab by cf & id,csf"	272	RC				Outpatient	Facility			36.1	36.1	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	68			Percent of total billed charges		24.55	90			Percent of total billed charges		32.49	100			Percent of total billed charges		36.1	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	85			Percent of total billed charges		27.69	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.83	80			Percent of total billed charges		27.88	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	90			Percent of total billed charges		32.49	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	27			Percent of total billed charges		10.108	10.108	36.1	zero instances of the item or service in the 12 months prior to posting the file
Cold agglutinin; screen	86156	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		33.59		Case rate		33.59	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	33.59	one or more instances of the item or service in the 12 months prior to posting the file
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix	57460	CPT				Outpatient	Facility			8936	8936	27			Percent of total billed charges		2502.08	90			Percent of total billed charges		8042.4	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	68			Percent of total billed charges		6076.48	90			Percent of total billed charges		8042.4		3900.7		Case rate		3900.7	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	90			Percent of total billed charges		8042.4	80			Percent of total billed charges		7148.8	27			Percent of total billed charges		2502.08	85			Percent of total billed charges		7595.6	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2680.8	80			Percent of total billed charges		7148.8	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	90			Percent of total billed charges		8042.4	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	27			Percent of total billed charges		2502.08	2502.08	8042.4	one or more instances of the item or service in the 12 months prior to posting the file
column drape	272	RC				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9	100			Percent of total billed charges		61	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	61	zero instances of the item or service in the 12 months prior to posting the file
Compatibility test each unit; antiglobulin technique	86922	CPT				Outpatient	Facility			203	203	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	68			Percent of total billed charges		138.04	90			Percent of total billed charges		182.7		160.37		Case rate		160.37	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	80			Percent of total billed charges		162.4	27			Percent of total billed charges		56.84	85			Percent of total billed charges		172.55	27			Percent of total billed charges		56.84	27			Percent of total billed charges		60.9	80			Percent of total billed charges		162.4	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	90			Percent of total billed charges		182.7	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	27			Percent of total billed charges		56.84	56.84	182.7	one or more instances of the item or service in the 12 months prior to posting the file
Compatibility test each unit; incubation technique	86921	CPT				Outpatient	Facility			8.5	8.5	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	68			Percent of total billed charges		5.78	90			Percent of total billed charges		7.65		160.37		Case rate		160.37	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	80			Percent of total billed charges		6.8	27			Percent of total billed charges		2.38	85			Percent of total billed charges		7.22	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.55	80			Percent of total billed charges		6.8	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	2.38	160.37	zero instances of the item or service in the 12 months prior to posting the file
complications of treatment with cc	920	MS-DRG				Inpatient	Facility			31664.73	31664.73		4475		Per Diem		8950	90			Percent of total billed charges		27498.26		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		21532.02	90			Percent of total billed charges		27498.26		19796.55		Case rate		19796.55		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27498.26	80			Percent of total billed charges		25331.78		4475		Per Diem		8950	85			Percent of total billed charges		26915.02		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		25331.78		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27498.26		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27498.26	one or more instances of the item or service in the 12 months prior to posting the file
"Connective tissue, human (includes fascia lata)"	C1762	CPT				Outpatient	Facility			6132.38	6132.38	27			Percent of total billed charges		1717.0664	90			Percent of total billed charges		5519.14	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	68			Percent of total billed charges		4170.02	90			Percent of total billed charges		5519.14		7608.33		Case rate		7608.33	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	90			Percent of total billed charges		5519.14	80			Percent of total billed charges		4905.9	27			Percent of total billed charges		1717.0664	85			Percent of total billed charges		5212.52	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1839.71	80			Percent of total billed charges		4905.9	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	90			Percent of total billed charges		5519.14	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	27			Percent of total billed charges		1717.0664	1717.0664	7608.33	one or more instances of the item or service in the 12 months prior to posting the file
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)	94645	CPT				Outpatient	Facility			109.2	109.2	27			Percent of total billed charges		30.576	90			Percent of total billed charges		98.27	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	68			Percent of total billed charges		74.26	90			Percent of total billed charges		98.27		93.2		Case rate		93.2	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	90			Percent of total billed charges		98.27	80			Percent of total billed charges		87.36	27			Percent of total billed charges		30.576	85			Percent of total billed charges		92.82	27			Percent of total billed charges		30.576	27			Percent of total billed charges		32.76	80			Percent of total billed charges		87.36	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	90			Percent of total billed charges		98.27	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	27			Percent of total billed charges		30.576	30.576	98.27	one or more instances of the item or service in the 12 months prior to posting the file
coronary intravascular lithotripsy with intraluminal device with mcc	323	MS-DRG				Inpatient	Facility			139197.37	139197.37		4475		Per Diem		27216	90			Percent of total billed charges		125277.63		4475		Per Diem		27216		4475		Per Diem		27216	68			Percent of total billed charges		94654.21	90			Percent of total billed charges		125277.63	100			Percent of total billed charges		139197.37		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		125277.63	80			Percent of total billed charges		111357.9		4475		Per Diem		27216	85			Percent of total billed charges		118317.76		4475		Per Diem		27216		4475		Per Diem		27216	80			Percent of total billed charges		111357.9		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		125277.63		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	27216	139197.37	one or more instances of the item or service in the 12 months prior to posting the file
coronary intravascular lithotripsy without intraluminal device	325	MS-DRG				Inpatient	Facility			80690.74	80690.74		4475		Per Diem		4475	90			Percent of total billed charges		72621.66		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		54869.7	90			Percent of total billed charges		72621.66	100			Percent of total billed charges		80690.74		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		72621.66	80			Percent of total billed charges		64552.59		4475		Per Diem		4475	85			Percent of total billed charges		68587.12		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		64552.59		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		72621.66		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	80690.74	one or more instances of the item or service in the 12 months prior to posting the file
Cortisol; total	82533	CPT				Outpatient	Facility			60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		67.85		Case rate		67.85	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	67.85	one or more instances of the item or service in the 12 months prior to posting the file
covid 19 igg	272	RC				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1	100			Percent of total billed charges		49	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	49	zero instances of the item or service in the 12 months prior to posting the file
covid ag	272	RC				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9	100			Percent of total billed charges		61	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	61	zero instances of the item or service in the 12 months prior to posting the file
Creatine	82540	CPT				Outpatient	Facility			76.2	76.2	27			Percent of total billed charges		21.336	90			Percent of total billed charges		68.58	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	68			Percent of total billed charges		51.82	90			Percent of total billed charges		68.58		19.31		Case rate		19.31	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	90			Percent of total billed charges		68.58	80			Percent of total billed charges		60.96	27			Percent of total billed charges		21.336	85			Percent of total billed charges		64.77	27			Percent of total billed charges		21.336	27			Percent of total billed charges		22.86	80			Percent of total billed charges		60.96	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	90			Percent of total billed charges		68.58	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	27			Percent of total billed charges		21.336	21.336	68.58	one or more instances of the item or service in the 12 months prior to posting the file
Creatinine; blood	82565	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.27		Case rate		21.27	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
Creatinine; clearance	82575	CPT				Outpatient	Facility			115	115	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	68			Percent of total billed charges		78.2	90			Percent of total billed charges		103.5		39.35		Case rate		39.35	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	85			Percent of total billed charges		97.75	27			Percent of total billed charges		32.2	27			Percent of total billed charges		34.5	80			Percent of total billed charges		92	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	90			Percent of total billed charges		103.5	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	27			Percent of total billed charges		32.2	32.2	103.5	one or more instances of the item or service in the 12 months prior to posting the file
Creatinine; other source	82570	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.56		Case rate		21.56	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	zero instances of the item or service in the 12 months prior to posting the file
"cryptococcus ag, csf"	272	RC				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7	100			Percent of total billed charges		43	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	43	zero instances of the item or service in the 12 months prior to posting the file
Cyanocobalamin (Vitamin B-12)	82607	CPT				Outpatient	Facility			184	184	27			Percent of total billed charges		51.52	90			Percent of total billed charges		165.6	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	68			Percent of total billed charges		125.12	90			Percent of total billed charges		165.6		62.77		Case rate		62.77	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	90			Percent of total billed charges		165.6	80			Percent of total billed charges		147.2	27			Percent of total billed charges		51.52	85			Percent of total billed charges		156.4	27			Percent of total billed charges		51.52	27			Percent of total billed charges		55.2	80			Percent of total billed charges		147.2	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	90			Percent of total billed charges		165.6	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	27			Percent of total billed charges		51.52	51.52	165.6	one or more instances of the item or service in the 12 months prior to posting the file
Cystatin C	82610	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		77.05		Case rate		77.05	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	77.05	one or more instances of the item or service in the 12 months prior to posting the file
Debridement of nail(s) by any method(s); 6 or more	11721	CPT				Outpatient	Facility			327.54	327.54	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	68			Percent of total billed charges		222.73	90			Percent of total billed charges		294.79		278.78		Case rate		278.78	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	80			Percent of total billed charges		262.03	27			Percent of total billed charges		91.7112	85			Percent of total billed charges		278.41	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		98.26	80			Percent of total billed charges		262.03	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	90			Percent of total billed charges		294.79	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	27			Percent of total billed charges		91.7112	91.7112	278.78	one or more instances of the item or service in the 12 months prior to posting the file
Deoxyribonucleic acid (DNA) antibody; native or double stranded	86225	CPT				Outpatient	Facility			19.1	19.1	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	68			Percent of total billed charges		12.99	90			Percent of total billed charges		17.19		57.18		Case rate		57.18	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	85			Percent of total billed charges		16.24	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.73	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	5.348	57.18	one or more instances of the item or service in the 12 months prior to posting the file
depoprovera 150mg	636	RC				Outpatient	Facility			51	51	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	68			Percent of total billed charges		34.68	90			Percent of total billed charges		45.9	100			Percent of total billed charges		51	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	85			Percent of total billed charges		43.35	27			Percent of total billed charges		14.27	27			Percent of total billed charges		15.3	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	14.27	51	zero instances of the item or service in the 12 months prior to posting the file
diabetes with cc	638	MS-DRG				Inpatient	Facility			17641.05	17641.04		4475		Per Diem		13425	90			Percent of total billed charges		15876.94		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		11995.91	90			Percent of total billed charges		15876.94		14770.52		Case rate		14770.52		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15876.94	80			Percent of total billed charges		14112.84		4475		Per Diem		13425	85			Percent of total billed charges		14994.89		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		14112.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15876.94		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	15876.94	one or more instances of the item or service in the 12 months prior to posting the file
Diagnostic bone marrow; biopsy(ies)	38221	CPT				Outpatient	Facility			5088	5088	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	68			Percent of total billed charges		3459.84	90			Percent of total billed charges		4579.2		2912.82		Case rate		2912.82	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	80			Percent of total billed charges		4070.4	27			Percent of total billed charges		1424.64	85			Percent of total billed charges		4324.8	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1526.4	80			Percent of total billed charges		4070.4	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	90			Percent of total billed charges		4579.2	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	27			Percent of total billed charges		1424.64	1424.64	4579.2	one or more instances of the item or service in the 12 months prior to posting the file
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)"	G0279	CPT				Outpatient	Facility			31.93	31.93	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	68			Percent of total billed charges		21.71	90			Percent of total billed charges		27.74		26.64		Case rate		26.64	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	80			Percent of total billed charges		25.54	27			Percent of total billed charges		8.9404	85			Percent of total billed charges		27.14	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		9.58	80			Percent of total billed charges		25.54	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	90			Percent of total billed charges		27.74	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	27			Percent of total billed charges		8.9404	8.9404	27.74	one or more instances of the item or service in the 12 months prior to posting the file
dialation cathetr 12mmx40mm	272	RC				Outpatient	Facility			250	250	27			Percent of total billed charges		70	90			Percent of total billed charges		225	27			Percent of total billed charges		70	27			Percent of total billed charges		70	68			Percent of total billed charges		170	90			Percent of total billed charges		225	100			Percent of total billed charges		250	27			Percent of total billed charges		70	27			Percent of total billed charges		70	90			Percent of total billed charges		225	80			Percent of total billed charges		200	27			Percent of total billed charges		70	85			Percent of total billed charges		212.5	27			Percent of total billed charges		70	27			Percent of total billed charges		75	80			Percent of total billed charges		200	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	90			Percent of total billed charges		225	27			Percent of total billed charges		70	27			Percent of total billed charges		70	27			Percent of total billed charges		70	70	250	zero instances of the item or service in the 12 months prior to posting the file
digestive malignancy with cc	375	MS-DRG				Inpatient	Facility			37553.36	37553.36		4475		Per Diem		13425	90			Percent of total billed charges		33798.02		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		25536.27	90			Percent of total billed charges		33798.02		23560.53		Case rate		23560.53		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		33798.02	80			Percent of total billed charges		27042.68		4475		Per Diem		13425	85			Percent of total billed charges		31920.35		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27042.68		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		33798.02		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	33798.02	one or more instances of the item or service in the 12 months prior to posting the file
digestive malignancy with mcc	374	MS-DRG				Inpatient	Facility			25842.17	25842.16		4475		Per Diem		8950	90			Percent of total billed charges		23257.95		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		17572.67	90			Percent of total billed charges		23257.95		27438.43		Case rate		27438.43		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		23257.95	80			Percent of total billed charges		20673.73		4475		Per Diem		8950	85			Percent of total billed charges		21965.84		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		20673.73		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		23257.95		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27438.43	one or more instances of the item or service in the 12 months prior to posting the file
Digoxin; total	80162	CPT				Outpatient	Facility			163	163	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	68			Percent of total billed charges		110.84	90			Percent of total billed charges		146.7		55.26		Case rate		55.26	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	85			Percent of total billed charges		138.55	27			Percent of total billed charges		45.64	27			Percent of total billed charges		48.9	80			Percent of total billed charges		127.4	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	90			Percent of total billed charges		146.7	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	27			Percent of total billed charges		45.64	45.64	146.7	one or more instances of the item or service in the 12 months prior to posting the file
directed unit	380	RC				Outpatient	Facility			364	364	27			Percent of total billed charges		101.92	90			Percent of total billed charges		327.6	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	68			Percent of total billed charges		247.52	90			Percent of total billed charges		327.6	100			Percent of total billed charges		364	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	90			Percent of total billed charges		327.6	80			Percent of total billed charges		291.2	27			Percent of total billed charges		101.92	85			Percent of total billed charges		279.4	27			Percent of total billed charges		101.92	27			Percent of total billed charges		109.2	80			Percent of total billed charges		291.2	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	90			Percent of total billed charges		327.6	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	27			Percent of total billed charges		101.92	101.92	364	zero instances of the item or service in the 12 months prior to posting the file
"disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc"	442	MS-DRG				Inpatient	Facility			33708.55	33708.55		4475		Per Diem		13425	90			Percent of total billed charges		27337.69		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		22921.81	90			Percent of total billed charges		27337.69		21829.16		Case rate		21829.16		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27337.69	80			Percent of total billed charges		26966.84		4475		Per Diem		13425	85			Percent of total billed charges		27652.27		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		26966.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27337.69		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	27337.69	one or more instances of the item or service in the 12 months prior to posting the file
"disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc"	441	MS-DRG				Inpatient	Facility			31969.54	31969.54		4475		Per Diem		17900	90			Percent of total billed charges		27772.59		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		21739.29	90			Percent of total billed charges		27772.59		27892.12		Case rate		27892.12		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27772.59	80			Percent of total billed charges		25575.63		4475		Per Diem		17900	85			Percent of total billed charges		27174.11		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		25575.63		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		27772.59		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	27772.59	one or more instances of the item or service in the 12 months prior to posting the file
disorders of pancreas except malignancy with cc	439	MS-DRG				Inpatient	Facility			27971.38	27971.38		4475		Per Diem		17900	90			Percent of total billed charges		26074.24		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		19700.54	90			Percent of total billed charges		26074.24		21727.86		Case rate		21727.86		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		26074.24	80			Percent of total billed charges		23177.1		4475		Per Diem		17900	85			Percent of total billed charges		24625.67		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		23177.1		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		26074.24		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	26074.24	one or more instances of the item or service in the 12 months prior to posting the file
disorders of pancreas except malignancy with mcc	438	MS-DRG				Inpatient	Facility			39622.99	39622.99		4475		Per Diem		22375	90			Percent of total billed charges		35660.69		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		26943.63	90			Percent of total billed charges		35660.69		29090.75		Case rate		29090.75		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		35660.69	80			Percent of total billed charges		31698.39		4475		Per Diem		22375	85			Percent of total billed charges		33679.54		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		31698.39		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		35660.69		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	35660.69	one or more instances of the item or service in the 12 months prior to posting the file
disorders of the biliary tract without cc/mcc	446	MS-DRG				Inpatient	Facility			13275.1	13275.1		4475		Per Diem		8950	90			Percent of total billed charges		11956.59		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9033.87	90			Percent of total billed charges		11956.59		14462.93		Case rate		14462.93		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11956.59	80			Percent of total billed charges		10627.08		4475		Per Diem		8950	85			Percent of total billed charges		11292.34		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10627.08		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11956.59		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	14462.93	one or more instances of the item or service in the 12 months prior to posting the file
disp tip cover 8mm	272	RC				Outpatient	Facility			68	68	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	68			Percent of total billed charges		46.24	90			Percent of total billed charges		61.2	100			Percent of total billed charges		68	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	85			Percent of total billed charges		57.8	27			Percent of total billed charges		19.04	27			Percent of total billed charges		20.4	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	19.04	68	zero instances of the item or service in the 12 months prior to posting the file
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)	93325	CPT				Outpatient	Facility			1108	1108	27			Percent of total billed charges		310.24	90			Percent of total billed charges		997.2	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	68			Percent of total billed charges		753.44	90			Percent of total billed charges		997.2		378.44		Case rate		378.44	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	90			Percent of total billed charges		997.2	80			Percent of total billed charges		886.4	27			Percent of total billed charges		310.24	85			Percent of total billed charges		941.8	27			Percent of total billed charges		310.24	27			Percent of total billed charges		332.4	80			Percent of total billed charges		886.4	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	90			Percent of total billed charges		997.2	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	27			Percent of total billed charges		310.24	310.24	997.2	one or more instances of the item or service in the 12 months prior to posting the file
dorzolamide hcl - 10ml (bot)	250	RC				Outpatient	Facility			71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9	100			Percent of total billed charges		71	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	71	zero instances of the item or service in the 12 months prior to posting the file
Drainage of scrotal wall abscess	55100	CPT				Outpatient	Facility			3298.72	3298.72	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	68			Percent of total billed charges		2243.13	90			Percent of total billed charges		2968.85		2912.82		Case rate		2912.82	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	80			Percent of total billed charges		2638.98	27			Percent of total billed charges		923.6416	85			Percent of total billed charges		2703.91	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		989.62	80			Percent of total billed charges		2638.98	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	90			Percent of total billed charges		2968.85	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	27			Percent of total billed charges		923.6416	923.6416	2968.85	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study	93927	CPT				Outpatient	Facility			1352.39	1352.39	27			Percent of total billed charges		378.6692	90			Percent of total billed charges		1217.15	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	68			Percent of total billed charges		919.63	90			Percent of total billed charges		1217.15		1427.69		Case rate		1427.69	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	90			Percent of total billed charges		1217.15	80			Percent of total billed charges		1081.91	27			Percent of total billed charges		378.6692	85			Percent of total billed charges		1149.53	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		405.72	80			Percent of total billed charges		1081.91	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	90			Percent of total billed charges		1217.15	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	27			Percent of total billed charges		378.6692	378.6692	1427.69	one or more instances of the item or service in the 12 months prior to posting the file
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study	93931	CPT				Outpatient	Facility			887.86	887.86	27			Percent of total billed charges		248.6008	90			Percent of total billed charges		799.07	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	68			Percent of total billed charges		603.74	90			Percent of total billed charges		799.07		938.03		Case rate		938.03	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	90			Percent of total billed charges		799.07	80			Percent of total billed charges		710.29	27			Percent of total billed charges		248.6008	85			Percent of total billed charges		754.68	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		266.36	80			Percent of total billed charges		710.29	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	90			Percent of total billed charges		799.07	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	27			Percent of total billed charges		248.6008	248.6008	938.03	one or more instances of the item or service in the 12 months prior to posting the file
"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care"	G0273	CPT				Outpatient	Facility			120.51	120.51	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	68			Percent of total billed charges		81.95	90			Percent of total billed charges		108.46		82.93		Case rate		82.93	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	80			Percent of total billed charges		96.41	27			Percent of total billed charges		33.7427	85			Percent of total billed charges		102.43	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		36.15	80			Percent of total billed charges		96.41	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	90			Percent of total billed charges		108.46	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	27			Percent of total billed charges		33.7427	33.7427	108.46	one or more instances of the item or service in the 12 months prior to posting the file
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)	80051	CPT				Outpatient	Facility			86	86	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	68			Percent of total billed charges		58.48	90			Percent of total billed charges		77.4		29.18		Case rate		29.18	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	85			Percent of total billed charges		73.1	27			Percent of total billed charges		24.08	27			Percent of total billed charges		25.8	80			Percent of total billed charges		68.8	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	90			Percent of total billed charges		77.4	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	27			Percent of total billed charges		24.08	24.08	77.4	one or more instances of the item or service in the 12 months prior to posting the file
endocrine disorders with cc	644	MS-DRG				Inpatient	Facility			10959.61	10959.61		4475		Per Diem		4475	90			Percent of total billed charges		9863.65		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		7452.53	90			Percent of total billed charges		9863.65		18093.73		Case rate		18093.73		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9863.65	80			Percent of total billed charges		8767.69		4475		Per Diem		4475	85			Percent of total billed charges		9315.67		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		8767.69		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		9863.65		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	18093.73	one or more instances of the item or service in the 12 months prior to posting the file
endocrine disorders with mcc	643	MS-DRG				Inpatient	Facility			24751.55	24751.55		4475		Per Diem		26850	90			Percent of total billed charges		22276.4		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		16831.05	90			Percent of total billed charges		22276.4		23687.37		Case rate		23687.37		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		22276.4	80			Percent of total billed charges		19801.24		4475		Per Diem		26850	85			Percent of total billed charges		21038.82		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		19801.24		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		22276.4		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	23687.37	one or more instances of the item or service in the 12 months prior to posting the file
endocrine disorders without cc/mcc	645	MS-DRG				Inpatient	Facility			7553.88	7553.88		4475		Per Diem		8950	90			Percent of total billed charges		6798.49		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		5136.64	90			Percent of total billed charges		6798.49		14133.15		Case rate		14133.15		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		6798.49	80			Percent of total billed charges		6043.1		4475		Per Diem		8950	85			Percent of total billed charges		6420.8		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		6043.1		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		6798.49		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	14133.15	one or more instances of the item or service in the 12 months prior to posting the file
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)	58110	CPT				Outpatient	Facility			2212.5	2212.5	27			Percent of total billed charges		619.5	90			Percent of total billed charges		1991.25	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	68			Percent of total billed charges		1504.5	90			Percent of total billed charges		1991.25		1953.17		Case rate		1953.17	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	90			Percent of total billed charges		1991.25	80			Percent of total billed charges		1770	27			Percent of total billed charges		619.5	85			Percent of total billed charges		1880.62	27			Percent of total billed charges		619.5	27			Percent of total billed charges		663.75	80			Percent of total billed charges		1770	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	90			Percent of total billed charges		1991.25	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	27			Percent of total billed charges		619.5	619.5	1991.25	one or more instances of the item or service in the 12 months prior to posting the file
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)"	C1747	CPT				Outpatient	Facility			3750	3750	27			Percent of total billed charges		1050	90			Percent of total billed charges		3375	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	68			Percent of total billed charges		2550	90			Percent of total billed charges		3375	100			Percent of total billed charges		3750	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	90			Percent of total billed charges		3375	80			Percent of total billed charges		2700	27			Percent of total billed charges		1050	85			Percent of total billed charges		3187.5	27			Percent of total billed charges		1050	27			Percent of total billed charges		1125	80			Percent of total billed charges		2700	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	90			Percent of total billed charges		3375	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	27			Percent of total billed charges		1050	1050	3750	one or more instances of the item or service in the 12 months prior to posting the file
enteric bacteria panel	276	RC				Outpatient	Facility			627	627	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	68			Percent of total billed charges		426.36	90			Percent of total billed charges		564.3	100			Percent of total billed charges		627	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	80			Percent of total billed charges		501.6	27			Percent of total billed charges		175.56	85			Percent of total billed charges		532.95	27			Percent of total billed charges		175.56	27			Percent of total billed charges		188.1	80			Percent of total billed charges		501.6	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	90			Percent of total billed charges		564.3	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	27			Percent of total billed charges		175.56	175.56	627	zero instances of the item or service in the 12 months prior to posting the file
Erythropoietin	82668	CPT				Outpatient	Facility			84	84	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	68			Percent of total billed charges		57.12	90			Percent of total billed charges		75.6		78.18		Case rate		78.18	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	85			Percent of total billed charges		71.4	27			Percent of total billed charges		23.52	27			Percent of total billed charges		25.2	80			Percent of total billed charges		67.2	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	90			Percent of total billed charges		75.6	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	27			Percent of total billed charges		23.52	23.52	78.18	one or more instances of the item or service in the 12 months prior to posting the file
Estradiol; total	82670	CPT				Outpatient	Facility			100	100	27			Percent of total billed charges		27	90			Percent of total billed charges		90	27			Percent of total billed charges		27	27			Percent of total billed charges		27	68			Percent of total billed charges		68	90			Percent of total billed charges		90		116.23		Case rate		116.23	27			Percent of total billed charges		27	27			Percent of total billed charges		27	90			Percent of total billed charges		90	80			Percent of total billed charges		80	27			Percent of total billed charges		27	85			Percent of total billed charges		85	27			Percent of total billed charges		27	27			Percent of total billed charges		27	80			Percent of total billed charges		80	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	90			Percent of total billed charges		90	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27			Percent of total billed charges		27	27	116.23	one or more instances of the item or service in the 12 months prior to posting the file
Estriol	82677	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		100.59		Case rate		100.59	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	100.59	one or more instances of the item or service in the 12 months prior to posting the file
Estrone	82679	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		103.81		Case rate		103.81	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	103.81	one or more instances of the item or service in the 12 months prior to posting the file
"ethicon suture, pds ii sz 2-0"	272	RC				Outpatient	Facility			3.3	3.3	27			Percent of total billed charges		0.924	90			Percent of total billed charges		2.97	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	68			Percent of total billed charges		2.24	90			Percent of total billed charges		2.97	100			Percent of total billed charges		3.3	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	90			Percent of total billed charges		2.97	80			Percent of total billed charges		2.64	27			Percent of total billed charges		0.924	85			Percent of total billed charges		2.81	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.99	80			Percent of total billed charges		2.64	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	90			Percent of total billed charges		2.97	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	27			Percent of total billed charges		0.924	0.924	3.3	zero instances of the item or service in the 12 months prior to posting the file
ethyl chloride	250	RC				Outpatient	Facility			11.7	11.7	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	68			Percent of total billed charges		7.96	90			Percent of total billed charges		10.53	100			Percent of total billed charges		11.7	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	85			Percent of total billed charges		9.95	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.51	80			Percent of total billed charges		9.36	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	90			Percent of total billed charges		10.53	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	27			Percent of total billed charges		3.276	3.276	11.7	zero instances of the item or service in the 12 months prior to posting the file
