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["Medicare Part B Codes"]
["Pricing Effective January 1, 2023"]
[]
[]
["Enter the Zip Code --------->",null,75001]
[]
[null,"State: ",{"$f":"INDEX(ldata,MATCH($C$5,Lrow,),MATCH(\"State\",Lcol,))","v":"TX"}]
[null,"Locality: ",{"$f":"INDEX(ldata,MATCH($C$5,Lrow,),MATCH(\"Locality\",Lcol,))","v":"11"}]
[]
[]
[null,null,null,"Full",null,"MPPR"]
["Code","Description",null,"Price",null,"Reduced"]
[29126,{"$f":"INDEX(data,MATCH(A13,row,),MATCH($B$12,col,))","v":"Apply forearm splint"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A13)","v":79.260000000000005},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A13)","v":52.55}]
[29130,{"$f":"INDEX(data,MATCH(A14,row,),MATCH($B$12,col,))","v":"Application of finger splint"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A14)","v":42.39},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A14)","v":31.01}]
[29131,{"$f":"INDEX(data,MATCH(A15,row,),MATCH($B$12,col,))","v":"Application of finger splint"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A15)","v":54.45},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A15)","v":37.909999999999997}]
[29505,{"$f":"INDEX(data,MATCH(A16,row,),MATCH($B$12,col,))","v":"Application long leg splint"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A16)","v":90.43},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A16)","v":58.55}]
[29515,{"$f":"INDEX(data,MATCH(A17,row,),MATCH($B$12,col,))","v":"Application lower leg splint"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A17)","v":72.959999999999994},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A17)","v":50.38}]
[29580,{"$f":"INDEX(data,MATCH(A18,row,),MATCH($B$12,col,))","v":"Application of paste boot"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A18)","v":64.41},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A18)","v":42.53}]
[90901,{"$f":"INDEX(data,MATCH(A19,row,),MATCH($B$12,col,))","v":"Biofeedback train any meth"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A19)","v":41.94},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A19)","v":28.16}]
[92507,{"$f":"INDEX(data,MATCH(A20,row,),MATCH($B$12,col,))","v":"Speech/hearing therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A20)","v":78.16},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A20)","v":61.96}]
[92508,{"$f":"INDEX(data,MATCH(A21,row,),MATCH($B$12,col,))","v":"Speech/hearing therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A21)","v":24.37},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A21)","v":17.989999999999998}]
[92511,{"$f":"INDEX(data,MATCH(A22,row,),MATCH($B$12,col,))","v":"Nasopharyngoscopy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A22)","v":121.59},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A22)","v":71.790000000000006}]
[92521,{"$f":"INDEX(data,MATCH(A23,row,),MATCH($B$12,col,))","v":"Evaluation of speech fluency"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A23)","v":135.85},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A23)","v":107.25}]
[92522,{"$f":"INDEX(data,MATCH(A24,row,),MATCH($B$12,col,))","v":"Evaluate speech production"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A24)","v":113.35},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A24)","v":90.6}]
[92523,{"$f":"INDEX(data,MATCH(A25,row,),MATCH($B$12,col,))","v":"Speech sound lang comprehen"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A25)","v":232.97},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A25)","v":183.86}]
[92524,{"$f":"INDEX(data,MATCH(A26,row,),MATCH($B$12,col,))","v":"Behavral qualit analys voice"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A26)","v":111.97},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A26)","v":89.91}]
[92526,{"$f":"INDEX(data,MATCH(A27,row,),MATCH($B$12,col,))","v":"Oral function therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A27)","v":86.78},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A27)","v":66.959999999999994}]
[92597,{"$f":"INDEX(data,MATCH(A28,row,),MATCH($B$12,col,))","v":"Oral speech device eval"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A28)","v":73.34},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A28)","v":58.86}]
[92605,{"$f":"INDEX(data,MATCH(A29,row,),MATCH($B$12,col,))","v":"Ex for nonspeech device rx"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A29)","v":92.25},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A29)","v":77.61}]
[92606,{"$f":"INDEX(data,MATCH(A30,row,),MATCH($B$12,col,))","v":"Non-speech device service"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A30)","v":80.5},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A30)","v":65.34}]
[92607,{"$f":"INDEX(data,MATCH(A31,row,),MATCH($B$12,col,))","v":"Ex for speech device rx 1hr"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A31)","v":126.75},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A31)","v":95.74}]
[92608,{"$f":"INDEX(data,MATCH(A32,row,),MATCH($B$12,col,))","v":"Ex for speech device rx addl"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A32)","v":49.76},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A32)","v":37.19}]
[92609,{"$f":"INDEX(data,MATCH(A33,row,),MATCH($B$12,col,))","v":"Use of speech device service"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A33)","v":105.73},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A33)","v":79.2}]
[92610,{"$f":"INDEX(data,MATCH(A34,row,),MATCH($B$12,col,))","v":"Evaluate swallowing function"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A34)","v":86.78},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A34)","v":66.27}]
[95851,{"$f":"INDEX(data,MATCH(A35,row,),MATCH($B$12,col,))","v":"Range of motion measurements"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A35)","v":21.61},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A35)","v":13.68}]
[96105,{"$f":"INDEX(data,MATCH(A36,row,),MATCH($B$12,col,))","v":"Assessment of aphasia"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A36)","v":98.91},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A36)","v":80.81}]
[96110,{"$f":"INDEX(data,MATCH(A37,row,),MATCH($B$12,col,))","v":"Developmental screen w/score"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A37)","v":10.92},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A37)","v":5.58}]
[96112,{"$f":"INDEX(data,MATCH(A38,row,),MATCH($B$12,col,))","v":"Devel tst phys/qhp 1st hr"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A38)","v":127.44},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A38)","v":109.52}]
[96113,{"$f":"INDEX(data,MATCH(A39,row,),MATCH($B$12,col,))","v":"Devel tst phys/qhp ea addl"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A39)","v":60.38},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A39)","v":50.9}]
[96116,{"$f":"INDEX(data,MATCH(A40,row,),MATCH($B$12,col,))","v":"Nubhvl xm phys/qhp 1st hr"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A40)","v":93.94},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A40)","v":79.989999999999995}]
[96125,{"$f":"INDEX(data,MATCH(A41,row,),MATCH($B$12,col,))","v":"Cognitive test by hc pro"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A41)","v":104.49},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A41)","v":82.26}]
[97012,{"$f":"INDEX(data,MATCH(A42,row,),MATCH($B$12,col,))","v":"Mechanical traction therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A42)","v":14.72},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A42)","v":11.79}]
[97016,{"$f":"INDEX(data,MATCH(A43,row,),MATCH($B$12,col,))","v":"Vasopneumatic device therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A43)","v":11.96},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A43)","v":9.1999999999999993}]
[97018,{"$f":"INDEX(data,MATCH(A44,row,),MATCH($B$12,col,))","v":"Paraffin bath therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A44)","v":5.76},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A44)","v":4.03}]
[97022,{"$f":"INDEX(data,MATCH(A45,row,),MATCH($B$12,col,))","v":"Whirlpool therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A45)","v":17.47},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A45)","v":11.79}]
[97024,{"$f":"INDEX(data,MATCH(A46,row,),MATCH($B$12,col,))","v":"Diathermy eg microwave"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A46)","v":7.48},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A46)","v":4.8899999999999997}]
[97026,{"$f":"INDEX(data,MATCH(A47,row,),MATCH($B$12,col,))","v":"Infrared therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A47)","v":6.79},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A47)","v":4.55}]
[97028,{"$f":"INDEX(data,MATCH(A48,row,),MATCH($B$12,col,))","v":"Ultraviolet therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A48)","v":8.51},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A48)","v":5.76}]
[97032,{"$f":"INDEX(data,MATCH(A49,row,),MATCH($B$12,col,))","v":"Electrical stimulation"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A49)","v":14.72},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A49)","v":11.79}]
[97033,{"$f":"INDEX(data,MATCH(A50,row,),MATCH($B$12,col,))","v":"Electric current therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A50)","v":20.23},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A50)","v":14.72}]
[97034,{"$f":"INDEX(data,MATCH(A51,row,),MATCH($B$12,col,))","v":"Contrast bath therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A51)","v":14.72},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A51)","v":11.1}]
[97035,{"$f":"INDEX(data,MATCH(A52,row,),MATCH($B$12,col,))","v":"Ultrasound therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A52)","v":14.72},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A52)","v":11.1}]
[97036,{"$f":"INDEX(data,MATCH(A53,row,),MATCH($B$12,col,))","v":"Hydrotherapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A53)","v":35.74},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A53)","v":22.81}]
[97110,{"$f":"INDEX(data,MATCH(A54,row,),MATCH($B$12,col,))","v":"Therapeutic exercises"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A54)","v":30.22},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A54)","v":22.99}]
[97112,{"$f":"INDEX(data,MATCH(A55,row,),MATCH($B$12,col,))","v":"Neuromuscular reeducation"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A55)","v":34.700000000000003},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A55)","v":26.09}]
[97113,{"$f":"INDEX(data,MATCH(A56,row,),MATCH($B$12,col,))","v":"Aquatic therapy/exercises"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A56)","v":37.81},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A56)","v":27.29}]
[97116,{"$f":"INDEX(data,MATCH(A57,row,),MATCH($B$12,col,))","v":"Gait training therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A57)","v":30.22},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A57)","v":22.99}]
[97124,{"$f":"INDEX(data,MATCH(A58,row,),MATCH($B$12,col,))","v":"Massage therapy"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A58)","v":30.91},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A58)","v":21.61}]
[97129,{"$f":"INDEX(data,MATCH(A59,row,),MATCH($B$12,col,))","v":"Ther ivntj 1st 15 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A59)","v":22.99},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A59)","v":20.23}]
[97130,{"$f":"INDEX(data,MATCH(A60,row,),MATCH($B$12,col,))","v":"Ther ivntj ea addl 15 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A60)","v":21.95},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A60)","v":19.37}]
[97140,{"$f":"INDEX(data,MATCH(A61,row,),MATCH($B$12,col,))","v":"Manual therapy 1/> regions"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A61)","v":27.81},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A61)","v":21.44}]
[97150,{"$f":"INDEX(data,MATCH(A62,row,),MATCH($B$12,col,))","v":"Group therapeutic procedures"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A62)","v":18.16},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A62)","v":14.2}]
[97161,{"$f":"INDEX(data,MATCH(A63,row,),MATCH($B$12,col,))","v":"Pt eval low complex 20 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A63)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A63)","v":78.510000000000005}]
[97162,{"$f":"INDEX(data,MATCH(A64,row,),MATCH($B$12,col,))","v":"Pt eval mod complex 30 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A64)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A64)","v":78.510000000000005}]
[97163,{"$f":"INDEX(data,MATCH(A65,row,),MATCH($B$12,col,))","v":"Pt eval high complex 45 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A65)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A65)","v":78.510000000000005}]
[97164,{"$f":"INDEX(data,MATCH(A66,row,),MATCH($B$12,col,))","v":"Pt re-eval est plan care"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A66)","v":71.27},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A66)","v":52.66}]
[97165,{"$f":"INDEX(data,MATCH(A67,row,),MATCH($B$12,col,))","v":"Ot eval low complex 30 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A67)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A67)","v":78.510000000000005}]
[97166,{"$f":"INDEX(data,MATCH(A68,row,),MATCH($B$12,col,))","v":"Ot eval mod complex 45 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A68)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A68)","v":78.510000000000005}]
[97167,{"$f":"INDEX(data,MATCH(A69,row,),MATCH($B$12,col,))","v":"Ot eval high complex 60 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A69)","v":102.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A69)","v":78.510000000000005}]
[97168,{"$f":"INDEX(data,MATCH(A70,row,),MATCH($B$12,col,))","v":"Ot re-eval est plan care"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A70)","v":70.92},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A70)","v":52.49}]
[97530,{"$f":"INDEX(data,MATCH(A71,row,),MATCH($B$12,col,))","v":"Therapeutic activities"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A71)","v":38.15},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A71)","v":26.78}]
[97533,{"$f":"INDEX(data,MATCH(A72,row,),MATCH($B$12,col,))","v":"Sensory integration"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A72)","v":65.38},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A72)","v":41.08}]
[97535,{"$f":"INDEX(data,MATCH(A73,row,),MATCH($B$12,col,))","v":"Self care mngment training"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A73)","v":33.67},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A73)","v":24.71}]
[97537,{"$f":"INDEX(data,MATCH(A74,row,),MATCH($B$12,col,))","v":"Community/work reintegration"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A74)","v":32.64},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A74)","v":24.71}]
[97542,{"$f":"INDEX(data,MATCH(A75,row,),MATCH($B$12,col,))","v":"Wheelchair mngment training"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A75)","v":32.64},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A75)","v":24.71}]
[97597,{"$f":"INDEX(data,MATCH(A76,row,),MATCH($B$12,col,))","v":"Rmvl devital tis 20 cm/<"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A76)","v":103.11},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A76)","v":65.55}]
[97598,{"$f":"INDEX(data,MATCH(A77,row,),MATCH($B$12,col,))","v":"Rmvl devital tis addl 20cm/<"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A77)","v":45.56},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A77)","v":32.119999999999997}]
[97610,{"$f":"INDEX(data,MATCH(A78,row,),MATCH($B$12,col,))","v":"Low frequency non-thermal us"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A78)","v":458.95},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A78)","v":236.49}]
[97750,{"$f":"INDEX(data,MATCH(A79,row,),MATCH($B$12,col,))","v":"Physical performance test"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A79)","v":34.700000000000003},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A79)","v":25.23}]
[97755,{"$f":"INDEX(data,MATCH(A80,row,),MATCH($B$12,col,))","v":"Assistive technology assess"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A80)","v":39.43},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A80)","v":30.64}]
[97760,{"$f":"INDEX(data,MATCH(A81,row,),MATCH($B$12,col,))","v":"Orthotic mgmt&traing 1st enc"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A81)","v":49.87},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A81)","v":33.67}]
[97761,{"$f":"INDEX(data,MATCH(A82,row,),MATCH($B$12,col,))","v":"Prosthetic traing 1st enc"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A82)","v":42.98},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A82)","v":30.22}]
[97763,{"$f":"INDEX(data,MATCH(A83,row,),MATCH($B$12,col,))","v":"Orthc/prostc mgmt sbsq enc"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A83)","v":54.69},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A83)","v":35.74}]
[98966,{"$f":"INDEX(data,MATCH(A84,row,),MATCH($B$12,col,))","v":"Hc pro phone call 5-10 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A84)","v":13.34},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A84)","v":11.1}]
[98967,{"$f":"INDEX(data,MATCH(A85,row,),MATCH($B$12,col,))","v":"Hc pro phone call 11-20 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A85)","v":24.26},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A85)","v":20.99}]
[98968,{"$f":"INDEX(data,MATCH(A86,row,),MATCH($B$12,col,))","v":"Hc pro phone call 21-30 min"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A86)","v":33.909999999999997},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A86)","v":30.12}]
[98970,{"$f":"INDEX(data,MATCH(A87,row,),MATCH($B$12,col,))","v":"Qnhp ol dig assmt&mgmt 5-10"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A87)","v":11.61},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A87)","v":10.24}]
[98971,{"$f":"INDEX(data,MATCH(A88,row,),MATCH($B$12,col,))","v":"Qnhp ol dig assmt&mgmt 11-20"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A88)","v":20.57},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A88)","v":17.989999999999998}]
[98972,{"$f":"INDEX(data,MATCH(A89,row,),MATCH($B$12,col,))","v":"Qnhp ol dig assmt&mgmt 21+"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A89)","v":31.5},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A89)","v":27.88}]
["G0281",{"$f":"INDEX(data,MATCH(A90,row,),MATCH($B$12,col,))","v":"Elec stim unattend for press"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A90)","v":12.3},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A90)","v":9.3699999999999992}]
["G0283",{"$f":"INDEX(data,MATCH(A91,row,),MATCH($B$12,col,))","v":"Elec stim other than wound"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A91)","v":12.3},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A91)","v":9.3699999999999992}]
["G0329",{"$f":"INDEX(data,MATCH(A92,row,),MATCH($B$12,col,))","v":"Electromagntic tx for ulcers"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A92)","v":11.27},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A92)","v":6.79}]
["G2010",{"$f":"INDEX(data,MATCH(A93,row,),MATCH($B$12,col,))","v":"Remot image submit by pt"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A93)","v":12.3},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A93)","v":9.3699999999999992}]
["G2012",{"$f":"INDEX(data,MATCH(A94,row,),MATCH($B$12,col,))","v":"Brief check in by md/qhp"},null,{"$f":"SUMIFS(Data!D:D,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A94)","v":14.27},null,{"$f":"SUMIFS(Data!E:E,Data!$F:$F,$C$7&$C$8,Data!$B:$B,$A94)","v":11.68}]

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["Source file: ADVION file (in the 2023 folder as ZZZ)",null,null,null,null,null,null,null,null,null,null,"STATE","ZIP CODE","CARRIER","LOCALITY","RURAL IND","LAB CB LOCALITY","RURAL IND2","PLUS 4 FLAG","PART B DRUG INDICATOR","YEAR/QTR"]
[null,null,null,null,null,null,null,null,null,null,{"$f":"O2&N2","v":"0102102"},"AK",99501,"02102","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,{"$f":"O3&N3","v":"0102102"},"AK",99502,"02102","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0102102","AK",99503,"02102","01",null,"Z9",null,0,"A",20211]
["EffDate","HCPCS","DESCRIPTION","Rate100","MPPRRate","Combo",null,"HCPCS","DESCRIPTION",null,"0102102","AK",99504,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",71.7,48.64,"AL00",null,"A0021","Outside state ambulance serv",null,"0102102","AK",99505,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",39.119999999999997,29.3,"AL00",null,"A0080","Noninterest escort in non er",null,"0102102","AK",99506,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",49.74,35.450000000000003,"AL00",null,"A0090","Interest escort in non er",null,"0102102","AK",99507,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",81.47,53.95,"AL00",null,"A0100","Nonemergency transport taxi",null,"0102102","AK",99508,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",66.5,47.01,"AL00",null,"A0110","Nonemergency transport bus",null,"0102102","AK",99509,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",58.2,39.31,"AL00",null,"A0120","Noner transport mini-bus",null,"0102102","AK",99510,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",37.950000000000003,26.05,"AL00",null,"A0130","Noner transport wheelch van",null,"0102102","AK",99511,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",73.040000000000006,59.05,"AL00",null,"A0140","Nonemergency transport air",null,"0102102","AK",99512,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",22.44,16.940000000000001,"AL00",null,"A0160","Noner transport case worker",null,"0102102","AK",99513,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",107.67,64.680000000000007,"AL00",null,"A0170","Transport parking fees/tolls",null,"0102102","AK",99514,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",126.82,102.12,"AL00",null,"A0180","Noner transport lodgng recip",null,"0102102","AK",99515,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",106.11,86.47,"AL00",null,"A0190","Noner transport meals recip",null,"0102102","AK",99516,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",217.46,175.06,"AL00",null,"A0200","Noner transport lodgng escrt",null,"0102102","AK",99517,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",104.92,85.88,"AL00",null,"A0210","Noner transport meals escort",null,"0102102","AK",99518,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",80.64,63.53,"AL00",null,"A0225","Neonatal emergency transport",null,"0102102","AK",99519,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",68.7,56.21,"AL00",null,"A0380","Basic life support mileage",null,"0102102","AK",99520,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",87.38,74.739999999999995,"AL00",null,"A0382","Basic support routine suppls",null,"0102102","AK",99521,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",75.650000000000006,62.56,"AL00",null,"A0384","Bls defibrillation supplies",null,"0102102","AK",99522,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",117.26,90.48,"AL00",null,"A0390","Advanced life support mileag",null,"0102102","AK",99523,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",45.95,35.090000000000003,"AL00",null,"A0392","Als defibrillation supplies",null,"0102102","AK",99524,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",97.66,74.75,"AL00",null,"A0394","Als iv drug therapy supplies",null,"0102102","AK",99529,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",80.47,62.77,"AL00",null,"A0396","Als esophageal intub suppls",null,"0102102","AK",99530,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",19.36,12.52,"AL00",null,"A0398","Als routine disposble suppls",null,"0102102","AK",99540,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",93.08,77.459999999999994,"AL00",null,"A0420","Ambulance waiting 1/2 hr",null,"0102102","AK",99545,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",9.48,4.87,"AL00",null,"A0422","Ambulance 02 life sustaining",null,"0102102","AK",99546,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",121.24,105.77,"AL00",null,"A0424","Extra ambulance attendant",null,"0102102","AK",99547,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",57.19,49.01,"AL00",null,"A0425","Ground mileage",null,"0102102","AK",99548,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",89.16,77.11,"AL00",null,"A0426","Als 1",null,"0102102","AK",99549,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",97.51,78.319999999999993,"AL00",null,"A0427","Als1-emergency",null,"0102102","AK",99550,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",13.78,11.25,"AL00",null,"A0428","Bls",null,"0102102","AK",99551,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.11,8.73,"AL00",null,"A0429","Bls-emergency",null,"0102102","AK",99552,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.26,3.77,"AL00",null,"A0430","Fixed wing air transport",null,"0102102","AK",99553,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",15.83,10.92,"AL00",null,"A0431","Rotary wing air transport",null,"0102102","AK",99554,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",6.75,4.5199999999999996,"AL00",null,"A0432","Pi volunteer ambulance co",null,"0102102","AK",99555,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",6.15,4.22,"AL00",null,"A0433","Als 2",null,"0102102","AK",99556,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",7.72,5.34,"AL00",null,"A0434","Specialty care transport",null,"0102102","AK",99557,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",13.78,11.25,"AL00",null,"A0435","Fixed wing air mileage",null,"0102102","AK",99558,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",18.59,13.82,"AL00",null,"A0436","Rotary wing air mileage",null,"0102102","AK",99559,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",13.62,10.49,"AL00",null,"A0888","Noncovered ambulance mileage",null,"0102102","AK",99561,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",13.62,10.49,"AL00",null,"A0998","Ambulance response/treatment",null,"0102102","AK",99563,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",32.06,20.9,"AL00",null,"A0999","Unlisted ambulance service",null,"0102102","AK",99564,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",28,21.75,"AL00",null,"A4206","1 cc sterile syringe&needle",null,"0102102","AK",99565,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",32.07,24.64,"AL00",null,"A4207","2 cc sterile syringe&needle",null,"0102102","AK",99566,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",34.67,25.59,"AL00",null,"A4208","3 cc sterile syringe&needle",null,"0102102","AK",99567,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",28,21.75,"AL00",null,"A4209","5+ cc sterile syringe&needle",null,"0102102","AK",99568,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",28.18,20.149999999999999,"AL00",null,"A4210","Nonneedle injection device",null,"0102102","AK",99569,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",21.96,19.579999999999998,"AL00",null,"A4211","Supp for self-adm injections",null,"0102102","AK",99571,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",20.98,18.75,"AL00",null,"A4212","Non coring needle or stylet",null,"0102102","AK",99572,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",25.83,20.329999999999998,"AL00",null,"A4213","20+ cc syringe only",null,"0102102","AK",99573,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",16.920000000000002,13.5,"AL00",null,"A4215","Sterile needle",null,"0102102","AK",99574,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",95.45,74.319999999999993,"AL00",null,"A4216","Sterile water/saline, 10 ml",null,"0102102","AK",99575,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",95.45,74.319999999999993,"AL00",null,"A4217","Sterile water/saline, 500 ml",null,"0102102","AK",99576,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",95.45,74.319999999999993,"AL00",null,"A4218","Sterile saline or water",null,"0102102","AK",99577,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",65.680000000000007,49.61,"AL00",null,"A4220","Infusion pump refill kit",null,"0102102","AK",99578,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",95.45,74.319999999999993,"AL00",null,"A4221","Supp non-insulin inf cath/wk",null,"0102102","AK",99579,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",95.45,74.319999999999993,"AL00",null,"A4222","Infusion supplies with pump",null,"0102102","AK",99580,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",95.45,74.319999999999993,"AL00",null,"A4223","Infusion supplies w/o pump",null,"0102102","AK",99581,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",65.38,49.46,"AL00",null,"A4224","Supply insulin inf cath/wk",null,"0102102","AK",99583,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",34.799999999999997,24.98,"AL00",null,"A4225","Sup/ext insulin inf pump syr",null,"0102102","AK",99584,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",58.47,37.5,"AL00",null,"A4226","Weekly supply maint cgs pump",null,"0102102","AK",99585,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",30.97,23.24,"AL00",null,"A4230","Infus insulin pump non needl",null,"0102102","AK",99586,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",30.21,23.36,"AL00",null,"A4231","Infusion insulin pump needle",null,{"$f":"O67&N67","v":"0102102"},"AK",99587,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",30.21,23.36,"AL00",null,"A4232","Syringe w/needle insulin 3cc",null,"0102102","AK",99588,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",92.48,60.04,"AL00",null,"A4233","Alkalin batt for glucose mon",null,"0102102","AK",99589,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",41.67,30.07,"AL00",null,"A4234","J-cell batt for glucose mon",null,"0102102","AK",99590,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",397.92,205.86,"AL00",null,"A4235","Lithium batt for glucose mon",null,"0102102","AK",99591,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",31.87,23.68,"AL00",null,"A4236","Silvr oxide batt glucose mon",null,"0102102","AK",99599,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",36.69,29.1,"AL00",null,"A4244","Alcohol or peroxide per pint",null,"0102102","AK",99602,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",45.16,31.18,"AL00",null,"A4245","Alcohol wipes per box",null,"0102102","AK",99603,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",39.21,28.21,"AL00",null,"A4246","Betadine/phisohex solution",null,"0102102","AK",99604,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",49.25,32.880000000000003,"AL00",null,"A4247","Betadine/iodine swabs/wipes",null,"0102102","AK",99605,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",12.59,10.66,"AL00",null,"A4248","Chlorhexidine antisept",null,"0102102","AK",99606,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",23.1,20.28,"AL00",null,"A4250","Urine reagent strips/tablets",null,"0102102","AK",99607,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",32.47,29.2,"AL00",null,"A4252","Blood ketone test or strip",null,"0102102","AK",99608,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.11,9.92,"AL00",null,"A4253","Blood glucose/reagent strips",null,"0102102","AK",99609,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",19.63,17.399999999999999,"AL00",null,"A4255","Glucose monitor platforms",null,"0102102","AK",99610,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",30.14,27.01,"AL00",null,"A4256","Calibrator solution/chips",null,"0102102","AK",99611,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.41,8.8800000000000008,"AL00",null,"A4257","Replace lensshield cartridge",null,"0102102","AK",99612,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",11.41,8.8800000000000008,"AL00",null,"A4258","Lancet device each",null,"0102102","AK",99613,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",10.02,6.15,"AL00",null,"A4259","Lancets per box",null,"0102102","AK",99614,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",11.41,8.8800000000000008,"AL00",null,"A4261","Cervical cap contraceptive",null,"0102102","AK",99615,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",13.44,11.21,"AL00",null,"A4262","Temporary tear duct plug",null,"0102102","AK",99619,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",94.39,65.5,"AK01",null,"A4263","Permanent tear duct plug",null,"0102102","AK",99620,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",52.06,39.76,"AK01",null,"A4264","Intratubal occlusion device",null,"0102102","AK",99621,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",65.790000000000006,47.89,"AK01",null,"A4265","Paraffin",null,"0102102","AK",99622,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",106.49,72.010000000000005,"AK01",null,"A4266","Diaphragm",null,"0102102","AK",99623,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",88.19,63.77,"AK01",null,"A4267","Male condom",null,"0102102","AK",99624,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",76.73,53.06,"AK01",null,"A4268","Female condom",null,"0102102","AK",99625,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",50.87,35.96,"AK01",null,"A4269","Spermicide",null,"0102102","AK",99626,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",101.94,84.42,"AK01",null,"A4270","Disposable endoscope sheath",null,"0102102","AK",99627,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",30.77,23.87,"AK01",null,"A4280","Brst prsths adhsv attchmnt",null,"0102102","AK",99628,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",139.55000000000001,85.69,"AK01",null,"A4281","Replacement breastpump tube",null,"0102102","AK",99629,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",176.97,146.03,"AK01",null,"A4282","Replacement breastpump adpt",null,"0102102","AK",99630,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",148.22999999999999,123.63,"AK01",null,"A4283","Replacement breastpump cap",null,"0102102","AK",99631,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",303.47000000000003,250.35,"AK01",null,"A4284","Replcmnt breast pump shield",null,"0102102","AK",99632,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",146.74,122.88,"AK01",null,"A4285","Replcmnt breast pump bottle",null,"0102102","AK",99633,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",111.8,90.36,"AK01",null,"A4286","Replcmnt breastpump lok ring",null,"0102102","AK",99634,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",96.18,80.52,"AK01",null,"A4290","Sacral nerve stim test lead",null,"0102102","AK",99635,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",122.89,107.04,"AK01",null,"A4300","Cath impl vasc access portal",null,"0102102","AK",99636,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",105.6,89.2,"AK01",null,"A4301","Implantable access syst perc",null,"0102102","AK",99637,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",161.94999999999999,128.4,"AK01",null,"A4305","Drug delivery system >=50 ml",null,"0102102","AK",99638,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",63.2,49.6,"AK01",null,"A4306","Drug delivery system <=50 ml",null,"0102102","AK",99639,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",134.47,105.77,"AK01",null,"A4310","Insert tray w/o bag/cath",null,"0102102","AK",99640,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",111.26,89.08,"AK01",null,"A4311","Catheter w/o bag 2-way latex",null,"0102102","AK",99641,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",25.48,16.91,"AK01",null,"A4312","Cath w/o bag 2-way silicone",null,"0102102","AK",99643,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",130.13999999999999,110.57,"AK01",null,"A4313","Catheter w/bag 3-way",null,"0102102","AK",99644,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.76,5.98,"AK01",null,"A4314","Cath w/drainage 2-way latex",null,"0102102","AK",99645,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",171.75,152.37,"AK01",null,"A4315","Cath w/drainage 2-way silcne",null,"0102102","AK",99647,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",80.69,70.44,"AK01",null,"A4316","Cath w/drainage 3-way",null,"0102102","AK",99648,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",126.37,111.28,"AK01",null,"A4320","Irrigation tray",null,"0102102","AK",99649,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",135.72,111.68,"AK01",null,"A4321","Cath therapeutic irrig agent",null,"0102102","AK",99650,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",19.25,16.079999999999998,"AK01",null,"A4322","Irrigation syringe",null,"0102102","AK",99651,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",15.32,12.34,"AK01",null,"A4326","Male external catheter",null,"0102102","AK",99652,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.98,5.12,"AK01",null,"A4327","Fem urinary collect dev cup",null,"0102102","AK",99653,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",21.15,15,"AK01",null,"A4328","Fem urinary collect pouch",null,"0102102","AK",99654,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.85,6.05,"AK01",null,"A4330","Stool collection pouch",null,"0102102","AK",99655,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",8.1,5.68,"AK01",null,"A4331","Extension drainage tubing",null,"0102102","AK",99656,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",10.23,7.25,"AK01",null,"A4332","Lube sterile packet",null,"0102102","AK",99657,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",19.25,16.079999999999998,"AK01",null,"A4333","Urinary cath anchor device",null,"0102102","AK",99658,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",25.35,19.38,"AK01",null,"A4334","Urinary cath leg strap",null,"0102102","AK",99659,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",18.71,14.79,"AK01",null,"A4335","Incontinence supply",null,"0102102","AK",99660,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",18.71,14.79,"AK01",null,"A4336","Urethral insert",null,"0102102","AK",99661,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",42.39,28.42,"AK01",null,"A4337","Incontinent rectal insert",null,"0102102","AK",99662,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",38.729999999999997,30.91,"AK01",null,"A4338","Indwelling catheter latex",null,"0102102","AK",99663,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",44.26,34.94,"AK01",null,"A4340","Indwelling catheter special",null,"0102102","AK",99664,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",47.34,35.97,"AK01",null,"A4344","Cath indw foley 2 way silicn",null,{"$f":"O131&N131","v":"0102102"},"AK",99665,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",38.729999999999997,30.91,"AK01",null,"A4346","Cath indw foley 3 way",null,"0102102","AK",99666,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",38.119999999999997,28.06,"AK01",null,"A4349","Disposable male external cat",null,"0102102","AK",99667,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",31.58,28.6,"AK01",null,"A4351","Straight tip urine catheter",null,"0102102","AK",99668,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",30.19,27.4,"AK01",null,"A4352","Coude tip urinary catheter",null,"0102102","AK",99669,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",35.85,28.96,"AK01",null,"A4353","Intermittent urinary cath",null,"0102102","AK",99670,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",23.52,19.23,"AK01",null,"A4354","Cath insertion tray w/bag",null,"0102102","AK",99671,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",132.03,105.56,"AK01",null,"A4355","Bladder irrigation tubing",null,"0102102","AK",99672,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",132.03,105.56,"AK01",null,"A4356","Ext ureth clmp or compr dvc",null,"0102102","AK",99674,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",132.03,105.56,"AK01",null,"A4357","Bedside drainage bag",null,"0102102","AK",99675,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",89.87,69.739999999999995,"AK01",null,"A4358","Urinary leg or abdomen bag",null,"0102102","AK",99676,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",132.03,105.56,"AK01",null,"A4360","Disposable ext urethral dev",null,"0102102","AK",99677,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",132.03,105.56,"AK01",null,"A4361","Ostomy face plate",null,"0102102","AK",99678,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",132.03,105.56,"AK01",null,"A4362","Solid skin barrier",null,"0102102","AK",99679,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",89.5,69.56,"AK01",null,"A4363","Ostomy clamp, replacement",null,"0102102","AK",99680,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",47.17,34.869999999999997,"AK01",null,"A4364","Adhesive, liquid or equal",null,"0102102","AK",99681,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",77.16,50.88,"AK01",null,"A4366","Ostomy vent",null,"0102102","AK",99682,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",42.46,32.770000000000003,"AK01",null,"A4367","Ostomy belt",null,"0102102","AK",99683,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",41.75,33.18,"AK01",null,"A4368","Ostomy filter",null,"0102102","AK",99684,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",41.75,33.18,"AK01",null,"A4369","Skin barrier liquid per oz",null,"0102102","AK",99685,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",121.63,81,"AK01",null,"A4371","Skin barrier powder per oz",null,"0102102","AK",99686,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",55.72,41.18,"AK01",null,"A4372","Skin barrier solid 4x4 equiv",null,"0102102","AK",99687,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",501.77,261.14999999999998,"AK01",null,"A4373","Skin barrier with flange",null,"0102102","AK",99688,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",43.58,33.33,"AK01",null,"A4375","Drainable plastic pch w fcpl",null,"0102102","AK",99689,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",50.93,41.43,"AK01",null,"A4376","Drainable rubber pch w fcplt",null,"0102102","AK",99690,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",60.66,43.14,"AK01",null,"A4377","Drainable plstic pch w/o fp",null,"0102102","AK",99691,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",53.2,39.409999999999997,"AK01",null,"A4378","Drainable rubber pch w/o fp",null,"0102102","AK",99692,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",65.61,45.1,"AK01",null,"A4379","Urinary plastic pouch w fcpl",null,"0102102","AK",99693,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",17.760000000000002,15.33,"AK01",null,"A4380","Urinary rubber pouch w fcplt",null,"0102102","AK",99694,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",32.909999999999997,29.37,"AK01",null,"A4381","Urinary plastic pouch w/o fp",null,"0102102","AK",99695,"02102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",46.73,42.63,"AK01",null,"A4382","Urinary hvy plstc pch w/o fp",null,"0102102","AK",99697,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",15.89,14.4,"AK01",null,"A4383","Urinary rubber pouch w/o fp",null,"0102102","AK",99701,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",28.16,25.37,"AK01",null,"A4384","Ostomy faceplt/silicone ring",null,"0102102","AK",99702,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",43.31,39.4,"AK01",null,"A4385","Ost skn barrier sld ext wear",null,"0102102","AK",99703,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",15.69,12.52,"AK01",null,"A4387","Ost clsd pouch w att st barr",null,"0102102","AK",99704,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",15.69,12.52,"AK01",null,"A4388","Drainable pch w ex wear barr",null,"0102102","AK",99705,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.95,8.1,"AK01",null,"A4389","Drainable pch w st wear barr",null,"0102102","AK",99706,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",15.69,12.52,"AK01",null,"A4390","Drainable pch ex wear convex",null,"0102102","AK",99707,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",18.71,15.91,"AK01",null,"A4391","Urinary pouch w ex wear barr",null,"0102102","AK",99708,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",76.52,51.23,"AZ00",null,"A4392","Urinary pouch w st wear barr",null,"0102102","AK",99709,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",41.38,30.61,"AZ00",null,"A4393","Urine pch w ex wear bar conv",null,"0102102","AK",99710,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",52.86,37.200000000000003,"AZ00",null,"A4394","Ostomy pouch liq deodorant",null,"0102102","AK",99711,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",87.23,57.05,"AZ00",null,"A4395","Ostomy pouch solid deodorant",null,"0102102","AK",99712,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",70.67,49.3,"AZ00",null,"A4396","Peristomal hernia supprt blt",null,"0102102","AK",99714,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",62.11,41.39,"AZ00",null,"A4397","Irrigation supply sleeve",null,"0102102","AK",99716,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",40.29,27.24,"AZ00",null,"A4398","Ostomy irrigation bag",null,"0102102","AK",99720,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",75.89,60.55,"AZ00",null,"A4399","Ostomy irrig cone/cath w brs",null,"0102102","AK",99721,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",23.55,17.510000000000002,"AZ00",null,"A4400","Ostomy irrigation set",null,"0102102","AK",99722,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",116.14,68.989999999999995,"AZ00",null,"A4402","Lubricant per ounce",null,"0102102","AK",99723,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",131.82,104.73,"AZ00",null,"A4404","Ostomy ring each",null,"0102102","AK",99724,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",110.17,88.63,"AZ00",null,"A4405","Nonpectin based ostomy paste",null,"0102102","AK",99725,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",226.03,179.53,"AZ00",null,"A4406","Pectin based ostomy paste",null,"0102102","AK",99726,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",108.86,87.98,"AZ00",null,"A4407","Ext wear ost skn barr <=4sq\"",null,"0102102","AK",99727,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",84.1,65.33,"AZ00",null,"A4408","Ext wear ost skn barr >4sq\"",null,"0102102","AK",99729,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",71.27,57.56,"AZ00",null,"A4409","Ost skn barr convex <=4 sq i",null,"0102102","AK",99730,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",90.23,76.36,"AZ00",null,"A4410","Ost skn barr extnd >4 sq",null,"0102102","AK",99731,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",78.48,64.12,"AZ00",null,"A4411","Ost skn barr extnd =4sq",null,"0102102","AK",99732,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",122.59,93.22,"AZ00",null,"A4412","Ost pouch drain high output",null,"0102102","AK",99733,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",48.12,36.21,"AZ00",null,"A4413","2 pc drainable ost pouch",null,"0102102","AK",99734,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",102.25,77.12,"AZ00",null,"A4414","Ost sknbar w/o conv<=4 sq in",null,"0102102","AK",99736,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",84.05,64.63,"AZ00",null,"A4415","Ost skn barr w/o conv >4 sqi",null,"0102102","AK",99737,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",20.72,13.22,"AZ00",null,"A4416","Ost pch clsd w barrier/filtr",null,"0102102","AK",99738,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",96.46,79.33,"AZ00",null,"A4417","Ost pch w bar/bltinconv/fltr",null,"0102102","AK",99739,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",10.41,5.35,"AZ00",null,"A4418","Ost pch clsd w/o bar w filtr",null,"0102102","AK",99740,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",124.75,107.78,"AZ00",null,"A4419","Ost pch for bar w flange/flt",null,{"$f":"O195&N195","v":"0102102"},"AK",99741,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",59,50.02,"AZ00",null,"A4420","Ost pch clsd for bar w lk fl",null,"0102102","AK",99742,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",91.78,78.56,"AZ00",null,"A4421","Ostomy supply misc",null,"0102102","AK",99743,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",101.44,80.400000000000006,"AZ00",null,"A4422","Ost pouch absorbent material",null,"0102102","AK",99744,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",14.31,11.54,"AZ00",null,"A4423","Ost pch for bar w lk fl/fltr",null,"0102102","AK",99745,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.61,9,"AZ00",null,"A4424","Ost pch drain w bar & filter",null,"0102102","AK",99746,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.59,3.95,"AZ00",null,"A4425","Ost pch drain for barrier fl",null,"0102102","AK",99747,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",16.82,11.44,"AZ00",null,"A4426","Ost pch drain 2 piece system",null,"0102102","AK",99748,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.22,4.7699999999999996,"AZ00",null,"A4427","Ost pch drain/barr lk flng/f",null,"0102102","AK",99749,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",6.57,4.4400000000000004,"AZ00",null,"A4428","Urine ost pouch w faucet/tap",null,"0102102","AK",99750,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.2200000000000006,5.61,"AZ00",null,"A4429","Urine ost pouch w bltinconv",null,"0102102","AK",99751,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",14.31,11.54,"AZ00",null,"A4430","Ost urine pch w b/bltin conv",null,"0102102","AK",99752,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",19.54,14.32,"AZ00",null,"A4431","Ost pch urine w barrier/tapv",null,"0102102","AK",99753,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",14.26,10.83,"AZ00",null,"A4432","Os pch urine w bar/fange/tap",null,"0102102","AK",99754,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",14.26,10.83,"AZ00",null,"A4433","Urine ost pch bar w lock fln",null,"0102102","AK",99755,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",34.25,22.02,"AZ00",null,"A4434","Ost