Price Transparency Initiative Charges Listing

22442	KIDNEY STONE ANALYSIS	50
40205	SURGITUBE TUBE GAUZE (SMALL BOXES)	15
54380	COLONOSCOPY, FLEXIBLE, WITH BIOPSY(S)	1260
57967	STRYKER FLOATION MATT PUMP	80
57968	STRKER FLOATION MATTRESS	163
57970	GAYMAR AQUA K PAD PUMP	80
90237	PULMONARY REHAB STRENGTH ENDURANCE 15 MI	54
90238	PULM REHAB OTHER 15 MIN	54
90239	PULMONARY REHAB GROUP	98
90424	PULMONARY REHAB 1 HOUR	273
90472	ADDITIONAL IMMUNIZATION ADMIN	62
99005	NURSING HOME ROOM DISCOUNT	3
99034	CTY-CNTY EMP PHY. PLAN A	110
99037	CTY-CNTY EMO PHY. PLAN B	61
99100	LEAVE OF ABSENCE DAY NH	98
120012	PREGNANCY TEST	56
121192	SUCTION PROBE	273
122246	BAIR HUGGER(WARMING UNIT)	189
122247	UPPER BODY BLANKET	109
122248	LOWER BODY BLANKET-BAIR HUGGER	104
122249	FULL BODY BLANKET	117
122344	BITE BLOCK (SURGERY)	16
122475	ETHYL CHLORIDE	9
122511	MEDOVAT DILATOR ESOPHAGEAL	145
123023	ELEC CAUTERY	161
123060	FLEXIBLE TAUT CATHETER 4.5 FRENCH	219
123062	CATH, TAUT	233
123109	OUT PATIENT PREPERATION TIME	723
123111	TUBE INSUFFLATION	61
123160	COLONOSCOPE	1330
123162	ECSL LITHOTRIPSY	2205
123170	CYSTOSCOPE	1083
123175	LAC RING3000ML IRRIG	25
123223	3S HEMI BROACH 5/M	414
123310	CANNULATED DRILL	852
123311	SCREW – CANNULATED LAG 2.4MM X 18MM	499
123312	SCREW – CANNULATED LAG 2.0MM X 16MM	318
123313	SCREW – CANNULATED LAG 2.4MM X 16MM	499
123314	GUIDE WIRE (.035 X 4)	86
123315	SCREW – CANNULATED LAG 2.0MM X 18MM	572
123316	DRILL BIT	542
123317	SCREW CORTEX 2.4 X 12,14,22,24	239
123318	2.7x20mm BONE SCREW	350
123319	2.0 DRILL BIT	475
123320	10X10X1.5 SCREW	1516
123321	2.6 DRILL BIT	558
123322	2.7X16mm BONE SCREW	350
123323	2.7 DRILL BIT	525
123326	TROCAR BLUNT TIP	345
123330	10X10 MM KIT	1952
123331	2.0 MM ACCESORY KIT	713
123332	SIZER KIT	433
123333	MITEK ANCHOR 3.5MM	739
123334	GUIDE PIN 1.2MMX100MM	144
123335	15X10MM SHAPE MEMORY FIX	2504
123336	HOFFMAN II COMPACT PIN TO ROD	762
123337	1.5 MM ACCESSORY KIT	770
123350	SPONGE,PEANUT	13
123355	CYSTO/BLADDER IRRIG. SET	44
123390	3.0MM INSTRUMENT KIT (STERILE)	1154
123391	2.0 MM INSTRUMENT KIT( STERILE)	1154
123392	SCREW-CANNULATED 2.0MM 16/7	497
123393	SCREW – CANNULATED 3.0MM 16/4MM	497
123400	DRILL BIT 2.6MMX135MM SCALED(STRYKER)	723
123401	LOCKING SCREW 3.5MMX18MM FULL THREAD(STR	544
123402	CP LAG SCREW 4.1MMX24MM (STRYKER)	592
123403	LOCKING SCREW 3.5MMX22MM FULL THREAD(STR	526
123404	ANCHORAGE REAMER(CP) (STRYKER)	1349
123405	ANCHORAGE FIXATION PIN(STRYKER)	592
123406	POLYAXIAL LOCKING PLATE MID(STRYKER)	4006
123407	LOCKING SCREW 3.5MMX26MM FULL THREAD(STR	526
123408	LOCKING PLATE LATERAL 8mm	2455
123409	VITASS BB TRAUMA FOAM PACK 2.5CC	1637
123410	FOAM PACK VITOSS BA2X 5CC	3514
123411	STEINMANN PIN 2.5MM X 100MM	224
123412	POLYAXIAL LOCK PLATE NAVICULAR CUNEIF	2833
123413	POLYAXIAL LOCKING PLATE LATERAL COL 10MM	2977
123414	LOCKING SCREW 3.5MMX24MM FULL THREAD(STR	544
123415	LOCKING SCREW 3.5MMX28MM FULL THREAD(STR	544
123416	LOCKING SCREW 3.5MMX16MM FULL THREAD(STR	544
123417	3S HEMI AWL	221
123418	CANNULATED DRILL BIT 2.7MM AO FITTING	644
123419	HENDL COMP SCREW 4.0MMX46MM (STRYKER)	701
123420	LOCKING SCREW 3.5MMX34MM FULL THREAD(STR	526
123421	UNTHREADED GUIDE WIRE 1.4MMX150MM	351
123422	23MM ANCHORW/SUTUREAND NEEDLES 1CONIX ST	595
123423	DRILL BIT 2.0MMX135MM AO DIA SCALED	718
123424	20MMX1.7MM CANNULATED DRIL	614
123425	SCREW-CANNULATED 2.0MM 14/6MM	497
123426	15MM SMART TOE ANGLED IMPLANT	1988
123427	16MM SMART TOE ANGLED IMPLANT	1988
123428	2.0MMK-WIRE 0.8MMX100MM ASNIS MICRO	135
123444	3S HEMI TOE IMPLANT	2619
123502	CP LAG SCREW 4.1MMX22MM (T10)	590
123506	LOCKING PLATE MIDFOOT CROSS-PLT LNG (T10	4010
123511	K-WIRE 1.4MMX100MM SMOOTH	134
124000	SMOKE EVACUATOR/LAP	151
124198	DRAIN, PENROSE	17
124368	ESU EXTENDER 6 COATED ELECTRODE BLADECS	151
124410	BREVI-KATH MINI-KIT	252
124700	1010 DRAPE 3M1010	81
124718	J P DRAIN	147
124719	BLAKE DRAINS	142
124776	UNDER BUTTOCKS DRAPE	13
124777	DRAPE, LG. (HALF SHEET)	33
124778	MAYO STAND COVER	8
124902	CAMERA	634
124903	HEADLIGHT	368
124912	ENDOGATOR (STERILE WATER BOTTLE SYSTEM)	78
125000	J HOOK	247
125007	E E A 31 (DISP)	1297
125110	ESOPH DILATOR	520
125111	X-PRESS SINUS BALLOON	2499
125207	TUR BLADDER EVAC	233
125209	TRU-CUT NDL	15
125342	ENDO POUCH 173050G	378
125345	LAP CHOLE INST.	603
125347	ENDOCUFF LARGE GREEN	122
125350	CLIP II ML ER320	1045
125351	ENT KNIFE	101
125353	SURGICLIP II #134053	589
125354	RESOL CLIP	731
125356	TROCAR, 12MM BLUNT TIP XCEL H12LP	421
125357	APPLIER, MULTIPLE CLIP LARGE ER420	296
125358	ENDOLOOP, PDS 2 LIGATURE EZ10G	156
125359	NEEDLE, MICROLITE SUCTION 20 GA ENT	44
125848	ESOPHAGEAL COLONIC DIALATOR 240 CM	1004
126683	FORCEP-BIOPSY THERMAL	207
126684	BIOPSY FORCEPS LARGE RADIAL JAW 4	217
126685	CRE WIREGUIDED CATHETER 8/9/10	595
126686	CRE WIREGUIDED CATHETER 12/13.5/15	595
126687	BIOPSY FORCEP RADIAL JAW 4 JUMBO	281
126877	IV INFUSION REGEN-COV ADMINISTRATION	651
126879	TUOHY SPINAL NEEDLES	46
126901	ANTI-FOG MEDICHOICE	29
126903	BIPOLAR CORD	96
126905	BIPOLAR PENCIL (EYE)	44
127280	TROCAR & SYRINGES (BLUNT TIP) 10MM	525
127281	ELECTROSURG PROBE +II PENCIL HRD CONTROL	359
127282	O ETHIBOND EXCEL (SUTURE) 8 NEEDLE W/PKG	359
127283	COATED BLADE ELECTRADE	35
127285	INSULATED BLADE #ES27521	37
127293	P E G TUBE	340
127294	PUSH PEG	532
127391	HYSTERSCOPE	798
127393	GELFOAM	130
127493	LAPAROSCOPIC GASTROSTOMY TUBE	690
127495	MYRINGOTOMY TUBE	377
127700	BLADE PODIATRY	33
127728	3MMX 110MM APEX PINS	302
127773	RFA GROUNDING PAD	72
127775	COUNTERSINK USAGE	822
127776	DRILL BIT	499
127777	OVAL CARBIDE BURR 4.0	166
127778	PARTIALLY THREADED GUIDE WIRE 0.35 X 4	130
127779	SCREW CANNULATED 2.4mm X 16mm	499
127780	SHORT MEDIUM BLADE 18.5 X 9.0	189
127781	BARREL BUR (STRYKER)	205
127782	EGG BUR 5.0(STRYKER)	302
127783	EGG BUR 6.0(STRYKER)	302
127784	CROSS CUT BUR (STRYKER)	72
127785	K-WIRE 4 (STRYKER)	50
127786	K-WIRE 6 (STRYKER)	130
127787	K-WIRE 1.25	385
127788	GOWNS, ULTRA SURGICAL W/ TOWEL XXLARGE	96
127789	GOWNS, SURGICALXLG	25
127790	4.0 MM BURRS	268
127791	GROSHONG CATH.L	1276
127792	PAD, GROUNDING PEDIATRIC	87
127794	E S U CLEANING PAD	15
127796	GOWN, SPECIALTY MEDLINE #DYNJP2004S	96
127797	PAD, GROUNDING ADULT	58
127798	K-WIRE 6	46
127799	DUAL CUT BLADES (STRICKER)	248
127800	PAD, GROUNDING ADULT	58
127803	INSUFFLATOR/CO2	465
127852	HEMOVAC	231
127858	J/P RESERVOIR	96
128865	SURGICAL PATTIES #80-1400	50
128866	STRIPS SURGICAL	75
129107	INDIGO CARMINE SOL.	30
129108	INSTRUMENT TRAY	85
129109	SAWS AND DRILL TRAY	548
129110	LARYNGOSCOPY/BIOPSY TRAY	1042
129111	HOFFMAN MICRO LENGTHENER ASSEMBLY	5549
129118	EZ I/O DRILL	161
129367	1000CC STERIL H2 0	39
181093	HEAD BLOCKS	33
182222	AUTOVENT CIRCUIT TUBING	53
201002	ANETHETIST/UNITS	15
201004	ANSTH SPEC PR 1/2 HR	338
201005	ANETHETIST C/B 1/2 HR	110
201017	SUCCINYLCHOLINE FLO PAC	70
201100	SUCCINYLCHOLINE INJ	57
202025	PARA-CERV CONT	97
202026	TRANS BLOC	46
202027	PARA BLOC	57
202028	SADDLE BLOC	46
202029	PUDENAL BLOC	46
202035	THIAMYLAL INJ	70
206013	FLUOTHANE	53
207001	VOLATILE LIQ ANESTHESIA	147
207950	ULTANE	405
207954	FORANE	205
209006	INNOVAR	63
209220	DROPERIDOL INJ	66
209222	DYCLONINE SOLN.(190 DYCLONE)	247
209774	KETAMINE INJ.	37
220378	TPMT ACTIVITY	613
221006	LIVER PROFILE	223
221010	RMSF ANTIBODY IGG	75
221102	RMSF ANTIBODY IGM	75
221111	VENIPUNCTURE	27
221115	H&H SPECIMEN COLLECTION	35
221116	ALBUMIN	88
221147	AMYLASE	139
221148	AMYLASE BODY FLUID	28
221165	ACID PHOS	87
221166	BB ANTIBODY SCREEN EA	108
221167	ASO ANTIBODY	93
221168	ACETONE SCREEN SERUM OR PLASMA	44
221231	AMYLASE 2 HR URINE	86
221233	ANA SCREEN, REFLEX TO COMP PROF	41
221234	CHROMATIN ANTIBODY	163
221239	AFP MATERNAL	39
221242	BB ANTIBODY ID	203
221375	CREATININE ISTAT	87
221410	ALCOHOL BLOOD	209
221411	ALCOHOL URINE	209
221412	ALDOLASE	87
221552	CMP COMPREHENSIVE MET PROFILE	295
221904	R. TYPHI ANTIBODY IGG	107
221905	AMMONIA	101
221950	ANDROSTENEDIONE	132
221951	R. TYPHI ANTIBODY IGM	107
221952	ANGIOTENSION CONVERTING ENZYME	68
222116	BILIRUBIN NEONATE	87
222117	BILIRUBIN TOTAL	87
222119	BILIRUBIN DIRECT	87
222145	BLOOD TYPE ABO	95
222147	BB BLOOD (LEUKOCYTE POOR)	671
222149	AMIODARONE	85
222150	PLATELETS, PHERESIS EA UNIT	1176
222151	BRUCELLA IGG	150
222172	APOLIPOPROTEIN B	34
222217	PERIPHERAL SMEAR	62
222491	PORPHYRINS, TOTAL PLASMA	162
222492	PORPHYRINS, FRAC PLASMA	326
222493	PORPHOBILINOGEN DEAMINASE (PBGD)	311
223100	.CBC CHG ONLY (NO AUTO DIFF)	116
223104	LEUKEMIA/LYMPHOMA EVAL, ADD1. MARKER	27
223105	LEUKEMIA/LYMPHOMAEVAL,NUCLEAR MARKER	305
223106	.CBC AUTO DIFF CHG ONLY	128
223115	CHOLESTEROL	87
223124	CHLORIDE	87
223131	CPK	118
223169	LIPID PROF	180
223170	CALCIUM	87
223172	BB DAT	121
223173	CARBON DIOXIDE	98
223174	CREATININE	87
223175	COPPER	50
223176	CREATININE CLEARANCE	116
223177	PORPHOBILINOGEN URINE 24 HOUR	118
223178	COLD AGGLUTININ	120
223181	COCCIDIOIDES AB	88
223200	LIPID PROF REFLEX DLDL	180
223247	CALCIUM RANDOM URINE	95
223248	CATECHOLAMINES PLASMA	183
223249	CATECHOLAMINES, 24HR URINE	35
223251	CATECHOLAMINE FRACTIONATED	27
223255	CRYOGLOBULIN QUALI	41
223285	CORTISOL TOTAL	27
223286	CORTISOL FREE SERUM	249
223287	CORTISOL FREE 24HR URINE	109
223288	CORTISOL #1 BASE	22
223289	CORTISOL #2	22
223290	CORTISOL #3	22
223300	CKMB	193
223302	PROCALCITONIN	312
223400	CHOLINESTERASE	82
223502	CEA	130
223519	ALPHA SUBUNIT	303
223520	SULFATIDE Ab,IgG	385
223527	CH50	128
223883	FREE KAPPA/LAMBDA RATIO SERUM	166
223897	CHLAMYDIA AB	153
223900	COMPLEMENT C3	131
223901	COMPLEMENT C4	95
223903	CA 19-9	141
223904	CA 27.29	121
223906	CYCLOSPORINE	163
223907	CA 125	148
223908	CADMIUM	128
223909	CA 15-3	121
223910	CADMIUM URINE	143
223952	CITRIC ACID, URINE	100
223953	OXALTE, QUANT 24HR URINE	48
223961	CMV IGG	107
224178	VALPROIC ACID	130
224179	DEXTROSTIX	48
224252	DEXAMETHASONE	239
224254	METFORMIN	356
224255	DIGOXIN-LABCORP	116
224256	DRUG SCREEN CHAIN OF CUSTODY N-DOT	60
224258	DRUG SCREEN CAP AMERICA	33
224260	TRYPTASE	240
224265	DOPAMINE	36
224300	PHENYTOIN-LABCORP	120
224302	DESIPRAMINE	117
225125	ELECTROLYTE PROFILE	137
225182	PROTEIN ELECTROPHORISIS SERUM	96
225183	EPSTEIN BARR DNA	338
225259	ESTROGEN TOTAL	191
225415	TISSUE PLASMINOGEN ACTIVATOR	357
226063	FFP	278
226142	FACTOR VIII ACTIVITY	180
226143	FACTOR VII ACTIVITY	91
226218	FSH	118
226227	VITAMIN B12	181
226289	FECAL FAT QUANT	107
226290	FECAL FAT QUAL	39
226291	CHYMOTRYPSIN	147
226300	FDP (FIBRIN SPLIT PRODUCTS)	123
226400	FERRITIN	181
226500	FIBRINOGEN ACTIVITY	78
226666	SPECIMEN COLLECTION	37
226860	BB ARC-ELUTION,PER UNIT	232
226885	BB ARC-ANTIBODY ID,EA	205
226906	BB ARC-RH PHENOTYPE,EA	233
226970	BB ARC-RED CELL PREP,GEL,EA	39
227111	GLUCOSE	92
227112	GLU LOADING DOSE CHARGE	17
227229	GLUCOSE TOL 2 HR	183
227232	GLUCOSE TOL ADDITIONAL SPEC	51
227262	GROWTH HORMONE HGH	376
227263	GROWTH HORM RELEASING HORMONE	452
227270	GASTRIN	113
227280	GGT	61
227300	GENTAMICIN RANDOM	92
227301	GENTAMICIN TROUGH	92
227302	GENTAMICIN PEAK	92
227385	HISTOPLASMA ANTIGEN URINE	367
227799	BK VIRUS URINE	536
228000	EHRLICHIA AB PANE	208
228100	CBC PLT NO DIFFERENTIAL	120
228101	HEMATOCRIT	51
228102	HEMOGLOBIN	51
228105	HEMOGLOBIN FRAC PROFILE	76
228133	SMITH ANTIBODIES	95
228134	H PYLORI QUALITATIVE	193
228136	H PYLORI, IGA	51
228137	H PYLORI, IGG	51
228138	H PYLORI, IGM	51
228263	HAPTOGLOBIN	92
228265	HEMOGLOBIN A2	127
228302	HEPATITIS A TOTAL	137
228306	HEP B SURF AB	51
228307	17-HYDROXYPROGESTERONE	127
228352	SULFATIDE Ab,IgM	385
228459	VITAMIN B7	379
228519	TRYPSIN	344
228591	VITAMIN B5	382
228599	HCV AB (LC140659)	32
228600	BABESIA MICROTI IGG	132
228601	HEPATITIS DIAGNOSTIC (ACUTE)	226
228602	HEPATITIS B CORE TOTAL	34
228603	HEPATITIS B CORE IGM	34
228605	HEP B SURF AG	137
228631	CHROMOGRANIN A	206
228663	EPSTEIN BARR EARLY DET	55
228664	EPSTEIN BARR NUCL AG	43
228665	EPSTEIN BARR VCA	129
228666	EPSTEIN BARR PCR QUANT	265
228800	SURG PATH COMP 88305	135
228801	SURG TECH COMP 88312	147
228802	SURG TECH COMP 88313	211
228888	HDL	118
228900	HLA-B27 DISEASE ASSOCIATION	131
228950	HIV SCREEN	137
228970	BB ARC-RBC CELL PREP	234
228999	HSV II	46
229003	HSV I	46
229270	IGG	48
229272	IGA	53
229274	IGM	53
229300	IGE (IMMUNOGLOBULIN E)	96
229301	IGD (IMMUNOGLOBULIN D)	132
229303	SURG PATH IHC STAIN	275
229400	INSULIN	93
229500	IMIPRAMINE	127
229600	CALCIUM IONIZED	118
260279	STERILE WATER INJECTION	44
260354	INAPSINE 2.5MG/ML INJ DROPERIDOL	66
260358	D5W 20MEQ K++1000ML	66
260392	Droperidol inj 5mg/2ml Inapsine 2ml amp	66
260494	METHIMAZOLE (TAPAZOLE)10MG TAB	24
260515	ACETAMIN (MAPAP) 80MG CHEWABLE TAB	7
260642	*AMOXICILLIN SUSP 200MG (AMOXIL)	12
260643	RAMIPRIL (ALTACE) 5MG CAP	10
260644	*ENTACAPONE 200MG TAB	7
260645	SILVER SULFAD (SILVADENE) 1% CRM 25GM	41
260647	DAPTOMYCIN (CUBICIN) 575MG IVPB	1566
260649	SILV SULFAD (SILVADENE) 1% CRM 20G	39
260651	COLESEVELAM (WELCHOL) 625MG TAB	9
260654	RAMIPRIL (ALTACE) 10MG CAP	11
260658	BACITRACIN ZINC 500UN/GM OINT 15GM	21
280005	NUTR.PUMP CHG. (DAILY)	153
280015	KANGAROO SET, 1000ML PUMP SET (BAG)	40
280020	NUT. Y EXT	34
280025	PISTON FEEDING SYRINGE	13
280222	STATLOCK PICC DEVICE	21
281019	ABBOTT ADPTR SCR CAP	48
281020	IV PUMP SET	29
281023	IVAC PIGGYBACK SET	17
281024	ABBOTT IVEX FILTER	48
281025	BLOOD SEC PUMP SET	53
281030	C-PAP MACHINE (2 WEEK CHARGE)	280
281037	ARTERIOGRAM TRAY	153
281040	BI-PAP MACHINE (INITIAL 2 WEEK CHARGE)	565
281045	POLYMEM MAX SILVER 4X4 DRESSING	25
281050	BI-PAP C-PAP MACHINE (daily)	368
281058	45MM, 15GA, I/O NEEDLE SET	344
281215	ASPIRATOR, NASAL INF	35
281234	ANGIOCATH 14 GA.	37
281271	ANESTHESIA CIRCUIT	51
281272	PED.ANESTHESIA CIRCUIT	63
281273	AIRWAY NO 5.5–CATH GUIDE	72
281274	AIRWAY NO 6–CATH GUIDE	72
281275	AIRWAY NO 7–CATH GUIDE	72