euphora balloon 1.5mmx12	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
euphora rx balloon 2.5x25	272	RC				Outpatient	Facility			474	474	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	68			Percent of total billed charges		322.32	90			Percent of total billed charges		426.6	100			Percent of total billed charges		474	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	85			Percent of total billed charges		402.9	27			Percent of total billed charges		132.72	27			Percent of total billed charges		142.2	80			Percent of total billed charges		379.2	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	90			Percent of total billed charges		426.6	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	27			Percent of total billed charges		132.72	132.72	474	zero instances of the item or service in the 12 months prior to posting the file
Excision of lesion of spermatic cord (separate procedure)	55520	CPT				Outpatient	Facility			8315	8315	27			Percent of total billed charges		2327.2	90			Percent of total billed charges		7483.5	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	68			Percent of total billed charges		5654.2	90			Percent of total billed charges		7483.5		5515.17		Case rate		5515.17	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	90			Percent of total billed charges		7483.5	80			Percent of total billed charges		6652	27			Percent of total billed charges		2327.2	85			Percent of total billed charges		7067.75	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2494.5	80			Percent of total billed charges		6652	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	90			Percent of total billed charges		7483.5	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	27			Percent of total billed charges		2327.2	2327.2	7483.5	one or more instances of the item or service in the 12 months prior to posting the file
Excision of pilonidal cyst or sinus; simple	11770	CPT				Outpatient	Facility			7966	7966	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	68			Percent of total billed charges		5416.88	90			Percent of total billed charges		7169.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	80			Percent of total billed charges		6372.8	27			Percent of total billed charges		2230.48	85			Percent of total billed charges		6771.1	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2389.8	80			Percent of total billed charges		6372.8	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	90			Percent of total billed charges		7169.4	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	27			Percent of total billed charges		2230.48	2230.48	7169.4	one or more instances of the item or service in the 12 months prior to posting the file
Excision or curettage of bone cyst or benign tumor of femur	27355	CPT				Outpatient	Facility			9252	9252	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	68			Percent of total billed charges		6291.36	90			Percent of total billed charges		8326.8		4465.2		Case rate		4465.2	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	80			Percent of total billed charges		7401.6	27			Percent of total billed charges		2590.56	85			Percent of total billed charges		7864.2	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2775.6	80			Percent of total billed charges		7401.6	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	90			Percent of total billed charges		8326.8	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	27			Percent of total billed charges		2590.56	2590.56	8326.8	one or more instances of the item or service in the 12 months prior to posting the file
Excision or transposition of pterygium; without graft	65420	CPT				Outpatient	Facility			5189	5189	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	68			Percent of total billed charges		3527.52	90			Percent of total billed charges		4670.1		3900.7		Case rate		3900.7	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	80			Percent of total billed charges		4151.2	27			Percent of total billed charges		1452.92	85			Percent of total billed charges		4410.65	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1556.7	80			Percent of total billed charges		4151.2	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	1452.92	4670.1	one or more instances of the item or service in the 12 months prior to posting the file
extensive o.r. procedures unrelated to principal diagnosis with cc	982	MS-DRG				Inpatient	Facility			82134.11	82134.1		4475		Per Diem		13425	90			Percent of total billed charges		73920.69		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		55851.19	90			Percent of total billed charges		73920.69		55508.36		Case rate		55508.36		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		73920.69	80			Percent of total billed charges		65707.27		4475		Per Diem		13425	85			Percent of total billed charges		69813.99		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		65707.27		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		73920.69		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	73920.69	one or more instances of the item or service in the 12 months prior to posting the file
extensive o.r. procedures unrelated to principal diagnosis with mcc	981	MS-DRG				Inpatient	Facility			71802.03	71802.03		4475		Per Diem		22375	90			Percent of total billed charges		64621.83		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		48825.38	90			Percent of total billed charges		64621.83		74052.36		Case rate		74052.36		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		64621.83	80			Percent of total billed charges		57441.62		4475		Per Diem		22375	85			Percent of total billed charges		61031.73		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		57441.62		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		64621.83		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	74052.36	one or more instances of the item or service in the 12 months prior to posting the file
External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	93242	CPT				Outpatient	Facility			496.08	496.08	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	68			Percent of total billed charges		337.33	90			Percent of total billed charges		446.47		420.16		Case rate		420.16	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	80			Percent of total billed charges		396.86	27			Percent of total billed charges		138.9024	85			Percent of total billed charges		421.67	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		148.82	80			Percent of total billed charges		396.86	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	138.9024	446.47	one or more instances of the item or service in the 12 months prior to posting the file
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	93246	CPT				Outpatient	Facility			496.08	496.08	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	68			Percent of total billed charges		337.33	90			Percent of total billed charges		446.47		420.16		Case rate		420.16	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	80			Percent of total billed charges		396.86	27			Percent of total billed charges		138.9024	85			Percent of total billed charges		421.67	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		148.82	80			Percent of total billed charges		396.86	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	90			Percent of total billed charges		446.47	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	27			Percent of total billed charges		138.9024	138.9024	446.47	one or more instances of the item or service in the 12 months prior to posting the file
Ferritin	89507	CPT				Outpatient	Facility			166	166	27			Percent of total billed charges		46.48	90			Percent of total billed charges		149.4	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	68			Percent of total billed charges		112.88	90			Percent of total billed charges		149.4		56.73		Case rate		56.73	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	90			Percent of total billed charges		149.4	80			Percent of total billed charges		132.8	27			Percent of total billed charges		46.48	85			Percent of total billed charges		141.1	27			Percent of total billed charges		46.48	27			Percent of total billed charges		49.8	80			Percent of total billed charges		132.8	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	90			Percent of total billed charges		149.4	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	27			Percent of total billed charges		46.48	46.48	149.4	one or more instances of the item or service in the 12 months prior to posting the file
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio	83661	CPT				Outpatient	Facility			121	121	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	68			Percent of total billed charges		82.27	90			Percent of total billed charges		108.9		91.51		Case rate		91.51	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	85			Percent of total billed charges		102.85	27			Percent of total billed charges		33.88	27			Percent of total billed charges		36.3	80			Percent of total billed charges		96.8	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	90			Percent of total billed charges		108.9	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	27			Percent of total billed charges		33.88	33.88	108.9	zero instances of the item or service in the 12 months prior to posting the file
Fetal non-stress test	59025	CPT				Outpatient	Facility			525.76	525.76	27			Percent of total billed charges		147.2127	90			Percent of total billed charges		473.18	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	68			Percent of total billed charges		357.52	90			Percent of total billed charges		473.18		527.63		Case rate		527.63	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	90			Percent of total billed charges		473.18	80			Percent of total billed charges		420.61	27			Percent of total billed charges		147.2127	85			Percent of total billed charges		446.9	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		157.73	80			Percent of total billed charges		420.61	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	90			Percent of total billed charges		473.18	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	27			Percent of total billed charges		147.2127	147.2127	527.63	zero instances of the item or service in the 12 months prior to posting the file
Fibrinolytic factors and inhibitors; plasminogen activator	85415	CPT				Outpatient	Facility			77	77	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	68			Percent of total billed charges		52.36	90			Percent of total billed charges		69.3		71.52		Case rate		71.52	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	80			Percent of total billed charges		61.6	27			Percent of total billed charges		21.56	85			Percent of total billed charges		65.45	27			Percent of total billed charges		21.56	27			Percent of total billed charges		23.1	80			Percent of total billed charges		61.6	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	90			Percent of total billed charges		69.3	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	27			Percent of total billed charges		21.56	21.56	71.52	one or more instances of the item or service in the 12 months prior to posting the file
fluorouracil-27 ml (bot)	250	RC				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7	100			Percent of total billed charges		53	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	53	zero instances of the item or service in the 12 months prior to posting the file
Folic acid; RBC	82747	CPT				Outpatient	Facility			62	62	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	68			Percent of total billed charges		42.16	90			Percent of total billed charges		55.8		73.44		Case rate		73.44	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	85			Percent of total billed charges		52.7	27			Percent of total billed charges		17.36	27			Percent of total billed charges		18.6	80			Percent of total billed charges		49.6	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	90			Percent of total billed charges		55.8	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	27			Percent of total billed charges		17.36	17.36	73.44	one or more instances of the item or service in the 12 months prior to posting the file
Folic acid; serum	82746	CPT				Outpatient	Facility			177	177	27			Percent of total billed charges		49.56	90			Percent of total billed charges		159.3	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	68			Percent of total billed charges		120.36	90			Percent of total billed charges		159.3		61.19		Case rate		61.19	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	90			Percent of total billed charges		159.3	80			Percent of total billed charges		141.6	27			Percent of total billed charges		49.56	85			Percent of total billed charges		150.45	27			Percent of total billed charges		49.56	27			Percent of total billed charges		53.1	80			Percent of total billed charges		141.6	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	90			Percent of total billed charges		159.3	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	27			Percent of total billed charges		49.56	49.56	159.3	one or more instances of the item or service in the 12 months prior to posting the file
"fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc"	562	MS-DRG				Inpatient	Facility			29603.92	29603.92		4475		Per Diem		13425	90			Percent of total billed charges		26643.53		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		20127.67	90			Percent of total billed charges		26643.53		21182.27		Case rate		21182.27		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		26643.53	80			Percent of total billed charges		23683.14		4475		Per Diem		13425	85			Percent of total billed charges		25163.33		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		23683.14		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		26643.53		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	26643.53	one or more instances of the item or service in the 12 months prior to posting the file
"fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc"	563	MS-DRG				Inpatient	Facility			10660.35	10660.35		4475		Per Diem		13425	90			Percent of total billed charges		9594.32		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		7249.04	90			Percent of total billed charges		9594.32		13245.27		Case rate		13245.27		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		9594.32	80			Percent of total billed charges		8527.27		4475		Per Diem		13425	85			Percent of total billed charges		9061.3		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		8527.27		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		9594.32		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	13245.27	one or more instances of the item or service in the 12 months prior to posting the file
fractures of hip and pelvis without mcc	536	MS-DRG				Inpatient	Facility			20274.93	20274.93		4475		Per Diem		13425	90			Percent of total billed charges		18247.44		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		13786.95	90			Percent of total billed charges		18247.44		12715.71		Case rate		12715.71		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18247.44	80			Percent of total billed charges		16219.94		4475		Per Diem		13425	85			Percent of total billed charges		17233.69		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		16219.94		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		18247.44		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	18247.44	one or more instances of the item or service in the 12 months prior to posting the file
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit"	P9017	CPT				Outpatient	Facility			95	95	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	68			Percent of total billed charges		64.6	90			Percent of total billed charges		85.5		293.54		Case rate		293.54	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	85			Percent of total billed charges		80.75	27			Percent of total billed charges		26.6	27			Percent of total billed charges		27.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	26.6	293.54	one or more instances of the item or service in the 12 months prior to posting the file
full term neonate with major problems	793	MS-DRG				Inpatient	Facility			6277.21	6277.21							90	5649.489		Percent of total billed charges		5649.49													68	4268.5027		Percent of total billed charges		4268.5	90	5649.489		Percent of total billed charges		5649.49		16635.07		per diem	PerDiem*Lengthofstay	16635.07													90	5649.489		Percent of total billed charges		5649.49	80	5021.768		Percent of total billed charges		5021.77							85	5335.6275		Percent of total billed charges		5335.63													80	5021.768		Percent of total billed charges		5021.77																									90	5649.489		Percent of total billed charges		5649.49																			16635.07	16635.07	one or more instances of the item or service in the 12 months prior to posting the file
gastrointestinal hemorrhage with cc	378	MS-DRG				Inpatient	Facility			19041.88	19041.88		4475		Per Diem		13425	90			Percent of total billed charges		17137.69		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		12948.48	90			Percent of total billed charges		17137.69		18921.36		Case rate		18921.36		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17137.69	80			Percent of total billed charges		15233.5		4475		Per Diem		13425	85			Percent of total billed charges		16185.6		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		15233.5		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17137.69		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	18921.36	one or more instances of the item or service in the 12 months prior to posting the file
"Generator, neurostimulator (implantable), non-rechargeable"	C1767	CPT				Outpatient	Facility			86080	86080	27			Percent of total billed charges		24102.4	90			Percent of total billed charges		77472	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	68			Percent of total billed charges		58534.4	90			Percent of total billed charges		77472		73385		Case rate		73385	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	90			Percent of total billed charges		77472	80			Percent of total billed charges		68864	27			Percent of total billed charges		24102.4	85			Percent of total billed charges		73168	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		25824	80			Percent of total billed charges		68864	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	90			Percent of total billed charges		77472	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	27			Percent of total billed charges		24102.4	24102.4	77472	zero instances of the item or service in the 12 months prior to posting the file
Glucose-6-phosphate dehydrogenase (G6PD); quantitative	82955	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		40.36		Case rate		40.36	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	40.36	one or more instances of the item or service in the 12 months prior to posting the file
Glutathione	82978	CPT				Outpatient	Facility			81.6	81.6	27			Percent of total billed charges		22.848	90			Percent of total billed charges		73.44	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	68			Percent of total billed charges		55.49	90			Percent of total billed charges		73.44		64.3		Case rate		64.3	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	90			Percent of total billed charges		73.44	80			Percent of total billed charges		65.27	27			Percent of total billed charges		22.848	85			Percent of total billed charges		69.36	27			Percent of total billed charges		22.848	27			Percent of total billed charges		24.48	80			Percent of total billed charges		65.27	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	90			Percent of total billed charges		73.44	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	27			Percent of total billed charges		22.848	22.848	73.44	one or more instances of the item or service in the 12 months prior to posting the file
Glycated protein	82985	CPT				Outpatient	Facility			37.1	37.1	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	68			Percent of total billed charges		25.23	90			Percent of total billed charges		33.39		69.77		Case rate		69.77	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	85			Percent of total billed charges		31.54	27			Percent of total billed charges		10.388	27			Percent of total billed charges		11.13	80			Percent of total billed charges		29.68	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	90			Percent of total billed charges		33.39	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	27			Percent of total billed charges		10.388	10.388	69.77	one or more instances of the item or service in the 12 months prior to posting the file
Gonadotropin; luteinizing hormone (LH)	82702	CPT				Outpatient	Facility			56	56	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	68			Percent of total billed charges		38.08	90			Percent of total billed charges		50.4		77.05		Case rate		77.05	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	85			Percent of total billed charges		47.6	27			Percent of total billed charges		15.68	27			Percent of total billed charges		16.8	80			Percent of total billed charges		44.8	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	90			Percent of total billed charges		50.4	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	27			Percent of total billed charges		15.68	15.68	77.05	one or more instances of the item or service in the 12 months prior to posting the file
"guidewire str, 0.018x270cm 12g"	275	RC				Outpatient	Facility			200	200	27			Percent of total billed charges		56	90			Percent of total billed charges		180	27			Percent of total billed charges		56	27			Percent of total billed charges		56	68			Percent of total billed charges		136	90			Percent of total billed charges		180	100			Percent of total billed charges		200	27			Percent of total billed charges		56	27			Percent of total billed charges		56	90			Percent of total billed charges		180	80			Percent of total billed charges		160	27			Percent of total billed charges		56	85			Percent of total billed charges		170	27			Percent of total billed charges		56	27			Percent of total billed charges		60	80			Percent of total billed charges		160	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	90			Percent of total billed charges		180	27			Percent of total billed charges		56	27			Percent of total billed charges		56	27			Percent of total billed charges		56	56	200	zero instances of the item or service in the 12 months prior to posting the file
"guidewire, str tip 0.014x270cm"	275	RC				Outpatient	Facility			279	279	27			Percent of total billed charges		78.12	90			Percent of total billed charges		251.1	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	68			Percent of total billed charges		189.72	90			Percent of total billed charges		251.1	100			Percent of total billed charges		279	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	90			Percent of total billed charges		251.1	80			Percent of total billed charges		223.2	27			Percent of total billed charges		78.12	85			Percent of total billed charges		237.15	27			Percent of total billed charges		78.12	27			Percent of total billed charges		83.7	80			Percent of total billed charges		223.2	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	90			Percent of total billed charges		251.1	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	27			Percent of total billed charges		78.12	78.12	279	zero instances of the item or service in the 12 months prior to posting the file
"guidewire, trupath 0.018x160cm"	275	RC				Outpatient	Facility			614	614	27			Percent of total billed charges		171.92	90			Percent of total billed charges		552.6	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	68			Percent of total billed charges		417.52	90			Percent of total billed charges		552.6	100			Percent of total billed charges		614	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	90			Percent of total billed charges		552.6	80			Percent of total billed charges		491.2	27			Percent of total billed charges		171.92	85			Percent of total billed charges		521.9	27			Percent of total billed charges		171.92	27			Percent of total billed charges		184.2	80			Percent of total billed charges		491.2	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	90			Percent of total billed charges		552.6	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	27			Percent of total billed charges		171.92	171.92	614	zero instances of the item or service in the 12 months prior to posting the file
Haptoglobin; quantitative	82710	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		52.39		Case rate		52.39	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	52.39	one or more instances of the item or service in the 12 months prior to posting the file
headaches with mcc	102	MS-DRG				Inpatient	Facility			17562.49	17562.49		4475		Per Diem		17900	90			Percent of total billed charges		15806.24		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		11942.49	90			Percent of total billed charges		15806.24		15683.77		Case rate		15683.77		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		15806.24	80			Percent of total billed charges		14049.99		4475		Per Diem		17900	85			Percent of total billed charges		14927.12		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		14049.99		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		15806.24		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	15806.24	one or more instances of the item or service in the 12 months prior to posting the file
heart failure and shock with cc	292	MS-DRG				Inpatient	Facility			18725.55	18725.55		4475		Per Diem		13425	90			Percent of total billed charges		16853		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		12733.37	90			Percent of total billed charges		16853		18705.73		Case rate		18705.73		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		16853	80			Percent of total billed charges		14980.44		4475		Per Diem		13425	85			Percent of total billed charges		15916.72		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		14980.44		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		16853		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	18705.73	one or more instances of the item or service in the 12 months prior to posting the file
heart failure and shock without cc/mcc	293	MS-DRG				Inpatient	Facility			12758.04	12758.04		4475		Per Diem		8950	90			Percent of total billed charges		11482.24		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		8675.47	90			Percent of total billed charges		11482.24		16178.44		Case rate		16178.44		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11482.24	80			Percent of total billed charges		10206.43		4475		Per Diem		8950	85			Percent of total billed charges		10844.33		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10206.43		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		11482.24		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	16178.44	one or more instances of the item or service in the 12 months prior to posting the file
Helicobacter pylori; drug administration	82714	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		32.74		Case rate		32.74	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	34.38	one or more instances of the item or service in the 12 months prior to posting the file
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional	90935	CPT				Outpatient	Facility			3598.7	3598.7	27			Percent of total billed charges		1007.636	90			Percent of total billed charges		3238.83	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	68			Percent of total billed charges		2447.12	90			Percent of total billed charges		3238.83		1129		Case rate		1129	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	90			Percent of total billed charges		3238.83	80			Percent of total billed charges		2778.96	27			Percent of total billed charges		1007.636	85			Percent of total billed charges		2758.9	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1079.61	80			Percent of total billed charges		2778.96	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	90			Percent of total billed charges		3238.83	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	27			Percent of total billed charges		1007.636	1007.636	3238.83	one or more instances of the item or service in the 12 months prior to posting the file
Hemoglobin; glycosylated (A1C)	82736	CPT				Outpatient	Facility			112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		40.42		Case rate		40.42	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	100.8	one or more instances of the item or service in the 12 months prior to posting the file
Hemoglobin; plasma	82751	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		27.43		Case rate		27.43	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	27.43	zero instances of the item or service in the 12 months prior to posting the file
Heparin assay	85520	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		54.47		Case rate		54.47	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	59.4	one or more instances of the item or service in the 12 months prior to posting the file
Heparin neutralization	85525	CPT				Outpatient	Facility			50.4	50.4	27			Percent of total billed charges		14.112	90			Percent of total billed charges		45.36	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	68			Percent of total billed charges		34.27	90			Percent of total billed charges		45.36		49.27		Case rate		49.27	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	90			Percent of total billed charges		45.36	80			Percent of total billed charges		40.32	27			Percent of total billed charges		14.112	85			Percent of total billed charges		42.84	27			Percent of total billed charges		14.112	27			Percent of total billed charges		15.12	80			Percent of total billed charges		40.32	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	90			Percent of total billed charges		45.36	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	27			Percent of total billed charges		14.112	14.112	49.27	one or more instances of the item or service in the 12 months prior to posting the file
Hepatitis B surface antibody (HBsAb)	86706	CPT				Outpatient	Facility			38.2	38.2	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	68			Percent of total billed charges		25.98	90			Percent of total billed charges		34.38		44.71		Case rate		44.71	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	85			Percent of total billed charges		32.47	27			Percent of total billed charges		10.696	27			Percent of total billed charges		11.46	80			Percent of total billed charges		27.56	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	90			Percent of total billed charges		34.38	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	27			Percent of total billed charges		10.696	10.696	44.71	one or more instances of the item or service in the 12 months prior to posting the file
Hepatitis C antibody	86803	CPT				Outpatient	Facility			52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		59.39		Case rate		59.39	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	59.39	one or more instances of the item or service in the 12 months prior to posting the file
Heterophile antibodies; screening	86278	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.56		Case rate		21.56	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
hip replacement with principal diagnosis of hip fracture without mcc	522	MS-DRG				Inpatient	Facility			34357.1	34357.1		4475		Per Diem		13425	90			Percent of total billed charges		27921.39		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		23362.82	90			Percent of total billed charges		27921.39		47222.53		Case rate		47222.53		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27921.39	80			Percent of total billed charges		27485.68		4475		Per Diem		13425	85			Percent of total billed charges		29203.53		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27485.68		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27921.39		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	47222.53	one or more instances of the item or service in the 12 months prior to posting the file
Histamine	82788	CPT				Outpatient	Facility			43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		122.89		Case rate		122.89	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	122.89	one or more instances of the item or service in the 12 months prior to posting the file
Human epididymis protein 4 (HE4)	86275	CPT				Outpatient	Facility			143	143	27			Percent of total billed charges		40.04	90			Percent of total billed charges		127.7	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	68			Percent of total billed charges		97.24	90			Percent of total billed charges		127.7		86.59		Case rate		86.59	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	90			Percent of total billed charges		127.7	80			Percent of total billed charges		114.4	27			Percent of total billed charges		40.04	85			Percent of total billed charges		121.55	27			Percent of total billed charges		40.04	27			Percent of total billed charges		42.9	80			Percent of total billed charges		114.4	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	90			Percent of total billed charges		127.7	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	27			Percent of total billed charges		40.04	40.04	127.7	zero instances of the item or service in the 12 months prior to posting the file
"Human health factor 10 amniotic patch (hhf10-p), per square centimeter"	Q4224	CPT				Outpatient	Facility			1500	1500	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	27			Percent of total billed charges		420	27			Percent of total billed charges		420	68			Percent of total billed charges		1020	90			Percent of total billed charges		1350		1111.5		Case rate		1111.5	27			Percent of total billed charges		420	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	80			Percent of total billed charges		1200	27			Percent of total billed charges		420	85			Percent of total billed charges		1275	27			Percent of total billed charges		420	27			Percent of total billed charges		450	80			Percent of total billed charges		1200	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	90			Percent of total billed charges		1350	27			Percent of total billed charges		420	27			Percent of total billed charges		420	27			Percent of total billed charges		420	420	1350	one or more instances of the item or service in the 12 months prior to posting the file
"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg"	J7318	HCPCS				Outpatient	Facility	1	ME	4178	4178	27			Percent of total billed charges		1169.84	90			Percent of total billed charges		3760.2	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	68			Percent of total billed charges		2741.04	90			Percent of total billed charges		3760.2		108.21		Case rate		108.21	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	90			Percent of total billed charges		3760.2	80			Percent of total billed charges		3342.4	27			Percent of total billed charges		1169.84	85			Percent of total billed charges		3551.3	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1253.4	80			Percent of total billed charges		3342.4	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	90			Percent of total billed charges		3760.2	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	27			Percent of total billed charges		1169.84	1169.84	3760.2	one or more instances of the item or service in the 12 months prior to posting the file
"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose"	J7327	HCPCS				Outpatient	Facility	1	UN	5709	5709	27			Percent of total billed charges		1598.52	90			Percent of total billed charges		5138.1	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	68			Percent of total billed charges		3882.12	90			Percent of total billed charges		5138.1		4710.87		Case rate		4710.87	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	90			Percent of total billed charges		5138.1	80			Percent of total billed charges		4567.2	27			Percent of total billed charges		1598.52	85			Percent of total billed charges		4852.65	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1712.7	80			Percent of total billed charges		4567.2	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	90			Percent of total billed charges		5138.1	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	27			Percent of total billed charges		1598.52	1598.52	5138.1	one or more instances of the item or service in the 12 months prior to posting the file
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg"	J7325	HCPCS				Outpatient	Facility	1	ME	2183	2183	27			Percent of total billed charges		611.24	90			Percent of total billed charges		1964.7	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	68			Percent of total billed charges		1484.44	90			Percent of total billed charges		1964.7		64.41		Case rate		64.41	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	90			Percent of total billed charges		1964.7	80			Percent of total billed charges		1746.4	27			Percent of total billed charges		611.24	85			Percent of total billed charges		1855.55	27			Percent of total billed charges		611.24	27			Percent of total billed charges		654.9	80			Percent of total billed charges		1746.4	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	90			Percent of total billed charges		1964.7	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	27			Percent of total billed charges		611.24	611.24	1964.7	one or more instances of the item or service in the 12 months prior to posting the file
"Hyperbaric oxygen under pressure, full body chamber, per 27 minute interval"	G0277	CPT				Outpatient	Facility			426	426	27			Percent of total billed charges		119.27	90			Percent of total billed charges		383.4	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	68			Percent of total billed charges		279.68	90			Percent of total billed charges		383.4		266.27		Case rate		266.27	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	90			Percent of total billed charges		383.4	80			Percent of total billed charges		340.8	27			Percent of total billed charges		119.27	85			Percent of total billed charges		362.1	27			Percent of total billed charges		119.27	27			Percent of total billed charges		127.8	80			Percent of total billed charges		340.8	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	90			Percent of total billed charges		383.4	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	27			Percent of total billed charges		119.27	119.27	383.4	one or more instances of the item or service in the 12 months prior to posting the file
hypertension with mcc	274	MS-DRG				Inpatient	Facility			22610.89	22610.89		4475		Per Diem		13425	90			Percent of total billed charges		20349.8		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		15375.41	90			Percent of total billed charges		20349.8		17456.36		Case rate		17456.36		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20349.8	80			Percent of total billed charges		18088.71		4475		Per Diem		13425	85			Percent of total billed charges		19219.26		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		18088.71		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		20349.8		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	20349.8	one or more instances of the item or service in the 12 months prior to posting the file
Immunofixation electrophoresis; serum	86334	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		73.95		Case rate		73.95	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	73.95	one or more instances of the item or service in the 12 months prior to posting the file
"Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access"	A4270	CPT				Outpatient	Facility			574	574	27			Percent of total billed charges		160.72	90			Percent of total billed charges		516.6	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	68			Percent of total billed charges		390.32	90			Percent of total billed charges		516.6	100			Percent of total billed charges		574	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	90			Percent of total billed charges		516.6	80			Percent of total billed charges		459.2	27			Percent of total billed charges		160.72	85			Percent of total billed charges		487.9	27			Percent of total billed charges		160.72	27			Percent of total billed charges		172.2	80			Percent of total billed charges		459.2	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	90			Percent of total billed charges		516.6	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	27			Percent of total billed charges		160.72	160.72	574	one or more instances of the item or service in the 12 months prior to posting the file