pch urine w lock flng/ft",null,"0102102","AK",99756,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",29.24,22.39,"AZ00",null,"A4435","1pc ost pch drain hgh output",null,"0102102","AK",99757,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",33.549999999999997,25.39,"AZ00",null,"A4450","Non-waterproof tape",null,"0102102","AK",99758,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",36.46,26.51,"AZ00",null,"A4452","Waterproof tape",null,"0102102","AK",99759,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",29.24,22.39,"AZ00",null,"A4455","Adhesive remover per ounce",null,"0102102","AK",99760,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",29.77,20.96,"AZ00",null,"A4456","Adhesive remover, wipes",null,"0102102","AK",99761,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",22.45,19.84,"AZ00",null,"A4458","Reusable enema bag",null,"0102102","AK",99762,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",21.45,19,"AZ00",null,"A4459","Manual pump enema, reusable",null,"0102102","AK",99763,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",26.94,20.9,"AZ00",null,"A4461","Surgicl dress hold non-reuse",null,"0102102","AK",99764,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",17.62,13.87,"AZ00",null,"A4463","Surgical dress holder reuse",null,"0102102","AK",99765,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",99.68,76.510000000000005,"AZ00",null,"A4465","Non-elastic extremity binder",null,"0102102","AK",99766,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",99.68,76.510000000000005,"AZ00",null,"A4467","Belt strap sleev grmnt cover",null,"0102102","AK",99767,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",99.68,76.510000000000005,"AZ00",null,"A4470","Gravlee jet washer",null,"0102102","AK",99768,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",68.930000000000007,51.31,"AZ00",null,"A4480","Vabra aspirator",null,"0102102","AK",99769,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",99.68,76.510000000000005,"AZ00",null,"A4481","Tracheostoma filter",null,"0102102","AK",99770,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",99.68,76.510000000000005,"AZ00",null,"A4483","Moisture exchanger",null,"0102102","AK",99771,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",99.68,76.510000000000005,"AZ00",null,"A4490","Above knee surgical stocking",null,"0102102","AK",99772,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",68.61,51.15,"AZ00",null,"A4495","Thigh length surg stocking",null,"0102102","AK",99773,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",36.74,25.97,"AZ00",null,"A4500","Below knee surgical stocking",null,"0102102","AK",99774,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",62.57,39.56,"AZ00",null,"A4510","Full length surg stocking",null,"0102102","AK",99775,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",32.51,24.02,"AZ00",null,"A4520","Incontinence garment anytype",null,"0102102","AK",99776,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",31.57,24.06,"AZ00",null,"A4550","Surgical trays",null,"0102102","AK",99777,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",31.57,24.06,"AZ00",null,"A4553","Nondisp underpads, all sizes",null,"0102102","AK",99778,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",98.97,63.4,"AZ00",null,"A4554","Disposable underpads",null,"0102102","AK",99779,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",44.14,31.41,"AZ00",null,"A4555","Ca tx e-stim electr/transduc",null,"0102102","AK",99780,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",435.14,224.49,"AZ00",null,"A4556","Electrodes, pair",null,"0102102","AK",99781,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",33.49,24.51,"AZ00",null,"A4557","Lead wires, pair",null,"0102102","AK",99782,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",38.229999999999997,29.91,"AZ00",null,"A4558","Conductive gel or paste",null,"0102102","AK",99783,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",47.91,32.57,"AZ00",null,"A4559","Coupling gel or paste",null,"0102102","AK",99784,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",41.38,29.31,"AZ00",null,"A4561","Pessary rubber, any type",null,"0102102","AK",99785,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",52.45,34.5,"AZ00",null,"A4562","Pessary, non rubber,any type",null,"0102102","AK",99786,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13,10.88,"AZ00",null,"A4563","Vag inser rectal control sys",null,"0102102","AK",99788,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",23.72,20.62,"AZ00",null,"A4565","Slings",null,"0102102","AK",99789,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",33.17,29.58,"AZ00",null,"A4566","Should sling/vest/abrestrain",null,"0102102","AK",99790,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.37,10.07,"AZ00",null,"A4570","Splint",null,"0102102","AK",99791,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.100000000000001,17.649999999999999,"AZ00",null,"A4575","Hyperbaric o2 chamber disps",null,"0102102","AK",99801,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",30.81,27.39,"AZ00",null,"A4580","Cast supplies (plaster)",null,"0102102","AK",99802,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.94,9.16,"AZ00",null,"A4590","Special casting material",null,"0102102","AK",99803,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",11.94,9.16,"AZ00",null,"A4595","Tens suppl 2 lead per month",null,"0102102","AK",99811,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",10.81,6.57,"AZ00",null,"A4600","Sleeve, inter limb comp dev",null,"0102102","AK",99812,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",11.94,9.16,"AZ00",null,"A4601","Lith ion non prosth recharge",null,"0102102","AK",99820,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",13.95,11.5,"AZ00",null,"A4602","Replace lithium battery 1.5v",null,"0102102","AK",99821,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",69.510000000000005,47.11,"AR13",null,"A4604","Tubing with heating element",null,"0102102","AK",99824,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",37.69,28.15,"AR13",null,"A4605","Trach suction cath close sys",null,"0102102","AK",99825,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",48.05,34.18,"AR13",null,"A4606","Oxygen probe used w oximeter",null,"0102102","AK",99826,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",78.86,52.12,"AR13",null,"A4608","Transtracheal oxygen cath",null,"0102102","AK",99827,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",64.44,45.51,"AR13",null,"A4611","Heavy duty battery",null,"0102102","AK",99829,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",56.52,38.159999999999997,"AR13",null,"A4612","Battery cables",null,"0102102","AK",99830,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",37.19,25.62,"AR13",null,"A4613","Battery charger",null,"0102102","AK",99832,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",71.89,58.31,"AR13",null,"A4614","Hand-held pefr meter",null,{"$f":"O259&N259","v":"0102102"},"AK",99833,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",22.04,16.7,"AR13",null,"A4615","Cannula nasal",null,"0102102","AK",99835,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",104.88,63.11,"AR13",null,"A4616","Tubing (oxygen) per foot",null,"0102102","AK",99836,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",124.89,100.9,"AR13",null,"A4617","Mouth piece",null,"0102102","AK",99840,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",104.39,85.31,"AR13",null,"A4618","Breathing circuits",null,"0102102","AK",99841,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",214.18,172.99,"AR13",null,"A4619","Face tent",null,"0102102","AK",99850,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",103.23,84.73,"AR13",null,"A4620","Variable concentration mask",null,"0102102","AK",99901,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",79.319999999999993,62.7,"AR13",null,"A4623","Tracheostomy inner cannula",null,"0102102","AK",99903,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",67.650000000000006,55.51,"AR13",null,"A4624","Tracheal suction tube",null,"0102102","AK",99918,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",85.71,73.42,"AR13",null,"A4625","Trach care kit for new trach",null,"0102102","AK",99919,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",74.209999999999994,61.49,"AR13",null,"A4626","Tracheostomy cleaning brush",null,"0102102","AK",99921,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",115.39,89.37,"AR13",null,"A4627","Spacer bag/reservoir",null,"0102102","AK",99922,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",45.16,34.61,"AR13",null,"A4628","Oropharyngeal suction cath",null,"0102102","AK",99923,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",96.01,73.760000000000005,"AR13",null,"A4629","Tracheostomy care kit",null,"0102102","AK",99925,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",79.12,61.92,"AR13",null,"A4630","Repl bat t.e.n.s. own by pt",null,"0102102","AK",99926,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",18.89,12.24,"AR13",null,"A4633","Uvl replacement bulb",null,"0102102","AK",99927,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",91.32,76.150000000000006,"AR13",null,"A4634","Replacement bulb th lightbox",null,"0102102","AK",99928,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",9.1300000000000008,4.6500000000000004,"AR13",null,"A4635","Underarm crutch pad",null,"0102102","AK",99929,"02102","01","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",119.15,104.12,"AR13",null,"A4636","Handgrip for cane etc",null,"0102102","AK",99950,"02102","01","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",56.21,48.26,"AR13",null,"A4637","Repl tip cane/crutch/walker",null,"0010112","AL",35004,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",87.78,76.069999999999993,"AR13",null,"A4638","Repl batt pulse gen sys",null,"0010112","AL",35005,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",95.9,77.25,"AR13",null,"A4639","Infrared ht sys replcmnt pad",null,"0010112","AL",35006,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",13.55,11.1,"AR13",null,"A4640","Alternating pressure pad",null,"0010112","AL",35007,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",10.89,8.58,"AR13",null,"A4641","Radiopharm dx agent noc",null,"0010112","AL",35010,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.09,3.65,"AR13",null,"A4642","In111 satumomab",null,"0010112","AL",35011,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",15.47,10.7,"AR13",null,"A4648","Implantable tissue marker",null,"0010112","AL",35013,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",6.54,4.37,"AR13",null,"A4649","Surgical supplies",null,"0010112","AL",35014,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",5.96,4.08,"AR13",null,"A4650","Implant radiation dosimeter",null,"0010112","AL",35015,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",7.5,5.19,"AR13",null,"A4651","Calibrated microcap tube",null,"0010112","AL",35016,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",13.55,11.1,"AR13",null,"A4652","Microcapillary tube sealant",null,"0010112","AL",35019,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",18.23,13.6,"AR13",null,"A4653","Pd catheter anchor belt",null,"0010112","AL",35020,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",13.35,10.32,"AR13",null,"A4657","Syringe w/wo needle",null,"0010112","AL",35021,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",13.35,10.32,"AR13",null,"A4660","Sphyg/bp app w cuff and stet",null,"0010112","AL",35022,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",31.33,20.49,"AR13",null,"A4663","Dialysis blood pressure cuff",null,"0010112","AL",35023,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",27.56,21.49,"AR13",null,"A4670","Automatic bp monitor, dial",null,"0010112","AL",35031,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",31.56,24.34,"AR13",null,"A4671","Disposable cycler set",null,"0010112","AL",35032,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",34.07,25.25,"AR13",null,"A4672","Drainage ext line, dialysis",null,"0010112","AL",35033,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",27.56,21.49,"AR13",null,"A4673","Ext line w easy lock connect",null,"0010112","AL",35034,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",27.64,19.829999999999998,"AR13",null,"A4674","Chem/antisept solution, 8oz",null,"0010112","AL",35035,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",21.74,19.420000000000002,"AR13",null,"A4680","Activated carbon filter, ea",null,"0010112","AL",35036,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",20.77,18.600000000000001,"AR13",null,"A4690","Dialyzer, each",null,"0010112","AL",35038,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",25.43,20.09,"AR13",null,"A4706","Bicarbonate conc sol per gal",null,"0010112","AL",35040,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",16.64,13.32,"AR13",null,"A4707","Bicarbonate conc pow per pac",null,"0010112","AL",35041,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",93.9,73.38,"AR13",null,"A4708","Acetate conc sol per gallon",null,"0010112","AL",35042,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",93.9,73.38,"AR13",null,"A4709","Acid conc sol per gallon",null,"0010112","AL",35043,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",93.9,73.38,"AR13",null,"A4714","Treated water per gallon",null,"0010112","AL",35044,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",64.42,48.81,"AR13",null,"A4719","\"y set\" tubing",null,"0010112","AL",35045,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",93.9,73.38,"AR13",null,"A4720","Dialysat sol fld vol > 249cc",null,"0010112","AL",35046,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",93.9,73.38,"AR13",null,"A4721","Dialysat sol fld vol > 999cc",null,"0010112","AL",35048,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",93.9,73.38,"AR13",null,"A4722","Dialys sol fld vol > 1999cc",null,"0010112","AL",35049,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",64.13,48.66,"AR13",null,"A4723","Dialys sol fld vol > 2999cc",null,"0010112","AL",35051,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",34.15,24.62,"AR13",null,"A4724","Dialys sol fld vol > 3999cc",null,"0010112","AL",35052,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",57.19,36.81,"AR13",null,"A4725","Dialys sol fld vol > 4999cc",null,"0010112","AL",35053,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",30.45,22.93,"AR13",null,"A4726","Dialys sol fld vol > 5999cc",null,"0010112","AL",35054,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",29.73,23.08,"AR13",null,"A4728","Dialysate solution, non-dex",null,"0010112","AL",35055,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",29.73,23.08,"AR13",null,"A4730","Fistula cannulation set, ea",null,"0010112","AL",35056,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",90.11,58.6,"AR13",null,"A4736","Topical anesthetic, per gram",null,"0010112","AL",35057,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",40.49,29.22,"AR13",null,"A4737","Inj anesthetic per 10 ml",null,"0010112","AL",35058,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",386.9,200.31,"AR13",null,"A4740","Shunt accessory",null,"0010112","AL",35060,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",31.31,23.37,"AR13",null,"A4750","Art or venous blood tubing",null,"0010112","AL",35061,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",36.090000000000003,28.71,"AR13",null,"A4755","Comb art/venous blood tubing",null,"0010112","AL",35062,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",44.28,30.7,"AR13",null,"A4760","Dialysate sol test kit, each",null,"0010112","AL",35063,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",38.5,27.81,"AR13",null,"A4765","Dialysate conc pow per pack",null,"0010112","AL",35064,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",48.23,32.33,"AR13",null,"A4766","Dialysate conc sol add 10 ml",null,"0010112","AL",35068,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",12.4,10.52,"AR13",null,"A4770","Blood collection tube/vacuum",null,{"$f":"O323&N323","v":"0010112"},"AL",35070,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",22.77,20.02,"AR13",null,"A4771","Serum clotting time tube",null,"0010112","AL",35071,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",32.11,28.93,"AR13",null,"A4772","Blood glucose test strips",null,"0010112","AL",35072,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",10.95,9.7899999999999991,"AR13",null,"A4773","Occult blood test strips",null,"0010112","AL",35073,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",19.41,17.25,"AR13",null,"A4774","Ammonia test strips",null,"0010112","AL",35074,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",29.79,26.75,"AR13",null,"A4802","Protamine sulfate per 50 mg",null,"0010112","AL",35077,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.18,8.7200000000000006,"AR13",null,"A4860","Disposable catheter tips",null,"0010112","AL",35078,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",11.18,8.7200000000000006,"AR13",null,"A4870","Plumb/elec wk hm hemo equip",null,"0010112","AL",35079,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",9.7200000000000006,5.96,"AR13",null,"A4890","Repair/maint cont hemo equip",null,"0010112","AL",35080,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",11.18,8.7200000000000006,"AR13",null,"A4911","Drain bag/bottle",null,"0010112","AL",35082,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",13.14,10.97,"AR13",null,"A4913","Misc dialysis supplies noc",null,"0010112","AL",35083,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.69,54.35,"CA54",null,"A4918","Venous pressure clamp",null,"0010112","AL",35085,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.89,31.82,"CA54",null,"A4927","Non-sterile gloves",null,"0010112","AL",35087,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.59,39.04,"CA54",null,"A4928","Surgical mask",null,"0010112","AL",35089,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",94.48,60.66,"CA54",null,"A4929","Tourniquet for dialysis, ea",null,"0010112","AL",35091,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.89,51.94,"CA54",null,"A4930","Sterile, gloves per pair",null,"0010112","AL",35094,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",67.22,44.01,"CA54",null,"A4931","Reusable oral thermometer",null,"0010112","AL",35096,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.76,29.13,"CA54",null,"A4932","Reusable rectal thermometer",null,"0010112","AL",35097,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.55,63.37,"CA54",null,"A5051","Pouch clsd w barr attached",null,"0010112","AL",35098,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.25,18.48,"CA54",null,"A5052","Clsd ostomy pouch w/o barr",null,"0010112","AL",35111,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.84,75.010000000000005,"CA54",null,"A5053","Clsd ostomy pouch faceplate",null,"0010112","AL",35112,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",140.06,109.72,"CA54",null,"A5054","Clsd ostomy pouch w/flange",null,"0010112","AL",35114,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.73,92.6,"CA54",null,"A5055","Stoma cap",null,"0010112","AL",35115,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",240.2,188.1,"CA54",null,"A5056","1 pc ost pouch w filter",null,"0010112","AL",35116,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",115.27,91.87,"CA54",null,"A5057","1 pc ost pou w built-in conv",null,"0010112","AL",35117,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.62,68.599999999999994,"CA54",null,"A5061","Pouch drainable w barrier at",null,"0010112","AL",35118,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.510000000000005,60.15,"CA54",null,"A5062","Drnble ostomy pouch w/o barr",null,"0010112","AL",35119,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",94.57,79.03,"CA54",null,"A5063","Drain ostomy pouch w/flange",null,"0010112","AL",35120,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.78,66.69,"CA54",null,"A5071","Urinary pouch w/barrier",null,"0010112","AL",35121,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",131.13999999999999,98.23,"CA54",null,"A5072","Urinary pouch w/o barrier",null,"0010112","AL",35123,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.52,38.18,"CA54",null,"A5073","Urinary pouch on barr w/flng",null,"0010112","AL",35124,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",109.45,81.3,"CA54",null,"A5081","Stoma plug or seal, any type",null,"0010112","AL",35125,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.7,67.94,"CA54",null,"A5082","Continent stoma catheter",null,"0010112","AL",35126,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.62,14.21,"CA54",null,"A5083","Stoma absorptive cover",null,"0010112","AL",35127,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",101.65,82.45,"CA54",null,"A5093","Ostomy accessory convex inse",null,"0010112","AL",35128,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.57,5.9,"CA54",null,"A5102","Bedside drain btl w/wo tube",null,"0010112","AL",35130,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",130.41,111.4,"CA54",null,"A5105","Urinary suspensory",null,"0010112","AL",35131,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.89,51.84,"CA54",null,"A5112","Urinary leg bag",null,"0010112","AL",35133,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",96.23,81.42,"CA54",null,"A5113","Latex leg strap",null,"0010112","AL",35135,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.74,84.16,"CA54",null,"A5114","Foam/fabric leg strap",null,"0010112","AL",35136,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.15,12.04,"CA54",null,"A5120","Skin barrier, wipe or swab",null,"0010112","AL",35137,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.35,9.42,"CA54",null,"A5121","Solid skin barrier 6x6",null,"0010112","AL",35139,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.98,4.1500000000000004,"CA54",null,"A5122","Solid skin barrier 8x8",null,"0010112","AL",35142,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.22,12.18,"CA54",null,"A5126","Disk/foam pad +or- adhesive",null,"0010112","AL",35143,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.81,5.07,"CA54",null,"A5131","Appliance cleaner",null,"0010112","AL",35144,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.08,4.7,"CA54",null,"A5200","Percutaneous catheter anchor",null,"0010112","AL",35146,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.8699999999999992,5.94,"CA54",null,"A5500","Diab shoe for density insert",null,"0010112","AL",35147,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.15,12.04,"CA54",null,"A5501","Diabetic custom molded shoe",null,"0010112","AL",35148,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.98,15.13,"CA54",null,"A5503","Diabetic shoe w/roller/rockr",null,"0010112","AL",35149,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.22,11.38,"CA54",null,"A5504","Diabetic shoe with wedge",null,"0010112","AL",35150,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.22,11.38,"CA54",null,"A5505","Diab shoe w/metatarsal bar",null,"0010112","AL",35151,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.4,23.69,"CA54",null,"A5506","Diabetic shoe w/off set heel",null,"0010112","AL",35160,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.25,23.57,"CA54",null,"A5507","Modification diabetic shoe",null,"0010112","AL",35161,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.92,26.78,"CA54",null,"A5508","Diabetic deluxe shoe",null,"0010112","AL",35171,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.24,28.09,"CA54",null,"A5510","Compression form shoe insert",null,"0010112","AL",35172,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.25,23.57,"CA54",null,"A5512","Multi den insert direct form",null,"0010112","AL",35173,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.159999999999997,22.29,"CA54",null,"A5513","Multi den insert custom mold",null,"0010112","AL",35175,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.49,20.56,"CA54",null,"A5514","Mult den insert dir carv/cam",null,"0010112","AL",35176,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.42,19.68,"CA54",null,"A6000","Wound warming wound cover",null,"0010112","AL",35178,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.73,21.96,"CA54",null,"A6010","Collagen based wound filler",null,"0010112","AL",35179,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.739999999999998,14.53,"CA54",null,"A6011","Collagen gel/paste wound fil",null,"0010112","AL",35180,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",106.46,80.5,"CA54",null,"A6021","Collagen dressing <=16 sq in",null,"0010112","AL",35181,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",106.46,80.5,"CA54",null,"A6022","Collagen drsg>16<=48 sq in",null,"0010112","AL",35182,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",106.46,80.5,"CA54",null,"A6023","Collagen dressing >48 sq in",null,"0010112","AL",35183,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.84,54.1,"CA54",null,"A6024","Collagen dsg wound filler",null,{"$f":"O387&N387","v":"0010112"},"AL",35184,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",106.46,80.5,"CA54",null,"A6025","Silicone gel sheet, each",null,"0010112","AL",35185,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",106.46,80.5,"CA54",null,"A6154","Wound pouch each",null,"0010112","AL",35186,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",106.46,80.5,"CA54",null,"A6196","Alginate dressing <=16 sq in",null,"0010112","AL",35187,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.47,53.91,"CA54",null,"A6197","Alginate drsg >16 <=48 sq in",null,"0010112","AL",35188,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.68,27.61,"CA54",null,"A6198","Alginate dressing > 48 sq in",null,"0010112","AL",35201,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.5,42.72,"CA54",null,"A6199","Alginate drsg wound filler",null,"0010112","AL",35202,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.909999999999997,25.4,"CA54",null,"A6203","Composite drsg <= 16 sq in",null,"0010112","AL",35203,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.76,25.35,"CA54",null,"A6204","Composite drsg >16<=48 sq in",null,"0010112","AL",35204,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.76,25.35,"CA54",null,"A6205","Composite drsg > 48 sq in",null,"0010112","AL",35205,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.92,68.06,"CA54",null,"A6206","Contact layer <= 16 sq in",null,"0010112","AL",35206,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47.33,33.07,"CA54",null,"A6207","Contact layer >16<= 48 sq in",null,"0010112","AL",35207,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.2,250.18,"CA54",null,"A6208","Contact layer > 48 sq in",null,"0010112","AL",35208,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",36.01,25.95,"CA54",null,"A6209","Foam drsg <=16 sq in w/o bdr",null,"0010112","AL",35209,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.700000000000003,31.37,"CA54",null,"A6210","Foam drg >16<=48 sq in w/o b",null,"0010112","AL",35210,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",52.01,34.82,"CA54",null,"A6211","Foam drg > 48 sq in w/o brdr",null,"0010112","AL",35211,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.69,31.17,"CA54",null,"A6212","Foam drg <=16 sq in w/border",null,"0010112","AL",35212,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.16,37.049999999999997,"CA54",null,"A6213","Foam drg >16<=48 sq in w/bdr",null,"0010112","AL",35213,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.69,11.31,"CA54",null,"A6214","Foam drg > 48 sq in w/border",null,"0010112","AL",35214,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.82,21.35,"CA54",null,"A6215","Foam dressing wound filler",null,"0010112","AL",35215,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.619999999999997,30.59,"CA54",null,"A6216","Non-sterile gauze<=16 sq in",null,"0010112","AL",35216,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.86,10.4,"CA54",null,"A6217","Non-sterile gauze>16<=48 sq",null,"0010112","AL",35217,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.03,18.29,"CA54",null,"A6218","Non-sterile gauze > 48 sq in",null,"0010112","AL",35218,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",32.159999999999997,28.32,"CA54",null,"A6219","Gauze <= 16 sq in w/border",null,"0010112","AL",35219,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.72,9.61,"CA54",null,"A6220","Gauze >16 <=48 sq in w/bordr",null,"0010112","AL",35220,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.72,9.61,"CA54",null,"A6221","Gauze > 48 sq in w/border",null,"0010112","AL",35221,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.83,7.08,"CA54",null,"A6222","Gauze <=16 in no w/sal w/o b",null,"0010112","AL",35222,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.72,9.61,"CA54",null,"A6223","Gauze >16<=48 no w/sal w/o b",null,"0010112","AL",35223,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.66,11.91,"CA54",null,"A6224","Gauze > 48 in no w/sal w/o b",null,"0010112","AL",35224,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA55",null,"A6228","Gauze <= 16 sq in water/sal",null,"0010112","AL",35225,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA55",null,"A6229","Gauze >16<=48 sq in watr/sal",null,"0010112","AL",35226,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA55",null,"A6230","Gauze > 48 sq in water/salne",null,"0010112","AL",35228,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA55",null,"A6231","Hydrogel dsg<=16 sq in",null,"0010112","AL",35229,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA55",null,"A6232","Hydrogel dsg>16<=48 sq in",null,"0010112","AL",35230,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA55",null,"A6233","Hydrogel dressing >48 sq in",null,"0010112","AL",35231,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA55",null,"A6234","Hydrocolld drg <=16 w/o bdr",null,"0010112","AL",35232,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA55",null,"A6235","Hydrocolld drg >16<=48 w/o b",null,"0010112","AL",35233,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA55",null,"A6236","Hydrocolld drg > 48 in w/o b",null,"0010112","AL",35234,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA55",null,"A6237","Hydrocolld drg <=16 in w/bdr",null,"0010112","AL",35235,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA55",null,"A6238","Hydrocolld drg >16<=48 w/bdr",null,"0010112","AL",35236,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA55",null,"A6239","Hydrocolld drg > 48 in w/bdr",null,"0010112","AL",35237,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA55",null,"A6240","Hydrocolld drg filler paste",null,"0010112","AL",35238,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA55",null,"A6241","Hydrocolloid drg filler dry",null,"0010112","AL",35240,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA55",null,"A6242","Hydrogel drg <=16 in w/o bdr",null,"0010112","AL",35242,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA55",null,"A6243","Hydrogel drg >16<=48 w/o bdr",null,"0010112","AL",35243,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA55",null,"A6244","Hydrogel drg >48 in w/o bdr",null,"0010112","AL",35244,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA55",null,"A6245","Hydrogel drg <= 16 in w/bdr",null,"0010112","AL",35245,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA55",null,"A6246","Hydrogel drg >16<=48 in w/b",null,"0010112","AL",35246,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA55",null,"A6247","Hydrogel drg > 48 sq in w/b",null,"0010112","AL",35249,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA55",null,"A6248","Hydrogel drsg gel filler",null,"0010112","AL",35253,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA55",null,"A6250","Skin seal protect moisturizr",null,"0010112","AL",35254,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA55",null,"A6251","Absorpt drg <=16 sq in w/o b",null,"0010112","AL",35255,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA55",null,"A6252","Absorpt drg >16 <=48 w/o bdr",null,"0010112","AL",35259,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA55",null,"A6253","Absorpt drg > 48 sq in w/o b",null,"0010112","AL",35260,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA55",null,"A6254","Absorpt drg <=16 sq in w/bdr",null,"0010112","AL",35261,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA55",null,"A6255","Absorpt drg >16<=48 in w/bdr",null,"0010112","AL",35263,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA55",null,"A6256","Absorpt drg > 48 sq in w/bdr",null,"0010112","AL",35266,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA55",null,"A6257","Transparent film <= 16 sq in",null,"0010112","AL",35270,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA55",null,"A6258","Transparent film >16<=48 in",null,"0010112","AL",35277,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA55",null,"A6259","Transparent film > 48 sq in",null,"0010112","AL",35278,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA55",null,"A6260","Wound cleanser any type/size",null,"0010112","AL",35279,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA55",null,"A6261","Wound filler gel/paste /oz",null,"0010112","AL",35280,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA55",null,"A6262","Wound filler dry form / gram",null,"0010112","AL",35281,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA55",null,"A6266","Impreg gauze no h20/sal/yard",null,"0010112","AL",35282,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA55",null,"A6402","Sterile gauze <= 16 sq in",null,{"$f":"O451&N451","v":"0010112"},"AL",35283,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA55",null,"A6403","Sterile gauze>16 <= 48 sq in",null,"0010112","AL",35285,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA55",null,"A6404","Sterile gauze > 48 sq in",null,"0010112","AL",35286,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA55",null,"A6407","Packing strips, non-impreg",null,"0010112","AL",35287,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA55",null,"A6410","Sterile eye pad",null,"0010112","AL",35288,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA55",null,"A6411","Non-sterile eye pad",null,"0010112","AL",35289,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA55",null,"A6412","Occlusive eye patch",null,"0010112","AL",35290,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA55",null,"A6413","Adhesive bandage, first-aid",null,"0010112","AL",35291,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA55",null,"A6441","Pad band w>=3\" <5\"/yd",null,"0010112","AL",35292,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA55",null,"A6442","Conform band n/s w<3\"/yd",null,"0010112","AL",35293,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA55",null,"A6443","Conform band n/s w>=3\"<5\"/yd",null,"0010112","AL",35294,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA55",null,"A6444","Conform band n/s w>=5\"/yd",null,"0010112","AL",35295,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA55",null,"A6445","Conform band s w <3\"/yd",null,"0010112","AL",35296,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA55",null,"A6446","Conform band s w>=3\" <5\"/yd",null,"0010112","AL",35297,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA55",null,"A6447","Conform band s w >=5\"/yd",null,"0010112","AL",35298,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA55",null,"A6448","Lt compres band <3\"/yd",null,"0010112","AL",35299,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA55",null,"A6449","Lt compres band >=3\" <5\"/yd",null,"0010112","AL",35401,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA55",null,"A6450","Lt compres band >=5\"/yd",null,"0010112","AL",35402,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA55",null,"A6451","Mod compres band w>=3\"<5\"/yd",null,"0010112","AL",35403,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA55",null,"A6452","High compres band w>=3\"<5\"yd",null,"0010112","AL",35404,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA55",null,"A6453","Self-adher band w <3\"/yd",null,"0010112","AL",35405,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA55",null,"A6454","Self-adher band w>=3\" <5\"/yd",null,"0010112","AL",35406,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA55",null,"A6455","Self-adher band >=5\"/yd",null,"0010112","AL",35407,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA55",null,"A6456","Zinc paste band w >=3\"<5\"/yd",null,"0010112","AL",35440,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA55",null,"A6457","Tubular dressing",null,"0010112","AL",35441,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA55",null,"A6460","Synthetic drsg <= 16 sq in",null,"0010112","AL",35442,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA55",null,"A6461","Synthetic drsg >16<=48 sq in",null,"0010112","AL",35443,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA55",null,"A6501","Compres burngarment bodysuit",null,"0010112","AL",35444,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA55",null,"A6502","Compres burngarment chinstrp",null,"0010112","AL",35446,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA55",null,"A6503","Compres burngarment facehood",null,"0010112","AL",35447,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA55",null,"A6504","Cmprsburngarment glove-wrist",null,"0010112","AL",35448,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA55",null,"A6505","Cmprsburngarment glove-elbow",null,"0010112","AL",35449,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA55",null,"A6506","Cmprsburngrmnt glove-axilla",null,"0010112","AL",35452,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA55",null,"A6507","Cmprs burngarment foot-knee",null,"0010112","AL",35453,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA55",null,"A6508","Cmprs burngarment foot-thigh",null,"0010112","AL",35456,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA55",null,"A6509","Compres burn garment jacket",null,"0010112","AL",35457,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA55",null,"A6510","Compres burn garment leotard",null,"0010112","AL",35458,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA55",null,"A6511","Compres burn garment panty",null,"0010112","AL",35459,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA55",null,"A6512","Compres burn garment, noc",null,"0010112","AL",35460,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA55",null,"A6513","Compress burn mask face/neck",null,"0010112","AL",35461,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA55",null,"A6530","Compression stocking bk18-30",null,"0010112","AL",35462,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA55",null,"A6531","Compression stocking bk30-40",null,"0010112","AL",35463,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA55",null,"A6532","Compression stocking bk40-50",null,"0010112","AL",35464,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA55",null,"A6533","Gc stocking thighlngth 18-30",null,"0010112","AL",35466,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA55",null,"A6534","Gc stocking thighlngth 30-40",null,"0010112","AL",35468,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA55",null,"A6535","Gc stocking thighlngth 40-50",null,"0010112","AL",35469,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA55",null,"A6536","Gc stocking full lngth 18-30",null,"0010112","AL",35470,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.22,53.88,"CA71",null,"A6537","Gc stocking full lngth 30-40",null,"0010112","AL",35471,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.45,31.38,"CA71",null,"A6538","Gc stocking full lngth 40-50",null,"0010112","AL",35473,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.15,38.6,"CA71",null,"A6539","Gc stocking waistlngth 18-30",null,"0010112","AL",35474,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.94,60.11,"CA71",null,"A6540","Gc stocking waistlngth 30-40",null,"0010112","AL",35475,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.37,51.42,"CA71",null,"A6541","Gc stocking waistlngth 40-50",null,"0010112","AL",35476,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.88,43.66,"CA71",null,"A6544","Gc stocking garter belt",null,"0010112","AL",35477,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.64,29.01,"CA71",null,"A6545","Grad comp non-elastic bk",null,"0010112","AL",35478,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.16,62.97,"CA71",null,"A6549","G compression stocking",null,"0010112","AL",35480,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.15,18.38,"CA71",null,"A6550","Neg pres wound ther drsg set",null,"0010112","AL",35481,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.58,74.75,"CA71",null,"A7000","Disposable canister for pump",null,"0010112","AL",35482,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.41,109.06,"CA71",null,"A7001","Nondisposable pump canister",null,"0010112","AL",35485,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.11,91.97,"CA71",null,"A7002","Tubing used w suction pump",null,"0010112","AL",35486,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.08,186.98,"CA71",null,"A7003","Nebulizer administration set",null,"0010112","AL",35487,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.64,91.24,"CA71",null,"A7004","Disposable nebulizer sml vol",null,"0010112","AL",35490,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.22,68.19,"CA71",null,"A7005","Nondisposable nebulizer set",null,"0010112","AL",35491,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.12,59.76,"CA71",null,"A7006","Filtered nebulizer admin set",null,"0010112","AL",35501,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.85,78.31,"CA71",null,"A7007","Lg vol nebulizer disposable",null,"0010112","AL",35502,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.23,66.14,"CA71",null,"A7008","Disposable nebulizer prefill",null,{"$f":"O515&N515","v":"0010112"},"AL",35503,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.63,97.72,"CA71",null,"A7009","Nebulizer reservoir bottle",null,"0010112","AL",35504,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.31,37.97,"CA71",null,"A7010","Disposable corrugated tubing",null,"0010112","AL",35540,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",109.01,80.86,"CA71",null,"A7012","Nebulizer water collec devic",null,"0010112","AL",35541,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.3,67.540000000000006,"CA71",null,"A7013","Disposable compressor filter",null,"0010112","AL",35542,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.56,14.15,"CA71",null,"A7014","Compressor nondispos filter",null,"0010112","AL",35543,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.96,81.760000000000005,"CA71",null,"A7015","Aerosol mask used w nebulize",null,"0010112","AL",35544,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.54,5.87,"CA71",null,"A7016","Nebulizer dome & mouthpiece",null,"0010112","AL",35545,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.41999999999999,110.41,"CA71",null,"A7017","Nebulizer not used w oxygen",null,"0010112","AL",35546,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.45,51.4,"CA71",null,"A7018","Water distilled w/nebulizer",null,"0010112","AL",35548,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.58,80.78,"CA71",null,"A7020","Interface, cough stim device",null,"0010112","AL",35549,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.2,83.61,"CA71",null,"A7025","Replace chest compress vest",null,"0010112","AL",35550,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.07,11.96,"CA71",null,"A7026","Replace chst cmprss sys hose",null,"0010112","AL",35551,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.28,9.35,"CA71",null,"A7027","Combination oral/nasal mask",null,"0010112","AL",35552,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.1100000000000003,"CA71",null,"A7028","Repl oral cushion combo mask",null,"0010112","AL",35553,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.149999999999999,12.12,"CA71",null,"A7029","Repl nasal pillow comb mask",null,"0010112","AL",35554,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.0199999999999996,"CA71",null,"A7030","Cpap full face mask",null,"0010112","AL",35555,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA71",null,"A7031","Replacement facemask interfa",null,"0010112","AL",35559,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.82,5.89,"CA71",null,"A7032","Replacement nasal cushion",null,"0010112","AL",35560,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.07,11.96,"CA71",null,"A7033","Replacement nasal pillows",null,"0010112","AL",35563,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.9,15.05,"CA71",null,"A7034","Nasal application device",null,"0010112","AL",35564,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.15,11.31,"CA71",null,"A7035","Pos airway press headgear",null,"0010112","AL",35565,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.15,11.31,"CA71",null,"A7036","Pos airway press chinstrap",null,"0010112","AL",35570,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA71",null,"A7037","Pos airway pressure tubing",null,"0010112","AL",35571,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.13,23.45,"CA71",null,"A7038","Pos airway pressure filter",null,"0010112","AL",35572,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA71",null,"A7039","Filter, non disposable w pap",null,"0010112","AL",35573,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA71",null,"A7040","One way chest drain valve",null,"0010112","AL",35574,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.13,23.45,"CA71",null,"A7041","Water seal drain container",null,"0010112","AL",35575,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.06,22.18,"CA71",null,"A7044","Pap oral interface",null,"0010112","AL",35576,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.43,"CA71",null,"A7045","Repl exhalation port for pap",null,"0010112","AL",35577,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA71",null,"A7046","Repl water chamber, pap dev",null,"0010112","AL",35578,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.61,21.84,"CA71",null,"A7047","Resp suction oral interface",null,"0010112","AL",35579,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.649999999999999,14.44,"CA71",null,"A7048","Vacuum drain bottle/tube kit",null,"0010112","AL",35580,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",106.01,80.05,"CA71",null,"A7501","Tracheostoma valve w diaphra",null,"0010112","AL",35581,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",106.01,80.05,"CA71",null,"A7502","Replacement diaphragm/fplate",null,"0010112","AL",35582,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",106.01,80.05,"CA71",null,"A7503","Hmes filter holder or cap",null,"0010112","AL",35584,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.510000000000005,53.77,"CA71",null,"A7504","Tracheostoma hmes filter",null,"0010112","AL",35585,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",106.01,80.05,"CA71",null,"A7505","Hmes or trach valve housing",null,"0010112","AL",35586,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",106.01,80.05,"CA71",null,"A7506","Hmes/trachvalve adhesivedisk",null,"0010112","AL",35587,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",106.01,80.05,"CA71",null,"A7507","Integrated filter & holder",null,"0010112","AL",35592,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.150000000000006,53.58,"CA71",null,"A7508","Housing & integrated adhesiv",null,"0010112","AL",35593,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.56,27.49,"CA71",null,"A7509","Heat & moisture exchange sys",null,"0010112","AL",35594,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.59,"CA71",null,"A7520","Trach/laryn tube non-cuffed",null,"0010112","AL",35601,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.28,"CA71",null,"A7521","Trach/laryn tube cuffed",null,"0010112","AL",35602,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.630000000000003,25.22,"CA71",null,"A7522","Trach/laryn tube stainless",null,"0010112","AL",35603,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.630000000000003,25.22,"CA71",null,"A7523","Tracheostomy shower protect",null,"0010112","AL",35609,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.56,67.709999999999994,"CA71",null,"A7524","Tracheostoma stent/stud/bttn",null,"0010112","AL",35610,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47.03,32.770000000000003,"CA71",null,"A7525","Tracheostomy mask",null,"0010112","AL",35611,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.09,250.06,"CA71",null,"A7526","Tracheostomy tube collar",null,"0010112","AL",35612,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.83,"CA71",null,"A7527","Trach/laryn tube plug/stop",null,"0010112","AL",35613,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.5,31.18,"CA71",null,"A8000","Soft protect helmet prefab",null,"0010112","AL",35614,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.69,"CA71",null,"A8001","Hard protect helmet prefab",null,"0010112","AL",35615,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.56,31.03,"CA71",null,"A8002","Soft protect helmet custom",null,"0010112","AL",35616,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.03,36.92,"CA71",null,"A8003","Hard protect helmet custom",null,"0010112","AL",35617,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.23,"CA71",null,"A8004","Repl soft interface, helmet",null,"0010112","AL",35618,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.65,21.18,"CA71",null,"A9150","Misc/exper non-prescript dru",null,"0010112","AL",35619,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.4,30.37,"CA71",null,"A9152","Single