281276	AIRWAY NO 8–CATH GUIDE	72
281277	AIRWAY NO 9–CATH GUIDE	72
281278	AIRWAY NO 10–CATH GUIDE	72
281279	AIRWAY NO 12–CATH GUIDE	72
281280	AIRWAY NASAL 22FR	68
281281	AIRWAY NASAL 24FR	68
281282	AIRWAY NASAL 26FR	68
281283	AIRWAY NASAL 28FR TELEFLEX#123328	68
281284	AIRWAY NASAL 30FR	68
281285	AIRWAY NASAL 32FR	68
281421	25MM 15GA, I/O NEEDLE SET	373
281425	15MM-15GA, I/O NEEDLE SET	373
281534	ABD COMBINE DRESS	12
281540	ADM FEEDING PUMP	63
281543	ADM, BLOOD PUMP	35
281798	ABD SUPPORT	128
281800	ATTENDS/UNDERPADS-LOW USE	71
281805	ATTENDS/UNDERPADS-MED USE	230
281825	ATTENDS/UNDERPADS-HIGH USE	327
281835	ADAPTIC 3 X 3	16
281836	ADAPTIC 3 X 16 NON-ADHERING DRESSING	21
281840	ATTENDS, FITBASIC REGULAR	12
281842	ATTENDS, FITRESTORE LARGE	15
281845	ATTENDS/UNDERPADS – VERY HIGH USE	487
281850	ATTENDS, FITBASIC EXTRA SMALL	6
282010	ARMBOARD PED.	16
282015	ARMBOARD	17
282016	ARM, CAST, SHORT	81
282018	BABY WIPES	29
282019	BEDPAN	48
282020	BEDPAN FRACTURE #H10210	32
282021	BAG, FECAL COLLECTION	50
282036	FETAL MONITOR	186
282144	BETADINE SOLUTION	15
282145	BETADINE SOL-GAL.	97
282146	BETADINE SWABSTICK	12
282147	BENZOINE TINTURE SWABSTICK	11
282156	BELT OSTOMY	35
282174	RIB BELT–UNIVERSAL/FEMALE	165
282175	RIB BELT–UNIVERSAL/MALE	165
282195	BASIN STERILE	46
282221	DISP. BOVIE TIP CHO5	32
282222	AUTO VENT VENTILATION CIRCUIT	53
282247	BELT, PELV-TRACT	172
282253	BRACE, CLAVICLE	92
282312	BANDAGE, ELASTIC 2 IN.	17
282313	BANDAGE, ELASTIC 3 IN CONCO	17
282314	BANDAGE, ELASTIC 4	33
282315	BANDAGE, ELASTIC 6 IN	33
282325	BITE	12
282337	BANDAID X-LARGE	11
282342	BARRELL-STD.	818
282517	BLOOD TUBING	70
282518	BLOOD FILTER	75
282727	BILEBAG	141
282822	BOTTLE BABY	12
282833	BONE MARROW TRAY	100
282835	BONE MARROW NEEDLE (INFUSION)	39
282856	BURN PACK	29
283000	TUBE HOLDER, TRACHEOSTOMY	18
283001	TUBE, SHILEY TRACHEOSTOMY	197
283002	CANNULA SHILEY	48
283003	CAST BOOT EX-SMALL	114
283004	CABLE-HOLDER-COBE	68
283005	CAST BOOT SMALL	114
283007	CARRINGTON SPRAY	81
283008	CAST BOOT MEDIUM	114
283009	CARRINGTON GEL	81
283010	CAST BOOT LARGE	114
283011	CAST REINFORCEMENT	72
283012	CAST REMOVAL	33
283013	UNNA BOOT ELASTIC 650940	16
283014	COFLEX-TLC, COMPRESSION DRESSING	46
283015	CAST, LONG ARM	463
283016	CAST, LONG LEG	783
283017	CAST, SHORT LEG	584
283018	CAST, SHORT FIBERGLASS	392
283020	FIBERGLASS CAST 2	46
283021	FIBERGLASS CAST 4	63
283022	FIBERGLASS CAST 3	51
283023	CAUTERY, DISP. HI-TEMP	211
283024	CATH BARDEX VALUE 5CC	145
283029	CENTRAL DRESSING KIT	110
283051	CA MALLEABLE TIPFILI	135
283055	SYRINGE 60CC W/CATHETER TIP	16
283062	CATH, CHOLANGIOGRAM	239
283064	CATH, CHOLANGIOGRAM-INTRODUCER	75
283072	CATH. TUBE HOLDER	17
283100	CATH, ROBINSON 8FR #0094080	13
283101	CATH, ROBINSON 10FR #094100	35
283102	CATH, ROBINSON 12FR #09412	35
283105	CATH, ROBINSON 14FR #094140	35
283106	CATH, ROBINSON 16FR #094160	35
283107	CATH, ROBINSON 18FR #09418	35
283109	CATH, FOLEY 8FR–3CC	28
283110	CATH, FOLEY 10FR-3CC	28
283112	CATH, FOLEY 12FR–5CC	16
283113	CATH, FOLEY–PEDIATRIC 6FR–3CC	18
283114	CATH, FOLEY 16FR–5CC	16
283115	CATH, FOLEY 18FR–5CC	16
283116	CATH IRR VALUE 30CC	135
283117	CATH, FOLEY 22FR–5CC	16
283118	CATH, FOLEY 14FR–30CC LATEX	9
283119	CATH, FOLEY 16FR–30CC LATEX	24
283120	CATH, FOLEY 18FR–30CC SILICONE	24
283121	CATH, FOLEY 20FR–30CC SILICONE 2-WAY	24
283124	CATH, FOLEY 20FR–5CC BARD (LATEX)	11
283126	CATH, FOLEY 24FR–5CC BARD (LATEX)	24
283151	CATH TIEMANN(COUDE) 12FR	38
283152	CATH TIEMANN(COUDE) 14FR	38
283153	CATH TIEMANN(COUDE) 16FR	38
283154	CATH,TEXAN,URIDOM	17
283155	CATH, CHEST TROCAR	68
283157	CATH URETERAL FLEXTI	63
283158	CATH TIEMANN(COUDE) 18FR	38
283159	CATH TIEMANN(COUDE) 20FR	38
283160	COLOSCOPE	282
283175	CENTRASIL	135
283209	CATH CUTDOWN	29
283212	CATH,CLAMP	17
283241	H – CLAVICLE H	65
283242	C-COLLAR RIGID&FLEX	153
283243	CERVICAL COLLAR FIRM SMALL	118
283244	CERVICAL COLLAR FIRM LARGE	118
283245	CERVICAL COLLAR FIRM MEDIUM	118
283246	CERVICAL COLLAR FIRM EX-LARGE	118
283247	C G F BORDER	87
283249	C G F WAFER X-TRA THIN	37
283251	CLAVICLE SPLINT INFANT	51
283252	CLAVICLE SPLINT SMALL (CHILD)	51
283253	CLAVICLE SPLINT YOUTH #3004-03 (MED)	51
283254	CLAVICLE SPLINT LARGE	51
283255	CLAVICLE SPLINT EX-LARGE	51
283299	COMPLEAT FORMULA	35
283301	CONNECTOR, TUBING 5-IN-1	17
283302	EZ-I/O STABILIZER	24
283303	COMPRESSION SCREW	110
283324	CONVERTER	48
283326	CORTICAL SCREW	68
283340	COTTON BALLS	12
283347	CUPS C+A TEST PKG-8	12
283350	SPONGE,CURITY 4X4 GAUZE (2 PER PK)	12
283351	CATH BARTHOLIN CYST	109
283352	CATH TRAY FOLEY 16FR	107
283354	CATH TRAY S FOLEY	29
283355	CYSTO TUBING	37
283358	CYSTO FLEX	623
283360	CATH PHILLIPS FOLLOWE	172
283361	CATH FOLEY 16FR 10CC	28
283380	CATH KIT SUPRA PUBIC	117
283381	CATH SUPRAPUBIC STAM	211
283383	CATH LEG STRAP MEDICHOICE #CLS1400	41
283394	CATH TRAY C CCATH (STRAIGHT)	78
283408	COLOST BG	53
283700	CLAMP DRAIN BAG	21
283707	CLEAN CATCH KIT	17
283716	BASIN (WASH) MED ACTION #362-10	12
283720	CONNECTOR LUERLOCK	21
283770	STERILE COBAN	13
283775	CHIX CLEAN	21
283779	CLIP REMOVER	12
283780	COBAN ELASTIC 4 #1584	41
283784	COBAN, 2 ELASTIC 3M1582	7
283785	COBAN, 3IN 3M1583	5
283806	CUTDOWN TRAY	81
283810	CUTTING LOOP	329
283841	CATH QUICK,18GAX1 1	30
283846	CYSTOSCOPE	555
283850	SHOE COVERS	193
283851	SURGERY CAPS	11
283853	SURGI GRIP	57
283972	D L U 3.5	555
283974	D L U 30V	555
283983	ENDOSCOPIC ARTICULATING LINEAR CUTTER	1040
283985	ENDOPATH VASCULAR RELOAD	465
284003	SKIN AFFIX	114
284006	DIS POZ-A-BAG	33
284014	DRESSING TRAY-SUPP	30
284016	DRESSING, NON ADHERANT OPTIFOAM	21
284018	ER INST SET (DISPOSABLE)	51
284019	EYE TOOL (ALGERBRUSH)	347
284130	DRAIN MALECOT	159
284132	DRAIN,PEZZOR, 3-3 1-	37
284198	DRAIN, PENROSE	16
284364	DRAIN SYST URINARY	37
284424	DERMA CARE PAD 30 40	92
284575	OPSIT I.V. DRESSING	17
284718	DRAIN FLAT	92
284722	DRAIN WOUND SHIRLEY	63
284724	DRAIN SUMP	68
284750	DIAPERS-NEWBORN/BX	30
284773	DIAPERS, BOX	34
284775	DIAPER, EACH	5
284777	DRAPE, LARGE	33
284778	DILATOR PHILIPS FOLL	194
284780	DISP PILLOW CASE EA.	11
284782	DISP FLAT SHEETS EA.	17
284837	DRESSING, OWENS	21
284838	POLYMEM, NON-ADHESIVE, DRESSING 4X4	19
284839	DUO DERM XTRA THIN DRESS	147
284840	DRESSING TRAU-MEDIC	30
284841	DRES WOUND SWEEN CREAM	26
284842	DRESSING, ADHESIVE SURG.	11
284844	DRESSING, EXUDERM 4 X 4	11
284845	DRESSING, OPTIFOAM 4 X 4	18
284900	DUO DERM DRESSING	37
284901	DURODERM HYDROACTIVE DRESSING	29
284903	DUO DERM GRANULES	50
284904	DUO DERM GEL	34
285001	EYE TRAY	46
285003	EYE SHIELD	12
285005	EAR TRAY	57
285007	E E A	233
285008	E E A STAPLES	461
285009	ELASTOGEL	18
285202	EAR SYRINGE 3 OZ	17
285203	ELASTOPLAST 1 INCH	16
285204	ELASTOPLAST 2 INCH	35
285205	ELASTOPLAST 3 INCCH	46
285206	ELASTOPLAST 4 INCH	70
285207	BLADDER EVAC	233
285208	ELECTRODES, EKG PEDIATRIC	16
285209	ELECTRODES-NEONATAL	16
285210	ESOPHAGEAL STETHOSC	123
285220	EXTERNAL CATHETER	29
285225	EYE PADS	12
285230	EPIFIX, 2CM X 3CM	461
285250	ADULT CO2 DETECTOR	70
285251	PEDIATRIC CO2 DETECTOR	70
285270	CON EPIDURAL ANES TR	253
285338	EMESIS BASIN	16
285339	CONVENIENCE BAGS	12
285340	ENDOCLIP	754
285344	ENDOSCOPIC INST SET	1906
285365	EYE DRAPE #8441	21
285366	ENEMA	77
285367	ENEMA BAG	77
285440	EPIFIX, 4CM X 4CM	461
285560	EPIFIX,5CM X 6CM	461
285811	2.5MM ENDO TUBE–UNCUFFED	137
285812	3.0MM ENDO TUBE–UNCUFFED	137
285813	3.5MM ENDO TUBE–UNCUFFED	137
285814	4.0MM ENDO TUBE–UNCUFFED	137
285815	4.5MM ENDO TUBE–UNCUFFED	137
285816	5.0MM ENDO TUBE–UNCUFFED	137
285817	5.5MM ENDO TUBE–UNCUFFED	137
285818	6.0MM ENDOTRACHEAL TUBE–CUFFED	137
285819	6.5MM ENDOTRACHEAL TUBE–CUFFED	137
285820	7.0MM ENDOTRACHEAL TUBE–CUFFED	137
285821	7.5MM ENDOTRACHEAL TUBE–CUFFED	137
285822	8.0MM ENDOTRACHEAL TUBE–CUFFED	137
285823	8.5MM ENDOTRACHEAL TUBE–CUFFED	137
285824	9.0MM ENDOTRACHEAL TUBE–CUFFED	137
285825	BOUGIE ENDO TUBE INTRODUCER	34
285836	NUT. PUMP SET	81
285838	BAG,PRESSURE INFUSER 1000ML	38
286215	FIBRACOL PLUS 4 X 4 DRESSING	57
286220	FILTER, KIDNEY STONE	12
286679	FILTER. I.V.	21
286681	FILEFORMS & FOLLOWERS	350
286804	FEEDING TUBE INFANT	21
286806	FEMALE SELF CATH	17
286810	FEEDING TUBE ENERGETIC	93
286816	FILTER FLO EXTEN SET	29
286820	FILTER STRAW	16
287054	VENI GUARD IV DRESSING	8
287182	GAUZE,VASELINE	29
287261	GAUZE, CARRA	16
287263	GAUZE IODOFORM 1/4 7831	44
287264	GAUZE,IODOFORM 1/2	46
287265	GAUZE,IODOFORM 1IN	48
287266	GAUZE, 2 IODOFORM PACKING #7834	50
287268	G I A	755
287269	G I A STAPLES	257
287270	BIOGEL GLOVE SIZE 7	17
287271	STERILE GLOVE SZ 7-1/2	7
287273	BIOGEL GLOVES SIZE 7-1/2	17
287274	BIOGEL GLOVES SIZE 6	17
287275	BIOGEL GLOVES SIZE 6-1/2	17
287276	SENSICARE GLOVE SIZE 6	9
287277	SENSICARE GLOVE SIZE 7	9
287278	SENSICARE GLOVE SIZE 8	9
287381	GLOVES PF LATEX MEDIUM	18
287382	GLOVES PF LATEX LARGE	18
287383	GLOVES PF LATEX SMALL	18
287384	BIOGEL GLOVE SIZE 8, #30480	17
287385	SENSICARE GLOVE SZ 7-1/2	9
287386	BIOGEL GLOVE SIZE 8 1/2	17
287390	GASTROSCOPE	555
287391	PERCUTANEOUS SHEATH INTRODUCER KIT	121
287392	PERCUTANEOUS ENDO GASTRO TUBE	393
287393	GASTRIC LAVAGE KIT (VACUUM)	228
287394	STOMA PASTE	21
287629	GAUZE, 1 PLAIN PACKING	9
287630	GAUZE, 1/2 PLAIN PACKING	9
287631	GAUZE, 1/4 PLAIN PACKING	9
287700	GOWNS, ISOLATION XLG	17
287787	GOWNS, ISOLATION	17
287789	GOWNS, SURGICAL #90012	33
287801	GOMCO	93
287850	HEAVY DRAINAGE PACK	29
287858	SUCTION,HEYER SCHULTEE	100
287860	TECHNI-CARE	16
287905	RING, SKIN BARRIER SOFTFLEX	13
288000	DERMA GEL WOUND DRESSING	35
288032	STAPLER, 3M SKIN DS-5	33
288033	STAT-PADZ (DEFIBRILLATOR)	130
288273	HYDROACTIVE GEL	35
288392	POUCH,OSTOMY	35
288671	IV EXTENSION FILTER SET/HIGH VOLUME	16
288713	HEEL, WALK, CHILD	39
288715	HEEL,WALK,DUALADULT	46
288800	FECAL COLLECTION BAG	63
288825	HYSTERECTOMY DRAIN	153
289007	ER INSTRUMENT SET	86
289010	ICE PACK CONSTANT	32
289107	INT PACEMAKER INSERT	1031
289163	INF., BUTTERFLY	21
289174	LEUR ADAPTER	16
289176	INSERTS-DOU RECTANG(DISP)	11
289256	CURAFIL HYDROGEL GAUZE 4X4	21
289360	IRRIG ACETIC SOL 250ML	16
289361	IRRIG SALINE SOL 250ML	16
289362	IRRIG ACETIC SOL 1000ML	37
289363	IRRIG SALINE 1000 ML	44
289364	IRRIGO.9%SOD CHL1000	44
289365	IRRIG SALINE 500CC	29
289367	1000CC STERIL H2 0	33
289369	250CC STERILH2 O	16
289700	IRRIGATION TRAY W/ BULB SYRINGE	50
289729	IRRIGATION TRAY W/ PISTON SYRINGE	37
289802	IV START KIT	29
289803	IV SET, VENTED	29
289804	IV SET 10 DROP	29
289901	CURAGEL HYDROGEL DRESSING 4X4	17
289905	MEPILEX BORDER 4X4	37
301007	CULTURE AEROBIC	171
301010	CULTURE ANAEROBIC	97
302000	CULTURE BLOOD	168
302001	CULTURE BLOOD POS WKUP	34
302002	CULTURE BLOOD LABCORP 1ST SET	168
302003	CULTURE BLOOD LABCORP 2ND SET	168
303005	CULTURE CHLAMYDIA	137
303007	CHLAMYDIA DNA PROBE	123
304000	CULTURE EAR	171
305000	CULTURE EYE	132
305990	FECAL WBC	66
307000	CULTURE YEAST	137
308011	NEISSERIA GONORRHOEAE NAA	123
308012	GRAM STAIN	46
308014	GIARDIA ANTIGEN	47
308015	FUNGAL STAIN	62
308016	CDIFF LABCORP	51
308040	KOH PREP	57
309000	CULTURE NASAL	171
309021	PINWORM IDENTIFICATION	107
321136	ANKLE XRAY LT	377
321137	ANKLE XRAY RT	377
321138	X-RAY COPIES	7
321144	KUB	342
321145	KUB FLAT AND UPRIGHT	389
321146	ABD TOMOGRAPHY	544
322179	SKULL 2 VIEW	361
322193	SM BOWEL SERIES	647
322421	AC JOINTS	431
323117	CLAVICLE RT	361
323118	CLAVICLE LT	361
323119	C SPINE XRAY	431
323120	C SPINE OBL XRAY	558
323121	MA CO HEALTH CHEST	51
323138	CHEST XRAY	361
323139	PA CHEST X-RAY	279
323140	BUCKY CHEST	279
323141	FLUORO W/BOIPSY GUIDE	563
323142	INTERNAL PACEMAKER	268
323150	CHEST TOMO	567
323156	CYSTOGRAM XRAY	427
323159	CRYSTALS	21
323190	OR CHOLANGIOGRAM	476
323191	PORTABLE CHEST	302
323208	CHEST I E	182
325127	ELBOW XRAY RT	361
325128	ELBOW XRAY LT	361
325146	AIR CONTRAST ENEMA	649
325150	BARIUM ENEMA	603
325151	ESOPHAGUS XRAY	413
326102	FACIAL BONES	491
326128	FOREARM XRAY RT	321
326129	FOREARM XRAY LT	321
326131	FINGERS XRAY RT	349
326132	FINGERS XRAY LT	349
326133	FEMUR XRAY RT	410
326134	FEMUR XRAY LT	410
326137	FOOT XRAY RT	373
326138	FOOT XRAY LT	373
326153	FLOURO, NO FILMS	63
326155	FISTULA – SINUS TRACK	368
326160	FLOURO W/SPOT FILMS	218
328113	HIP XRAY, RT	356
328114	HIP XRAY LT	356
328126	HUMERUS XRAY RT	361
328127	HUMERUS XRAY LT	361
328130	HAND XRAY RT	361
328131	HAND XRAY LT	361
328166	HIP NAILING PROSTH RT	824
328167	HIP NAILING PROSTH LT	824
329127	COCCYX	361
350490	ECHOENCEPHALOGRAPHY	659
352998	NEEDLE, BIO W/ULTRASOUND	417
356352	KIDNEY U/S	755
357089	PELVIC,TRANS VAGINAL	621
374275	MAMMOGRAM SCREENING	267
374276	NEEDLE LOCALIZATION W/PACK	348
390540	CL- FISCHER PENICILLIN INJECTION	100
403021	FIBERGLASS CAST 4 PINK #82004X	53
403022	FIBERGLASS CAST 3 #82003B BLUE	48
403023	DISPOSABLE VAGINAL SPECULUM	15
407392	GAUGE, SNAP DEVICE (DACOMED)	88
409412	CATH. BARD12 (ALL PURPOSE)	13
409414	CATH. BARD14 (ALL PURPOSE)	13
409416	CATH. BARD16 (ALL PURPOSE)	13
409418	CATH. BARD18 (ALL PURPOSE)	13
409420	CATH. BARD20 (ALL PURPOSE)	15
409422	CATH. BARD22 (ALL PURPOSE)	15
410008	ADMIN FLU SHOT	8
410101	CERVICAL EXAMINATION	66
431518	TUBE Y-EXTENSION	16
433114	CATHETERS	57
433116	CATHETER INSERTION KIT W/BAG	107
433118	CATHETER INSERTION KIT W/O BAG	72
433354	CATH TRAY/WO-CATHETER	24
434006	URINARY LEG BAG	33
434035	FEEDING PUMP KIT	35
434253	GLUCOSE TEST STRIPS (1 UNIT=50 STRIPS)	148
434259	LANCETS (1 UNIT=100 LANCETS)	101
434364	URINARY DRAIN BAG	37
434825	DERMAGRAN 4X4 WOUND DRESSING	33
439700	IRRIGATION TRAY	34
440025	HCY SCREENING	81
440696	ROCEPHIN PER 250 MG	16
441080	TESTTOSTERONE 200 MG/ML 1CC	7
450000	OXYGEN SET	132
450408	PULMOCORT / BUDESONIDE 0.5MG	49
450409	PULMOCORT 0.25MG / BUDESONIDE	42
451805	INTUBATION	723
460283	PT ELECTRICAL STIMULATION HMO	82
461000	PT FUNCTIONAL CAPACITY EVALUATION	805