Incision and drainage of pilonidal cyst; complicated	10081	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Incision and drainage of pilonidal cyst; simple	10080	CPT				Outpatient	Facility			827.92	827.92	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	68			Percent of total billed charges		563.67	90			Percent of total billed charges		746.03		2912.82		Case rate		2912.82	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	80			Percent of total billed charges		663.14	27			Percent of total billed charges		232.0976	85			Percent of total billed charges		704.58	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		248.68	80			Percent of total billed charges		663.14	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	90			Percent of total billed charges		746.03	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	27			Percent of total billed charges		232.0976	232.0976	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Incision and drainage of vulva or perineal abscess	56405	CPT				Outpatient	Facility			4224.1	4224.1	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	68			Percent of total billed charges		2772.39	90			Percent of total billed charges		3801.69		3900.7		Case rate		3900.7	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	85			Percent of total billed charges		3590.48	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1267.23	80			Percent of total billed charges		3379.27	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	90			Percent of total billed charges		3801.69	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	27			Percent of total billed charges		1182.748	1182.748	3900.7	one or more instances of the item or service in the 12 months prior to posting the file
Incision of lingual frenum (frenotomy)	41010	CPT				Outpatient	Facility			4413.84	4413.84	27			Percent of total billed charges		1235.8752	90			Percent of total billed charges		3972.46	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	68			Percent of total billed charges		2701.41	90			Percent of total billed charges		3972.46		2912.82		Case rate		2912.82	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	90			Percent of total billed charges		3972.46	80			Percent of total billed charges		3531.07	27			Percent of total billed charges		1235.8752	85			Percent of total billed charges		3751.76	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1324.15	80			Percent of total billed charges		3531.07	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	90			Percent of total billed charges		3972.46	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	27			Percent of total billed charges		1235.8752	1235.8752	3972.46	one or more instances of the item or service in the 12 months prior to posting the file
Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus	87270	CPT				Outpatient	Facility			96	96	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	68			Percent of total billed charges		65.27	90			Percent of total billed charges		86.4		55.83		Case rate		55.83	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	85			Percent of total billed charges		81.6	27			Percent of total billed charges		26.88	27			Percent of total billed charges		27.8	80			Percent of total billed charges		76.8	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	90			Percent of total billed charges		86.4	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	27			Percent of total billed charges		26.88	26.88	86.4	zero instances of the item or service in the 12 months prior to posting the file
infectious and parasitic diseases with o.r. procedures with cc	854	MS-DRG				Inpatient	Facility			46591.99	46591.98		4475		Per Diem		13425	90			Percent of total billed charges		41932.79		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		31682.55	90			Percent of total billed charges		41932.79		72788.38		Case rate		72788.38		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		41932.79	80			Percent of total billed charges		37273.59		4475		Per Diem		13425	85			Percent of total billed charges		39603.19		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		37273.59		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		41932.79		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	72788.38	one or more instances of the item or service in the 12 months prior to posting the file
inflation device (disposable)	272	RC				Outpatient	Facility			90	90	27			Percent of total billed charges		25.2	90			Percent of total billed charges		81	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	68			Percent of total billed charges		61.2	90			Percent of total billed charges		81	100			Percent of total billed charges		90	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	90			Percent of total billed charges		81	80			Percent of total billed charges		72	27			Percent of total billed charges		25.2	85			Percent of total billed charges		76.5	27			Percent of total billed charges		25.2	27			Percent of total billed charges		27	80			Percent of total billed charges		72	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	90			Percent of total billed charges		81	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	27			Percent of total billed charges		25.2	25.2	90	zero instances of the item or service in the 12 months prior to posting the file
"Infusion, albumin (human), 25%, 50 ml"	P9047	CPT				Outpatient	Facility			460.3	460.3	27			Percent of total billed charges		127.884	90			Percent of total billed charges		414.27	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	68			Percent of total billed charges		313	90			Percent of total billed charges		414.27		335.76		Case rate		335.76	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	90			Percent of total billed charges		414.27	80			Percent of total billed charges		368.24	27			Percent of total billed charges		127.884	85			Percent of total billed charges		391.26	27			Percent of total billed charges		127.884	27			Percent of total billed charges		138.09	80			Percent of total billed charges		368.24	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	90			Percent of total billed charges		414.27	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	27			Percent of total billed charges		127.884	127.884	414.27	one or more instances of the item or service in the 12 months prior to posting the file
"Infusion, d5w, 1000 cc"	J7070	HCPCS				Outpatient	Facility	1000	ML	120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		24.05		Case rate		24.05	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
"Infusion, normal saline solution , 1000 cc"	J7027	HCPCS				Outpatient	Facility	1000	ML	122.14	122.14	27			Percent of total billed charges		34.1992	90			Percent of total billed charges		109.93	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	68			Percent of total billed charges		83.06	90			Percent of total billed charges		109.93		16.54		Case rate		16.54	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	90			Percent of total billed charges		109.93	80			Percent of total billed charges		97.71	27			Percent of total billed charges		34.1992	85			Percent of total billed charges		103.82	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		36.64	80			Percent of total billed charges		97.71	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	90			Percent of total billed charges		109.93	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	27			Percent of total billed charges		34.1992	34.1992	109.93	one or more instances of the item or service in the 12 months prior to posting the file
"Infusion, normal saline solution, 250 cc"	J7050	HCPCS				Outpatient	Facility	250	ML	120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		4.06		Case rate		4.06	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
"Infusion, normal saline solution, sterile (500 ml = 1 unit)"	J7040	HCPCS				Outpatient	Facility	500	ML	120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		8.58		Case rate		8.58	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
Inhibin A	86336	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		64.86		Case rate		64.86	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	64.86	zero instances of the item or service in the 12 months prior to posting the file
Injection procedure for cystography or voiding urethrocystography	51600	CPT				Outpatient	Facility			940	940	27			Percent of total billed charges		263.2	90			Percent of total billed charges		846	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	68			Percent of total billed charges		639.2	90			Percent of total billed charges		846		278.92		Case rate		278.92	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	90			Percent of total billed charges		846	80			Percent of total billed charges		752	27			Percent of total billed charges		263.2	85			Percent of total billed charges		799	27			Percent of total billed charges		263.2	27			Percent of total billed charges		272	80			Percent of total billed charges		752	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	90			Percent of total billed charges		846	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	27			Percent of total billed charges		263.2	263.2	846	one or more instances of the item or service in the 12 months prior to posting the file
Injection procedure for extremity venography (including introduction of needle or intracatheter)	36005	CPT				Outpatient	Facility			331	331	27			Percent of total billed charges		92.68	90			Percent of total billed charges		297.9	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	68			Percent of total billed charges		225.08	90			Percent of total billed charges		297.9		392.55		Case rate		392.55	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	90			Percent of total billed charges		297.9	80			Percent of total billed charges		264.8	27			Percent of total billed charges		92.68	85			Percent of total billed charges		271.35	27			Percent of total billed charges		92.68	27			Percent of total billed charges		99.3	80			Percent of total billed charges		264.8	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	90			Percent of total billed charges		297.9	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	27			Percent of total billed charges		92.68	92.68	392.55	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, acetazolamide sodium, up to 500 mg"	J1120	HCPCS				Outpatient	Facility	500	ME	148	148	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	68			Percent of total billed charges		100.64	90			Percent of total billed charges		133.2		127.8		Case rate		127.8	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	85			Percent of total billed charges		125.8	27			Percent of total billed charges		41.44	27			Percent of total billed charges		44.4	80			Percent of total billed charges		118.4	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	90			Percent of total billed charges		133.2	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	27			Percent of total billed charges		41.44	41.44	133.2	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, acyclovir, 5 mg"	J0133	HCPCS				Outpatient	Facility	5	ME	23.9	23.9	27			Percent of total billed charges		6.692	90			Percent of total billed charges		21.51	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	68			Percent of total billed charges		16.25	90			Percent of total billed charges		21.51		0.79		Case rate		0.79	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	90			Percent of total billed charges		21.51	80			Percent of total billed charges		19.12	27			Percent of total billed charges		6.692	85			Percent of total billed charges		20.32	27			Percent of total billed charges		6.692	27			Percent of total billed charges		7.17	80			Percent of total billed charges		19.12	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	90			Percent of total billed charges		21.51	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	27			Percent of total billed charges		6.692	6.692	21.51	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)"	J0153	HCPCS				Outpatient	Facility	1	ME	43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		2.71		Case rate		2.71	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	38.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, adrenalin, epinephrine, 0.1 mg"	J0171	HCPCS				Outpatient	Facility	0.1	ME	112	112	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	68			Percent of total billed charges		76.16	90			Percent of total billed charges		100.8		4.12		Case rate		4.12	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	85			Percent of total billed charges		95.2	27			Percent of total billed charges		31.36	27			Percent of total billed charges		33.6	80			Percent of total billed charges		89.6	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	90			Percent of total billed charges		100.8	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	27			Percent of total billed charges		31.36	31.36	100.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, azithromycin, 500 mg"	J0456	HCPCS				Outpatient	Facility	500	ME	158	158	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	68			Percent of total billed charges		107.44	90			Percent of total billed charges		142.2		15.81		Case rate		15.81	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	85			Percent of total billed charges		134.3	27			Percent of total billed charges		44.24	27			Percent of total billed charges		47.4	80			Percent of total billed charges		126.4	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	90			Percent of total billed charges		142.2	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	27			Percent of total billed charges		44.24	44.24	142.2	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, bupivacaine liposome, 1 mg"	J0666	HCPCS				Outpatient	Facility	1	ME	1569	1569	27			Percent of total billed charges		439.32	90			Percent of total billed charges		1412.1	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	68			Percent of total billed charges		1066.92	90			Percent of total billed charges		1412.1	100			Percent of total billed charges		1569	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	90			Percent of total billed charges		1412.1	80			Percent of total billed charges		1255.2	27			Percent of total billed charges		439.32	85			Percent of total billed charges		1333.65	27			Percent of total billed charges		439.32	27			Percent of total billed charges		470.7	80			Percent of total billed charges		1255.2	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	90			Percent of total billed charges		1412.1	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	27			Percent of total billed charges		439.32	439.32	1569	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, cefoxitin sodium, 1 gm"	J0694	HCPCS				Outpatient	Facility	1	GR	70	70	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	68			Percent of total billed charges		47.6	90			Percent of total billed charges		63		33.76		Case rate		33.76	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	85			Percent of total billed charges		59.5	27			Percent of total billed charges		19.6	27			Percent of total billed charges		21	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	19.6	63	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ceftriaxone sodium, per 250 mg"	J0696	HCPCS				Outpatient	Facility	250	ME	39	39	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	68			Percent of total billed charges		26.52	90			Percent of total billed charges		35.1		3.05		Case rate		3.05	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	85			Percent of total billed charges		33.15	27			Percent of total billed charges		10.92	27			Percent of total billed charges		11.7	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	10.92	35.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, clindamycin phosphate, 270 mg"	J0736	HCPCS				Outpatient	Facility	270	ME	74.95	74.95	27			Percent of total billed charges		20.986	90			Percent of total billed charges		67.46	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	68			Percent of total billed charges		50.97	90			Percent of total billed charges		67.46	100			Percent of total billed charges		74.95	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	90			Percent of total billed charges		67.46	80			Percent of total billed charges		59.96	27			Percent of total billed charges		20.986	85			Percent of total billed charges		63.71	27			Percent of total billed charges		20.986	27			Percent of total billed charges		22.48	80			Percent of total billed charges		59.96	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	90			Percent of total billed charges		67.46	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	27			Percent of total billed charges		20.986	20.986	74.95	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram"	J0840	HCPCS				Outpatient	Facility	1	GR	11278	11278	27			Percent of total billed charges		3157.84	90			Percent of total billed charges		10150.2	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	68			Percent of total billed charges		7669.04	90			Percent of total billed charges		10150.2		15548.48		Case rate		15548.48	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	90			Percent of total billed charges		10150.2	80			Percent of total billed charges		9022.4	27			Percent of total billed charges		3157.84	85			Percent of total billed charges		9586.3	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3383.4	80			Percent of total billed charges		9022.4	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	90			Percent of total billed charges		10150.2	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	27			Percent of total billed charges		3157.84	3157.84	15548.48	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, cytomegalovirus immune globulin intravenous (human), per vial"	J0850	HCPCS				Outpatient	Facility	1	UN	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		10161.27		Case rate		10161.27	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	10161.27	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, daptomycin, 1 mg"	J0878	HCPCS				Outpatient	Facility	1	ME	751	751	27			Percent of total billed charges		210.27	90			Percent of total billed charges		675.9	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	68			Percent of total billed charges		510.68	90			Percent of total billed charges		675.9		0.27		Case rate		0.27	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	90			Percent of total billed charges		675.9	80			Percent of total billed charges		600.8	27			Percent of total billed charges		210.27	85			Percent of total billed charges		638.35	27			Percent of total billed charges		210.27	27			Percent of total billed charges		225.3	80			Percent of total billed charges		600.8	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	90			Percent of total billed charges		675.9	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	27			Percent of total billed charges		210.27	210.27	675.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, denosumab, 1 mg"	J0897	HCPCS				Outpatient	Facility	1	ME	5363	5363	27			Percent of total billed charges		1501.64	90			Percent of total billed charges		4826.7	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	68			Percent of total billed charges		3646.84	90			Percent of total billed charges		4826.7		134.69		Case rate		134.69	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	90			Percent of total billed charges		4826.7	80			Percent of total billed charges		4290.4	27			Percent of total billed charges		1501.64	85			Percent of total billed charges		4558.55	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1608.9	80			Percent of total billed charges		4290.4	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	90			Percent of total billed charges		4826.7	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	27			Percent of total billed charges		1501.64	1501.64	4826.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, digoxin, up to 0.5 mg"	J1160	HCPCS				Outpatient	Facility	0.5	ME	42	42	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	68			Percent of total billed charges		27.56	90			Percent of total billed charges		37.8		127.74		Case rate		127.74	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	85			Percent of total billed charges		35.7	27			Percent of total billed charges		11.76	27			Percent of total billed charges		12.6	80			Percent of total billed charges		33.6	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	90			Percent of total billed charges		37.8	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	27			Percent of total billed charges		11.76	11.76	127.74	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, dobutamine hydrochloride, per 250 mg"	J1250	HCPCS				Outpatient	Facility	250	ME	82	82	27			Percent of total billed charges		22.96	90			Percent of total billed charges		73.8	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	68			Percent of total billed charges		55.76	90			Percent of total billed charges		73.8		39.91		Case rate		39.91	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	90			Percent of total billed charges		73.8	80			Percent of total billed charges		65.6	27			Percent of total billed charges		22.96	85			Percent of total billed charges		69.7	27			Percent of total billed charges		22.96	27			Percent of total billed charges		24.6	80			Percent of total billed charges		65.6	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	90			Percent of total billed charges		73.8	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	27			Percent of total billed charges		22.96	22.96	73.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, epoetin alfa, (for non-esrd use), 1000 units"	J0885	HCPCS				Outpatient	Facility	1000	UN	2311	2311	27			Percent of total billed charges		647.08	90			Percent of total billed charges		2079.9	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	68			Percent of total billed charges		1571.48	90			Percent of total billed charges		2079.9		53.12		Case rate		53.12	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	90			Percent of total billed charges		2079.9	80			Percent of total billed charges		1848.8	27			Percent of total billed charges		647.08	85			Percent of total billed charges		1964.35	27			Percent of total billed charges		647.08	27			Percent of total billed charges		693.3	80			Percent of total billed charges		1848.8	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	90			Percent of total billed charges		2079.9	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	27			Percent of total billed charges		647.08	647.08	2079.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, eptifibatide, 5 mg"	J1327	HCPCS				Outpatient	Facility	5	ME	644	644	27			Percent of total billed charges		180.32	90			Percent of total billed charges		579.6	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	68			Percent of total billed charges		437.92	90			Percent of total billed charges		579.6		150.44		Case rate		150.44	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	90			Percent of total billed charges		579.6	80			Percent of total billed charges		515.2	27			Percent of total billed charges		180.32	85			Percent of total billed charges		547.4	27			Percent of total billed charges		180.32	27			Percent of total billed charges		193.2	80			Percent of total billed charges		515.2	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	90			Percent of total billed charges		579.6	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	27			Percent of total billed charges		180.32	180.32	579.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, ferric carboxymaltose, 1 mg"	J1439	HCPCS				Outpatient	Facility	1	ME	4868.6	4868.6	27			Percent of total billed charges		1363.208	90			Percent of total billed charges		4381.74	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	68			Percent of total billed charges		3310.65	90			Percent of total billed charges		4381.74		6.77		Case rate		6.77	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	90			Percent of total billed charges		4381.74	80			Percent of total billed charges		3894.88	27			Percent of total billed charges		1363.208	85			Percent of total billed charges		4138.31	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1460.58	80			Percent of total billed charges		3894.88	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	90			Percent of total billed charges		4381.74	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	27			Percent of total billed charges		1363.208	1363.208	4381.74	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram"	J1442	HCPCS				Outpatient	Facility	1	UN	2104	2104	27			Percent of total billed charges		589.12	90			Percent of total billed charges		1893.6	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	68			Percent of total billed charges		1427.72	90			Percent of total billed charges		1893.6		6.04		Case rate		6.04	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	90			Percent of total billed charges		1893.6	80			Percent of total billed charges		1683.2	27			Percent of total billed charges		589.12	85			Percent of total billed charges		1788.4	27			Percent of total billed charges		589.12	27			Percent of total billed charges		631.2	80			Percent of total billed charges		1683.2	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	90			Percent of total billed charges		1893.6	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	27			Percent of total billed charges		589.12	589.12	1893.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram"	Q5101	CPT				Outpatient	Facility			1384	1384	27			Percent of total billed charges		387.52	90			Percent of total billed charges		1245.6	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	68			Percent of total billed charges		941.12	90			Percent of total billed charges		1245.6		1.47		Case rate		1.47	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	90			Percent of total billed charges		1245.6	80			Percent of total billed charges		1107.2	27			Percent of total billed charges		387.52	85			Percent of total billed charges		1176.4	27			Percent of total billed charges		387.52	27			Percent of total billed charges		415.2	80			Percent of total billed charges		1107.2	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	90			Percent of total billed charges		1245.6	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	27			Percent of total billed charges		387.52	387.52	1245.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, fosphenytoin, 50 mg phenytoin equivalent"	Q2009	CPT				Outpatient	Facility			35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		24.16		Case rate		24.16	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, gadoterate meglumine, 0.1 ml"	A9575	CPT				Outpatient	Facility			2.06	2.06	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	68			Percent of total billed charges		1.4	90			Percent of total billed charges		1.85		0.9		Case rate		0.9	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	80			Percent of total billed charges		1.65	27			Percent of total billed charges		0.5768	85			Percent of total billed charges		1.75	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.62	80			Percent of total billed charges		1.65	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	0.5768	1.85	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, gadoteridol, (prohance multipack), per ml"	A9576	CPT				Outpatient	Facility			2.06	2.06	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	68			Percent of total billed charges		1.4	90			Percent of total billed charges		1.85		9.09		Case rate		9.09	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	80			Percent of total billed charges		1.65	27			Percent of total billed charges		0.5768	85			Percent of total billed charges		1.75	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.62	80			Percent of total billed charges		1.65	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	90			Percent of total billed charges		1.85	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	27			Percent of total billed charges		0.5768	0.5768	9.09	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, garamycin, gentamicin, up to 80 mg"	J1580	HCPCS				Outpatient	Facility	80	ME	3.4	3.4	27			Percent of total billed charges		0.952	90			Percent of total billed charges		3.06	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	68			Percent of total billed charges		2.31	90			Percent of total billed charges		3.06		16.54		Case rate		16.54	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	90			Percent of total billed charges		3.06	80			Percent of total billed charges		2.72	27			Percent of total billed charges		0.952	85			Percent of total billed charges		2.89	27			Percent of total billed charges		0.952	27			Percent of total billed charges		1.02	80			Percent of total billed charges		2.72	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	90			Percent of total billed charges		3.06	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	27			Percent of total billed charges		0.952	0.952	16.54	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, glucagon hydrochloride, per 1 mg"	J1610	HCPCS				Outpatient	Facility	1	ME	918	918	27			Percent of total billed charges		257.04	90			Percent of total billed charges		826.2	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	68			Percent of total billed charges		624.24	90			Percent of total billed charges		826.2		1090.67		Case rate		1090.67	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	90			Percent of total billed charges		826.2	80			Percent of total billed charges		734.4	27			Percent of total billed charges		257.04	85			Percent of total billed charges		780.3	27			Percent of total billed charges		257.04	27			Percent of total billed charges		275.4	80			Percent of total billed charges		734.4	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	90			Percent of total billed charges		826.2	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	27			Percent of total billed charges		257.04	257.04	1090.67	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, guselkumab, 1 mg"	J1627	HCPCS				Outpatient	Facility	1	ME	69329.3	69329.3	27			Percent of total billed charges		19412.204	90			Percent of total billed charges		62396.37	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	68			Percent of total billed charges		47143.92	90			Percent of total billed charges		62396.37		813.16		Case rate		813.16	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	90			Percent of total billed charges		62396.37	80			Percent of total billed charges		55463.44	27			Percent of total billed charges		19412.204	85			Percent of total billed charges		58929.9	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		20798.79	80			Percent of total billed charges		55463.44	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	90			Percent of total billed charges		62396.37	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	27			Percent of total billed charges		19412.204	19412.204	62396.37	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, hyaluronidase, recombinant, 1 usp unit"	J3473	HCPCS				Outpatient	Facility	1	UN	180.5	180.5	27			Percent of total billed charges		50.54	90			Percent of total billed charges		162.45	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	68			Percent of total billed charges		122.74	90			Percent of total billed charges		162.45		2.2		Case rate		2.2	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	90			Percent of total billed charges		162.45	80			Percent of total billed charges		144.4	27			Percent of total billed charges		50.54	85			Percent of total billed charges		153.42	27			Percent of total billed charges		50.54	27			Percent of total billed charges		54.15	80			Percent of total billed charges		144.4	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	90			Percent of total billed charges		162.45	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	27			Percent of total billed charges		50.54	50.54	162.45	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, hydralazine hcl, up to 20 mg"	J0360	HCPCS				Outpatient	Facility	20	ME	92	92	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	68			Percent of total billed charges		62.56	90			Percent of total billed charges		82.8		42.22		Case rate		42.22	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	85			Percent of total billed charges		78.2	27			Percent of total billed charges		25.76	27			Percent of total billed charges		27.6	80			Percent of total billed charges		73.6	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	90			Percent of total billed charges		82.8	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	27			Percent of total billed charges		25.76	25.76	82.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, linezolid, 200 mg"	J2020	HCPCS				Outpatient	Facility	200	ME	169.2	169.2	27			Percent of total billed charges		47.376	90			Percent of total billed charges		152.27	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	68			Percent of total billed charges		115.06	90			Percent of total billed charges		152.27		42.06		Case rate		42.06	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	90			Percent of total billed charges		152.27	80			Percent of total billed charges		135.36	27			Percent of total billed charges		47.376	85			Percent of total billed charges		143.82	27			Percent of total billed charges		47.376	27			Percent of total billed charges		50.76	80			Percent of total billed charges		135.36	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	90			Percent of total billed charges		152.27	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	27			Percent of total billed charges		47.376	47.376	152.27	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, lorazepam, 2 mg"	J2060	HCPCS				Outpatient	Facility	2	ME	33	33	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	68			Percent of total billed charges		22.44	90			Percent of total billed charges		29.7		5.87		Case rate		5.87	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	85			Percent of total billed charges		27.05	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.9	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	9.24	29.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, magnesium sulfate, per 500 mg"	J3475	HCPCS				Outpatient	Facility	500	ME	103.75	103.75	27			Percent of total billed charges		29.05	90			Percent of total billed charges		93.38	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	68			Percent of total billed charges		70.55	90			Percent of total billed charges		93.38		3.73		Case rate		3.73	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	90			Percent of total billed charges		93.38	80			Percent of total billed charges		83	27			Percent of total billed charges		29.05	85			Percent of total billed charges		88.19	27			Percent of total billed charges		29.05	27			Percent of total billed charges		31.12	80			Percent of total billed charges		83	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	90			Percent of total billed charges		93.38	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	27			Percent of total billed charges		29.05	29.05	93.38	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, meperidine hydrochloride, per 100 mg"	J2175	HCPCS				Outpatient	Facility	100	ME	60	60	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	68			Percent of total billed charges		40.8	90			Percent of total billed charges		54		36.52		Case rate		36.52	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	85			Percent of total billed charges		51	27			Percent of total billed charges		16.8	27			Percent of total billed charges		18	80			Percent of total billed charges		48	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	90			Percent of total billed charges		54	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	27			Percent of total billed charges		16.8	16.8	54	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, methylergonovine maleate, up to 0.2 mg"	J2210	HCPCS				Outpatient	Facility	0.2	ME	151	151	27			Percent of total billed charges		42.27	90			Percent of total billed charges		135.9	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	68			Percent of total billed charges		102.68	90			Percent of total billed charges		135.9		129.55		Case rate		129.55	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	90			Percent of total billed charges		135.9	80			Percent of total billed charges		120.8	27			Percent of total billed charges		42.27	85			Percent of total billed charges		127.35	27			Percent of total billed charges		42.27	27			Percent of total billed charges		45.3	80			Percent of total billed charges		120.8	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	90			Percent of total billed charges		135.9	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	27			Percent of total billed charges		42.27	42.27	135.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, methylprednisolone acetate, 1 mg"	J1010	HCPCS				Outpatient	Facility	1	ME	68	68	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	68			Percent of total billed charges		46.24	90			Percent of total billed charges		61.2	100			Percent of total billed charges		68	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	85			Percent of total billed charges		57.8	27			Percent of total billed charges		19.04	27			Percent of total billed charges		20.4	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	19.04	68	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, methylprednisolone sodium succinate, 5 mg"	J2919	HCPCS				Outpatient	Facility	5	ME	76	76	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	68			Percent of total billed charges		51.68	90			Percent of total billed charges		68.4	100			Percent of total billed charges		76	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	80			Percent of total billed charges		60.8	27			Percent of total billed charges		21.27	85			Percent of total billed charges		64.6	27			Percent of total billed charges		21.27	27			Percent of total billed charges		22.8	80			Percent of total billed charges		60.8	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	90			Percent of total billed charges		68.4	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	27			Percent of total billed charges		21.27	21.27	76	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, midazolam hydrochloride, per 1 mg"	J2250	HCPCS				Outpatient	Facility	1	ME	33	33	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	68			Percent of total billed charges		22.44	90			Percent of total billed charges		29.7		0.79		Case rate		0.79	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	85			Percent of total billed charges		27.05	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.9	80			Percent of total billed charges		26.4	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	90			Percent of total billed charges		29.7	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	27			Percent of total billed charges		9.24	9.24	29.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, milrinone lactate, 5 mg"	J2260	HCPCS				Outpatient	Facility	5	ME	108.75	108.75	27			Percent of total billed charges		30.45	90			Percent of total billed charges		97.88	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	68			Percent of total billed charges		73.95	90			Percent of total billed charges		97.88		11.4		Case rate		11.4	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	90			Percent of total billed charges		97.88	80			Percent of total billed charges		87	27			Percent of total billed charges		30.45	85			Percent of total billed charges		92.44	27			Percent of total billed charges		30.45	27			Percent of total billed charges		32.62	80			Percent of total billed charges		87	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	90			Percent of total billed charges		97.88	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	27			Percent of total billed charges		30.45	30.45	97.88	zero instances of the item or service in the 12 months prior to posting the file