vitamin nos",null,"0010112","AL",35620,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.78,10.31,"CA71",null,"A9153","Multi-vitamin nos",null,"0010112","AL",35621,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.91,18.170000000000002,"CA71",null,"A9155","Artificial saliva",null,"0010112","AL",35622,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.95,28.12,"CA71",null,"A9180","Lice treatment, topical",null,"0010112","AL",35630,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.65,9.5399999999999991,"CA71",null,"A9270","Non-covered item or service",null,"0010112","AL",35631,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.65,9.5399999999999991,"CA71",null,"A9272","Disp wound suct, drsg/access",null,"0010112","AL",35632,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA71",null,"A9273","Hot/cold botle/cap/col/wrap",null,"0010112","AL",35633,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.65,9.5399999999999991,"CA71",null,"A9274","Ext amb insulin delivery sys",null,"0010112","AL",35634,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.54,11.8,"CA71",null,"A9275","Disp home glucose monitor",null,{"$f":"O579&N579","v":"0010112"},"AL",35640,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA56",null,"A9276","Disposable sensor, cgm sys",null,"0010112","AL",35643,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA56",null,"A9277","External transmitter, cgm",null,"0010112","AL",35645,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA56",null,"A9278","External receiver, cgm sys",null,"0010112","AL",35646,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA56",null,"A9279","Monitoring feature/devicenoc",null,"0010112","AL",35647,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA56",null,"A9280","Alert device, noc",null,"0010112","AL",35648,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA56",null,"A9281","Reaching/grabbing device",null,"0010112","AL",35649,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA56",null,"A9282","Wig any type",null,"0010112","AL",35650,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA56",null,"A9283","Foot press off load supp dev",null,"0010112","AL",35651,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA56",null,"A9284","Non-electronic spirometer",null,"0010112","AL",35652,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA56",null,"A9285","Inversion eversion cor devic",null,"0010112","AL",35653,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA56",null,"A9286","Any hygienic item, device",null,"0010112","AL",35654,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA56",null,"A9300","Exercise equipment",null,"0010112","AL",35660,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA56",null,"A9500","Tc99m sestamibi",null,"0010112","AL",35661,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA56",null,"A9501","Technetium tc-99m teboroxime",null,"0010112","AL",35662,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA56",null,"A9502","Tc99m tetrofosmin",null,"0010112","AL",35670,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA56",null,"A9503","Tc99m medronate",null,"0010112","AL",35671,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA56",null,"A9504","Tc99m apcitide",null,"0010112","AL",35672,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA56",null,"A9505","Tl201 thallium",null,"0010112","AL",35673,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA56",null,"A9507","In111 capromab",null,"0010112","AL",35674,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA56",null,"A9508","I131 iodobenguate, dx",null,"0010112","AL",35677,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA56",null,"A9509","Iodine i-123 sod iodide mil",null,"0010112","AL",35699,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA56",null,"A9510","Tc99m disofenin",null,"0010112","AL",35739,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA56",null,"A9512","Tc99m pertechnetate",null,"0010112","AL",35740,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA56",null,"A9513","Lutetium lu 177 dotatat ther",null,"0010112","AL",35741,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA56",null,"A9515","Choline c-11",null,"0010112","AL",35742,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA56",null,"A9516","Iodine i-123 sod iodide mic",null,"0010112","AL",35744,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA56",null,"A9517","I131 iodide cap, rx",null,"0010112","AL",35745,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA56",null,"A9520","Tc99 tilmanocept diag 0.5mci",null,"0010112","AL",35746,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA56",null,"A9521","Tc99m exametazime",null,"0010112","AL",35747,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA56",null,"A9524","I131 serum albumin, dx",null,"0010112","AL",35748,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA56",null,"A9526","Nitrogen n-13 ammonia",null,"0010112","AL",35749,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA56",null,"A9527","Iodine i-125 sodium iodide",null,"0010112","AL",35750,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA56",null,"A9528","Iodine i-131 iodide cap, dx",null,"0010112","AL",35751,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA56",null,"A9529","I131 iodide sol, dx",null,"0010112","AL",35752,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA56",null,"A9530","I131 iodide sol, rx",null,"0010112","AL",35754,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA56",null,"A9531","I131 max 100uci",null,"0010112","AL",35755,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA56",null,"A9532","I125 serum albumin, dx",null,"0010112","AL",35756,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA56",null,"A9536","Tc99m depreotide",null,"0010112","AL",35757,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA56",null,"A9537","Tc99m mebrofenin",null,"0010112","AL",35758,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA56",null,"A9538","Tc99m pyrophosphate",null,"0010112","AL",35759,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA56",null,"A9539","Tc99m pentetate",null,"0010112","AL",35760,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA56",null,"A9540","Tc99m maa",null,"0010112","AL",35761,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA56",null,"A9541","Tc99m sulfur colloid",null,"0010112","AL",35762,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA56",null,"A9542","In111 ibritumomab, dx",null,"0010112","AL",35763,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA56",null,"A9543","Y90 ibritumomab, rx",null,"0010112","AL",35764,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA56",null,"A9546","Co57/58",null,"0010112","AL",35765,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA56",null,"A9547","In111 oxyquinoline",null,"0010112","AL",35766,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA56",null,"A9548","In111 pentetate",null,"0010112","AL",35767,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA56",null,"A9550","Tc99m gluceptate",null,"0010112","AL",35768,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA56",null,"A9551","Tc99m succimer",null,"0010112","AL",35769,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA56",null,"A9552","F18 fdg",null,"0010112","AL",35771,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA56",null,"A9553","Cr51 chromate",null,"0010112","AL",35772,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA56",null,"A9554","I125 iothalamate, dx",null,"0010112","AL",35773,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA56",null,"A9555","Rb82 rubidium",null,"0010112","AL",35774,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA56",null,"A9556","Ga67 gallium",null,"0010112","AL",35775,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA56",null,"A9557","Tc99m bicisate",null,"0010112","AL",35776,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA56",null,"A9558","Xe133 xenon 10mci",null,"0010112","AL",35801,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA56",null,"A9559","Co57 cyano",null,"0010112","AL",35802,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA56",null,"A9560","Tc99m labeled rbc",null,"0010112","AL",35803,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA56",null,"A9561","Tc99m oxidronate",null,"0010112","AL",35804,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA56",null,"A9562","Tc99m mertiatide",null,"0010112","AL",35805,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA56",null,"A9563","P32 na phosphate",null,"0010112","AL",35806,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA56",null,"A9564","P32 chromic phosphate",null,"0010112","AL",35807,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA56",null,"A9566","Tc99m fanolesomab",null,{"$f":"O643&N643","v":"0010112"},"AL",35808,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA56",null,"A9567","Technetium tc-99m aerosol",null,"0010112","AL",35809,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA56",null,"A9568","Technetium tc99m arcitumomab",null,"0010112","AL",35810,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA56",null,"A9569","Technetium tc-99m auto wbc",null,"0010112","AL",35811,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA56",null,"A9570","Indium in-111 auto wbc",null,"0010112","AL",35812,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA56",null,"A9571","Indium in-111 auto platelet",null,"0010112","AL",35813,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA56",null,"A9572","Indium in-111 pentetreotide",null,"0010112","AL",35814,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA56",null,"A9575","Inj gadoterate meglumi 0.1ml",null,"0010112","AL",35815,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA56",null,"A9576","Inj prohance multipack",null,"0010112","AL",35816,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA56",null,"A9577","Inj multihance",null,"0010112","AL",35824,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA56",null,"A9578","Inj multihance multipack",null,"0010112","AL",35893,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA56",null,"A9579","Gad-base mr contrast nos,1ml",null,"0010112","AL",35894,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA56",null,"A9580","Sodium fluoride f-18",null,"0010112","AL",35895,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA56",null,"A9581","Gadoxetate disodium inj",null,"0010112","AL",35896,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA56",null,"A9582","Iodine i-123 iobenguane",null,"0010112","AL",35897,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA56",null,"A9583","Gadofosveset trisodium inj",null,"0010112","AL",35898,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA56",null,"A9584","Iodine i-123 ioflupane",null,"0010112","AL",35899,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA56",null,"A9585","Gadobutrol injection",null,"0010112","AL",35901,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA56",null,"A9586","Florbetapir f18",null,"0010112","AL",35902,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA57",null,"A9587","Gallium ga-68",null,"0010112","AL",35903,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA57",null,"A9588","Fluciclovine f-18",null,"0010112","AL",35904,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA57",null,"A9589","Insti hexaminolevulinate hcl",null,"0010112","AL",35905,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA57",null,"A9590","Iodine i-131 iobenguane 1mci",null,"0010112","AL",35906,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA57",null,"A9591","Fluoroestradiol f 18",null,"0010112","AL",35907,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA57",null,"A9597","Pet, dx, for tumor id, noc",null,"0010112","AL",35950,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA57",null,"A9598","Pet dx for non-tumor id, noc",null,"0010112","AL",35951,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA57",null,"A9600","Sr89 strontium",null,"0010112","AL",35952,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA57",null,"A9604","Sm 153 lexidronam",null,"0010112","AL",35953,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA57",null,"A9606","Radium ra223 dichloride ther",null,"0010112","AL",35954,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA57",null,"A9698","Non-rad contrast materialnoc",null,"0010112","AL",35956,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA57",null,"A9699","Radiopharm rx agent noc",null,"0010112","AL",35957,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA57",null,"A9700","Echocardiography contrast",null,"0010112","AL",35958,"10112","00","R","Z9","R",1,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA57",null,"A9900","Supply/accessory/service",null,"0010112","AL",35959,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA57",null,"A9901","Delivery/set up/dispensing",null,"0010112","AL",35960,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA57",null,"A9999","Dme supply or accessory, nos",null,"0010112","AL",35961,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA57",null,"D0120","Periodic oral evaluation",null,"0010112","AL",35962,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA57",null,"D0140","Limit oral eval problm focus",null,"0010112","AL",35963,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA57",null,"D0145","Oral evaluation, pt < 3yrs",null,"0010112","AL",35964,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA57",null,"D0150","Comprehensve oral evaluation",null,"0010112","AL",35966,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA57",null,"D0160","Extensv oral eval prob focus",null,"0010112","AL",35967,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA57",null,"D0170","Re-eval,est pt,problem focus",null,"0010112","AL",35968,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA57",null,"D0171","Re-eval post-op visit",null,"0010112","AL",35971,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA57",null,"D0180","Comp periodontal evaluation",null,"0010112","AL",35972,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA57",null,"D0190","Screening of a patient",null,"0010112","AL",35973,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA57",null,"D0191","Assessment of a patient",null,"0010112","AL",35974,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA57",null,"D0210","Intraor complete film series",null,"0010112","AL",35975,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA57",null,"D0220","Intraoral periapical first",null,"0010112","AL",35976,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA57",null,"D0230","Intraoral periapical ea add",null,"0010112","AL",35978,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA57",null,"D0240","Intraoral occlusal film",null,"0010112","AL",35979,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA57",null,"D0250","Extraoral 2d project image",null,"0010112","AL",35980,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA57",null,"D0251","Extraoral posterior image",null,"0010112","AL",35981,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA57",null,"D0270","Dental bitewing single image",null,"0010112","AL",35983,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA57",null,"D0272","Dental bitewings two images",null,"0010112","AL",35984,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA57",null,"D0273","Bitewings - three images",null,"0010112","AL",35986,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA57",null,"D0274","Bitewings four images",null,"0010112","AL",35987,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA57",null,"D0277","Vert bitewings 7 to 8 images",null,"0010112","AL",35988,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA57",null,"D0310","Dental saliography",null,"0010112","AL",35989,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA57",null,"D0320","Dental tmj arthrogram incl i",null,"0010112","AL",35990,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA57",null,"D0321","Other tmj images by report",null,"0010112","AL",35999,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA57",null,"D0322","Dental tomographic survey",null,"0010112","AL",36003,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA57",null,"D0330","Panoramic image",null,"0010112","AL",36005,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA57",null,"D0340","2d cephalometric image",null,"0010112","AL",36006,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA57",null,"D0350","Oral/facial photo images",null,"0010112","AL",36008,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA57",null,"D0351","3d photographic image",null,"0010112","AL",36009,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA57",null,"D0364","Cone beam ct capt & interp",null,{"$f":"O707&N707","v":"0010112"},"AL",36010,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA57",null,"D0365","Cone beam ct interprete man",null,"0010112","AL",36013,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA57",null,"D0366","Cone beam ct interprete max",null,"0010112","AL",36015,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA57",null,"D0367","Cone beam ct interp both jaw",null,"0010112","AL",36016,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA57",null,"D0368","Cone beam ct interprete tmj",null,"0010112","AL",36017,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA57",null,"D0369","Max mri capture & interprete",null,"0010112","AL",36020,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA57",null,"D0370","Max ultrasound capt & interp",null,"0010112","AL",36022,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA57",null,"D0371","Sialoendoscopy capt & interp",null,"0010112","AL",36023,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA57",null,"D0380","Cone beam ct capture limited",null,"0010112","AL",36024,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA57",null,"D0381","Cone beam ct capt mandible",null,"0010112","AL",36025,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA57",null,"D0382","Cone beam ct capt maxilla",null,"0010112","AL",36026,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA57",null,"D0383","Cone beam ct both jaws",null,"0010112","AL",36027,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA57",null,"D0384","Cone beam ct capture tmj",null,"0010112","AL",36028,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA57",null,"D0385","Max mri image capture",null,"0010112","AL",36029,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA57",null,"D0386","Max ultrasound image capture",null,"0010112","AL",36030,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA57",null,"D0391","Imterprete diagnostic image",null,"0010112","AL",36031,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA57",null,"D0393","Trtmnt simulation 3d image",null,"0010112","AL",36032,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA57",null,"D0394","Digital sub 2 or more images",null,"0010112","AL",36033,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA57",null,"D0395","Fusion 2 or more 3d images",null,"0010112","AL",36034,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA57",null,"D0411","Hba1c in office testing",null,"0010112","AL",36035,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA57",null,"D0412","Blood glucose level test",null,"0010112","AL",36036,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA57",null,"D0414","Lab process microbial spec",null,"0010112","AL",36037,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA57",null,"D0415","Collection of microorganisms",null,"0010112","AL",36038,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA57",null,"D0416","Viral culture",null,"0010112","AL",36039,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA57",null,"D0417","Collect & prep saliva sample",null,"0010112","AL",36040,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA57",null,"D0418","Analysis of saliva sample",null,"0010112","AL",36041,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA57",null,"D0419","Assess of salivary flow",null,"0010112","AL",36042,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA57",null,"D0422","Collect & prep genetic samp",null,"0010112","AL",36043,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA57",null,"D0423","Genetic test spec analysis",null,"0010112","AL",36045,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA57",null,"D0425","Caries susceptibility test",null,"0010112","AL",36046,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA57",null,"D0431","Diag tst detect mucos abnorm",null,"0010112","AL",36047,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA57",null,"D0460","Pulp vitality test",null,"0010112","AL",36048,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA57",null,"D0470","Diagnostic casts",null,"0010112","AL",36049,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA57",null,"D0472","Gross exam, prep & report",null,"0010112","AL",36051,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA57",null,"D0473","Micro exam, prep & report",null,"0010112","AL",36052,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA57",null,"D0474","Micro w exam of surg margins",null,"0010112","AL",36053,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA57",null,"D0475","Decalcification procedure",null,"0010112","AL",36054,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",88.78,57.66,"CA18",null,"D0476","Spec stains for microorganis",null,"0010112","AL",36057,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",46.66,33.409999999999997,"CA18",null,"D0477","Spec stains not for microorg",null,"0010112","AL",36061,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",60.48,41.21,"CA18",null,"D0478","Immunohistochemical stains",null,"0010112","AL",36062,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",101.67,64.52,"CA18",null,"D0479","Tissue in-situ hybridization",null,"0010112","AL",36064,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",81.150000000000006,54.85,"CA18",null,"D0480","Cytopath smear prep & report",null,"0010112","AL",36065,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",72.19,46.69,"CA18",null,"D0481","Electron microscopy",null,"0010112","AL",36066,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",46.89,30.83,"CA18",null,"D0482","Direct immunofluorescence",null,"0010112","AL",36067,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",84.76,65.89,"CA18",null,"D0483","Indirect immunofluorescence",null,"0010112","AL",36068,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",26.79,19.36,"CA18",null,"D0484","Consult slides prep elsewher",null,"0010112","AL",36069,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",138.63,80.61,"CA18",null,"D0485","Consult inc prep of slides",null,"0010112","AL",36071,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",147.44999999999999,114.12,"CA18",null,"D0486","Access of transep cytol samp",null,"0010112","AL",36072,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",122.72,96.21,"CA18",null,"D0502","Other oral pathology procedu",null,"0010112","AL",36075,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",252.88,195.66,"CA18",null,"D0600","Non-ionizing diag proc",null,"0010112","AL",36078,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",121.11,95.41,"CA18",null,"D0601","Caries risk assess low risk",null,"0010112","AL",36079,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",94.61,71.52,"CA18",null,"D0602","Caries risk assess mod risk",null,"0010112","AL",36080,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",79.33,62.47,"CA18",null,"D0603","Caries risk assess high risk",null,"0010112","AL",36081,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",98.8,81.739999999999995,"CA18",null,"D0604","Antigen test pub hlth pathog",null,"0010112","AL",36082,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",86.88,69.209999999999994,"CA18",null,"D0605","Antibody test pub hlth path",null,"0010112","AL",36083,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",138.78,102.63,"CA18",null,"D0701","Pano radio image",null,"0010112","AL",36087,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",54.59,39.94,"CA18",null,"D0702","2d cephal radio image",null,"0010112","AL",36088,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",115.94,85.02,"CA18",null,"D0703","2d oral/facial photo image",null,"0010112","AL",36089,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",94.8,70.91,"CA18",null,"D0704","3d photo image capture only",null,"0010112","AL",36091,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",24.38,15.15,"CA18",null,"D0705","Extra oral post radio image",null,"0010112","AL",36092,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",106.59,85.51,"CA18",null,"D0706","Intraoral occlus radio image",null,"0010112","AL",36093,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",12.69,6.47,"CA18",null,"D0707","Intraoral periap radio image",null,"0010112","AL",36100,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",135.85,114.97,"CA18",null,"D0708","Intraoral bite radio image",null,"0010112","AL",36101,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",64.64,53.59,"CA18",null,"D0709","Intraoral cmplt radio images",null,"0010112","AL",36102,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",100.36,84.09,"CA18",null,"D0999","Unspecified diagnostic proce",null,{"$f":"O771&N771","v":"0010112"},"AL",36103,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",113.47,87.57,"CA18",null,"D1110","Dental prophylaxis adult",null,"0010112","AL",36104,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.92,12.51,"CA18",null,"D1120","Dental prophylaxis child",null,"0010112","AL",36105,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",13.04,9.83,"CA18",null,"D1206","Topical fluoride varnish",null,"0010112","AL",36106,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.39,4.38,"CA18",null,"D1208","Topical app fluorid ex vrnsh",null,"0010112","AL",36107,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",19.52,12.89,"CA18",null,"D1310","Nutri counsel-control caries",null,"0010112","AL",36108,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.39,5.38,"CA18",null,"D1320","Tobacco counseling",null,"0010112","AL",36109,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.59,4.9800000000000004,"CA18",null,"D1321","Couns for high risk sub use",null,"0010112","AL",36110,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.5,6.29,"CA18",null,"D1330","Oral hygiene instruction",null,"0010112","AL",36111,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.92,12.51,"CA18",null,"D1351","Dental sealant per tooth",null,"0010112","AL",36112,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",22.3,15.88,"CA18",null,"D1352","Prev resin rest, perm tooth",null,"0010112","AL",36113,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",16.11,11.9,"CA18",null,"D1353","Sealant repair per tooth",null,"0010112","AL",36114,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",16.11,11.9,"CA18",null,"D1354","Int caries med app per tooth",null,"0010112","AL",36115,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",40.28,25.22,"CA18",null,"D1355","Caries med app per tooth",null,"0010112","AL",36116,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",33.049999999999997,24.61,"CA18",null,"D1510","Space maintainer fxd unilat",null,"0010112","AL",36117,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",38.03,27.99,"CA18",null,"D1516","Fixed bilat space maint, max",null,"0010112","AL",36118,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",41.74,29.49,"CA18",null,"D1517","Fixed bilat space maint, man",null,"0010112","AL",36119,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",33.049999999999997,24.61,"CA18",null,"D1520","Remove unilat space maintain",null,"0010112","AL",36120,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",34.32,23.48,"CA18",null,"D1526","Remove bilat space main, max",null,"0010112","AL",36121,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.38,21.16,"CA18",null,"D1527","Remove bilat space main, man",null,"0010112","AL",36123,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",23.27,20.260000000000002,"CA18",null,"D1551","Recement space maint - max",null,"0010112","AL",36124,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",30.33,22.9,"CA18",null,"D1552","Recement space maint - man",null,"0010112","AL",36125,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.75,15.13,"CA18",null,"D1553","Recement unilat space maint",null,"0010112","AL",36130,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",112.54,84.03,"CA18",null,"D1556","Rem fixed unilat space maint",null,"0010112","AL",36131,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",112.54,84.03,"CA18",null,"D1557","Remove fixed bilat maint max",null,"0010112","AL",36132,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",112.54,84.03,"CA18",null,"D1558","Remove fixed bilat man",null,"0010112","AL",36133,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",78.349999999999994,56.66,"CA18",null,"D1575","Dist space maint, fixed unil",null,"0010112","AL",36134,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",112.54,84.03,"CA18",null,"D1999","Unspecified preventive proc",null,"0010112","AL",36135,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",112.54,84.03,"CA18",null,"D2140","Amalgam one surface permanen",null,"0010112","AL",36140,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",112.54,84.03,"CA18",null,"D2150","Amalgam two surfaces permane",null,"0010112","AL",36141,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",77.94,56.46,"CA18",null,"D2160","Amalgam three surfaces perma",null,"0010112","AL",36142,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",42.33,29.08,"CA18",null,"D2161","Amalgam 4 or > surfaces perm",null,"0010112","AL",36177,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",73.86,45.55,"CA18",null,"D2330","Resin one surface-anterior",null,"0010112","AL",36191,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",37.06,26.62,"CA18",null,"D2331","Resin two surfaces-anterior",null,"0010112","AL",36201,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",35.72,26.48,"CA18",null,"D2332","Resin three surfaces-anterio",null,"0010112","AL",36202,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",35.72,26.48,"CA18",null,"D2335","Resin 4/> surf or w incis an",null,"0010112","AL",36203,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",116.28,72.510000000000005,"CA18",null,"D2390","Ant resin-based cmpst crown",null,"0010112","AL",36204,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",50.5,34.840000000000003,"CA18",null,"D2391","Post 1 srfc resinbased cmpst",null,"0010112","AL",36205,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",532.83000000000004,273.62,"CA18",null,"D2392","Post 2 srfc resinbased cmpst",null,"0010112","AL",36206,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",38.270000000000003,27.22,"CA18",null,"D2393","Post 3 srfc resinbased cmpst",null,"0010112","AL",36207,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.93,32.69,"CA18",null,"D2394","Post >=4srfc resinbase cmpst",null,"0010112","AL",36210,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",55.7,36.82,"CA18",null,"D2410","Dental gold foil one surface",null,"0010112","AL",36250,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",47.67,32.81,"CA18",null,"D2420","Dental gold foil two surface",null,"0010112","AL",36251,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",61.42,39.33,"CA18",null,"D2430","Dental gold foil three surfa",null,"0010112","AL",36253,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.32,11.71,"CA18",null,"D2510","Dental inlay metalic 1 surf",null,"0010112","AL",36254,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.83,22.01,"CA18",null,"D2520","Dental inlay metallic 2 surf",null,"0010112","AL",36255,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.880000000000003,31.47,"CA18",null,"D2530","Dental inlay metl 3/more sur",null,"0010112","AL",36256,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.31,10.7,"CA18",null,"D2542","Dental onlay metallic 2 surf",null,"0010112","AL",36257,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.85,18.84,"CA18",null,"D2543","Dental onlay metallic 3 surf",null,"0010112","AL",36258,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",33.36,29.14,"CA18",null,"D2544","Dental onlay metl 4/more sur",null,"0010112","AL",36260,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.45,10.029999999999999,"CA18",null,"D2610","Inlay porcelain/ceramic 1 su",null,"0010112","AL",36261,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.45,10.029999999999999,"CA18",null,"D2620","Inlay porcelain/ceramic 2 su",null,"0010112","AL",36262,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.81,7.59,"CA18",null,"D2630","Dental onlay porc 3/more sur",null,"0010112","AL",36263,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.45,10.029999999999999,"CA18",null,"D2642","Dental onlay porcelin 2 surf",null,"0010112","AL",36264,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.37,12.36,"CA18",null,"D2643","Dental onlay porcelin 3 surf",null,"0010112","AL",36265,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",88.78,57.66,"CA26",null,"D2644","Dental onlay porc 4/more sur",null,"0010112","AL",36266,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",46.66,33.409999999999997,"CA26",null,"D2650","Inlay composite/resin one su",null,"0010112","AL",36267,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",60.48,41.21,"CA26",null,"D2651","Inlay composite/resin two su",null,"0010112","AL",36268,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",101.67,64.52,"CA26",null,"D2652","Dental inlay resin 3/mre sur",null,"0010112","AL",36269,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",81.150000000000006,54.85,"CA26",null,"D2662","Dental onlay resin 2 surface",null,"0010112","AL",36270,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",72.19,46.69,"CA26",null,"D2663","Dental onlay resin 3 surface",null,"0010112","AL",36271,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",46.89,30.83,"CA26",null,"D2664","Dental onlay resin 4/mre sur",null,"0010112","AL",36272,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",84.76,65.89,"CA26",null,"D2710","Crown resin-based indirect",null,"0010112","AL",36273,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",26.79,19.36,"CA26",null,"D2712","Crown 3/4 resin-based compos",null,"0010112","AL",36274,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",138.63,80.61,"CA26",null,"D2720","Crown resin w/ high noble me",null,{"$f":"O835&N835","v":"0010112"},"AL",36275,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",147.44999999999999,114.12,"CA26",null,"D2721","Crown resin w/ base metal",null,"0010112","AL",36276,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",122.72,96.21,"CA26",null,"D2722","Crown resin w/ noble metal",null,"0010112","AL",36277,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",252.88,195.66,"CA26",null,"D2740","Crown porcelain/ceramic",null,"0010112","AL",36278,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",121.11,95.41,"CA26",null,"D2750","Crown porcelain w/ h noble m",null,"0010112","AL",36279,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",94.61,71.52,"CA26",null,"D2751","Crown porcelain fused base m",null,"0010112","AL",36280,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",79.33,62.47,"CA26",null,"D2752","Crown porcelain w/ noble met",null,"0010112","AL",36301,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",98.8,81.739999999999995,"CA26",null,"D2753","Crown porc fused to titanium",null,"0010112","AL",36302,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",86.88,69.209999999999994,"CA26",null,"D2780","Crown 3/4 cast hi noble met",null,"0010112","AL",36303,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",138.78,102.63,"CA26",null,"D2781","Crown 3/4 cast base metal",null,"0010112","AL",36304,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",54.59,39.94,"CA26",null,"D2782","Crown 3/4 cast noble metal",null,"0010112","AL",36305,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",115.94,85.02,"CA26",null,"D2783","Crown 3/4 porcelain/ceramic",null,"0010112","AL",36310,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",94.8,70.91,"CA26",null,"D2790","Crown full cast high noble m",null,"0010112","AL",36311,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",24.38,15.15,"CA26",null,"D2791","Crown full cast base metal",null,"0010112","AL",36312,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",106.59,85.51,"CA26",null,"D2792","Crown full cast noble metal",null,"0010112","AL",36313,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",12.69,6.47,"CA26",null,"D2794","Crown-titanium",null,"0010112","AL",36314,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",135.85,114.97,"CA26",null,"D2799","Provisional crown",null,"0010112","AL",36316,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",64.64,53.59,"CA26",null,"D2910","Recement inlay onlay or part",null,"0010112","AL",36317,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",100.36,84.09,"CA26",null,"D2915","Recement cast or prefab post",null,"0010112","AL",36318,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",113.47,87.57,"CA26",null,"D2920","Re-cement or re-bond crown",null,"0010112","AL",36319,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.92,12.51,"CA26",null,"D2921","Reattach tooth fragment",null,"0010112","AL",36320,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",13.04,9.83,"CA26",null,"D2928","Prefab porc/cer crown perm",null,"0010112","AL",36321,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.39,4.38,"CA26",null,"D2929","Prefab porc/ceram crown pri",null,"0010112","AL",36322,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",19.52,12.89,"CA26",null,"D2930","Prefab stnlss steel crwn pri",null,"0010112","AL",36323,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.39,5.38,"CA26",null,"D2931","Prefab stnlss steel crown pe",null,"0010112","AL",36330,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.59,4.9800000000000004,"CA26",null,"D2932","Prefabricated resin crown",null,"0010112","AL",36331,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.5,6.29,"CA26",null,"D2933","Prefab stainless steel crown",null,"0010112","AL",36340,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.92,12.51,"CA26",null,"D2934","Prefab steel crown primary",null,"0010112","AL",36343,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",22.3,15.88,"CA26",null,"D2940","Protective restoration",null,"0010112","AL",36344,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",16.11,11.9,"CA26",null,"D2941","Int therapeutic restoration",null,"0010112","AL",36345,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",16.11,11.9,"CA26",null,"D2949","Restorative foundation",null,"0010112","AL",36346,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",40.28,25.22,"CA26",null,"D2950","Core build-up incl any pins",null,"0010112","AL",36349,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",33.049999999999997,24.61,"CA26",null,"D2951","Tooth pin retention",null,"0010112","AL",36350,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",38.03,27.99,"CA26",null,"D2952","Post and core cast + crown",null,"0010112","AL",36351,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",41.74,29.49,"CA26",null,"D2953","Each addtnl cast post",null,"0010112","AL",36352,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",33.049999999999997,24.61,"CA26",null,"D2954","Prefab post/core + crown",null,"0010112","AL",36353,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",34.32,23.48,"CA26",null,"D2955","Post removal",null,"0010112","AL",36360,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.38,21.16,"CA26",null,"D2957","Each addtnl prefab post",null,"0010112","AL",36361,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",23.27,20.260000000000002,"CA26",null,"D2960","Labial veneer resin direct",null,"0010112","AL",36362,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",30.33,22.9,"CA26",null,"D2961","Labial veneer resin indirect",null,"0010112","AL",36370,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.75,15.13,"CA26",null,"D2962","Labial veneer porc indirect",null,"0010112","AL",36371,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",112.54,84.03,"CA26",null,"D2971","Add proc construct new crown",null,"0010112","AL",36373,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",112.54,84.03,"CA26",null,"D2975","Coping",null,"0010112","AL",36374,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",112.54,84.03,"CA26",null,"D2980","Crown repair",null,"0010112","AL",36375,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",78.349999999999994,56.66,"CA26",null,"D2981","Inlay repair",null,"0010112","AL",36376,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",112.54,84.03,"CA26",null,"D2982","Onlay repair",null,"0010112","AL",36401,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",112.54,84.03,"CA26",null,"D2983","Veneer repair",null,"0010112","AL",36419,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",112.54,84.03,"CA26",null,"D2990","Resin infiltration of lesion",null,"0010112","AL",36420,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",77.94,56.46,"CA26",null,"D2999","Dental unspec restorative pr",null,"0010112","AL",36421,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",42.33,29.08,"CA26",null,"D3110","Pulp cap direct",null,"0010112","AL",36425,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",73.86,45.55,"CA26",null,"D3120","Pulp cap indirect",null,"0010112","AL",36426,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",37.06,26.62,"CA26",null,"D3220","Therapeutic pulpotomy",null,"0010112","AL",36427,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",35.72,26.48,"CA26",null,"D3221","Gross pulpal debridement",null,"0010112","AL",36429,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",35.72,26.48,"CA26",null,"D3222","Part pulp for apexogenesis",null,"0010112","AL",36431,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",116.28,72.510000000000005,"CA26",null,"D3230","Pulpal therapy anterior prim",null,"0010112","AL",36432,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",50.5,34.840000000000003,"CA26",null,"D3240","Pulpal therapy posterior pri",null,"0010112","AL",36435,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",532.83000000000004,273.62,"CA26",null,"D3310","End thxpy, anterior tooth",null,"0010112","AL",36436,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",38.270000000000003,27.22,"CA26",null,"D3320","End thxpy, premolar tooth",null,"0010112","AL",36439,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.93,32.69,"CA26",null,"D3330","End thxpy, molar tooth",null,"0010112","AL",36441,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",55.7,36.82,"CA26",null,"D3331","Non-surg tx root canal obs",null,"0010112","AL",36442,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",47.67,32.81,"CA26",null,"D3332","Incomplete endodontic tx",null,"0010112","AL",36444,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",61.42,39.33,"CA26",null,"D3333","Internal root repair",null,"0010112","AL",36445,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.32,11.71,"CA26",null,"D3346","Retreat root canal anterior",null,"0010112","AL",36446,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.83,22.01,"CA26",null,"D3347","Retreat root canal premolar",null,"0010112","AL",36449,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.880000000000003,31.47,"CA26",null,"D3348","Retreat root canal molar",null,{"$f":"O899&N899","v":"0010112"},"AL",36451,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.31,10.7,"CA26",null,"D3351","Apexification/recalc initial",null,"0010112","AL",36453,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.85,18.84,"CA26",null,"D3352","Apexification/recalc interim",null,"0010112","AL",36454,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",33.36,29.14,"CA26",null,"D3353","Apexification/recalc final",null,"0010112","AL",36455,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.45,10.029999999999999,"CA26",null,"D3355","Pulpal regeneration initial",null,"0010112","AL",36456,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.45,10.029999999999999,"CA26",null,"D3356","Pulpal regeneration interim",null,"0010112","AL",36457,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.81,7.59,"CA26",null,"D3357","Pulpal regeneration complete",null,"0010112","AL",36458,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.45,10.029999999999999,"CA26",null,"D3410","Apicoectomy - anterior",null,"0010112","AL",36460,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.37,12.36,"CA26",null,"D3421","Root surgery premolar",null,"0010112","AL",36461,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA58",null,"D3425","Root surgery molar",null,"0010112","AL",36462,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA58",null,"D3426","Root surgery ea add root",null,"0010112","AL",36467,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA58",null,"D3428","Bone graft peri per tooth",null,"0010112","AL",36470,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA58",null,"D3429","Bone graft peri each addl",null,"0010112","AL",36471,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA58",null,"D3430","Retrograde filling",null,"0010112","AL",36473,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA58",null,"D3431","Biological materials",null,"0010112","AL",36474,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA58",null,"D3432","Guided tissue regeneration",null,"0010112","AL",36475,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA58",null,"D3450","Root amputation",null,"0010112","AL",36476,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA58",null,"D3460","Endodontic endosseous implan",null,"0010112","AL",36477,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA58",null,"D3470","Intentional replantation",null,"0010112","AL",36480,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA58",null,"D3471","Surg rep root res anterior",null,"0010112","AL",36481,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA58",null,"D3472","Surg rep root res premolar",null,"0010112","AL",36482,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA58",null,"D3473","Surg rep root res molar",null,"0010112","AL",36483,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA58",null,"D3501","Surg exp root surf anterior",null,"0010112","AL",36501,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA58",null,"D3502","Surg exp root surf premolar",null,"0010112","AL",36502,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA58",null,"D3503","Surg exp root surf molar",null,"0010112","AL",36503,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA58",null,"D3910","Isolation- tooth w rubb dam",null,"0010112","AL",36504,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA58",null,"D3920","Tooth splitting",null,"0010112","AL",36505,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA58",null,"D3950","Canal prep/fitting of dowel",null,"0010112","AL",36507,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA58",null,"D3999","Endodontic procedure",null,"0010112","AL",36509,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA58",null,"D4210","Gingivectomy/plasty 4 or mor",null,"0010112","AL",36511,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA58",null,"D4211","Gingivectomy/plasty 1 to 3",null,"0010112","AL",36512,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA58",null,"D4212","Gingivectomy/plasty rest",null,"0010112","AL",36513,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA58",null,"D4230","Ana crown exp 4 or> per quad",null,"0010112","AL",36515,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA58",null,"D4231","Ana crown exp 1-3 per quad",null,"0010112","AL",36518,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA58",null,"D4240","Gingival flap proc w/ planin",null,"0010112","AL",36521,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA58",null,"D4241","Gngvl flap w rootplan 1-3 th",null,"0010112","AL",36522,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA58",null,"D4245","Apically positioned flap",null,"0010112","AL",36523,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA58",null,"D4249","Crown lengthen hard tissue",null,"0010112","AL",36524,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA58",null,"D4260","Osseous surgery 4 or more",null,"0010112","AL",36525,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA58",null,"D4261","Osseous surg 1 to 3 teeth",null,"0010112","AL",36526,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA58",null,"D4263","Bone replce graft first site",null,"0010112","AL",36527,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA58",null,"D4264","Bone replce graft each add",null,"0010112","AL",36528,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA58",null,"D4265","Bio mtrls to aid soft/os reg",null,"0010112","AL",36529,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA58",null,"D4266","Guided tiss regen resorble",null,"0010112","AL",36530,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA58",null,"D4267","Guided tiss regen nonresorb",null,"0010112","AL",36532,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA58",null,"D4268","Surgical revision procedure",null,"0010112","AL",36533,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA58",null,"D4270","Pedicle soft tissue graft pr",null,"0010112","AL",36535,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA58",null,"D4273","Auto tissue graft 1st tooth",null,"0010112","AL",36536,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA58",null,"D4274","Mesial/distal wedge