461900	PT KNEE BRACE BLEDSOE TYPE HINGED	544
462000	PT POST OFFER FIT FOR DUTY	180
464625	PT BUCKS TRACTION BOOT	80
468020	PTWORK HARDENING CONDITIONING EVALUATION	606
468978	PT MOBILITY ONSET FUNCTIONAL LIMITATION	2
468979	PT MOBILITY GOAL FUNCTIONAL LIMITATION	2
468980	PT MOBILITY DISCHARGE FUNCTIONAL LIMIT	2
468981	PT BODY POSITION FUNC LIMIT STATUS	2
468982	PT BODY POSITION GOAL FUNC LIMIT	2
468983	PT BODY POSITION DISCHARGE FUNC LIMIT	2
468984	PT CARRYING FINCTIONAL LIMITATION STATUS	2
468985	PT CARRYING FUNCTIONAL GOAL LIMITATIONS	2
468986	PT CARRYING DISCHARGE FUNCTIONAL LIMIT	2
468987	PT SELF CARE ONSET FUNCTIONAL LIMITS	2
468988	PT SELF CARE GOAL FUNCTIONAL LIMITATION	2
468989	PT SELF CARE DISCHARGE FUNCTIONAL LIMIT	2
468990	PT OTHER PRIM ONSET FUNCTIONA LIMITATION	2
468991	PT OTHER PRIM GOAL FUNCTIONAL LIMIT	2
468992	PT OTHER PRIM DISCHARGE FUNCTIONAL LIMIT	2
468993	PT SUBUSEQUENT ONSET FUNC LIMIT	2
468994	PT SUBUSEQUENT GOAL FUNC LIMITATION	2
468995	PT SUBSEQ DISCHARGE FUNCT LIMITATION	2
478996	ST ONSET SPEECH THERAPY SWALLOWING	2
478997	ST GOAL SWALLOWING FUNCTIONAL LIM	2
478998	ST DISCHARGE SWALLOWING FUNCTION	2
478999	ST INITIAL MOTOR SPEECH FUNCTIONAL LIM	2
479158	ST DISCHARGE MOTOR SPEECH FUNTIONAL	2
479159	ST INITIAL SPOKEN LANGUAGE COMP	2
479160	ST GOAL SPOKEN LANGUAGE FUNCTIONAL LIM	2
479161	ST DISCHARGE SPOKEN LANGUAGE FUNCTIONAL	2
479162	ST INITIAL SPOKEN LANGUAGE EXP	2
479163	ST GOAL SPOKEN LANGUAGE EXPRESSION	2
479164	ST DISCHARGE SPOKEN LANGUAGE EXPRESSION	2
479165	ST INITIAL ATTENTION FUNCTIONAL LIM	2
479166	ST GOAL ATTENTION FUNCTIONAL	2
479167	ST DISCHARGE ATTENTION FUNCTIONAL	2
479168	ST INITIAL MEMORY FUNCTIONAL LIM	2
479169	ST GOAL MEMORY FUNCTIONAL	2
479170	ST DISCHARGE MEMORY FUNCTIONAL	2
479171	ST INITAIL VOICE FUNCTIONAL LIMIT	2
479172	ST GOAL VOICE FUNCTIONAL LIMITATION	2
479173	ST DISCHARGE VOICE FUNCTIONAL	2
479174	ST INITIAL OTHER SPEECH LANGUAGE PATH	2
479175	ST GOAL OTHER SPEECH LANGUAGE PATH	2
479176	ST DISCHARGE OTHER SPEECH LANGUAGE	2
479186	ST GOAL MOTOR SPEECH FUNCTIONAL LIM	2
500099	MEFIX TAPE	1
501020	SET, IVAC – PUMP	16
501534	ABD WOUND PADS	9
501543	BLOOD DRAW	13
501835	ADAPTIC 3X3	9
502144	SOLUTION, BETADINE	15
502146	SWABSTICK, BETADINE	9
502314	ELASTIC BANDAGE	9
502316	Ace wrap 6	11
502727	OPTILOCK,DRESSING 6 1/2 X 10	48
502964	MEDIPORE TAPE 4 #2964	27
503006	MEDIHONEY GEL 1.5OZ.	38
503007	CARRINGTON SPRAY L	29
503009	CARRINGTON WOUND GEL	26
503010	**USE 283013*	16
503055	SYRINGE CATH TIP	9
503320	CONTROLLER, SETGYBACK	15
503322	CONTROLLER, PIGGYBACK	12
503350	SPONGE,CURITY GAUZE 2/BX	9
503570	DERMA GRAN HY-WOUND DRESSING	21
503571	MEDIPORE + PAD 3.5X10 WOUND DRESS. #3571	13
504575	OP-SITE I.V. DRESSING	12
504835	ALLEVYN 5 X 5 DRESSING	17
504839	DURO DERM XTRA. 6X7	16
505001	HHA PATIENT’S HOME SETTING	0.01
505002	HHA IN ASSISTED LIVING FACILITY SETTING	0.01
505044	POLYMEM MEMBRANE DRESSING	12
506209	HYDRASORB FOAM DRESSING 4 X 4	26
507010	HOME HEALTH EVALUATION	214
507011	SKILLED NURSING VISIT	214
507012	PHYSICAL THERAPY VISIT	214
507013	SPEECH THERAPY VISIT	227
507014	OCCUPATIONAL THERAPY VISIT	214
507015	MEDICAL SOCIAL SERVICES	321
507016	HOME HEALTH AIDE	165
507017	SKILLED VISIT/DISCHARGE	214
507019	PHYSICAL THERAPY ASSISTANT VISIT	214
507110	RN SKILLED NURSING VISIT	214
507111	LPN SKILLED NURSING VISIT	214
507261	GAUZE, CARRA	13
507264	GAUZE, IODOFORM 1-2IN.	16
507266	GAUZE,PLAIN 1/4 7631	21
507886	INFLUENZA VACCINE	15
507887	ADMIN. OF VACCINE	17
507895	INTRASITE GEL	18
508303	TENDERWET DRESSING 3X3	15
509174	CAP, INJECTION	9
509344	SILVA SORB DRESSING	21
509369	H2o sterile 250cc	9
509802	KIT, START I.V.	9
515120	CHORE	16
517020	HOMEMAKER PERSONAL CARE	16
517021	HOMEMAKER	16
517022	AUTH NURSE VISIT	214
519301	ADVANCED PERSONAL CARE	18
519431	HOMEMAKER HRLY RESPITE R-2	16
519436	ADVANCED HOURLY RESPITE R-3	17
519438	ADVANCED BLOCK RESPITE R-4	194
520025	HEALTH CHILD SCREENG	70
536430	BB TRANSFUSION (LAB USE ONLY)	706
536589	REMOVAL OF PICC LINE	1066
536591	COLLECTION OF BLOOD FROM IMPLANTED DEVIC	117
536592	COLLECTION OF BLOOD FROM CENTRAL OR PERI	127
536593	DECLOT/ THROMBOLITIC AGENT/IMPLNTED DEV	247
538220	BONE MARROW ASPIRATION	762
538250	BILATERAL BONE MARROW ASPIRATION	762
538978	OT MOBILITY OCCP THERAPY FUNCTION	2
538979	OT GOAL MOBILITY OCCP THERAPY FUN	2
538980	OT DISCHARGE MOBILITY OCCP THERAPY	2
538981	OT ONSET OCCP THERAPY BODY POSITION	2
538982	OT GOAL OCCP THERAPY BODY POS	2
538983	OT DISCHARGE OCCP THERAPY BODY POSITION	2
538984	OT ONSET OCCP THERAPY CARRYING,MOVING	2
538985	OT GOAL OCCP THERAPY CARRYING MOVING	2
538986	OT DISCHARGE OCCP THERAPY CARRYING MOV	2
538987	OT ONSET SELF CARE OCCP THERAPY FUN	2
538988	OT GOAL OCCP THERAPY SELF CARE FUN	2
538989	OT DISCHARGE OCCP THERAPY SELF CARE	2
538990	OT OCCUP PRIMARY FUNCT LIMITATION	2
538991	OT GOAL OCCP THERAPY FUNCTION	2
538992	OT DISCHARGE OCCP THERAPY FUN	2
538993	OT OTHER OCCP THERAPY SUBSQT FUN	2
538994	OT OTHER OCCP THERAPY SUBSQT FUNC	2
538995	OT DISCHARGE OCCP THERAPY SUBSQT FUN	2
549082	PARACENTESIS – INITIAL	718
551700	BLADDER IRRIGATION,SIMPLE/LAVAGE&/ORINST	458
551701	CATHETER, INSERTION OF NON-INDWELLING	348
551702	FOLEY CATHETER	473
560040	DRY RUN – AMBULANCE	56
560360	AMB BLS NON-EMERG.	331
560362	AMB BLS EMERG	331
560364	AMB ALS NON-EMERG.(NON SPECIAL ALS)	497
560368	AMB ALS EMERG	497
560394	AMB ALS IV DRUG THERAPY (SPECIALIZED)	37
560396	AMB ALS INTUBATION	37
560422	AMB ALS-BLS OXYGEN (SPECIALIZED)	37
560433	AMB ALS2	486
560434	AMB SPECIALTY CARE TRANSPORT	573
561010	INFANT MECONIUM ASPIRATOR	15
561026	MASK VALVE (ONE WAY)	14
561030	ALS PER/HR	53
561033	RN/PARAMEDIC PER HR.	75
561040	NASAL GASTRIC TUBES	3
561050	STYLETS	15
561060	CONVENIENCE BAGS	4
561064	AMBU BAG	58
561066	OXYGEN/HR	18
561068	OXYGEN SET-UP	41
561070	NASAL CANNULA	7
561072	NON-REBREATHER MASK	37
561077	NASAL AIRWAY	24
561080	ACE BANDAGE	14
561082	BITE STICK	4
561084	BURN KIT	13
561086	C-COLLAR (RIGID & FLEX)	75
561090	DISP PILLOW CASE	3
561092	DISP SHEETS	4
561094	MULTI-TRAUMA DRESSING	14
561096	DISP STRAPS	34
561098	STERILE WATER 250CC	6
561301	DISPOSABLE PEDIATRIC PULSE OX	56
565250	ET CO2 DETECTOR	46
568012	IV TUBING	6
568500	ADENOSINE	105
568505	CALCIUMCHLORIDE 1GM	41
568507	MAGNESIUM SULFATE	34
568509	ASPIRIN 81MG CHEWABLE TAB	6
568510	ATROPINE	9
568515	BRETYLIUM	185
568525	D-50	96
568530	EPINEPHRINE 1:1000	26
568535	EPINEPHRINE 1:10,000	26
568540	ET TUBE	29
568542	EXT. TUBING	18
568545	IPECAC SYRUP	13
568550	ISUPREL	76
568570	EPI MEGA DOSE 30ML	27
568575	LASIX 40MG	34
568580	LIDICAINE PREMIX	68
568585	LIDOCAINE 100MG	64
568590	MORPHINE 2MG/ML INJ	26
568591	MORPHINE 10 MG/ML INJ	30
568595	NITROSTAT/SPRAY	13
568600	PROCAINAMIDE	98
568605	SODIUM BICARBONATE	90
568610	VALIUM	41
568620	INTRAOSSEOUS CATH. 06/96	63
568625	PROCARDIA	7
568630	VERAPAMIL	61
568635	BENEDRYL	23
568638	VERSED 2MG/2ML INJ	72
568645	DOPAMINE 400MG	111
568650	PROCAN SR 500	7
568655	ACTIVATED CHARCOAL	7
568658	NEBULIZER SET-UP	23
568659	NEEDLE DECOMPRESSION KIT	38
569001	ACE BANDAGE	14
569003	ALUMINUM FOIL	5
569004	AMBU BAG	58
569006	OBSERVATION 1 HOUR	65
569009	ARM SLING	23
569010	BED PAN	9
569011	OBSERVATION ICU 1 HOUR	66
569014	BITE STICK	4
569015	C-COLLAR (RIGID & FLEX)	75
569016	BURN KIT	13
569017	COLD PACK	13
569019	DISP PILLOW CASE	3
569021	DISP SHEETS	4
569023	EMESIS BASIN	6
569025	E O A	114
569027	EYE PAD	4
569029	FLEXIBLE SUCTION	9
569031	HOT PAK	26
569033	4 KERLEX	19
569035	KLING	13
569037	MULTI-TRAUMA DRESSING	14
569039	NASAL AIRWAY	24
569041	NASAL CANNULA	7
569043	NON-REBREATHER MASK	37
569045	O B KIT	87
569047	MASK VALVE (ONE WAY)	14
569049	ORAL AIRWAY	13
569051	OXYGEN/HR	18
569053	OXYGEN SET-UP	41
569055	RAZOR ( DISP )	3
569057	RIGID SUCTION	9
569059	STERILE WATER 250CC	6
569061	STERILE WATER 1000CC	19
569063	SUCTION TUBING	19
569065	TELFA PAD	4
569067	URINAL	6
569068	TRANDATE 5MG/ML INJ	21
569069	VASELINE GAUZE	6
569071	4X4 SPONGE	13
590471	IMMUNIZATION ADMIN	62
596360	HYDRATION – 31 MIN TO 1 HOUR	261
596361	HYDRATION – EACH ADDITIONAL HOUR	127
596365	INFUSION THERAPY – UP TO 1 HOUR	348
596366	INFUSION THERAPY – EACH ADDITIONAL HOUR	168
596367	NON CHEMO MEDICATED IV INFUSION 1ST HR	203
596368	NONCHEMO DRG R CONCURRENTLY W/CHEMO/NON	135
596372	ONLY NON CHEMO SQ OR IM INJECTION	96
596374	INITIAL NON CHEMO IVP1ST DRUG 15MIN OR L	259
596375	NON CHEMO IVP/DRIP <15MIN	123
596376	EA ADDL PUSH OF SAME NON CHEMO MED	95
690005	KANGROO PUMP (DAILY)	26
690010	TUBE FEEDING-INTERNAL SYS 8 OZ.	13
690015	TOPCONTAINER PUMP SET	26
690020	EXTERNAL Y EXTENSION SET	34
690025	PISTON FEEDING SYRINGE	13
690027	SPIKE SET/PUMP	16
690030	GASTROSTOMY TUBE	131
691020	IVAC PUMP SET	39
692146	BETADINE SWABSTICK	11
695338	EMESIS BASIN	16
697184	GAUZE 2X2	12
980540	CL- PENICILLIN INJECTION DAVIS	100
993797	UNMONITORED CR	65
1200001	TRAPEZOID	778
1200100	EMERGENCY SURGERY	1410
1200101	EMERGENCY SURG ADD 1/2 HR.	833
1201112	AIR TRAQ OPTICAL LARYNGOSCOPE	392
1210202	VENTRALEX ST HERNIA PATCH SMALL	1079
1210205	VENTRALEX ST HERNIA PATCH MEDIUM	1243
1210303	VENTRALEX HERNIA PATCH LARGE	1197
1211305	MASK, LMA #4	117
1211306	MASK, LMA #5	88
1211347	C-ARM DRAPE	33
1211813	ARTHROSCOPE(EQUIPMENT CHARGE)	1103
1211814	CYSTOSCOPE(EQUIP CHARGE)	1103
1211815	LAPROSCOPE	1119
1211817	MAVIGRAPH	21
1211901	JEGUNO T-FASTENER	396
1211921	SUCTION PROBE	228
1212123	CONSCIOUS SEDATION<5YRO	396
1212124	CONSCIOUS SEDATION>5YRO	433
1212125	CONSCIOUS SEDATION ADD ON 15 MIN	131
1213030	LIFEPACK	186
1213035	CARDIAC/BP/O2 SAT MONITOR	292
1213039	INTERJECT NEEDLE	253
1213050	LMA MASK #3	117
1216025	SAFETY PINS	9
1216030	T&A PACK MEDLINE#DYNJS0701	148
1216036	TRIAL CABLE AND EXTENTION	978
1216037	TRIAL KIT	322
1216038	PACK, LAP #4 MID 88241	189
1216039	TRIAL LEAD KIT (50CM 8)	2646
1216041	IMPLANTABLE NEUROSTIMULATOR ELECTRODE,	1115
1216042	PACK, #1 (LITH)	145
1216043	5CM RF ELECTRODE PROBE	234
1216044	TCD-10 ELECTRODE 10CM	234
1216045	20CM RF ELECTRODE PROBE	234
1216046	TCD-15-P 15CM 28GA ELECTRODE	234
1216047	PACK, #2 TRANS	145
1216838	K-PAD	41
1217062	CHLORAPREP 3ML APP ORANGE TINT	7
1217063	CLORA PREP 3ML 260400	9
1217064	PREP SET (SKIN)	51
1217066	CHLORA PREP (26ML) LARGE	35
1217067	CHLORA PREP (10.5ML) SMALL 260715	21
1217068	BETADINE SURGICAL SCRUB-MEDICHOICE	7
1218001	RECOVERY 1ST HOUR	1093
1218003	RECOVERY ADDITIONAL PER 1/2 HR	383
1219007	SEQUENTIAL STOCKING PUMP/DAY	131
1219014	CLOTEST	96
1219016	C D CATH SET	189
1219017	SEQUENTIAL COMP. DEVICE	219
1219018	C D DRNG CATH	181
1219101	INPATIENT SURGERY 1ST HOUR	2891
1219102	SURGERY-OUTPATIENT	1835
1219103	INPATIENT SURGERY ADDITIONAL 1/2 HR	1301
1219104	TROCAR-5MM	248
1219106	TROCAR-SURGISPIKE 5MM	248
1219109	ROTICULATOR 170	1238
1219110	ROTICULATOR 200	1320
1219111	SURGIWAND	228
1219112	ENDOSHEARS	610
1219114	TROCAR XLONG 150MM (EACH)	383
1219122	V-PATCH LARGE	1067
1219123	V-PATCH MEDIUM	901
1219124	V-PATCH SMALL	718
1219125	TAC SHEILD MESH	1078
1219199	SURGERY MINOR (1ST 1/2 HOUR)	1376
1219200	SURGERY MINOR (ADDITIONAL 1/2 HR)	1005
1219291	SKIN STAPLER PMW35	33
1219441	RADIO ABLATION CATHETER	81
1219483	LAP SPONGE	21
1219485	LIGATOR (6-SHOOTER)	652
1219486	SMALL POLYPECTOMY SNARE	233
1219487	RADIO ABLATION DISP ELECTRODE	350
1219809	SURGICEL	348
1220146	T TUBE	210
1220710	CROSS INFLOW CAS TUBIN	95
1220720	DONALDSON	86
1220721	ARMSTRONG	137
1220722	MYRING TUBES	223
1220723	SUCTION TUBING	44
1220725	MICROAIRE SAW BLADE#SP111	101
1220726	ARM WITH TAB	123
1220727	ARMSTRONG- FLUERO PACIFIC	141
1220728	ARMSTRONG – ULTRASIL	130
1220729	DONALDSON- ULTRASIL	97
1220730	MODIFIED T TUBES – ULTRASIL	190
1220847	TOM CAT SHAVER BLADE F-SERIES 4.0	110
1220848	KNEE INSTRUMENTATION SYSTEM	630
1220856	TROCAR 12MM	378
1221036	URETHRETOME	51
1224440	X-RAY SPONGE	32
1224442	TONSIL SPONGE	16
1224484	PNUEMATIC TOURNIQUET	141
1231202	CYTOLOGY BRUSH	338
1239090	NEVYUS DRAPE	50
1251110	SUCTION COAGULATOR 10FR	44
1251111	ESMARK	78
1251113	GOLDVAC	183
1251114	EVAC HANDPIECE	172
1251120	BOVIE PENCIL CONMED #131307A	109
1256950	SURGICAL NERVE LOCATOR	130
1256990	ENDO RETRACT II	414
1262311	INJECTION/EPIDURAL/LUMBAR	1414
1269014	O/P POST OPER/HRLY	329
1269035	MARKING PEN	16
1269036	MEDICATION LABEL	18
1269037	MARKER W/ LABELS SANDEL #3310-P	15
1269040	MICROSCOPE	887
1269045	PERIBULBAR	37
1269046	MESH 3X6, BARD #0112680	131
1269047	PERCUTANIOUS PRECUT T TUBE	165
1269048	DILATOR SYRINGE	161
1269065	WECK CELLS	16
1269075	PAPER TAPE	13
1269090	NEVYUS	18
1269095	STERI DRAPE	120
1269100	EYE PAD	11
1269109	MIOCHOL	121
1269110	GLOVES	15
1269111	INJECT G-PROBE	755
1269112	GOLD PROBE	548
1269113	EXTREMITY SHEET/ UPPER #89271	96
1269114	SCROTAL SUPPORT	33
1269115	SILK	21
1269120	PROLENE	58
1269123	VASCULAR ACCESS PORT	1614
1269125	VICRYL	85
1269126	VERSAPORT/12MM TROCAR B12LP	361
1269128	VERSAPORT 5MM B5LT	318
1269129	XL TROCAR	504
1269146	T-EASY PLUG 4 SURGIMESH	822
1269152	AMVISC PLUS	142
1281814	BULKAMID SCOPE/STERILIZATION TRAY	2520
1289004	BULKAMID KIT DISPOSABLE	1260
1299000	TIGER TAIL URETERAL CATHETER	41
1299001	SOLO PLUS GUIDEWIRE	132
1299004	URETERAL STENT 6FRX26CM	331
1299102	GUIDEWIRE/JAG	522
1299103	GLIDEWIRE	859
1299109	BASKETS	759
1299110	ROTH RETRIVAL NET	273
1299113	CANNULA NASAL ADULT	211
1299114	CO2 MONITORING CANNULA	79
1299123	ERCP CYTOLOGY BRUSH	239
1299148	CUROS STRIP	8
1636430	BLOOD ADMINISTRATION	215
1636569	INSERT OF PICCLINE PORT OR PUMP >5YRS OL	969
1686580	TB SKIN TEST	53
1696372	ONLY NON-CHEMO SQ OR IM INJECTION	96
1696375	NON CHEMO IVP/DRIP <15MIN	123
1696401	NON-HORMONE(ANTI-NEO SQ/IM)	301
1696402	HORMONE ANTI-NEO SQ/IM (1/VS)	192
1696409	INITIAL CHEMO – IVP(1ST DRUG)	610
1696411	CHEMO IVP/DRIP(15MIN OR LESS) ADDL DRUG	365
1696413	CHEMO ADMIN UP TO 1 HR	826