"Injection, mirikizumab-mrkz, 1 mg"	J2267	HCPCS				Outpatient	Facility	1	ME	40771.2	40771.2	27			Percent of total billed charges		11415.936	90			Percent of total billed charges		36694.08	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	68			Percent of total billed charges		27724.42	90			Percent of total billed charges		36694.08	100			Percent of total billed charges		40771.2	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	90			Percent of total billed charges		36694.08	80			Percent of total billed charges		32616.96	27			Percent of total billed charges		11415.936	85			Percent of total billed charges		34655.52	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		12231.36	80			Percent of total billed charges		32616.96	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	90			Percent of total billed charges		36694.08	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	27			Percent of total billed charges		11415.936	11415.936	40771.2	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, neostigmine methylsulfate, up to 0.5 mg"	J2710	HCPCS				Outpatient	Facility	0.5	ME	434	434	27			Percent of total billed charges		121.52	90			Percent of total billed charges		390.6	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	68			Percent of total billed charges		295.12	90			Percent of total billed charges		390.6		5.19		Case rate		5.19	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	90			Percent of total billed charges		390.6	80			Percent of total billed charges		347.2	27			Percent of total billed charges		121.52	85			Percent of total billed charges		368.9	27			Percent of total billed charges		121.52	27			Percent of total billed charges		127.2	80			Percent of total billed charges		347.2	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	90			Percent of total billed charges		390.6	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	27			Percent of total billed charges		121.52	121.52	390.6	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg"	J2354	HCPCS				Outpatient	Facility	25	UN	70.65	70.65	27			Percent of total billed charges		19.782	90			Percent of total billed charges		63.58	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	68			Percent of total billed charges		48.04	90			Percent of total billed charges		63.58		7.11		Case rate		7.11	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	90			Percent of total billed charges		63.58	80			Percent of total billed charges		56.52	27			Percent of total billed charges		19.782	85			Percent of total billed charges		60.05	27			Percent of total billed charges		19.782	27			Percent of total billed charges		21.2	80			Percent of total billed charges		56.52	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	90			Percent of total billed charges		63.58	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	27			Percent of total billed charges		19.782	19.782	63.58	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, orphenadrine citrate, up to 60 mg"	J2360	HCPCS				Outpatient	Facility	60	ME	43	43	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	68			Percent of total billed charges		29.24	90			Percent of total billed charges		38.7		25.8		Case rate		25.8	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	85			Percent of total billed charges		36.55	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.9	80			Percent of total billed charges		34.4	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	90			Percent of total billed charges		38.7	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	27			Percent of total billed charges		12.04	12.04	38.7	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, phenytoin sodium, per 50 mg"	J1165	HCPCS				Outpatient	Facility	50	ME	4.8	4.8	27			Percent of total billed charges		1.344	90			Percent of total billed charges		4.32	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	68			Percent of total billed charges		3.26	90			Percent of total billed charges		4.32		2.82		Case rate		2.82	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	90			Percent of total billed charges		4.32	80			Percent of total billed charges		3.84	27			Percent of total billed charges		1.344	85			Percent of total billed charges		4.08	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.44	80			Percent of total billed charges		3.84	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	90			Percent of total billed charges		4.32	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	27			Percent of total billed charges		1.344	1.344	4.32	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)"	J2543	HCPCS				Outpatient	Facility	1.125	GR	79.4	79.4	27			Percent of total billed charges		22.232	90			Percent of total billed charges		71.46	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	68			Percent of total billed charges		53.99	90			Percent of total billed charges		71.46		8.13		Case rate		8.13	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	90			Percent of total billed charges		71.46	80			Percent of total billed charges		63.52	27			Percent of total billed charges		22.232	85			Percent of total billed charges		67.49	27			Percent of total billed charges		22.232	27			Percent of total billed charges		23.82	80			Percent of total billed charges		63.52	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	90			Percent of total billed charges		71.46	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	27			Percent of total billed charges		22.232	22.232	71.46	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, regadenoson, 0.1 mg"	J2785	HCPCS				Outpatient	Facility	0.1	ME	962	962	27			Percent of total billed charges		269.36	90			Percent of total billed charges		865.8	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	68			Percent of total billed charges		654.16	90			Percent of total billed charges		865.8		374.04		Case rate		374.04	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	90			Percent of total billed charges		865.8	80			Percent of total billed charges		769.6	27			Percent of total billed charges		269.36	85			Percent of total billed charges		817.7	27			Percent of total billed charges		269.36	27			Percent of total billed charges		278.6	80			Percent of total billed charges		769.6	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	90			Percent of total billed charges		865.8	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	27			Percent of total billed charges		269.36	269.36	865.8	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, sincalide, 5 micrograms"	J2705	HCPCS				Outpatient	Facility	5	UN	472	472	27			Percent of total billed charges		132.16	90			Percent of total billed charges		424.8	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	68			Percent of total billed charges		320.96	90			Percent of total billed charges		424.8		750.9		Case rate		750.9	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	90			Percent of total billed charges		424.8	80			Percent of total billed charges		377.6	27			Percent of total billed charges		132.16	85			Percent of total billed charges		401.2	27			Percent of total billed charges		132.16	27			Percent of total billed charges		141.6	80			Percent of total billed charges		377.6	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	90			Percent of total billed charges		424.8	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	27			Percent of total billed charges		132.16	132.16	750.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg"	J2916	HCPCS				Outpatient	Facility	12.5	ME	48.05	48.05	27			Percent of total billed charges		13.454	90			Percent of total billed charges		43.24	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	68			Percent of total billed charges		32.67	90			Percent of total billed charges		43.24		12.42		Case rate		12.42	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	90			Percent of total billed charges		43.24	80			Percent of total billed charges		38.44	27			Percent of total billed charges		13.454	85			Percent of total billed charges		40.84	27			Percent of total billed charges		13.454	27			Percent of total billed charges		14.42	80			Percent of total billed charges		38.44	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	90			Percent of total billed charges		43.24	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	27			Percent of total billed charges		13.454	13.454	43.24	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, succinylcholine chloride, up to 20 mg"	J0327	HCPCS				Outpatient	Facility	20	ME	39	39	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	68			Percent of total billed charges		26.52	90			Percent of total billed charges		35.1		1.98		Case rate		1.98	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	85			Percent of total billed charges		33.15	27			Percent of total billed charges		10.92	27			Percent of total billed charges		11.7	80			Percent of total billed charges		31.2	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	90			Percent of total billed charges		35.1	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	27			Percent of total billed charges		10.92	10.92	35.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"	J2727	HCPCS				Outpatient	Facility	6	ME	87	87	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	68			Percent of total billed charges		59.16	90			Percent of total billed charges		78.3		127.01		Case rate		127.01	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	85			Percent of total billed charges		73.95	27			Percent of total billed charges		24.36	27			Percent of total billed charges		26.1	80			Percent of total billed charges		69.6	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	90			Percent of total billed charges		78.3	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	27			Percent of total billed charges		24.36	24.36	127.01	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, tenecteplase, 1 mg"	J3101	HCPCS				Outpatient	Facility	1	ME	29699	29699	27			Percent of total billed charges		8315.72	90			Percent of total billed charges		26729.1	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	68			Percent of total billed charges		20195.32	90			Percent of total billed charges		26729.1		877.12		Case rate		877.12	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	90			Percent of total billed charges		26729.1	80			Percent of total billed charges		23759.2	27			Percent of total billed charges		8315.72	85			Percent of total billed charges		25244.15	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8909.7	80			Percent of total billed charges		23759.2	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	90			Percent of total billed charges		26729.1	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	27			Percent of total billed charges		8315.72	8315.72	26729.1	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, terbutaline sulfate, up to 1 mg"	J3105	HCPCS				Outpatient	Facility	1	ME	41	41	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	68			Percent of total billed charges		27.88	90			Percent of total billed charges		36.9		19.53		Case rate		19.53	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	85			Percent of total billed charges		34.85	27			Percent of total billed charges		11.48	27			Percent of total billed charges		12.3	80			Percent of total billed charges		32.8	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	90			Percent of total billed charges		36.9	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	27			Percent of total billed charges		11.48	11.48	36.9	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, thiamine hcl, 100 mg"	J3411	HCPCS				Outpatient	Facility	100	ME	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		16.26		Case rate		16.26	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	16.26	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, tobramycin sulfate, up to 80 mg"	J3260	HCPCS				Outpatient	Facility	80	ME	35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		12.81		Case rate		12.81	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	31.5	one or more instances of the item or service in the 12 months prior to posting the file
"Injection, zoledronic acid, 1 mg"	J3489	HCPCS				Outpatient	Facility	1	ME	52	52	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	68			Percent of total billed charges		35.36	90			Percent of total billed charges		46.8		50.64		Case rate		50.64	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	85			Percent of total billed charges		44.2	27			Percent of total billed charges		14.56	27			Percent of total billed charges		15.6	80			Percent of total billed charges		41.6	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	90			Percent of total billed charges		46.8	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	27			Percent of total billed charges		14.56	14.56	50.64	one or more instances of the item or service in the 12 months prior to posting the file
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular	33207	CPT				Outpatient	Facility			33601	33601	27			Percent of total billed charges		9408.27	90			Percent of total billed charges		27240.9	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	68			Percent of total billed charges		22748.68	90			Percent of total billed charges		27240.9		8704.59		Case rate		8704.59	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	90			Percent of total billed charges		27240.9	80			Percent of total billed charges		26880.8	27			Percent of total billed charges		9408.27	85			Percent of total billed charges		27560.85	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		10080.3	80			Percent of total billed charges		26880.8	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	90			Percent of total billed charges		27240.9	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	27			Percent of total billed charges		9408.27	9408.27	27240.9	one or more instances of the item or service in the 12 months prior to posting the file
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older	36556	CPT				Outpatient	Facility			3188.48	3188.48	27			Percent of total billed charges		892.7744	90			Percent of total billed charges		2769.63	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	68			Percent of total billed charges		2168.17	90			Percent of total billed charges		2769.63		2912.82		Case rate		2912.82	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	90			Percent of total billed charges		2769.63	80			Percent of total billed charges		2550.78	27			Percent of total billed charges		892.7744	85			Percent of total billed charges		2710.21	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		956.54	80			Percent of total billed charges		2550.78	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	90			Percent of total billed charges		2769.63	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	27			Percent of total billed charges		892.7744	892.7744	2912.82	one or more instances of the item or service in the 12 months prior to posting the file
Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)	33210	CPT				Outpatient	Facility			23167	23167	27			Percent of total billed charges		6486.76	90			Percent of total billed charges		20850.3	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	68			Percent of total billed charges		15753.56	90			Percent of total billed charges		20850.3		8704.59		Case rate		8704.59	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	90			Percent of total billed charges		20850.3	80			Percent of total billed charges		18533.6	27			Percent of total billed charges		6486.76	85			Percent of total billed charges		19691.95	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6950.1	80			Percent of total billed charges		18533.6	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	90			Percent of total billed charges		20850.3	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	27			Percent of total billed charges		6486.76	6486.76	20850.3	one or more instances of the item or service in the 12 months prior to posting the file
Insulin; free	83527	CPT				Outpatient	Facility			35	35	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	68			Percent of total billed charges		23.8	90			Percent of total billed charges		31.5		53.91		Case rate		53.91	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	85			Percent of total billed charges		29.75	27			Percent of total billed charges		9.8	27			Percent of total billed charges		10.5	80			Percent of total billed charges		27	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	90			Percent of total billed charges		31.5	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	27			Percent of total billed charges		9.8	9.8	53.91	zero instances of the item or service in the 12 months prior to posting the file
interstitial lung disease with cc	197	MS-DRG				Inpatient	Facility			18872.77	18872.77		4475		Per Diem		8950	90			Percent of total billed charges		16985.49		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		12733.48	90			Percent of total billed charges		16985.49		18651.82		Case rate		18651.82		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16985.49	80			Percent of total billed charges		15098.22		4475		Per Diem		8950	85			Percent of total billed charges		16041.85		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		15098.22		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16985.49		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	18651.82	one or more instances of the item or service in the 12 months prior to posting the file
intracranial hemorrhage or cerebral infarction without cc/mcc	66	MS-DRG				Inpatient	Facility			18117.91	18117.9		4475		Per Diem		8950	90			Percent of total billed charges		16276.11		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		12320.18	90			Percent of total billed charges		16276.11		21229.85		Case rate		21229.85		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16276.11	80			Percent of total billed charges		14494.32		4475		Per Diem		8950	85			Percent of total billed charges		15400.22		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		14494.32		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		16276.11		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	21229.85	one or more instances of the item or service in the 12 months prior to posting the file
Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube	94610	CPT				Outpatient	Facility			609.5	609.5	27			Percent of total billed charges		170.66	90			Percent of total billed charges		548.55	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	68			Percent of total billed charges		414.46	90			Percent of total billed charges		548.55		458.32		Case rate		458.32	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	90			Percent of total billed charges		548.55	80			Percent of total billed charges		487.6	27			Percent of total billed charges		170.66	85			Percent of total billed charges		518.08	27			Percent of total billed charges		170.66	27			Percent of total billed charges		182.85	80			Percent of total billed charges		487.6	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	90			Percent of total billed charges		548.55	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	27			Percent of total billed charges		170.66	170.66	548.55	one or more instances of the item or service in the 12 months prior to posting the file
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; each additional vessel (List separately in addition to code for primary procedure)	93572	CPT				Outpatient	Facility			2502.66	2502.66	27			Percent of total billed charges		700.7448	90			Percent of total billed charges		2252.39	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	68			Percent of total billed charges		1701.81	90			Percent of total billed charges		2252.39		2478.32		Case rate		2478.32	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	90			Percent of total billed charges		2252.39	80			Percent of total billed charges		2002.13	27			Percent of total billed charges		700.7448	85			Percent of total billed charges		2127.26	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		750.8	80			Percent of total billed charges		2002.13	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	90			Percent of total billed charges		2252.39	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	27			Percent of total billed charges		700.7448	700.7448	2478.32	one or more instances of the item or service in the 12 months prior to posting the file
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure)	93571	CPT				Outpatient	Facility			5004.26	5004.26	27			Percent of total billed charges		1401.1927	90			Percent of total billed charges		4503.83	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	68			Percent of total billed charges		3402.9	90			Percent of total billed charges		4503.83		4956.71		Case rate		4956.71	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	90			Percent of total billed charges		4503.83	80			Percent of total billed charges		4003.41	27			Percent of total billed charges		1401.1927	85			Percent of total billed charges		4253.62	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1501.27	80			Percent of total billed charges		4003.41	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	90			Percent of total billed charges		4503.83	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	27			Percent of total billed charges		1401.1927	1401.1927	4956.71	one or more instances of the item or service in the 12 months prior to posting the file
"Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away"	C1766	CPT				Outpatient	Facility			2765	2765	27			Percent of total billed charges		802.2	90			Percent of total billed charges		2578.5	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	68			Percent of total billed charges		1948.2	90			Percent of total billed charges		2578.5		2490.8		Case rate		2490.8	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	90			Percent of total billed charges		2578.5	80			Percent of total billed charges		2292	27			Percent of total billed charges		802.2	85			Percent of total billed charges		2435.25	27			Percent of total billed charges		802.2	27			Percent of total billed charges		859.5	80			Percent of total billed charges		2292	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	90			Percent of total billed charges		2578.5	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	27			Percent of total billed charges		802.2	802.2	2578.5	one or more instances of the item or service in the 12 months prior to posting the file
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries"	A9516	CPT				Outpatient	Facility			100.94	100.94	27			Percent of total billed charges		27.2632	90			Percent of total billed charges		90.85	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	68			Percent of total billed charges		68.64	90			Percent of total billed charges		90.85		511.1		Case rate		511.1	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	90			Percent of total billed charges		90.85	80			Percent of total billed charges		80.75	27			Percent of total billed charges		27.2632	85			Percent of total billed charges		85.8	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.27	80			Percent of total billed charges		80.75	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	90			Percent of total billed charges		90.85	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	27			Percent of total billed charges		27.2632	27.2632	511.1	one or more instances of the item or service in the 12 months prior to posting the file
"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	J7644	HCPCS				Outpatient	Facility	1	ME	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		1.3		Case rate		1.3	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	4.95	one or more instances of the item or service in the 12 months prior to posting the file
Irrigation of implanted venous access device for drug delivery systems	96523	CPT				Outpatient	Facility			220.2	220.2	27			Percent of total billed charges		61.656	90			Percent of total billed charges		198.18	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	68			Percent of total billed charges		149.74	90			Percent of total billed charges		198.18		177.82		Case rate		177.82	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	90			Percent of total billed charges		198.18	80			Percent of total billed charges		176.16	27			Percent of total billed charges		61.656	85			Percent of total billed charges		187.17	27			Percent of total billed charges		61.656	27			Percent of total billed charges		66.06	80			Percent of total billed charges		176.16	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	90			Percent of total billed charges		198.18	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	27			Percent of total billed charges		61.656	61.656	198.18	one or more instances of the item or service in the 12 months prior to posting the file
Islet cell antibody	86341	CPT				Outpatient	Facility			66	66	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	68			Percent of total billed charges		44.88	90			Percent of total billed charges		59.4		98.05		Case rate		98.05	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	85			Percent of total billed charges		56.1	27			Percent of total billed charges		18.48	27			Percent of total billed charges		19.8	80			Percent of total billed charges		52.8	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	90			Percent of total billed charges		59.4	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	27			Percent of total billed charges		18.48	18.48	98.05	one or more instances of the item or service in the 12 months prior to posting the file
jeststream xc 2.1/3.0	272	RC				Outpatient	Facility			8019	8019	27			Percent of total billed charges		2245.32	90			Percent of total billed charges		7217.1	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	68			Percent of total billed charges		5452.92	90			Percent of total billed charges		7217.1	100			Percent of total billed charges		8019	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	90			Percent of total billed charges		7217.1	80			Percent of total billed charges		6415.2	27			Percent of total billed charges		2245.32	85			Percent of total billed charges		6816.15	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2405.7	80			Percent of total billed charges		6415.2	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	90			Percent of total billed charges		7217.1	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	27			Percent of total billed charges		2245.32	2245.32	8019	zero instances of the item or service in the 12 months prior to posting the file
Joint device (implantable)	C1776	CPT				Outpatient	Facility			18450	18450	27			Percent of total billed charges		5166	90			Percent of total billed charges		16605	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	68			Percent of total billed charges		12546	90			Percent of total billed charges		16605		6337.13		Case rate		6337.13	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	90			Percent of total billed charges		16605	80			Percent of total billed charges		14760	27			Percent of total billed charges		5166	85			Percent of total billed charges		15682.5	27			Percent of total billed charges		5166	27			Percent of total billed charges		5535	80			Percent of total billed charges		14760	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	90			Percent of total billed charges		16605	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	27			Percent of total billed charges		5166	5166	16605	one or more instances of the item or service in the 12 months prior to posting the file
laparoscopic cholecystectomy without c.d.e. without cc/mcc	419	MS-DRG				Inpatient	Facility			35355.61	35355.61		4475		Per Diem		8950	90			Percent of total billed charges		31820.05		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		24041.81	90			Percent of total billed charges		31820.05		19574.58		Case rate		19574.58		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		31820.05	80			Percent of total billed charges		27274.49		4475		Per Diem		8950	85			Percent of total billed charges		27052.27		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		27274.49		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		31820.05		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	31820.05	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, left ventricular coronary venous system"	C1900	CPT				Outpatient	Facility			1995	1995	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	68			Percent of total billed charges		1356.6	90			Percent of total billed charges		1795.5		7426.17		Case rate		7426.17	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	85			Percent of total billed charges		1695.75	27			Percent of total billed charges		558.6	27			Percent of total billed charges		598.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	558.6	7426.17	one or more instances of the item or service in the 12 months prior to posting the file
"Lead, neurostimulator test kit (implantable)"	C1897	CPT				Outpatient	Facility			2379	2379	27			Percent of total billed charges		666.12	90			Percent of total billed charges		2141.1	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	68			Percent of total billed charges		1617.72	90			Percent of total billed charges		2141.1		2227.46		Case rate		2227.46	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	90			Percent of total billed charges		2141.1	80			Percent of total billed charges		1903.2	27			Percent of total billed charges		666.12	85			Percent of total billed charges		2022.15	27			Percent of total billed charges		666.12	27			Percent of total billed charges		713.7	80			Percent of total billed charges		1903.2	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	90			Percent of total billed charges		2141.1	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	27			Percent of total billed charges		666.12	666.12	2227.46	zero instances of the item or service in the 12 months prior to posting the file
"Lead, pacemaker, other than transvenous vdd single pass"	C1898	CPT				Outpatient	Facility			1995	1995	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	68			Percent of total billed charges		1356.6	90			Percent of total billed charges		1795.5		1718.56		Case rate		1718.56	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	85			Percent of total billed charges		1695.75	27			Percent of total billed charges		558.6	27			Percent of total billed charges		598.5	80			Percent of total billed charges		1596	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	90			Percent of total billed charges		1795.5	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	27			Percent of total billed charges		558.6	558.6	1795.5	one or more instances of the item or service in the 12 months prior to posting the file
lens au00t0 23.0d	276	RC				Outpatient	Facility			375	375	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	27			Percent of total billed charges		105	27			Percent of total billed charges		105	68			Percent of total billed charges		255	90			Percent of total billed charges		337.5	100			Percent of total billed charges		375	27			Percent of total billed charges		105	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	80			Percent of total billed charges		270	27			Percent of total billed charges		105	85			Percent of total billed charges		318.75	27			Percent of total billed charges		105	27			Percent of total billed charges		112.5	80			Percent of total billed charges		270	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	90			Percent of total billed charges		337.5	27			Percent of total billed charges		105	27			Percent of total billed charges		105	27			Percent of total billed charges		105	105	375	zero instances of the item or service in the 12 months prior to posting the file
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg"	J7298	HCPCS				Outpatient	Facility	52	ME	722.5	722.5	27			Percent of total billed charges		202.3	90			Percent of total billed charges		650.25	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	68			Percent of total billed charges		491.3	90			Percent of total billed charges		650.25		6161.91		Case rate		6161.91	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	90			Percent of total billed charges		650.25	80			Percent of total billed charges		578	27			Percent of total billed charges		202.3	85			Percent of total billed charges		614.12	27			Percent of total billed charges		202.3	27			Percent of total billed charges		216.75	80			Percent of total billed charges		578	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	90			Percent of total billed charges		650.25	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	27			Percent of total billed charges		202.3	202.3	6161.91	one or more instances of the item or service in the 12 months prior to posting the file
lidocaine 5 %- 7.5% dextrose	260	RC				Outpatient	Facility			8.5	8.5	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	68			Percent of total billed charges		5.78	90			Percent of total billed charges		7.65	100			Percent of total billed charges		8.5	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	80			Percent of total billed charges		6.8	27			Percent of total billed charges		2.38	85			Percent of total billed charges		7.23	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.55	80			Percent of total billed charges		6.8	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	90			Percent of total billed charges		7.65	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	27			Percent of total billed charges		2.38	2.38	8.5	zero instances of the item or service in the 12 months prior to posting the file
Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)	58611	CPT				Outpatient	Facility			3739.75	3739.75	27			Percent of total billed charges		1047.13	90			Percent of total billed charges		3365.78	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	68			Percent of total billed charges		2543.03	90			Percent of total billed charges		3365.78		5859.51		Case rate		5859.51	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	90			Percent of total billed charges		3365.78	80			Percent of total billed charges		2991.8	27			Percent of total billed charges		1047.13	85			Percent of total billed charges		3178.79	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1121.92	80			Percent of total billed charges		2991.8	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	90			Percent of total billed charges		3365.78	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	27			Percent of total billed charges		1047.13	1047.13	5859.51	one or more instances of the item or service in the 12 months prior to posting the file
"limb reattachment, hip and femur procedures for multiple significant trauma"	956	MS-DRG				Inpatient	Facility			36862.76	36862.76		4475		Per Diem		17900	90			Percent of total billed charges		33176.48		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		25066.68	90			Percent of total billed charges		33176.48		87215.18		Case rate		87215.18		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33176.48	80			Percent of total billed charges		29490.21		4475		Per Diem		17900	85			Percent of total billed charges		31333.35		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		29490.21		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		33176.48		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	87215.18	one or more instances of the item or service in the 12 months prior to posting the file
Lipase	83690	CPT				Outpatient	Facility			85	85	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	68			Percent of total billed charges		57.8	90			Percent of total billed charges		76.5		27.68		Case rate		27.68	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	85			Percent of total billed charges		72.25	27			Percent of total billed charges		23.8	27			Percent of total billed charges		25.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	23.8	76.5	one or more instances of the item or service in the 12 months prior to posting the file
Lipoprotein (a)	83695	CPT				Outpatient	Facility			27.6	27.6	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	68			Percent of total billed charges		19.45	90			Percent of total billed charges		25.74		59.61		Case rate		59.61	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	85			Percent of total billed charges		24.31	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.58	80			Percent of total billed charges		22.88	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	90			Percent of total billed charges		25.74	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	27			Percent of total billed charges		8.008	8.008	59.61	one or more instances of the item or service in the 12 months prior to posting the file
Lipoprotein-associated phospholipase A2 (Lp-PLA2)	83698	CPT				Outpatient	Facility			106.8	106.8	27			Percent of total billed charges		29.904	90			Percent of total billed charges		96.12	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	68			Percent of total billed charges		72.62	90			Percent of total billed charges		96.12		192.72		Case rate		192.72	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	90			Percent of total billed charges		96.12	80			Percent of total billed charges		85.44	27			Percent of total billed charges		29.904	85			Percent of total billed charges		90.78	27			Percent of total billed charges		29.904	27			Percent of total billed charges		32.04	80			Percent of total billed charges		85.44	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	90			Percent of total billed charges		96.12	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	27			Percent of total billed charges		29.904	29.904	192.72	one or more instances of the item or service in the 12 months prior to posting the file
loop wire	270	RC				Outpatient	Facility			50.2	50.2	27			Percent of total billed charges		14.056	90			Percent of total billed charges		45.18	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	68			Percent of total billed charges		34.14	90			Percent of total billed charges		45.18	100			Percent of total billed charges		50.2	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	90			Percent of total billed charges		45.18	80			Percent of total billed charges		40.16	27			Percent of total billed charges		14.056	85			Percent of total billed charges		42.67	27			Percent of total billed charges		14.056	27			Percent of total billed charges		15.06	80			Percent of total billed charges		40.16	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	90			Percent of total billed charges		45.18	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	27			Percent of total billed charges		14.056	14.056	50.2	zero instances of the item or service in the 12 months prior to posting the file
loratadine/pseudoephedrine	250	RC				Outpatient	Facility			51	51	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	68			Percent of total billed charges		34.68	90			Percent of total billed charges		45.9	100			Percent of total billed charges		51	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	85			Percent of total billed charges		43.35	27			Percent of total billed charges		14.27	27			Percent of total billed charges		15.3	80			Percent of total billed charges		40.8	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	90			Percent of total billed charges		45.9	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	27			Percent of total billed charges		14.27	14.27	51	zero instances of the item or service in the 12 months prior to posting the file
lorazepam	250	RC				Outpatient	Facility			9.6	9.6	27			Percent of total billed charges		2.688	90			Percent of total billed charges		8.64	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	68			Percent of total billed charges		6.53	90			Percent of total billed charges		8.64	100			Percent of total billed charges		9.6	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	90			Percent of total billed charges		8.64	80			Percent of total billed charges		7.68	27			Percent of total billed charges		2.688	85			Percent of total billed charges		8.16	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.88	80			Percent of total billed charges		7.68	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	90			Percent of total billed charges		8.64	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	27			Percent of total billed charges		2.688	2.688	9.6	zero instances of the item or service in the 12 months prior to posting the file
"lower extremity and humerus procedures except hip, foot and femur with mcc"	492	MS-DRG				Inpatient	Facility			59075.38	59075.38		4475		Per Diem		13425	90			Percent of total billed charges		53167.84		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		40171.26	90			Percent of total billed charges		53167.84		49768.85		Case rate		49768.85		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		53167.84	80			Percent of total billed charges		47260.3		4475		Per Diem		13425	85			Percent of total billed charges		50214.07		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		47260.3		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		53167.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	53167.84	one or more instances of the item or service in the 12 months prior to posting the file
"Lutetium lu 177, dotatate, therapeutic, 1 millicurie"	A9513	CPT				Outpatient	Facility			129.78	129.78	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	68			Percent of total billed charges		88.25	90			Percent of total billed charges		116.8		1820.85		Case rate		1820.85	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	80			Percent of total billed charges		103.82	27			Percent of total billed charges		36.3384	85			Percent of total billed charges		110.31	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		38.93	80			Percent of total billed charges		103.82	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	36.3384	1820.85	one or more instances of the item or service in the 12 months prior to posting the file