proc",null,"0010112","AL",36538,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA58",null,"D4275","Non-auto graft 1st tooth",null,"0010112","AL",36539,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA58",null,"D4276","Con tissue w dble ped graft",null,"0010112","AL",36540,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA58",null,"D4277","Soft tissue graft firsttooth",null,"0010112","AL",36541,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA58",null,"D4278","Soft tissue graft addl tooth",null,"0010112","AL",36542,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA58",null,"D4283","Auto tissue graft addl tooth",null,"0010112","AL",36543,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA58",null,"D4285","Non-auto graft addl tooth",null,"0010112","AL",36544,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA58",null,"D4320","Provision splnt intracoronal",null,"0010112","AL",36545,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA58",null,"D4321","Provisional splint extracoro",null,"0010112","AL",36547,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA58",null,"D4341","Periodontal scaling & root",null,"0010112","AL",36548,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA58",null,"D4342","Periodontal scaling 1-3teeth",null,"0010112","AL",36549,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA58",null,"D4346","Scaling gingiv inflammation",null,"0010112","AL",36550,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA58",null,"D4355","Full mouth debridement",null,"0010112","AL",36551,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA58",null,"D4381","Localized delivery antimicro",null,"0010112","AL",36553,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA58",null,"D4910","Periodontal maint procedures",null,"0010112","AL",36555,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA58",null,"D4920","Unscheduled dressing change",null,"0010112","AL",36556,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA58",null,"D4921","Gingival irrigation per quad",null,{"$f":"O963&N963","v":"0010112"},"AL",36558,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA58",null,"D4999","Unspecified periodontal proc",null,"0010112","AL",36559,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA58",null,"D5110","Dentures complete maxillary",null,"0010112","AL",36560,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA58",null,"D5120","Dentures complete mandible",null,"0010112","AL",36561,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA58",null,"D5130","Dentures immediat maxillary",null,"0010112","AL",36562,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA58",null,"D5140","Dentures immediat mandible",null,"0010112","AL",36564,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA58",null,"D5211","Dentures maxill part resin",null,"0010112","AL",36567,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA58",null,"D5212","Dentures mand part resin",null,"0010112","AL",36568,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA58",null,"D5213","Dentures maxill part metal",null,"0010112","AL",36569,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA58",null,"D5214","Dentures mandibl part metal",null,"0010112","AL",36570,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA58",null,"D5221","Immed max part denture resin",null,"0010112","AL",36571,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA58",null,"D5222","Immed man part denture resin",null,"0010112","AL",36572,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA58",null,"D5223","Immed max part dent metal",null,"0010112","AL",36574,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA58",null,"D5224","Immed mand part dent metal",null,"0010112","AL",36575,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA58",null,"D5225","Maxillary part denture flex",null,"0010112","AL",36576,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA58",null,"D5226","Mandibular part denture flex",null,"0010112","AL",36577,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA58",null,"D5282","Remove unil part denture,max",null,"0010112","AL",36578,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA58",null,"D5283","Remove unil part denture,man",null,"0010112","AL",36579,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA58",null,"D5284","Rem unilat dent flex base",null,"0010112","AL",36580,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA58",null,"D5286","Rem unilat dent 1 pc resin",null,"0010112","AL",36581,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA58",null,"D5410","Dentures adjust cmplt maxil",null,"0010112","AL",36582,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA58",null,"D5411","Dentures adjust cmplt mand",null,"0010112","AL",36583,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA58",null,"D5421","Dentures adjust part maxill",null,"0010112","AL",36584,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA58",null,"D5422","Dentures adjust part mandbl",null,"0010112","AL",36585,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA58",null,"D5511","Rep broke comp dent base man",null,"0010112","AL",36586,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA58",null,"D5512","Rep broke comp dent base max",null,"0010112","AL",36587,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA58",null,"D5520","Replace denture teeth complt",null,"0010112","AL",36590,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA59",null,"D5611","Rep resin part dent base man",null,"0010112","AL",36601,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA59",null,"D5612","Rep resin part dent base max",null,"0010112","AL",36602,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA59",null,"D5621","Rep cast part frame man",null,"0010112","AL",36603,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA59",null,"D5622","Rep cast part frame max",null,"0010112","AL",36604,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA59",null,"D5630","Rep partial denture clasp",null,"0010112","AL",36605,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA59",null,"D5640","Replace part denture teeth",null,"0010112","AL",36606,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA59",null,"D5650","Add tooth to partial denture",null,"0010112","AL",36607,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA59",null,"D5660","Add clasp to partial denture",null,"0010112","AL",36608,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA59",null,"D5670","Replc tth&acrlc on mtl frmwk",null,"0010112","AL",36609,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA59",null,"D5671","Replc tth&acrlc mandibular",null,"0010112","AL",36610,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA59",null,"D5710","Dentures rebase cmplt maxil",null,"0010112","AL",36611,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA59",null,"D5711","Dentures rebase cmplt mand",null,"0010112","AL",36612,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA59",null,"D5720","Dentures rebase part maxill",null,"0010112","AL",36613,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA59",null,"D5721","Dentures rebase part mandbl",null,"0010112","AL",36614,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA59",null,"D5730","Denture reln cmplt max dir",null,"0010112","AL",36615,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA59",null,"D5731","Denture reln cmplt mand dir",null,"0010112","AL",36616,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA59",null,"D5740","Denture reln part max dir",null,"0010112","AL",36617,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA59",null,"D5741","Denture reln part mand dir",null,"0010112","AL",36618,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA59",null,"D5750","Denture reln cmplt max indir",null,"0010112","AL",36619,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA59",null,"D5751","Denture reln cmplt mand ind",null,"0010112","AL",36621,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA59",null,"D5760","Denture reln part max indir",null,"0010112","AL",36622,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA59",null,"D5761","Denture reln part mand indir",null,"0010112","AL",36623,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA59",null,"D5810","Denture interm cmplt maxill",null,"0010112","AL",36624,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA59",null,"D5811","Denture interm cmplt mandbl",null,"0010112","AL",36625,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA59",null,"D5820","Denture interm part maxill",null,"0010112","AL",36626,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA59",null,"D5821","Denture interm part mandbl",null,"0010112","AL",36628,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA59",null,"D5850","Denture tiss conditn maxill",null,"0010112","AL",36630,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA59",null,"D5851","Denture tiss condtin mandbl",null,"0010112","AL",36631,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA59",null,"D5862","Precision attachment",null,"0010112","AL",36633,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA59",null,"D5863","Overdenture complete max",null,"0010112","AL",36640,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA59",null,"D5864","Overdenture partial max",null,"0010112","AL",36641,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA59",null,"D5865","Overdenture complete mandib",null,"0010112","AL",36644,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA59",null,"D5866","Overdenture partial mandib",null,"0010112","AL",36652,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA59",null,"D5867","Replacement of precision att",null,"0010112","AL",36660,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA59",null,"D5875","Prosthesis modification",null,"0010112","AL",36663,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA59",null,"D5876","Add metal sub to acrylc dent",null,"0010112","AL",36670,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA59",null,"D5899","Removable prosthodontic proc",null,"0010112","AL",36671,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA59",null,"D5911","Facial moulage sectional",null,{"$f":"O1027&N1027","v":"0010112"},"AL",36675,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA59",null,"D5912","Facial moulage complete",null,"0010112","AL",36685,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA59",null,"D5913","Nasal prosthesis",null,"0010112","AL",36688,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA59",null,"D5914","Auricular prosthesis",null,"0010112","AL",36689,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA59",null,"D5915","Orbital prosthesis",null,"0010112","AL",36690,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA59",null,"D5916","Ocular prosthesis",null,"0010112","AL",36691,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA59",null,"D5919","Facial prosthesis",null,"0010112","AL",36693,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA59",null,"D5922","Nasal septal prosthesis",null,"0010112","AL",36695,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA59",null,"D5923","Ocular prosthesis interim",null,"0010112","AL",36701,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA59",null,"D5924","Cranial prosthesis",null,"0010112","AL",36702,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA59",null,"D5925","Facial augmentation implant",null,"0010112","AL",36703,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA59",null,"D5926","Replacement nasal prosthesis",null,"0010112","AL",36720,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA59",null,"D5927","Auricular replacement",null,"0010112","AL",36721,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA59",null,"D5928","Orbital replacement",null,"0010112","AL",36722,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA59",null,"D5929","Facial replacement",null,"0010112","AL",36723,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA59",null,"D5931","Surgical obturator",null,"0010112","AL",36726,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA59",null,"D5932","Postsurgical obturator",null,"0010112","AL",36727,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA59",null,"D5933","Refitting of obturator",null,"0010112","AL",36728,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA59",null,"D5934","Mandibular flange prosthesis",null,"0010112","AL",36732,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA59",null,"D5935","Mandibular denture prosth",null,"0010112","AL",36736,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA59",null,"D5936","Temp obturator prosthesis",null,"0010112","AL",36738,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA59",null,"D5937","Trismus appliance",null,"0010112","AL",36740,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA59",null,"D5951","Feeding aid",null,"0010112","AL",36741,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA59",null,"D5952","Pediatric speech aid",null,"0010112","AL",36742,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA59",null,"D5953","Adult speech aid",null,"0010112","AL",36744,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA59",null,"D5954","Superimposed prosthesis",null,"0010112","AL",36745,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA59",null,"D5955","Palatal lift prosthesis",null,"0010112","AL",36748,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA59",null,"D5958","Intraoral con def inter plt",null,"0010112","AL",36749,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA59",null,"D5959","Intraoral con def mod palat",null,"0010112","AL",36750,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA59",null,"D5960","Modify speech aid prosthesis",null,"0010112","AL",36751,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA59",null,"D5982","Surgical stent",null,"0010112","AL",36752,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA59",null,"D5983","Radiation applicator",null,"0010112","AL",36753,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA59",null,"D5984","Radiation shield",null,"0010112","AL",36754,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA59",null,"D5985","Radiation cone locator",null,"0010112","AL",36756,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA59",null,"D5986","Fluoride applicator",null,"0010112","AL",36758,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA59",null,"D5987","Commissure splint",null,"0010112","AL",36759,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA59",null,"D5988","Surgical splint",null,"0010112","AL",36761,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA59",null,"D5991","Vesiculobullous disease carr",null,"0010112","AL",36762,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA59",null,"D5992","Adjust max prost appliance",null,"0010112","AL",36763,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA59",null,"D5993","Main/clean max prosthesis",null,"0010112","AL",36764,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA59",null,"D5995","Peri medicament w/seal, max",null,"0010112","AL",36765,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA59",null,"D5996","Peri medicament w/seal, mand",null,"0010112","AL",36766,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA59",null,"D5999","Maxillofacial prosthesis",null,"0010112","AL",36767,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA59",null,"D6010","Odontics endosteal implant",null,"0010112","AL",36768,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA59",null,"D6011","Second stage implant surgery",null,"0010112","AL",36769,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA60",null,"D6012","Endosteal implant",null,"0010112","AL",36773,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA60",null,"D6013","Surgical place mini implant",null,"0010112","AL",36775,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA60",null,"D6040","Odontics eposteal implant",null,"0010112","AL",36776,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA60",null,"D6050","Odontics transosteal implnt",null,"0010112","AL",36778,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA60",null,"D6051","Interim abutment",null,"0010112","AL",36779,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA60",null,"D6055","Implant connecting bar",null,"0010112","AL",36782,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA60",null,"D6056","Prefabricated abutment",null,"0010112","AL",36783,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA60",null,"D6057","Custom abutment",null,"0010112","AL",36784,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA60",null,"D6058","Abutment supported crown",null,"0010112","AL",36785,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA60",null,"D6059","Abutment supported mtl crown",null,"0010112","AL",36786,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA60",null,"D6060","Abutment supported mtl crown",null,"0010112","AL",36790,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA60",null,"D6061","Abutment supported mtl crown",null,"0010112","AL",36792,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA60",null,"D6062","Abutment supported mtl crown",null,"0010112","AL",36793,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA60",null,"D6063","Abutment supported mtl crown",null,"0010112","AL",36801,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA60",null,"D6064","Abutment supported mtl crown",null,"0010112","AL",36802,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA60",null,"D6065","Implant supported crown",null,"0010112","AL",36803,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA60",null,"D6066","Implant supported mtl crown",null,"0010112","AL",36804,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA60",null,"D6067","Implant supported mtl crown",null,"0010112","AL",36830,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA60",null,"D6068","Abutment supported retainer",null,"0010112","AL",36831,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA60",null,"D6069","Abutment supported retainer",null,{"$f":"O1091&N1091","v":"0010112"},"AL",36832,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA60",null,"D6070","Abutment supported retainer",null,"0010112","AL",36849,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA60",null,"D6071","Abutment supported retainer",null,"0010112","AL",36850,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA60",null,"D6072","Abutment supported retainer",null,"0010112","AL",36851,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA60",null,"D6073","Abutment supported retainer",null,"0010112","AL",36852,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA60",null,"D6074","Abutment supported retainer",null,"0010112","AL",36853,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA60",null,"D6075","Implant supported retainer",null,"0010112","AL",36854,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA60",null,"D6076","Implant supported retainer",null,"0010112","AL",36855,"10112","00","R","Z9","R",1,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA60",null,"D6077","Implant supported retainer",null,"0010112","AL",36856,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA60",null,"D6080","Implant maintenance",null,"0010112","AL",36858,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA60",null,"D6081","Scale & debride, single imp",null,"0010112","AL",36859,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA60",null,"D6082","Imp crown porc to base alloy",null,"0010112","AL",36860,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA60",null,"D6083","Imp crown porc to noble allo",null,"0010112","AL",36861,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA60",null,"D6084","Imp crown porc to titanium",null,"0010112","AL",36862,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA60",null,"D6085","Provisional implant crown",null,"0010112","AL",36863,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA60",null,"D6086","Imp crown base alloys",null,"0010112","AL",36865,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA60",null,"D6087","Implant crown noble alloys",null,"0010112","AL",36866,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA60",null,"D6088","Imp crown titanium alloys",null,"0010112","AL",36867,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA60",null,"D6090","Repair implant",null,"0010112","AL",36868,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA60",null,"D6091","Repl semi/precision attach",null,"0010112","AL",36869,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA60",null,"D6092","Recement supp crown",null,"0010112","AL",36870,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA60",null,"D6093","Recement supp part denture",null,"0010112","AL",36871,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA60",null,"D6094","Abut support crown titanium",null,"0010112","AL",36872,"10112","00","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA60",null,"D6095","Odontics repr abutment",null,"0010112","AL",36874,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA60",null,"D6096","Remove broken imp ret screw",null,"0010112","AL",36875,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA60",null,"D6097","Abut crown porc to titanium",null,"0010112","AL",36877,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA60",null,"D6098","Imp retain porc to base allo",null,"0010112","AL",36879,"10112","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA60",null,"D6099","Imp retainer for fpd",null,"0010112","AL",36901,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA60",null,"D6100","Removal of implant",null,"0010112","AL",36904,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA60",null,"D6101","Debridement of a periimplant",null,"0010112","AL",36906,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA60",null,"D6102","Debridement & contouring",null,"0010112","AL",36907,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA60",null,"D6103","Bone graft repair perimplant",null,"0010112","AL",36908,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA60",null,"D6104","Bone graft time of implant",null,"0010112","AL",36910,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA60",null,"D6110","Implnt/abut remov dent max",null,"0010112","AL",36912,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA60",null,"D6111","Implnt/abut remov dent mand",null,"0010112","AL",36913,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA60",null,"D6112","Imp/abut rem dent part max",null,"0010112","AL",36915,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA60",null,"D6113","Imp/abut rem dent part mand",null,"0010112","AL",36916,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA60",null,"D6114","Implnt/abut fixed dent max",null,"0010112","AL",36919,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA60",null,"D6115","Implnt/abut fixed dent mand",null,"0010112","AL",36921,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA60",null,"D6116","Imp/abut fixed dent part max",null,"0010112","AL",36922,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA60",null,"D6117","Imp/abut fixed dent part man",null,"0010112","AL",36925,"10112","00","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA60",null,"D6118","Imp/abut int fixed dent man",null,"1307102","AR",71601,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA60",null,"D6119","Int/abut int fixed dent max",null,"1307102","AR",71602,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA60",null,"D6120","Imp retain porc to titanium",null,"1307102","AR",71603,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA60",null,"D6121","Retain metal fpd base alloys",null,"1307102","AR",71611,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA60",null,"D6122","Retain metal fpd noble alloy",null,"1307102","AR",71612,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA60",null,"D6123","Retain metal fpd titanium",null,"1307102","AR",71613,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA60",null,"D6190","Radio/surgical implant index",null,"1307102","AR",71630,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA60",null,"D6191","Semi precision abutment",null,"1307102","AR",71631,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA60",null,"D6192","Semi precision attachment",null,"1307102","AR",71635,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA60",null,"D6194","Abut support retainer titani",null,"1307102","AR",71638,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA60",null,"D6195","Abut retain porc to titanium",null,"1307102","AR",71639,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA60",null,"D6199","Implant procedure",null,"1307102","AR",71640,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA60",null,"D6205","Pontic-indirect resin based",null,"1307102","AR",71642,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA60",null,"D6210","Prosthodont high noble metal",null,"1307102","AR",71643,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA60",null,"D6211","Bridge base metal cast",null,"1307102","AR",71644,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA60",null,"D6212","Bridge noble metal cast",null,"1307102","AR",71646,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA60",null,"D6214","Pontic titanium",null,"1307102","AR",71647,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA60",null,"D6240","Bridge porcelain high noble",null,"1307102","AR",71649,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA60",null,"D6241","Bridge porcelain base metal",null,"1307102","AR",71650,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA60",null,"D6242","Bridge porcelain nobel metal",null,"1307102","AR",71651,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA60",null,"D6243","Pontic porcelain to titanium",null,"1307102","AR",71652,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA60",null,"D6245","Bridge porcelain/ceramic",null,"1307102","AR",71653,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",92.4,59.18,"CA51",null,"D6250","Bridge resin w/high noble",null,"1307102","AR",71654,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",47.84,33.69,"CA51",null,"D6251","Bridge resin base metal",null,{"$f":"O1155&N1155","v":"1307102"},"AR",71655,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",62.48,41.9,"CA51",null,"D6252","Bridge resin w/noble metal",null,"1307102","AR",71656,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",105.97,66.31,"CA51",null,"D6253","Provisional pontic",null,"1307102","AR",71657,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",84.07,55.99,"CA51",null,"D6545","Dental retainr cast metl",null,"1307102","AR",71658,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",75.25,48.03,"CA51",null,"D6548","Porcelain/ceramic retainer",null,"1307102","AR",71659,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",49.07,31.92,"CA51",null,"D6549","Resin retainer",null,"1307102","AR",71660,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",87.29,67.14,"CA51",null,"D6600","Porcelain/ceramic inlay 2srf",null,"1307102","AR",71661,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",27.79,19.86,"CA51",null,"D6601","Porc/ceram inlay >= 3 surfac",null,"1307102","AR",71662,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",146.31,84.36,"CA51",null,"D6602","Cst hgh nble mtl inlay 2 srf",null,"1307102","AR",71663,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",151.97999999999999,116.4,"CA51",null,"D6603","Cst hgh nble mtl inlay >=3sr",null,"1307102","AR",71665,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",126.18,97.89,"CA51",null,"D6604","Cst bse mtl inlay 2 surfaces",null,"1307102","AR",71666,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",260.67,199.59,"CA51",null,"D6605","Cst bse mtl inlay >= 3 surfa",null,"1307102","AR",71667,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",124.47,97.03,"CA51",null,"D6606","Cast noble metal inlay 2 sur",null,"1307102","AR",71670,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",97.72,73.069999999999993,"CA51",null,"D6607","Cst noble mtl inlay >=3 surf",null,"1307102","AR",71671,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",81.58,63.58,"CA51",null,"D6608","Onlay porc/crmc 2 surfaces",null,"1307102","AR",71674,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",100.68,82.46,"CA51",null,"D6609","Onlay porc/crmc >=3 surfaces",null,"1307102","AR",71675,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",88.98,70.11,"CA51",null,"D6610","Onlay cst hgh nbl mtl 2 srfc",null,"1307102","AR",71676,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",143.75,105.16,"CA51",null,"D6611","Onlay cst hgh nbl mtl >=3srf",null,"1307102","AR",71677,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",56.57,40.93,"CA51",null,"D6612","Onlay cst base mtl 2 surface",null,"1307102","AR",71678,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",120.13,87.13,"CA51",null,"D6613","Onlay cst base mtl >=3 surfa",null,"1307102","AR",71701,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",98.01,72.5,"CA51",null,"D6614","Onlay cst nbl mtl 2 surfaces",null,"1307102","AR",71711,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",25.59,15.73,"CA51",null,"D6615","Onlay cst nbl mtl >=3 surfac",null,"1307102","AR",71720,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",109.08,86.57,"CA51",null,"D6624","Inlay titanium",null,"1307102","AR",71721,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",13.46,6.82,"CA51",null,"D6634","Onlay titanium",null,"1307102","AR",71722,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",138.19,115.9,"CA51",null,"D6710","Crown-indirect resin based",null,"1307102","AR",71724,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",65.930000000000007,54.15,"CA51",null,"D6720","Retain crown resin w hi nble",null,"1307102","AR",71725,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",102.36,85,"CA51",null,"D6721","Crown resin w/base metal",null,"1307102","AR",71726,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",116.89,89.24,"CA51",null,"D6722","Crown resin w/noble metal",null,"1307102","AR",71728,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",16.37,12.72,"CA51",null,"D6740","Crown porcelain/ceramic",null,"1307102","AR",71730,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",13.44,10.01,"CA51",null,"D6750","Crown porcelain high noble",null,"1307102","AR",71731,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.6,4.45,"CA51",null,"D6751","Crown porcelain base metal",null,"1307102","AR",71740,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",20.37,13.3,"CA51",null,"D6752","Crown porcelain noble metal",null,"1307102","AR",71742,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.74,5.53,"CA51",null,"D6753","Retain crown porc to titaniu",null,"1307102","AR",71743,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.88,5.0999999999999996,"CA51",null,"D6780","Crown 3/4 high noble metal",null,"1307102","AR",71744,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.8800000000000008,6.45,"CA51",null,"D6781","Crown 3/4 cast based metal",null,"1307102","AR",71745,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",16.37,12.72,"CA51",null,"D6782","Crown 3/4 cast noble metal",null,"1307102","AR",71747,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",23.15,16.29,"CA51",null,"D6783","Crown 3/4 porcelain/ceramic",null,"1307102","AR",71748,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",16.66,12.15,"CA51",null,"D6784","Retainer crown 3/4 titanium",null,"1307102","AR",71749,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",16.66,12.15,"CA51",null,"D6790","Crown full high noble metal",null,"1307102","AR",71750,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",42.3,26.22,"CA51",null,"D6791","Crown full base metal cast",null,"1307102","AR",71751,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",34.21,25.2,"CA51",null,"D6792","Crown full noble metal cast",null,"1307102","AR",71752,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",39.42,28.7,"CA51",null,"D6793","Provisional retainer crown",null,"1307102","AR",71753,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",43.42,30.34,"CA51",null,"D6794","Crown titanium",null,"1307102","AR",71754,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",34.21,25.2,"CA51",null,"D6920","Dental connector bar",null,"1307102","AR",71758,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",35.79,24.21,"CA51",null,"D6930","Recement/bond part denture",null,"1307102","AR",71759,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.84,21.41,"CA51",null,"D6940","Stress breaker",null,"1307102","AR",71762,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",23.7,20.48,"CA51",null,"D6950","Precision attachment",null,"1307102","AR",71763,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",31.35,23.42,"CA51",null,"D6980","Fixed partial repair",null,"1307102","AR",71764,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",20.36,15.43,"CA51",null,"D6985","Pediatric partial denture fx",null,"1307102","AR",71765,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",116.41,85.98,"CA51",null,"D6999","Fixed prosthodontic proc",null,"1307102","AR",71766,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",116.41,85.98,"CA51",null,"D7111","Extraction coronal remnants",null,"1307102","AR",71767,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",116.41,85.98,"CA51",null,"D7140","Extraction erupted tooth/exr",null,"1307102","AR",71768,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",81.180000000000007,58.03,"CA51",null,"D7210","Rem imp tooth w mucoper flp",null,"1307102","AR",71769,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",116.41,85.98,"CA51",null,"D7220","Impact tooth remov soft tiss",null,"1307102","AR",71770,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",116.41,85.98,"CA51",null,"D7230","Impact tooth remov part bony",null,"1307102","AR",71772,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",116.41,85.98,"CA51",null,"D7240","Impact tooth remov comp bony",null,"1307102","AR",71801,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",80.75,57.82,"CA51",null,"D7241","Impact tooth rem bony w/comp",null,"1307102","AR",71802,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",44.14,29.99,"CA51",null,"D7250","Tooth root removal",null,"1307102","AR",71820,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",77.709999999999994,47.49,"CA51",null,"D7251","Coronectomy",null,"1307102","AR",71822,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",38.49,27.35,"CA51",null,"D7260","Oral antral fistula closure",null,"1307102","AR",71823,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",36.99,27.13,"CA51",null,"D7261","Primary closure sinus perf",null,"1307102","AR",71825,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",36.99,27.13,"CA51",null,"D7270","Tooth reimplantation",null,"1307102","AR",71826,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",121.92,75.19,"CA51",null,"D7272","Tooth transplantation",null,"1307102","AR",71827,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",52.29,35.57,"CA51",null,"D7280","Exposure of unerupted tooth",null,"1307102","AR",71828,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",567.84,291.13,"CA51",null,"D7282","Mobilize erupted/malpos toot",null,{"$f":"O1219&N1219","v":"1307102"},"AR",71831,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",39.78,27.99,"CA51",null,"D7283","Place device impacted tooth",null,"1307102","AR",71832,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",44.29,33.36,"CA51",null,"D7285","Biopsy of oral tissue hard",null,"1307102","AR",71833,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",58.28,38.130000000000003,"CA51",null,"D7286","Biopsy of oral tissue soft",null,"1307102","AR",71834,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",49.7,33.840000000000003,"CA51",null,"D7287","Exfoliative cytolog collect",null,"1307102","AR",71835,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",64.42,40.85,"CA51",null,"D7288","Brush biopsy",null,"1307102","AR",71836,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.65,11.86,"CA51",null,"D7290","Repositioning of teeth",null,"1307102","AR",71837,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",26.3,22.23,"CA51",null,"D7291","Transseptal fiberotomy",null,"1307102","AR",71838,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",36.49,31.77,"CA51",null,"D7292","Screw retained plate",null,"1307102","AR",71839,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.51,10.79,"CA51",null,"D7293","Temp anchorage dev w flap",null,"1307102","AR",71840,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",22.27,19.059999999999999,"CA51",null,"D7294","Temp anchorage dev w/o flap",null,"1307102","AR",71841,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",33.92,29.42,"CA51",null,"D7295","Bone harvest,auto graft proc",null,"1307102","AR",71842,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.87,10.23,"CA51",null,"D7296","Corticotomy, 1-3 teeth",null,"1307102","AR",71844,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.87,10.23,"CA51",null,"D7297","Corticotomy, 4 or more teeth",null,"1307102","AR",71845,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",13.46,7.88,"CA51",null,"D7310","Alveoplasty w/ extraction",null,"1307102","AR",71846,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.87,10.23,"CA51",null,"D7311","Alveoloplasty w/extract 1-3",null,"1307102","AR",71847,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.68,12.47,"CA51",null,"D7320","Alveoplasty w/o extraction",null,"1307102","AR",71851,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",88.03,57.02,"CA17",null,"D7321","Alveoloplasty not w/extracts",null,"1307102","AR",71852,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",46.15,32.94,"CA17",null,"D7340","Vestibuloplasty ridge extens",null,"1307102","AR",71853,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",59.9,40.69,"CA17",null,"D7350","Vestibuloplasty exten graft",null,"1307102","AR",71854,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",100.85,63.83,"CA17",null,"D7410","Rad exc lesion up to 1.25 cm",null,"1307102","AR",71855,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",80.400000000000006,54.19,"CA17",null,"D7411","Excision benign lesion>1.25c",null,"1307102","AR",71857,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",71.599999999999994,46.19,"CA17",null,"D7412","Excision benign lesion compl",null,"1307102","AR",71858,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",46.52,30.51,"CA17",null,"D7413","Excision malig lesion<=1.25c",null,"1307102","AR",71859,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",83.8,64.989999999999995,"CA17",null,"D7414","Excision malig lesion>1.25cm",null,"1307102","AR",71860,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",26.53,19.12,"CA17",null,"D7415","Excision malig les complicat",null,"1307102","AR",71861,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",137.82,79.989999999999995,"CA17",null,"D7440","Malig tumor exc to 1.25 cm",null,"1307102","AR",71862,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",145.79,112.57,"CA17",null,"D7441","Malig tumor > 1.25 cm",null,"1307102","AR",71864,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",121.28,94.87,"CA17",null,"D7450","Rem odontogen cyst to 1.25cm",null,"1307102","AR",71865,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",250.03,193,"CA17",null,"D7451","Rem odontogen cyst > 1.25 cm",null,"1307102","AR",71866,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",119.68,94.07,"CA17",null,"D7460","Rem nonodonto cyst to 1.25cm",null,"1307102","AR",71901,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",93.59,70.58,"CA17",null,"D7461","Rem nonodonto cyst > 1.25 cm",null,"1307102","AR",71902,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",78.400000000000006,61.59,"CA17",null,"D7465","Lesion destruction",null,"1307102","AR",71903,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",97.49,80.48,"CA17",null,"D7471","Rem exostosis any site",null,"1307102","AR",71909,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",85.81,68.2,"CA17",null,"D7472","Removal of torus palatinus",null,"1307102","AR",71910,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",137.36000000000001,101.34,"CA17",null,"D7473","Remove torus mandibularis",null,"1307102","AR",71913,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",54.04,39.44,"CA17",null,"D7485","Surg reduct osseoustuberosit",null,"1307102","AR",71914,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",114.77,83.95,"CA17",null,"D7490","Maxilla or mandible resectio",null,"1307102","AR",71920,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",93.8,69.989999999999995,"CA17",null,"D7510","I&d absc intraoral soft tiss",null,"1307102","AR",71921,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",24.21,15.01,"CA17",null,"D7511","Incision/drain abscess intra",null,"1307102","AR",71922,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",105.26,84.25,"CA17",null,"D7520","I&d abscess extraoral",null,"1307102","AR",71923,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",12.64,6.44,"CA17",null,"D7521","Incision/drain abscess extra",null,"1307102","AR",71929,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",133.97999999999999,113.17,"CA17",null,"D7530","Removal fb skin/areolar tiss",null,"1307102","AR",71932,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",63.78,52.78,"CA17",null,"D7540","Removal of fb reaction",null,"1307102","AR",71933,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",99.02,82.81,"CA17",null,"D7550","Removal of sloughed off bone",null,"1307102","AR",71935,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",112.19,86.38,"CA17",null,"D7560","Maxillary sinusotomy",null,"1307102","AR",71937,"07102","13","B","Z9","B",1,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.74,12.34,"CA17",null,"D7610","Maxilla open reduct simple",null,"1307102","AR",71940,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.9,9.6999999999999993,"CA17",null,"D7620","Clsd reduct simpl maxilla fx",null,"1307102","AR",71941,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.32,4.32,"CA17",null,"D7630","Open red simpl mandible fx",null,"1307102","AR",71942,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",19.36,12.75,"CA17",null,"D7640","Clsd red simpl mandible fx",null,"1307102","AR",71943,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.32,5.32,"CA17",null,"D7650","Open red simp malar/zygom fx",null,"1307102","AR",71944,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.52,4.92,"CA17",null,"D7660","Clsd red simp malar/zygom fx",null,"1307102","AR",71945,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.42,6.22,"CA17",null,"D7670","Closd rductn splint alveolus",null,"1307102","AR",71946,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.74,12.34,"CA17",null,"D7671","Alveolus open reduction",null,"1307102","AR",71949,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",22.09,15.69,"CA17",null,"D7680","Reduct simple facial bone fx",null,"1307102","AR",71950,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.95,11.74,"CA17",null,"D7710","Maxilla open reduct compound",null,"1307102","AR",71951,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.95,11.74,"CA17",null,"D7720","Clsd reduct compd maxilla fx",null,"1307102","AR",71952,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",39.99,24.99,"CA17",null,"D7730","Open reduct compd mandble fx",null,"1307102","AR",71953,"07102","13","B","Z9","B",1,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",32.700000000000003,24.3,"CA17",null,"D7740","Clsd reduct compd mandble fx",null,"1307102","AR",71956,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",37.64,27.64,"CA17",null,"D7750","Open red comp malar/zygma fx",null,"1307102","AR",71957,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",41.35,29.15,"CA17",null,"D7760","Clsd red comp malar/zygma fx",null,"1307102","AR",71958,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",32.700000000000003,24.3,"CA17",null,"D7770","Open reduc compd alveolus fx",null,"1307102","AR",71959,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",34.03,23.22,"CA17",null,"D7771","Alveolus clsd reduc stblz te",null,"1307102","AR",71960,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.04,20.84,"CA17",null,"D7780","Reduct compnd facial bone fx",null,"1307102","AR",71961,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.94,19.940000000000001,"CA17",null,"D7810","Tmj open reduct-dislocation",null,{"$f":"O1283&N1283","v":"1307102"},"AR",71962,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",30.01,22.6,"CA17",null,"D7820","Closed tmp manipulation",null,"1307102","AR",71964,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.53,14.93,"CA17",null,"D7830","Tmj manipulation under anest",null,"1307102","AR",71965,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",111.36,82.94,"CA17",null,"D7840","Removal of tmj condyle",null,"1307102","AR",71966,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",111.36,82.94,"CA17",null,"D7850","Tmj meniscectomy",null,"1307102","AR",71968,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",111.36,82.94,"CA17",null,"D7852","Tmj repair of joint disc",null,"1307102","AR",71969,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",77.569999999999993,55.96,"CA17",null,"D7854","Tmj excisn of joint membrane",null,"1307102","AR",71970,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",111.36,82.94,"CA17",null,"D7856","Tmj cutting of a muscle",null,"1307102","AR",71971,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",111.36,82.94,"CA17",null,"D7858","Tmj reconstruction",null,"1307102","AR",71972,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",111.36,82.94,"CA17",null,"D7860","Tmj cutting into joint",null,"1307102","AR",71973,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",77.17,55.76,"CA17",null,"D7865","Tmj reshaping components",null,"1307102","AR",71998,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",41.96,28.75,"CA17",null,"D7870","Tmj aspiration joint fluid",null,"1307102","AR",71999,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",73.37,45.15,"CA17",null,"D7871","Lysis + lavage w catheters",null,"1307102","AR",72001,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",36.71,26.3,"CA17",null,"D7872","Tmj diagnostic arthroscopy",null,"1307102","AR",72002,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",35.35,26.14,"CA17",null,"D7873","Tmj arthroscopy lysis adhesn",null,"1307102","AR",72003,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",35.35,26.14,"CA17",null,"D7874","Tmj arthroscopy disc reposit",null,"1307102","AR",72004,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",115.44,71.819999999999993,"CA17",null,"D7875","Tmj arthroscopy synovectomy",null,"1307102","AR",72005,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",50.02,34.409999999999997,"CA17",null,"D7876","Tmj arthroscopy discectomy",null,"1307102","AR",72006,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",530.82000000000005,272.49,"CA17",null,"D7877","Tmj arthroscopy debridement",null,"1307102","AR",72007,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",37.909999999999997,26.9,"CA17",null,"D7880","Occlusal orthotic appliance",null,"1307102","AR",72010,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.45,32.25,"CA17",null,"D7881","Occ orthotic device adjust",null,"1307102","AR",72011,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",55.25,36.44,"CA17",null,"D7899","Tmj unspecified therapy",null,"1307102","AR",72012,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",47.25,32.44,"CA17",null,"D7910","Dent sutur recent wnd to 5cm",null,"1307102","AR",72013,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",60.96,38.950000000000003,"CA17",null,"D7911","Dental suture wound to 5 cm",null,"1307102","AR",72014,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.14,11.54,"CA17",null,"D7912","Suture complicate wnd > 5 cm",null,"1307102","AR",72015,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.47,21.67,"CA17",null,"D7920","Dental skin graft",null,"1307102","AR",72016,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.369999999999997,30.97,"CA17",null,"D7921","Collect & appl blood product",null,"1307102","AR",72017,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.14,10.53,"CA17",null,"D7922","Place intra-socket bio dress",null,"1307102","AR",72018,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.55,18.55,"CA17",null,"D7940","Reshaping bone orthognathic",null,"1307102","AR",72019,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",32.880000000000003,28.68,"CA17",null,"D7941","Bone cutting ramus closed",null,"1307102","AR",72020,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.3,9.9,"CA17",null,"D7943","Cutting ramus open w/graft",null,"1307102","AR",72021,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.3,9.9,"CA17",null,"D7944","Bone cutting segmented",null,"1307102","AR",72022,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.73,7.52,"CA17",null,"D7945","Bone cutting body mandible",null,"1307102","AR",72023,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.3,9.9,"CA17",null,"D7946","Reconstruction maxilla total",null,"1307102","AR",72024,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.17,12.17,"CA17",null,"D7947","Reconstruct maxilla segment",null,"1307102","AR",72025,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",82.16,53.83,"CA61",null,"D7948","Reconstruct midface no graft",null,"1307102","AR",72026,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA61",null,"D7949","Reconstruct midface w/graft",null,"1307102","AR",72027,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",56.09,38.54,"CA61",null,"D7950","Mandible graft",null,"1307102","AR",72028,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",93.87,60.05,"CA61",null,"D7951","Sinus