1696415	CHEMO ADMIN EACH ADDIITIONAL HR	202
1696417	INFUSION OF DIFF CHEMO DRUG 1ST HR	392
1696542	CHEMO INJ/OMMAYA RESERVOIR	870
1800341	ENDTIDAL CO2 SETUP	44
1800342	ENDTIDAL CO2 INTUBATION SETUP	63
1800344	ETCO2 CANNULA (SURGERY)	43
1810060	I & D SIMPLE	348
1810061	I&D COMPLICATED	630
1810070	INCISION AND DRAINAGE HEMOTOMA	348
1810120	FRGN BODY RMVL-SQ TISSUE,SIMPL	348
1810121	FRGN BODY RMVL-SQ TISSUE,COMPL	868
1810122	FRGN BODY DRAINAGE, SQ TISSUES	348
1810160	PUNCTURE DRAINAGE OF LESION	335
1811042	CLEANSING & DEBRIDEMENT OF TISSUE	496
1811247	I & D OF HEMATOMA	372
1811423	REMOVAL OF SKIN LESION	782
1811700	DEBRIDEMENT OF NAILS	98
1811730	AVULSION OF NAIL COMPLETE SINGLE	298
1811740	NAIL-BLOOD DRAINAGE	161
1811750	REMOVAL OF NAIL(S)	738
1811765	EXCIS. OF NAIL FOLD	342
1812001	REPAIR-WOUNDS SIMPLE 0 TO 2.5C	438
1812002	REPAIR WOUNDS-SIMPLE,2.6-7.5CM	481
1812004	REPAIR WOUNDS-SIMPLE 7.6-12.5C	576
1812005	REPAIR SUPERFICIAL WOUNDS	824
1812011	REPAIR WOUNDS-2.5CM,FACE,EARS	489
1812013	REPAIR WOUNDS-2.6CM TO 5.0CM	584
1812014	REPAIR WOUNDS-5.1CM TO 7.5CM	714
1812015	SIMPLE REPAIR 7.6CM TO 12.5CM	868
1812031	LAYER CLOSURE UP TO 2.5CM	565
1812032	LAYER CLOSURE FR 2.6CM TO 7.5C	731
1812034	7.6CM-12.5CM REPAIR INTERMEDIA	938
1812035	CLOSURE LAYER, 12.6-20.0CM	1172
1812041	CLOSE-NECK,HAND FEET TO 2.5CM	659
1812042	CLOSE-NECK,HAND 2.6 TO 7.5CM	774
1812044	7.6CM-12.5CM REPAIR HAND, FOOT, NECK, EX	1048
1812045	LAYER CLOSURE-12.6CM TO 20.0CM	1233
1812051	LAYER CLOSURE-FACE 0 TO 2.5CM	714
1812052	CLOSE FACE,EARS 2.66 TO 5.0CM	902
1812053	LAYER CLOSURE OF 5.1CM TO 7.5CM	1042
1812054	CLOSE FACE,EARS-ETC.7.6-12.5CM	1048
1813120	REPAIR COMPLEX-SCALP,ARM,LEG 1.1CM-2.5CM	954
1813121	WOUND REPAIR	1387
1813131	COMPLEX REPAIR,FACE,NECK,GENITALIA,HANDS	1122
1813300	REPAIR UNUSUAL COMPLICATED/OVER 7.5CM	1046
1816000	INITIAL LOCAL TREATMENT-BURN	247
1816020	DRESS-DEBRID W/O ANESTH,SMALL	301
1816022	DEBRIDEMENT SKIN & SUBCUTANEOUS TISSUE	289
1816025	TREATMENT W/O ANEST-FACE	522
1816030	DRESS-DEBRID W/O ANESTH,LARGE	854
1817743	PELVIC STRAPPING DEVICE	233
1819002	ER EXTENSIVE	412
1819003	ER EXTENDED OVER 2 HRS	248
1819004	ER EXTENDED OVER 4 HRS	323
1819005	ER EXTENDED OVER 5 HRS	392
1819006	ER CODE BLUE	728
1819007	OP BASIC	166
1819008	OP INTERMEDIATE	238
1819009	OP EXTENSIVE	324
1819010	ER INTERMEDIATE	302
1819011	ER TREATMENT	207
1819012	NASAL HEMORRHAGE CONTROL	473
1819013	OP BASIC (ALLERGY)	41
1819014	EXCIS.OF NAIL % MATRIX	767
1820520	REMOVAL OF OBJECT IN MUSCLE	738
1820552	INJ TO TRIGGER POINT, MUSCLES	335
1820605	ARTHROCENTESIS ASPERATION/INJ.	287
1820610	ARTHROCENTESIS LG ASPIR/INJ	378
1820723	SUCTION TUBING	44
1821310	TX OF NASAL FX W/O MANIPULATIO	576
1821480	RESET DISLOCATED JAW	694
1821800	TREAT RIB FX CLOSED UNCOMP-EA.	541
1823500	TREAT CLAVIC FX W/O MANIPULATI	1076
1823650	CLOSE SHLDR,W/MANUP-WO/ANESTH	1328
1823655	DISLOCATION/MANIPULATIO/ANESTHESIA	2035
1823931	I AND D UPPER ARM/ELBOW/BURSA	1560
1824483	DOPPLER-FHT,BP,PULSE CHECK	87
1824484	BLADDER SCANNER	76
1824600	CLOSED ELBOW DISLOCATION REDUCTION	1905
1824640	CLOSED REDUCTIONOF ELBOW DISLOCATION	204
1824655	REDUCTION OF FRACTURE W/ MANIPULATION	806
1825248	REMOVE FRGN BODY-FOREARM	2336
1825260	TENDON AND MUSCLE REPAIR	3804
1825600	TREAT DISTAL RD FX EPIO W/O MA	1401
1825605	DISLOCATION REPAIR	2766
1826010	INCISION AND DRAINAGE ABCESS/FINGER	515
1826350	REPAIR/RECONSTRUCTION TENDON (FLEXOR)	4149
1826410	REPAIR TENDON	3113
1826418	REPAIR TENDON, FINGER	3113
1826700	JOINT DISLOCATION S/P REDUCT OF FINGER	1042
1826720	TREAT PIALANQEAL FX W/O MAN-EA	833
1826725	TREAT PIALANQEAL FX WITH MANIP	1515
1826770	FINGER DISLOCATION REDUCTION	1130
1827096	SACROILIAC JOINT INJ.	1042
1827310	FOREIGN BODY REMOVAL KNEE	4669
1827550	CLOSED TREATMENT OF KNEE DISLOCATION	1733
1827560	KNEE DISLOCATION	1299
1827562	REDUCTION PATELLA	954
1827825	CLOSED TREAT OF ANKLE FX W/MANI	468
1828190	REMOVE FRGN BODY-FOOT SUBSEQUENT	909
1828192	REMOVE FRGN BODY-FOOT DEEP	1733
1828515	TREATMENT OF TOE FRACTURE	738
1828630	TOE REDUCTION	738
1828660	FOOT DISLOCATION REDUCTION	521
1829075	CAST SHRT ARM ELBOW TO FINGER	445
1829125	SPLINT SHRT FOREARM TO HAND	253
1829130	SPLINT FINGER ONLY	193
1829240	SHOULDER STRAPPING	219
1829260	ELBOW OR WRIST STRAPPING	193
1829405	SHRT LEG CAST TOES TO KNEE	515
1829515	SHRT SPLINT – CALF TO FOOT	348
1829530	KNEE STRAPPING	211
1829540	ANKLE STRAPPING	149
1830300	REMOVAL FB NOSE	652
1830901	NASAL PACKING/CAUTERY	473
1830903	CONTROL OF NOSE BLEED	671
1831500	ENDOTRA INTUB EMERG PROCEDURE	833
1832000	THORACENTESIS	989
1832001	PERICARDIALCENTESIS	942
1832002	TREATMENT OF COLLAPSED LUNG	485
1832003	THORNANCENTESIS W/TUBE INSERT	458
1832020	CHEST TUBE C THORA	989
1832551	CHEST TUBE INSERTION	1474
1835226	REPAIR BLOOD VESSEL	2600
1835860	BLOOD VESSEL – SUTURE	2943
1836000	INTRO OF NEEDLE OR CATH, VAIN	193
1836415	ROUTINE VENIPUNCTURE, SPECIMEN	48
1836489	CENTRAL VENOUS CATH-PERCUTANEOUS >2YRS	1172
1836556	INSERTION CENTRAL VENOUS CATHETER	1023
1836589	REMOVAL OF PICC LINE	1066
1836600	ARTERIAL PUNCTURE FOR DIAGNOSI	168
1836680	INSERTION OF OSSEOUS NEEDLE	584
1841250	TONGUE LACERATION/REPAIR	782
1843760	GASTROSTOMY TUBE CHANGE	738
1845300	PROCTOSIGMOIDOSCOPY	348
1846050	INCISION OF ANAL ABSCESS	738
1846083	INCISION OF THROMBOSED HEMORRHOID,EXTERN	671
1846600	ANOSCOPY/DIAGNOSTIC	305
1851010	INSERTION OF SUPRAPUBIC CATHETER	473
1851701	CATHETER, INSERTION OF NON-INDWELLING	348
1851702	FOLEY CATHETER	473
1853670	URETHERAL CATHETER, SIMPLE	473
1854220	PRIAPISM (PENILE ENGORGEMENT)	1099
1854450	MANIPULATION OF FORESKIN (PHINOSIS)	428
1856405	INCISION & DRAINAGE ABCESS VULVA/PERINEA	652
1856420	INCISION OF BARTHOLINS GLAND	714
1859409	DELIVERY, VAGINAL	4004
1862270	SPINAL FLUID TAP	652
1862272	SPINAL PUNCTURE, LUMBAR	904
1865205	REMOVE FRGN BODY-EYE,CONJ SUPE	342
1865206	FLORESCEIN ANGIOGRAPHY	540
1865220	FOREIGN BODY REMOVAL OF CORNEA	402
1869009	FETAL CK&RM SVS EXT	345
1869011	FOREIGN BODY RMVL-SUBCUTANEOUS	909
1869200	FOREIGN BODY REMOVAL- EXTERNAL	419
1869210	CERUMEN	204
1882270	OCCULT BLOOD	57
1882948	GLUCOSE (GLUCOMETER) TEST	50
1886665	SPINE (BACK) BOARD	50
1887060	CULTURE BACT,THROAT – NOSE	171
1891105	GASTRIC INTUB & ASPIR-POISIONS	348
1892950	CPR – PHYSICIAN ADMINISTERED	1335
1892960	CARDIOVERSION, ELECTIVE ARRHY	1000
1892977	THROMBOLYSIS BY IV INFUSION	1766
1896372	STEROID INJECTION NOT IN JOINT	62
1899203	ER EXTENDED OVER 3 HRS	285
1899281	ER PHYSICIAN/LEVEL 1	193
1899282	ER PHYSICIAN/LEVEL 2	289
1899283	ER PHYSICIAN/LEVEL 3	461
1899284	ER PHYSICIAN/LEVEL 4	671
1899285	ER PHYSICIAN/LEVEL 5	1042
1899291	CRITICAL CARE, INIT.1ST HR.	1067
1899292	CRITICAL CARE, EA. AD1/2 HR.	565
2012725	PANCURINIOM INJ	110
2014004	N2-202	100
2016003	PENTOTHAL INJ	97
2016075	FENTANYL INJ 0.05MG/ML	33
2017172	TUBOCURARINE INJ	53
2018002	PYRIDOSTIGMINE INJ	86
2020001	ATRACURIUM INJ	57
2024460	ANESTHESIA 1ST 15 MIN	127
2024461	ANESTHESIA (PER ADDITIONAL 15 MIN)	127
2024466	ANAESTHESIA VENTILATOR	68
2024470	EKG (OR)	121
2024472	O2 ANALIZER	37
2024474	SA02 OXIMETER	49
2024476	ETCO 2	96
2024478	TEMP MONITOR	16
2024479	ANZEMET 12.5 MG DOLASETRON	163
2024480	ESOPHAGES PROBS	37
2024481	TEMPERATURE PROBE	109
2024483	NON-INVASIVE BP CUFF	49
2024485	PNS	21
2024486	WARMING BLANKET	44
2024489	H M E FILTER	34
2058000	AMINOPHYLLINE 250MG	50
2058002	ATROPINE INJE .03MG	44
2058003	PROPOFOL 200MG 20ML VIAL	132
2058004	PHYTONADIONE INJ	50
2058005	RAPLON 20MG/ML VIAL	121
2058006	METARIMINOL INJ	72
2058008	DIPHENHYDRAMINE INJ	44
2058010	CALCIUM CHLORIDE INJ	61
2058012	CALCIUM GLOCONATE INJ	50
2058014	DEXAMETHASONE INJ	50
2058015	MORPHINE INJ	81
2058016	MEPERDINE INJ	50
2058018	DOXAPRAM INJ	253
2058020	DIGOXIN INJ	50
2058022	EPHEDRINE INJ	57
2058024	PROPRANOLOL INJ	44
2058026	ARTIFICIAL TEARS OINT	30
2058028	FUROSEMIDE INJ	57
2058030	LIDOCAINE CARDIAC 2% INJ	114
2058032	MANNITOL INJ	50
2058034	Narcan 0.4mg/ml inj, naloxone	87
2058036	PHENYLEPHRINE INJ	70
2058038	NOTROPRUSSIDE INJ	114
2058040	NALBUPHINE INJ	50
2058042	OXYTOCIN INJ	50
2058044	PHYSOSTIGMINE INJ	58
2058046	NEOSTIGMINE 5MG VIAL 10ML	296
2058048	GLYCOPYROLATE 0.4MG 2ML VIAL	121
2058050	PHENTOLAMINE INJ	348
2058052	SOD. BICARBONATE INJ	96
2058055	ENLON-PLUS 1ML	37
2058056	HYDROMORPHONE INJ	50
2058058	HYPROCOTISONE INJ	50
2058060	METHYLPREDNISOLONE INJ	44
2058061	OTIPRIO 60MG OTIC SUSP 1ML VIAL	1388
2058062	SUFENTA INJ	181
2058063	MIBACURIUM INJ.	93
2058064	EDROPHONIUM INJ	50
2058066	TRIMETHABENXAMIDE INJ	50
2058070	MIDAZOLAM INJ	68
2058071	MIVACRON INJ 2MG/ML	37
2058072	METHOXAMINE INJ	113
2058073	LIDOCAINE/ GLUCOSE	87
2058074	LIDOCAINE JELLY	85
2058076	LIDOCAINE-MPF 0.5% 5mg/ml 50ml sdv	97
2058078	ALFENTA INJ	128
2058079	BICITRA	15
2058080	BUPIVICAINE INJ PF	85
2058082	CHLOROPROCAINE INJ PF	128
2058084	VERCURONIUM 10mg inj 10ml	191
2058085	VERSED 1GM INJ	127
2058086	CEPHAZOLIN IVBP	118
2058088	CLINDAMYCIN IVPB	181
2058090	CEFOPERAZONE IVPB 1MG	204
2058092	CEFTIZDXIME IVPB	461
2058094	IV FLUIDS & OP-SITE	81
2058100	Fospropofol disodium 1050mg/30ml Lusedra	181
2059104	EPINEPHRINE 1ML	44
2059106	LIDOCAINE 2% 10ML mdv	44
2059107	EPIDURAL	1181
2059108	LABETOCOL 1 ML	57
2059110	BUPRENORPHINE INJ 0.1MG	50
2200103	PSA SCREEN	231
2200200	BLOOD GAS ANALYSIS	348
2200299	ALPRAZOLAM	98
2202491	COENZYME Q10	192
2203516	NEUROMYELITIS AUTOANTIBODY IGG	716
2203520	ANTIMULLERIAN	296
2203735	MAGNESIUM URINE 24 HOUR	34
2203883	ALPHA 2 MACROGLOBOLIN	186
2203898	ACCUTYPE IL28	331
2206250	PARANEDPLASTIC AB,FLOUR(X9)	78
2206251	PARANEOPLASTIC ANTIBODY PANEL	1500
2206255	ENDOMYSIAL ANTIBODY IGA	259
2212008	CDIFF	168
2212022	LACTIC ACID	62
2212132	LDH (LABCORP)	34
2212133	LDH	92
2212188	LIPASE	150
2212274	LEAD, PEDIATRIC	86
2212275	LEAD LEVEL	92
2212276	NICKEL LEVEL	185
2212277	MO COBALT EXPOSURE PNL (LABCORP 251075)	250
2212300	LAMICTAL	82
2212403	LEPTOSPIRA ANTIBODY	172
2212405	BULLOUS PEMPHIGOID 180 & 230	226
2212503	LDH ISOENZYMES	128
2212505	LITHIUM (LABCORP)	70
2212506	LITHIUM	70
2212601	LUTENIZING HORMONE	130
2212902	LEGIONELLA PNEUMOPHILA ANTIBODY	81
2213149	MONO SCREEN	77
2213285	METANEPHRINE FRAC PLASMA	137
2213301	MAGNESIUM	98
2213902	MYOGLOBIN URINE	127
2214150	DRUG SCREEN, CHAIN OF CUSTODY, DOT	60
2214202	NOREPINEPHRINE PLASMA	70
2214203	NORTRIPTYLINE	143
2215038	LIVER KIDNEY MICROSOMAL ANTIBODY	144
2215120	KAPPA/LAMBDA LT CHAIN URINE	170
2215121	KAPPA/LAMBDA LT CHAIN SERUM	124
2215122	LAMBDA LIGHT CHAIN	273
2215922	ARIPIPRAZOLE	302
2216110	PHOSPHORUS	87
2216115	PROTEIN TOTAL	87
2216117	PROTEIN S ANTIGEN	190
2216118	ALKALINE PHOSPHATASE	98
2216123	POTASSIUM	87
2216126	PROTIME / INR	98
2216127	COUMADIN	203
2216128	PROCAINAMIDE	85
2216141	PSEUDOCHOLINESTERASE	114
2216190	PLATELET CITRATE TUBE	53
2216191	PLATELET COUNT	53
2216192	PREGNANCY TEST URINE	72
2216193	APTT	97
2216301	PROGESTERONE	121
2216500	PTH INTACT LABCORP	172
2216501	PTH	195
2216600	PROLACTIN	143
2216700	PHENOBARBITAL	50
2216802	PSA DIAGNOSTIC	231
2217100	QUINIDINE LEVEL	85
2218100	RUBELLA IGM	49
2218150	RHEUMATOID FACTOR (LABCORP)	61
2218151	RHEUMATOID FACTOR	61
2218194	RED BLOOD CELL COUNT	37
2218196	RSV	145
2218198	RUBELLA IGG	49
2218600	ALLERGEN (SINGLE ALLGERGEN) LAB USE ONLY	14
2218605	ALLERGEN BLACK PEPPER	17
2218606	ALLERGEN LEMON	17
2218607	ALLERGEN GARLIC	17
2218608	ALLERGEN ONION	17
2218609	ALLERGEN PAPRIKA	25
2218613	ALLERGEN COFFEE	17
2218615	ALLERGEN CARMINE RED DYE	17
2219000	DRUG SCREEN, COLLECTION ONLY	27
2219024	BB ARC-ANTIBODY PANEL,EA	205
2219107	RPR	57
2219122	SODIUM	85
2219127	ALT / SGPT	95
2219150	.OCCULT BLOOD DIAGNOSTIC	38
2219151	SED RATE (ESR)	77
2219152	.OCCULT BLOOD SCREENING	57
2219153	OCCULT BLOOD #1 STOOL	57
2219155	OCCULT BLOOD #3 STOOL	57
2219156	OCCULT BLOOD #2 STOOL	57
2219157	OCCULT BLOOD GASTRIC CONTENTS	57
2219160	VITAMIN K	567
2219161	IRON	87
2219164	TIBC TOTAL IRON BINDING CAPACITY	144
2219165	VITAMIN A	121
2219198	RENIN ACTIVITY	107
2219200	RMSF IGG	88
2219201	RMSF IGM	88
2219203	.RMSF IGG, IFA CONFIRMATORY TEST	83
2219214	SALICYLATE	110
2219220	SCLERODERMA ANTIBODY (Scl-70)	68
2219282	STONE ANALYSIS	119
2219921	PM SCL ANTIBODY	171
2220100	ADH-ANTIDIURETIC HORMONE	95
2220101	TSH	205
2220103	TSH REFLEX TT4	205
2220111	VASOPRESSIN ADH	148
2220119	AST / SGOT	95
2220120	T3 UPTAKE	137
2220154	TRIGLYCERIDES	80
2220162	T4 TOTAL	101
2220165	THEOPHYLLINE	120
2220299	LACOSAMIDE	318
2220301	TEGRETOL	101
2220302	TESTOSTERONE FREE&TOTAL MALE	197
2220303	TESTOSTERONE TOTAL	321
2220304	TRANSFERRIN	97
2220305	TESTOSTERONE LCMS	86
2220401	TOBRAMYCIN, NEBCIN	114
2221112	BUN	91
2221113	URIC ACID	95
2221201	CREATININE 24HR URINE	87
2221202	CALCIUM 24HR URINE W/CREA	28
2221203	CALCIUM 24HR URINE W/O CREA	28
2221207	CREATININE RANDOM URINE	87
2221210	POTASSIUM URINE RANDOM	24
2221215	PROTEIN, TOTAL 24 HOUR	85
2221216	TP RANDOM URINE	87
2221218	PORPHYRINS URINE RANDOM	145
2221301	OXALATE, 24 HR URINE	113
2221302	OXALATE, PLASMA	279
2221400	URIC ACID 24 HR URINE	81
2221401	URIC ACID FLUID	28
2221600	CYSTINE URINE	118
2222104	URINE MICROSCOPIC EXAM	98
2222105	.URINALYSIS	78
2222106	.UA COMP CHG ONLY	77
2222107	.UA DIP CHG ONLY	62
2222108	AMINO ACID PROFILE, PLASMA	333
2222109	AMINO ACID PROFILE, URINE	333
2222110	EOSINOPHIL COUNT URINE	68
2222206	VMA RANDOM URINE	118
2222290	VANCOMYCIN RANDOM	95
2222291	VANCOMYCIN TROUGH	95
2222292	VANCOMYCIN PEAK	95
2222492	CLOZAPINE	42
2223103	WHITE BLOOD CELL COUNT (WBC)	32
2223106	CD57	78
2223735	MAGNESIUM URINE	34
2223883	FREE KAPPA LAMBDA	319
2224145	BB CROSSMATCH /UNIT (LAB USE ONLY)	205
2224146	ZINC WHOLE BLOOD	95
2224147	ZINC SERUM OR PLASMA	95
2224600	METHANOL URINE	234
2226403	STREPTOZYME SCREEN	85
2226999	ACETAMINOPHEN	130