lutonix balloon 6x120mm	278	RC				Outpatient	Facility			4763	4763	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	68			Percent of total billed charges		3238.84	90			Percent of total billed charges		4276.7	100			Percent of total billed charges		4763	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	80			Percent of total billed charges		3810.4	27			Percent of total billed charges		1333.64	85			Percent of total billed charges		4048.55	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1427.9	80			Percent of total billed charges		3810.4	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	90			Percent of total billed charges		4276.7	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	27			Percent of total billed charges		1333.64	1333.64	4763	zero instances of the item or service in the 12 months prior to posting the file
Lymphatics and lymph nodes imaging	78195	CPT				Outpatient	Facility			2097.08	2097.08	27			Percent of total billed charges		587.1824	90			Percent of total billed charges		1887.37	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	68			Percent of total billed charges		1426.01	90			Percent of total billed charges		1887.37		1843.15		Case rate		1843.15	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	90			Percent of total billed charges		1887.37	80			Percent of total billed charges		1677.66	27			Percent of total billed charges		587.1824	85			Percent of total billed charges		1782.52	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		629.12	80			Percent of total billed charges		1677.66	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	90			Percent of total billed charges		1887.37	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	27			Percent of total billed charges		587.1824	587.1824	1887.37	one or more instances of the item or service in the 12 months prior to posting the file
lymphoma and non-acute leukemia with cc	841	MS-DRG				Inpatient	Facility			31273.81	31273.81		4475		Per Diem		13425	90			Percent of total billed charges		27146.43		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		21266.19	90			Percent of total billed charges		27146.43		36577.49		Case rate		36577.49		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27146.43	80			Percent of total billed charges		25019.05		4475		Per Diem		13425	85			Percent of total billed charges		26582.74		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		25019.05		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27146.43		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	36577.49	one or more instances of the item or service in the 12 months prior to posting the file
Macroscopic examination; parasite	87169	CPT				Outpatient	Facility			31	31	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	68			Percent of total billed charges		21.08	90			Percent of total billed charges		27.9		17.95		Case rate		17.95	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	85			Percent of total billed charges		26.35	27			Percent of total billed charges		8.68	27			Percent of total billed charges		9.3	80			Percent of total billed charges		24.8	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	90			Percent of total billed charges		27.9	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	27			Percent of total billed charges		8.68	8.68	27.9	zero instances of the item or service in the 12 months prior to posting the file
major chest procedures with cc	164	MS-DRG				Inpatient	Facility			92782.27	92782.27		4475		Per Diem		4475	90			Percent of total billed charges		83594.04		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		63159.94	90			Percent of total billed charges		83594.04		55914.24		Case rate		55914.24		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		83594.04	80			Percent of total billed charges		74275.82		4475		Per Diem		4475	85			Percent of total billed charges		78949.93		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		74275.82		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		83594.04		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	83594.04	one or more instances of the item or service in the 12 months prior to posting the file
major chest procedures with mcc	163	MS-DRG				Inpatient	Facility			131760.15	131760.15		4475		Per Diem		17900	90			Percent of total billed charges		118584.14		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		89596.9	90			Percent of total billed charges		118584.14		80549.74		Case rate		80549.74		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		118584.14	80			Percent of total billed charges		105408.12		4475		Per Diem		17900	85			Percent of total billed charges		111996.13		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		105408.12		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		118584.14		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	118584.14	one or more instances of the item or service in the 12 months prior to posting the file
major chest trauma with mcc	183	MS-DRG				Inpatient	Facility			29975.5	29975.5		4475		Per Diem		26850	90			Percent of total billed charges		26977.95		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		20383.34	90			Percent of total billed charges		26977.95		26279.79		Case rate		26279.79		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		26977.95	80			Percent of total billed charges		23980.4		4475		Per Diem		26850	85			Percent of total billed charges		25479.18		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		23980.4		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		26977.95		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	26977.95	one or more instances of the item or service in the 12 months prior to posting the file
major gastrointestinal disorders and peritoneal infections with cc	372	MS-DRG				Inpatient	Facility			14421.75	14421.75		4475		Per Diem		8950	90			Percent of total billed charges		12979.58		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9806.79	90			Percent of total billed charges		12979.58		24511.83		Case rate		24511.83		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12979.58	80			Percent of total billed charges		11537.4		4475		Per Diem		8950	85			Percent of total billed charges		12258.49		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		11537.4		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12979.58		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	24511.83	one or more instances of the item or service in the 12 months prior to posting the file
major gastrointestinal disorders and peritoneal infections with mcc	371	MS-DRG				Inpatient	Facility			38761.97	38761.96		4475		Per Diem		13425	90			Percent of total billed charges		34885.77		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		26358.14	90			Percent of total billed charges		34885.77		27527.22		Case rate		27527.22		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		34885.77	80			Percent of total billed charges		31009.57		4475		Per Diem		13425	85			Percent of total billed charges		32947.67		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		31009.57		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		34885.77		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	34885.77	one or more instances of the item or service in the 12 months prior to posting the file
major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc	810	MS-DRG				Inpatient	Facility			29338.62	29338.62		4475		Per Diem		8950	90			Percent of total billed charges		26404.76		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		19950.26	90			Percent of total billed charges		26404.76		23827.07		Case rate		23827.07		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		26404.76	80			Percent of total billed charges		23470.9		4475		Per Diem		8950	85			Percent of total billed charges		24937.83		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		23470.9		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		26404.76		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	26404.76	one or more instances of the item or service in the 12 months prior to posting the file
major hip and knee joint replacement or reattachment of lower extremity without mcc	470	MS-DRG				Inpatient	Facility			32778.14	32778.14		4475		Per Diem		13425	90			Percent of total billed charges		29590.33		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		22357.14	90			Percent of total billed charges		29590.33		46277.57		Case rate		46277.57		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		29590.33	80			Percent of total billed charges		26272.51		4475		Per Diem		13425	85			Percent of total billed charges		27946.42		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		26272.51		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		29590.33		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	46277.57	one or more instances of the item or service in the 12 months prior to posting the file
major small and large bowel procedures without cc/mcc	331	MS-DRG				Inpatient	Facility			34619.98	34619.98		4475		Per Diem		13425	90			Percent of total billed charges		31157.98		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		23541.58	90			Percent of total billed charges		31157.98		34465.6		Case rate		34465.6		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31157.98	80			Percent of total billed charges		27695.98		4475		Per Diem		13425	85			Percent of total billed charges		29426.98		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27695.98		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31157.98		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	34465.6	one or more instances of the item or service in the 12 months prior to posting the file
Manganese	83785	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		110.92		Case rate		110.92	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	110.92	zero instances of the item or service in the 12 months prior to posting the file
maryland bipolar forceps 8mm	272	RC				Outpatient	Facility			780	780	27			Percent of total billed charges		218.4	90			Percent of total billed charges		702	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	68			Percent of total billed charges		527.4	90			Percent of total billed charges		702	100			Percent of total billed charges		780	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	90			Percent of total billed charges		702	80			Percent of total billed charges		624	27			Percent of total billed charges		218.4	85			Percent of total billed charges		663	27			Percent of total billed charges		218.4	27			Percent of total billed charges		234	80			Percent of total billed charges		624	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	90			Percent of total billed charges		702	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	27			Percent of total billed charges		218.4	218.4	780	zero instances of the item or service in the 12 months prior to posting the file
medical back problems with mcc	551	MS-DRG				Inpatient	Facility			27045.04	27045.04		4475		Per Diem		17900	90			Percent of total billed charges		24340.54		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		18390.63	90			Percent of total billed charges		24340.54		26741.04		Case rate		26741.04		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		24340.54	80			Percent of total billed charges		21636.03		4475		Per Diem		17900	85			Percent of total billed charges		22988.27		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		21636.03		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		24340.54		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	26741.04	one or more instances of the item or service in the 12 months prior to posting the file
medical back problems without mcc	552	MS-DRG				Inpatient	Facility			17665.81	17665.8		4475		Per Diem		13425	90			Percent of total billed charges		15899.22		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		12012.75	90			Percent of total billed charges		15899.22		16872.89		Case rate		16872.89		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15899.22	80			Percent of total billed charges		14132.64		4475		Per Diem		13425	85			Percent of total billed charges		15015.93		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		14132.64		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15899.22		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	16872.89	one or more instances of the item or service in the 12 months prior to posting the file
"Methotrexate; oral, 2.5 mg"	J8610	HCPCS				Outpatient	Facility	2.5	ME	5.5	5.5	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	68			Percent of total billed charges		3.74	90			Percent of total billed charges		4.95		1.52		Case rate		1.52	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	85			Percent of total billed charges		4.68	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.65	80			Percent of total billed charges		4.4	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	90			Percent of total billed charges		4.95	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	27			Percent of total billed charges		1.54	1.54	4.95	one or more instances of the item or service in the 12 months prior to posting the file
metoprolol	250	RC				Outpatient	Facility			35.1	35.1	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	68			Percent of total billed charges		23.87	90			Percent of total billed charges		31.59	100			Percent of total billed charges		35.1	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	80			Percent of total billed charges		27.08	27			Percent of total billed charges		9.827	85			Percent of total billed charges		29.84	27			Percent of total billed charges		9.827	27			Percent of total billed charges		10.53	80			Percent of total billed charges		27.08	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	90			Percent of total billed charges		31.59	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	27			Percent of total billed charges		9.827	9.827	35.1	zero instances of the item or service in the 12 months prior to posting the file
minor small and large bowel procedures with mcc	344	MS-DRG				Inpatient	Facility			17627.4	17627.4		4475		Per Diem		13425	90			Percent of total billed charges		15864.66		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		11986.63	90			Percent of total billed charges		15864.66		53149.13		Case rate		53149.13		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15864.66	80			Percent of total billed charges		14101.92		4475		Per Diem		13425	85			Percent of total billed charges		14983.29		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		14101.92		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		15864.66		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	53149.13	one or more instances of the item or service in the 12 months prior to posting the file
"miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc"	641	MS-DRG				Inpatient	Facility			13457.41	13457.41		4475		Per Diem		8950	90			Percent of total billed charges		12111.67		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		9151.04	90			Percent of total billed charges		12111.67		12731.57		Case rate		12731.57		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12111.67	80			Percent of total billed charges		10765.93		4475		Per Diem		8950	85			Percent of total billed charges		11438.8		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		10765.93		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		12111.67		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	12731.57	one or more instances of the item or service in the 12 months prior to posting the file
monopolar energy cable	272	RC				Outpatient	Facility			899	899	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	68			Percent of total billed charges		611.32	90			Percent of total billed charges		809.1	100			Percent of total billed charges		899	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	80			Percent of total billed charges		719.2	27			Percent of total billed charges		251.72	85			Percent of total billed charges		764.15	27			Percent of total billed charges		251.72	27			Percent of total billed charges		269.7	80			Percent of total billed charges		719.2	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	90			Percent of total billed charges		809.1	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	27			Percent of total billed charges		251.72	251.72	899	zero instances of the item or service in the 12 months prior to posting the file
monopolar scissors cvd	272	RC				Outpatient	Facility			1063	1063	27			Percent of total billed charges		297.64	90			Percent of total billed charges		956.7	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	68			Percent of total billed charges		722.84	90			Percent of total billed charges		956.7	100			Percent of total billed charges		1063	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	90			Percent of total billed charges		956.7	80			Percent of total billed charges		850.4	27			Percent of total billed charges		297.64	85			Percent of total billed charges		903.55	27			Percent of total billed charges		297.64	27			Percent of total billed charges		318.9	80			Percent of total billed charges		850.4	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	90			Percent of total billed charges		956.7	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	27			Percent of total billed charges		297.64	297.64	1063	zero instances of the item or service in the 12 months prior to posting the file
Muscle-specific kinase (MuSK) antibody	86366	CPT				Outpatient	Facility			378	378	27			Percent of total billed charges		105.84	90			Percent of total billed charges		340.2	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	68			Percent of total billed charges		257.04	90			Percent of total billed charges		340.2	100			Percent of total billed charges		378	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	90			Percent of total billed charges		340.2	80			Percent of total billed charges		272.4	27			Percent of total billed charges		105.84	85			Percent of total billed charges		321.3	27			Percent of total billed charges		105.84	27			Percent of total billed charges		113.4	80			Percent of total billed charges		272.4	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	90			Percent of total billed charges		340.2	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	27			Percent of total billed charges		105.84	105.84	378	one or more instances of the item or service in the 12 months prior to posting the file
mustang balloon 6x100mm	272	RC				Outpatient	Facility			503	503	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	68			Percent of total billed charges		342.04	90			Percent of total billed charges		452.7	100			Percent of total billed charges		503	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	85			Percent of total billed charges		427.55	27			Percent of total billed charges		140.84	27			Percent of total billed charges		150.9	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	140.84	503	zero instances of the item or service in the 12 months prior to posting the file
Natriuretic peptide	83880	CPT				Outpatient	Facility			327	327	27			Percent of total billed charges		91.56	90			Percent of total billed charges		294.3	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	68			Percent of total billed charges		222.36	90			Percent of total billed charges		294.3		163.37		Case rate		163.37	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	90			Percent of total billed charges		294.3	80			Percent of total billed charges		261.6	27			Percent of total billed charges		91.56	85			Percent of total billed charges		277.95	27			Percent of total billed charges		91.56	27			Percent of total billed charges		98.1	80			Percent of total billed charges		261.6	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	90			Percent of total billed charges		294.3	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	27			Percent of total billed charges		91.56	91.56	294.3	one or more instances of the item or service in the 12 months prior to posting the file
nc trek balloon 3.0mmx25mm	272	RC				Outpatient	Facility			503	503	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	68			Percent of total billed charges		342.04	90			Percent of total billed charges		452.7	100			Percent of total billed charges		503	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	85			Percent of total billed charges		427.55	27			Percent of total billed charges		140.84	27			Percent of total billed charges		150.9	80			Percent of total billed charges		402.4	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	90			Percent of total billed charges		452.7	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	27			Percent of total billed charges		140.84	140.84	503	zero instances of the item or service in the 12 months prior to posting the file
needle assembly driver 8mm	272	RC				Outpatient	Facility			731	731	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	68			Percent of total billed charges		497.08	90			Percent of total billed charges		657.9	100			Percent of total billed charges		731	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	80			Percent of total billed charges		584.8	27			Percent of total billed charges		204.68	85			Percent of total billed charges		621.35	27			Percent of total billed charges		204.68	27			Percent of total billed charges		219.3	80			Percent of total billed charges		584.8	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	204.68	731	zero instances of the item or service in the 12 months prior to posting the file
Needle insertion(s) without injection(s); 1 or 2 muscle(s)	20560	CPT				Outpatient	Facility			116	116	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	68			Percent of total billed charges		78.88	90			Percent of total billed charges		104.4		95.68		Case rate		95.68	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	80			Percent of total billed charges		92.8	27			Percent of total billed charges		32.48	85			Percent of total billed charges		98.6	27			Percent of total billed charges		32.48	27			Percent of total billed charges		34.8	80			Percent of total billed charges		92.8	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	90			Percent of total billed charges		104.4	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	27			Percent of total billed charges		32.48	32.48	104.4	one or more instances of the item or service in the 12 months prior to posting the file
Neuroplasty and/or transposition; median nerve at carpal tunnel	64721	CPT				Outpatient	Facility			4872.82	4872.82	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	68			Percent of total billed charges		3313.52	90			Percent of total billed charges		4385.54		3900.7		Case rate		3900.7	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	80			Percent of total billed charges		3898.26	27			Percent of total billed charges		1364.3896	85			Percent of total billed charges		4141.9	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1461.85	80			Percent of total billed charges		3898.26	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	1364.3896	4385.54	one or more instances of the item or service in the 12 months prior to posting the file
Neuroplasty and/or transposition; ulnar nerve at elbow	64718	CPT				Outpatient	Facility			4872.82	4872.82	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	68			Percent of total billed charges		3313.52	90			Percent of total billed charges		4385.54		3900.7		Case rate		3900.7	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	80			Percent of total billed charges		3898.26	27			Percent of total billed charges		1364.3896	85			Percent of total billed charges		4141.9	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1461.85	80			Percent of total billed charges		3898.26	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	90			Percent of total billed charges		4385.54	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	27			Percent of total billed charges		1364.3896	1364.3896	4385.54	one or more instances of the item or service in the 12 months prior to posting the file
Nickel	83885	CPT				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96		102.01		Case rate		102.01	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	102.01	zero instances of the item or service in the 12 months prior to posting the file
non-bacterial infection of nervous system except viral meningitis with mcc	97	MS-DRG				Inpatient	Facility			34973.86	34973.86		4475		Per Diem		22375	90			Percent of total billed charges		31476.47		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		23782.22	90			Percent of total billed charges		31476.47		42263.09		Case rate		42263.09		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		31476.47	80			Percent of total billed charges		27979.09		4475		Per Diem		22375	85			Percent of total billed charges		29727.78		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		27979.09		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		31476.47		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	42263.09	one or more instances of the item or service in the 12 months prior to posting the file
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)	94762	CPT				Outpatient	Facility			381	381	27			Percent of total billed charges		106.68	90			Percent of total billed charges		342.9	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	68			Percent of total billed charges		259.08	90			Percent of total billed charges		342.9		204.57		Case rate		204.57	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	90			Percent of total billed charges		342.9	80			Percent of total billed charges		274.8	27			Percent of total billed charges		106.68	85			Percent of total billed charges		323.85	27			Percent of total billed charges		106.68	27			Percent of total billed charges		114.3	80			Percent of total billed charges		274.8	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	90			Percent of total billed charges		342.9	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	27			Percent of total billed charges		106.68	106.68	342.9	one or more instances of the item or service in the 12 months prior to posting the file
nonspecific cerebrovascular disorders with cc	71	MS-DRG				Inpatient	Facility			15727.23	15727.23		4475		Per Diem		13425	90			Percent of total billed charges		14157.21		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		10696.56	90			Percent of total billed charges		14157.21		22542.64		Case rate		22542.64		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14157.21	80			Percent of total billed charges		12584.18		4475		Per Diem		13425	85			Percent of total billed charges		13370.7		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		12584.18		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14157.21		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	22542.64	one or more instances of the item or service in the 12 months prior to posting the file
nonspecific cerebrovascular disorders with mcc	70	MS-DRG				Inpatient	Facility			24293.69	24293.69		4475		Per Diem		13425	90			Percent of total billed charges		21864.32		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		16519.71	90			Percent of total billed charges		21864.32		29185.88		Case rate		29185.88		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21864.32	80			Percent of total billed charges		19434.95		4475		Per Diem		13425	85			Percent of total billed charges		20649.64		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		19434.95		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		21864.32		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	29185.88	one or more instances of the item or service in the 12 months prior to posting the file
"Oasis burn matrix, per square centimeter"	Q4103	CPT				Outpatient	Facility			38.66	38.66	27			Percent of total billed charges		10.8248	90			Percent of total billed charges		34.79	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	68			Percent of total billed charges		26.29	90			Percent of total billed charges		34.79		62.72		Case rate		62.72	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	90			Percent of total billed charges		34.79	80			Percent of total billed charges		27.93	27			Percent of total billed charges		10.8248	85			Percent of total billed charges		32.86	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		11.6	80			Percent of total billed charges		27.93	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	90			Percent of total billed charges		34.79	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	27			Percent of total billed charges		10.8248	10.8248	62.72	one or more instances of the item or service in the 12 months prior to posting the file
"Oasis ultra tri-layer wound matrix, per square centimeter"	Q4124	CPT				Outpatient	Facility			276.48	276.48	27			Percent of total billed charges		80.2144	90			Percent of total billed charges		257.83	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	68			Percent of total billed charges		194.81	90			Percent of total billed charges		257.83		81.68		Case rate		81.68	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	90			Percent of total billed charges		257.83	80			Percent of total billed charges		229.18	27			Percent of total billed charges		80.2144	85			Percent of total billed charges		243.51	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		85.94	80			Percent of total billed charges		229.18	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	90			Percent of total billed charges		257.83	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	27			Percent of total billed charges		80.2144	80.2144	257.83	one or more instances of the item or service in the 12 months prior to posting the file
obturator blunt long 8mm	272	RC				Outpatient	Facility			1960	1960	27			Percent of total billed charges		548.8	90			Percent of total billed charges		1764	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	68			Percent of total billed charges		1332.8	90			Percent of total billed charges		1764	100			Percent of total billed charges		1960	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	90			Percent of total billed charges		1764	80			Percent of total billed charges		1568	27			Percent of total billed charges		548.8	85			Percent of total billed charges		1666	27			Percent of total billed charges		548.8	27			Percent of total billed charges		588	80			Percent of total billed charges		1568	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	90			Percent of total billed charges		1764	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	27			Percent of total billed charges		548.8	548.8	1960	zero instances of the item or service in the 12 months prior to posting the file
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional	99211	CPT				Outpatient	Facility			296.8	296.8	27			Percent of total billed charges		83.104	90			Percent of total billed charges		267.12	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	68			Percent of total billed charges		201.82	90			Percent of total billed charges		267.12	100			Percent of total billed charges		296.8	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	90			Percent of total billed charges		267.12	80			Percent of total billed charges		237.44	27			Percent of total billed charges		83.104	85			Percent of total billed charges		252.27	27			Percent of total billed charges		83.104	27			Percent of total billed charges		89.04	80			Percent of total billed charges		237.44	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	90			Percent of total billed charges		267.12	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	27			Percent of total billed charges		83.104	83.104	296.8	zero instances of the item or service in the 12 months prior to posting the file
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments	25609	CPT				Outpatient	Facility			18912.79	18912.79	27			Percent of total billed charges		5295.5812	90			Percent of total billed charges		17021.51	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	68			Percent of total billed charges		12760.7	90			Percent of total billed charges		17021.51		6271.6		Case rate		6271.6	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	90			Percent of total billed charges		17021.51	80			Percent of total billed charges		15127.23	27			Percent of total billed charges		5295.5812	85			Percent of total billed charges		16075.87	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5673.84	80			Percent of total billed charges		15127.23	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	90			Percent of total billed charges		17021.51	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	27			Percent of total billed charges		5295.5812	5295.5812	17021.51	one or more instances of the item or service in the 12 months prior to posting the file
Opioids and Opiate analogs; 5 or more	80364	CPT				Outpatient	Facility			58	58	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	68			Percent of total billed charges		39.44	90			Percent of total billed charges		52.2		65.93		Case rate		65.93	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	85			Percent of total billed charges		49.3	27			Percent of total billed charges		16.24	27			Percent of total billed charges		17.4	80			Percent of total billed charges		46.4	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	90			Percent of total billed charges		52.2	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	27			Percent of total billed charges		16.24	16.24	65.93	one or more instances of the item or service in the 12 months prior to posting the file
organic disturbances and intellectual disability	884	MS-DRG				Inpatient	Facility			16356.17	16356.17		4475		Per Diem		13425	90			Percent of total billed charges		14720.55		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		11122.2	90			Percent of total billed charges		14720.55		21645.25		Case rate		21645.25		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14720.55	80			Percent of total billed charges		12784.94		4475		Per Diem		13425	85			Percent of total billed charges		13902.74		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		12784.94		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		14720.55		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	21645.25	one or more instances of the item or service in the 12 months prior to posting the file
other circulatory system diagnoses with mcc	314	MS-DRG				Inpatient	Facility			35347.49	35347.49		4475		Per Diem		13425	90			Percent of total billed charges		31812.74		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		24036.29	90			Percent of total billed charges		31812.74		27613.07		Case rate		27613.07		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31812.74	80			Percent of total billed charges		27277.99		4475		Per Diem		13425	85			Percent of total billed charges		27045.37		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27277.99		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31812.74		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	31812.74	one or more instances of the item or service in the 12 months prior to posting the file
other circulatory system diagnoses without cc/mcc	316	MS-DRG				Inpatient	Facility			6703	6703		4475		Per Diem		4475	90			Percent of total billed charges		6032.7		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		4558.04	90			Percent of total billed charges		6032.7		16057.94		Case rate		16057.94		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		6032.7	80			Percent of total billed charges		5362.4		4475		Per Diem		4475	85			Percent of total billed charges		5697.55		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		5362.4		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		6032.7		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	16057.94	one or more instances of the item or service in the 12 months prior to posting the file
other digestive system diagnoses with cc	394	MS-DRG				Inpatient	Facility			19863.74	19863.74		4475		Per Diem		13425	90			Percent of total billed charges		17877.37		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		13507.34	90			Percent of total billed charges		17877.37		20211.95		Case rate		20211.95		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17877.37	80			Percent of total billed charges		15890.99		4475		Per Diem		13425	85			Percent of total billed charges		16884.18		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		15890.99		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17877.37		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	20211.95	one or more instances of the item or service in the 12 months prior to posting the file
other digestive system diagnoses with mcc	393	MS-DRG				Inpatient	Facility			27015.58	27015.58		4475		Per Diem		8950	90			Percent of total billed charges		27014.02		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		20410.59	90			Percent of total billed charges		27014.02		26081.48		Case rate		26081.48		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27014.02	80			Percent of total billed charges		24012.46		4475		Per Diem		8950	85			Percent of total billed charges		25513.24		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		24012.46		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		27014.02		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	27014.02	one or more instances of the item or service in the 12 months prior to posting the file
other disorders of nervous system with mcc	91	MS-DRG				Inpatient	Facility			60298.29	60298.29		4475		Per Diem		8950	90			Percent of total billed charges		54268.46		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		41002.84	90			Percent of total billed charges		54268.46		24499.15		Case rate		24499.15		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		54268.46	80			Percent of total billed charges		48238.63		4475		Per Diem		8950	85			Percent of total billed charges		51253.55		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		48238.63		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		54268.46		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	54268.46	one or more instances of the item or service in the 12 months prior to posting the file
other heart assist system implant	215	MS-DRG				Inpatient	Facility			345492.59	345492.59		4475		Per Diem		4475	90			Percent of total billed charges		310943.33		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		234934.96	90			Percent of total billed charges		310943.33		272786.75		Case rate		272786.75		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		310943.33	80			Percent of total billed charges		276394.07		4475		Per Diem		4475	85			Percent of total billed charges		293668.7		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		276394.07		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		310943.33		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	310943.33	one or more instances of the item or service in the 12 months prior to posting the file
other infectious and parasitic diseases diagnoses with mcc	867	MS-DRG				Inpatient	Facility			45975.27	45975.27		4475		Per Diem		27952	90			Percent of total billed charges		41377.74		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		31263.18	90			Percent of total billed charges		41377.74		32160.27		Case rate		32160.27		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		41377.74	80			Percent of total billed charges		36780.22		4475		Per Diem		27952	85			Percent of total billed charges		39078.98		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		36780.22		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		41377.74		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	41377.74	one or more instances of the item or service in the 12 months prior to posting the file
other kidney and urinary tract diagnoses with mcc	698	MS-DRG				Inpatient	Facility			12084.99	12084.99		4475		Per Diem		13425	90			Percent of total billed charges		10876.49		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		8217.79	90			Percent of total billed charges		10876.49		25383.86		Case rate		25383.86		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		10876.49	80			Percent of total billed charges		9667.99		4475		Per Diem		13425	85			Percent of total billed charges		10272.24		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		9667.99		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		10876.49		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	25383.86	one or more instances of the item or service in the 12 months prior to posting the file