aug w bone or bone sub",null,"1307102","AR",72029,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",75.31,51.37,"CA61",null,"D7952","Sinus augmentation vertical",null,"1307102","AR",72030,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.84,43.62,"CA61",null,"D7953","Bone replacement graft",null,"1307102","AR",72031,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.63,29.01,"CA61",null,"D7955","Repair maxillofacial defects",null,"1307102","AR",72032,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA61",null,"D7961","Buccal/labial frenectomy",null,"1307102","AR",72033,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.14,18.38,"CA61",null,"D7962","Lingual frenectomy",null,"1307102","AR",72034,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",127.56,74.73,"CA61",null,"D7963","Frenuloplasty",null,"1307102","AR",72035,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",139.38,109.03,"CA61",null,"D7970","Excision hyperplastic tissue",null,"1307102","AR",72036,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA61",null,"D7971","Excision pericoronal gingiva",null,"1307102","AR",72037,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",239.03,186.93,"CA61",null,"D7972","Surg redct fibrous tuberosit",null,"1307102","AR",72038,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",114.61,91.2,"CA61",null,"D7979","Non-surgical sialolithotomy",null,"1307102","AR",72039,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.2,68.17,"CA61",null,"D7980","Surgical sialolithotomy",null,"1307102","AR",72040,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA61",null,"D7981","Excision of salivary gland",null,"1307102","AR",72041,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",93.79,78.25,"CA61",null,"D7982","Sialodochoplasty",null,"1307102","AR",72042,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA61",null,"D7983","Closure of salivary fistula",null,"1307102","AR",72043,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",130.61000000000001,97.7,"CA61",null,"D7990","Emergency tracheotomy",null,"1307102","AR",72044,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.3,37.96,"CA61",null,"D7991","Dental coronoidectomy",null,"1307102","AR",72045,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA61",null,"D7993","Surg place craniofacial impl",null,"1307102","AR",72046,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.27,67.52,"CA61",null,"D7994","Surg place zygomatic impl",null,"1307102","AR",72047,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.55,14.14,"CA61",null,"D7995","Synthetic graft facial bones",null,"1307102","AR",72048,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",100.9,81.709999999999994,"CA61",null,"D7996","Implant mandible for augment",null,"1307102","AR",72051,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.53,5.86,"CA61",null,"D7997","Appliance removal",null,"1307102","AR",72052,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",129.35,110.33,"CA61",null,"D7998","Intraoral place of fix dev",null,"1307102","AR",72053,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA61",null,"D7999","Oral surgery procedure",null,"1307102","AR",72055,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",95.54,80.73,"CA61",null,"D8010","Limited dental tx primary",null,"1307102","AR",72057,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.16,83.58,"CA61",null,"D8020","Limited dental tx transition",null,"1307102","AR",72058,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.06,11.95,"CA61",null,"D8030","Limited dental tx adolescent",null,{"$f":"O1347&N1347","v":"1307102"},"AR",72059,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.27,9.35,"CA61",null,"D8040","Limited dental tx adult",null,"1307102","AR",72060,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.93,4.0999999999999996,"CA61",null,"D8050","Intercep dental tx primary",null,"1307102","AR",72061,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA61",null,"D8060","Intercep dental tx transitn",null,"1307102","AR",72063,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.76,5.01,"CA61",null,"D8070","Compre dental tx transition",null,"1307102","AR",72064,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.03,4.6500000000000004,"CA61",null,"D8080","Compre dental tx adolescent",null,"1307102","AR",72065,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.81,5.89,"CA61",null,"D8090","Compre dental tx adult",null,"1307102","AR",72066,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.06,11.95,"CA61",null,"D8210","Orthodontic rem appliance tx",null,"1307102","AR",72067,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",20.89,15.04,"CA61",null,"D8220","Fixed appliance therapy habt",null,"1307102","AR",72068,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.14,11.3,"CA61",null,"D8660","Preorthodontic tx visit",null,"1307102","AR",72069,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.14,11.3,"CA61",null,"D8670","Periodic orthodontc tx visit",null,"1307102","AR",72070,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.31,23.6,"CA61",null,"D8680","Orthodontic retention",null,"1307102","AR",72071,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA61",null,"D8681","Removable retainer adjust",null,"1307102","AR",72072,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA61",null,"D8690","Orthodontic treatment",null,"1307102","AR",72073,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.11,27.96,"CA61",null,"D8695","Remove fixed ortho appliance",null,"1307102","AR",72074,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.12,23.44,"CA61",null,"D8696","Rep of ortho appliance max",null,"1307102","AR",72075,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.049999999999997,22.18,"CA61",null,"D8697","Rep of ortho appliance man",null,"1307102","AR",72076,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.420000000000002,"CA61",null,"D8698","Recement fixed retainer max",null,"1307102","AR",72078,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA61",null,"D8699","Recement fixed retainer man",null,"1307102","AR",72079,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.6,21.84,"CA61",null,"D8701","Repair fixed retainer max",null,"1307102","AR",72080,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.64,14.43,"CA61",null,"D8702","Repair of fixed retainer man",null,"1307102","AR",72081,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",105.99,80.03,"CA61",null,"D8703","Replace broken retainer max",null,"1307102","AR",72082,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",105.99,80.03,"CA61",null,"D8704","Replace broken retainer man",null,"1307102","AR",72083,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",105.99,80.03,"CA61",null,"D8999","Orthodontic procedure",null,"1307102","AR",72084,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA61",null,"D9110","Tx dental pain minor proc",null,"1307102","AR",72085,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",105.99,80.03,"CA61",null,"D9120","Fix partial denture section",null,"1307102","AR",72086,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",105.99,80.03,"CA61",null,"D9130","Temporomandibular joint dysf",null,"1307102","AR",72087,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",105.99,80.03,"CA61",null,"D9210","Dent anesthesia w/o surgery",null,"1307102","AR",72088,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.12,53.56,"CA61",null,"D9211","Regional block anesthesia",null,"1307102","AR",72089,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA61",null,"D9212","Trigeminal block anesthesia",null,"1307102","AR",72099,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.36,42.58,"CA61",null,"D9215","Local anesthesia",null,"1307102","AR",72101,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.78,25.27,"CA61",null,"D9219","Eval mod/deep sed/gen anest",null,"1307102","AR",72102,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.619999999999997,25.21,"CA61",null,"D9222","Deep anest, 1st 15 min",null,"1307102","AR",72103,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.619999999999997,25.21,"CA61",null,"D9223","General anesth ea addl 15 mi",null,"1307102","AR",72104,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA61",null,"D9230","Analgesia",null,"1307102","AR",72105,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47,32.74,"CA61",null,"D9239","Iv mod sedation, 1st 15 min",null,"1307102","AR",72106,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.08,250.06,"CA61",null,"D9243","Iv sedation ea addl 15m",null,"1307102","AR",72107,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.880000000000003,25.82,"CA61",null,"D9248","Sedation (non-iv)",null,"1307102","AR",72108,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.49,31.17,"CA61",null,"D9310","Dental consultation",null,"1307102","AR",72110,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.87,34.68,"CA61",null,"D9311","Consult w/med hlth care prof",null,"1307102","AR",72111,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.55,31.02,"CA61",null,"D9410","Dental house call",null,"1307102","AR",72112,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.02,36.909999999999997,"CA61",null,"D9420","Hospital/asc call",null,"1307102","AR",72113,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA61",null,"D9430","Office visit during hours",null,"1307102","AR",72114,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA61",null,"D9440","Office visit after hours",null,"1307102","AR",72115,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.39,30.36,"CA61",null,"D9450","Case presentation tx plan",null,"1307102","AR",72116,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.77,10.31,"CA61",null,"D9610","Dent therapeutic drug inject",null,"1307102","AR",72117,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.9,18.16,"CA61",null,"D9612","Thera par drugs 2 or > admin",null,"1307102","AR",72118,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",31.94,28.11,"CA61",null,"D9613","Infiltration thera drug",null,"1307102","AR",72119,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.64,9.5299999999999994,"CA61",null,"D9630","Drugs/meds disp for home use",null,"1307102","AR",72120,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.64,9.5299999999999994,"CA61",null,"D9910","Dent appl desensitizing med",null,"1307102","AR",72121,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.78,7.03,"CA61",null,"D9911","Appl desensitizing resin",null,"1307102","AR",72122,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.64,9.5299999999999994,"CA61",null,"D9920","Behavior management",null,"1307102","AR",72123,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.53,11.78,"CA61",null,"D9930","Treatment of complications",null,"1307102","AR",72124,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",83.33,55,"CA62",null,"D9932","Clean & inspect rem dent max",null,"1307102","AR",72125,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",44.56,32.5,"CA62",null,"D9933","Clean & inspect rem dent man",null,"1307102","AR",72126,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",57.26,39.71,"CA62",null,"D9934","Clean rem part denture max",null,"1307102","AR",72127,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",95.27,61.45,"CA62",null,"D9935","Clean rem part denture mand",null,"1307102","AR",72128,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",76.599999999999994,52.65,"CA62",null,"D9941","Fabrication athletic guard",null,"1307102","AR",72129,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",67.66,44.44,"CA62",null,"D9942","Repair/reline occlusal guard",null,"1307102","AR",72130,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",43.75,29.12,"CA62",null,"D9943","Occlusal guard adjustment",null,"1307102","AR",72131,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.599999999999994,63.42,"CA62",null,"D9944","Occ guard, hard, full arch",null,"1307102","AR",72132,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.26,18.5,"CA62",null,"D9945","Occ guard, soft, full arch",null,"1307102","AR",72133,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",128.03,75.19,"CA62",null,"D9946","Occ guard, hard, part arch",null,"1307102","AR",72134,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",140.08000000000001,109.73,"CA62",null,"D9950","Occlusion analysis",null,"1307102","AR",72135,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.89,92.75,"CA62",null,"D9951","Limited occlusal adjustment",null,{"$f":"O1411&N1411","v":"1307102"},"AR",72136,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",240.2,188.09,"CA62",null,"D9952","Complete occlusal adjustment",null,"1307102","AR",72137,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",115.42,92.02,"CA62",null,"D9961","Dup/copy patient's records",null,"1307102","AR",72139,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",89.66,68.64,"CA62",null,"D9970","Enamel microabrasion",null,"1307102","AR",72140,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.56,60.2,"CA62",null,"D9971","Odontoplasty per tooth",null,"1307102","AR",72141,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",95.07,79.53,"CA62",null,"D9972","Extrnl bleaching per arch",null,"1307102","AR",72142,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",83.12,67.03,"CA62",null,"D9973","Extrnl bleaching per tooth",null,"1307102","AR",72143,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",131.08000000000001,98.17,"CA62",null,"D9974","Intrnl bleaching per tooth",null,"1307102","AR",72145,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",51.54,38.19,"CA62",null,"D9975","External bleaching home app",null,"1307102","AR",72149,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",109.46,81.31,"CA62",null,"D9985","Sales tax",null,"1307102","AR",72150,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",89.74,67.989999999999995,"CA62",null,"D9986","Missed appointment",null,"1307102","AR",72152,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.67,14.26,"CA62",null,"D9987","Cancelled appointment",null,"1307102","AR",72153,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",102.07,82.88,"CA62",null,"D9990","Trans or sign language svcs",null,"1307102","AR",72156,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.65,5.98,"CA62",null,"D9991","Case mgmt, appt barriers",null,"1307102","AR",72157,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",130.97999999999999,111.97,"CA62",null,"D9992","Case mgmt, care coordination",null,"1307102","AR",72158,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",62.12,52.07,"CA62",null,"D9993","Case mgmt, interviewing",null,"1307102","AR",72160,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",96.48,81.67,"CA62",null,"D9994","Case mgmt, pt education",null,"1307102","AR",72164,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.86,84.28,"CA62",null,"D9995","Teledentistry real-time",null,"1307102","AR",72165,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.18,12.07,"CA62",null,"D9996","Teledentistry dent review",null,"1307102","AR",72166,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.39,9.4700000000000006,"CA62",null,"D9997","Dent case mgmt special needs",null,"1307102","AR",72167,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.05,4.22,"CA62",null,"D9999","Adjunctive procedure",null,"1307102","AR",72168,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.260000000000002,12.23,"CA62",null,"G0008","Admin influenza virus vac",null,"1307102","AR",72169,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.87,5.13,"CA62",null,"G0009","Admin pneumococcal vaccine",null,"1307102","AR",72170,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.14,4.7699999999999996,"CA62",null,"G0010","Admin hepatitis b vaccine",null,"1307102","AR",72173,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.93,6.01,"CA62",null,"G0027","Semen analysis",null,"1307102","AR",72175,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.18,12.07,"CA62",null,"G0068","Adm iv infusion drug in home",null,"1307102","AR",72176,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",21.01,15.16,"CA62",null,"G0069","Adm sq infusion drug in home",null,"1307102","AR",72178,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.26,11.42,"CA62",null,"G0070","Adm of chemo drug in home",null,"1307102","AR",72179,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.26,11.42,"CA62",null,"G0071","Comm svcs by rhc/fqhc 5 min",null,"1307102","AR",72180,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",37.42,23.71,"CA62",null,"G0076","Care manag h vst new pt 20 m",null,"1307102","AR",72181,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.24,23.56,"CA62",null,"G0077","Care manag h vst new pt 30 m",null,"1307102","AR",72182,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.89,26.75,"CA62",null,"G0078","Care manag h vst new pt 45 m",null,"1307102","AR",72183,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.22,28.07,"CA62",null,"G0079","Care manag h vst new pt 60 m",null,"1307102","AR",72189,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.24,23.56,"CA62",null,"G0080","Care manag h vst new pt 75 m",null,"1307102","AR",72190,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.17,22.3,"CA62",null,"G0081","Care man h v ext pt 20 mi",null,"1307102","AR",72198,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.46,20.54,"CA62",null,"G0082","Care man h v ext pt 30 m",null,"1307102","AR",72199,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.41,19.66,"CA62",null,"G0083","Care man h v ext pt 45 m",null,"1307102","AR",72201,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.72,21.96,"CA62",null,"G0084","Care man h v ext pt 60 m",null,"1307102","AR",72202,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",18.760000000000002,14.55,"CA62",null,"G0085","Care man h v ext pt 75 m",null,"1307102","AR",72203,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",106.46,80.5,"CA62",null,"G0086","Care man home care plan 30 m",null,"1307102","AR",72204,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",106.46,80.5,"CA62",null,"G0087","Care man home care plan 60 m",null,"1307102","AR",72205,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",106.46,80.5,"CA62",null,"G0088","Adm iv drug 1st home visit",null,"1307102","AR",72206,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.959999999999994,54.21,"CA62",null,"G0089","Adm subq drug 1st home visit",null,"1307102","AR",72207,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",106.46,80.5,"CA62",null,"G0090","Adm iv chemo 1st home visit",null,"1307102","AR",72208,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",106.46,80.5,"CA62",null,"G0101","Ca screen;pelvic/breast exam",null,"1307102","AR",72209,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",106.46,80.5,"CA62",null,"G0102","Prostate ca screening; dre",null,"1307102","AR",72210,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",73.59,54.03,"CA62",null,"G0103","Psa screening",null,"1307102","AR",72211,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.67,27.6,"CA62",null,"G0104","Ca screen;flexi sigmoidscope",null,"1307102","AR",72212,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",68.48,42.7,"CA62",null,"G0105","Colorectal scrn; hi risk ind",null,"1307102","AR",72214,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.9,25.39,"CA62",null,"G0105","Colorectal scrn; hi risk ind",null,"1307102","AR",72215,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",33.74,25.33,"CA62",null,"G0106","Colon ca screen;barium enema",null,"1307102","AR",72216,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",33.74,25.33,"CA62",null,"G0106","Colon ca screen;barium enema",null,"1307102","AR",72217,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",108.23,68.37,"CA62",null,"G0106","Colon ca screen;barium enema",null,"1307102","AR",72219,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",47.7,33.44,"CA62",null,"G0108","Diab manage trn  per indiv",null,"1307102","AR",72221,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",486.2,250.18,"CA62",null,"G0109","Diab manage trn ind/group",null,"1307102","AR",72222,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",35.99,25.94,"CA62",null,"G0117","Glaucoma scrn hgh risk direc",null,"1307102","AR",72223,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",40.729999999999997,31.4,"CA62",null,"G0118","Glaucoma scrn hgh risk direc",null,"1307102","AR",72225,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",51.98,34.799999999999997,"CA62",null,"G0120","Colon ca scrn; barium enema",null,"1307102","AR",72227,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",44.67,31.14,"CA62",null,"G0120","Colon ca scrn; barium enema",null,"1307102","AR",72231,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",57.14,37.03,"CA62",null,"G0120","Colon ca scrn; barium enema",null,"1307102","AR",72255,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.72,11.34,"CA62",null,"G0121","Colon ca scrn not hi rsk ind",null,"1307102","AR",72260,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.87,21.4,"CA62",null,"G0121","Colon ca scrn not hi rsk ind",null,"1307102","AR",72295,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",34.619999999999997,30.6,"CA62",null,"G0122","Colon ca scrn; barium enema",null,"1307102","AR",72301,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.89,10.43,"CA62",null,"G0122","Colon ca scrn; barium enema",null,"1307102","AR",72303,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.02,18.28,"CA62",null,"G0122","Colon ca scrn; barium enema",null,{"$f":"O1475&N1475","v":"1307102"},"AR",72310,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",32.18,28.34,"CA62",null,"G0123","Screen cerv/vag thin layer",null,"1307102","AR",72311,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.76,9.65,"CA62",null,"G0124","Screen c/v thin layer by md",null,"1307102","AR",72312,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.76,9.65,"CA62",null,"G0127","Trim nail(s)",null,"1307102","AR",72313,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.9,7.14,"CA62",null,"G0128","Corf skilled nursing service",null,"1307102","AR",72314,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.76,9.65,"CA62",null,"G0129","Partial hosp prog service",null,"1307102","AR",72315,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.76,12.02,"CA62",null,"G0130","Single energy x-ray study",null,"1307102","AR",72316,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",84.61,55.22,"CA63",null,"G0130","Single energy x-ray study",null,"1307102","AR",72319,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",44.54,32.03,"CA63",null,"G0130","Single energy x-ray study",null,"1307102","AR",72320,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",57.67,39.47,"CA63",null,"G0141","Scr c/v cyto,autosys and md",null,"1307102","AR",72321,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",96.73,61.65,"CA63",null,"G0143","Scr c/v cyto,thinlayer,rescr",null,"1307102","AR",72322,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",77.459999999999994,52.62,"CA63",null,"G0144","Scr c/v cyto,thinlayer,rescr",null,"1307102","AR",72324,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",68.84,44.76,"CA63",null,"G0145","Scr c/v cyto,thinlayer,rescr",null,"1307102","AR",72325,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",44.93,29.76,"CA63",null,"G0147","Scr c/v cyto, automated sys",null,"1307102","AR",72326,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",82.07,64.25,"CA63",null,"G0148","Scr c/v cyto, autosys, rescr",null,"1307102","AR",72327,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",25.81,18.8,"CA63",null,"G0151","Hhcp-serv of pt,ea 15 min",null,"1307102","AR",72328,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",131.79,76.989999999999995,"CA63",null,"G0152","Hhcp-serv of ot,ea 15 min",null,"1307102","AR",72329,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",142.76,111.29,"CA63",null,"G0153","Hhcp-svs of s/l path,ea 15mn",null,"1307102","AR",72330,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",118.83,93.81,"CA63",null,"G0155","Hhcp-svs of csw,ea 15 min",null,"1307102","AR",72331,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",244.84,190.81,"CA63",null,"G0156","Hhcp-svs of aide,ea 15 min",null,"1307102","AR",72332,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",117.32,93.05,"CA63",null,"G0157","Hhc pt assistant ea 15",null,"1307102","AR",72333,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",91.44,69.63,"CA63",null,"G0158","Hhc ot assistant ea 15",null,"1307102","AR",72335,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",76.87,60.95,"CA63",null,"G0159","Hhc pt maint ea 15 min",null,"1307102","AR",72336,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",95.83,79.709999999999994,"CA63",null,"G0160","Hhc occup therapy ea 15",null,"1307102","AR",72338,"07102","13","R","Z9","R",1,"A",20211]
["2023-01-01",92606,"Non-speech device service",84.09,67.400000000000006,"CA63",null,"G0161","Hhc slp ea 15 min",null,"1307102","AR",72339,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",133.99,99.86,"CA63",null,"G0162","Hhc rn e&m plan svs, 15 min",null,"1307102","AR",72340,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",52.65,38.81,"CA63",null,"G0166","Extrnl counterpulse, per tx",null,"1307102","AR",72341,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",111.84,82.64,"CA63",null,"G0168","Wound closure by adhesive",null,"1307102","AR",72342,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",91.55,68.989999999999995,"CA63",null,"G0175","Opps service,sched team conf",null,"1307102","AR",72346,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",23.26,14.53,"CA63",null,"G0176","Opps/php;activity therapy",null,"1307102","AR",72347,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",103.22,83.31,"CA63",null,"G0177","Opps/php; train & educ serv",null,"1307102","AR",72348,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",11.95,6.07,"CA63",null,"G0179","Md recertification hha pt",null,"1307102","AR",72350,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",132.06,112.34,"CA63",null,"G0180","Md certification hha patient",null,"1307102","AR",72351,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",62.76,52.33,"CA63",null,"G0181","Home health care supervision",null,"1307102","AR",72352,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",97.58,82.23,"CA63",null,"G0182","Hospice care supervision",null,"1307102","AR",72353,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",109.78,85.32,"CA63",null,"G0186","Dstry eye lesn,fdr vssl tech",null,"1307102","AR",72354,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.42,12.2,"CA63",null,"G0219","Pet img wholbod melano nonco",null,"1307102","AR",72355,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.58,9.5500000000000007,"CA63",null,"G0219","Pet img wholbod melano nonco",null,"1307102","AR",72358,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.09,4.2,"CA63",null,"G0219","Pet img wholbod melano nonco",null,"1307102","AR",72359,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.68,12.42,"CA63",null,"G0235","Pet not otherwise specified",null,"1307102","AR",72360,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.99,5.15,"CA63",null,"G0235","Pet not otherwise specified",null,"1307102","AR",72364,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.23,4.7699999999999996,"CA63",null,"G0235","Pet not otherwise specified",null,"1307102","AR",72365,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.07,6.04,"CA63",null,"G0237","Therapeutic procd strg endur",null,"1307102","AR",72366,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.42,12.2,"CA63",null,"G0238","Oth resp proc, indiv",null,"1307102","AR",72367,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",21.46,15.39,"CA63",null,"G0239","Oth resp proc, group",null,"1307102","AR",72368,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.53,11.55,"CA63",null,"G0245","Initial foot exam pt lops",null,"1307102","AR",72369,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.53,11.55,"CA63",null,"G0246","Followup eval of foot pt lop",null,"1307102","AR",72370,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",38.47,24.25,"CA63",null,"G0247","Routine footcare pt w lops",null,"1307102","AR",72372,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.92,23.96,"CA63",null,"G0248","Demonstrate use home inr mon",null,"1307102","AR",72373,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",36.71,27.23,"CA63",null,"G0249","Provide inr test mater/equip",null,"1307102","AR",72374,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",40.18,28.61,"CA63",null,"G0250","Md inr test revie inter mgmt",null,"1307102","AR",72376,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.92,23.96,"CA63",null,"G0252","Pet imaging initial dx",null,"1307102","AR",72377,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.96,22.72,"CA63",null,"G0252","Pet imaging initial dx",null,"1307102","AR",72379,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.82,20.78,"CA63",null,"G0252","Pet imaging initial dx",null,"1307102","AR",72381,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.74,19.89,"CA63",null,"G0255","Current percep threshold tst",null,"1307102","AR",72383,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",29.32,22.31,"CA63",null,"G0255","Current percep threshold tst",null,"1307102","AR",72384,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.100000000000001,14.74,"CA63",null,"G0255","Current percep threshold tst",null,"1307102","AR",72385,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",108.7,81.77,"CA63",null,"G0257","Unsched dialysis esrd pt hos",null,"1307102","AR",72386,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",108.7,81.77,"CA63",null,"G0259","Inject for sacroiliac joint",null,"1307102","AR",72387,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",108.7,81.77,"CA63",null,"G0260","Inj for sacroiliac jt anesth",null,"1307102","AR",72389,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",75.44,54.96,"CA63",null,"G0268","Removal of impacted wax md",null,"1307102","AR",72390,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",108.7,81.77,"CA63",null,"G0269","Occlusive device in vein art",null,"1307102","AR",72391,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",108.7,81.77,"CA63",null,"G0270","Mnt subs tx for change dx",null,"1307102","AR",72392,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",108.7,81.77,"CA63",null,"G0271","Group mnt 2 or more 30 mins",null,"1307102","AR",72394,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",75.06,54.77,"CA63",null,"G0276","Pild/placebo control clin tr",null,{"$f":"O1539&N1539","v":"1307102"},"AR",72395,"07102","13","R","Z9","R",1,"A",20211]
["2023-01-01",97530,"Therapeutic activities",40.67,28.16,"CA63",null,"G0277","Hbot, full body chamber, 30m",null,"1307102","AR",72396,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",70.510000000000005,43.78,"CA63",null,"G0278","Iliac art angio,cardiac cath",null,"1307102","AR",72397,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",35.71,25.85,"CA63",null,"G0279","Tomosynthesis, mammo",null,"1307102","AR",72401,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",34.49,25.77,"CA63",null,"G0279","Tomosynthesis, mammo",null,"1307102","AR",72402,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",34.49,25.77,"CA63",null,"G0279","Tomosynthesis, mammo",null,"1307102","AR",72403,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",110.87,69.540000000000006,"CA63",null,"G0281","Elec stim unattend for press",null,"1307102","AR",72404,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",48.31,33.520000000000003,"CA63",null,"G0282","Elect stim wound care not pd",null,"1307102","AR",72405,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",503.78,259.01,"CA63",null,"G0283","Elec stim other than wound",null,"1307102","AR",72410,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",36.85,26.42,"CA63",null,"G0288","Recon, cta for surg plan",null,"1307102","AR",72411,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",41.5,31.83,"CA63",null,"G0289","Arthro, loose body + chondro",null,"1307102","AR",72412,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",53.39,35.57,"CA63",null,"G0293","Non-cov surg proc,clin trial",null,"1307102","AR",72413,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",45.81,31.78,"CA63",null,"G0294","Non-cov proc, clinical trial",null,"1307102","AR",72414,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",58.76,37.9,"CA63",null,"G0295","Electromagnetic therapy onc",null,"1307102","AR",72415,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.9,11.44,"CA63",null,"G0296","Visit to determ ldct elig",null,"1307102","AR",72416,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.15,21.55,"CA63",null,"G0299","Hhs/hospice of rn ea 15 min",null,"1307102","AR",72417,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.07,30.89,"CA63",null,"G0300","Hhs/hospice of lpn ea 15 min",null,"1307102","AR",72419,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.01,10.49,"CA63",null,"G0302","Pre-op service lvrs complete",null,"1307102","AR",72421,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.33,18.489999999999998,"CA63",null,"G0303","Pre-op service lvrs 10-15dos",null,"1307102","AR",72422,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",32.58,28.6,"CA63",null,"G0304","Pre-op service lvrs 1-9 dos",null,"1307102","AR",72424,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.96,9.74,"CA63",null,"G0305","Post op service lvrs min 6",null,"1307102","AR",72425,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.96,9.74,"CA63",null,"G0306","Cbc/diffwbc w/o platelet",null,"1307102","AR",72426,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.16,7.23,"CA63",null,"G0307","Cbc without platelet",null,"1307102","AR",72427,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.96,9.74,"CA63",null,"G0328","Fecal blood scrn immunoassay",null,"1307102","AR",72428,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.86,12.01,"CA63",null,"G0329","Electromagntic tx for ulcers",null,"1307102","AR",72429,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",86.51,56.33,"CA64",null,"G0333","Dispense fee initial 30 day",null,"1307102","AR",72430,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",45.45,32.6,"CA64",null,"G0337","Hospice evaluation preelecti",null,"1307102","AR",72431,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",58.91,40.22,"CA64",null,"G0339","Robot lin-radsurg com, first",null,"1307102","AR",72432,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",98.94,62.92,"CA64",null,"G0340","Robt lin-radsurg fractx 2-5",null,"1307102","AR",72433,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",79.14,53.64,"CA64",null,"G0341","Percutaneous islet celltrans",null,"1307102","AR",72434,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",70.39,45.67,"CA64",null,"G0342","Laparoscopy islet cell trans",null,"1307102","AR",72435,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",45.93,30.36,"CA64",null,"G0343","Laparotomy islet cell transp",null,"1307102","AR",72436,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",83.64,65.34,"CA64",null,"G0372","Md service required for pmd",null,"1307102","AR",72437,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",26.34,19.14,"CA64",null,"G0378","Hospital observation per hr",null,"1307102","AR",72438,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",135.02000000000001,78.75,"CA64",null,"G0379","Direct refer hospital observ",null,"1307102","AR",72439,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",145.51,113.2,"CA64",null,"G0380","Lev 1 hosp type b ed visit",null,"1307102","AR",72440,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",121.09,95.39,"CA64",null,"G0381","Lev 2 hosp type b ed visit",null,"1307102","AR",72441,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",249.56,194.08,"CA64",null,"G0382","Lev 3 hosp type b ed visit",null,"1307102","AR",72442,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",119.53,94.61,"CA64",null,"G0383","Lev 4 hosp type b ed visit",null,"1307102","AR",72443,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",93.24,70.849999999999994,"CA64",null,"G0384","Lev 5 hosp type b ed visit",null,"1307102","AR",72444,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",78.319999999999993,61.97,"CA64",null,"G0390","Trauma respons w/hosp criti",null,"1307102","AR",72445,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",97.52,80.97,"CA64",null,"G0396","Alcohol/subs interv 15-30mn",null,"1307102","AR",72447,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",85.65,68.52,"CA64",null,"G0397","Alcohol/subs interv >30 min",null,"1307102","AR",72449,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",136.69999999999999,101.65,"CA64",null,"G0398","Home sleep test/type 2 porta",null,"1307102","AR",72450,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",53.72,39.51,"CA64",null,"G0398","Home sleep test/type 2 porta",null,"1307102","AR",72451,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",114.12,84.14,"CA64",null,"G0398","Home sleep test/type 2 porta",null,"1307102","AR",72453,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",93.38,70.209999999999994,"CA64",null,"G0399","Home sleep test/type 3 porta",null,"1307102","AR",72454,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",23.8,14.84,"CA64",null,"G0399","Home sleep test/type 3 porta",null,"1307102","AR",72455,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",105.11,84.67,"CA64",null,"G0399","Home sleep test/type 3 porta",null,"1307102","AR",72456,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",12.27,6.23,"CA64",null,"G0400","Home sleep test/type 4 porta",null,"1307102","AR",72457,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",134.33000000000001,114.08,"CA64",null,"G0400","Home sleep test/type 4 porta",null,"1307102","AR",72458,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",63.87,53.16,"CA64",null,"G0400","Home sleep test/type 4 porta",null,"1307102","AR",72459,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",99.29,83.52,"CA64",null,"G0402","Initial preventive exam",null,"1307102","AR",72460,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",111.89,86.78,"CA64",null,"G0403","Ekg for initial prevent exam",null,"1307102","AR",72461,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.71,12.4,"CA64",null,"G0404","Ekg tracing for initial prev",null,"1307102","AR",72462,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.83,9.7200000000000006,"CA64",null,"G0405","Ekg interpret & report preve",null,"1307102","AR",72464,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.22,4.28,"CA64",null,"G0406","Inpt/tele follow up 15",null,"1307102","AR",72465,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",19.09,12.67,"CA64",null,"G0407","Inpt/tele follow up 25",null,"1307102","AR",72466,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.17,5.25,"CA64",null,"G0408","Inpt/tele follow up 35",null,"1307102","AR",72467,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.39,4.8600000000000003,"CA64",null,"G0409","Corf related serv 15 mins ea",null,"1307102","AR",72469,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.27,6.16,"CA64",null,"G0410","Grp psych partial hosp 45-50",null,"1307102","AR",72470,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.71,12.4,"CA64",null,"G0411","Inter active grp psych parti",null,"1307102","AR",72471,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",21.91,15.68,"CA64",null,"G0412","Open tx iliac spine uni/bil",null,"1307102","AR",72472,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.84,11.76,"CA64",null,"G0413","Pelvic ring fracture uni/bil",null,"1307102","AR",72473,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.84,11.76,"CA64",null,"G0414","Pelvic ring fx treat int fix",null,{"$f":"O1603&N1603","v":"1307102"},"AR",72474,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",39.36,24.76,"CA64",null,"G0415","Open tx post pelvic fxcture",null,"1307102","AR",72475,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",32.56,24.38,"CA64",null,"G0416","Prostate biopsy, any mthd",null,"1307102","AR",72476,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",37.46,27.72,"CA64",null,"G0416","Prostate biopsy, any mthd",null,"1307102","AR",72478,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",41.03,29.15,"CA64",null,"G0416","Prostate biopsy, any mthd",null,"1307102","AR",72479,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",32.56,24.38,"CA64",null,"G0420","Ed svc ckd ind per session",null,"1307102","AR",72482,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97124,"Massage therapy",33.68,23.16,"CA64",null,"G0421","Ed svc ckd grp per session",null,"1307102","AR",72501,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.22,21.1,"CA64",null,"G0422","Intens cardiac rehab w/exerc",null,"1307102","AR",72503,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",23.12,20.2,"CA64",null,"G0423","Intens cardiac rehab no exer",null,"1307102","AR",72512,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",29.9,22.7,"CA64",null,"G0424","Pulmonary rehab w exer",null,"1307102","AR",72513,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.47,14.99,"CA64",null,"G0425","Inpt/ed teleconsult30",null,"1307102","AR",72515,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",110.87,83.23,"CA64",null,"G0426","Inpt/ed teleconsult50",null,"1307102","AR",72516,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",110.87,83.23,"CA64",null,"G0427","Inpt/ed teleconsult70",null,"1307102","AR",72517,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",110.87,83.23,"CA64",null,"G0428","Collagen meniscus implant",null,"1307102","AR",72519,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",76.989999999999995,55.97,"CA64",null,"G0429","Dermal filler injection(s)",null,"1307102","AR",72520,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",110.87,83.23,"CA64",null,"G0432","Eia hiv-1/hiv-2 screen",null,"1307102","AR",72521,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",110.87,83.23,"CA64",null,"G0433","Elisa hiv-1/hiv-2 screen",null,"1307102","AR",72522,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",110.87,83.23,"CA64",null,"G0435","Oral hiv-1/hiv-2 screen",null,"1307102","AR",72523,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",76.61,55.77,"CA64",null,"G0438","Ppps, initial visit",null,"1307102","AR",72524,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",41.55,28.7,"CA64",null,"G0439","Ppps, subseq visit",null,"1307102","AR",72525,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",72.180000000000007,44.73,"CA64",null,"G0442","Annual alcohol screen 15 min",null,"1307102","AR",72526,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",36.450000000000003,26.33,"CA64",null,"G0443","Brief alcohol misuse counsel",null,"1307102","AR",72527,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",35.19,26.23,"CA64",null,"G0444","Depression screen annual",null,"1307102","AR",72528,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",35.19,26.23,"CA64",null,"G0445","High inten beh couns std 30m",null,"1307102","AR",72529,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",113.46,71.02,"CA64",null,"G0446","Intens behave ther cardio dx",null,"1307102","AR",72530,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",49.34,34.15,"CA64",null,"G0447","Behavior counsel obesity 15m",null,"1307102","AR",72531,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",517.1,265.76,"CA64",null,"G0448","Place perm pacing cardiovert",null,"1307102","AR",72532,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",37.619999999999997,26.92,"CA64",null,"G0451","Devlopment test interpt&rep",null,"1307102","AR",72533,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.31,32.380000000000003,"CA64",null,"G0452","Molecular pathology interpr",null,"1307102","AR",72534,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",54.59,36.29,"CA64",null,"G0452","Molecular pathology interpr",null,"1307102","AR",72536,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",46.8,32.39,"CA64",null,"G0452","Molecular pathology interpr",null,"1307102","AR",72537,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",60.11,38.69,"CA64",null,"G0453","Cont intraop neuro monitor",null,"1307102","AR",72538,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.15,11.62,"CA64",null,"G0454","Md document visit by npp",null,"1307102","AR",72539,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.58,21.88,"CA64",null,"G0455","Fecal microbiota prep instil",null,"1307102","AR",72540,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.64,31.36,"CA64",null,"G0458","Ldr prostate brachy comp rat",null,"1307102","AR",72542,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.21,10.65,"CA64",null,"G0459","Telehealth inpt pharm mgmt",null,"1307102","AR",72543,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.69,18.77,"CA64",null,"G0460","Autologous prp for ulcers",null,"1307102","AR",72544,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",33.119999999999997,29.03,"CA64",null,"G0463","Hospital outpt clinic visit",null,"1307102","AR",72545,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.22,9.91,"CA64",null,"G0466","Fqhc visit new patient",null,"1307102","AR",72546,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.22,9.91,"CA64",null,"G0467","Fqhc visit, estab pt",null,"1307102","AR",72550,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.45,7.39,"CA64",null,"G0468","Fqhc visit, ippe or awv",null,"1307102","AR",72553,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.22,9.91,"CA64",null,"G0469","Fqhc visit, mh new pt",null,"1307102","AR",72554,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.13,12.21,"CA64",null,"G0470","Fqhc visit, mh estab pt",null,"1307102","AR",72555,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",87.57,56.69,"CA72",null,"G0471","Ven blood coll snf/hha",null,"1307102","AR",72556,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",45.81,32.659999999999997,"CA72",null,"G0472","Hep c screen high risk/other",null,"1307102","AR",72557,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",59.51,40.380000000000003,"CA72",null,"G0473","Group behave couns 2-10",null,"1307102","AR",72560,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",100.28,63.42,"CA72",null,"G0475","Hiv combination assay",null,"1307102","AR",72561,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",79.959999999999994,53.85,"CA72",null,"G0476","Hpv combo assay ca screen",null,"1307102","AR",72562,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",71.260000000000005,45.95,"CA72",null,"G0480","Drug test def 1-7 classes",null,"1307102","AR",72564,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",46.42,30.48,"CA72",null,"G0481","Drug test def 8-14 classes",null,"1307102","AR",72565,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",83.73,65,"CA72",null,"G0482","Drug test def 15-21 classes",null,"1307102","AR",72566,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",26.49,19.12,"CA72",null,"G0483","Drug test def 22+ classes",null,"1307102","AR",72567,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",137.31,79.73,"CA72",null,"G0490","Home visit rn, lpn by rhc/fq",null,"1307102","AR",72568,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",145.69999999999999,112.62,"CA72",null,"G0491","Dialysis acu kidney no esrd",null,"1307102","AR",72569,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",121.16,94.86,"CA72",null,"G0492","Md/oth eval acut kid no esrd",null,"1307102","AR",72571,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",249.89,193.1,"CA72",null,"G0493","Rn care ea 15 min hh/hospice",null,"1307102","AR",72572,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",119.57,94.06,"CA72",null,"G0494","Lpn care ea 15min hh/hospice",null,"1307102","AR",72573,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",93.5,70.58,"CA72",null,"G0495","Rn care train/edu in hh",null,"1307102","AR",72575,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",78.349999999999994,61.61,"CA72",null,"G0496","Lpn care train/edu in hh",null,"1307102","AR",72576,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",97.3,80.36,"CA72",null,"G0498","Chemo extend iv infus w/pump",null,"1307102","AR",72577,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",85.65,68.11,"CA72",null,"G0499","Hepb screen high risk indiv",null,"1307102","AR",72578,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",137.24,101.37,"CA72",null,"G0500","Mod sedat endo service >5yrs",null,"1307102","AR",72579,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",53.98,39.43,"CA72",null,"G0501","Resource-inten svc during ov",null,"1307102","AR",72581,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",114.64,83.95,"CA72",null,"G0506","Comp asses care plan ccm svc",null,"1307102","AR",72583,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",93.69,69.98,"CA72",null,"G0508","Crit care telehea consult 60",null,{"$f":"O1667&N1667","v":"1307102"},"AR",72584,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",24.13,14.96,"CA72",null,"G0509","Crit care telehea consult 50",null,"1307102","AR",72585,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",105.06,84.14,"CA72",null,"G0511","Ccm/bhi by rhc/fqhc 20min mo",null,"1307102","AR",72587,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",12.56,6.38,"CA72",null,"G0512","Cocm by rhc/fqhc 60 min mo",null,"1307102","AR",72601,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",133.80000000000001,113.08,"CA72",null,"G0513","Prolong prev svcs, first 30m",null,"1307102","AR",72602,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",63.7,52.74,"CA72",null,"G0514","Prolong