2227015	.THYROGLOBULIN AB *DO NOT USE	117
2227026	CELL COUNT FLUID	96
2227031	CREATINE URINE	87
2227034	DHEA DEHYDROEPIANDROS	88
2227035	CARBON MONOXIDE	87
2227039	DIGITOXIN	50
2227044	ESTRIOL SERUM	143
2227051	T4 FREE (FT4)	210
2227053	FTA-ABS (TREPONEMAL)	87
2227057	HCG TOTAL QUANTITATIVE	148
2227058	HGB A1C (LABCORP)	76
2227059	HGB A1C	112
2227060	ISLET CELL AB	82
2227083	OSMOLALITY, SERUM	51
2227084	OSMOLALITY, FECAL	48
2227103	SPERM CHECK SLIDE ONLY	100
2227115	VITAMIN B6	95
2227777	BMP BASIC METABOLIC PROFILE	233
2229841	.AB PANEL COMPONENT	27
2233520	HYALURONIC ACID	323
2233891	HLA-B51	383
2236600	ARTERIAL PUNCTURE	46
2242570	COC ALCOHOL COBALT MINES	12
2251490	BP180	281
2254150	PLASMINOGEN ACTIVATOR INHIBITOR	290
2259100	A PHAGOCYTOPHILUM PCR	300
2259112	LYME DISEASE AB	65
2259113	ADENOVIRUS AB	86
2259115	LYME WESTERN BLOT	72
2259116	LYME WESTERN BLOT IGG	75
2259119	.COLORADO TICK FEVER IGG	148
2259120	.COLORADO TICK FEVER IGM	148
2280029	FLECANIDE	127
2280061	LIPOPROTEIN A	121
2280069	RENAL PANEL	237
2280100	DRUG SCREEN, RAPID	273
2280111	DRUG SCREEN 7 W/ALC	35
2280145	.ADALIMUMAB DRUG LEVEL	250
2280150	AMIKACIN, PEAK	78
2280151	AMIKACIN, TROUGH	78
2280152	AMITRIPTYLINE	110
2280154	CLONAZEPAM	107
2280155	BENZODIAZEPINES CONFIRMATION	172
2280166	DOXEPIN	123
2280173	HALOPERIDOL (HALDOL)	113
2280186	PHENYTOIN FREE	101
2280188	PRIMIDONE	41
2280197	TACROLIMUS	261
2280200	NORPACE	61
2280201	TOPIRAMATE	194
2280230	VORICONAZOLE	744
2280290	RAPAMUNE (SIROLIMUS)	317
2280291	GABAPENTIN	128
2280294	LEVETIRACETAM	194
2280296	OXYCARBAZEPINE (TRILEPTOL)	197
2280297	ZONISAMIDE	210
2280298	RISPERIDONE	328
2280299	RITALIN	100
2280300	CITALOPRAM	407
2280301	ESCITALOPRAM	407
2280302	TRICYCLIC ANTIDEPRESSANT UR	205
2280303	DRUG SCREEN 7 W/ALC BLOOD	344
2280304	DRUG SCREEN 11 (BLOOD) W/ALC	440
2280305	DRUG SCREEN 7 LAB CORP 725788	39
2280307	DRUG SCREEN SERUM (LABCORP 700841)	224
2280308	OPIATES CONFIRMATION	138
2280310	AMPHETAMINES SERUM	246
2280323	NICOTINE SERUM	193
2280342	THORAZINE	64
2280348	BUPRENORPHINE SCREEN	189
2280375	THIOPURINE METABOLITES	673
2280377	SULFONYLUREA SCR	335
2280400	ACETYLMORPHINE CONFIRMATION	110
2280422	PLATELET FUNCTION ASSAY	260
2280885	CULTURE H PYLORI	48
2281003	SPECIFIC GRAVITY FLUID	77
2281123	IDH1, 2	567
2281206	.BCR-ABL1 P210	402
2281207	.BCR-ABL1 P190	402
2281220	CYSTIC FIBROSIS DNA	258
2281240	FACTOR II, DNA ANALYSIS	341
2281241	PROTHROMBIN FRAGMENT 1+2	303
2281243	FRAGILE X WITH CHROM HIGH RES	567
2281256	HEREDITARY HEMOCHROMOTOSIS DNA	333
2281270	JAK2 MUTATION	657
2281291	MTHFR DNA MUTATION ANALYSIS	453
2281327	EPI PROCOLON	326
2281331	ANGELMAN PRADER SYNDROME DNA	450
2281333	RNP ANTIBODY	95
2281334	RNA POLYMERASE III	167
2281374	HLA-B27 DNA TYPING	305
2281377	CELIAC HLA DQ ASSOC	564
2281381	HLA-A29	450
2281382	HLA B 57.01	217
2281403	JAK2 EXON 12 MUTATION	670
2281404	TPMT GENOTYPE	546
2281408	MARFAN SYNDROME GENE SEQ	3093
2281479	IL28B	348
2282010	BETA HYDROXYBUTYRATE	103
2282017	ACYLCARNITINE	191
2282024	ACTH	153
2282030	CYCLIC AMP	303
2282042	ALBUMIN PERITONEAL FLUID	63
2282043	.MICROALBUMIN URINE RANDOM	117
2282088	ALDOSTERONE	96
2282103	ALPHA 1 ANTITRYPSIN	100
2282104	ALPHA 1 ANTIPRYP PHENOTYPE	25
2282105	AFP, TUMOR MARKER	58
2282107	AFP/AFP-L3	202
2282108	ALUMINUM	104
2282110	CYSTIC FIBROSIS PROFILE	299
2282130	HOMOCYSTINE NON CARDIAC	163
2282131	METHYLMALONIC ACID	190
2282132	PHENYLALANINE	245
2282133	HOMOCYSTINE CARDIAC	163
2282135	ALA DELTA RANDOM URINE	156
2282145	AMPHETAMINES CONFIRMATION	175
2282175	ARSENIC	117
2282180	VITAMIN C	121
2282190	FECAL K	137
2282205	BARBITUATES CONFIRMATION	207
2282206	PROPOXYPHENE	183
2282207	THC CONFIRMATION URINE	183
2282232	BETA 2 MICROGLOBULIN	78
2282239	BILE ACIDS, FRACTIONATED	381
2282306	VIT D	194
2282308	CALCITONIN	44
2282374	BICARBONATE	268
2282379	CARNITINE FREE AND TOTAL	104
2282390	CERULOPLASMIN	68
2282397	.ADALIMUMAB ANTIBODY	250
2282400	ITRACONAZOLE	296
2282436	CHLORIDE STOOL	77
2282438	CHLORIDE URINE RANDOM	39
2282490	FLUOXETINE	97
2282491	TRAZODONE	193
2282492	EPINEPHRINE	75
2282495	CHROMIUM	305
2282521	N-TELOPEPTIDE SERUM	313
2282522	COCAINE	144
2282524	PROPEPTIDE TYPE 1 COLLAGEN	441
2282525	COPPER URINE	50
2282530	CORTISOL FREE UR	121
2282531	CORTISOL SALIVA	108
2282533	CORTISOL SALIVARY	95
2282536	CORTISOL AM	27
2282542	PURINES AND PYRIMIDINE PANEL	366
2282552	CK ISOENZYMES	82
2282565	CREATININE eGFR	23
2282615	HOMOCYSTINE URINE	405
2282627	DHEA SULFATE	137
2282646	HYDROCODONE	307
2282651	DIHYDROTESTOSTERONE	141
2282652	VITAMIN D-1,25OH	147
2282656	PANCREATIC ELASTASE	783
2282657	ALPHA-Galactosidase A Deficiency	588
2282668	ERYTHROPOIETIN	141
2282670	ESTRADIOL	114
2282671	ESTRADIOL SENSITIVE	91
2282679	ESTRONE	141
2282693	ETHYLENE GLYCOL URINE	245
2282726	FATTY ACID PROFILE	449
2282746	FOLIC ACID	251
2282747	RBC FOLATE	123
2282748	FOLIC ACID (LAB CORP)	251
2282757	FRUCTOSE, SEMEN	87
2282787	.IGG SUBCLASS 4	57
2282788	.IGG SUBCLASS 3	57
2282789	.IGG SUBCLASS 2	57
2282790	.IGG SUBCLASS 1	57
2282943	GLUCAGON	120
2282945	GLUCOSE BODY FLUID	18
2282955	G6PD QUANT	63
2282956	ALPHA GAL IGE (LABCORP 807003)	229
2282985	FRUCTOSAMINE	48
2283001	THROMBIN-ANTITHROMBIN COMPLEX	337
2283002	FACTOR II ACTIVITY	180
2283013	H PYLORI BREATH TEST	300
2283014	H PYLORI BREATH PEDIATRIC	300
2283015	TUNGSTEN	284
2283018	SILVER SERUM	290
2283051	HEMOGLOBIN PLASMA	278
2283069	HEMOGLOBIN FREE URINE	124
2283070	HEMOSIDERIN STAIN URINE	39
2283150	HOMOVANILLIC ACID RANDOM URINE	70
2283180	COBALT	279
2283181	THALLIUM URINE	160
2283400	21-HYDROXYLASE AUTOANTIBODIES	168
2283491	17-HYDROXYCORTICO/STEROIDS	110
2283497	5-HIAA PLASMA	66
2283498	5-HIAA 24HR UR	66
2283500	CCP ANTI	87
2283501	ZNT8 ANTIBODIES	378
2283502	GM1 IgG Autoantibodies	246
2283503	GM1 IgM Autoantibodies	246
2283505	HYDROXYPROLINE	191
2283509	PTH-RELATED PEPTDE	120
2283510	GLIADIN IgG	88
2283511	TISSUE TRANSGLUTAMINASE IGG	183
2283512	TISSUE TRANSGLUTAMINASE IGA	183
2283515	GLIADIN IGA	88
2283516	PROTEINASE-3 ANTIBODY	120
2283517	MYELOPEROXIDASE AB	175
2283519	GLUTAMIC ACID DECARBOXYLASE-65 AB	249
2283520	INHIBIN A	284
2283522	BNP(LABCORP ONLY)	126
2283523	INTERLEUKIN 6	478
2283524	RIBOSOMAL P ANTIBODY	461
2283525	GLOMERULAR BASEMENT MEMBRANE IGA	260
2283527	INSULIN FREE	33.64
2283528	FIBOBLAST GROWTH FACTOR 23	404
2283530	PRO BNP (LABCORP TEST)	346
2283531	NT PROBNP	282
2283535	ACH RECEPTOR BINDING ANTIBODY	436
2283536	ACHR BLOCKING ANTIBODY	97
2283537	ACHR MODULATING ANTIBODY	345
2283540	IRON L4H, URINE	211
2283550	IGF-2	138
2283586	17-KETOSTEROIDS	91
2283599	INHIBIN B	284
2283600	ACETECHOLINE RECEPTOR BINDING AB	436
2283630	LACTOFERRIN STOOL	321
2283655	LEAD, OTHER SOURCE	100
2283721	LDL DIRECT	98
2283727	GONADOTROPIN RELEASING HORMONE	532
2283735	RBC MAGNESIUM	91
2283785	MANGANESE BLOOD	238
2283788	CORTISONE	392
2283789	IODINE	154
2283800	FACTOR V LEIDEN	322
2283825	MERCURY BLOOD	125
2283826	MERCURY URINE	127
2283835	METANEPHRINE FRAC URINE	101
2283840	METHADONE BLOOD	323
2283873	MYELIN BASIC PROTEIN	95
2283874	MYOGLOBIN SERUM	131
2283880	NICOTINE URINE	76
2283883	COMPLEMENT C1	190
2283895	HCV VIRAL LOAD RFX TO GEN (LC550090)	265
2283915	5′ NUCLEOTIDASE	278
2283918	ORGANIC ACIDS URINE	65
2283925	DEMERAL (MEPERIDINE)	181
2283926	OPIATES SERUM	234
2283935	OSMOLALITY, URINE	48
2283937	OSTEOCALCIN N-MID	149
2283950	HCV RNA PCR RFX HCV GEN NS3/4 (LC550072)	511
2283986	PH FLUIDS	30
2283987	PH URINE	30
2283993	CALPROTECTIN STOOL	410
2283995	PDGFRA MUTATION ANALYSIS	629
2284000	. MYOMARKER PANEL COMPONENT	124
2284001	. MYOMARKER PANEL COMPONENT	122
2284002	. MYOMARKER PANEL COMPONENT	124
2284005	ANTI-HMGCR AB	277
2284080	ALP ISOENZYMES	100
2284081	ALP BONE SPECIFIC	100
2284105	PHOSPHORUS 24 HR URINE	63
2284106	PHOSPHORUS RANDOM URINE	63
2284120	PORPHYRINS URINE 24 HOUR FRACTIONATED	143
2284126	PORPHYRINS, FECAL	299
2284134	PREALBUMIN	95
2284140	PREGNENOLONE	405
2284143	17-HYDROXYPREGNENOLONE	114
2284154	.PSA FREE	127
2284155	PROTEIN TOTAL CSF	123
2284157	PROTEIN FLUID	18
2284165	PROTEIN ELE RANDOM URINE	109
2284166	PROTEIN ELE 24 HOUR URINE	58
2284181	HSP-70	426
2284202	ZINC PROTOPORPHYRIN	61
2284206	PROINSULIN	258
2284210	PYRUVIC ACID	113
2284220	PYRUVATE KINASE	275
2284230	THYROTROPIN RECEPTOR AB	81
2284235	THYROTROPIN RELEASING HORMONE	453
2284238	SOLUABLE TRANSFERRIN RECEPTOR	379
2284252	VITAMIN B2	210
2284255	SELENIUM	97
2284260	SEROTONIN	216
2284270	SEX HORMONE BINDING GLOBULIN	143
2284300	SODIUM URINE RANDOM	24
2284301	SODIUM 24 HR URINE	85
2284302	SODIUM STOOL	98
2284307	SOMATOSTATIN	539
2284308	MELANOCYTE STIM HORMONE	343
2284311	POTASSIUM STOOL	85
2284312	POTASSIUM 24HR URINE	12
2284376	REDUCING SUBSTANCES STOOL	44
2284392	SULFATE	113
2284399	IGF-I	121
2284400	INSULIN LIKE GROWTHE FAC PROTEIN 3	77
2284425	THIAMINE (VITAMIN B1)	140
2284432	THYROGLOBULIN	64
2284439	T4 FREE BY DIRECT DIALYSIS	447
2284445	TSI (THYROID STIMULATING IMMUNOGLOBULIN)	189
2284446	VITAMIN E	72
2284480	T3 TOTAL	88
2284481	T3 FREE	194
2284482	T3 REVERSE	82
2284483	T3 FREE (LABCORP)	185
2284484	TROPONIN	214
2284485	T3 TOTAL (LABCORP)	88
2284540	UREA 24 HR URINE	87
2284585	VMA 24HR URINE	75
2284586	VIP	318
2284591	NIACIN (VITAMIN B3)	272
2284680	QUANTIFERON GOLD	206
2284681	CPEPTIDE	121
2284682	N-TELOPEPTIDE URINE	51
2284683	C TELOPEPTIDE	300
2284702	HCG TUMOR MARKER	37
2284703	PREGNANCY TEST SERUM	72
2284731	HEPATITIS Be ANTIBODY 006635	36
2284733	HEPATITIS Be ANTIGEN (LABCORP 006619)	137
2284900	FECAL Na	166
2284990	AMYLASE ISOENZYMES	143
2284999	ZINC PROTOPORPHYRIN	74
2285000	ANTI-MOG	735
2285004	EOSINOPHIL COUNT ABSOLUTE	34
2285007	.MANUAL DIFF CHG	49
2285018	SICKLE CELL SCREEN	49
2285025	EOSINOPHIL COUNT NASAL	48
2285045	RETICULOCYTE COUNT AUTOMATED	53
2285210	FACTOR V ACTIVITY	327
2285240	VON WILLEBRAND FACTOR ACTIVITY	196
2285245	RISTOCETIN COFACTOR	211
2285246	VON WILLEBRAND ANTIGEN	305
2285247	VON WILLEBRAND MULTIMERIC ANALYSIS	209
2285250	FACTOR IX ACTIVITY	235
2285260	FACTOR X ACTIVITY	124
2285270	FACTOR XI ACTIVITY	281
2285280	FACTOR XII ACTIVITY	390
2285300	ANTITHROM III ACTIVITY	151
2285301	ANTITHROM III ANTIGEN	163
2285302	PROTEIN C ANTIGEN	190
2285303	PROTEIN C ACTIVITY	190
2285306	PROTEIN S FUNCTIONAL	190
2285308	ACTIVATED PROTEIN C RESISTANCE	104
2285319	PROTEIN S FREE	86
2285362	FIBRIN MONOMER	186
2285379	DDIMER	139
2285597	LUPUS ANTICOAG SCREEN	123
2286001	ANCA-C	76
2286002	ANCA-P	76
2286005	ISOCYANATE MDI (K76) IGE	50
2286008	PENICILLIN V, IGE	41
2286009	PENICILLIN G, IGE	41
2286022	HEPARIN INDUCED PLATELET ANTIBODY	621
2286038	ANA SCREEN, IFA PATTERN IF POS	41
2286039	.ANA TITER	110
2286040	RICKETTSIA DNA-PCR (LABCORP)	491
2286042	BABESIA MICROTI IGM	126
2286043	H INFLUENZA B IGG	265
2286111	FRANCISELLA TULARENSIS SCREEN	150
2286140	CRP HIGH SENSITIVITY	172
2286141	CRP (LABCORP)	144
2286142	PHOSPHATIDYLETHANOLAMINE IGG	135
2286143	PHOSPHATIDYLETHANOLAMIN IGA	135
2286144	PHOSPHATIDYLETHANOLAMINE IGM	135
2286145	THIOPURINE METHYLTRANSFERASE	435
2286146	CARDIOLIPIN IgG	88
2286147	CARDIOLIPIN IgA	88
2286148	CARDIOLIPIN IgM	88
2286150	BETA 2 GLYCOPROTEIN,IgA	14
2286151	BETA 2 GLYCOPROTEIN,IgM	14
2286152	BETA 2 GLYCOPROTEIN IgG	14
2286160	C1 ESTERASE INHIBITOR	87
2286170	CRP	95
2286200	PARIETAL AB	161
2286205	MYOCARDIAL AB	159
2286210	ANTI DNSA GROUP B STREP AB	69
2286220	DNA (ds) CRITHIDIA	258
2286225	DNA (ds) ANTIBODY	81
2286234	JO-1 ANTIBODY	144
2286236	SSA ANTIBODY	88
2286237	SSB ANTIBODY	88
2286253	ANTIPARIENTAL CELL ANTIBODY	145
2286255	SMOOTH MUSCLE ANTIBODY	143
2286257	STRIATIONAL ANTIBODIES	55
2286259	ANTIADRENAL ANTIBODIES	151
2286299	ANTICHROMATIN ANTIBODIES	26
2286305	HE4	408
2286311	RABIES TITER	272
2286313	LEGIONELLA ANTIGEN	302
2286332	C3D CIRCULATING ANTIBODIES	299
2286335	IMMUNOFIXATION RANDOM URINE	151
2286336	IMMUNOFIXATION 24 HR URINE	70
2286337	INSULIN ANTIBODIES	130
2286340	INTRINSIC FACTOR AB	309
2286341	IA2 AUTOANTIBODY	303
2286343	HISTAMINE	253
2286344	IMMUNOFIXATION SERUM	93
2286352	CHRONIC UTICARIA PROFILE	280
2286355	LYMPH SUBSET-BCELL	123
2286356	LYMPH SUBSET-ABS.CD4,CD8	181
2286357	LYMPH SUBSET-NKCELLS	181
2286358	LYMPH SUBSET-TCELL,TOTAL	164
2286360	CD4/CD8 RATIO PROFILE	137
2286362	CD4 COUNT	164
2286376	TPO THYROID PEROXIDASE	127
2286406	GROUP B STREP ANTIGEN	110
2286597	THERMOACTINOMYCES VULGARIS AB	85
2286598	THERMOACTINOMYCES SACCHARII AB	85
2286599	PIGEON SERUM AB	85
2286603	.ASPERGILLUS FLAVUS AB	27
2286604	ASPERGILLUS GLAUCUS AB	116
2286605	ASPERGILLUS NIDULANS AB	28
2286606	AUREOBASDIIUM PULLULANS AB	85
2286607	ASPERGILLUS FUMIGATUS AB IGE	85
2286611	B QUINTANA IGG	59
2286612	B QUINTANA, IGM	54
2286613	B HENSELEA IGM	54
2286614	B HENSELEA IGG	59
2286620	STREP PNEUMONIA 23 SEROTYPES	336
2286628	CANDIDA ANTIBODY	168
2286638	Q FEVER	124
2286640	.ASPERGILLUS FUMIGATUS AB IGG	27
2286645	CMV IGM	107
2286648	DIPTHERIA ANTITOXOID AB	135
2286656	HISTONE AB	175
2286664	EPSTEIN BARR IGM	62
2286665	EPSTEIN BARR IGG	62
2286668	.F TULEREMIA AB, IGG	148
2286669	.F TULEREMIA AB, IGM	148
2286671	SACCHAROMYCES IGG	170
2286672	SACCHAROMYCES IGA	170
2286684	H INFLUENZA AB	134
2286690	BLASTOMYCES ANTIGEN	349
2286691	BLASTOMYCES ANTIBODY	85
2286698	HISTOPLASMA AB	143
2286700	TETANUS ANTIOXID	110
2286709	HEPATITIS A IGM	137
2286712	INFLUENZA A ANTIBODY	35
2286713	INFLUENZA B ANTIBODY	35
2286735	MUMPS AB IGM	85
2286738	MYCOPLASMA ANTIBODY IGG	68
2286739	MYCOPLASMA ANTIBODY IGM	68
2286746	PARVOVIRUS IGM	163
2286747	PARVOVIRUS IGG	163
2286749	PARVOVIRUS 19, PCR	410
2286762	RUBEOLA IGM	66
2286763	RUBEOLA IGG	70
2286765	RUBEOLA IGG	49
2286766	RUBEOLA IGM	49
2286769	SARS-COV-2 AB IGM (LABCORP)	145
2286770	SARS-COV-2 AB IGG (LABCORP)	145
2286771	SARS-COV-2 AB IGA (LABCORP)	145
2286772	SARS-COV-2 TOTAL ANTIBODES	158