other kidney and urinary tract procedures with cc	674	MS-DRG				Inpatient	Facility			46234.74	46234.74		4475		Per Diem		27216	90			Percent of total billed charges		41611.27		4475		Per Diem		27216		4475		Per Diem		27216	68			Percent of total billed charges		31439.62	90			Percent of total billed charges		41611.27		29093.93		Case rate		29093.93		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		41611.27	80			Percent of total billed charges		36987.79		4475		Per Diem		27216	85			Percent of total billed charges		39299.53		4475		Per Diem		27216		4475		Per Diem		27216	80			Percent of total billed charges		36987.79		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	90			Percent of total billed charges		41611.27		4475		Per Diem		27216		4475		Per Diem		27216		4475		Per Diem		27216	27216	41611.27	one or more instances of the item or service in the 12 months prior to posting the file
other kidney and urinary tract procedures with mcc	673	MS-DRG				Inpatient	Facility			79386.84	79386.84		4475		Per Diem		26850	90			Percent of total billed charges		71448.15		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		53983.05	90			Percent of total billed charges		71448.15		37414.63		Case rate		37414.63		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		71448.15	80			Percent of total billed charges		63509.47		4475		Per Diem		26850	85			Percent of total billed charges		67478.81		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		63509.47		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		71448.15		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	71448.15	one or more instances of the item or service in the 12 months prior to posting the file
other multiple significant trauma with mcc	963	MS-DRG				Inpatient	Facility			27556.78	27556.78		4475		Per Diem		13425	90			Percent of total billed charges		25701.1		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		19418.61	90			Percent of total billed charges		25701.1		48177		Case rate		48177		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25701.1	80			Percent of total billed charges		22745.42		4475		Per Diem		13425	85			Percent of total billed charges		24273.26		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		22745.42		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25701.1		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	48177	one or more instances of the item or service in the 12 months prior to posting the file
other o.r. procedures for injuries with mcc	907	MS-DRG				Inpatient	Facility			77204.81	77204.8		4475		Per Diem		13425	90			Percent of total billed charges		69484.32		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		52499.27	90			Percent of total billed charges		69484.32		56212.32		Case rate		56212.32		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		69484.32	80			Percent of total billed charges		61763.84		4475		Per Diem		13425	85			Percent of total billed charges		65624.08		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		61763.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		69484.32		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	69484.32	one or more instances of the item or service in the 12 months prior to posting the file
other respiratory system diagnoses without mcc	206	MS-DRG				Inpatient	Facility			20762.82	20762.82		4475		Per Diem		4475	90			Percent of total billed charges		18686.54		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		14118.72	90			Percent of total billed charges		18686.54		15702.79		Case rate		15702.79		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		18686.54	80			Percent of total billed charges		16610.26		4475		Per Diem		4475	85			Percent of total billed charges		17648.4		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		16610.26		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		18686.54		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	18686.54	one or more instances of the item or service in the 12 months prior to posting the file
"other skin, subcutaneous tissue and breast procedures with mcc"	579	MS-DRG				Inpatient	Facility			36544.27	36544.27		4475		Per Diem		13425	90			Percent of total billed charges		32789.85		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		24850.11	90			Percent of total billed charges		32789.85		45637.03		Case rate		45637.03		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32789.85	80			Percent of total billed charges		29235.42		4475		Per Diem		13425	85			Percent of total billed charges		31062.64		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		29235.42		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32789.85		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	45637.03	one or more instances of the item or service in the 12 months prior to posting the file
"other skin, subcutaneous tissue and breast procedures without cc/mcc"	581	MS-DRG				Inpatient	Facility			21423.98	21423.98		4475		Per Diem		13425	90			Percent of total billed charges		19271.58		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		14568.31	90			Percent of total billed charges		19271.58		18033.48		Case rate		18033.48		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19271.58	80			Percent of total billed charges		17139.18		4475		Per Diem		13425	85			Percent of total billed charges		18210.38		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		17139.18		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		19271.58		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	19271.58	one or more instances of the item or service in the 12 months prior to posting the file
other vascular procedures with cc	253	MS-DRG				Inpatient	Facility			154354.18	154354.18		4475		Per Diem		13425	90			Percent of total billed charges		138918.76		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		104960.84	90			Percent of total billed charges		138918.76		48313.36		Case rate		48313.36		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		138918.76	80			Percent of total billed charges		123483.34		4475		Per Diem		13425	85			Percent of total billed charges		131201.05		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		123483.34		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		138918.76		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	138918.76	one or more instances of the item or service in the 12 months prior to posting the file
"Pacemaker, dual chamber, non rate-responsive (implantable)"	C2619	CPT				Outpatient	Facility			16065	16065	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	68			Percent of total billed charges		10924.2	90			Percent of total billed charges		14458.5		22015.5		Case rate		22015.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	85			Percent of total billed charges		13655.25	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4819.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	4498.2	22015.5	one or more instances of the item or service in the 12 months prior to posting the file
"Pacemaker, dual chamber, rate-responsive (implantable)"	C1785	CPT				Outpatient	Facility			16065	16065	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	68			Percent of total billed charges		10924.2	90			Percent of total billed charges		14458.5		35450.6		Case rate		35450.6	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	85			Percent of total billed charges		13655.25	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4819.5	80			Percent of total billed charges		12752	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	90			Percent of total billed charges		14458.5	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	27			Percent of total billed charges		4498.2	4498.2	35450.6	one or more instances of the item or service in the 12 months prior to posting the file
pathological fractures and musculoskeletal and connective tissue malignancy with cc	543	MS-DRG				Inpatient	Facility			11021.86	11021.86		4475		Per Diem		8950	90			Percent of total billed charges		9919.67		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		7494.86	90			Percent of total billed charges		9919.67		21210.82		Case rate		21210.82		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9919.67	80			Percent of total billed charges		8817.49		4475		Per Diem		8950	85			Percent of total billed charges		9368.58		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		8817.49		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		9919.67		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	21210.82	one or more instances of the item or service in the 12 months prior to posting the file
"penicillin,phenoxymethtl 500mg"	250	RC				Outpatient	Facility			6.4	6.4	27			Percent of total billed charges		1.792	90			Percent of total billed charges		5.76	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	68			Percent of total billed charges		4.35	90			Percent of total billed charges		5.76	100			Percent of total billed charges		6.4	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	90			Percent of total billed charges		5.76	80			Percent of total billed charges		5.12	27			Percent of total billed charges		1.792	85			Percent of total billed charges		5.44	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.92	80			Percent of total billed charges		5.12	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	90			Percent of total billed charges		5.76	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	27			Percent of total billed charges		1.792	1.792	6.4	zero instances of the item or service in the 12 months prior to posting the file
"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 270 mg"	J2545	HCPCS				Outpatient	Facility	270	ME	460	460	27			Percent of total billed charges		127.8	90			Percent of total billed charges		414	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	68			Percent of total billed charges		312.8	90			Percent of total billed charges		414		651.49		Case rate		651.49	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	90			Percent of total billed charges		414	80			Percent of total billed charges		368	27			Percent of total billed charges		127.8	85			Percent of total billed charges		391	27			Percent of total billed charges		127.8	27			Percent of total billed charges		138	80			Percent of total billed charges		368	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	90			Percent of total billed charges		414	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	27			Percent of total billed charges		127.8	127.8	651.49	one or more instances of the item or service in the 12 months prior to posting the file
percutaneous and other intracardiac procedures without mcc	274	MS-DRG				Inpatient	Facility			84636.65	84636.65		4475		Per Diem		4475	90			Percent of total billed charges		76172.98		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		57552.92	90			Percent of total billed charges		76172.98		47806		Case rate		47806		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		76172.98	80			Percent of total billed charges		67709.32		4475		Per Diem		4475	85			Percent of total billed charges		71941.15		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		67709.32		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		76172.98		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	76172.98	one or more instances of the item or service in the 12 months prior to posting the file
percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices	321	MS-DRG				Inpatient	Facility			129634.33	129634.32		4475		Per Diem		8950	90			Percent of total billed charges		116670.89		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		88151.34	90			Percent of total billed charges		116670.89	100			Percent of total billed charges		129634.32		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		116670.89	80			Percent of total billed charges		103707.46		4475		Per Diem		8950	85			Percent of total billed charges		110189.18		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		103707.46		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		116670.89		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	129634.32	one or more instances of the item or service in the 12 months prior to posting the file
percutaneous cardiovascular procedures with intraluminal device without mcc	322	MS-DRG				Inpatient	Facility			84383.48	84383.48		4475		Per Diem		8950	90			Percent of total billed charges		75945.13		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		57380.77	90			Percent of total billed charges		75945.13	100			Percent of total billed charges		84383.48		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		75945.13	80			Percent of total billed charges		67506.78		4475		Per Diem		8950	85			Percent of total billed charges		71725.96		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		67506.78		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		75945.13		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	84383.48	one or more instances of the item or service in the 12 months prior to posting the file
percutaneous cardiovascular procedures without intraluminal device without mcc	251	MS-DRG				Inpatient	Facility			70056.84	70056.84		4475		Per Diem		13425	90			Percent of total billed charges		62751.16		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		47638.65	90			Percent of total billed charges		62751.16		33314.53		Case rate		33314.53		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		62751.16	80			Percent of total billed charges		56045.47		4475		Per Diem		13425	85			Percent of total billed charges		59548.31		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		56045.47		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		62751.16		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	62751.16	one or more instances of the item or service in the 12 months prior to posting the file
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)	92921	CPT				Outpatient	Facility			13259.54	13259.54	27			Percent of total billed charges		3712.6712	90			Percent of total billed charges		11933.59	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	68			Percent of total billed charges		9016.49	90			Percent of total billed charges		11933.59		2042.98		Case rate		2042.98	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	90			Percent of total billed charges		11933.59	80			Percent of total billed charges		10607.63	27			Percent of total billed charges		3712.6712	85			Percent of total billed charges		11270.61	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3977.86	80			Percent of total billed charges		10607.63	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	90			Percent of total billed charges		11933.59	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	27			Percent of total billed charges		3712.6712	3712.6712	11933.59	one or more instances of the item or service in the 12 months prior to posting the file
Percutaneous transluminal coronary angioplasty; single major coronary artery or branch	92920	CPT				Outpatient	Facility			10610.6	10610.6	27			Percent of total billed charges		2970.968	90			Percent of total billed charges		9549.54	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	68			Percent of total billed charges		7215.21	90			Percent of total billed charges		9549.54		9697.32		Case rate		9697.32	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	90			Percent of total billed charges		9549.54	80			Percent of total billed charges		8488.48	27			Percent of total billed charges		2970.968	85			Percent of total billed charges		9019.01	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		3183.18	80			Percent of total billed charges		8488.48	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	90			Percent of total billed charges		9549.54	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	27			Percent of total billed charges		2970.968	2970.968	9697.32	one or more instances of the item or service in the 12 months prior to posting the file
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)	92972	CPT				Outpatient	Facility			262.88	262.88	27			Percent of total billed charges		73.6064	90			Percent of total billed charges		236.59	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	68			Percent of total billed charges		178.76	90			Percent of total billed charges		236.59	100			Percent of total billed charges		262.88	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	90			Percent of total billed charges		236.59	80			Percent of total billed charges		210.3	27			Percent of total billed charges		73.6064	85			Percent of total billed charges		223.45	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		78.86	80			Percent of total billed charges		210.3	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	90			Percent of total billed charges		236.59	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	27			Percent of total billed charges		73.6064	73.6064	262.88	zero instances of the item or service in the 12 months prior to posting the file
Percutaneous transluminal coronary thrombectomy mechanical (List separately in addition to code for primary procedure)	92973	CPT				Outpatient	Facility			6115.53	6115.53	27			Percent of total billed charges		1712.3484	90			Percent of total billed charges		5503.98	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	68			Percent of total billed charges		4158.56	90			Percent of total billed charges		5503.98		4848.66		Case rate		4848.66	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	90			Percent of total billed charges		5503.98	80			Percent of total billed charges		4892.42	27			Percent of total billed charges		1712.3484	85			Percent of total billed charges		5198.2	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1834.66	80			Percent of total billed charges		4892.42	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	90			Percent of total billed charges		5503.98	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	27			Percent of total billed charges		1712.3484	1712.3484	5503.98	one or more instances of the item or service in the 12 months prior to posting the file
peripheral vascular disorders without cc/mcc	271	MS-DRG				Inpatient	Facility			9435.36	9435.36		4475		Per Diem		8950	90			Percent of total billed charges		8491.82		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		6416.04	90			Percent of total billed charges		8491.82		12931.34		Case rate		12931.34		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		8491.82	80			Percent of total billed charges		7548.29		4475		Per Diem		8950	85			Percent of total billed charges		8020.06		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		7548.29		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		8491.82		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	12931.34	one or more instances of the item or service in the 12 months prior to posting the file
peritoneal adhesiolysis with mcc	335	MS-DRG				Inpatient	Facility			277049.98	277049.98		4475		Per Diem		49101	90			Percent of total billed charges		276344.98		4475		Per Diem		49101		4475		Per Diem		49101	68			Percent of total billed charges		208793.98	90			Percent of total billed charges		276344.98		61333.48		Case rate		61333.48		4475		Per Diem		49101		4475		Per Diem		49101	90			Percent of total billed charges		276344.98	80			Percent of total billed charges		245639.98		4475		Per Diem		49101	85			Percent of total billed charges		260992.48		4475		Per Diem		49101		4475		Per Diem		49101	80			Percent of total billed charges		245639.98		4475		Per Diem		49101		4475		Per Diem		49101		4475		Per Diem		49101		4475		Per Diem		49101	90			Percent of total billed charges		276344.98		4475		Per Diem		49101		4475		Per Diem		49101		4475		Per Diem		49101	49101	276344.98	one or more instances of the item or service in the 12 months prior to posting the file
permanent cardiac pacemaker implant without cc/mcc	244	MS-DRG				Inpatient	Facility			55026.77	55026.76		4475		Per Diem		17900	90			Percent of total billed charges		49524.09		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		37418.2	90			Percent of total billed charges		49524.09		46239.52		Case rate		46239.52		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		49524.09	80			Percent of total billed charges		44021.41		4475		Per Diem		17900	85			Percent of total billed charges		46772.75		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		44021.41		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		49524.09		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	49524.09	one or more instances of the item or service in the 12 months prior to posting the file
Phencyclidine (PCP)	83992	CPT				Outpatient	Facility			187	187	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	68			Percent of total billed charges		127.16	90			Percent of total billed charges		168.3		49.68		Case rate		49.68	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	80			Percent of total billed charges		149.6	27			Percent of total billed charges		52.36	85			Percent of total billed charges		158.95	27			Percent of total billed charges		52.36	27			Percent of total billed charges		56.1	80			Percent of total billed charges		149.6	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	90			Percent of total billed charges		168.3	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	27			Percent of total billed charges		52.36	52.36	168.3	zero instances of the item or service in the 12 months prior to posting the file
Phenobarbital	80184	CPT				Outpatient	Facility			19.1	19.1	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	68			Percent of total billed charges		12.99	90			Percent of total billed charges		17.19		63.68		Case rate		63.68	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	85			Percent of total billed charges		16.24	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.73	80			Percent of total billed charges		15.27	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	90			Percent of total billed charges		17.19	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	27			Percent of total billed charges		5.348	5.348	63.68	one or more instances of the item or service in the 12 months prior to posting the file
Phospholipid neutralization; hexagonal phospholipid	85598	CPT				Outpatient	Facility			92.2	92.2	27			Percent of total billed charges		25.816	90			Percent of total billed charges		82.98	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	68			Percent of total billed charges		62.7	90			Percent of total billed charges		82.98		74.8		Case rate		74.8	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	90			Percent of total billed charges		82.98	80			Percent of total billed charges		73.76	27			Percent of total billed charges		25.816	85			Percent of total billed charges		78.37	27			Percent of total billed charges		25.816	27			Percent of total billed charges		27.66	80			Percent of total billed charges		73.76	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	90			Percent of total billed charges		82.98	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	27			Percent of total billed charges		25.816	25.816	82.98	one or more instances of the item or service in the 12 months prior to posting the file
Phosphorus inorganic (phosphate)	84100	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		19.7		Case rate		19.7	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	54.9	one or more instances of the item or service in the 12 months prior to posting the file
"Piflufolastat f-18, diagnostic, 1 millicurie"	A9595	CPT				Outpatient	Facility			2492	2492	27			Percent of total billed charges		697.76	90			Percent of total billed charges		2242.8	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	68			Percent of total billed charges		1694.56	90			Percent of total billed charges		2242.8		3599.53		Case rate		3599.53	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	90			Percent of total billed charges		2242.8	80			Percent of total billed charges		1993.6	27			Percent of total billed charges		697.76	85			Percent of total billed charges		2118.2	27			Percent of total billed charges		697.76	27			Percent of total billed charges		747.6	80			Percent of total billed charges		1993.6	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	90			Percent of total billed charges		2242.8	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	27			Percent of total billed charges		697.76	697.76	3599.53	one or more instances of the item or service in the 12 months prior to posting the file
Placement of needle for intraosseous infusion	36680	CPT				Outpatient	Facility			997.92	997.92	27			Percent of total billed charges		279.4176	90			Percent of total billed charges		898.13	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	68			Percent of total billed charges		678.59	90			Percent of total billed charges		898.13		534.13		Case rate		534.13	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	90			Percent of total billed charges		898.13	80			Percent of total billed charges		798.34	27			Percent of total billed charges		279.4176	85			Percent of total billed charges		848.23	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		299.38	80			Percent of total billed charges		798.34	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	90			Percent of total billed charges		898.13	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	27			Percent of total billed charges		279.4176	279.4176	898.13	one or more instances of the item or service in the 12 months prior to posting the file
"Platelets, leukocytes reduced, each unit"	P9031	CPT				Outpatient	Facility			840	840	27			Percent of total billed charges		235.2	90			Percent of total billed charges		756	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	68			Percent of total billed charges		571.2	90			Percent of total billed charges		756		293.54		Case rate		293.54	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	90			Percent of total billed charges		756	80			Percent of total billed charges		672	27			Percent of total billed charges		235.2	85			Percent of total billed charges		714	27			Percent of total billed charges		235.2	27			Percent of total billed charges		252	80			Percent of total billed charges		672	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	90			Percent of total billed charges		756	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	27			Percent of total billed charges		235.2	235.2	756	one or more instances of the item or service in the 12 months prior to posting the file
pleural effusion with cc	187	MS-DRG				Inpatient	Facility			25454.13	25454.13		4475		Per Diem		13425	90			Percent of total billed charges		22908.72		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		17278.81	90			Percent of total billed charges		22908.72		22174.8		Case rate		22174.8		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22908.72	80			Percent of total billed charges		20363.3		4475		Per Diem		13425	85			Percent of total billed charges		21636.01		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		20363.3		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		22908.72		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	22908.72	one or more instances of the item or service in the 12 months prior to posting the file
poisoning and toxic effects of drugs with mcc	917	MS-DRG				Inpatient	Facility			186035.88	186035.88		4475		Per Diem		27952	90			Percent of total billed charges		167432.29		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		126504.4	90			Percent of total billed charges		167432.29		18683.53		Case rate		18683.53		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		167432.29	80			Percent of total billed charges		148827.7		4475		Per Diem		27952	85			Percent of total billed charges		158127.49		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		148827.7		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		167432.29		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	167432.29	one or more instances of the item or service in the 12 months prior to posting the file
Positron emission tomography (PET) imaging; skull base to mid-thigh	78812	CPT				Outpatient	Facility			9278.11	9278.11	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	68			Percent of total billed charges		6329.51	90			Percent of total billed charges		8377.3		9612.87		Case rate		9612.87	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	85			Percent of total billed charges		7911.89	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2792.43	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	2600.6708	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
Positron emission tomography (PET) imaging; whole body	78813	CPT				Outpatient	Facility			9278.11	9278.11	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	68			Percent of total billed charges		6329.51	90			Percent of total billed charges		8377.3		9612.87		Case rate		9612.87	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	85			Percent of total billed charges		7911.89	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2792.43	80			Percent of total billed charges		7446.49	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	90			Percent of total billed charges		8377.3	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	27			Percent of total billed charges		2600.6708	2600.6708	9612.87	one or more instances of the item or service in the 12 months prior to posting the file
Posterior chamber intraocular lens	V2632	CPT				Outpatient	Facility			465	465	27			Percent of total billed charges		130.2	90			Percent of total billed charges		418.5	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	68			Percent of total billed charges		316.2	90			Percent of total billed charges		418.5	100			Percent of total billed charges		465	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	90			Percent of total billed charges		418.5	80			Percent of total billed charges		372	27			Percent of total billed charges		130.2	85			Percent of total billed charges		395.25	27			Percent of total billed charges		130.2	27			Percent of total billed charges		139.5	80			Percent of total billed charges		372	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	90			Percent of total billed charges		418.5	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	27			Percent of total billed charges		130.2	130.2	465	one or more instances of the item or service in the 12 months prior to posting the file
postpartum and post abortion diagnoses without o.r. procedures	776	MS-DRG				Inpatient	Facility			13681.43	13681.43		4475		Per Diem		4475	90			Percent of total billed charges		12313.29		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		9273.37	90			Percent of total billed charges		12313.29		10997.03		Case rate		10997.03		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12313.29	80			Percent of total billed charges		10945.14		4475		Per Diem		4475	85			Percent of total billed charges		11629.22		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		10945.14		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		12313.29		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	12313.29	one or more instances of the item or service in the 12 months prior to posting the file
Potassium; urine	84133	CPT				Outpatient	Facility			14.9	14.9	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	68			Percent of total billed charges		10.13	90			Percent of total billed charges		13.41		19.7		Case rate		19.7	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	85			Percent of total billed charges		12.66	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.47	80			Percent of total billed charges		11.92	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	90			Percent of total billed charges		13.41	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	27			Percent of total billed charges		4.172	4.172	19.7	one or more instances of the item or service in the 12 months prior to posting the file
prograsp forceps 8mm	272	RC				Outpatient	Facility			498	498	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	68			Percent of total billed charges		338.64	90			Percent of total billed charges		448.2	100			Percent of total billed charges		498	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	80			Percent of total billed charges		398.4	27			Percent of total billed charges		139.44	85			Percent of total billed charges		423.3	27			Percent of total billed charges		139.44	27			Percent of total billed charges		149.4	80			Percent of total billed charges		398.4	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	90			Percent of total billed charges		448.2	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	27			Percent of total billed charges		139.44	139.44	498	zero instances of the item or service in the 12 months prior to posting the file
Prolactin	84146	CPT				Outpatient	Facility			70	70	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	68			Percent of total billed charges		47.6	90			Percent of total billed charges		63		80.67		Case rate		80.67	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	85			Percent of total billed charges		59.5	27			Percent of total billed charges		19.6	27			Percent of total billed charges		21	80			Percent of total billed charges		56	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	90			Percent of total billed charges		63	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	27			Percent of total billed charges		19.6	19.6	80.67	one or more instances of the item or service in the 12 months prior to posting the file
Prostate specific antigen (PSA); complexed (direct measurement)	84152	CPT				Outpatient	Facility			213	213	27			Percent of total billed charges		59.64	90			Percent of total billed charges		191.7	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	68			Percent of total billed charges		144.84	90			Percent of total billed charges		191.7		76.55		Case rate		76.55	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	90			Percent of total billed charges		191.7	80			Percent of total billed charges		170.4	27			Percent of total billed charges		59.64	85			Percent of total billed charges		181.05	27			Percent of total billed charges		59.64	27			Percent of total billed charges		63.9	80			Percent of total billed charges		170.4	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	90			Percent of total billed charges		191.7	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	27			Percent of total billed charges		59.64	59.64	191.7	one or more instances of the item or service in the 12 months prior to posting the file
Prostate specific antigen (PSA); free	84154	CPT				Outpatient	Facility			67	67	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	68			Percent of total billed charges		45.56	90			Percent of total billed charges		60.3		76.55		Case rate		76.55	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	85			Percent of total billed charges		56.95	27			Percent of total billed charges		18.76	27			Percent of total billed charges		20.1	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	18.76	76.55	one or more instances of the item or service in the 12 months prior to posting the file
"Prosthetic implant, not otherwise specified"	L8699	CPT				Outpatient	Facility			1364	1364	27			Percent of total billed charges		381.92	90			Percent of total billed charges		1227.6	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	68			Percent of total billed charges		927.52	90			Percent of total billed charges		1227.6		1512.86		Case rate		1512.86	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	90			Percent of total billed charges		1227.6	80			Percent of total billed charges		1091.2	27			Percent of total billed charges		381.92	85			Percent of total billed charges		1159.4	27			Percent of total billed charges		381.92	27			Percent of total billed charges		409.2	80			Percent of total billed charges		1091.2	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	90			Percent of total billed charges		1227.6	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	27			Percent of total billed charges		381.92	381.92	1512.86	one or more instances of the item or service in the 12 months prior to posting the file
pulmonary embolism with mcc or acute cor pulmonale	175	MS-DRG				Inpatient	Facility			27408.38	27408.38		4475		Per Diem		13425	90			Percent of total billed charges		25567.54		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		19317.7	90			Percent of total billed charges		25567.54		26902.76		Case rate		26902.76		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25567.54	80			Percent of total billed charges		22726.7		4475		Per Diem		13425	85			Percent of total billed charges		24147.12		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		22726.7		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25567.54		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	26902.76	one or more instances of the item or service in the 12 months prior to posting the file
Quinidine	80194	CPT				Outpatient	Facility			25.5	25.5	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	68			Percent of total billed charges		17.34	90			Percent of total billed charges		22.95		60.8		Case rate		60.8	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	85			Percent of total billed charges		21.68	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.65	80			Percent of total billed charges		20.4	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	90			Percent of total billed charges		22.95	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	27			Percent of total billed charges		7.14	7.14	60.8	zero instances of the item or service in the 12 months prior to posting the file
red blood cell disorders with mcc	811	MS-DRG				Inpatient	Facility			35862.74	35862.74		4475		Per Diem		13425	90			Percent of total billed charges		32276.47		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		24386.66	90			Percent of total billed charges		32276.47		20319.77		Case rate		20319.77		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32276.47	80			Percent of total billed charges		27690.19		4475		Per Diem		13425	85			Percent of total billed charges		27483.33		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27690.19		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		32276.47		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	32276.47	one or more instances of the item or service in the 12 months prior to posting the file
"Red blood cells, leukocytes reduced, each unit"	P9016	CPT				Outpatient	Facility			314	314	27			Percent of total billed charges		87.92	90			Percent of total billed charges		272.6	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	68			Percent of total billed charges		213.52	90			Percent of total billed charges		272.6		762.08		Case rate		762.08	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	90			Percent of total billed charges		272.6	80			Percent of total billed charges		251.2	27			Percent of total billed charges		87.92	85			Percent of total billed charges		266.9	27			Percent of total billed charges		87.92	27			Percent of total billed charges		94.2	80			Percent of total billed charges		251.2	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	90			Percent of total billed charges		272.6	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	27			Percent of total billed charges		87.92	87.92	762.08	one or more instances of the item or service in the 12 months prior to posting the file
reload stapler 60 4.3 green	272	RC				Outpatient	Facility			765	765	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	68			Percent of total billed charges		520.2	90			Percent of total billed charges		688.5	100			Percent of total billed charges		765	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	85			Percent of total billed charges		650.25	27			Percent of total billed charges		214.2	27			Percent of total billed charges		229.5	80			Percent of total billed charges		612	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	90			Percent of total billed charges		688.5	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	27			Percent of total billed charges		214.2	214.2	765	zero instances of the item or service in the 12 months prior to posting the file
Removal foreign body from external auditory canal; without general anesthesia	69200	CPT				Outpatient	Facility			336.02	336.02	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	68			Percent of total billed charges		227.49	90			Percent of total billed charges		272.42		240.99		Case rate		240.99	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	80			Percent of total billed charges		268.82	27			Percent of total billed charges		94.0856	85			Percent of total billed charges		275.62	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		100.81	80			Percent of total billed charges		268.82	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	90			Percent of total billed charges		272.42	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	27			Percent of total billed charges		94.0856	94.0856	272.42	one or more instances of the item or service in the 12 months prior to posting the file