prev svcs, addl 30m",null,"1307102","AR",72610,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",98.94,82.8,"CA72",null,"G0516","Insert drug del implant, >=4",null,"1307102","AR",72611,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",112.07,86.37,"CA72",null,"G0517","Remove drug implant",null,"1307102","AR",72613,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.72,12.33,"CA72",null,"G0518","Remove w insert drug implant",null,"1307102","AR",72615,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.87,9.68,"CA72",null,"G0659","Drug test def simple all cl",null,"1307102","AR",72616,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.29,4.29,"CA72",null,"G0913","Improve visual funct",null,"1307102","AR",72617,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",19.3,12.72,"CA72",null,"G0914","Survey not complete",null,"1307102","AR",72619,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",8.2799999999999994,5.29,"CA72",null,"G0915","No improve visual funct",null,"1307102","AR",72623,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.48,4.8899999999999997,"CA72",null,"G0916","Satisfy with care",null,"1307102","AR",72624,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",9.3800000000000008,6.19,"CA72",null,"G0917","Satisfy survey not complete",null,"1307102","AR",72626,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.72,12.33,"CA72",null,"G0918","No satisfy with care",null,"1307102","AR",72628,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",22.05,15.67,"CA72",null,"G1001","Cdsm evicore",null,"1307102","AR",72629,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",15.91,11.73,"CA72",null,"G1002","Cdsm medcurrent",null,"1307102","AR",72630,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.91,11.73,"CA72",null,"G1003","Cdsm medicalis",null,"1307102","AR",72631,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",39.880000000000003,24.94,"CA72",null,"G1004","Cdsm ndsc",null,"1307102","AR",72632,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",32.68,24.31,"CA72",null,"G1007","Cdsm aim",null,"1307102","AR",72633,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",37.61,27.65,"CA72",null,"G1008","Cdsm cranberry pk",null,"1307102","AR",72634,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",41.3,29.14,"CA72",null,"G1009","Cdsm sage health",null,"1307102","AR",72635,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",32.68,24.31,"CA72",null,"G1010","Cdsm stanson",null,"1307102","AR",72636,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",33.96,23.2,"CA72",null,"G1011","Cdsm qualified nos",null,"1307102","AR",72638,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",24.06,20.88,"CA72",null,"G1012","Cdsm agilemd",null,"1307102","AR",72639,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.97,19.98,"CA72",null,"G1013","Cdsm evidencecare",null,"1307102","AR",72640,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",29.98,22.61,"CA72",null,"G1014","Cdsm inveniqa",null,"1307102","AR",72641,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.510000000000002,14.93,"CA72",null,"G1015","Cdsm reliant",null,"1307102","AR",72642,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",111.25,82.96,"CA72",null,"G1016","Cdsm speed of care",null,"1307102","AR",72644,"07102","13","R","Z9","R",1,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",111.25,82.96,"CA72",null,"G1017","Cdsm healthhelp",null,"1307102","AR",72645,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",111.25,82.96,"CA72",null,"G1018","Cdsm infinx",null,"1307102","AR",72648,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",77.42,55.9,"CA72",null,"G1019","Cdsm logicnets",null,"1307102","AR",72650,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",111.25,82.96,"CA72",null,"G1020","Cdsm curbside",null,"1307102","AR",72651,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",111.25,82.96,"CA72",null,"G1021","Cdsm ehealthline",null,"1307102","AR",72653,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",111.25,82.96,"CA72",null,"G1022","Cdsm intermountain",null,"1307102","AR",72654,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",77.02,55.7,"CA72",null,"G1023","Cdsm persivia",null,"1307102","AR",72655,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",41.89,28.74,"CA72",null,"G2000","Blinded conv. tx mdd clin tr",null,"1307102","AR",72657,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",73.180000000000007,45.08,"CA72",null,"G2001","Post d/c h vst new pt 20 m",null,"1307102","AR",72658,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",36.659999999999997,26.3,"CA72",null,"G2002","Post-d/c h vst new pt 30 m",null,"1307102","AR",72659,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",35.32,26.15,"CA72",null,"G2003","Post-d/c h vst new pt 45 m",null,"1307102","AR",72660,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",35.32,26.15,"CA72",null,"G2004","Post-d/c h vst new pt 60 m",null,"1307102","AR",72661,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",115.02,71.58,"CA72",null,"G2005","Post-d/c h vst new pt 75 m",null,"1307102","AR",72662,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",49.78,34.24,"CA72",null,"G2006","Post-d/c h vst ext pt 20 m",null,"1307102","AR",72663,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",528.66999999999996,271.43,"CA72",null,"G2007","Post-d/c h vst ext pt 30 m",null,"1307102","AR",72666,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97750,"Physical performance test",37.86,26.9,"CA72",null,"G2008","Post-d/c h vst ext pt 45 m",null,"1307102","AR",72668,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.41,32.25,"CA72",null,"G2009","Post-d/c h vst ext pt 60 m",null,"1307102","AR",72669,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",55.15,36.42,"CA72",null,"G2010","Remot image submit by pt",null,"1307102","AR",72670,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",47.18,32.43,"CA72",null,"G2011","Alcohol/sub misuse assess",null,"1307102","AR",72672,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",60.82,38.909999999999997,"CA72",null,"G2012","Brief check in by md/qhp",null,"1307102","AR",72675,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.13,11.54,"CA72",null,"G2013","Post-d/c h vst ext pt 75 m",null,"1307102","AR",72677,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",25.46,21.68,"CA72",null,"G2014","Post-d/c care plan overs 30m",null,"1307102","AR",72679,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.4,31.02,"CA72",null,"G2015","Post-d/c care plan overs 60m",null,"1307102","AR",72680,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.13,10.54,"CA72",null,"G2021","Hea care pract tx in place",null,"1307102","AR",72682,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.57,18.579999999999998,"CA72",null,"G2022","Benef refuses service, mod",null,"1307102","AR",72683,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",32.9,28.72,"CA72",null,"G2023","Specimen collect covid-19",null,"1307102","AR",72685,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",13.27,9.8800000000000008,"CA72",null,"G2024","Spec coll snf/lab covid-19",null,"1307102","AR",72686,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",13.27,9.8800000000000008,"CA72",null,"G2025","Dis site tele svcs rhc/fqhc",null,"1307102","AR",72687,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",12.66,7.48,"CA72",null,"G2064","Md mang high risk dx 30",null,"1307102","AR",72701,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.27,9.8800000000000008,"CA72",null,"G2065","Clin mang h risk dx 30",null,"1307102","AR",72702,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.12,12.14,"CA72",null,"G2066","Inter devc remote 30d",null,"1307102","AR",72703,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",98.63,62.55,"CA07",null,"G2067","Med assist tx meth wk",null,"1307102","AR",72704,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",50.59,35.229999999999997,"CA07",null,"G2068","Med assist tx bupre oral",null,"1307102","AR",72711,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",66.400000000000006,44.05,"CA07",null,"G2069","Med assist tx inject",null,"1307102","AR",72712,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",113.28,70.209999999999994,"CA07",null,"G2070","Med assist tx implant",null,{"$f":"O1731&N1731","v":"1307102"},"AR",72713,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",89.45,58.95,"CA07",null,"G2071","Med tx remove implant",null,"1307102","AR",72714,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",80.37,50.8,"CA07",null,"G2072","Med tx insert/remove imp",null,"1307102","AR",72715,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",52.44,33.81,"CA07",null,"G2073","Med tx naltrexone",null,"1307102","AR",72716,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",92.05,70.16,"CA07",null,"G2074","Med assist tx no drug",null,"1307102","AR",72717,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",29.48,20.87,"CA07",null,"G2075","Med tx meds nos",null,"1307102","AR",72718,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",157.54,90.26,"CA07",null,"G2076","Intake act w/med exam",null,"1307102","AR",72719,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",160.34,121.7,"CA07",null,"G2077","Periodic assessment",null,"1307102","AR",72721,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",132.93,102.2,"CA07",null,"G2078","Take-home meth",null,"1307102","AR",72722,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",275.02999999999997,208.68,"CA07",null,"G2079","Take-hom buprenorphine",null,"1307102","AR",72727,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",131.07,101.27,"CA07",null,"G2080","Add 30 mins counsel",null,"1307102","AR",72728,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",103.29,76.52,"CA07",null,"G2081","Pt 66+ snp or ltc pos > 90d",null,"1307102","AR",72729,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",85.92,66.37,"CA07",null,"G2082","Visit esketamine 56m or less",null,"1307102","AR",72730,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",105.43,85.64,"CA07",null,"G2083","Visit esketamine, > 56m",null,"1307102","AR",72732,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",93.53,73.040000000000006,"CA07",null,"G2086","Off base opioid tx 70min",null,"1307102","AR",72733,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",152.25,110.35,"CA07",null,"G2087","Off base opioid tx, 60 m",null,"1307102","AR",72734,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",59.96,42.97,"CA07",null,"G2088","Off base opioid tx, add30",null,"1307102","AR",72735,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",127.32,91.46,"CA07",null,"G2090","Pt 66+ frailty and med dem",null,"1307102","AR",72736,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",103.69,75.98,"CA07",null,"G2091","Pt 66+ frailty and adv ill",null,"1307102","AR",72737,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",27.44,16.73,"CA07",null,"G2092","Ace arb arni",null,"1307102","AR",72738,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",114.59,90.14,"CA07",null,"G2093","Med doc rsn no ace arn arni",null,"1307102","AR",72739,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",14.59,7.37,"CA07",null,"G2094","Pt rsn no ace arn arni",null,"1307102","AR",72740,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",144.43,120.22,"CA07",null,"G2095","Sys rsn no ace arn arni",null,"1307102","AR",72741,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",69.06,56.26,"CA07",null,"G2096","No rsn ace arb arni",null,"1307102","AR",72742,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",107.14,88.28,"CA07",null,"G2097","Dx uri 3d after other dx",null,"1307102","AR",72744,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",123.31,93.28,"CA07",null,"G2098","Pt 66+ frailty and med dem",null,"1307102","AR",72745,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",17.239999999999998,13.28,"CA07",null,"G2099","Pt 66+ frailty and adv ill",null,"1307102","AR",72747,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",14.2,10.48,"CA07",null,"G2100","Pt 66+ frailty and med dem",null,"1307102","AR",72749,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",7.01,4.68,"CA07",null,"G2101","Pt 66+ frailty and adv ill",null,"1307102","AR",72751,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",21.75,14.07,"CA07",null,"G2105","Pt 66+ snp or ltc pos > 90d",null,"1307102","AR",72752,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",9.34,5.85,"CA07",null,"G2106","Pt 66+ lt ints > 90",null,"1307102","AR",72753,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",8.41,5.38,"CA07",null,"G2107","Pt 66+ frailty and adv ill",null,"1307102","AR",72756,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",10.54,6.81,"CA07",null,"G2108","Pt 66+ snp or ltc pos > 90d",null,"1307102","AR",72757,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",17.239999999999998,13.28,"CA07",null,"G2109","Pt 66+ frailty and med dem",null,"1307102","AR",72758,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",24.59,17.14,"CA07",null,"G2110","Pt 66+ frailty and adv ill",null,"1307102","AR",72760,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",17.63,12.74,"CA07",null,"G2112","Pred<=5 mg ra glu <6m",null,"1307102","AR",72761,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",17.63,12.74,"CA07",null,"G2113","Pred>5 mg >6m, no chg da",null,"1307102","AR",72762,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",45.34,27.88,"CA07",null,"G2115","Pt 66-80 frailty and med dem",null,"1307102","AR",72764,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",36.21,26.43,"CA07",null,"G2116","Pt 66-80 frailty and adv ill",null,"1307102","AR",72765,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",41.77,30.13,"CA07",null,"G2118","Pt 81+ frailty",null,"1307102","AR",72766,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",46.16,31.95,"CA07",null,"G2121","Psy dep anx ap and icd asse",null,"1307102","AR",72768,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",36.21,26.43,"CA07",null,"G2122","Psy/dep/anx/apandicd noasse",null,"1307102","AR",72769,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",38.130000000000003,25.56,"CA07",null,"G2125","Pt 81+ frailty",null,"1307102","AR",72770,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",25.94,22.21,"CA07",null,"G2126","Pt 66-80 frailty and adv ill",null,"1307102","AR",72773,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",24.74,21.24,"CA07",null,"G2127","Pt 66-80 frailty and med dem",null,"1307102","AR",72774,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",33.15,24.53,"CA07",null,"G2128","No aspirin med rsn",null,"1307102","AR",72776,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",21.5,16.14,"CA07",null,"G2129","No bp outpt",null,"1307102","AR",72801,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",123.19,90.14,"CA07",null,"G2136","Bk pain vas 6-20wk <= 3",null,"1307102","AR",72802,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",123.19,90.14,"CA07",null,"G2137","Bk pain vas 6-20wk > 3",null,"1307102","AR",72811,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",123.19,90.14,"CA07",null,"G2138","Bk pain vas 9-15mo <= 3",null,"1307102","AR",72812,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",86.1,60.95,"CA07",null,"G2139","Bk pain vas 9-20mo > 3",null,"1307102","AR",72820,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",123.19,90.14,"CA07",null,"G2140","Leg pain vas 6-20wk <= 3",null,"1307102","AR",72821,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",123.19,90.14,"CA07",null,"G2141","Leg pain vas 6-20wk > 3",null,"1307102","AR",72823,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",123.19,90.14,"CA07",null,"G2142","Fs odi 9-15mo postop<= 22",null,"1307102","AR",72824,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",85.63,60.72,"CA07",null,"G2143","Fs odi 9-15mo > 22",null,"1307102","AR",72826,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",47.02,31.65,"CA07",null,"G2144","Fs odi 6-20wk postop <= 22",null,"1307102","AR",72827,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",83.4,50.58,"CA07",null,"G2145","Fsodi 6-20wk >22 or chg 30pt",null,"1307102","AR",72828,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",40.86,28.76,"CA07",null,"G2146","Leg pain vas 9-15mo <= 3",null,"1307102","AR",72829,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",39.17,28.46,"CA07",null,"G2147","Leg pain vas 9-15mo > 3",null,"1307102","AR",72830,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",39.17,28.46,"CA07",null,"G2148","Mpm used",null,"1307102","AR",72832,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",130.65,79.900000000000006,"CA07",null,"G2149","No mpm med rsn",null,"1307102","AR",72833,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",55.57,37.409999999999997,"CA07",null,"G2150","No mpm",null,"1307102","AR",72834,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",615.91999999999996,315.37,"CA07",null,"G2151","Dx degen neuro",null,"1307102","AR",72835,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97750,"Physical performance test",42.26,29.46,"CA07",null,"G2152","Res change sc >=0",null,"1307102","AR",72837,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",46.79,34.909999999999997,"CA07",null,"G2167","Res change sc < 0",null,{"$f":"O1795&N1795","v":"1307102"},"AR",72838,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",62.25,40.369999999999997,"CA07",null,"G2168","Svs by pt in home health",null,"1307102","AR",72839,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",52.94,35.71,"CA07",null,"G2169","Svs by ot in home health",null,"1307102","AR",72840,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",68.97,43.36,"CA07",null,"G2170","Avf by tissue w thermal e",null,"1307102","AR",72841,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",15.37,12.35,"CA07",null,"G2171","Avf use magnetic/art/ven",null,"1307102","AR",72842,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",27.49,23.06,"CA07",null,"G2173","Uri w comorb 12m oth dx",null,"1307102","AR",72843,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",38.049999999999997,32.93,"CA07",null,"G2174","Uri new rx antibiotic 30d",null,"1307102","AR",72845,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",13.04,11.18,"CA07",null,"G2175","Pt comorb dx 12m of epi",null,"1307102","AR",72846,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",23.27,19.78,"CA07",null,"G2176","Outpt ed obs w inpt admit",null,"1307102","AR",72847,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",35.380000000000003,30.49,"CA07",null,"G2177","Bronch w rx antibx 30d",null,"1307102","AR",72851,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",14.67,10.71,"CA07",null,"G2178","Pt not elig low neuro ex",null,"1307102","AR",72852,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",14.67,10.71,"CA07",null,"G2179","Med doc rsn no low ex",null,"1307102","AR",72853,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",14.46,8.41,"CA07",null,"G2180","Inelig footwr eval",null,"1307102","AR",72854,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",14.67,10.71,"CA07",null,"G2181","Bmi not doc medrsn ptref",null,"1307102","AR",72855,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",16.46,12.96,"CA07",null,"G2182","Pt 1st biolog antirheum",null,"1307102","AR",72856,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",98.75,62.67,"CA52",null,"G2183","Doc pt unable comm",null,"1307102","AR",72857,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",50.71,35.35,"CA52",null,"G2184","No caregiver",null,"1307102","AR",72858,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",66.52,44.17,"CA52",null,"G2185","Caregiver dem trained",null,"1307102","AR",72860,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",113.42,70.349999999999994,"CA52",null,"G2186","Pt ref app rsrcs",null,"1307102","AR",72863,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",89.58,59.08,"CA52",null,"G2187","Clin ind img hd trauma",null,"1307102","AR",72865,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",29580,"Application of paste boot",80.45,50.89,"CA52",null,"G2188","Pt 50 yrs w/clin ind hd",null,"1307102","AR",72901,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",52.45,33.82,"CA52",null,"G2189","Img hd abnml neuro exam",null,"1307102","AR",72902,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",92.09,70.209999999999994,"CA52",null,"G2190","Ind img hd rad neck",null,"1307102","AR",72903,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",29.49,20.88,"CA52",null,"G2191","Ind img hd pos hd ache",null,"1307102","AR",72904,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",157.59,90.31,"CA52",null,"G2192",">55 yrs temp hd ache",null,"1307102","AR",72905,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",160.41,121.77,"CA52",null,"G2193","<6yr new onset hd ache",null,"1307102","AR",72906,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",133.01,102.28,"CA52",null,"G2194","New hdache ped pt dis",null,"1307102","AR",72908,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",275.14999999999998,208.8,"CA52",null,"G2195","Occip hdache child",null,"1307102","AR",72913,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",131.15,101.35,"CA52",null,"G2196","Screen unhlthy etoh use",null,"1307102","AR",72914,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",103.34,76.569999999999993,"CA52",null,"G2197","Screen hlthy etoh use",null,"1307102","AR",72916,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",85.97,66.41,"CA52",null,"G2198","Med rsn no unhlthy etoh",null,"1307102","AR",72917,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",105.56,85.77,"CA52",null,"G2199","Not scrn etoh no rsn",null,"1307102","AR",72918,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",93.63,73.14,"CA52",null,"G2200","Unhlthy etoh rcvd couns",null,"1307102","AR",72919,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",152.30000000000001,110.4,"CA52",null,"G2201","Med rsn no brief couns",null,"1307102","AR",72921,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",59.99,42.99,"CA52",null,"G2202","No rsn no brief couns",null,"1307102","AR",72923,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",127.36,91.51,"CA52",null,"G2203","Med rsn no etoh couns",null,"1307102","AR",72924,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",103.73,76.03,"CA52",null,"G2204","Pt 50-85 w/ scope",null,"1307102","AR",72926,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",27.45,16.739999999999998,"CA52",null,"G2205","Preg drng adjv trtmt",null,"1307102","AR",72927,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",114.7,90.26,"CA52",null,"G2206","Adjv trtmt chemo her2",null,"1307102","AR",72928,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",14.6,7.38,"CA52",null,"G2207","Rsn no trtmt chem her2",null,"1307102","AR",72930,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",144.6,120.39,"CA52",null,"G2208","No trtmt chemo and her2",null,"1307102","AR",72932,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",69.13,56.33,"CA52",null,"G2209","Refused to participate",null,"1307102","AR",72933,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",107.23,88.38,"CA52",null,"G2210","No neck fs prom no rsn",null,"1307102","AR",72934,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",123.39,93.35,"CA52",null,"G2212","Prolong outpt/office vis",null,"1307102","AR",72935,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",17.25,13.29,"CA52",null,"G2213","Initiat med assist tx in er",null,"1307102","AR",72936,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",14.21,10.49,"CA52",null,"G2214","Init/sub psych care m 1st 30",null,"1307102","AR",72937,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",7.02,4.6900000000000004,"CA52",null,"G2215","Home supply nasal naloxone",null,"1307102","AR",72938,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",21.76,14.08,"CA52",null,"G2216","Home supply inject naloxon",null,"1307102","AR",72940,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",9.35,5.86,"CA52",null,"G2250","Remot img sub by pt, non e/m",null,"1307102","AR",72941,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",8.42,5.39,"CA52",null,"G2251","Brief chkin, 5-10, non-e/m",null,"1307102","AR",72943,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",10.55,6.82,"CA52",null,"G2252","Brief chkin by md/qhp, 11-20",null,"1307102","AR",72944,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",17.25,13.29,"CA52",null,"G6001","Echo guidance radiotherapy",null,"1307102","AR",72945,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",24.6,17.149999999999999,"CA52",null,"G6001","Echo guidance radiotherapy",null,"1307102","AR",72946,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",17.64,12.75,"CA52",null,"G6001","Echo guidance radiotherapy",null,"1307102","AR",72947,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",17.64,12.75,"CA52",null,"G6002","Stereoscopic x-ray guidance",null,"1307102","AR",72948,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",45.35,27.89,"CA52",null,"G6002","Stereoscopic x-ray guidance",null,"1307102","AR",72949,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",36.22,26.44,"CA52",null,"G6002","Stereoscopic x-ray guidance",null,"1307102","AR",72950,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",41.78,30.14,"CA52",null,"G6003","Radiation treatment delivery",null,"1307102","AR",72951,"07102","13","R","Z9","R",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",46.17,31.97,"CA52",null,"G6004","Radiation treatment delivery",null,"1307102","AR",72952,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",36.22,26.44,"CA52",null,"G6005","Radiation treatment delivery",null,"1307102","AR",72955,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",38.14,25.57,"CA52",null,"G6006","Radiation treatment delivery",null,"1307102","AR",72956,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",25.95,22.22,"CA52",null,"G6007","Radiation treatment delivery",null,"1307102","AR",72957,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",24.75,21.26,"CA52",null,"G6008","Radiation treatment delivery",null,"1307102","AR",72958,"07102","13","B","Z9","B",0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",33.159999999999997,24.55,"CA52",null,"G6009","Radiation treatment delivery",null,"1307102","AR",72959,"07102","13",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",21.51,16.149999999999999,"CA52",null,"G6010","Radiation treatment delivery",null,{"$f":"O1859&N1859","v":"0101212"},"AS",96799,"01212","01","R","Z9","R",0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",123.24,90.18,"CA52",null,"G6011","Radiation treatment delivery",null,"0003102","AZ",85001,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",123.24,90.18,"CA52",null,"G6012","Radiation treatment delivery",null,"0003102","AZ",85002,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",123.24,90.18,"CA52",null,"G6013","Radiation treatment delivery",null,"0003102","AZ",85003,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",86.15,61,"CA52",null,"G6014","Radiation treatment delivery",null,"0003102","AZ",85004,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",123.24,90.18,"CA52",null,"G6015","Radiation tx delivery imrt",null,"0003102","AZ",85005,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",123.24,90.18,"CA52",null,"G6016","Delivery comp imrt",null,"0003102","AZ",85006,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",123.24,90.18,"CA52",null,"G6017","Intrafraction track motion",null,"0003102","AZ",85007,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",85.68,60.77,"CA52",null,"G8395","Lvef>=40% doc normal or mild",null,"0003102","AZ",85008,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",47.03,31.66,"CA52",null,"G8396","Lvef not performed",null,"0003102","AZ",85009,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",83.42,50.59,"CA52",null,"G8397","Dil macula/fundus exam/w doc",null,"0003102","AZ",85010,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",40.880000000000003,28.77,"CA52",null,"G8399","Pt w/dxa results document",null,"0003102","AZ",85011,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",39.18,28.47,"CA52",null,"G8400","Pt w/dxa no results doc",null,"0003102","AZ",85012,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",39.18,28.47,"CA52",null,"G8404","Low extemity neur exam docum",null,"0003102","AZ",85013,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",130.72999999999999,79.97,"CA52",null,"G8405","Low extemity neur not perfor",null,"0003102","AZ",85014,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",55.64,37.479999999999997,"CA52",null,"G8410","Eval on foot documented",null,"0003102","AZ",85015,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",615.92999999999995,315.38,"CA52",null,"G8415","Eval on foot not performed",null,"0003102","AZ",85016,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",42.27,29.47,"CA52",null,"G8416","Pt inelig footwear evaluatio",null,"0003102","AZ",85017,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",46.81,34.94,"CA52",null,"G8417","Calc bmi abv up param f/u",null,"0003102","AZ",85018,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",62.27,40.380000000000003,"CA52",null,"G8418","Calc bmi blw low param f/u",null,"0003102","AZ",85019,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",52.95,35.729999999999997,"CA52",null,"G8419","Calc bmi out nrm param nof/u",null,"0003102","AZ",85020,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",68.98,43.37,"CA52",null,"G8420","Calc bmi norm parameters",null,"0003102","AZ",85021,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",15.38,12.36,"CA52",null,"G8421","Bmi not calculated",null,"0003102","AZ",85022,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",27.51,23.09,"CA52",null,"G8422","Pt inelig bmi calculation",null,"0003102","AZ",85023,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",38.07,32.950000000000003,"CA52",null,"G8427","Docrev cur meds by elig clin",null,"0003102","AZ",85024,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",13.06,11.19,"CA52",null,"G8428","Cur meds not document",null,"0003102","AZ",85025,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",23.28,19.79,"CA52",null,"G8430","Doc med rsn no medrec",null,"0003102","AZ",85026,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",35.409999999999997,30.52,"CA52",null,"G8431","Pos clin depres scrn f/u doc",null,"0003102","AZ",85027,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",14.68,10.72,"CA52",null,"G8432","Dep scr not doc, rng",null,"0003102","AZ",85028,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",14.68,10.72,"CA52",null,"G8433","Scr for dep not cpt doc rsn",null,"0003102","AZ",85029,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",14.47,8.42,"CA52",null,"G8450","Beta-bloc rx pt w/abn lvef",null,"0003102","AZ",85030,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",14.68,10.72,"CA52",null,"G8451","Pt w/abn lvef inelig b-bloc",null,"0003102","AZ",85031,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",16.48,12.99,"CA52",null,"G8452","Pt w/abn lvef b-bloc no rx",null,"0003102","AZ",85032,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",98.63,62.55,"CA05",null,"G8465","High risk recurrence pro ca",null,"0003102","AZ",85033,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",50.59,35.229999999999997,"CA05",null,"G8473","Ace/arb thxpy rx'd",null,"0003102","AZ",85034,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",66.400000000000006,44.05,"CA05",null,"G8474","Ace/arb not rx'd; doc reas",null,"0003102","AZ",85035,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",113.28,70.209999999999994,"CA05",null,"G8475","Ace/arb thxpy not rx'd",null,"0003102","AZ",85036,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",89.45,58.95,"CA05",null,"G8476","Bp sys <140 and dias <90",null,"0003102","AZ",85037,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",80.37,50.8,"CA05",null,"G8477","Bp sys>=140 and/or dias >=90",null,"0003102","AZ",85038,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",52.44,33.81,"CA05",null,"G8478","Bp not performed/doc",null,"0003102","AZ",85039,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",92.05,70.16,"CA05",null,"G8482","Flu immunize order/admin",null,"0003102","AZ",85040,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",29.48,20.87,"CA05",null,"G8483","Flu imm no admin doc rea",null,"0003102","AZ",85041,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",157.54,90.26,"CA05",null,"G8484","Flu immunize no admin",null,"0003102","AZ",85042,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",160.34,121.7,"CA05",null,"G8506","Pt rec ace/arb",null,"0003102","AZ",85043,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",132.93,102.2,"CA05",null,"G8510","Scr dep neg, no plan reqd",null,"0003102","AZ",85044,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",275.02999999999997,208.68,"CA05",null,"G8511","Scr dep pos, no plan doc rng",null,"0003102","AZ",85045,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",131.07,101.27,"CA05",null,"G8535","Eld maltreatment not doc",null,"0003102","AZ",85046,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",103.29,76.52,"CA05",null,"G8536","No doc elder mal scrn",null,"0003102","AZ",85048,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",85.92,66.37,"CA05",null,"G8539","Doc funct and care plan",null,"0003102","AZ",85050,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",105.43,85.64,"CA05",null,"G8540","Foa not doc as being perf",null,"0003102","AZ",85051,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",93.53,73.040000000000006,"CA05",null,"G8541","No doc cur funct assess",null,"0003102","AZ",85053,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",152.25,110.35,"CA05",null,"G8542","Doc funct no deficiencies",null,"0003102","AZ",85054,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",59.96,42.97,"CA05",null,"G8543","Cur funct asses; no care pln",null,"0003102","AZ",85055,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",127.32,91.46,"CA05",null,"G8559","Pt ref doc oto eval",null,"0003102","AZ",85060,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",103.69,75.98,"CA05",null,"G8560","Pt hx act drain prev 90 days",null,"0003102","AZ",85061,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",27.44,16.73,"CA05",null,"G8561","Pt inelig for ref oto eval",null,"0003102","AZ",85062,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",114.59,90.14,"CA05",null,"G8562","Pt no hx act drain 90 d",null,"0003102","AZ",85063,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",14.59,7.37,"CA05",null,"G8563","Pt no ref oto reas no spec",null,"0003102","AZ",85064,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",144.43,120.22,"CA05",null,"G8564","Pt ref oto eval",null,"0003102","AZ",85065,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",69.06,56.26,"CA05",null,"G8565","Ver doc hear loss",null,"0003102","AZ",85066,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",107.14,88.28,"CA05",null,"G8566","Pt inelig ref oto eval",null,"0003102","AZ",85067,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",123.31,93.28,"CA05",null,"G8567","Pt no doc hear loss",null,"0003102","AZ",85068,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",17.239999999999998,13.28,"CA05",null,"G8568","Pt no ref otolo no spec",null,"0003102","AZ",85069,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",14.2,10.48,"CA05",null,"G8569","Prol intubation req",null,"0003102","AZ",85070,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",7.01,4.68,"CA05",null,"G8570","No prol intub req",null,{"$f":"O1923&N1923","v":"0003102"},"AZ",85071,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",21.75,14.07,"CA05",null,"G8575","Postop ren fail",null,"0003102","AZ",85072,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",9.34,5.85,"CA05",null,"G8576","No postop ren fail",null,"0003102","AZ",85073,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",8.41,5.38,"CA05",null,"G8577","Reop req bld grft oth",null,"0003102","AZ",85074,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",10.54,6.81,"CA05",null,"G8578","No reop req bld grft oth",null,"0003102","AZ",85075,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",17.239999999999998,13.28,"CA05",null,"G8598","Asa/antiplat ther used",null,"0003102","AZ",85076,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",24.59,17.14,"CA05",null,"G8599","No asa/antiplat ther use rng",null,"0003102","AZ",85077,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",17.63,12.74,"CA05",null,"G8600","Tpa initi w/in 3 hrs",null,"0003102","AZ",85078,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",17.63,12.74,"CA05",null,"G8601","No elig tpa init w/in 3 hrs",null,"0003102","AZ",85079,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",45.34,27.88,"CA05",null,"G8602","No tpa init w/in 3 hrs",null,"0003102","AZ",85080,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",36.21,26.43,"CA05",null,"G8633","Pharm ther osteo rx",null,"0003102","AZ",85082,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",41.77,30.13,"CA05",null,"G8635","No pharm ther osteo rx",null,"0003102","AZ",85083,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",46.16,31.95,"CA05",null,"G8647","Rafscrs ki scor >= 0",null,"0003102","AZ",85085,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",36.21,26.43,"CA05",null,"G8648","Rafscrs ki scor < 0",null,"0003102","AZ",85086,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",38.130000000000003,25.56,"CA05",null,"G8650","Rafs crs ki no scor no rsn",null,"0003102","AZ",85087,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",25.94,22.21,"CA05",null,"G8651","Rafscrs hi scor >=0",null,"0003102","AZ",85096,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",24.74,21.24,"CA05",null,"G8652","Rafscrs hi scor < 0",null,"0003102","AZ",85097,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",33.15,24.53,"CA05",null,"G8654","Rafs crs hi no scor no surv",null,"0003102","AZ",85098,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",21.5,16.14,"CA05",null,"G8655","Rafscrs llfai scor >= 0",null,"0003102","AZ",85099,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",123.19,90.14,"CA05",null,"G8656","Rafscrs llfai scor < 0",null,"0003102","AZ",85117,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",123.19,90.14,"CA05",null,"G8658","Rafscrs llfai no scor + surv",null,"0003102","AZ",85118,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",123.19,90.14,"CA05",null,"G8659","Rafscrs lbi scor >= 0",null,"0003102","AZ",85119,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",86.1,60.95,"CA05",null,"G8660","Rafscrs lbi scor < 0",null,"0003102","AZ",85120,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",123.19,90.14,"CA05",null,"G8661","Rafscrs lbi no scor",null,"0003102","AZ",85121,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",123.19,90.14,"CA05",null,"G8662","Rafs crs lbi no scor no surv",null,"0003102","AZ",85122,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",123.19,90.14,"CA05",null,"G8663","Rafscrs si scor >= 0",null,"0003102","AZ",85123,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",85.63,60.72,"CA05",null,"G8664","Rafscrs si scor < 0",null,"0003102","AZ",85127,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",47.02,31.65,"CA05",null,"G8666","Rafs crs si no scor no surv",null,"0003102","AZ",85128,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",83.4,50.58,"CA05",null,"G8667","Rafscrs ewh scor >= 0",null,"0003102","AZ",85130,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",40.86,28.76,"CA05",null,"G8668","Rafscrs ewh scor < 0",null,"0003102","AZ",85131,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",39.17,28.46,"CA05",null,"G8670","Rafs crs ewh no scor no surv",null,"0003102","AZ",85132,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",39.17,28.46,"CA05",null,"G8694","Lvef <40%",null,"0003102","AZ",85135,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",130.65,79.900000000000006,"CA05",null,"G8708","Antibiotic not pres",null,"0003102","AZ",85137,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",55.57,37.409999999999997,"CA05",null,"G8709","Uri ep compete diag",null,"0003102","AZ",85138,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",615.91999999999996,315.37,"CA05",null,"G8710","Pt pres antibiotic",null,"0003102","AZ",85139,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",42.26,29.46,"CA05",null,"G8711","Pres antibiotic",null,"0003102","AZ",85140,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",46.79,34.909999999999997,"CA05",null,"G8712","Not pres antibiotic",null,"0003102","AZ",85141,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",62.25,40.369999999999997,"CA05",null,"G8721","Pt, pn, hist grade doc",null,"0003102","AZ",85142,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",52.94,35.71,"CA05",null,"G8722","Med reas pt, pn, not doc",null,"0003102","AZ",85143,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",68.97,43.36,"CA05",null,"G8723","Spec sit not prim tumor",null,"0003102","AZ",85145,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",15.37,12.35,"CA05",null,"G8724","Pt, pn, hist grade not doc",null,"0003102","AZ",85147,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",27.49,23.06,"CA05",null,"G8733","Doc pos elder mal scrn plan",null,"0003102","AZ",85172,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",38.049999999999997,32.93,"CA05",null,"G8734","Doc neg elder mal no plan",null,"0003102","AZ",85173,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",13.04,11.18,"CA05",null,"G8735","Eld mal scrn pos no plan",null,"0003102","AZ",85178,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",23.27,19.78,"CA05",null,"G8749","No signs melanoma",null,"0003102","AZ",85190,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",35.380000000000003,30.49,"CA05",null,"G8752","Sys bp less 140",null,"0003102","AZ",85191,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",14.67,10.71,"CA05",null,"G8753","Sys bp > or = 140",null,"0003102","AZ",85192,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",14.67,10.71,"CA05",null,"G8754","Dias bp less 90",null,"0003102","AZ",85193,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",14.46,8.41,"CA05",null,"G8755","Dias bp > or = 90",null,"0003102","AZ",85194,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",14.67,10.71,"CA05",null,"G8756","No bp measure doc",null,"0003102","AZ",85201,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",16.46,12.96,"CA05",null,"G8783","Bp scrn perf rec interval",null,"0003102","AZ",85202,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",98.63,62.55,"CA06",null,"G8785","Bp scrn no perf at interval",null,"0003102","AZ",85203,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",50.59,35.229999999999997,"CA06",null,"G8797","Specimen site not esophagus",null,"0003102","AZ",85204,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",66.400000000000006,44.05,"CA06",null,"G8798","Specimen site not prostate",null,"0003102","AZ",85205,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",113.28,70.209999999999994,"CA06",null,"G8806","Perf ultrsnd to lct preg doc",null,"0003102","AZ",85206,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",89.45,58.95,"CA06",null,"G8807","No ta tv ultrasnd",null,"0003102","AZ",85207,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",80.37,50.8,"CA06",null,"G8808","Ultrasound not perf, rng",null,"0003102","AZ",85208,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",52.44,33.81,"CA06",null,"G8815","Doc reas no statin therapy",null,"0003102","AZ",85209,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",92.05,70.16,"CA06",null,"G8816","Statin med pres at disch",null,"0003102","AZ",85210,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",29.48,20.87,"CA06",null,"G8817","Doc reas no statin med disch",null,"0003102","AZ",85211,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",157.54,90.26,"CA06",null,"G8818","Pt disch to home by day#7",null,"0003102","AZ",85212,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",160.34,121.7,"CA06",null,"G8825","Pt not disch to home day#7",null,"0003102","AZ",85213,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",132.93,102.2,"CA06",null,"G8826","Pt disch home day #2 evar",null,"0003102","AZ",85214,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",275.02999999999997,208.68,"CA06",null,"G8833","Pt not disch home day#2 evar",null,"0003102","AZ",85215,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",131.07,101.27,"CA06",null,"G8834","Pt disch home day #2 cea",null,{"$f":"O1987&N1987","v":"0003102"},"AZ",85216,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",103.29,76.52,"CA06",null,"G8838","Not disch home by day #2",null,"0003102","AZ",85217,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",85.92,66.37,"CA06",null,"G8839","Sleep apnea assess",null,"0003102","AZ",85218,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",105.43,85.64,"CA06",null,"G8840","Doc reas no sleep apnea",null,"0003102","AZ",85219,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",93.53,73.040000000000006,"CA06",null,"G8841","No sleep apnea assess",null,"0003102","AZ",85220,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",152.25,110.35,"CA06",null,"G8842","Ahi or rdi initial dx",null,"0003102","AZ",85221,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",59.96,42.97,"CA06",null,"G8843","Doc reas no ahi or rdi",null,"0003102","AZ",85222,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",127.32,91.46,"CA06",null,"G8844","No ahi or rdi initial dx",null,"0003102","AZ",85223,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",103.69,75.98,"CA06",null,"G8845","Pos airway press prescribed",null,"0003102","AZ",85224,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",27.44,16.73,"CA06",null,"G8846","Mod or severe osa",null,"0003102","AZ",85225,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",114.59,90.14,"CA06",null,"G8849","Doc reas no pos air press",null,"0003102","AZ",85226,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",14.59,7.37,"CA06",null,"G8850","No pap prescribed",null,"0003102","AZ",85227,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",144.43,120.22,"CA06",null,"G8851","Adhere pos air press therapy",null,"0003102","AZ",85228,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",69.06,56.26,"CA06",null,"G8852","Pos air press prescribe",null,"0003102","AZ",85230,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",21.75,14.07,"CA06",null,"G8863","No assess bone loss",null,"0003102","AZ",85236,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",86.1,60.95,"CA06",null,"G8912","Pt doc with wrong event",null,"0003102","AZ",85257,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",14.67,10.71,"CA06",null,"G8961","Csit lowrisk surg pts preop",null,"0003102","AZ",85285,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",95.68,74.67,"CA65",null,"G9012","Other specified case mgmt",null,"0003102","AZ",85308,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",109.45,90.11,"CA65",null,"G9056","Onc prac mgmt adheres guide",null,"0003102","AZ",85323,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",33.86,25.03,"CA65",null,"G9078","Onc dx prostate t2no progres",null,"0003102","AZ",85345,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",54.13,36.47,"CA65",null,"G9101","Onc dx gastric p r1-r2noprog",null,"0003102","AZ",85366,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",280.37,212.33,"CA09",null,"G9132","Onc dx prostate mets no cast",null,"0003102","AZ",85530,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",7.15,4.76,"CA09",null,"G9187","Bpci home visit",null,"0003102","AZ",85552,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97533,"Sensory integration",85.32,51.66,"CA09",null,"G9268","Doc comp or mort w in 90d",null,"0003102","AZ",85628,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",57.13,39.06,"CA73",null,"G9295","Non cutaneous loc",null,"0003102","AZ",85662,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",95.88,61.05,"CA73",null,"G9296","Doc share dec prior proc",null,"0003102","AZ",85670,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",108.56,84.28,"CA73",null,"G9347","No follow up pulm nod norsn",null,"0003102","AZ",85724,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",32.64,22.47,"CA73",null,"G9368",">= 2 same hi-rsk med not ord",null,"0003102","AZ",85743,"03102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",21.07,18.239999999999998,"CA73",null,"G9418","Lungcx bx rpt docs class",null,"0003102","AZ",85931,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",139.04,102.23,"CA66",null,"G9457","Pt no abd img no doc rsn",null,"0003102","AZ",86023,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",16.12,11.83,"CA66",null,"G9487","Remote e/m est. pt 15mins",null,"0003102","AZ",86052,"03102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.739999999999998,15.03,"CA66",null,"G9505","Abx pres w/in 10 dys of symp",null,"0003102","AZ",86314,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",61.96,39.46,"CA66",null,"G9533","Indic for head ct not valid",null,"0003102","AZ",86340,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",137.16999999999999,79.63,"CA74",null,"G9563","No f/u eval q3mo opiod tx",null,"0003102","AZ",86433,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.47,4.88,"CA74",null,"G9612","Phodoc 2 mr cec lndmk",null,"0003102","AZ",86515,"03102","00","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",77.33,55.83,"CA74",null,"G9635","No doc rsn do qual life assm",null,"1801182","CA",90009,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.1,12.11,"CA74",null,"G9674","Pt w/clin ascvd dx",null,"1801182","CA",90037,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",81.28,54.53,"CA67",null,"G9680","Acute care congestive heart",null,"1801182","CA",90042,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",135.09,113.85,"CA67",null,"G9703","Anbx 30 prior to episode",null,"1801182","CA",90063,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",112.83,83.84,"CA67",null,"G9728","Refused to participate",null,"1801182","CA",90089,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",42.98,32.57,"CA67",null,"G9753","Doc no dicom, ct other fac",null,"1801182","CA",90201,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",75.09,59.74,"CA68",null,"G9784","Path/derm prov 2nd biop opin",null,{"$f":"O2563&N2563","v":"1801182"},"CA",90261,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.99,80.84,"CA68",null,"G9789","Record bp ip, er, urg/self",null,"1801182","CA",90266,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",31.12,23.44,"CA68",null,"G9821","No doc chlam scr ts w/follow",null,"1801182","CA",90306,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.6,11.22,"CA68",null,"G9874","4 em core sessions",null,"1801182","CA",90510,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",151.93,116.35,"CA53",null,"G9899","Scrn mam perf rslts doc",null,"1801182","CA",90637,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.59,4.45,"CA53",null,"G9920","Scrning perf and negative",null,"1801182","CA",90710,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",116.38,85.94,"CA53",null,"G9958","No combo prohpyl thrp for pt",null,"1801182","CA",90801,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",14.64,11.86,"CA53",null,"G9980","Remote e/m new pt 30 mins",null,"1801182","CA",90832,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",43.39,31.33,"CA69",null,"H0005","Alcohol and/or drug services",null,"1801182","CA",90888,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",96113,"Devel tst phys/qhp ea addl",61.42,51.37,"CA69",null,"H0030","Alcohol and/or drug hotline",null,"1801182","CA",91046,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.29,19.55,"CA69",null,"H1000","Prenatal care atrisk assessm",null,"1801182","CA",91123,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",24.64,21.17,"CA69",null,"H2025","Supp maint employ, 15 min",null,"1801182","CA",91210,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",80.13,62.95,"CA70",null,"J0130","Abciximab injection",null,"1801182","CA",91311,"01182","18",null,"Z9",null,1,"A",20211]