2286773	SARS-COV-2 AB TOTAL (LABCORP 164090)	122
2286777	TOXOPLASMA ANTIBODY IGG	100
2286778	TOXOPLASMA ANTIBODY IGM	148
2286780	WEST NILE IGG IGM	281
2286787	VARICELLA ZOSTER IGG	86
2286788	VARICELLA ZOSTER IGM	96
2286790	.HANTAVIRUS IGM	245
2286791	.HANTAVIRUS IGG	128
2286800	THYRO AB AND THYROGLOBULIN IMA	47
2286803	HCV AB rfx POS to Quant PCR (LC144050)	137
2286885	COOMBS, INDIRECT	100
2286901	BLOOD TYPE RH	113
2286905	BB ARC-RBC ANTIGEN,EA	275
2286920	BB COMPATABILITY SC, IS	205
2286927	FFP THAWING	101
2286970	RED CELL PREP, EACH	35
2286978	BB ARC-DIFF/AUTO ADS	236
2287000	BACTERIAL VAGINOSIS, NAA (LABCORP 180060	370
2287081	FRANCISELLA TULARENSIS ANTIBODY	135
2287090	MRSA SCREENING CULTURE	46
2287109	UREAPLASMA/MYCOPLASMA CULTURE	117
2287179	HEPATITIS B VIRAL LOAD	499
2287209	.H METAPNEUMOVIRUS (LC CHARGE)	50
2287210	TRICHOMONAS BY NAA	264
2287220	SCABIES EXAM	217
2287252	CMV, CULTURE	165
2287260	.ADENOVIRUS DFA (LC CHARGE)	50
2287265	B PERTUSSIS IGA	82
2287266	B PERTUSSIS IGM	82
2287275	.INFLUENZA A DFA (LC CHARGE)	50
2287276	.INFLUENZA B DFA (LC CHARGE)	53
2287279	.PARAINFLUENZA (LC CHARGE)	50
2287338	H PYLORI STOOL	228
2287385	.HISTOPLASMA ANTIGEN	284
2287389	HIV 4TH GENERATION ANTIGEN/ANTIBODY	133
2287401	.INFLUENZA B	65
2287402	.INFLUENZA A	65
2287476	LYMES DNA	665
2287497	CMV BY PCR – QUANTITATIVE	327
2287502	INFLUENZA A&B PCR	132
2287503	COVID-19 PCR ABBOTT (INHOUSE)	95
2287504	COVID-19 ANTIGEN (INHOUSE)	35
2287505	COVID-19 PCR ACCULA (INHOUSE)	200
2287507	GI PANEL STOOL	453
2287517	HEPATITIS B DNA QUANT RFX GENOTYPE	620
2287520	HCV FIBROSURE (LC550123)	305
2287521	HCV NAA QUAL(LC550713)	230
2287522	HCV QUANT PCR (LC550080)	265
2287525	HCV NAA QUAL rfx QUANT(LC550840)	184
2287536	HIV PCR / RF GENOSURE	384
2287550	HCV NS5a (LC550325)	597
2287631	PARAINFLUENZA VIRUS	150
2287632	RESP VIRAL PANEL (LC 139650) BIOFIRE	551
2287633	RESPIRATORY VIRAL PANEL	414
2287634	RSV PCR	137
2287635	COVID 19 PCR (LABCORP)	200
2287637	COVID 19 PCR (AEL)	175
2287639	HF SARS-COV-2 TOTAL ANTIBODES	20
2287651	STREP A RAPID PCR	83
2287700	VARICELLA ZOSTER REAL TIME PCR	432
2287701	BORDETELLA PERTUSSIS PCR	221
2287790	MRSA, NUCLEIC ACID AMP	259
2287799	BK VIRUS PLASMA/SERUM	593
2287900	HCV GENOTYPE (LC550475)	488
2287901	HIV GENOTYPE	519
2287902	HCV RT-PCR QUANT (LC550080)	265
2287903	HCV GENOSURE NS34AG (LC550540)	826
2287904	.HIV INF AGENT PHENOTYPE, CHG ONLY X11	184
2287905	.HIV INF AGENT PHENO, CHG ONLY	184
2287906	HIV GENOSURE INTEGRASE	350
2287907	.HIV INF AGENT PHENO, CHG ONLY	184
2287912	.HBV QUANT PCR RFX CHARGE ONLY	350
2288104	CYTOLOGY	263
2288105	NON GYN PREP	51
2288107	CYTOLOGY URINE	124
2288108	CYTOLOGY SPUTUM	263
2288160	NON GYN SMEAR	49
2288189	LEUKEMIA/LYMPHOMA EVAL ADD1 MARKER OV16	27
2288262	CHROM ANALYSIS	845
2288300	LEVEL 1 SURG. PATH. GROSS EXAM.	153
2288301	KI-67	312
2288302	LEVEL 2 SURG. PATH. GROSS & MICRO.	278
2288303	HER 2	641
2288304	LEVEL 3 SURG. PATH GROSS & MICRO.	180
2288305	LEVEL 4 SURG. PATH GROSS & MICRO.	471
2288307	LEVEL 5 SURG. PATH GROSS & MICRO	439
2288309	LEVEL 6 SURG. PATH GROSS & MICRO	549
2288311	BONE DECALCIFICATION	53
2288312	SPECIAL STAINS GPS. I & II	372
2288313	SPECIAL STAINS GP. III	98
2289051	CELL COUNT FLD W/CRYSTALS	93
2289060	CRYSTAL FLUID	53
2299195	PHLEBOTOMY THERAPUTIC	290
2480058	OUTREACH-HEPATIC PROFILE	48
2480162	OUTREACH-DIGOXINE	44
2480178	OUTREACH-LITHIUM	17
2480184	OUTREACH-PHENOBARBITAL	44
2480185	OUTREACH-DILANTIN	50
2480196	OUTREACH-SALICYLATES	32
2480198	OUTREACH-THEOPHYLLINE	44
2481000	OUTREACH-URINALYSIS	12
2481025	OUTREACH-PREG. TEST UA	17
2482310	OUTREACH-CALCIUM	16
2482435	OUTREACH-CHLORIDE	16
2482465	OUTREACH-CHOLESTEROL	16
2482550	OUTREACH-CPK TOTAL	17
2482565	OUTREACH-CREATININE	16
2482575	OUTREACH-CREAT CLEARANCE	85
2482947	OUTREACH-GLUCOSE FAST. OR 2HR	12
2482977	OUTREACH-GGTP	16
2483540	OUTREACH-IRON	34
2483550	OUTREACH-IRON-TIBC	34
2483615	OUTREACH-LDH	16
2483718	OUTREACH-LIPOPROTEIN CHOL, FIAC	101
2483735	OUTREACH-MAGNESIUM	30
2484100	OUTREACH-PHOSPHORUS	16
2484132	OUTREACH-POTASSIUM	15
2484155	OUTREACH-PROTEIN TOTAL	16
2484295	OUTREACH-SODIUM	15
2484436	OUTREACH-T4	17
2484443	OUTREACH-TSH	50
2484450	OUTREACH-SGOT (AST)	16
2484460	OUTREACH-SGPT (ALT)	16
2484478	OUTREACH-TRIGLYCERIDES	16
2484479	OUTREACH-T3 UPTAKE	17
2484520	OUTREACH-BUN	16
2484550	OUTREACH-URIC ACID	15
2484702	OUTREACH-BETA HCG QUANT	35
2485027	OUTREACH-CBC WO DIFF	12
2485044	OUTREACH-RETIC COUNT	16
2485610	OUTREACH-PROTHROMBIN TIME	16
2485651	OUTREACH-SED RATE WINTROBE	12
2485730	OUTREACH-PARTIAL THROMBOPLASTI	29
2485732	OUTREACH-RAPID STREP SCREEN	46
2486157	OUTREACH-COLD AGGLUTININS	34
2486308	OUTREACH-MONO SPOT	18
2486900	OUTREACH-BLOOD TYPING	17
2486901	OUTREACH-RH (D)	50
2601517	IBUPROFEN (MOTRIN) 100MG/5ML SUSP	15
2603954	CIPROFLOXIN 400MG PREMIX 200ML	82
2603960	RABAVERT INJECTION FOR RABIES	1811
2604181	RISEDRONATE (ACTONEL) 35MG TAB	197
2604182	ZINC OXIDE (DESITIN) 40% OINTMENT	37
2609362	BACTERIOSTATIC SOD CHL FLUSH 10ML VIAL	41
2618199	FOSPHENYTOIN(CEREBYX)100MGPE/2MLINJ	153
2618200	CETACAINE TOPICAL ANESTHETIC SPRAY	51
2618201	CEFTRIAXONE (ROCEPHIN) 500MG VIAL	211
2618968	PRAVASTATIN 10MG TAB EMP	17
2618971	ZOSTER VACCINE LIVE 0.65ML INJ W/DILUENT	349
2618976	METOPROLOL TART 50MG TAB EMP	97
2618977	ATROPINE 1% OP DROPS 2ML	72
2618988	LEVOTHYROXINE 75MCG TAB EMP	15
2618989	HYDROMORPHONE 2MG ORAL SOL 2ML C2	26
2618996	CARVEDILOL 12.5MG TAB EMP	18
2619061	PAROXETINE 20MG TAB EMP	33
2619086	DULOXETINE 30MG CAP EMP	41
2619096	AMITRIPTYLINE 50MG TAB EMP	13
2619125	METHOCARBAMOL 500MG TAB EMP	15
2619126	METHOTREXATE 2.5MG TAB EMP	32
2619150	TOPIRAMATE 100MG TAB EMP	30
2619151	LAMOTRIGINE 200MG TAB EMP	30
2619173	AMITRIPTYLINE 10MG TAB EMP	15
2619174	BUDES/FORMOT (SYMBICORT)80/4.5 INH	499
2619194	DAPTOMYCIN (CUBICIN) 375MG INJ FOR IVPB	1512
2619204	JUVEN 23GM PKT	16
2619217	VERAPAMIL 80MG TAB EMP	16
2619228	ALBUTEROL 2.5MG/3ML INH/NEB 0.083% EMP	16
2619229	CEFDINIR (OMNICEF) 250MG/5ML SUS 100ML	427
2619230	ROPINIROLE (REQUIP) 2MG TAB EMP	13
2619231	ALPRAZOLAM 0.5MG TAB EMP C4	16
2619232	IRBESARTAN 300MG TAB EMP	29
2619247	SORBITOL 70% 30ML SOL	15
2619248	LEUPROLIDE ACE (ELIGARD) 45MG 6MTH INJ	15881
2619249	ENALAPRIL 10MG TAB EMP	16
2619255	BECLOMETH DIP (QVAR) 40MCG INHALER 8.7GM	387
2619276	PAROXETINE 40MG TAB EMP	16
2619291	DEXAMETHASONE 4MG INJ 30ML MDV	57
2619292	ESCITALOPRAM 10MG TAB EMP	21
2619293	ENALAPRIL 20MG TAB EMP	16
2619304	TRIAD HYDROPHILIC WOUND DRSG 6OZ	70
2619330	MICAFUNGIN 100MG IVPB	860
2619343	SIMVASTATIN 20MG TAB EMP	30
2619345	MICAFUNGIN 50MG IVPB	438
2619347	IPRATROPIUM 0.03% NAS SPRAY 30ML EMP	114
2619352	LEVOTHYROXINE 100MCG TAB EMP	15
2619353	GABAPENTIN ORAL SOL 250MG 5ML	13
2619354	OXYCODONE ORAL SOL 5MG 5ML C2	16
2619366	HYDROXYZINE HCL 25MG TAB EMP	17
2619379	METFORMIN 850MG TAB EMP	16
2619390	LISINOPRIL/HCTZ 10/12.5MG TAB EMP	17
2619392	LOPERAMIDE 2MG/15ML OR SUSP 120ML	24
2619393	NITROGLYC SL SPRY 0.4MG/SPRY 3 SPRAYS	46
2619394	DULOXETINE DR 20MG CAP EMP	12
2619399	LISINOPRIL/HCTZ 20/25MG TAB EMP	17
2619400	GABAPENTIN 100MG CAP EMP	15
2619419	CYPROHEPTADINE 4MG TAB	9
2619421	CITALOPRAM 40MG TAB EMP	11
2619422	FERRIC SULFATE SOL BASIC PURIFIED 480ML	181
2619430	LEVOTHYROXINE 88MCG TAB EMP	15
2619440	LEVOCETIRIZINE 5MG TAB EMP	9
2619442	PANTOPRAZOLE 20MG TAB EMP	29
2619443	INFLIXIMAB (REMICADE) 100MG INJ	4848
2619444	BUPIVACAINE 0.25% INJ 2.5MG 1ML	18
2619445	DULOXETINE DR 60MG CAP EMP	12
2619449	PARICALCITOL (ZEMPLAR) 2MCG/ML INJ	44
2619466	CHLORDIAZEPOXIDE 10MG (LIBRIUM) CAP C4	17
2619473	NEXIUM 20MG 24HR-OTC CAP 42	8
2619490	SYNTHROID 112MCG TAB EMP	35
2619505	RIFAMPIN 300MG CAP	16
2619506	ETHAMBUTOL 400MG TAB (MYAMBUTOL)	16
2619516	PIROXICAM 20MG CAP EMP	15
2619530	ISONIAZID 300MG TAB	16
2619554	BENZYL ALCOHOL 5% LOTION (ULESFIA) 8OZ	475
2619566	PIROXICAM 10MG CAP EMP	15
2619575	BUSPIRONE 5MG TAB EMP	18
2619576	CILOSTAZOL 100MG TAB EMP	15
2619596	LISINOPRIL/HCTZ 20/12.5MG TAB EMP	9
2619622	PRAVASTATIN 40MG TAB EMP	21
2619624	VERAPAMIL 120MG TAB EMP	9
2619685	TRAZODONE 50MG TAB EMP	9
2619686	LAMOTRIGINE 100MG TAB EMP	24
2619687	HYDROXYZINE PAM 25MG CAP EMP	9
2619688	BUPROPION 150MG SR TAB EMP	12
2619689	ASPIRIN 81MG (ER USE) CHEW (4X81MG TABS)	16
2619722	DILTIAZEM DRIP 125MG/100ML NS IVPB	496
2619723	BENZOCAINE/MENTHOL LOZ (1 BOX) 16 LOZ	16
2619730	HEPARIN DRIP 25000U/250ML NS	421
2619748	LIDOCAINE 0.5% 50ML MDV (5MG/ML)	44
2619749	METHIMAZOLE 5MG TAB EMP	11
2619772	CIPROFLOXIN 400MG VIAL 40ML	82
2619803	VASOPRESSIN 20UNITS INJ 1ML	644
2619804	DESMOPRESSIN 0.2MG TAB	12
2619820	CARBAMAZEPINE 100MG TAB	9
2619842	ROPINIROLE 3MG TAB EMP	9
2619845	MAGNESIUM SULF 5GM IV/IM 10ML VIAL	49
2619848	METFORMIN 1000MG TAB EMP	17
2619849	METHOCARBAMOL 750MG TAB EMP	15
2619881	PROMETHAZINE DM COUGH SYRUP EMP	16
2619906	CYCLOBENZAPRINE 10MG TAB EMP	17
2619921	HYDROCHLOROTHIAZIDE 50MG TAB EMP	9
2619922	NEOSTIGMINE 5MG/10ML VIAL	329
2619967	CARVEDILOL 3.125MG TAB EMP	16
2619979	DOXYCYCLINE 50MG CAP EMP	12
2619993	HYDROCO/APAP 10/325MG TAB EMP C2	30
2619994	CEFTAZIDIME (FORTAZ) 500MG IVPB	49
2619995	OTIPRIO 60MG OTIC SUSP 1ML VIAL	1388
2620030	LEVOTHYROXINE 150MCG TAB EMP	35
2620043	CEFTAROLINE FOSAMIL (TEFLARO) 600MG IVPB	732
2620049	MORPHINE 20MG/ML CONC.OR SOL 30ML NH C2	264
2620050	NYSTATIN SUSP 60ML EMP	56
2620051	NYSTATIN SUSP EMP (480)	9
2620053	METHADONE ORAL CONC. 10MG/ML NH	129
2620055	FLUOXETINE 10MG CAP EMP	34
2620097	OXYCODONE/APAP 10/325MG TAB EMP C2	15
2620108	ESTRADIOL 1MG TAB EMP	9
2620231	LINEZOLID (ZYVOX) 600MG IVPB 300ML	423
2620232	LINEZOLID (ZYVOX) 600MG TAB	41
2620259	WARFARIN (COUMADIN) 5MG TAB EMP	16
2620261	IBUPROFEN 800MG TAB EMP	15
2620262	PAROXETINE 30MG TAB EMP	15
2620273	ZOLPIDEM 5MG TAB EMP C4	33
2620304	DICLOFENAC SOD 50MG TAB EMP	9
2620307	METHYLPRED (DEPO-MED) 40MG IM MDV 5ML	63
2620312	IVERMECTIN 3MG TAB	29
2620315	DARBEPOETIN ALFA 60MCG INJ 0.3ML	3073
2620339	ESCITALOPRAM 20MG TAB EMP	21
2620354	SERTRALINE 100MG TAB EMP	11
2620395	RANITIDINE SYRUP 15MG/ML EMP (75MG/5ML)	15
2620396	PEG 3350 (MIRALAX) 510GM NH USE 17.9OZ	61
2620405	VECURONIUM (NORCURON) 20MG INJ	191
2620411	1-CLIC CLEAR-VU VIAL 40DR	9
2620412	1-CLIC CAP RV 10-13DR 100	9
2620435	DOBUTAMINE 250MG VIAL 20ML	51
2620443	PHENAPTHAZINE (NITRATEST) PAPER 1 ROLL	160
2620468	WARFARIN 2MG TAB EMP	16
2620469	LIDOCAINE-MPF 1% 10ML INJ STERILE (SURG)	61
2620497	LANSOPRAZOLE 30MG CAP EMP	11
2620513	INSULIN PEN NEEDLES #100	9
2620514	TETRACAINE 0.5% OP SOL DROPPERETTE 4ML	58
2620518	ALPRAZOLAM 0.25MG TAB EMP C4	16
2620525	HEMORRHOIDAL CREAM 28GM TUBE	30
2620526	WITCH HAZEL PREMOISTENED PADS #40	21
2620537	HYDROXYZINE (ATARAX) HCL 10MG TAB EMP	15
2620547	LIDOCAINE VISCOUS 2% SUSP 100ML BOTTLE	49
2620594	GLIMEPIRIDE (AMARYL) 2MG TAB	15
2620601	CEFPROZIL(CEFZIL)250MG/5MLSUSP 100ML	193
2620611	BACITRACIN 50MU INJ	68
2620614	BIOTIN-KERATIN ORAL TAB/CAP	12
2620680	PREDLO/MOXI/BROM 1%/0.5%/0.09% OP SOL	44
2620695	AZTREONAM (AZACTAM) 1GM IVPB	383
2620696	FLUCONAZOLE 400MG INJ PREMIX 200ML	121
2620697	PROCHLORPERAZINE 5MG TAB	24
2620698	EPOETIN ALFA 3,000U/ML (PROCRIT) INJ	541
2620701	SOLOSITE WOUND GEL 3OZ/85GM	54
2620706	TRANEXAMIC ACID 1000MG INJ SDV 10ML	281
2620732	NEO/POLY/BAC (TRPL ABX) OINT UD PKT 0.9G	15
2620733	DICLOFENAC SOD 75MG DR TAB EMP	9
2620734	LIDOCAINE 2% 20MG/ML 30ML INJ	63
2620735	DANTROLENE 20MG INJ	317
2620746	DONEPEZIL 5MG TAB EMP	35
2620747	BUPIVACAINE / EPI 0.5% 50ML INJ	128
2620769	GABAPENTIN 400MG CAP EMP	16
2620864	LEVOTHYROXINE 100MCG INJ	414
2620868	ATROPINE 0.4MG INJ 1ML DOSE (20ML MDV)	49
2620869	PROPOFOL 10MG/ML 20ML (SURGERY)	33
2620884	SPIRONOLACTONE 25MG TAB EMP	13
2620885	PHENTERMINE 37.5MG TAB EMP C4	14
2620902	TRIAMTER/HCTZ (DYAZIDE) 37.5/25 CAP EMP	16
2620903	CARVEDILOL 25MG TAB EMP	18
2620904	METHOTREXATE 50MG/2ML INJ SDV EMP	132
2620940	IOHEXOL (OMNIPAQUE) 240MGI/ML INJ 20ML	355
2621088	DIVALPROEX 125MG TAB EMP	16
2621091	TRAZODONE (DESYREL) 100MG TAB UD	15
2621092	NS 50ML IV FLUID	100
2621141	CLOPIDOGREL 75MG TAB EMP	30
2621142	ATORVASTATIN 80MG TAB EMP	29
2621200	ATROPINE 1% OP DROPS 5ML	153
2621223	ZIPRASIDONE (GEODON) 20MG CAP EMP	17
2621232	AMMONIUM LACTATE 12% LOTION 225GM (8OZ)	34
2621260	POTASSIUM 10MEQ BOLUS 50ML BAG	97
2621265	ALPRAZOLAM 1MG TAB EMP C4	16
2621299	FERRIC CARBOXYMALTOSE INJ 750MG 15ML	4083
2621330	MINOCYCLINE 50MG CAP EMP	16
2621331	FILTER NEEDLE 5 MICRON	17
2621334	ZOSTER VACC RECOM, ADJ (SHINGRIX) IM	665
2621356	ROPINIROLE 4MG TAB EMP	9
2621384	GABAPENTIN 800MG TAB EMP	16
2621410	LISINOPRIL 40MG TAB EMP	11
2621428	FENTANYL 100MCG PATCH C2	312
2621429	FENTANYL 75MCG PATCH C2	207
2621430	PREDNISONE 10MG TAB EMP	13
2621438	ROSUVASTATIN 10MG TAB EMP	36
2621453	SODIUM CHL PF 0.9% 2ML INJ VIAL	41
2621454	STERILE WATER FOR INJECTION 50ML (SWFI)	83
2621500	MINOCYCLINE 50MG CAP	16
2621501	MELATONIN 3MG TAB	19
2621503	REPAGLINIDE (PRANDIN) 1MG TAB	16
2621509	BUPROPION 100MG SR TAB EMP	24
2621553	FILGRASTIM 480MCG INJ (NEUPOGEN) 0.8ML	3225
2621554	DILTIAZEM CD 120MG CAP EMP	16
2621597	ORTHOVISC 30MG INJ 2ML	1845
2621615	MONTELUKAST 5MG CHEW TAB EMP	32
2621635	GENTAMICIN SULF 0.1% OINT. 15GM EMP	92
2621650	LIDOCAINE 2% TOP JELLY 5ML TUBE	46
2621692	ACETAMINOPHEN 500MG TAB	7
2621698	MONOVISC 88MG INJ 4ML	6215
2621702	POTASSIUM CHLOR 10MEQ ER CAP EMP	13
2621711	PREDNISONE 1MG TAB UD	13
2621715	DESVENLAFAXINE ER 100MG TAB EMP	51
2621732	BUPIVACAINE MPF 0.25% INJ 10ML	42
2621733	AMLODIPINE 2.5MG TAB EMP	12
2621734	CARVEDILOL 3.125MG TAB EMP	7
2621756	MELOXICAM (MOBIC) 7.5MG TAB EMP	17
2621784	RABIES IMM GLOB 150IU/ML 10ML	12588
2621796	HYDROXYZINE PAM 50MG CAP EMP	9
2621815	ARIPIPRAZOLE 10MG TAB EMP	77