Removal of foreign body in muscle or tendon sheath; deep or complicated	20525	CPT				Outpatient	Facility			5853.33	5853.33	27			Percent of total billed charges		1638.9324	90			Percent of total billed charges		5268	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	68			Percent of total billed charges		3980.26	90			Percent of total billed charges		5268		4465.2		Case rate		4465.2	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	90			Percent of total billed charges		5268	80			Percent of total billed charges		4682.66	27			Percent of total billed charges		1638.9324	85			Percent of total billed charges		4975.33	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1756	80			Percent of total billed charges		4682.66	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	90			Percent of total billed charges		5268	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	27			Percent of total billed charges		1638.9324	1638.9324	5268	one or more instances of the item or service in the 12 months prior to posting the file
Removal of foreign body in muscle or tendon sheath; simple	20520	CPT				Outpatient	Facility			3403.66	3403.66	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	68			Percent of total billed charges		2314.49	90			Percent of total billed charges		2763.29		2912.82		Case rate		2912.82	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	85			Percent of total billed charges		2793.11	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		1021.1	80			Percent of total billed charges		2722.93	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	90			Percent of total billed charges		2763.29	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	27			Percent of total billed charges		953.0248	953.0248	2763.29	one or more instances of the item or service in the 12 months prior to posting the file
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system	33263	CPT				Outpatient	Facility			25506.78	25506.78	27			Percent of total billed charges		7141.8984	90			Percent of total billed charges		22956.1	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	68			Percent of total billed charges		17344.61	90			Percent of total billed charges		22956.1		8704.59		Case rate		8704.59	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	90			Percent of total billed charges		22956.1	80			Percent of total billed charges		20405.42	27			Percent of total billed charges		7141.8984	85			Percent of total billed charges		21680.76	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7652.03	80			Percent of total billed charges		20405.42	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	90			Percent of total billed charges		22956.1	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	27			Percent of total billed charges		7141.8984	7141.8984	22956.1	one or more instances of the item or service in the 12 months prior to posting the file
Removal of intrauterine device (IUD)	58271	CPT				Outpatient	Facility			964	964	27			Percent of total billed charges		269.92	90			Percent of total billed charges		867.6	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	68			Percent of total billed charges		655.52	90			Percent of total billed charges		867.6		4465.2		Case rate		4465.2	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	90			Percent of total billed charges		867.6	80			Percent of total billed charges		771.2	27			Percent of total billed charges		269.92	85			Percent of total billed charges		819.4	27			Percent of total billed charges		269.92	27			Percent of total billed charges		279.2	80			Percent of total billed charges		771.2	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	90			Percent of total billed charges		867.6	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	27			Percent of total billed charges		269.92	269.92	4465.2	one or more instances of the item or service in the 12 months prior to posting the file
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system	33227	CPT				Outpatient	Facility			32649.62	32649.62	27			Percent of total billed charges		9141.8936	90			Percent of total billed charges		29384.66	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	68			Percent of total billed charges		22201.74	90			Percent of total billed charges		29384.66		4465.2		Case rate		4465.2	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	90			Percent of total billed charges		29384.66	80			Percent of total billed charges		26119.7	27			Percent of total billed charges		9141.8936	85			Percent of total billed charges		27752.18	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9794.89	80			Percent of total billed charges		26119.7	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	90			Percent of total billed charges		29384.66	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	27			Percent of total billed charges		9141.8936	9141.8936	29384.66	one or more instances of the item or service in the 12 months prior to posting the file
renal failure with cc	683	MS-DRG				Inpatient	Facility			19293.76	19293.76		4475		Per Diem		13425	90			Percent of total billed charges		17364.38		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		13119.75	90			Percent of total billed charges		17364.38		23674.69		Case rate		23674.69		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17364.38	80			Percent of total billed charges		15435		4475		Per Diem		13425	85			Percent of total billed charges		16399.69		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		15435		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17364.38		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	23674.69	one or more instances of the item or service in the 12 months prior to posting the file
Repair of fibula nonunion and/or malunion with internal fixation	27726	CPT				Outpatient	Facility			21124	21124	27			Percent of total billed charges		5914.72	90			Percent of total billed charges		19011.6	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	68			Percent of total billed charges		14364.32	90			Percent of total billed charges		19011.6		11713.38		Case rate		11713.38	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	90			Percent of total billed charges		19011.6	80			Percent of total billed charges		16899.2	27			Percent of total billed charges		5914.72	85			Percent of total billed charges		17955.4	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		6337.2	80			Percent of total billed charges		16899.2	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	90			Percent of total billed charges		19011.6	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	27			Percent of total billed charges		5914.72	5914.72	19011.6	one or more instances of the item or service in the 12 months prior to posting the file
Repair of nail bed	11760	CPT				Outpatient	Facility			3154.56	3154.56	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	68			Percent of total billed charges		2145.1	90			Percent of total billed charges		2739.1		2912.82		Case rate		2912.82	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	85			Percent of total billed charges		2681.38	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		946.37	80			Percent of total billed charges		2523.65	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	90			Percent of total billed charges		2739.1	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	27			Percent of total billed charges		883.2768	883.2768	2912.82	zero instances of the item or service in the 12 months prior to posting the file
resolute onyx 3.0x15	272	RC				Outpatient	Facility			3246	3246	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	68			Percent of total billed charges		2207.27	90			Percent of total billed charges		2921.4	100			Percent of total billed charges		3246	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	80			Percent of total billed charges		2596.8	27			Percent of total billed charges		908.88	85			Percent of total billed charges		2759.1	27			Percent of total billed charges		908.88	27			Percent of total billed charges		973.8	80			Percent of total billed charges		2596.8	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	90			Percent of total billed charges		2921.4	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	27			Percent of total billed charges		908.88	908.88	3246	zero instances of the item or service in the 12 months prior to posting the file
respiratory infections and inflammations with cc	178	MS-DRG				Inpatient	Facility			27786.81	27786.81		4475		Per Diem		8950	90			Percent of total billed charges		25008.13		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		18895.03	90			Percent of total billed charges		25008.13		29220.77		Case rate		29220.77		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		25008.13	80			Percent of total billed charges		22229.45		4475		Per Diem		8950	85			Percent of total billed charges		23618.79		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		22229.45		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		25008.13		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	29220.77	one or more instances of the item or service in the 12 months prior to posting the file
respiratory infections and inflammations with mcc	177	MS-DRG				Inpatient	Facility			34800.91	34800.91		4475		Per Diem		13425	90			Percent of total billed charges		31320.82		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		23664.62	90			Percent of total billed charges		31320.82		36786.77		Case rate		36786.77		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31320.82	80			Percent of total billed charges		27840.73		4475		Per Diem		13425	85			Percent of total billed charges		29580.77		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		27840.73		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		31320.82		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	36786.77	one or more instances of the item or service in the 12 months prior to posting the file
respiratory system diagnosis with ventilator support >96 hours	207	MS-DRG				Inpatient	Facility			261945.35	261945.34		4475		Per Diem		33993	90			Percent of total billed charges		235750.81		4475		Per Diem		33993		4475		Per Diem		33993	68			Percent of total billed charges		178122.83	90			Percent of total billed charges		235750.81		122131.07		Case rate		122131.07		4475		Per Diem		33993		4475		Per Diem		33993	90			Percent of total billed charges		235750.81	80			Percent of total billed charges		209556.27		4475		Per Diem		33993	85			Percent of total billed charges		222653.54		4475		Per Diem		33993		4475		Per Diem		33993	80			Percent of total billed charges		209556.27		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993	90			Percent of total billed charges		235750.81		4475		Per Diem		33993		4475		Per Diem		33993		4475		Per Diem		33993	33993	235750.81	one or more instances of the item or service in the 12 months prior to posting the file
Rheumatoid factor; quantitative	86431	CPT				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08		23.6		Case rate		23.6	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	23.6	one or more instances of the item or service in the 12 months prior to posting the file
Riboflavin (Vitamin B-2)	84252	CPT				Outpatient	Facility			247	247	27			Percent of total billed charges		69.16	90			Percent of total billed charges		222.3	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	68			Percent of total billed charges		167.96	90			Percent of total billed charges		222.3		84.22		Case rate		84.22	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	90			Percent of total billed charges		222.3	80			Percent of total billed charges		197.6	27			Percent of total billed charges		69.16	85			Percent of total billed charges		209.95	27			Percent of total billed charges		69.16	27			Percent of total billed charges		74.1	80			Percent of total billed charges		197.6	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	90			Percent of total billed charges		222.3	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	27			Percent of total billed charges		69.16	69.16	222.3	one or more instances of the item or service in the 12 months prior to posting the file
"Ringers lactate infusion, up to 1000 cc"	J7120	HCPCS				Outpatient	Facility	1000	ML	120	120	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	68			Percent of total billed charges		81.6	90			Percent of total billed charges		108		15.13		Case rate		15.13	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	85			Percent of total billed charges		102	27			Percent of total billed charges		33.6	27			Percent of total billed charges		36	80			Percent of total billed charges		96	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	90			Percent of total billed charges		108	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	27			Percent of total billed charges		33.6	33.6	108	one or more instances of the item or service in the 12 months prior to posting the file
rubicon catheter 35x135xm	272	RC				Outpatient	Facility			1944	1944	27			Percent of total billed charges		544.32	90			Percent of total billed charges		1749.6	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	68			Percent of total billed charges		1321.92	90			Percent of total billed charges		1749.6	100			Percent of total billed charges		1944	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	90			Percent of total billed charges		1749.6	80			Percent of total billed charges		1555.2	27			Percent of total billed charges		544.32	85			Percent of total billed charges		1652.4	27			Percent of total billed charges		544.32	27			Percent of total billed charges		583.2	80			Percent of total billed charges		1555.2	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	90			Percent of total billed charges		1749.6	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	27			Percent of total billed charges		544.32	544.32	1944	zero instances of the item or service in the 12 months prior to posting the file
s core implant	278	RC				Outpatient	Facility			2777	2777	27			Percent of total billed charges		805.56	90			Percent of total billed charges		2589.3	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	68			Percent of total billed charges		1956.36	90			Percent of total billed charges		2589.3	100			Percent of total billed charges		2777	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	90			Percent of total billed charges		2589.3	80			Percent of total billed charges		2271.6	27			Percent of total billed charges		805.56	85			Percent of total billed charges		2445.45	27			Percent of total billed charges		805.56	27			Percent of total billed charges		863.1	80			Percent of total billed charges		2271.6	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	90			Percent of total billed charges		2589.3	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	27			Percent of total billed charges		805.56	805.56	2777	zero instances of the item or service in the 12 months prior to posting the file
seizures with mcc	100	MS-DRG				Inpatient	Facility			8418.03	8418.03		4475		Per Diem		4475	90			Percent of total billed charges		7576.23		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		5724.26	90			Percent of total billed charges		7576.23		22019.42		Case rate		22019.42		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		7576.23	80			Percent of total billed charges		6734.42		4475		Per Diem		4475	85			Percent of total billed charges		7155.33		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		6734.42		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		7576.23		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	22019.42	one or more instances of the item or service in the 12 months prior to posting the file
seizures without mcc	101	MS-DRG				Inpatient	Facility			11768.37	11768.36		4475		Per Diem		4475	90			Percent of total billed charges		10591.53		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		8002.49	90			Percent of total billed charges		10591.53		14545.38		Case rate		14545.38		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10591.53	80			Percent of total billed charges		9414.69		4475		Per Diem		4475	85			Percent of total billed charges		10003.11		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		9414.69		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10591.53		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	14545.38	one or more instances of the item or service in the 12 months prior to posting the file
septic arthritis with mcc	548	MS-DRG				Inpatient	Facility			51360.93	51360.93		4475		Per Diem		17900	90			Percent of total billed charges		46224.84		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		34925.44	90			Percent of total billed charges		46224.84		25903.9		Case rate		25903.9		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		46224.84	80			Percent of total billed charges		41088.75		4475		Per Diem		17900	85			Percent of total billed charges		43656.79		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		41088.75		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		46224.84		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	46224.84	one or more instances of the item or service in the 12 months prior to posting the file
septic arthritis without cc/mcc	550	MS-DRG				Inpatient	Facility			26151.31	26151.31		4475		Per Diem		13425	90			Percent of total billed charges		23536.18		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		17782.89	90			Percent of total billed charges		23536.18		16121.36		Case rate		16121.36		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23536.18	80			Percent of total billed charges		20921.05		4475		Per Diem		13425	85			Percent of total billed charges		22227.61		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		20921.05		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		23536.18		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	23536.18	one or more instances of the item or service in the 12 months prior to posting the file
"shoulder, elbow or forearm procedures, except major joint procedures with cc"	511	MS-DRG				Inpatient	Facility			67477.4	67477.4		4475		Per Diem		22375	90			Percent of total billed charges		60729.66		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		45884.63	90			Percent of total billed charges		60729.66		27895.29		Case rate		27895.29		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		60729.66	80			Percent of total billed charges		53981.92		4475		Per Diem		22375	85			Percent of total billed charges		57355.79		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		53981.92		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		60729.66		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	60729.66	one or more instances of the item or service in the 12 months prior to posting the file
simple pneumonia and pleurisy with mcc	193	MS-DRG				Inpatient	Facility			27349.05	27349.05		4475		Per Diem		13425	90			Percent of total billed charges		25514.14		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		19277.35	90			Percent of total billed charges		25514.14		21090.32		Case rate		21090.32		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25514.14	80			Percent of total billed charges		22679.24		4475		Per Diem		13425	85			Percent of total billed charges		24096.69		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		22679.24		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		25514.14		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	25514.14	one or more instances of the item or service in the 12 months prior to posting the file
Sirolimus	80195	CPT				Outpatient	Facility			104	104	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	68			Percent of total billed charges		70.72	90			Percent of total billed charges		93.6		57.13		Case rate		57.13	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	85			Percent of total billed charges		88.4	27			Percent of total billed charges		29.12	27			Percent of total billed charges		31.2	80			Percent of total billed charges		83.2	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	90			Percent of total billed charges		93.6	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	27			Percent of total billed charges		29.12	29.12	93.6	one or more instances of the item or service in the 12 months prior to posting the file
skin graft for skin ulcer or cellulitis with mcc	573	MS-DRG				Inpatient	Facility			60847.54	60847.54		4475		Per Diem		27952	90			Percent of total billed charges		54762.79		4475		Per Diem		27952		4475		Per Diem		27952	68			Percent of total billed charges		41376.33	90			Percent of total billed charges		54762.79		58317.86		Case rate		58317.86		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		54762.79	80			Percent of total billed charges		48678.03		4475		Per Diem		27952	85			Percent of total billed charges		51720.41		4475		Per Diem		27952		4475		Per Diem		27952	80			Percent of total billed charges		48678.03		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	90			Percent of total billed charges		54762.79		4475		Per Diem		27952		4475		Per Diem		27952		4475		Per Diem		27952	27952	58317.86	one or more instances of the item or service in the 12 months prior to posting the file
skin ulcers with cc	593	MS-DRG				Inpatient	Facility			19400.94	19400.94		4475		Per Diem		13425	90			Percent of total billed charges		17460.85		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		13192.64	90			Percent of total billed charges		17460.85		16482.86		Case rate		16482.86		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17460.85	80			Percent of total billed charges		15520.75		4475		Per Diem		13425	85			Percent of total billed charges		16490.8		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		15520.75		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		17460.85		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	17460.85	one or more instances of the item or service in the 12 months prior to posting the file
soft tissue procedures with mcc	500	MS-DRG				Inpatient	Facility			64459.09	64459.08		4475		Per Diem		8950	90			Percent of total billed charges		58013.18		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		43832.18	90			Percent of total billed charges		58013.18		46195.13		Case rate		46195.13		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		58013.18	80			Percent of total billed charges		51567.27		4475		Per Diem		8950	85			Percent of total billed charges		54790.22		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		51567.27		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		58013.18		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	58013.18	one or more instances of the item or service in the 12 months prior to posting the file
Somatostatin	84277	CPT				Outpatient	Facility			272	272	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	68			Percent of total billed charges		184.96	90			Percent of total billed charges		244.8		76.09		Case rate		76.09	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	80			Percent of total billed charges		217.6	27			Percent of total billed charges		76.16	85			Percent of total billed charges		231.2	27			Percent of total billed charges		76.16	27			Percent of total billed charges		81.6	80			Percent of total billed charges		217.6	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	90			Percent of total billed charges		244.8	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	27			Percent of total billed charges		76.16	76.16	244.8	zero instances of the item or service in the 12 months prior to posting the file
Splenectomy; total (separate procedure)	38100	CPT				Outpatient	Facility			24367.27	24367.27	27			Percent of total billed charges		6822.8384	90			Percent of total billed charges		21927.55	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	68			Percent of total billed charges		16569.75	90			Percent of total billed charges		21927.55		11713.38		Case rate		11713.38	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	90			Percent of total billed charges		21927.55	80			Percent of total billed charges		19493.82	27			Percent of total billed charges		6822.8384	85			Percent of total billed charges		20712.19	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		7310.18	80			Percent of total billed charges		19493.82	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	90			Percent of total billed charges		21927.55	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	27			Percent of total billed charges		6822.8384	6822.8384	21927.55	one or more instances of the item or service in the 12 months prior to posting the file
sprinter otw balloon 2.0x12	272	RC				Outpatient	Facility			490	490	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	68			Percent of total billed charges		333.2	90			Percent of total billed charges		441	100			Percent of total billed charges		490	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	85			Percent of total billed charges		416.5	27			Percent of total billed charges		137.2	27			Percent of total billed charges		147	80			Percent of total billed charges		392	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	90			Percent of total billed charges		441	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	27			Percent of total billed charges		137.2	137.2	490	zero instances of the item or service in the 12 months prior to posting the file
stapler cannula seal 12mm	272	RC				Outpatient	Facility			68	68	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	68			Percent of total billed charges		46.24	90			Percent of total billed charges		61.2	100			Percent of total billed charges		68	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	85			Percent of total billed charges		57.8	27			Percent of total billed charges		19.04	27			Percent of total billed charges		20.4	80			Percent of total billed charges		54.4	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	90			Percent of total billed charges		61.2	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	27			Percent of total billed charges		19.04	19.04	68	zero instances of the item or service in the 12 months prior to posting the file
sterling balloon 4.0x220	272	RC				Outpatient	Facility			890	890	27			Percent of total billed charges		249.2	90			Percent of total billed charges		801	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	68			Percent of total billed charges		605.2	90			Percent of total billed charges		801	100			Percent of total billed charges		890	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	90			Percent of total billed charges		801	80			Percent of total billed charges		712	27			Percent of total billed charges		249.2	85			Percent of total billed charges		756.5	27			Percent of total billed charges		249.2	27			Percent of total billed charges		267	80			Percent of total billed charges		712	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	90			Percent of total billed charges		801	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	27			Percent of total billed charges		249.2	249.2	890	zero instances of the item or service in the 12 months prior to posting the file
sterling balloon 4x220	272	RC				Outpatient	Facility			758	758	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	68			Percent of total billed charges		515.44	90			Percent of total billed charges		682.2	100			Percent of total billed charges		758	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	85			Percent of total billed charges		644.3	27			Percent of total billed charges		212.24	27			Percent of total billed charges		227.4	80			Percent of total billed charges		606.4	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	90			Percent of total billed charges		682.2	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	27			Percent of total billed charges		212.24	212.24	758	zero instances of the item or service in the 12 months prior to posting the file
"stomach, esophageal and duodenal procedures with mcc"	326	MS-DRG				Inpatient	Facility			42046.48	42046.48		4475		Per Diem		8950	90			Percent of total billed charges		37841.83		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		27591.6	90			Percent of total billed charges		37841.83		94432.38		Case rate		94432.38		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		37841.83	80			Percent of total billed charges		33637.18		4475		Per Diem		8950	85			Percent of total billed charges		35739.51		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		33637.18		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		37841.83		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	94432.38	one or more instances of the item or service in the 12 months prior to posting the file
"strep pneumoniae ag, ua"	276	RC				Outpatient	Facility			152	152	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	68			Percent of total billed charges		103.36	90			Percent of total billed charges		136.8	100			Percent of total billed charges		152	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	85			Percent of total billed charges		129.2	27			Percent of total billed charges		42.56	27			Percent of total billed charges		45.6	80			Percent of total billed charges		121.6	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	90			Percent of total billed charges		136.8	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	27			Percent of total billed charges		42.56	42.56	152	zero instances of the item or service in the 12 months prior to posting the file
subclass 2	270	RC				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08	100			Percent of total billed charges		21.2	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	21.2	zero instances of the item or service in the 12 months prior to posting the file
subclass 4	270	RC				Outpatient	Facility			21.2	21.2	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	68			Percent of total billed charges		14.42	90			Percent of total billed charges		19.08	100			Percent of total billed charges		21.2	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	85			Percent of total billed charges		18.02	27			Percent of total billed charges		5.936	27			Percent of total billed charges		6.36	80			Percent of total billed charges		16.96	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	90			Percent of total billed charges		19.08	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	27			Percent of total billed charges		5.936	5.936	21.2	zero instances of the item or service in the 12 months prior to posting the file
support catheter 0.018x135cm	275	RC				Outpatient	Facility			326	326	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	68			Percent of total billed charges		221.68	90			Percent of total billed charges		293.4	100			Percent of total billed charges		326	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	80			Percent of total billed charges		260.8	27			Percent of total billed charges		91.27	85			Percent of total billed charges		277.1	27			Percent of total billed charges		91.27	27			Percent of total billed charges		97.8	80			Percent of total billed charges		260.8	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	90			Percent of total billed charges		293.4	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	27			Percent of total billed charges		91.27	91.27	326	zero instances of the item or service in the 12 months prior to posting the file
"Surgical boot/shoe, each"	L3260	CPT				Outpatient	Facility			104.94	104.94	27			Percent of total billed charges		29.3832	90			Percent of total billed charges		94.45	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	68			Percent of total billed charges		71.36	90			Percent of total billed charges		94.45		198.7		Case rate		198.7	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	90			Percent of total billed charges		94.45	80			Percent of total billed charges		83.95	27			Percent of total billed charges		29.3832	85			Percent of total billed charges		89.2	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		31.48	80			Percent of total billed charges		83.95	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	90			Percent of total billed charges		94.45	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	27			Percent of total billed charges		29.3832	29.3832	198.7	one or more instances of the item or service in the 12 months prior to posting the file
Suture of quadriceps or hamstring muscle rupture; primary	27385	CPT				Outpatient	Facility			9126	9126	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	68			Percent of total billed charges		6205.68	90			Percent of total billed charges		8213.4		4465.2		Case rate		4465.2	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	85			Percent of total billed charges		7757.1	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2737.8	80			Percent of total billed charges		7270.8	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	90			Percent of total billed charges		8213.4	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	27			Percent of total billed charges		2555.27	2555.27	8213.4	one or more instances of the item or service in the 12 months prior to posting the file
synovasure kit	270	RC				Outpatient	Facility			481	481	27			Percent of total billed charges		134.68	90			Percent of total billed charges		432.9	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	68			Percent of total billed charges		327.08	90			Percent of total billed charges		432.9	100			Percent of total billed charges		481	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	90			Percent of total billed charges		432.9	80			Percent of total billed charges		384.8	27			Percent of total billed charges		134.68	85			Percent of total billed charges		408.85	27			Percent of total billed charges		134.68	27			Percent of total billed charges		144.3	80			Percent of total billed charges		384.8	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	90			Percent of total billed charges		432.9	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	27			Percent of total billed charges		134.68	134.68	481	zero instances of the item or service in the 12 months prior to posting the file
T cells; absolute CD4 count	86361	CPT				Outpatient	Facility			53	53	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	68			Percent of total billed charges		36.04	90			Percent of total billed charges		47.7		111.43		Case rate		111.43	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	85			Percent of total billed charges		45.05	27			Percent of total billed charges		14.84	27			Percent of total billed charges		15.9	80			Percent of total billed charges		42.4	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	90			Percent of total billed charges		47.7	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	27			Percent of total billed charges		14.84	14.84	111.43	one or more instances of the item or service in the 12 months prior to posting the file
Tacrolimus	80197	CPT				Outpatient	Facility			67	67	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	68			Percent of total billed charges		45.56	90			Percent of total billed charges		60.3		57.13		Case rate		57.13	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	85			Percent of total billed charges		56.95	27			Percent of total billed charges		18.76	27			Percent of total billed charges		20.1	80			Percent of total billed charges		53.6	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	90			Percent of total billed charges		60.3	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	27			Percent of total billed charges		18.76	18.76	60.3	one or more instances of the item or service in the 12 months prior to posting the file
"Tau, phosphorylated (eg, pTau 181, pTau 217), each"	84393	CPT				Outpatient	Facility			454	454	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	68			Percent of total billed charges		278.72	90			Percent of total billed charges		408.6	100			Percent of total billed charges		454	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	85			Percent of total billed charges		385.9	27			Percent of total billed charges		127.12	27			Percent of total billed charges		136.2	80			Percent of total billed charges		363.2	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	90			Percent of total billed charges		408.6	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	27			Percent of total billed charges		127.12	127.12	454	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"	A9540	CPT				Outpatient	Facility			466.59	466.59	27			Percent of total billed charges		130.6452	90			Percent of total billed charges		419.93	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	68			Percent of total billed charges		317.27	90			Percent of total billed charges		419.93		205.14		Case rate		205.14	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	90			Percent of total billed charges		419.93	80			Percent of total billed charges		373.27	27			Percent of total billed charges		130.6452	85			Percent of total billed charges		396.6	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		139.98	80			Percent of total billed charges		373.27	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	90			Percent of total billed charges		419.93	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	27			Percent of total billed charges		130.6452	130.6452	419.93	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"	A9537	CPT				Outpatient	Facility			129.78	129.78	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	68			Percent of total billed charges		88.25	90			Percent of total billed charges		116.8		378.27		Case rate		378.27	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	80			Percent of total billed charges		103.82	27			Percent of total billed charges		36.3384	85			Percent of total billed charges		110.31	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		38.93	80			Percent of total billed charges		103.82	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	90			Percent of total billed charges		116.8	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	27			Percent of total billed charges		36.3384	36.3384	378.27	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m medronate, diagnostic, per study dose, up to 27 millicuries"	A9503	CPT				Outpatient	Facility			75.19	75.19	27			Percent of total billed charges		21.0532	90			Percent of total billed charges		67.67	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	68			Percent of total billed charges		51.13	90			Percent of total billed charges		67.67		88.91		Case rate		88.91	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	90			Percent of total billed charges		67.67	80			Percent of total billed charges		60.15	27			Percent of total billed charges		21.0532	85			Percent of total billed charges		63.91	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		22.56	80			Percent of total billed charges		60.15	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	90			Percent of total billed charges		67.67	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	27			Percent of total billed charges		21.0532	21.0532	88.91	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries"	A9567	CPT				Outpatient	Facility			314.15	314.15	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	68			Percent of total billed charges		213.62	90			Percent of total billed charges		272.74		232.29		Case rate		232.29	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	85			Percent of total billed charges		267.03	27			Percent of total billed charges		87.962	27			Percent of total billed charges		94.24	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	87.962	272.74	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"	A9539	CPT				Outpatient	Facility			314.15	314.15	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	68			Percent of total billed charges		213.62	90			Percent of total billed charges		272.74		180.64		Case rate		180.64	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	85			Percent of total billed charges		267.03	27			Percent of total billed charges		87.962	27			Percent of total billed charges		94.24	80			Percent of total billed charges		251.32	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	90			Percent of total billed charges		272.74	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	27			Percent of total billed charges		87.962	87.962	272.74	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m pertechnetate, diagnostic, per millicurie"	A9512	CPT				Outpatient	Facility			511	511	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	68			Percent of total billed charges		347.48	90			Percent of total billed charges		459.9		10.95		Case rate		10.95	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	80			Percent of total billed charges		408.8	27			Percent of total billed charges		143.08	85			Percent of total billed charges		434.35	27			Percent of total billed charges		143.08	27			Percent of total billed charges		153.3	80			Percent of total billed charges		408.8	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	90			Percent of total billed charges		459.9	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	27			Percent of total billed charges		143.08	143.08	459.9	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m sestamibi, diagnostic, per study dose"	A9500	CPT				Outpatient	Facility			141	141	27			Percent of total billed charges		39.48	90			Percent of total billed charges		126.9	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	68			Percent of total billed charges		95.88	90			Percent of total billed charges		126.9		651.55		Case rate		651.55	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	90			Percent of total billed charges		126.9	80			Percent of total billed charges		112.8	27			Percent of total billed charges		39.48	85			Percent of total billed charges		119.85	27			Percent of total billed charges		39.48	27			Percent of total billed charges		42.3	80			Percent of total billed charges		112.8	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	90			Percent of total billed charges		126.9	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	27			Percent of total billed charges		39.48	39.48	651.55	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m tetrofosmin, diagnostic, per study dose"	A9502	CPT				Outpatient	Facility			155.53	155.53	27			Percent of total billed charges		43.5484	90			Percent of total billed charges		139.98	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	68			Percent of total billed charges		105.76	90			Percent of total billed charges		139.98		551.06		Case rate		551.06	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	90			Percent of total billed charges		139.98	80			Percent of total billed charges		124.42	27			Percent of total billed charges		43.5484	85			Percent of total billed charges		132.2	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		46.66	80			Percent of total billed charges		124.42	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	90			Percent of total billed charges		139.98	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	27			Percent of total billed charges		43.5484	43.5484	551.06	one or more instances of the item or service in the 12 months prior to posting the file