["2023-01-01",92606,"Non-speech device service",82.18,66.099999999999994,"CA70",null,"J0185","Inj., aprepitant, 1 mg",null,"1801182","CA",91326,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",35.78,26.64,"CA70",null,"J0295","Ampicillin sulbactam 1.5 gm",null,"1701182","CA",91358,"01182","17",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.53,67.67,"CA70",null,"J0500","Dicyclomine injection",null,"1801182","CA",91388,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.07,91.94,"CA75",null,"J0604","Cinacalcet, esrd on dialysis",null,"1801182","CA",91499,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.14,12.11,"CA75",null,"J0702","Betamethasone acet&sod phosp",null,"1801182","CA",91608,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.489999999999995,53.74,"CA75",null,"J0795","Corticorelin ovine triflutal",null,"6201112","CA",91719,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",39.549999999999997,27.49,"CA75",null,"J0850","Cytomegalovirus imm iv /vial",null,"6201112","CA",91729,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",114.25,90.76,"CO01",null,"J1190","Dexrazoxane hcl injection",null,"1801182","CA",91770,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",99.66,80.98,"CO01",null,"J1270","Injection, doxercalciferol",null,"1801182","CA",91789,"01182","18",null,"Z9",null,0,"A",20211]
["2023-01-01",97140,"Manual therapy 1/> regions",28.08,21.5,"CO01",null,"J1444","Fe pyro cit pow 0.1 mg iron",null,"7201182","CA",91912,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",43.63,30.46,"CO01",null,"J1568","Octagam injection",null,"7201182","CA",91951,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.63,10.210000000000001,"CO01",null,"J1573","Hepagam b intravenous, inj",null,"7201182","CA",91978,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",15.44,12.26,"CT00",null,"J1746","Inj., ibalizumab-uiyk, 10 mg",null,"7201182","CA",92054,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",15.53,11.61,"CT00",null,"J1826","Interferon beta-1a inj",null,"7201182","CA",92066,"01182","72","R","Z1","R",0,"A",20211]
["2023-01-01",97598,"Rmvl devital tis addl 20cm/<",48.76,34.19,"CT00",null,"J2062","Loxapine for inhalation 1 mg",null,"7201182","CA",92103,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",105.8,67.75,"DC01",null,"J2320","Nandrolone decanoate 50 mg",null,"7201182","CA",92124,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",258.83,200.21,"DC01",null,"J2358","Olanzapine long-acting inj",null,"7201182","CA",92134,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.91,5.24,"DC01",null,"J2540","Penicillin g potassium inj",null,"7201182","CA",92163,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",115.19,85.99,"DC01",null,"J2760","Phentolaine mesylate inj",null,"7201182","CA",92190,"01182","72",null,"Z1",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.85,10.36,"DC01",null,"J2860","Injection, siltuximab",null,"6201112","CA",92234,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",98.73,80.81,"DE01",null,"J3145","Testosterone undecanoate 1mg",null,"6201112","CA",92263,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.92,9.19,"DE01",null,"J3250","Trimethobenzamide hcl inj",null,"6201112","CA",92274,"01112","62",null,"Z9",null,1,"A",20211]
["2023-01-01",97763,"Orthc/prostc mgmt sbsq enc",54.23,35.47,"DE01",null,"J3473","Hyaluronidase recombinant",null,"6201112","CA",92333,"01112","62","R","Z9","R",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.29,11.07,"DE01",null,"J3475","Inj magnesium sulfate",null,"6201112","CA",92334,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",86.8,67.33,"FL03",null,"J7175","Inj, factor x, (human), 1iu",null,"6201112","CA",92369,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",12.13,9.42,"FL03",null,"J7193","Factor ix non-recombinant",null,"6201112","CA",92393,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",32.450000000000003,24.67,"FL03",null,"J7311","Inj., retisert, 0.01 mg",null,"6201112","CA",92506,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",29515,"Application lower leg splint",79.8,57.05,"FL04",null,"J7351","Inj bimatoprost itc imp1mcg",null,"6201112","CA",92552,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",124.53,74.34,"FL04",null,"J7502","Cyclosporine oral 100 mg",null,"6201112","CA",92557,"01112","62",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.42,5.16,"FL04",null,"J7610","Albuterol comp con",null,"2601182","CA",92603,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",104.98,80.319999999999993,"FL04",null,"J7640","Formoterol comp unit",null,"2601182","CA",92630,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.87,9.92,"FL04",null,"J7677","Revefenacin inh non-com 1mcg",null,"2601182","CA",92673,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",101.85,77.33,"FL99",null,"J8610","Methotrexate oral 2.5 mg",null,"2601182","CA",92708,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",29.55,20.95,"FL99",null,"J9042","Brentuximab vedotin inj",null,"2601182","CA",92816,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",99.39,76.77,"FL99",null,"J9057","Inj., copanlisib, 1 mg",null,"2601182","CA",92832,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",23.98,20.95,"FL99",null,"J9175","Elliotts b solution per ml",null,"2601182","CA",92862,"01182","26",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",112.12,89.79,"GA01",null,"J9212","Interferon alfacon-1 inj",null,"1701182","CA",93001,"01182","17",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",14.57,11.69,"GA01",null,"J9268","Pentostatin injection",null,"1701182","CA",93035,"01182","17",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",101.59,77.58,"GA01",null,"J9307","Pralatrexate injection",null,"1701182","CA",93094,"01182","17",null,"Z9",null,0,"A",20211]
["2023-01-01",29130,"Application of finger splint",40.090000000000003,30.24,"GA99",null,"M0100","Intragastric hypothermia",null,"5601112","CA",93210,"01112","56","R","Z9","R",1,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",38.119999999999997,26.18,"GA99",null,"M1003","Tb scr 12 mo pri fst bio dz",null,"6901112","CA",93219,"01112","69","R","Z9","R",0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.36,3.87,"GA99",null,"M1032","Adt tkng pharmthry for oud",null,"5401112","CA",93249,"01112","54","B","Z9","B",0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",95.96,74.760000000000005,"GA99",null,"M1070","Pt not scrn fut fall no rsn",null,"6901112","CA",93279,"01112","69",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",11.52,8.98,"GA99",null,"M1126","Start eoc doc med rec",null,"5401112","CA",93314,"01112","54",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",83.43,66.349999999999994,"HI01",null,"P2033","Blood thymol turbidity",null,"7301182","CA",93412,"01182","73",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",36.619999999999997,26.91,"HI01",null,"P9041","Albumin (human),5%, 50ml",null,"7301182","CA",93447,"01182","73",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.35,19.440000000000001,"HI01",null,"P9047","Albumin (human), 25%, 50ml",null,"7301182","CA",93452,"01182","73","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.81,10.26,"HI01",null,"Q0084","Chemotherapy by infusion",null,"7501112","CA",93522,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",217.86,174.74,"ID00",null,"Q0174","Thiethylperazine maleate10mg",null,"7501112","CA",93549,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",18.64,13.8,"ID00",null,"Q0495","Charger elec/combo vad, rep",null,"5601112","CA",93605,"01112","56","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",35.03,25.05,"ID00",null,"Q1005","Ntiol category 5",null,"5601112","CA",93627,"01112","56","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.04,9.83,"ID00",null,"Q2050","Doxorubicin inj 10mg",null,"5801112","CA",93644,"01112","58","R","Z9","R",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",96.26,63.88,"IL16",null,"Q4005","Cast sup long arm adult plst",null,"5601112","CA",93656,"01112","56","R","Z9","R",1,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",107.24,84.66,"IL16",null,"Q4030","Cast sup long leg fiberglass",null,"5601112","CA",93712,"01112","56",null,"Z9",null,0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",73.27,54.36,"IL16",null,"Q4100","Skin substitute, nos",null,"5601112","CA",93759,"01112","56",null,"Z9",null,0,"A",20211]
["2023-01-01","G0283","Elec stim other than wound",12.76,9.7899999999999991,"IL16",null,"Q4128","Flexhd/allopatchhd/matrixhd",null,"5601112","CA",93888,"01112","56",null,"Z9",null,0,"A",20211]
["2023-01-01",92607,"Ex for speech device rx 1hr",121.75,93.39,"IL12",null,"Q4153","Dermavest, plurivest sq cm",null,"6401112","CA",93942,"01112","64",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",14.32,11.01,"IL12",null,"Q4175","Miroderm",null,"0601112","CA",94019,"01112","06","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",29.07,22.45,"IL12",null,"Q4180","Revita, per sq cm",null,"0901112","CA",94024,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",40.85,29.19,"IL12",null,"Q4206","Fluid flow or fluid gf 1 cc",null,"0601112","CA",94066,"01112","06",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",88.91,68.36,"IL15",null,"Q4237","Cryo-cord, per sq cm",null,"0501112","CA",94112,"01112","05",null,"Z9",null,0,"A",20211]
["2023-01-01",97026,"Infrared therapy",7.21,4.8899999999999997,"IL15",null,"Q5006","Hospice in hospice facility",null,"0501112","CA",94133,"01112","05",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",67.31,42.1,"IL15",null,"Q5122","Inj, nyvepria",null,"0501112","CA",94160,"01112","05",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",34.46,25.17,"IL15",null,"Q9001","Va chaplain assessment",null,"0501112","CA",94161,"01112","05",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",82.69,64.92,"IL99",null,"S0028","Injection, famotidine, 20 mg",null,"6301112","CA",94246,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",124.97,108.9,"IL99",null,"S0081","Injection, piperacillin sodi",null,"6301112","CA",94259,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",97.81,75.87,"IL99",null,"S0156","Exemestane, 25 mg",null,"6301112","CA",94294,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",19.98,17.66,"IL99",null,"S0207","Paramedicintercep nonhospals",null,"0601112","CA",94497,"01112","06",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",10.5,6.49,"IL99",null,"S0220","Medical conference by physic",null,"0701112","CA",94505,"01112","07",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",99.02,75.25,"IN00",null,"S0341","Lifestyle mod 2 or 3 stage",null,"0701112","CA",94528,"01112","07",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",28.38,21.89,"IN00",null,"S0595","New lenses in pts old frame",null,"0701112","CA",94550,"01112","07",null,"Z9",null,1,"A",20211]
["2023-01-01",97750,"Physical performance test",32.39,23.9,"IN00",null,"S2053","Transplantation of small int",null,"5101112","CA",94576,"01112","51","R","Z9","R",0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",110.39,65.83,"IA00",null,"S2152","Solid organ transpl pkg",null,"0701112","CA",94605,"01112","07",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",13.86,11.24,"IA00",null,"S2405","Fetal surg sacrococ teratoma",null,"0701112","CA",94662,"01112","07",null,"Z9",null,0,"A",20211]
["2023-01-01",97167,"Ot eval high complex 60 min",96.57,74.680000000000007,"IA00",null,"S3844","Dna analysis deafness",null,"0701112","CA",94807,"01112","07",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",30.6,23.51,"IA00",null,"S3852","Dna analysis apoe alzheimer",null,"5201112","CA",94901,"01112","52",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",72.37,48.55,"KS00",null,"S4023","Incompl donor egg case rate",null,"5201112","CA",94939,"01112","52",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",69.19,56.28,"KS00",null,"S4993","Contraceptive pills for bc",null,"5201112","CA",94956,"01112","52","R","Z9","R",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",21.05,18.739999999999998,"KS00",null,"S5150","Unskilled respite care /15m",null,"0901112","CA",95014,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",23.12,20.2,"KS00",null,"S5552","Insulin intermed 5 u",null,"0901112","CA",95050,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.49,8.8800000000000008,"KS00",null,"S5566","Insulin cartridge 300 u",null,"0901112","CA",95055,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",87.69,75.12,"KY00",null,"S8185","Flutter device",null,"0901112","CA",95109,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",95.37,74.37,"KY00",null,"S9061","Medical supplies and equipme",null,"0901112","CA",95153,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",36.69,29.14,"KY00",null,"S9127","Social work visit, in the ho",null,"0901112","CA",95173,"01112","09",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",39.590000000000003,26.97,"LA01",null,"S9331","Hit intermit chemo diem",null,"6801112","CA",95215,"01112","68",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.64,4.07,"LA01",null,"S9368","Hit tpn over 3l diem",null,{"$f":"O4547&N4547","v":"7501112"},"CA",95248,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",97033,"Electric current therapy",19.36,14.31,"LA01",null,"S9376","Hit hydra 3 liter diem",null,"7501112","CA",95254,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",36.19,25.78,"LA01",null,"S9451","Exercise class",null,"7501112","CA",95314,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",29130,"Application of finger splint",40.409999999999997,30.62,"LA99",null,"S9529","Venipuncture home/snf",null,"5901112","CA",95342,"01112","59",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",19.46,12.64,"LA99",null,"S9988","Serv part of phase i trial",null,"6801112","CA",95366,"01112","68",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",18.7,13.95,"LA99",null,"T1007","Treatment plan development",null,"6001112","CA",95382,"01112","60",null,"Z9",null,0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",39.299999999999997,28.31,"LA99",null,"T2004","N-et; commerc carrier pass",null,"7501112","CA",95426,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.23,10.050000000000001,"LA99",null,"T2012","Habil ed waiver, per diem",null,"6701112","CA",95431,"01112","67","R","Z9","R",0,"A",20211]
["2023-01-01",92606,"Non-speech device service",79.180000000000007,64.2,"ME03",null,"T2037","Camp day waiver/session",null,"7501112","CA",95461,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",14.49,10.91,"ME03",null,"T4528","Adult size pull-on xl",null,"7501112","CA",95490,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",101.43,77.25,"ME03",null,"T4545","Incon disposable penile wrap",null,"7501112","CA",95528,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",73.760000000000005,59.35,"ME99",null,"V2205","Lens sphcy bifocal 4.00d/4.2",null,"7501112","CA",95573,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",98.49,78.709999999999994,"ME99",null,"V2305","Lens sphcy trifocal 4.0/4.25",null,"6301112","CA",95617,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",6.85,4.55,"ME99",null,"V2310","Lens sphc trifocal 4.25-7/>6",null,"6301112","CA",95623,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",59.73,38.11,"ME99",null,"V2524","Cntct lens hydrophil photoch",null,"6301112","CA",95652,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",11.53,8.93,"ME99",null,"V2718","Fresnell prism press-on lens",null,"7001112","CA",95674,"01112","70",null,"Z9",null,0,"A",20211]
["2023-01-01",96105,"Assessment of aphasia",103.85,84.51,"MD01",null,"V5011","Hearing aid fitting/checking",null,{"$f":"O4867&N4867","v":"7501112"},"CA",95699,"01112","75","R","Z9","R",0,"A",20211]
["2023-01-01",97116,"Gait training therapy",31.53,23.79,"MD01",null,"V5190","Hearing aid monaural glasses",null,"6301112","CA",95747,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",97533,"Sensory integration",69.040000000000006,43.07,"MD01",null,"V5246","Hearing aid, prog, mon, ite",null,"6301112","CA",95816,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13.91,11.51,"MD01",null,"V5258","Hearing aid, digit, bin, cic",null,"6301112","CA",95828,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",87.32,67.31,"MD99",null,"V5288","Ald fm/dm transmitter ald",null,"6301112","CA",95887,"01112","63",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",14.85,11.2,"MD99",null,142,"Anesth lens surgery",null,"7501112","CA",95932,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",33.86,24.81,"MD99",null,218,"Anesth special head surgery",null,"7501112","CA",95955,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.43,9.4700000000000006,"MD99",null,470,"Anesth removal of rib",null,"5501112","CA",95973,"01112","55",null,"Z9",null,1,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",140.30000000000001,81.540000000000006,"MA01",null,"0054T","Bone srgry cmptr fluor image",null,"7501112","CA",95988,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",13.17,9.92,"MA01",null,632,"Anesth removal of nerves",null,"6101112","CA",96022,"01112","61",null,"Z9",null,1,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",113.46,84.58,"MA01",null,796,"Anesth for liver transplant",null,"7501112","CA",96053,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",15.54,12.49,"MA01",null,873,"Anesth kidney stone destruct",null,"7501112","CA",96086,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",108.43,80.739999999999995,"MA99",null,936,"Anesth penis nodes removal",null,"7501112","CA",96110,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97124,"Massage therapy",31.81,22.11,"MA99",null,1173,"Anesth fx repair pelvis",null,"7501112","CA",96136,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",23.35,20.47,"MA99",null,1200,"Anesth hip joint procedure",null,"7501112","CA",96137,"01112","75","B","Z9","B",0,"A",20211]
["2023-01-01","G2012","Brief check in by md/qhp",14.61,11.91,"MA99",null,1474,"Anesth lower leg surgery",null,"0104112","CO",80019,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92597,"Oral speech device eval",73.2,59.08,"MI01",null,1636,"Anesth forequarter amput",null,{"$f":"O5187&N5187","v":"0104112"},"CO",80037,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",14.75,11.9,"MI01",null,1756,"Anesth radical humerus surg",null,"0104112","CO",80113,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",32.299999999999997,24.56,"MI01",null,1926,"Anes tx interv rad hrt/cran",null,"0104112","CO",80154,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",74.540000000000006,50.61,"MI99",null,1990,"Support for organ donor",null,"0104112","CO",80215,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",77.53,63.94,"MI99",null,"0216T","Njx paravert w/us lumb/sac",null,"0104112","CO",80232,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",5.48,3.94,"MI99",null,"0263T","Im b1 mrw cel ther cmpl",null,"0104112","CO",80249,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",97.48,75.56,"MI99",null,"0317T","Elec alys vagus nrv pls gen",null,"0104112","CO",80279,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.71,9.09,"MI99",null,"0378T","Visual field assmnt rev/rprt",null,"0104112","CO",80328,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",85.59,65.040000000000006,"MN00",null,"0425T","Insj/rplc nstim apnea sen ld",null,"0104112","CO",80442,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",34.32,25.69,"MN00",null,"0447T","Rmvl impltbl glucose sensor",null,"0104112","CO",80469,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",21.56,18.97,"MN00",null,"0452T","Insj/rplcmt dev vasc seal",null,"0104112","CO",80475,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",49.51,33.28,"MN00",null,"0471T","Oct skn img acquisj i&r addl",null,"0104112","CO",80514,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",79.19,62.11,"MS00",null,"0500T","Hpv 5+ hi risk hpv types",null,"0104112","CO",80602,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97033,"Electric current therapy",18.239999999999998,13.65,"MS00",null,"0507T","Near ifr 2img mibmn glnd i&r",null,"0104112","CO",80638,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",34.1,24.63,"MS00",null,"0518T","Rmvl pg compnt wcs",null,"0104112","CO",80726,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",90.13,58.84,"MS00",null,"0521F","Plan of care 4 pain docd",null,"0104112","CO",80732,"04112","01","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",52.8,37.31,"MO02",null,"0529T","Interrog dev eval iims ip",null,"0104112","CO",80759,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",14.21,10.82,"MO02",null,"0553T","Perq tcat iliac anast implt",null,"0104112","CO",80861,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97164,"Pt re-eval est plan care",68.650000000000006,51.23,"MO02",null,"0564T","Onc chemo rx cytotox csc 14",null,"0104112","CO",80910,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.37,10.08,"MO02",null,"0582F","No trnsfr from anesth to cc",null,"0104112","CO",80931,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",78.739999999999995,64.37,"MO01",null,"0605T","Rem oct rta techl sprt min 8",null,"0104112","CO",80997,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",14.3,10.87,"MO01",null,"0627T","Perq njx algc fluor lmbr 1st",null,"0104112","CO",81025,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",29.29,22.43,"MO01",null,"0632T","Perq tcat us abltj nrv p-art",null,"0104112","CO",81034,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",41.44,29.35,"MO01",null,10008,"Fna bx w/fluor gdn ea addl",null,"0104112","CO",81069,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",22.21,16.850000000000001,"MO99",null,"1010F","Severity angina by actvty",null,"0104112","CO",81125,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",6.68,4.51,"MO99",null,"1055F","Visual funct status assess",null,"0104112","CO",81154,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",64.75,49.25,"MO99",null,11046,"Deb musc/fascia add-on",null,"0104112","CO",81239,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97535,"Self care mngment training",30.62,23.09,"MO99",null,11056,"Trim skin lesions 2 to 4",null,"0104112","CO",81242,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",29505,"Application long leg splint",90.05,58.7,"MT01",null,11302,"Shave skin lesion 1.1-2.0 cm",null,"0104112","CO",81334,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",10.84,5.58,"MT01",null,11421,"Exc h-f-nk-sp b9+marg 0.6-1",null,"0104112","CO",81428,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",35.24,22.53,"MT01",null,11471,"Removal sweat gland lesion",null,"0104112","CO",81521,"04112","01",null,"Z9",null,0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",20.32,17.78,"MT01",null,11750,"Removal of nail bed",null,"0104112","CO",81647,"04112","01","B","Z9","B",0,"A",20211]
["2023-01-01",92526,"Oral function therapy",81.349999999999994,63.56,"NE00",null,11960,"Insert tissue expander(s)",null,"0013102","CT",6021,"13102","00","R","Z9","R",0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",46.49,35.200000000000003,"NE00",null,11981,"Insert drug implant device",null,"0013102","CT",6026,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97036,"Hydrotherapy",32.78,21.18,"NE00",null,12034,"Intmd rpr s/tr/ext 7.6-12.5",null,"0013102","CT",6053,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",32.36,23.85,"NE00",null,13132,"Cmplx rpr f/c/c/m/n/ax/g/h/f",null,"0013102","CT",6082,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",120.09,71.13,"NV00",null,"1494F","Cognit assessed and reviewed",null,"0013102","CT",6111,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.89,9.18,"NV00",null,15130,"Derm autograft trnk/arm/leg",null,"0013102","CT",6142,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.51,5.79,"NV00",null,15151,"Cult skin grft t/a/l addl",null,"0013102","CT",6147,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",37.65,26.47,"NV00",null,15574,"Pedcle fh/ch/ch/m/n/ax/g/h/f",null,"0013102","CT",6238,"13102","00","R","Z9","R",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",80.53,53.32,"NH40",null,15774,"Gfrg autol fat lipo ea addl",null,"0013102","CT",6267,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",127.57,109.31,"NH40",null,15832,"Excise excessive skin thigh",null,"0013102","CT",6354,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",22.87,20.059999999999999,"NH40",null,15920,"Removal of tail bone ulcer",null,"0013102","CT",6386,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",32.72,24.65,"NH40",null,15953,"Remove thigh pressure sore",null,"0013102","CT",6416,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",12.38,9.39,"NH40",null,17108,"Destruction of skin lesions",null,"0013102","CT",6439,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",100.5,83.42,"NJ01",null,17286,"Destruction of skin lesions",null,"0013102","CT",6472,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",33.32,24.88,"NJ01",null,19120,"Removal of breast lesion",null,"0013102","CT",6503,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",36,26.76,"NJ01",null,19307,"Mast mod rad",null,"0013102","CT",6530,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",45.25,30.01,"NJ99",null,20100,"Explore wound neck",null,"0013102","CT",6702,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97018,"Paraffin bath therapy",6.27,4.3600000000000003,"NJ99",null,"2026F","Eye img valid evc rtnopthy",null,"0013102","CT",6758,"13102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",18.899999999999999,12.61,"NJ99",null,"2027F","Optic nerve head eval done",null,"0013102","CT",6759,"13102","00","R","Z9","R",0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",75.930000000000007,55.55,"NJ99",null,20604,"Drain/inj joint/bursa w/us",null,"0013102","CT",6807,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",13.16,9.92,"NJ99",null,20701,"Rmvl deep rx delivery device",null,"0013102","CT",6853,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",19.88,12.85,"NM05",null,20934,"Intercalary algrft compl",null,"0013102","CT",6903,"13102","00",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",21.25,18.95,"NM05",null,21014,"Exc face tum deep 2 cm/>",null,"0112202","DC",20009,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",97.17,75.47,"NM05",null,21029,"Contour of face bone lesion",null,"0112202","DC",20015,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",64.540000000000006,45.28,"NY01",null,21120,"Reconstruction of chin",null,"0112202","DC",20053,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",90.64,72.989999999999995,"NY01",null,21150,"Lefort ii anterior intrusion",null,"0112202","DC",20069,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",16.600000000000001,12.39,"NY01",null,21206,"Reconstruct upper jaw bone",null,"0112202","DC",20204,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",118.9,75.17,"NY01",null,21280,"Revision of eyelid",null,"0112202","DC",20232,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",66.930000000000007,47.21,"NY02",null,21348,"Opn tx nasomax fx w/graft",null,"0112202","DC",20270,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",118.51,92.02,"NY02",null,21450,"Treat lower jaw fracture",null,"0112202","DC",20375,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",9.09,6.01,"NY02",null,21461,"Treat lower jaw fracture",null,"0112202","DC",20390,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97165,"Ot eval low complex 30 min",116.56,87.4,"NY02",null,21602,"Exc ch wal tum w/o lymphadec",null,"0112202","DC",20415,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",13.61,8.27,"NY02",null,21925,"Biopsy soft tissue of back",null,"0112202","DC",20444,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92609,"Use of speech device service",112.3,83.47,"NY03",null,22216,"Incis addl spine segment",null,"0112202","DC",20515,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",32.020000000000003,24.16,"NY03",null,22534,"Lat thor/lumb addl seg",null,"0112202","DC",20543,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",19.29,14.98,"NY03",null,22556,"Thorax spine fusion",null,"0112202","DC",20549,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",12.27,10.77,"NY03",null,22842,"Insert spine fixation device",null,"0112202","DC",20586,"12202","01",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",13.43,7.06,"NY04",null,22999,"Abdomen surgery procedure",null,"0112102","DE",19706,"12102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97035,"Ultrasound therapy",16.87,12.56,"NY04",null,23078,"Resect shoulder tumor 5 cm/>",null,"0112102","DE",19725,"12102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",38.229999999999997,27.56,"NY04",null,23190,"Partial removal of scapula",null,"0112102","DE",19884,"12102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",86.08,56.24,"NY99",null,23465,"Repair shoulder capsule",null,"0112102","DE",19936,"12102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",10.25,5.25,"NY99",null,23570,"Treat shoulder blade fx",null,"0112102","DE",19962,"12102","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.51,8.93,"NY99",null,23616,"Treat humerus fracture",null,"0112102","DE",19969,"12102","01","R","Z9","R",0,"A",20211]
["2023-01-01",97166,"Ot eval mod complex 45 min",99,76.099999999999994,"NY99",null,24071,"Exc arm/elbow les sc 3 cm/>",null,"9909102","FL",32041,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",11.84,9.09,"NY99",null,24152,"Resect radius tumor",null,"9909102","FL",32079,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",47.16,35.69,"NC00",null,24346,"Reconstruct elbow med ligmnt",null,"9909102","FL",32113,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97112,"Neuromuscular reeducation",32.9,25.05,"NC00",null,24516,"Treat humerus fracture",null,"9909102","FL",32136,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",22.22,19.71,"NC00",null,24545,"Treat humerus fracture",null,"9909102","FL",32140,"09102","99","R","Z9","R",0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",12.81,10.77,"NC00",null,24800,"Fusion of elbow joint",null,"9909102","FL",32179,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",85.02,65.540000000000006,"ND01",null,25076,"Exc forearm tum deep < 3 cm",null,"9909102","FL",32214,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",124.24,106.62,"ND01",null,25112,"Reremove wrist tendon lesion",null,"9909102","FL",32225,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97537,"Community/work reintegration",32.01,24.22,"ND01",null,25310,"Transplant forearm tendon",null,"9909102","FL",32303,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",74.55,50.6,"OH00",null,25415,"Repair radius & ulna",null,"9909102","FL",32326,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",60.41,40.78,"OH00",null,25431,"Repair nonunion carpal bone",null,"9909102","FL",32331,"09102","99","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.4,8.93,"OH00",null,25565,"Treat fracture radius & ulna",null,"9909102","FL",32361,"09102","99","B","Z9","B",0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",35.479999999999997,26.05,"OH00",null,25635,"Treat wrist bone fracture",null,"9909102","FL",32410,"09102","99","R","Z9","R",0,"A",20211]
["2023-01-01","G0281","Elec stim unattend for press",11.71,9.09,"OH00",null,26020,"Drain hand tendon sheath",null,"9909102","FL",32455,"09102","99","R","Z9","R",0,"A",20211]
["2023-01-01",92609,"Use of speech device service",98.15,75.03,"OK00",null,26130,"Remove wrist joint lining",null,"9909102","FL",32520,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",80.86,63,"OK00",null,26135,"Revise finger joint each",null,"9909102","FL",32521,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",34.85,25.69,"OK00",null,26356,"Repair finger/hand tendon",null,"9909102","FL",32559,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",45.44,31.33,"OK00",null,26455,"Incision of finger tendon",null,"9909102","FL",32588,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92522,"Evaluate speech production",116.13,91.91,"OR01",null,26518,"Fusion of knuckle joints",null,"9909102","FL",32615,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",15.07,11.95,"OR01",null,26580,"Repair hand deformity",null,"9909102","FL",32658,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",22.27,19.52,"OR01",null,26641,"Treat thumb dislocation",null,"9909102","FL",32686,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",107.81,67.81,"OR01",null,26735,"Treat finger fracture each",null,"9909102","FL",32713,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",29131,"Application of finger splint",52.06,36.35,"OR99",null,26862,"Fusion/graft of finger joint",null,"9909102","FL",32739,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",91.14,77.88,"OR99",null,27048,"Exc hip/pelv tum deep < 5 cm",null,"9909102","FL",32776,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",99.47,76.23,"OR99",null,27096,"Inject sacroiliac joint",null,"9909102","FL",32807,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",436.36,225.06,"OR99",null,27137,"Revise hip joint replacement",null,"9909102","FL",32820,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92606,"Non-speech device service",83.6,67.680000000000007,"PA01",null,27235,"Treat thigh fracture",null,"9909102","FL",32885,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",22.6,14.27,"PA01",null,27245,"Treat thigh fracture",null,"9909102","FL",32891,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",39.119999999999997,28.08,"PA01",null,27286,"Fusion of hip joint",null,"9909102","FL",32923,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",481.5,247.89,"PA01",null,27335,"Remove knee joint lining",null,"0309102","FL",32957,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",23.19,17.34,"PA99",null,27395,"Lengthening of thigh tendons",null,"0409102","FL",33013,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",97024,"Diathermy eg microwave",7.08,4.71,"PA99",null,27442,"Revision of knee joint",null,"0409102","FL",33039,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",14.06,10.74,"PA99",null,27448,"Incision of thigh",null,"0409102","FL",33044,"09102","04","R","Z9","R",0,"A",20211]
["2023-01-01",97761,"Prosthetic traing 1st enc",40.65,28.95,"PA99",null,27511,"Treatment of thigh fracture",null,"0409102","FL",33092,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",90.14,58.79,"PR20",null,27556,"Treat knee dislocation",null,"0409102","FL",33124,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",103.36,81.5,"PR20",null,27613,"Biopsy lower leg soft tissue",null,"0409102","FL",33149,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",17.96,14.06,"PR20",null,27650,"Repair achilles tendon",null,"0409102","FL",33170,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.52,10.17,"PR20",null,27705,"Incision of tibia",null,"0409102","FL",33196,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",66.17,43.7,"RI01",null,27734,"Repair lower leg epiphyses",null,"0409102","FL",33245,"09102","04",null,"Z9",null,0,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",50.71,37.799999999999997,"RI01",null,27769,"Optx post ankle fx",null,"0309102","FL",33302,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",30.77,23.34,"RI01",null,27846,"Treat ankle dislocation",null,"0309102","FL",33327,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",470.91,242.54,"RI01",null,28010,"Incision of toe tendon",null,"0309102","FL",33394,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",59.51,39.97,"SC01",null,28088,"Excise foot tendon sheath",null,{"$f":"O7555&N7555","v":"0309102"},"FL",33421,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.28,8.82,"SC01",null,28153,"Partial removal of toe",null,"0309102","FL",33447,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",7.89,5.43,"SC01",null,28190,"Removal of foot foreign body",null,"0309102","FL",33458,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",31.51,23.51,"SC01",null,28286,"Repair of hammertoe",null,"0309102","FL",33484,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",92511,"Nasopharyngoscopy",119.1,70.13,"SD02",null,28406,"Treatment of heel fracture",null,"9909102","FL",33544,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96112,"Devel tst phys/qhp 1st hr",123.72,106.1,"SD02",null,28490,"Treat big toe fracture",null,"9909102","FL",33570,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",100.8,76.739999999999995,"SD02",null,28660,"Treat toe dislocation",null,"9909102","FL",33605,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",98966,"Hc pro phone call 5-10 min",13,10.8,"SD02",null,29000,"Application of body cast",null,"9909102","FL",33626,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",98972,"Qnhp ol dig assmt&mgmt 21+",30.75,27.19,"SD02",null,29044,"Application of body cast",null,"9909102","FL",33634,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",88.97,76.7,"TN35",null,29530,"Strapping of knee",null,"9909102","FL",33703,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97110,"Therapeutic exercises",28.15,21.79,"TN35",null,29800,"Jaw arthroscopy/surgery",null,"9909102","FL",33728,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97750,"Physical performance test",32.090000000000003,23.76,"TN35",null,29846,"Wrist arthroscopy/surgery",null,"9909102","FL",33764,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",65.680000000000007,43.02,"TX31",null,29879,"Knee arthroscopy/surgery",null,"9909102","FL",33801,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",93.9,79.45,"TX31",null,29904,"Subtalar arthro w/fb rmvl",null,"9909102","FL",33836,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97022,"Whirlpool therapy",17.78,11.9,"TX31",null,29915,"Hip arthro acetabuloplasty",null,"9909102","FL",33841,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",71.7,52.61,"TX31",null,"3019F","Lvef assess planpost dschrge",null,"9909102","FL",33871,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",74.11,49.85,"TX20",null,30450,"Revision of nose",null,"0309102","FL",33908,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",92521,"Evaluation of speech fluency",129.41,103.42,"TX20",null,"3052F","Hg a1c>equal 8.0%<equal 9.0%",null,"0309102","FL",33918,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97130,"Ther ivntj ea addl 15 min",21.22,18.87,"TX20",null,30915,"Ligation nasal sinus artery",null,"0309102","FL",33974,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",97.66,75.430000000000007,"TX20",null,"3095F","Central dexa results docd",null,"9909102","FL",33982,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",32.81,29.37,"TX20",null,"3110F","Pres/absn hmrhg/lesion docd",null,"0309102","FL",34119,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",92605,"Ex for nonspeech device rx",92.38,77.78,"TX09",null,31257,"Nsl/sins ndsc tot w/sphendt",null,"9909102","FL",34211,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",104.63,82.46,"TX09",null,31295,"Nsl/sins ndsc surg max sins",null,"9909102","FL",34228,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97597,"Rmvl devital tis 20 cm/<",102.97,65.52,"TX09",null,31527,"Laryngoscopy for treatment",null,"9909102","FL",34282,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",90901,"Biofeedback train any meth",41.94,28.16,"TX11",null,31577,"Largsc w/rmvl foreign bdy(s)",null,"9909102","FL",34445,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",78.16,61.96,"TX11",null,31578,"Largsc w/removal lesion",null,"9909102","FL",34446,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96125,"Cognitive test by hc pro",104.49,82.26,"TX11",null,31623,"Dx bronchoscope/brush",null,"9909102","FL",34479,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97530,"Therapeutic activities",38.15,26.78,"TX11",null,"3170F","Baselin flo cytometry b/4 tx",null,"9909102","FL",34653,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01","G0329","Electromagntic tx for ulcers",11.27,6.79,"TX11",null,"3200F","Barium swallow test not req",null,"9909102","FL",34690,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",21.26,13.5,"TX28",null,32310,"Removal of chest lining",null,"9909102","FL",34747,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",37.31,27.02,"TX28",null,32550,"Insert pleural cath",null,"9909102","FL",34788,"09102","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",22.81,20.11,"TX28",null,32553,"Ins mark thor for rt perq",null,"0309102","FL",34945,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.53,10.18,"TX28",null,32663,"Thoracoscopy w/lobectomy",null,"0309102","FL",34994,"09102","03",null,"Z9",null,0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",112.17,90.2,"TX15",null,"3278F","Serum lvls ca/ipth/lpd ord",null,"0110212","GA",30015,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",14.73,11.12,"TX15",null,"3294F","Grp b strep screening docd",null,"0110212","GA",30042,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",103.08,78.709999999999994,"TX15",null,33019,"Perq prcrd drg insj cath ct",null,"0110212","GA",30058,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29505,"Application long leg splint",92.31,60.46,"TX18",null,33223,"Relocate pocket for defib",null,"0110212","GA",30095,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",24.57,18.2,"TX18",null,33228,"Remv&replc pm gen dual lead",null,"0110212","GA",30101,"10212","01",null,"Z9",null,1,"A",20211]
["2023-01-01",97012,"Mechanical traction therapy",14.91,11.98,"TX18",null,33255,"Ablate atria w/o bypass ext",null,"0110212","GA",30122,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97161,"Pt eval low complex 20 min",103.84,79.400000000000006,"TX18",null,"3330F","Imaging study ordered (bkp)",null,"9910212","GA",30147,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01","G2010","Remot image submit by pt",12.48,9.56,"TX18",null,33412,"Replacement of aortic valve",null,"9910212","GA",30184,"10212","99",null,"Z9",null,1,"A",20211]
["2023-01-01",92608,"Ex for speech device rx addl",47.74,35.99,"TX99",null,33464,"Valvuloplasty tricuspid",null,"9910212","GA",30229,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",96110,"Developmental screen w/score",10.24,5.25,"TX99",null,33474,"Revision of pulmonary valve",null,"0110212","GA",30236,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97124,"Massage therapy",29.5,20.81,"TX99",null,33514,"Cabg vein five",null,"0110212","GA",30269,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",47.46,32.33,"TX99",null,33608,"Repair anomaly w/conduit",null,"0110212","GA",30297,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",92526,"Oral function therapy",82.67,64.62,"UT09",null,33710,"Repair of heart defects",null,"0110212","GA",30326,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97028,"Ultraviolet therapy",8.02,5.51,"UT09",null,33767,"Major vessel shunt",null,"0110212","GA",30347,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97535,"Self care mngment training",31.86,23.7,"UT09",null,33822,"Revise major vessel",null,"0110212","GA",30374,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",46.73,31.99,"UT09",null,33858,"As-aort grf f/aortic dsj",null,"0110212","GA",30383,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",29580,"Application of paste boot",62.83,41.38,"VT50",null,33915,"Remove lung artery emboli",null,"9910212","GA",30415,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.69,8.99,"VT50",null,33953,"Ecmo/ecls insj prph cannula",null,"9910212","GA",30453,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97162,"Pt eval mod complex 30 min",100.9,76.91,"VT50",null,33977,"Remove ventricular device",null,"9910212","GA",30503,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",98967,"Hc pro phone call 11-20 min",23.73,20.52,"VT50",null,34051,"Removal of artery clot",null,"9910212","GA",30528,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",29126,"Apply forearm splint",77.84,51.84,"VA00",null,34490,"Removal of vein clot",null,"9910212","GA",30539,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",92610,"Evaluate swallowing function",85.1,65.13,"VA00",null,34710,"Dlyd plmt xtn prosth 1st vsl",null,"9910212","GA",30564,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97129,"Ther ivntj 1st 15 min",22.59,19.91,"VA00",null,34844,"Endovasc visc aorta 4 graft",null,"9910212","GA",30608,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97755,"Assistive technology assess",38.68,30.12,"VA00",null,35021,"Repair defect of artery",null,"9910212","GA",30639,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",24.06,17.79,"VI50",null,"3515F","Pt has docd immun to hep c",null,"9910212","GA",30678,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97032,"Electrical stimulation",14.57,11.69,"VI50",null,35281,"Repair blood vessel lesion",null,"9910212","GA",30741,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97168,"Ot re-eval est plan care",70.150000000000006,52.02,"VI50",null,35500,"Harvest vein for bypass",null,"9910212","GA",30813,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97542,"Wheelchair mngment training",32.19,24.4,"VI50",null,"3551F","Intrmed rsk thromboembolism",null,"9910212","GA",30818,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",92508,"Speech/hearing therapy",27.03,19.46,"WA02",null,35570,"Art byp tibial-tib/peroneal",null,"9910212","GA",31003,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",96116,"Nubhvl xm phys/qhp 1st hr",100.83,84.26,"WA02",null,35637,"Art byp aortoiliac",null,"9910212","GA",31022,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97163,"Pt eval high complex 45 min",113.41,84.37,"WA02",null,35700,"Reoperation bypass graft",null,"9910212","GA",31049,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",98968,"Hc pro phone call 21-30 min",35.96,31.46,"WA02",null,36000,"Place needle in vein",null,"9910212","GA",31072,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",92523,"Speech sound lang comprehen",232.32,182.73,"WA99",null,36225,"Place cath subclavian art",null,"9910212","GA",31095,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",95851,"Range of motion measurements",21.71,13.7,"WA99",null,36253,"Ins cath ren art 2nd+ unilat",null,"0110212","GA",31131,"10212","01",null,"Z9",null,0,"A",20211]
["2023-01-01",97113,"Aquatic therapy/exercises",37.81,27.19,"WA99",null,36466,"Njx noncmpnd sclrsnt mlt vn",null,"9910212","GA",31203,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97760,"Orthotic mgmt&traing 1st enc",49.97,33.61,"WA99",null,36558,"Insert tunneled cv cath",null,"9910212","GA",31305,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",92507,"Speech/hearing therapy",73.16,59.47,"WV16",null,36589,"Removal tunneled cv cath",null,"9910212","GA",31331,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.19,8.86,"WV16",null,36825,"Artery-vein autograft",null,"9910212","GA",31498,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97034,"Contrast bath therapy",13.67,10.61,"WV16",null,36861,"Cannula declotting",null,"9910212","GA",31515,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97533,"Sensory integration",57.79,37.24,"WV16",null,37187,"Venous mech thrombectomy",null,"9910212","GA",31546,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",29131,"Application of finger splint",50.61,35.15,"WI00",null,37228,"Tib/per revasc w/tla",null,"9910212","GA",31601,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97016,"Vasopneumatic device therapy",11.36,8.7799999999999994,"WI00",null,"3753F","Pt has symp&signs neuropathy",null,"9910212","GA",31647,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97150,"Group therapeutic procedures",17.34,13.64,"WI00",null,37619,"Ligation of inf vena cava",null,"9910212","GA",31714,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",98970,"Qnhp ol dig assmt&mgmt 5-10",11.15,9.8699999999999992,"WI00",null,38129,"Laparoscope proc spleen",null,"9910212","GA",31740,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",98971,"Qnhp ol dig assmt&mgmt 11-20",19.850000000000001,17.43,"WI00",null,38200,"Injection for spleen x-ray",null,"9910212","GA",31741,"10212","99","B","Z9","B",0,"A",20211]