2621826	BACLOFEN 10MG TAB EMP	15
2621849	HYOSCYAMINE SULF ER 0.375MG TAB EMP	8
2621850	ESCITALOPRAM 5MG TAB EMP	21
2621878	ARIPIPRAZOLE (ABILIFY) 5MG TAB EMP	77
2621879	ROPINIROLE (REQUIP) 1MG TAB EMP	14
2621889	DILTIAZEM 50MG VIAL 10ML SDV	81
2621890	REGULAR INSULIN 10ML VL	190
2621891	ALBUTEROL (PROAIR HFA) 8.5GM INH EMP	142
2621892	CALCIUM CHLORIDE 10%(1GM) 10ML SDV	57
2621893	AMOX/CLAV 875/125MG TAB EMP	35
2621905	FUROSEMIDE 40MG TAB EMP	15
2621906	AZATHIOPRINE 50MG TAB EMP	13
2621909	CEPHALEXIN 500MG CAP EMP	21
2621910	FLUCONAZOLE 150MG TAB EMP	72
2621911	FLUTICASONE (FLONASE) NAS SPRAY 16GM EMP	219
2621912	PREDNISONE 5MG TAB EMP	13
2621913	CLINDAMYCIN 150MG CAP EMP	21
2621914	METHYLPRED 4MG DOSEPAK 21 TABS EMP	114
2621934	CLOBETASOL 0.05% OINT 60GM EMP	981
2621935	INS REGULAR 10ML VIAL EMP	190
2621939	ROSUVASTATIN 20MG TAB EMP	36
2621958	CLONAZEPAM 0.5MG TAB EMP C4	15
2621959	NEBIVOLOL (BYSTOLIC) 5MG TAB EMP	18
2621960	ALBUTEROL (VENTOLIN)HFA 200-DOSE INH EMP	87
2621961	GLIPIZIDE XL 5MG TAB EMP	15
2621993	SUCRALFATE 1GM TAB EMP	16
2621995	RIFAXIMIN 200MG TAB	76
2621997	LORAZEPAM 0.5MG TAB EMP C4	15
2622018	AMOX/CLAV 500/125MG TAB EMP	35
2622026	TOCILIZUMAB (ACTEMRA) 400MG 20ML VIAL	11397
2622027	NOVOLIN-N INSULIN NPH 10ML VIAL EMP	190
2622032	VENLAFAXINE XR 37.5MG CAP EMP	21
2622037	AMOXICILLIN 500MG CAP EMP	16
2622052	LOSARTAN/HCTZ (HYZAAR)50/12.5MG TAB EMP	24
2622053	ALBUTEROL (VENTOLIN)HFA 60-DOSE INH EMP	87
2622084	EZETIMIBE (ZETIA) 10MG TAB EMP	33
2622086	CLOBETASOL PROP 0.05% LOTION 59ML BOTTLE	265
2622093	TERBINAFINE 250MG TAB EMP	11
2622096	LOSARTAN 100MG TAB EMP	16
2622098	BUPROPION 150MG XL TAB EMP	12
2622101	GLYBURIDE 2.5MG TAB EMP	16
2622102	TRESIBA FLXTCH 200U/ML 3X3ML PFS	846
2622106	FLUOXETINE 10MG CAP	34
2622107	LEVOTHYROXINE 25MCG TAB EMP	15
2622116	DOPAMINE 800MG PREMIX 250ML BAG	104
2622117	AMITRIPTYLINE 25MG TAB EMP	11
2622118	MECLIZINE (ANTIVERT) 25MG TAB EMP	15
2622121	ERGOCALCIFEROL (VIT D2) 50,000IU CAP EMP	16
2622122	NITROFURANTOIN (MACROBID) 100MG CAP EMP	17
2622125	ESOMEPRAZOLE 40MG CAP EMP	7
2622126	SOTALOL 120MG TAB EMP	41
2622131	HYDROXYCHLOROQUINE 200MG TAB EMP	37
2622132	DIGOXIN (LANOXIN) 0.25MG TAB EMP	12
2622143	PROBENECID 500MG TAB EMP	15
2622144	CEFDINIR (OMNICEF) 300MG CAP EMP	34
2622145	NIZORAL A-D SHAMPOO 1% 125ML BOTTLE EMP	36
2622160	CHANTIX 1MG TAB EMP	18
2622166	DEXLANSOPRAZOLE (DEXILANT) 60MG CAP EMP	21
2622167	EMPAGLIFLOZIN (JARDIANCE) 25MG TAB EMP	59
2622168	CIPRODEX OTIC SUSP EMP	475
2622170	TEMAZEPAM 15MG CAP EMP C4	13
2622171	FENOFIBRATE (TRICOR) 160MG TAB EMP	965
2622204	DICLOFENAC (VOLTAREN) 1% 100GM GEL EMP	130
2622205	MENTHOL COUGH DROPS BOX OF 20 LOZENGES	15
2622210	EZETIMIBE/SIMVAST 10/20 TAB EMP	33
2622211	LOVASTATIN 10MG TAB EMP	30
2622217	ROPINIROLE (REQUIP) 0.5MG TAB EMP	14
2622230	LIOTHYRONINE (CYTOMEL) 5MCG TAB EMP	7
2622231	NALTREXONE 50MG TAB EMP	16
2622238	NICOTINE 21MG/24H PATCH EMP	56
2622240	JANUMET XR 50/1000 TAB EMP	29
2622241	METOPROLOL SUCC XL 50MG TAB EMP	16
2622246	NABUMETONE 500MG TAB EMP	13
2622247	LEFLUNOMIDE (ARAVA) 20MG TAB EMP	53
2622249	KETOROLAC 0.5% OP SOL 10ML EMP	387
2622250	LISINOPRIL 30MG TAB EMP	11
2622256	FLUOCINONIDE 0.05% TOP SOL 60ML EMP	184
2622257	AZELASTINE NASAL SPRAY 30ML EMP	197
2622258	TRIAMCINOLONE 0.1% TOP OINT 80GM EMP	25
2622267	HALOPERIDOL (HALDOL) 5MG TAB	13
2622277	BENZONATATE (TESSALON) 100MG CAP EMP	16
2622287	AZITHROMYCIN OP SOL 1% 2.5ML EMP	340
2622288	MELATONIN 5MG TAB	19
2622291	FOLIC ACID 1MG TAB EMP	15
2622292	VANCOMYCIN (VANCOCIN) 500MG IVPB	209
2622293	PHENAZOPYRID 100MG TAB EMP	21
2622294	VALPROIC ACID (DEPAKENE) 250MG/5ML SYRUP	16
2622295	MILNACIPRAN (SAVELLA) 100MG TAB EMP	25
2622326	VALACYCLOVIR (VALTREX) 1GM TAB EMP	35
2622333	OFLOXACIN (OCUFLOX) 0.3% OP SOL 5ML EMP	121
2622334	WARFARIN (COUMADIN) 1MG TAB EMP	15
2622336	ADVAIR 250/50 INH 60-DOSE EMP	321
2622337	CEFAZOLIN (ANCEF) 350MG IVPB	57
2622365	LABETALOL 100MG TAB EMP	16
2622366	PREDNISOLONE 1% OP SOL 10ML EMP	113
2622367	LOSARTAN (COZAAR) 25MG TAB EMP	16
2622368	EMPAGLIFLOZIN (JARDIANCE) 10MG TAB EMP	59
2622370	EMPAGLIFLOZIN (JARDIANCE) 25MG TAB	62
2622371	ARMOUR THYROID 30MG TAB EMP	8
2622372	VALSARTAN/HCTZ 160/12.5MG TAB EMP	26
2622373	LINZESS (LINACLOTIDE) 145MCG CAP EMP	46
2622375	ROPINIROLE (REQUIP) 0.25MG TAB EMP	14
2622381	METRONIDAZOLE 0.75% CRM 45GM EMP	24
2622392	OXYCODONE 15MG IR TAB C2	29
2622393	ACYCLOVIR 200MG CAP EMP	6
2622395	PAMIDRONATE DISODIUM 60MG INJ 10ML VIAL	250
2622410	PREDNISONE 2.5MG TAB EMP	13
2622411	DOXYCYCLINE 100MG CAP EMP	12
2622412	METOPROLOL SUC XL 25MG TAB EMP	15
2622413	DILTIAZEM (CARTIA XT) 180MG ER CAP	8
2622414	TERAZOSIN (HYTRIN) 10MG CAP EMP	18
2622415	APIXABAN (ELIQUIS) 5 MG TAB EMP	21
2622439	AZITHROMYCIN 250MG TAB EMP	88
2622440	GENTAMICIN 40MG/ML INJ 20ML MDV	41
2622452	MONONESSA 0.25/0.035MG 6X28 TAB PAK EMP	88
2622463	MONTELUKAST 4MG CHEW TAB EMP	32
2622473	TRIAMCINOLONE 0.1% CRM 15GM EMP	35
2622477	NEBIVOLOL (BYSTOLIC) 20MG TAB EMP	24
2622479	SPIRONOLACTONE 50MG TAB EMP	6
2622481	NICOTINE 14MG/DAY PATCH EMP	54
2622482	TOCILIZUMAB (ACTEMRA) 80MG 4ML VIAL	1667
2622496	TRIAMTERENE/HCTZ 75/50 TAB EMP	16
2622498	NASCOBAL NASAL SPRAY 500MCG EMP	219
2622504	PRAMIPEXOLE (MIRAPEX) 0.25MG TAB EMP	19
2622505	SITAGLIPTIN (JANUVIA) 100MG TAB EMP	41
2622506	OMEGA 3 ACID (LOVAZA) 1GM CAP EMP	15
2622507	LIRAGLUTIDE (VICTOZA) 3 PENS 9ML EMP	834
2622512	MULTIVITAMIN+MINERALS LIQUID 236ML	42
2622513	LINZESS (LINACLOTIDE) 290MCG CAP EMP	46
2622514	LIOTHYRONINE (CYTOMEL) 25MCG TAB EMP	13
2622515	PRAMIPEXOLE (MIRAPEX) 0.125MG TAB EMP	19
2622516	METOPROLOL ORAL SOL 10MG/ML 90ML BOTTLE	108
2622517	LEVETIRACETAM (KEPPRA) OR SOL 500MG 5ML	15
2622518	METOCLOPRAMIDE ORAL SOL 10MG 10ML	11
2622519	MICONAZOLE TOP POWDER 71GM	26
2622531	CELECOXIB (CELEBREX) 200MG CAP EMP	17
2622532	LEVETIRACETAM 500MG INJ 5ML SDV	43
2622534	MUSCLE RUB CREAM 113GM	26
2622536	SILVER SULFA (SILVADENE) 1% CRM 50GM EMP	62
2622537	CLINDAGEL 1% TOPICAL GEL 75ML EMP	6
2622558	FLUTICASONE (FLOVENT)HFA 110MCG INH EMP	516
2622563	LEVOTHYROXINE (SYNTHROID) 112MCG TAB EMP	13
2622564	CONTRAVE 8/90MG ER TAB EMP	12
2622565	LANTUS SOLOSTAR INSULIN PEN EMP 5 PENS	46
2622566	HUMALOG INJ 10ML VIAL EMP	504
2622567	EMERGEN-C PROBIOTICS PLUS PACKET	7
2622569	TIMOLOL 0.5% OP SOL 15ML EMP	44
2622570	DORZOLAMIDE 2% OP SOL 10ML EMP	44
2622574	DESVENLAFAXINE ER 50MG TAB EMP	21
2622585	DEXLANSOPRAZOLE (DEXILANT) 30MG CAP EMP	21
2622590	OXYBUTYNIN (DITROPAN) XL 10MG TAB EMP	16
2622592	SITAGLIPTIN (JANUVIA) 50MG TAB EMP	41
2622594	GLIMEPIRIDE (AMARYL) 2MG TAB EMP	15
2622602	PROGESTERONE (PROMETRIUM) 100MG CAP EMP	41
2622606	IV EXTENSION FILTER SET/HIGH VOLUME	16
2622607	IV SET, VENTED	29
2622608	TRIAMCINOLONE 0.1% CRM 80GM EMP	49
2622617	OLMESARTAN (BENICAR) 20MG TAB EMP	16
2622618	BUDES/FORMOT (SYMBICORT) 80/4.5 INH EMP	652
2622619	HYDROCORTISONE 2.5% CRM 30GM EMP	57
2622636	OMEPRAZOLE ORAL SUSP 2MG/ML 150ML	201
2622677	VANCOMYCIN ORAL SOL 25MG/ML 150ML BOTTLE	364
2622680	DICYCLOMINE (BENTYL) 10MG CAP EMP	15
2622691	KETOROLAC 0.5% OP SOL 5ML EMP	387
2622694	SOLIFENACIN (VESICARE) 5MG TAB EMP	38
2622695	ROSUVASTATIN 5MG TAB EMP	36
2622704	DILTIAZEM (CARTIA XT) 240MG CAP EMP	8
2622712	BETAMETH VAL 0.1% LOTION 60ML EMP	140
2622713	INDOMETHACIN 25MG CAPS EMP	6
2622722	SPIRONOLACTONE 100MG TAB EMP	6
2622723	TRI-LO-MARZIA TAB EMP 3X28TABS	88
2622724	AMOX/CLAV 250MG/5ML 100ML SUSP	425
2622729	TIZANIDINE 4MG TAB EMP	7
2622730	BRINZOLAMIDE(AZOPT) 1% OP SUSP 15ML EMP	340
2622731	DEPO PROVERA 104MG SUB-Q INJ EMP SYRINGE	372
2622741	VIRT-GARD TAB EMP	7
2622743	PENICILLIN VK 500MG TAB EMP	13
2622744	RIVAROXABAN (XARELTO) 10MG TAB EMP	53
2622745	HALOPERIDOL (HALDOL) 5MG TAB EMP	13
2622746	PHENYTOIN (DILANTIN) 100MG ER CAP EMP	13
2622747	BUDESONIDE 0.5MG INH SUSP 2ML EMP	46
2622748	FLUOROURACIL 5% CRM 40GM EMP	191
2622750	MUPIROCIN (BACTROBAN) 2% OINT 22GM EMP	128
2622751	LIDOCAINE 2% URO-JET 20ML	47
2622763	FLECAINIDE 150MG TAB EMP	19
2622764	NYSTATIN 100 M-U/GM OINT 30GM EMP	54
2622768	CYANOCOBALAMIN (VIT B-12) 1MG VL 1ML EMP	50
2622785	NITROGLYCERIN 2% OINT 30GM EMP	87
2622795	METOPROLOL TARTRATE 100MG TAB EMP	17
2622797	METRONIDAZOLE 0.75% GEL 45GM EMP	24
2622803	LEVOTHYROXINE 125MCG TAB EMP	35
2622807	AMOX 400MG/5ML SUSP 50ML EMP	41
2622808	NORETH/ETH ESTRAD 3X28 TABS EMP	88
2622811	VALSARTAN (DIOVAN) 160MG TAB EMP	26
2622812	ONDANSETRON (ZOFRAN) 4MG TAB EMP	96
2622821	HYDROXYZINE HCL 50MG TAB EMP	9
2622824	EPIPEN 0.3MG AUTOINJECTOR 2-PAK EMP	351
2622825	NYSTATIN 100 M-U/GM CRM 30GM EMP	54
2622827	CETACAINE TOP ANESTH SPR SINGLE DOSE 5GM	124
2622828	CETIRIZINE 5MG/5ML ORAL SOL 473ML EMP	33
2622842	ONDANSETRON (ZOFRAN) 8MG TAB EMP	96
2622845	TEGRETOL-XR 400MG TAB EMP	18
2622847	ENOXAPARIN (LOVENOX) 30MG/0.3ML INJ EMP	118
2622848	CAPTOPRIL 25MG TAB EMP	7
2622868	FLUOXETINE (PROZAC) 40MG CAP EMP	15
2622869	ATOMOXETINE (STRATTERA) 80MG CAP EMP	13
2622872	LEVONOR/ETH 0.1/0.02MG TAB 3X28 PAK EMP	13
2622873	IPRATR/ALBUT (DUO NEB) SOL 60V EMP	55
2622874	ALBUTEROL 2.5MG/3ML NEB 0.083% 60V EMP	16
2622892	TOPIRAMATE 25MG TAB EMP	18
2622902	SUDOGEST 30MG TAB EMP	7
2622903	SILDENAFIL 50MG TAB EMP	13
2622904	FEMYNOR 0.25/0.035MG 28 TAB PAK EMP	88
2622912	NOVOLOG MIX 70/30 FLEXPEN EMP 5X3ML	198
2622913	BUSPIRONE 15MG TAB EMP	11
2622915	LIDOCAINE VISCOUS 2% SUSP 100ML EMP	49
2622919	NEBIVOLOL (BYSTOLIC) 10MG TAB EMP	24
2622920	DYMISTA NASAL SPRAY 23GM EMP	219
2622927	INDOMETHACIN 50MG CAP EMP	6
2622947	PREDNISONE 1MG EMP	13
2622960	TERAZOSIN 1MG CAP EMP	18
2622967	INFLU VACC FLUBLOK 18-64Y PFS 0.5ML	260
2622974	WARFARIN (COUMADIN) 6MG TAB EMP	15
2622975	DALBAVANCIN (DALVANCE) 500MG IVPB	6392
2622983	IPRATROPIUM (ATROVENT) NAS SPY 15ML EMP	114
2622984	LEVALBUT (XOPENEX) HFA INHALER EMP	166
2622985	CLINDAMYCIN 2% VAG CRM 40GM EMP	66
2622996	NYSTATIN 100 M-U/GM CRM 15GM EMP	54
2623001	CEVIMELINE (EVOXAC) 30 MG CAPS EMP	7
2623024	LEVOFLOXACIN (LEVAQUIN) 750MG TAB EMP	57
2623025	PREMARIN VAG CREAM 30GM EMP	754
2623039	LEVALBUTEROL 0.63MG INH SOL 5X3ML PAK	46
2623040	CALCITRIOL (ROCALTROL) 0.25MCG CAP EMP	15
2623041	SITAGLIPTIN (JANUVIA) 25MG TAB EMP	51
2623042	ACYCLOVIR (ZOVIRAX) 400MG TAB EMP	29
2623051	NIFEDIPINE (NIFEDICAL) XL 60MG TAB EMP	17
2623060	EPIDUO FORTE 0.3-2.5% TOP GEL PUMP EMP	746
2623061	NORETHINDRONE 5MG TAB EMP	9
2623062	CLOBETASOL 0.05% CRM 45GM EMP	981
2623063	LAMOTRIGINE XR 25MG TAB EMP	24
2623075	DILTIAZEM 180 MG CAP EMP	8
2623078	TRIAMCINOLONE 0.1% CRM 454GM EMP	49
2623079	CLOBETASOL PROP 0.05% SOL 50ML EMP	265
2623082	AMOX 250MG/5ML SUSP 150ML EMP	41
2623084	SILVER NITRATE SWAB STICK 10 SWABS	140
2623088	FAMOTIDINE (PEPCID) 10MG TAB	12
2623089	METRONIDAZOLE 1% 60 GM GEL EMP	130
2623093	IPRATROP/ALBUT 0.5MG/2.5ML NEB 3ML EMP	29
2623111	OVIDREL 250MCG INJ 0.5ML EMP	602
2623119	MIDODRINE 5MG TAB EMP	18
2623123	TOLTERODINE (DETROL LA) 4MG CAP EMP	37
2623157	PSEUDOEPHEDRINE 30MG TAB EMP	5
2623182	HYDROCORTISONE 2.5% OINT 1OZ EMP	57
2623183	ALCLOMET DIP. (ACLOVATE) 0.05% OINT EMP	57
2623189	AZOR 10/40MG TAB EMP	29
2623198	TRI-LINYAH TAB 6X28 TAB EMP	88
2623201	CHANTIX 0.5MG TAB EMP	18
2623203	PROPRANOLOL ER 60MG CAP EMP	13
2623209	TAMSULOSIN (FLOMAX) 0.4MG CAP EMP	34
2623215	CLOMIPHENE CIT 50MG TAB EMP	17
2623216	HUMALOG KWIK PEN 5X3ML EMP	504
2623217	PREGABALIN 75MG CAP C5 EMP	30
2623221	CLOTR/BETA DIP CREAM 15GM EMP	211
2623224	OSELTAMIVIR (TAMIFLU) 75MG CAP EMP	49
2623230	ACYCLOVIR 5% CRM 5GM EMP	328
2623233	CHANTIX STARTING MONTH PAK EMP	1467
2623234	CELECOXIB (CELEBREX) 100MG CAP	17
2623235	CELECOXIB (CELEBREX) 100MG CAP EMP	17
2623236	CLOTRIM/BETAMETH DIP CREAM 45GM EMP	211
2623237	FLECAINIDE 100MG TAB EMP	19
2623252	MINERAL OIL HEAVY 16OZ BOTTLE	18
2623263	FALMINA 0.02/0.1MG 6X28 TAB PAKS EMP	88
2623264	FETZIMA ER 20MG CAP EMP	15
2623265	LEVOCETIRIZINE 2.5MG/5ML ORSOL 148ML EMP	257
2623272	IRBESARTAN/HCTZ 300MG/12.5MG TAB EMP	29
2623285	FLUCONAZOLE (DIFLUCAN) 200MG TAB EMP	50
2623286	OXCARBAZEPINE 300MG TAB EMP	15
2623299	DIPHENOXYL/ATROPINE (LOMOTIL) TAB C5 EMP	15
2623300	TIROSINT 125MCG CAP EMP	35
2623301	TIROSINT 100 MCG CAP EMP	35
2623302	LAMOITRIGINE 50MG XR TAB EMP	24
2623305	LOTEMAX OPTH OINT 3.5GM EMP	46
2623310	ONDANSETRON (ZOFRAN) 8MG TAB EMP	96
2623311	ORPHENADRINE 100MG XR EMP	15
2623312	COLESTIPOL 1GM TAB EMP	17
2623318	PROPRANOLOL 60MG TAB EMP	13
2623319	CHANTIX 1MG MAINTENANCE PAK EMP	1467
2623322	BREO ELLIPTA 100/25MCG INH 30 DOSE EMP	284
2623323	CLONIDINE 0.3MG TAB EMP	11
2623324	CLONIDINE 0.3MG TAB EMP	11
2623325	CITALOPRAM (CELEXA) 10MG TAB EMP	11
2623360	AZITHROMYCIN 500MG TAB EMP	88
2623373	CIMZIA 200MG VIAL KIT 2 X 200MG SDV	18404
2623376	TOUJEO SOLOSTAR INSULIN PEN EMP 3-PEN BX	1033
2623378	PRAMIPEXOLE (MIRAPEX) 0.5MG TAB EMP	21
2623380	ALBUTEROL 90MCG 8.5GM INH 200 DOSE	142
2623384	ANORO ELLIPTA 62.5/25MCG INH 30 DOSE EMP	284
2623387	HEMORRHOIDAL OINT 57GM TUBE	30
2623390	CYCLOSPORINE (RESTASIS) OP SOL 60VL EMP	35
2623391	ALBUTEROL (PROVENTIL) 6.7GM INH EMP	142
2623393	LICOCAINE (LIDODERM) 5% PATCH EMP	44
2623408	TOBRAMYCIN 0.3% OP SOL 5ML EMP	100
2623415	CORTISPORIN TC OTIC SUSP 10ML EMP	228
2623416	MIRTAZAPINE (REMERON) 15MG TAB EMP	26
2623418	LEVALBUT (XOPENEX) 0.63MG NEB SOL 3ML UD	48
2623425	NYSTATIN TOP POWDER 15GM EMP	103
2623441	HYDROCHLOROTHIAZIDE 12.5MG CAP/TAB EMP	12
2623442	SUPREP BOWEL PREP KIT	340
2623443	BUPROPION 300MG XL TAB EMP	12
2623451	FENOFIBRATE (TRICOR) 48MG TAB EMP	77
2623452	TIROSINT 112 MCG CAP EMP	35
2623453	ATOMOXETINE (STRATTERA) 40MG CAP EMP	13
2623454	MAG-AL-SIMETH MAX ORAL SUSP 10ML	17
2623461	JANUMET 50/500 TAB EMP	29
2623501	SUPREP BOWEL PREP KIT EMP	340
2623502	QUETIAPINE (SEROQUEL) 50MG TAB EMP	17