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries"	A9520	CPT				Outpatient	Facility			277	277	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	68			Percent of total billed charges		208.76	90			Percent of total billed charges		276.3		3212.23		Case rate		3212.23	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	80			Percent of total billed charges		245.6	27			Percent of total billed charges		80.36	85			Percent of total billed charges		260.95	27			Percent of total billed charges		80.36	27			Percent of total billed charges		92.1	80			Percent of total billed charges		245.6	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	90			Percent of total billed charges		276.3	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	27			Percent of total billed charges		80.36	80.36	3212.23	one or more instances of the item or service in the 12 months prior to posting the file
Tenodesis of long tendon of biceps	23427	CPT				Outpatient	Facility			17376.58	17376.58	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	68			Percent of total billed charges		11816.07	90			Percent of total billed charges		15638.92		5515.17		Case rate		5515.17	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	85			Percent of total billed charges		14770.09	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		5212.97	80			Percent of total billed charges		13901.26	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	90			Percent of total billed charges		15638.92	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	27			Percent of total billed charges		4865.4424	4865.4424	15638.92	one or more instances of the item or service in the 12 months prior to posting the file
Testosterone; free	84402	CPT				Outpatient	Facility			91	91	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	68			Percent of total billed charges		61.88	90			Percent of total billed charges		81.9		105.96		Case rate		105.96	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	85			Percent of total billed charges		77.35	27			Percent of total billed charges		25.48	27			Percent of total billed charges		27.3	80			Percent of total billed charges		72.8	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	90			Percent of total billed charges		81.9	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	27			Percent of total billed charges		25.48	25.48	105.96	one or more instances of the item or service in the 12 months prior to posting the file
Thiamine (Vitamin B-1)	84425	CPT				Outpatient	Facility			61	61	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	68			Percent of total billed charges		41.48	90			Percent of total billed charges		54.9		88.34		Case rate		88.34	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	85			Percent of total billed charges		51.85	27			Percent of total billed charges		17.08	27			Percent of total billed charges		18.3	80			Percent of total billed charges		48.8	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	90			Percent of total billed charges		54.9	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	27			Percent of total billed charges		17.08	17.08	88.34	one or more instances of the item or service in the 12 months prior to posting the file
thrombi time 1:1 mix	271	RC				Outpatient	Facility			24.4	24.4	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	68			Percent of total billed charges		16.59	90			Percent of total billed charges		21.96	100			Percent of total billed charges		24.4	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	85			Percent of total billed charges		20.74	27			Percent of total billed charges		6.832	27			Percent of total billed charges		7.32	80			Percent of total billed charges		19.52	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	90			Percent of total billed charges		21.96	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	27			Percent of total billed charges		6.832	6.832	24.4	zero instances of the item or service in the 12 months prior to posting the file
thruway 270cm guidewire	272	RC				Outpatient	Facility			273	273	27			Percent of total billed charges		79.24	90			Percent of total billed charges		272.7	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	68			Percent of total billed charges		206.04	90			Percent of total billed charges		272.7	100			Percent of total billed charges		273	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	90			Percent of total billed charges		272.7	80			Percent of total billed charges		242.4	27			Percent of total billed charges		79.24	85			Percent of total billed charges		257.55	27			Percent of total billed charges		79.24	27			Percent of total billed charges		90.9	80			Percent of total billed charges		242.4	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	90			Percent of total billed charges		272.7	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	27			Percent of total billed charges		79.24	79.24	273	zero instances of the item or service in the 12 months prior to posting the file
Thyroglobulin antibody	86800	CPT				Outpatient	Facility			49	49	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	68			Percent of total billed charges		33.32	90			Percent of total billed charges		44.1		66.22		Case rate		66.22	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	85			Percent of total billed charges		41.65	27			Percent of total billed charges		13.72	27			Percent of total billed charges		14.7	80			Percent of total billed charges		39.2	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	90			Percent of total billed charges		44.1	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	27			Percent of total billed charges		13.72	13.72	66.22	one or more instances of the item or service in the 12 months prior to posting the file
Thyroid stimulating immune globulins (TSI)	84445	CPT				Outpatient	Facility			239	239	27			Percent of total billed charges		66.92	90			Percent of total billed charges		215.1	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	68			Percent of total billed charges		162.52	90			Percent of total billed charges		215.1		211.63		Case rate		211.63	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	90			Percent of total billed charges		215.1	80			Percent of total billed charges		191.2	27			Percent of total billed charges		66.92	85			Percent of total billed charges		203.15	27			Percent of total billed charges		66.92	27			Percent of total billed charges		71.7	80			Percent of total billed charges		191.2	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	90			Percent of total billed charges		215.1	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	27			Percent of total billed charges		66.92	66.92	215.1	one or more instances of the item or service in the 12 months prior to posting the file
Thyroxine; total	84436	CPT				Outpatient	Facility			85	85	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	68			Percent of total billed charges		57.8	90			Percent of total billed charges		76.5		27.56		Case rate		27.56	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	85			Percent of total billed charges		72.25	27			Percent of total billed charges		23.8	27			Percent of total billed charges		25.5	80			Percent of total billed charges		68	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	90			Percent of total billed charges		76.5	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	27			Percent of total billed charges		23.8	23.8	76.5	one or more instances of the item or service in the 12 months prior to posting the file
tip-up grasper 8mm	272	RC				Outpatient	Facility			731	731	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	68			Percent of total billed charges		497.08	90			Percent of total billed charges		657.9	100			Percent of total billed charges		731	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	80			Percent of total billed charges		584.8	27			Percent of total billed charges		204.68	85			Percent of total billed charges		621.35	27			Percent of total billed charges		204.68	27			Percent of total billed charges		219.3	80			Percent of total billed charges		584.8	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	90			Percent of total billed charges		657.9	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	27			Percent of total billed charges		204.68	204.68	731	zero instances of the item or service in the 12 months prior to posting the file
Tobramycin	80200	CPT				Outpatient	Facility			188	188	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	68			Percent of total billed charges		127.84	90			Percent of total billed charges		169.2		67.12		Case rate		67.12	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	80			Percent of total billed charges		150.4	27			Percent of total billed charges		52.64	85			Percent of total billed charges		159.8	27			Percent of total billed charges		52.64	27			Percent of total billed charges		56.4	80			Percent of total billed charges		150.4	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	90			Percent of total billed charges		169.2	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	27			Percent of total billed charges		52.64	52.64	169.2	one or more instances of the item or service in the 12 months prior to posting the file
Tocopherol alpha (Vitamin E)	84446	CPT				Outpatient	Facility			22.3	22.3	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	68			Percent of total billed charges		15.16	90			Percent of total billed charges		20.07		58.99		Case rate		58.99	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	85			Percent of total billed charges		18.96	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.69	80			Percent of total billed charges		17.84	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	90			Percent of total billed charges		20.07	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	27			Percent of total billed charges		6.244	6.244	58.99	one or more instances of the item or service in the 12 months prior to posting the file
Topiramate	80201	CPT				Outpatient	Facility			40	40	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	68			Percent of total billed charges		27.2	90			Percent of total billed charges		36		49.62		Case rate		49.62	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	85			Percent of total billed charges		34	27			Percent of total billed charges		11.2	27			Percent of total billed charges		12	80			Percent of total billed charges		32	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	90			Percent of total billed charges		36	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	27			Percent of total billed charges		11.2	11.2	49.62	one or more instances of the item or service in the 12 months prior to posting the file
Transferase; aspartate amino (AST) (SGOT)	84450	CPT				Outpatient	Facility			63	63	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	68			Percent of total billed charges		42.84	90			Percent of total billed charges		56.7		21.56		Case rate		21.56	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	85			Percent of total billed charges		53.55	27			Percent of total billed charges		17.64	27			Percent of total billed charges		18.9	80			Percent of total billed charges		50.4	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	90			Percent of total billed charges		56.7	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	27			Percent of total billed charges		17.64	17.64	56.7	one or more instances of the item or service in the 12 months prior to posting the file
Transferrin	84466	CPT				Outpatient	Facility			48	48	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	68			Percent of total billed charges		32.64	90			Percent of total billed charges		43.2		53.12		Case rate		53.12	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	85			Percent of total billed charges		40.8	27			Percent of total billed charges		13.44	27			Percent of total billed charges		14.4	80			Percent of total billed charges		38.4	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	90			Percent of total billed charges		43.2	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	27			Percent of total billed charges		13.44	13.44	53.12	one or more instances of the item or service in the 12 months prior to posting the file
"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation"	C7532	CPT				Outpatient	Facility			512.5	512.5	27			Percent of total billed charges		143.5	90			Percent of total billed charges		461.25	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	68			Percent of total billed charges		348.5	90			Percent of total billed charges		461.25	100			Percent of total billed charges		512.5	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	90			Percent of total billed charges		461.25	80			Percent of total billed charges		410	27			Percent of total billed charges		143.5	85			Percent of total billed charges		435.62	27			Percent of total billed charges		143.5	27			Percent of total billed charges		153.75	80			Percent of total billed charges		410	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	90			Percent of total billed charges		461.25	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	27			Percent of total billed charges		143.5	143.5	512.5	zero instances of the item or service in the 12 months prior to posting the file
"trauma to the skin, subcutaneous tissue and breast without mcc"	605	MS-DRG				Inpatient	Facility			11318.29	11318.29		4475		Per Diem		4475	90			Percent of total billed charges		10186.46		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		7696.44	90			Percent of total billed charges		10186.46		14672.22		Case rate		14672.22		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10186.46	80			Percent of total billed charges		9054.63		4475		Per Diem		4475	85			Percent of total billed charges		9620.55		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		9054.63		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		10186.46		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	14672.22	one or more instances of the item or service in the 12 months prior to posting the file
traumatic stupor and coma <1 hour with mcc	85	MS-DRG				Inpatient	Facility			32176.49	32176.48		4475		Per Diem		13425	90			Percent of total billed charges		27958.84		4475		Per Diem		13425		4475		Per Diem		13425	68			Percent of total billed charges		21880.01	90			Percent of total billed charges		27958.84		34240.46		Case rate		34240.46		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27958.84	80			Percent of total billed charges		25741.19		4475		Per Diem		13425	85			Percent of total billed charges		27350.01		4475		Per Diem		13425		4475		Per Diem		13425	80			Percent of total billed charges		25741.19		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	90			Percent of total billed charges		27958.84		4475		Per Diem		13425		4475		Per Diem		13425		4475		Per Diem		13425	13425	34240.46	one or more instances of the item or service in the 12 months prior to posting the file
traumatic stupor and coma <1 hour without cc/mcc	87	MS-DRG				Inpatient	Facility			21857.76	21857.76		4475		Per Diem		8950	90			Percent of total billed charges		19671.98		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		14863.27	90			Percent of total billed charges		19671.98		18658.16		Case rate		18658.16		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		19671.98	80			Percent of total billed charges		17486.21		4475		Per Diem		8950	85			Percent of total billed charges		18579.1		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		17486.21		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		19671.98		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	19671.98	one or more instances of the item or service in the 12 months prior to posting the file
traumatic stupor and coma >1 hour with cc	83	MS-DRG				Inpatient	Facility			29620.64	29620.64		4475		Per Diem		17900	90			Percent of total billed charges		26658.58		4475		Per Diem		17900		4475		Per Diem		17900	68			Percent of total billed charges		20142.04	90			Percent of total billed charges		26658.58		31484.86		Case rate		31484.86		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		26658.58	80			Percent of total billed charges		23696.52		4475		Per Diem		17900	85			Percent of total billed charges		25177.55		4475		Per Diem		17900		4475		Per Diem		17900	80			Percent of total billed charges		23696.52		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	90			Percent of total billed charges		26658.58		4475		Per Diem		17900		4475		Per Diem		17900		4475		Per Diem		17900	17900	31484.86	one or more instances of the item or service in the 12 months prior to posting the file
Triiodothyronine T3; free	84481	CPT				Outpatient	Facility			134	134	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	68			Percent of total billed charges		91.12	90			Percent of total billed charges		120.6		70.51		Case rate		70.51	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	85			Percent of total billed charges		113.9	27			Percent of total billed charges		37.52	27			Percent of total billed charges		40.2	80			Percent of total billed charges		107.2	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	90			Percent of total billed charges		120.6	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	27			Percent of total billed charges		37.52	37.52	120.6	one or more instances of the item or service in the 12 months prior to posting the file
Unclassified biologics	J3590	HCPCS				Outpatient	Facility	1	EA	35271.95	35271.95	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	68			Percent of total billed charges		23991.73	90			Percent of total billed charges		31753.76	100			Percent of total billed charges		35271.95	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	80			Percent of total billed charges		27225.56	27			Percent of total billed charges		9878.946	85			Percent of total billed charges		29989.66	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		10584.58	80			Percent of total billed charges		27225.56	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	90			Percent of total billed charges		31753.76	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	27			Percent of total billed charges		9878.946	9878.946	35271.95	one or more instances of the item or service in the 12 months prior to posting the file
Unclassified drugs	J3490	HCPCS				Outpatient	Facility	1	UN	84.9	84.9	27			Percent of total billed charges		23.772	90			Percent of total billed charges		76.41	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	68			Percent of total billed charges		57.73	90			Percent of total billed charges		76.41	100			Percent of total billed charges		84.9	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	90			Percent of total billed charges		76.41	80			Percent of total billed charges		67.92	27			Percent of total billed charges		23.772	85			Percent of total billed charges		72.16	27			Percent of total billed charges		23.772	27			Percent of total billed charges		25.47	80			Percent of total billed charges		67.92	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	90			Percent of total billed charges		76.41	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	27			Percent of total billed charges		23.772	23.772	84.9	one or more instances of the item or service in the 12 months prior to posting the file
Unlisted immunology procedure	86849	CPT				Outpatient	Facility			95	95	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	68			Percent of total billed charges		64.6	90			Percent of total billed charges		85.5		97.83		Case rate		97.83	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	85			Percent of total billed charges		80.75	27			Percent of total billed charges		26.6	27			Percent of total billed charges		27.5	80			Percent of total billed charges		76	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	90			Percent of total billed charges		85.5	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	27			Percent of total billed charges		26.6	26.6	97.83	one or more instances of the item or service in the 12 months prior to posting the file
Unlisted transfusion medicine procedure	86999	CPT				Outpatient	Facility			345.31	345.3	27			Percent of total billed charges		96.684	90			Percent of total billed charges		310.77	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	68			Percent of total billed charges		234.81	90			Percent of total billed charges		310.77		336.44		Case rate		336.44	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	90			Percent of total billed charges		310.77	80			Percent of total billed charges		276.24	27			Percent of total billed charges		96.684	85			Percent of total billed charges		293.51	27			Percent of total billed charges		96.684	27			Percent of total billed charges		103.59	80			Percent of total billed charges		276.24	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	90			Percent of total billed charges		310.77	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	27			Percent of total billed charges		96.684	96.684	336.44	one or more instances of the item or service in the 12 months prior to posting the file
upper limb and toe amputation for circulatory system disorders with mcc	255	MS-DRG				Inpatient	Facility			61387.52	61387.52		4475		Per Diem		26850	90			Percent of total billed charges		55248.77		4475		Per Diem		26850		4475		Per Diem		26850	68			Percent of total billed charges		41743.51	90			Percent of total billed charges		55248.77		42711.67		Case rate		42711.67		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		55248.77	80			Percent of total billed charges		49110.02		4475		Per Diem		26850	85			Percent of total billed charges		52179.39		4475		Per Diem		26850		4475		Per Diem		26850	80			Percent of total billed charges		49110.02		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	90			Percent of total billed charges		55248.77		4475		Per Diem		26850		4475		Per Diem		26850		4475		Per Diem		26850	26850	55248.77	one or more instances of the item or service in the 12 months prior to posting the file
Urea nitrogen; quantitative	84520	CPT				Outpatient	Facility			48.8	48.8	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	68			Percent of total billed charges		33.18	90			Percent of total billed charges		43.92		16.43		Case rate		16.43	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	85			Percent of total billed charges		41.48	27			Percent of total billed charges		13.664	27			Percent of total billed charges		14.64	80			Percent of total billed charges		39.04	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	90			Percent of total billed charges		43.92	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	27			Percent of total billed charges		13.664	13.664	43.92	one or more instances of the item or service in the 12 months prior to posting the file
Uric acid; blood	84550	CPT				Outpatient	Facility			57	57	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	68			Percent of total billed charges		38.76	90			Percent of total billed charges		51.3		18.8		Case rate		18.8	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	85			Percent of total billed charges		48.45	27			Percent of total billed charges		15.96	27			Percent of total billed charges		17.1	80			Percent of total billed charges		45.6	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	90			Percent of total billed charges		51.3	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	27			Percent of total billed charges		15.96	15.96	51.3	one or more instances of the item or service in the 12 months prior to posting the file
Uric acid; other source	84560	CPT				Outpatient	Facility			18	18	27			Percent of total billed charges		5.04	90			Percent of total billed charges		16.2	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	68			Percent of total billed charges		12.24	90			Percent of total billed charges		16.2		21.17		Case rate		21.17	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	90			Percent of total billed charges		16.2	80			Percent of total billed charges		14.4	27			Percent of total billed charges		5.04	85			Percent of total billed charges		15.3	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.4	80			Percent of total billed charges		14.4	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	90			Percent of total billed charges		16.2	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	27			Percent of total billed charges		5.04	5.04	21.17	one or more instances of the item or service in the 12 months prior to posting the file
uterine and adnexa procedures for ovarian or adnexal malignancy without cc/mcc	738	MS-DRG				Inpatient	Facility			23611.58	23611.58		4475		Per Diem		4475	90			Percent of total billed charges		21250.42		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		16055.87	90			Percent of total billed charges		21250.42		36929.47		Case rate		36929.47		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		21250.42	80			Percent of total billed charges		18889.26		4475		Per Diem		4475	85			Percent of total billed charges		20069.84		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		18889.26		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		21250.42		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	36929.47	one or more instances of the item or service in the 12 months prior to posting the file
vaginal delivery without sterilization or d&c with cc	806	MS-DRG				Inpatient	Facility			16898.71	16898.71		4475		Per Diem		8950	90			Percent of total billed charges		15208.84		4475		Per Diem		8950		4475		Per Diem		8950	68			Percent of total billed charges		11491.12	90			Percent of total billed charges		15208.84		7943.36		Case rate		7943.36		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		15208.84	80			Percent of total billed charges		13518.97		4475		Per Diem		8950	85			Percent of total billed charges		14363.9		4475		Per Diem		8950		4475		Per Diem		8950	80			Percent of total billed charges		13518.97		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	90			Percent of total billed charges		15208.84		4475		Per Diem		8950		4475		Per Diem		8950		4475		Per Diem		8950	8950	15208.84	one or more instances of the item or service in the 12 months prior to posting the file
vaginal delivery without sterilization or d&c with mcc	805	MS-DRG				Inpatient	Facility			12527.43	12527.43		4475		Per Diem		4475	90			Percent of total billed charges		11275.59		4475		Per Diem		4475		4475		Per Diem		4475	68			Percent of total billed charges		8519.33	90			Percent of total billed charges		11275.59		12953.54		Case rate		12953.54		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		11275.59	80			Percent of total billed charges		10022.74		4475		Per Diem		4475	85			Percent of total billed charges		10649.17		4475		Per Diem		4475		4475		Per Diem		4475	80			Percent of total billed charges		10022.74		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	90			Percent of total billed charges		11275.59		4475		Per Diem		4475		4475		Per Diem		4475		4475		Per Diem		4475	4475	12953.54	one or more instances of the item or service in the 12 months prior to posting the file
Vasoactive intestinal peptide (VIP)	84586	CPT				Outpatient	Facility			47.04	47.04	27			Percent of total billed charges		13.1712	90			Percent of total billed charges		42.34	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	68			Percent of total billed charges		31.99	90			Percent of total billed charges		42.34		147.05		Case rate		147.05	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	90			Percent of total billed charges		42.34	80			Percent of total billed charges		37.63	27			Percent of total billed charges		13.1712	85			Percent of total billed charges		39.98	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		14.11	80			Percent of total billed charges		37.63	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	90			Percent of total billed charges		42.34	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	27			Percent of total billed charges		13.1712	13.1712	147.05	one or more instances of the item or service in the 12 months prior to posting the file
Vena cava filter	C1880	CPT				Outpatient	Facility			3522.38	3522.38	27			Percent of total billed charges		986.2664	90			Percent of total billed charges		3170.14	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	68			Percent of total billed charges		2395.22	90			Percent of total billed charges		3170.14		2709.46		Case rate		2709.46	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	90			Percent of total billed charges		3170.14	80			Percent of total billed charges		2717.9	27			Percent of total billed charges		986.2664	85			Percent of total billed charges		2994.02	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		1056.71	80			Percent of total billed charges		2717.9	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	90			Percent of total billed charges		3170.14	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	27			Percent of total billed charges		986.2664	986.2664	3170.14	one or more instances of the item or service in the 12 months prior to posting the file
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	77086	CPT				Outpatient	Facility			259.56	259.56	27			Percent of total billed charges		72.6768	90			Percent of total billed charges		233.6	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	68			Percent of total billed charges		176.5	90			Percent of total billed charges		233.6		160.49		Case rate		160.49	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	90			Percent of total billed charges		233.6	80			Percent of total billed charges		207.65	27			Percent of total billed charges		72.6768	85			Percent of total billed charges		220.63	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		77.87	80			Percent of total billed charges		207.65	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	90			Percent of total billed charges		233.6	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	27			Percent of total billed charges		72.6768	72.6768	233.6	one or more instances of the item or service in the 12 months prior to posting the file
vessel sealer extend	272	RC				Outpatient	Facility			2074	2074	27			Percent of total billed charges		580.72	90			Percent of total billed charges		1866.6	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	68			Percent of total billed charges		1410.32	90			Percent of total billed charges		1866.6	100			Percent of total billed charges		2074	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	90			Percent of total billed charges		1866.6	80			Percent of total billed charges		1659.2	27			Percent of total billed charges		580.72	85			Percent of total billed charges		1762.9	27			Percent of total billed charges		580.72	27			Percent of total billed charges		622.2	80			Percent of total billed charges		1659.2	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	90			Percent of total billed charges		1866.6	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	27			Percent of total billed charges		580.72	580.72	2074	zero instances of the item or service in the 12 months prior to posting the file
viral illness without mcc	866	MS-DRG				Inpatient	Facility			19547.81	19547.81		4475		Per Diem		22375	90			Percent of total billed charges		17593.03		4475		Per Diem		22375		4475		Per Diem		22375	68			Percent of total billed charges		13292.51	90			Percent of total billed charges		17593.03		11238.02		Case rate		11238.02		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		17593.03	80			Percent of total billed charges		15638.25		4475		Per Diem		22375	85			Percent of total billed charges		16615.64		4475		Per Diem		22375		4475		Per Diem		22375	80			Percent of total billed charges		15638.25		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	90			Percent of total billed charges		17593.03		4475		Per Diem		22375		4475		Per Diem		22375		4475		Per Diem		22375	22375	22375	one or more instances of the item or service in the 12 months prior to posting the file
Viscosity	85810	CPT				Outpatient	Facility			44	44	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	68			Percent of total billed charges		29.92	90			Percent of total billed charges		39.6		48.55		Case rate		48.55	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	85			Percent of total billed charges		37.4	27			Percent of total billed charges		12.32	27			Percent of total billed charges		13.2	80			Percent of total billed charges		35.2	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	90			Percent of total billed charges		39.6	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	27			Percent of total billed charges		12.32	12.32	48.55	zero instances of the item or service in the 12 months prior to posting the file
walking boot	271	RC				Outpatient	Facility			1787	1787	27			Percent of total billed charges		500.36	90			Percent of total billed charges		1608.3	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	68			Percent of total billed charges		1215.16	90			Percent of total billed charges		1608.3	100			Percent of total billed charges		1787	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	90			Percent of total billed charges		1608.3	80			Percent of total billed charges		1429.6	27			Percent of total billed charges		500.36	85			Percent of total billed charges		1518.95	27			Percent of total billed charges		500.36	27			Percent of total billed charges		536.1	80			Percent of total billed charges		1429.6	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	90			Percent of total billed charges		1608.3	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	27			Percent of total billed charges		500.36	500.36	1787	zero instances of the item or service in the 12 months prior to posting the file
water trap d-fend pro green	272	RC				Outpatient	Facility			8.3	8.3	27			Percent of total billed charges		2.324	90			Percent of total billed charges		7.47	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	68			Percent of total billed charges		5.64	90			Percent of total billed charges		7.47	100			Percent of total billed charges		8.3	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	90			Percent of total billed charges		7.47	80			Percent of total billed charges		6.64	27			Percent of total billed charges		2.324	85			Percent of total billed charges		7.06	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.49	80			Percent of total billed charges		6.64	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	90			Percent of total billed charges		7.47	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	27			Percent of total billed charges		2.324	2.324	8.3	zero instances of the item or service in the 12 months prior to posting the file
xience alpine 2.75mmx12	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience alpine stent 3.25mmx27	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience alpine stent 3.5mmx23mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience alpine stent 3.5mmx38mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 2.5mmx18	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 2.75mmx18mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 2.75mmx27mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 2.75mmx38	272	RC				Outpatient	Facility			5189	5189	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	68			Percent of total billed charges		3527.52	90			Percent of total billed charges		4670.1	100			Percent of total billed charges		5189	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	80			Percent of total billed charges		4151.2	27			Percent of total billed charges		1452.92	85			Percent of total billed charges		4410.65	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1556.7	80			Percent of total billed charges		4151.2	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	90			Percent of total billed charges		4670.1	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	27			Percent of total billed charges		1452.92	1452.92	5189	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.0mmx15mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.0mmx8mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 3.5mmx27mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 4.0mmx18mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
xience stent 4.0mmx23mm	272	RC				Outpatient	Facility			5000	5000	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	68			Percent of total billed charges		3400	90			Percent of total billed charges		4500	100			Percent of total billed charges		5000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	85			Percent of total billed charges		4250	27			Percent of total billed charges		1400	27			Percent of total billed charges		1500	80			Percent of total billed charges		4000	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	90			Percent of total billed charges		4500	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	27			Percent of total billed charges		1400	1400	5000	zero instances of the item or service in the 12 months prior to posting the file
Zinc	84627	CPT				Outpatient	Facility			15.9	15.9	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	68			Percent of total billed charges		10.81	90			Percent of total billed charges		14.31		47.36		Case rate		47.36	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	85			Percent of total billed charges		13.52	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.77	80			Percent of total billed charges		12.72	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	90			Percent of total billed charges		14.31	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	27			Percent of total billed charges		4.452	4.452	47.36	one or more instances of the item or service in the 12 months prior to posting the file
Zonisamide	80203	CPT				Outpatient	Facility			71	71	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	68			Percent of total billed charges		48.27	90			Percent of total billed charges		63.9		55.15		Case rate		55.15	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	85			Percent of total billed charges		60.35	27			Percent of total billed charges		19.88	27			Percent of total billed charges		21.3	80			Percent of total billed charges		56.8	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	90			Percent of total billed charges		63.9	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	27			Percent of total billed charges		19.88	19.88	63.9	one or more instances of the item or service in the 12 months prior to posting the file