["2023-01-01",92524,"Behavral qualit analys voice",110.31,88.63,"WY21",null,38242,"Transplt allo lymphocytes",null,"9910212","GA",31763,"10212","99",null,"Z9",null,0,"A",20211]
["2023-01-01",97116,"Gait training therapy",29.75,22.63,"WY21",null,38747,"Remove abdominal lymph nodes",null,"9910212","GA",31794,"10212","99","R","Z9","R",0,"A",20211]
["2023-01-01",97610,"Low frequency non-thermal us",451.31,232.56,"WY21",null,39545,"Revision of diaphragm",null,"9910212","GA",31822,"10212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4040F","Pneumoc vac/admin/rcvd",null,"9910212","GA",31994,"10212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4045F","Empiric antibiotic rx",null,"9910212","GA",39813,"10212","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,"4077F","Doc t-pa admin considered",null,"0101212","GU",96914,"01212","01","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,40808,"Biopsy of mouth lesion",null,"0101212","GU",96923,"01212","01","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,41000,"Drainage of mouth lesion",null,"0101212","HI",96715,"01212","01","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,41140,"Removal of tongue",null,"0101212","HI",96744,"01212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4124F","Antibiot not rxd/given",null,"0101212","HI",96751,"01212","01","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,"4177F","Talk pt/crgvr re areds prev",null,"0101212","HI",96793,"01212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,41805,"Removal foreign body gum",null,"0101212","HI",96802,"01212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4189F","Approp digoxin tstng done",null,"0101212","HI",96823,"01212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,42205,"Reconstruct cleft palate",null,"0101212","HI",96857,"01212","01","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,42425,"Excise parotid gland/lesion",null,"0005102","IA",50029,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,"4261F","Tech other than surfc cultr",null,"0005102","IA",50048,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,42665,"Ligation of salivary duct",null,"0005102","IA",50054,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,42830,"Removal of adenoids",null,"0005102","IA",50101,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,42960,"Control throat bleeding",null,"0005102","IA",50122,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,43180,"Esophagoscopy rigid trnso",null,"0005102","IA",50151,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,43215,"Esophagoscopy flex remove fb",null,{"$f":"O9539&N9539","v":"0005102"},"IA",50174,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,43248,"Egd guide wire insertion",null,"0005102","IA",50230,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,43254,"Egd endo mucosal resection",null,"0005102","IA",50237,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4328F","Pt asked re sleep disturb",null,"0005102","IA",50259,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,43333,"Transab esoph hiat hern rpr",null,"0005102","IA",50309,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,43460,"Pressure treatment esophagus",null,"0005102","IA",50331,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,43648,"Lap revise/remv eltrd antrum",null,"0005102","IA",50394,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,43756,"Dx duod intub w/asp spec",null,"0005102","IA",50423,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,43840,"Repair of stomach lesion",null,"0005102","IA",50447,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44025,"Incision of large bowel",null,"0005102","IA",50475,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44147,"Partial removal of colon",null,"0005102","IA",50526,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44208,"L colectomy/coloproctostomy",null,"0005102","IA",50546,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44378,"Small bowel endoscopy",null,"0005102","IA",50583,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44407,"Colonoscopy w/ndl aspir/bx",null,"0005102","IA",50608,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,44603,"Suture small intestine",null,"0005102","IA",50614,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,44950,"Appendectomy",null,"0005102","IA",50648,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,45121,"Removal of rectum and colon",null,{"$f":"O9859&N9859","v":"0005102"},"IA",50670,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,45331,"Sigmoidoscopy and biopsy",null,"0005102","IA",50839,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,45390,"Colonoscopy w/resection",null,"0005102","IA",50980,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,45391,"Colonoscopy w/endoscope us",null,"0005102","IA",50981,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"4558F","Pt recvd 2 rx anti-emet agt",null,"0005102","IA",51029,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,46040,"Incision of rectal abscess",null,"0005102","IA",51050,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,46505,"Chemodenervation anal musc",null,"0005102","IA",51231,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,46746,"Repair of cloacal anomaly",null,"0005102","IA",51341,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,46946,"Int hrhc lig 2+hroid w/o img",null,"0005102","IA",51366,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,47120,"Partial removal of liver",null,"0005102","IA",51441,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,47379,"Laparoscope procedure liver",null,"0005102","IA",51465,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,47544,"Removal duct glbldr calculi",null,"0005102","IA",51542,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,47765,"Fuse liver ducts & bowel",null,"0005102","IA",51573,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,48152,"Pancreatectomy",null,"0005102","IA",51645,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,49040,"Drain open abdom abscess",null,"0005102","IA",52041,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,49084,"Peritoneal lavage",null,"0005102","IA",52046,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,49406,"Image cath fluid peri/retro",null,"0005102","IA",52074,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,49496,"Rpr ing hernia baby blocked",null,"0005102","IA",52161,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,49570,"Rpr epigastric hern reduce",null,"0005102","IA",52207,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,49999,"Abdomen surgery procedure",null,"0005102","IA",52233,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"5005F","Pt counsld on exam for moles",null,"0005102","IA",52241,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,50382,"Change ureter stent percut",null,"0005102","IA",52327,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,50400,"Revision of kidney/ureter",null,"0005102","IA",52337,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,50551,"Kidney endoscopy",null,"0005102","IA",52403,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,50620,"Removal of ureter stone",null,"0005102","IA",52540,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,50800,"Implant ureter in bowel",null,"0005102","IA",52574,"05102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,50957,"Ureter endoscopy & treatment",null,"0005102","IA",52624,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,50976,"Ureter endoscopy & treatment",null,"0005102","IA",52631,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,51585,"Removal of bladder & nodes",null,"0005102","IA",52660,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,51726,"Complex cystometrogram",null,"0005102","IA",52747,"05102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,51800,"Revision of bladder/urethra",null,"0005102","IA",52803,"05102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,52000,"Cystoscopy",null,"0002202","ID",83214,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,52204,"Cystoscopy w/biopsy(s)",null,"0002202","ID",83221,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,52318,"Remove bladder stone",null,"0002202","ID",83255,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,52355,"Cystouretero w/excise tumor",null,"0002202","ID",83301,"02202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,53240,"Surgery for urethra pouch",null,"0002202","ID",83346,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,53502,"Repair of urethra injury",null,"0002202","ID",83431,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,54015,"Drain penis lesion",null,"0002202","ID",83460,"02202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,54060,"Excision of penis lesion(s)",null,"0002202","ID",83466,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,54205,"Treatment of penis lesion",null,"0002202","ID",83540,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,54380,"Repair penis",null,"0002202","ID",83620,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,54530,"Removal of testis",null,"0002202","ID",83648,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,54900,"Fusion of spermatic ducts",null,"0002202","ID",83701,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,55120,"Removal of scrotum lesion",null,"0002202","ID",83709,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,55700,"Biopsy of prostate",null,"0002202","ID",83730,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,55920,"Place needles pelvic for rt",null,"0002202","ID",83821,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,56810,"Repair of perineum",null,"0002202","ID",83850,"02202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,57120,"Closure of vagina",null,"0002202","ID",83869,"02202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,57295,"Revise vag graft via vagina",null,"1606102","IL",60025,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,57308,"Fistula repair transperine",null,"9906102","IL",60033,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,57500,"Biopsy of cervix",null,"1506102","IL",60060,"06102","15",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,58152,"Total hysterectomy",null,"1506102","IL",60087,"06102","15",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,58321,"Artificial insemination",null,"1606102","IL",60107,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,58561,"Hysteroscopy remove myoma",null,"1506102","IL",60136,"06102","15",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,58720,"Removal of ovary/tube(s)",null,"1606102","IL",60163,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,58740,"Adhesiolysis tube ovary",null,"1606102","IL",60164,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,59000,"Amniocentesis diagnostic",null,"1606102","IL",60194,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,59140,"Treat ectopic pregnancy",null,"1606102","IL",60402,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,59610,"Vbac delivery",null,"1606102","IL",60426,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,"6005F","Care level rationale doc",null,"1606102","IL",60452,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,60281,"Remove thyroid duct lesion",null,"1606102","IL",60469,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,60521,"Removal of thymus gland",null,"9906102","IL",60479,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61108,"Drill skull for drainage",null,"9906102","IL",60518,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,61323,"Decompressive lobectomy",null,"1506102","IL",60544,"06102","15",null,"Z9",null,1,"A",20211]
[null,null,null,null,null,null,null,61531,"Implant brain electrodes",null,"1506102","IL",60572,"06102","15",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61558,"Excision of skull/sutures",null,"1606102","IL",60614,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61607,"Resect/excise cranial lesion",null,"1606102","IL",60644,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61616,"Resect/excise lesion skull",null,"1606102","IL",60651,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61698,"Brain aneurysm repr complx",null,"1606102","IL",60674,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,61867,"Implant neuroelectrode",null,"1606102","IL",60714,"06102","16",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,62161,"Dissect brain w/scope",null,"9906102","IL",60929,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,62267,"Interdiscal perq aspir dx",null,"9906102","IL",60953,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,62273,"Inject epidural patch",null,"9906102","IL",60958,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,63003,"Remove spine lamina 1/2 thrc",null,"9906102","IL",61036,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,63040,"Laminotomy single cervical",null,"9906102","IL",61048,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,63090,"Remove vert body dcmprn lmbr",null,"9906102","IL",61077,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,63265,"Excise intraspinl lesion crv",null,"9906102","IL",61111,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,63304,"Remove vert idrl body crvcl",null,"9906102","IL",61243,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,63685,"Insrt/redo spine n generator",null,"9906102","IL",61265,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,63746,"Removal of spinal shunt",null,"9906102","IL",61282,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,64479,"Njx aa&/strd tfrm epi c/t 1",null,"9906102","IL",61329,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,64561,"Implant neuroelectrodes",null,"9906102","IL",61356,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,64640,"Injection treatment of nerve",null,"9906102","IL",61415,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,64644,"Chemodenerv 1 extrem 5/> mus",null,"9906102","IL",61418,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,64732,"Incision of brow nerve",null,"9906102","IL",61440,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,64795,"Biopsy of nerve",null,"9906102","IL",61473,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,64856,"Repair/transpose nerve",null,"9906102","IL",61491,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,64999,"Nervous system surgery",null,"9906102","IL",61550,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,65273,"Repair of eye wound",null,"9906102","IL",61607,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,65760,"Revision of cornea",null,"9906102","IL",61641,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,65772,"Correction of astigmatism",null,"9906102","IL",61652,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,66184,"Revision of aqueous shunt",null,"9906102","IL",61744,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,66682,"Repair iris & ciliary body",null,"9906102","IL",61758,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,66988,"Xcapsl ctrc rmvl w/ecp",null,"9906102","IL",61814,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,67110,"Repair detached retina",null,"9906102","IL",61844,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,67208,"Treatment of retinal lesion",null,"9906102","IL",61851,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,67345,"Destroy nerve of eye muscle",null,"9906102","IL",61882,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,67700,"Drainage of eyelid abscess",null,"9906102","IL",61938,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,67911,"Revise eyelid defect",null,{"$f":"O11843&N11843","v":"1206102"},"IL",62019,"06102","12","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,68020,"Incise/drain eyelid lining",null,"1206102","IL",62047,"06102","12","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,68325,"Revise/graft eyelid lining",null,"1206102","IL",62058,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,68705,"Revise tear duct opening",null,"1206102","IL",62085,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,69110,"Remove external ear partial",null,"1206102","IL",62214,"06102","12","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,69505,"Remove mastoid structures",null,"1206102","IL",62243,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,69631,"Repair eardrum structures",null,"1206102","IL",62258,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,69799,"Middle ear surgery procedure",null,"1206102","IL",62298,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,70100,"X-ray exam of jaw <4views",null,"9906102","IL",62341,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,70110,"X-ray exam of jaw 4/> views",null,"9906102","IL",62343,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,"7020F","Mammo assess cat in dbase",null,"9906102","IL",62376,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,70310,"X-ray exam of teeth",null,"9906102","IL",62433,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,70355,"Panoramic x-ray of jaws",null,"9906102","IL",62459,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,70470,"Ct head/brain w/o & w/dye",null,"9906102","IL",62513,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,70481,"Ct orbit/ear/fossa w/dye",null,"9906102","IL",62519,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,70496,"Ct angiography head",null,"9906102","IL",62547,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,70547,"Mr angiography neck w/o dye",null,{"$f":"O12163&N12163","v":"9906102"},"IL",62601,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,70555,"Fmri brain by phys/psych",null,"9906102","IL",62638,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,71100,"X-ray exam ribs uni 2 views",null,"1206102","IL",62674,"06102","12",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,71130,"X-ray strenoclavic jt 3/>vws",null,"9906102","IL",62693,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,72040,"X-ray exam neck spine 2-3 vw",null,"9906102","IL",62765,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,72050,"X-ray exam neck spine 4/5vws",null,"9906102","IL",62777,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,72082,"X-ray exam entire spi 2/3 vw",null,"9906102","IL",62819,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,72127,"Ct neck spine w/o & w/dye",null,"9906102","IL",62847,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,72142,"Mri neck spine w/dye",null,"9906102","IL",62871,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,72158,"Mri lumbar spine w/o & w/dye",null,"9906102","IL",62893,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,72170,"X-ray exam of pelvis",null,"9906102","IL",62898,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,72197,"Mri pelvis w/o & w/dye",null,"9906102","IL",62927,"06102","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,72275,"Epidurography",null,"9906102","IL",62956,"06102","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,73040,"Contrast x-ray of shoulder",null,"9906102","IL",62982,"06102","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,73092,"X-ray exam of arm infant",null,"0008102","IN",46015,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73201,"Ct upper extremity w/dye",null,"0008102","IN",46055,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73220,"Mri uppr extremity w/o&w/dye",null,"0008102","IN",46071,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73225,"Mr angio upr extr w/o&w/dye",null,"0008102","IN",46107,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73552,"X-ray exam of femur 2/>",null,"0008102","IN",46143,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73592,"X-ray exam of leg infant",null,"0008102","IN",46168,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73701,"Ct lower extremity w/dye",null,"0008102","IN",46216,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73702,"Ct lwr extremity w/o&w/dye",null,"0008102","IN",46220,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,73723,"Mri joint lwr extr w/o&w/dye",null,"0008102","IN",46247,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74170,"Ct abdomen w/o & w/dye",null,"0008102","IN",46296,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74185,"Mri angio abdom w orw/o dye",null,"0008102","IN",46348,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74246,"X-ray xm upr gi trc 2cntrst",null,"0008102","IN",46390,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74270,"X-ray xm colon 1cntrst std",null,"0008102","IN",46510,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,74329,"X-ray for pancreas endoscopy",null,"0008102","IN",46543,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74340,"X-ray guide for gi tube",null,"0008102","IN",46552,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74445,"X-ray exam of penis",null,"0008102","IN",46629,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,74710,"X-ray measurement of pelvis",null,"0008102","IN",46710,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75561,"Cardiac mri for morph w/dye",null,"0008102","IN",46760,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75605,"Contrast exam thoracic aorta",null,"0008102","IN",46788,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,75625,"Contrast exam abdominl aorta",null,"0008102","IN",46791,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75733,"Artery x-rays adrenals",null,"0008102","IN",46845,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,75801,"Lymph vessel x-ray arm/leg",null,"0008102","IN",46885,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,75827,"Vein x-ray chest",null,"0008102","IN",46929,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,75880,"Vein x-ray eye socket",null,"0008102","IN",46961,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75885,"Vein x-ray liver w/hemodynam",null,"0008102","IN",46968,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75902,"Remove cva lumen obstruct",null,"0008102","IN",47001,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,75989,"Abscess drainage under x-ray",null,"0008102","IN",47035,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,76120,"Cine/video x-rays",null,"0008102","IN",47122,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,76380,"Cat scan follow-up study",null,"0008102","IN",47137,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76513,"Oph us dx ant sgm us uni/bi",null,"0008102","IN",47225,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76700,"Us exam abdom complete",null,"0008102","IN",47270,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76705,"Echo exam of abdomen",null,"0008102","IN",47281,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76802,"Ob us < 14 wks addl fetus",null,"0008102","IN",47337,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76813,"Ob us nuchal meas 1 gest",null,"0008102","IN",47356,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76827,"Echo exam of fetal heart",null,"0008102","IN",47403,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,76873,"Echograp trans r pros study",null,"0008102","IN",47446,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76882,"Us lmtd jt/nonvasc xtr strux",null,"0008102","IN",47453,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76942,"Echo guide for biopsy",null,"0008102","IN",47519,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,76979,"Us trgt dyn mbubb ea addl",null,"0008102","IN",47552,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,77003,"Fluoroguide for spine inject",null,"0008102","IN",47596,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,77046,"Mri breast c- unilateral",null,"0008102","IN",47637,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77053,"X-ray of mammary duct",null,"0008102","IN",47701,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77075,"X-rays bone survey complete",null,"0008102","IN",47747,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77077,"Joint survey single view",null,"0008102","IN",47804,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77280,"Set radiation therapy field",null,"0008102","IN",47850,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77301,"Radiotherapy dose plan imrt",null,"0008102","IN",47872,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,77318,"Brachytx isodose complex",null,"0008102","IN",47905,"08102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,77407,"Radiation treatment delivery",null,"0008102","IN",47949,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,77425,"Io rad tx deliver by elctrns",null,"0008102","IN",47955,"08102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,77615,"Hyperthermia treatment",null,"0008102","IN",47986,"08102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,77770,"Hdr rdncl ntrstl/icav brchtx",null,"0005202","KS",66019,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78013,"Thyroid imaging w/blood flow",null,"0005202","KS",66048,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,78072,"Parathyrd planar w/spect&ct",null,"0005202","KS",66080,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,78111,"Plasma volume multiple",null,"0005202","KS",66111,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78140,"Red cell sequestration",null,"0005202","KS",66206,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78199,"Blood/lymph nuclear exam",null,"0005202","KS",66220,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78232,"Salivary gland function exam",null,"0005202","KS",66412,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78278,"Acute gi blood loss imaging",null,"0005202","KS",66442,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,78306,"Bone imaging whole body",null,"0005202","KS",66522,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78428,"Cardiac shunt imaging",null,"0005202","KS",66540,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78432,"Myocrd img pet 2rtracer",null,"0005202","KS",66554,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78456,"Acute venous thrombus image",null,"0005202","KS",66628,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,78481,"Heart first pass single",null,"0005202","KS",66717,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78580,"Lung perfusion imaging",null,"0005202","KS",66756,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,78605,"Brain image 4+ views",null,"0005202","KS",66801,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,78608,"Brain imaging (pet)",null,"0005202","KS",66838,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78660,"Nuclear exam of tear flow",null,"0005202","KS",66863,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78799,"Genitourinary nuclear exam",null,"0005202","KS",66958,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78804,"Rp loclzj tum whbdy 2+d img",null,"0005202","KS",67004,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,78831,"Rp loclzj tum spect 2 areas",null,"0005202","KS",67038,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,79403,"Hematopoietic nuclear tx",null,"0005202","KS",67070,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,79403,"Hematopoietic nuclear tx",null,"0005202","KS",67071,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,80167,"Drug assay felbamate",null,"0005202","KS",67143,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,80186,"Assay of phenytoin free",null,"0005202","KS",67205,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,80285,"Drug assay voriconazole",null,"0005202","KS",67230,"05202","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,80340,"Antiepileptics nos 4-6",null,"0005202","KS",67342,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,80364,"Opioid &opiate analog 5/more",null,"0005202","KS",67422,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,80367,"Drug screening propoxyphene",null,"0005202","KS",67427,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,80426,"Gonadotropin hormone panel",null,"0005202","KS",67458,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81099,"Urinalysis test procedure",null,"0005202","KS",67491,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,81162,"Brca1&2 gen full seq dup/del",null,"0005202","KS",67516,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81203,"Apc gene dup/delet variants",null,"0005202","KS",67573,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81231,"Cyp3a5 gene common variants",null,"0005202","KS",67639,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81236,"Ezh2 gene full gene sequence",null,"0005202","KS",67645,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81257,"Hba1/hba2 gene",null,"0005202","KS",67671,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,81295,"Msh2 gene full seq",null,"0005202","KS",67831,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81311,"Nras gene variants exon 2&3",null,"0005202","KS",67853,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81332,"Serpina1 gene",null,"0005202","KS",67882,"05202","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,81337,"Smn1 gen nown famil seq vrnt",null,"0005202","KS",67952,"05202","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,81370,"Hla i & ii typing lr",null,"0015102","KY",40032,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,81411,"Aortic dysfunction/dilation",null,"0015102","KY",40066,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,81443,"Genetic tstg severe inh cond",null,"0015102","KY",40142,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,81512,"Ftl cgen abnor five anal",null,"0015102","KY",40177,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,82009,"Test for acetone/ketones",null,"0015102","KY",40224,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,82120,"Amines vaginal fluid qual",null,"0015102","KY",40268,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,82136,"Amino acids quant 2-5",null,"0015102","KY",40281,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,82286,"Assay of bradykinin",null,"0015102","KY",40324,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,82384,"Assay three catecholamines",null,"0015102","KY",40360,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,82507,"Assay of citrate",null,"0015102","KY",40385,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,82600,"Assay of cyanide",null,"0015102","KY",40437,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,82679,"Assay of estrone",null,"0015102","KY",40486,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,82805,"Blood gases w/o2 saturation",null,"0015102","KY",40526,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,83001,"Assay of gonadotropin (fsh)",null,"0015102","KY",40590,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,83068,"Hemoglobin stability screen",null,"0015102","KY",40740,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,83605,"Assay of lactic acid",null,"0015102","KY",40816,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,83721,"Assay of blood lipoprotein",null,"0015102","KY",40858,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,83785,"Assay of manganese",null,"0015102","KY",40868,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,83937,"Assay of osteocalcin",null,"0015102","KY",40944,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,84126,"Assay of feces porphyrins",null,"0015102","KY",41007,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,84181,"Western blot test",null,"0015102","KY",41044,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,84295,"Assay of serum sodium",null,"0015102","KY",41075,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,84403,"Assay of total testosterone",null,"0015102","KY",41098,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,84478,"Assay of triglycerides",null,"0015102","KY",41143,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,84585,"Assay of urine vma",null,"0015102","KY",41189,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,85032,"Manual cell count each",null,"0015102","KY",41263,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,85270,"Clot factor xi pta",null,"0015102","KY",41352,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,85380,"Fibrin degradj d-dimer",null,"0015102","KY",41459,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,85396,"Clotting assay whole blood",null,"0015102","KY",41501,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,85576,"Blood platelet aggregation",null,"0015102","KY",41542,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86022,"Platelet antibodies",null,"0015102","KY",41602,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86162,"Complement total (ch50)",null,"0015102","KY",41647,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86325,"Other immunoelectrophoresis",null,"0015102","KY",41731,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86361,"T cell absolute count",null,"0015102","KY",41804,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86367,"Stem cells total count",null,"0015102","KY",41810,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86628,"Candida antibody",null,"0015102","KY",41903,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,86666,"Ehrlichia antibody",null,"0015102","KY",42032,"15102","00","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,86707,"Hepatitis be antibody",null,"0015102","KY",42058,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86771,"Shigella antibody",null,"0015102","KY",42122,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,86812,"Hla typing a b or c",null,{"$f":"O15043&N15043","v":"0015102"},"KY",42156,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,86829,"Hla class i/ii antibody qual",null,"0015102","KY",42170,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,86921,"Compatibility test incubate",null,"0015102","KY",42251,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,86999,"Transfusion procedure",null,"0015102","KY",42288,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,87140,"Culture type immunofluoresc",null,"0015102","KY",42348,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87188,"Microbe suscept macrobroth",null,"0015102","KY",42377,"15102","00",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,87276,"Influenza a ag if",null,"0015102","KY",42456,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87283,"Rubeola ag if",null,"0015102","KY",42461,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87380,"Hepatitis delta agent ag ia",null,"0015102","KY",42567,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87501,"Influenza dna amp prob 1+",null,"0015102","KY",42735,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87528,"Hsv dna dir probe",null,"0015102","KY",42765,"15102","00","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,87560,"M.avium-intra dna dir prob",null,"0107202","LA",70037,"07202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,87581,"M.pneumon dna amp probe",null,"0107202","LA",70042,"07202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,87880,"Strep a assay w/optic",null,"9907202","LA",70086,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,87906,"Genotype dna/rna hiv",null,"0107202","LA",70097,"07202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88106,"Cytopath fl nongyn filter",null,"0107202","LA",70145,"07202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88147,"Cytopath c/v automated",null,"0107202","LA",70170,"07202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88174,"Cytopath c/v auto in fluid",null,"9907202","LA",70343,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88240,"Cell cryopreserve/storage",null,"9907202","LA",70376,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88262,"Chromosome analysis 15-20",null,"9907202","LA",70392,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,88305,"Tissue exam by pathologist",null,"9907202","LA",70444,"07202","99",null,"Z9",null,1,"A",20211]
[null,null,null,null,null,null,null,88319,"Enzyme histochemistry",null,"9907202","LA",70465,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88332,"Path consult intraop addl",null,"9907202","LA",70507,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,88346,"Immunofluor antb 1st stain",null,"9907202","LA",70525,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,88361,"Tumor immunohistochem/comput",null,"9907202","LA",70551,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,88371,"Protein western blot tissue",null,"9907202","LA",70591,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,88399,"Surgical pathology procedure",null,"9907202","LA",70640,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,89055,"Leukocyte assessment fecal",null,"9907202","LA",70653,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,89337,"Cryopreservation oocyte(s)",null,"9907202","LA",70730,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90288,"Botulism ig iv",null,"9907202","LA",70757,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90376,"Rabies ig heat treated",null,"9907202","LA",70763,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90586,"Bcg vaccine intravesical",null,"9907202","LA",70787,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90666,"Flu vac pandem prsrv free im",null,"9907202","LA",70823,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90707,"Mmr vaccine sc",null,"9907202","LA",71006,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90792,"Psych diag eval w/med srvcs",null,"9907202","LA",71044,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,90845,"Psychoanalysis",null,"9907202","LA",71055,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,90899,"Psychiatric service/therapy",null,"9907202","LA",71080,"07202","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,90963,"Esrd home pt serv p mo <2yrs",null,"9907202","LA",71133,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,91030,"Acid perfusion of esophagus",null,"9907202","LA",71207,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,91111,"Esophageal capsule endoscopy",null,"9907202","LA",71240,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,91132,"Electrogastrography",null,"9907202","LA",71256,"07202","99","B","Z9","B",1,"A",20211]
[null,null,null,null,null,null,null,92012,"Eye exam establish patient",null,"9907202","LA",71280,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92082,"Visual field examination(s)",null,"9907202","LA",71325,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92228,"Img rta detc/mntr ds phy/qhp",null,"9907202","LA",71358,"07202","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,92270,"Electro-oculography",null,"9907202","LA",71406,"07202","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,92313,"Contact lens fitting",null,"9907202","LA",71440,"07202","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,92512,"Nasal function studies",null,"9907202","LA",71471,"07202","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,92520,"Laryngeal function studies",null,"9907202","LA",71477,"07202","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92545,"Oscillating tracking test",null,"9914212","MA",1030,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92557,"Comprehensive hearing test",null,"9914212","MA",1060,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92587,"Evoked auditory test limited",null,"9914212","MA",1086,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92612,"Endoscopy swallow (fees) vid",null,"9914212","MA",1119,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92617,"Fees w/laryngeal sense i&r",null,"9914212","MA",1139,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,92961,"Cardioversion electric int",null,"9914212","MA",1255,"14212","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,92997,"Pul art balloon repr percut",null,"9914212","MA",1337,"14212","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,93228,"Remote 30 day ecg rev/report",null,"9914212","MA",1378,"14212","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,93278,"Ecg/signal-averaged",null,"9914212","MA",1468,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93284,"Prgrmg eval implantable dfb",null,"9914212","MA",1517,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93293,"Pm phone r-strip device eval",null,"9914212","MA",1561,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93298,"Rem interrog dev eval scrms",null,"9914212","MA",1569,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93315,"Echo transesophageal",null,"9914212","MA",1615,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93452,"Left hrt cath w/ventrclgrphy",null,"9914212","MA",1772,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93458,"L hrt artery/ventricle angio",null,"0114212","MA",1824,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93530,"Rt heart cath congenital",null,"0114212","MA",1862,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93531,"R & l heart cath congenital",null,"0114212","MA",1867,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93580,"Transcath closure of asd",null,"9914212","MA",1929,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93616,"Esophageal recording",null,"0114212","MA",2027,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93623,"Stimulation pacing heart",null,"0114212","MA",2053,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93656,"Tx atrial fib pulm vein isol",null,"0114212","MA",2109,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93786,"Ambl bp mntr w/sw rec only",null,"0114212","MA",2130,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93888,"Intracranial limited study",null,"0114212","MA",2150,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93892,"Tcd emboli detect w/o inj",null,"0114212","MA",2157,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93931,"Upper extremity study",null,"0114212","MA",2184,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93981,"Penile vascular study",null,"0114212","MA",2212,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,93990,"Doppler flow testing",null,"0114212","MA",2241,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,94060,"Evaluation of wheezing",null,"9914212","MA",2324,"14212","99",null,"Z9",null,1,"A",20211]
[null,null,null,null,null,null,null,94453,"Hast w/oxygen titrate",null,"9914212","MA",2351,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,94680,"Exhaled air analysis o2",null,"0114212","MA",2445,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,94772,"Breath recording infant",null,"0114212","MA",2477,"14212","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95004,"Percut allergy skin tests",null,"9914212","MA",2534,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95700,"Eeg cont rec w/vid eeg tech",null,"9914212","MA",2637,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95709,"Eeg w/o vid ea 12-26hr intmt",null,"9914212","MA",2643,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95783,"Polysom <6 yrs cpap/bilvl",null,"9914212","MA",2668,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95807,"Sleep study attended",null,"9914212","MA",2723,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95824,"Eeg cerebral death only",null,"9914212","MA",2780,"14212","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95866,"Muscle test hemidiaphragm",null,"9912302","MD",20621,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95875,"Limb exercise test",null,"9912302","MD",20659,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95885,"Musc tst done w/nerv tst lim",null,"9912302","MD",20660,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95910,"Nrv cndj test 7-8 studies",null,"9912302","MD",20693,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95927,"Somatosensory testing",null,"0112202","MD",20735,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95939,"C motor evoked upr&lwr limbs",null,"0112302","MD",20758,"12302","01",null,"Z9",null,1,"A",20211]
[null,null,null,null,null,null,null,95962,"Electrode stim brain add-on",null,"0112202","MD",20790,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,95970,"Alys npgt w/o prgrmg",null,"0112202","MD",20814,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,96003,"Dynamic fine wire emg",null,"0112202","MD",20848,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,96159,"Hlth bhv ivntj indiv ea addl",null,"0112202","MD",20883,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,96375,"Tx/pro/dx inj new drug addon",null,"0112202","MD",20910,"12202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,96446,"Chemotx admn prtl cavity",null,"0112302","MD",21018,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,97010,"Hot or cold packs therapy",null,"0112302","MD",21055,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,97151,"Bhv id assmt by phys/qhp",null,"0112302","MD",21104,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,97156,"Fam adapt bhv tx gdn phy/qhp",null,"0112302","MD",21113,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,97546,"Work hardening add-on",null,"0112302","MD",21156,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,97814,"Acupunct w/stimul addl 15m",null,"0112302","MD",21214,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99060,"Out of office emerg med serv",null,"0112302","MD",21260,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99173,"Visual acuity screen",null,"0112302","MD",21289,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99184,"Hypothermia ill neonate",null,"0112302","MD",21402,"12302","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99235,"Observ/hosp same date",null,"9912302","MD",21550,"12302","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,99284,"Emergency dept visit",null,"9912302","MD",21622,"12302","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,99340,"Domicil/r-home care supervis",null,"9912302","MD",21652,"12302","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,99375,"Home health care supervision",null,"9912302","MD",21673,"12302","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,99401,"Preventive counseling indiv",null,"9912302","MD",21705,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99453,"Rem mntr physiol param setup",null,"9912302","MD",21750,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99458,"Rem physiol mntr ea addl 20",null,"9912302","MD",21758,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,99487,"Cplx chrnc care 1st 60 min",null,"0112302","MD",21791,"12302","01",null,"Z9",null,1,"A",20211]
[null,null,null,null,null,null,null,99510,"Home visit sing/m/fam couns",null,"9912302","MD",21826,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9912302","MD",21864,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9912302","MD",21890,"12302","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",3904,"14112","03",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",4020,"14112","03","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",4062,"14112","03",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",4082,"14112","03",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",4110,"14112","03",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4230,"14112","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0314112","ME",4260,"14112","03",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4276,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4341,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4410,"14112","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4434,"14112","99",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4464,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4478,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4543,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4578,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4614,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4666,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4672,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4735,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4759,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4851,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4917,"14112","99","R","Z9","R",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4945,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4947,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"9914112","ME",4971,"14112","99","B","Z9","B",0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0108202","MI",48017,"08202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0108202","MI",48044,"08202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0108202","MI",48075,"08202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0108202","MI",48082,"08202","01",null,"Z9",null,0,"A",20211]
[null,null,null,null,null,null,null,null,null,null,"0108202","MI",48106,"08202","01",null,"Z9",null,0,"A",20211]
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