2623503	MEGESTROL 40MG/ML SUSP 240ML	521
2623504	TRINTELLIX 20MG TAB EMP	11
2623505	ADVAIR 150/50 INH 60-DOSE EMP	321
2623506	PROPRANOLOL 20MG TAB EMP	13
2623508	PREDNISONE 20MG TAB EMP	13
2623509	OLOPATADINE 0.2% OP SOLN 2.5ML EMP	484
2623512	LATANOPROST (XALATAN) OP SOL 2.5ML EMP	230
2623518	PREGABALIN (LYRICA) 75MG CAP EMP C5	30
2623519	ATOMOXETINE (STRATTERA) 25MG CAP EMP	13
2623520	DESVENLAFAXINE ER 25MG TAB EMP	21
2623521	CLOBETASOL 0.05% OINT 15GM EMP	981
2623522	BETAMETH VAL 0.1% CREAM 15 GM EMP	140
2623537	METRONIDAZOLE VAG 0.75% GEL 70GM EMP	24
2623538	DENAVIR 1% CRM 5GM EMP	328
2623540	SCOPOLAM (TRANSDERM SCOP) 1.5MG PAT EMP	63
2623541	OXCARBAZEPINE 150MG TAB EMP	15
2623542	LOPERAMIDE (IMODIUM) 2MG TAB EMP	17
2623543	LOPERAMIDE (IMODIUM) 2MG TAB EMP	17
2623544	HYDROCORTISONE 25MG SUPP EMP	59
2623545	ESTRADIOL 10MCG TAB SUPP EMP	59
2623546	METOPROLOL SUCC XL 100MG TAB EMP	16
2623558	ARMOUR THYROID 15MG TAB EMP	8
2623559	PREGABALIN (LYRICA) 50MG CAP EMP C5	30
2623560	ACYCLOVIR 5% OINT. 30GM TUBE EMP	902
2623569	FETZIMA ER 40MG CAP EMP	15
2623570	ONDANSETRON (ZOFRAN) 4MG ODT EMP	98
2623571	TADALAFIL (CIALIS) 2.5MG TAB EMP	30
2623572	APIXABAN (ELIQUIS) 2.5 MG TAB EMP	21
2623573	LEVOFLOXACIN (LEVAQUIN) 500MG TAB EMP	57
2623575	ACETYLCYSTINE 20% 30ML INJ IV ONLY	770
2623576	XOPENEX HFA MPI 200 DOSE INH EMP	142
2623582	IPRATROP BR 0.5MG/2.5ML INH / NEB EMP	29
2623594	NYS/MINTO/VLIDO/DIPH ORAL SUSP 240ML	189
2623595	ZYRTEC D ER 5MG/120 MG TAB EMP #24	33
2623601	FAMOTIDINE (PEPCID) 20MG TAB	12
2623602	CIPROFLOXACIN (CIPRO) 3% OP SOL 2.5ML	98
2623646	DOXEPIN 3MG TAB EMP	35
2623659	LOSARTAN (COZAAR) 50MG TAB EMP	16
2623660	MIRVASO 0.33% TOPICAL GEL PUMP 30GM EMP	6
2623686	REMDESIVIR 100MG IVPB	1930
2623717	TIOTROPIUM (SPIRIVA) RESPIMAT 1.25MCG	916
2623725	DEPO PROVERA 150MG IM SUSP EMP SYRINGE	372
2623726	RIZATRIPTAN BENZ 10MG ODT EMP	98
2623737	POTASSIUM CHLORIDE 10MEQ ER TAB EMP	13
2623752	DILTIAZEM 90MG TAB EMP	8
2623772	LAMOTRIGINE (LAMICTAL) 25MG TAB EMP	26
2623773	PREDNISOLONE 1% OP SUSP 5ML EMP	113
2623774	RIZATRIPTAN BENZ 5 MG TAB EMP	98
2623775	ESTRADIOL 0.01% VAG CRM 42.5GM EMP	210
2623777	TOPIRAMATE 100MG TAB	30
2623787	ARIPIPRAZOLE (ABILIFY) 2MG TAB EMP	77
2623794	ATENOLOL (TENORMIN) 50MG TAB EMP	15
2623795	HUMALOG 75/25 KWIK PEN 5X3ML EMP	504
2623797	FENOFIBRATE (TRICOR) 54MG TAB EMP	77
2623798	NIFEDIPINE (NIFEDICAL) XL 90MG TAB EMP	17
2623815	ATOMOXETINE (STRATTERA) 60MG CAP EMP	13
2623817	BENZONATATE (TESSALON) 200MG CAP EMP	16
2623818	ENSKYCE 0.15/0.03MG 3X28 TAB PAK EMP	313
2623844	CHOLESTYRAMINE 4GM PWDR PKT EMP	92
2623853	BAMLANIVIMAB 700MG 20ML IVPB	28841
2623858	DIFFERIN 0.1% CREAM 45GM EMP	211
2623876	VLIDO/MINTO/DIPH/SCRLFT ORAL SUSP 160ML	189
2623895	ACETAMINOPHEN 650MG SUPPOSITORY	15
2623898	TOBRADEX OP SUSP 5ML EMP	100
2623899	EPIPEN JR 0.15MG AUTOINJECTOR 2-PAK EMP	351
2623900	SOLIFENACIN (VESICARE) 10MG TAB EMP	38
2623908	METHOTREX 50MG/2ML INJ 5 SDVIALS EMP	132
2623909	OFLOXACIN (FLOXIN)0.3% OTIC SOL 10ML EMP	182
2623910	AMITIZA 24MCG CAP EMP	46
2623915	HYDRALAZINE 100MG TAB EMP	15
2623916	NP THYROID 30MG TAB EMP	8
2623940	TIZANIDINE 2MG TAB EMP	7
2623959	DOXEPIN 10MG CAP EMP	35
2623968	ZIAC 10/6.25MG TAB EMP	26
2623973	FAMOTIDINE (PEPCID) 40MG TAB EMP	12
2623996	PROPOFOL 10MG/ML 10ML (SURGERY)	33
2624004	MOXIFLOXACIN 0.5% OP SOL 3ML EMP	340
2624013	FAMOTIDINE (PEPCID) 20MG TAB EMP	12
2624018	PREGABALIN (LYRICA) 25MG CAP EMP C5	30
2624034	LIDO / EPI 2% INJ 30ML VIAL (SURGERY)	61
2624051	IPRATROP BR 0.06% 15ML NASAL SOL EMP	29
2624052	TADALAFIL (CIALIS) 5MG TAB EMP	30
2624056	MONOLINYAH 35MCG-0.25MG 6X28 TAB PAK EMP	88
2624059	RIZATRIPTAN BENZ 10MG TAB EMP	98
2624060	TRI-SPRINTEC TAB 6X28 TAB EMP	88
2624064	TRAZODONE (DESYREL) 150MG TAB EMP	15
2624087	FENOFIBRATE (TRICOR) 145MG TAB EMP	34
2624093	LUPRON DEPOT 45MG 6MTH INJ	36089
2624101	ITRACONAZOLE 100MG CAP EMP	50
2624116	FLUTICASONE 0.05% TOP CRM 30 GM EMP	51
2624119	METRONIDAZOLE 500MG TAB EMP	15
2624127	CEFTAROLINE FOSAMIL (TEFLARO) 400MG IVPB	732
2624130	TOPIRAMATE 50MG TAB EMP	18
2624150	PREGABALIN (LYRICA) 100MG CAP C5 EMP	26
2624157	TIMOLOL 0.5% (TIMOPTIC XE)OP GEL 5ML EMP	765
2624158	DEPO TESTOSTERONE CYP 200MG/ML 1ML EMP	83
2624180	VENLAFAXINE (EFFEXOR) 75MG TAB EMP	16
2624190	SULFA / TRIMETH 200/40 ORAL SUSP EMP	34
2624203	TERAZOSIN 2MG CAP EMP	18
2624215	DICLOFENAC POT (ZIPSOR) 25MG CAP EMP	9
2624220	DUROLANE (HYALURONIC ACID) INJ	3327
2624222	GLIMEPIRIDE (AMARYL) 4MG TAB EMP	15
2624229	AMIODARONE (PACERONE) 200MG TAB EMP	18
2624236	FETZIMA ER 80MG CAP EMP	15
2624237	LORAZEPAM 2MG TAB EMP C4	16
2624244	ESZOPICLONE (LUNESTA) 2MG TAB EMP	13
2624245	SODIUM CHLORIDE 0.9% 1000ML BAG EMP	100
2624246	SODIUM BICARB 8.4% INJ ADLT 50ML SDV EMP	131
2624247	EPINEPHRINE (ADRENALIN) 30ML VIAL EMP	268
2624248	LIDOCAINE 2% 1000MG INJ 50ML MDV EMP	63
2624258	KETOCONAZOLE SHAMPOO 2% 4OZ EMP	36
2624266	FLUTICASONE (FLOVENT)HFA 110MCG INH	516
2624267	FLUTICASONE (FLOVENT)HFA 110MCG INH	516
2624268	FLUTICASONE (FLOVENT)HFA 44MCG INH EMP	516
2624269	PHENTERMINE 15MG CAP EMP C4	14
2624282	HYOSCYAMINE SULF 0.125MG ODT TAB EMP	8
2624288	FETZIMA ER 120MG CAP EMP	15
2624289	LEVOTHYROXINE 200MCG TAB EMP	35
2624290	TADALAFIL (CIALIS) 20MG TAB EMP	30
2624298	PREDNISOLONE 1% OP SUSP 10ML EMP	113
2624303	KETAMINE 500MG INJ 10ML VIAL	149
2624304	MIDAZOLAM (VERSED) 50MG INJ 10ML C4	143
2624309	CIPROFLOXACIN (CIPRO) 3% OP SOL 5ML EMP	98
2624312	BISMUTH SUB (PEPTO BISMOL) 525MG 8OZ BOT	21
2624320	LOTEPREDNOL OPTH GEL 0.5% 5GM EMP	46
2624321	CLOBETASOL 0.05% CRM 30GM EMP	981
2624329	AMMONIUM LACTATE 12% CRM 385GM EMP	34
2624330	FENTANYL 2500MCG INJ 50ML DRIP	74
2624332	BARICITINIB (OLUMIANT) 2MG TAB	252
2624381	ATENOLOL (TENORMIN) 25MG TAB EMP	15
2624391	HYDROCORTISONE 100MG/2ML INJ EMP	95
2624393	BUSPIRONE 30MG TAB EMP	11
2624419	BIMATOPROST (LUMIGAN) OP SOL 7.5ML EMP	743
2624431	LANSOPRAZOLE 15MG CAP EMP	11
2624432	GRALISE ER 300MG TAB EMP	16
2624434	POLYMYX B /TRIMETH OP SOL 10ML EMP	41
2624441	APREPITANT (EMEND) 40MG CAP EMP	96
2624449	LEFLUNOMIDE (ARAVA) 10MG TAB EMP	53
2624450	SUMATRIPTAN 50MG TAB EMP	113
2624451	ESOMEPRAZOLE 20MG CAP EMP	7
2624456	SIMVASTATIN (ZOCOR) 10MG TAB EMP	32
2624461	OXYBUTYNIN (DITROPAN) 5MG TAB EMP	16
2624462	TIROSINT 137MCG CAP EMP	35
2624466	FENOFIBRATE (TRICOR) 43MG CAP EMP	77
2624467	ZALEPLON 5MG CAP EMP C4	33
2624470	STIOLTO RESPIMAT INH 60 DOSE EMP	284
2624474	VALACYCLOVIR (VALTREX) 500MG TAB EMP	35
2624479	PROLENSA 0.7% OP SOL 3ML EMP	387
2624488	QUETIAPINE (SEROQUEL) 100MG TAB EMP	17
2624489	HYDROCORTISONE 5MG TAB EMP	11
2624491	GLUCAGON HYPOKIT 1MG INJ EMP	351
2624495	ZORVOLEX 35MG CAP EMP	9
2626260	LOSARTAN (COZAAR) 25MG TAB	16
2626261	CETIRIZINE (ZYRTEC) TAB 10MG UD	17
2626262	FLUCONAZOLE (DIFLUCAN) 100MG TAB	50
2626263	NITROFURANTOIN (MACROBID) 100MG CAP	17
2626264	FLUTICASONE (FLOVENT)HFA 110MCG INH	516
2626265	FINASTERIDE (PROSCAR) 5MG TAB	21
2626266	METFORMIN (GLUCOPHAGE) 850MG TAB	16
2626267	AZITHROMYCIN (ZITHROMAX) 500MG VIAL	242
2626268	AMOX/CLAV 875/125MG TAB	35
2626269	GLIMEPIRIDE (AMARYL) 4MG TAB	15
2626270	DILTIAZEM (CARDIZEM) 300MG CD CAP	29
2626271	ATORVASTATIN (LIPITOR) 10MG TAB UD	18
2626272	CARBAMAZ (TEGRETOL) 100MG/5ML SUSP	15
2626273	TOLTERODINE (DETROL) LA 2MG CAP	35
2626274	TERAZOSIN (HYTRIN) 5MG CAP	18
2626275	VITAMIN E 400IU CAP	15
2626276	CHOLESTYRAMINE (QUESTRAN) 4GM PWDR PKT	92
2626277	LATANOPROST (XALATAN) 2.5ML OPTH SOL	230
2626278	DONEPEZIL (ARICEPT) 5MG TAB UD	35
2626279	CELECOXIB (CELEBREX) 100MG CAP	17
2626280	GABAPENTIN (NEURONTIN) 100MG CAP	15
2626281	BENAZEPRIL (LOTENSIN) 20MG TAB	13
2626282	OXYCODONE (OXYCONTIN) CR 10MG TAB C2	37
2626283	OXYCODONE (OXYCONTIN) CR 20MG TAB C2	33
2626284	CLARITHROMYCIN (BIAXIN) 500MG TAB	33
2626285	ONDANSETRON (ZOFRAN) 4MG TAB	96
2626286	ISOSORBIDE MONO (IMDUR) 30MG ER TAB	16
2626287	PROMETHAZINE(PHENERGAN)12.5MG SUPP	55
2626288	TETANUS & DIPTH TOX 7Y+ INJ 0.5ML	147
2626289	SULFACETAMIDE 10% OP SOL 15ML	151
2626290	CETIRIZINE (ZYRTEC) 1MG/ML 5ML SYR	15
2626291	GLIPIZIDE (GLUCOTROL) XL 5MG TAB	15
2626292	FAT EMULSION (INTRALIPID)20% 500ML	383
2626294	VENLAFAXINE (EFFEXOR) ER 75MG CAP	21
2626295	ATENOLOL (TENORMIN) 25MG TAB	15
2626296	METFORMIN (GLUCOPHAGE) 1000MG TAB	17
2626297	ENOXAPARIN (LOVENOX) 30MG/0.3ML INJ	118
2626298	OLANZAPINE (ZYPREXA) 10MG TAB	57
2626299	CITALOPRAM (CELEXA) 20MG TAB	21
2626300	CLONAZEPAM (KLONOPIN) 0.5MG TAB C4	15
2626301	METHYLPRED 4MG DOSEPAK 21 TABS	114
2626302	MONTELUKAST (SINGULAIR) 10MG TAB	32
2626303	RISPERIDONE (RISPERDAL) 0.5MG TAB	26
2626304	GABAPENTIN (NEURONTIN) 300MG CAP	16
2626305	TENECTEPLASE (TNKASE) 50MG INJ	22267
2626306	EPOETIN ALFA (PROCRIT) 10,000U/ML 10ML I	650
2626307	LEVOFLOXACIN 500MG/20ML VIAL	214
2626308	COLLAGENASE (SANTYL) 30GM OINT	532
2626309	ENOXAPARIN (LOVENOX) 40MG/0.4ML INJ	143
2626310	ENOXAPARIN (LOVENOX) 60MG/0.6ML INJ	202
2626311	HYDROCO/APAP 5/325MG TAB EMP C2	15
2626312	PANTOPRAZOLE (PROTONIX) 40MG TAB U/D	29
2626313	MIRTAZAPINE (REMERON) 15MG TAB	26
2626314	BUPIVAC/EPI (MARC/EPI) PF 0.5% INJ 10ML	70
2626315	ADMINISTRATION FEE PNEUMONIA VACC	35
2626316	GENTAMICIN SULF 0.1% CRM 15GM	92
2626317	PRAVASTATIN (PRAVACHOL) 20MG TAB UD	21
2626318	ENOXAPARIN (LOVENOX) 100MG INJ 1ML	356
2626319	ZOLPIDEM (AMBIEN) 10MG TAB EMP C4	34
2626320	LIDOCAINE 2% TOP JELLY 30ML	46
2626321	FENTANYL (DURAGESIC) 25MCG PATCH C4	128
2626322	METOPROLOL SUCC (TOPROL XL)50MG TAB	16
2626323	FENTANYL (DURAGESIC) 50MCG PATCH C2	213
2626324	METOPROLOL SUCC (TOPROL XL)25MG TAB	15
2626325	FLUTICASONE (FLONASE) NAS SPRAY 16GM	219
2626326	HYDROCODONE/APAP (VICODIN)5/500 TAB	9
2626327	RAMIPRIL (ALTACE) 5MG CAP	18
2626328	PROMETHAZINE (PHENERGAN) 25MG TAB	15
2626329	FLUOXETINE (PROZAC) 10MG TAB	34
2626330	PIPERAC/TAZOBACT(ZOSYN) 3.375GM IVPB	118
2626331	PIPERACIL/TAZOBACT(ZOSYN) 4.5GM	145
2626332	KETOROLAC 30MG/ML 1ML INJ (IV OR IM)	98
2626333	KETOROLAC (TORADOL) 15MG/ML 1 ML INJ SDV	82
2626334	SUCCINYLCHOLINE 200MG/10ML INJ MDV	102
2626335	VECURONIUM (NORCURON) 10MG INJ	191
2626336	OSELTAMIVIR (TAMIFLU) 75MG CAP	49
2626337	SOD POLYSTYR (KAYEXALATE)15G/60MLSUS	39
2626338	ESCITALOPRAM (LEXAPRO) 10MG TAB	21
2626339	AMLODIPINE (NORVASC) 10MG TAB	29
2626340	VALSARTAN (DIOVAN) 40MG TAB	18
2626341	VALSARTAN (DIOVAN) 160MG TAB	26
2626342	ERTAPENEM (INVANZ) 1GM VIAL	557
2626343	QUETIAPINE (SEROQUEL) 25MG TAB	17
2626344	QUETIAPINE (SEROQUEL) 100MG TAB UD	29
2626345	FENOFIBRATE (TRICOR) 160MG TAB	30
2626346	GUAIFENESIN (MUCINEX) XR 600MG TAB	13
2626347	OLMESARTAN (BENICAR) 20MG TAB	16
2626348	INSULIN GLARG INJ (LANTUS) 1 UNIT	14
2626349	THIAMINE (VITAMIN B 1) 100MG TAB	13
2626350	MOMETASONE (NASONEX) NASAL SPRAY EMP	542
2626352	BALSAM/CAST/TRYPSIN (VENELEX) OINT 60GM	191
2626354	ONDANSETRON (ZOFRAN) 4MG ORAL SOL 5ML	127
2626355	OFLOXACIN (FLOXIN)0.3% OTIC SOL 5ML	182
2626356	BUPIVAC/EPI 0.25% INJ 10ML	41
2626357	SOLIFENACIN (VESICARE) 5MG TAB	38
2626358	METHOCARB(ROBAXIN)100MG/ML INJ 10ML	113
2626360	AMIODARONE 150MG INJ 3ML VIAL	86
2626361	TIOTROPIUM (SPIRIVA) INH 5 DOSE KIT	219
2626362	ORPHENADRINE 60MG INJ (IV OR IM) 2ML VL	142
2626363	STERILE WATER FOR INJECTION 10ML (SWFI)	44
2626364	DRONABINOL (MARINOL) 2.5MG CAP	34
2626365	CARVEDILOL (COREG) 3.125MG TAB	16
2626366	CARVEDILOL (COREG) 6.25MG TAB	17
2626367	CARVEDILOL (COREG) 12.5MG TAB	18
2626368	SCOPOLAM (TRANSDERM SCOP) 1.5MG PAT	63
2626369	SODIUM CHLORIDE (SALT) 1GM TAB	15
2626370	PEG 3350 (MIRALAX) 17GM PKT MIX	24
2626371	PEG 3350 (MIRALAX) 238GM POWDER	118
2626372	NYSTATIN TOP POWDER 15GM	103
2626373	DOLASETRON (ANZEMET) 12.5MG INJ	159
2626374	FLUTICASONE/SALMET(ADVAIR)250/50INH	321
2626375	MEGESTROL 40MG/ML SUSP 5ML (200MG)	15
2626376	LEVOFLOX (LEVAQUIN) 750MG PREMIX 150ML	252
2626377	COLESTIPOL (COLESTID) 1GM TAB	17
2626378	FLUTICASONE (FLOVENT) 44MCG IHNALER	419
2626379	BIMATOPROST (LUMIGAN) OP SOL 5ML EMP	743
2626380	LEVOFLOX (LEVAQUIN) 250MG/50ML PREMIX	212
2626381	NIFEDIPINE (PROCARDIA) XL 60MG TAB	18
2626382	BACLOFEN (LIORRESAL) 10MG TAB UD	15
2626383	FEXOFENADINE (ALLEGRA) 180MG TAB	26
2626384	LEVOFLOXACIN (LEVAQUIN) 750MG TAB	62
2626385	LACTOBACILLUS (LACTINEX) CHEW TAB	15
2626386	POLY-IRON (FERREX) 150MG CAP	26
2626388	LICOCAINE (LIDODERM) 5% PATCH	44
2626389	PENICIL G BEN LA 600 KU INJ PEDIATRIC	447
2626390	LIDOCAI/PRILOCAI(EMLA) 30GM DOSE CRM	78
2626391	PANTOPRAZOLE (PROTONIX) 40MG IVPB	162
2626392	CIPROFLOXACIN (CIPRO) 250MG TAB	34
2626393	CIPROFLOXACIN (CIPRO) 3% OP SOL 5ML	98
2626394	CLINDAMYCIN (CLEOCIN) 300MG CAP	19
2626396	AMMONIA INHALANT	15
2626397	HEPARIN PORT FLSH 100U 5ML IN 10ML PFS	53
2626398	CEFDINIR (OMNICEF) 125MG/5ML SUS 60ML	252
2626399	FENOFIBRATE (TRICOR) 145MG TAB	34
2626401	CROTALID POLYVA IMMUN FAB(CROFAB)	21771
2626402	INSULIN 70/30 10ML VIAL (HUMULIN)	637
2626403	INSULIN 70/30 1UNIT INJ (HUMULIN 70/30)	15
2626404	INSULIN NPH 1UN INJ (NOVOLIN)	14
2626405	DO NOT USE THIS ITEM #, NOT STOCKED	245
2626406	INSULIN REG 1UN INJ (HUMULIN-R)	14
2626407	INSULIN GLARGINE 1 UN INJ LANTUS	14
2626408	INSULIN ASPART 10ML VIAL (NOVOLOG) EMP	798
2626409	INSULIN ASPART 1UNIT INJ (NOVOLOG)	14
2626410	MOXIFLOXACIN (AVELOX) 400MG TAB	70
2626411	DIBUCAINE (NUPERCAINAL) 30GM OINT	41
2626412	LIDOCAINE (XYLOCAINE) 1% 10ML INJ MDV	61
2626413	20MEQ K++ IN NS 1000ML IV	97
2626414	20MEQ K++ IN D5W 1000ML IV	97
2626415	POTASSIUM 10MEQ BOLUS 100ML IVPB	97
2626416	PREDNISOLONE (ORAPRED) 15MG SYR 5ML	17
2626417	ARIPIPRAZOLE (ABILIFY) 5MG TAB	77
2626418	MICONAZOLE (MONISTAT) 2% VAG CRM	51
2626419	IRON SUCROSE (VENOFER) 100MG INJ 5ML	361
2626420	HEPARIN VIAL FLUSH 5ML VIAL	41
2626421	NS (MINIBAG PLUS) 100ML IV	100
2626422	SODIUM CHLORIDE 3% 500ML IV	97
2626423	PEGFILGRASTIM (NEULASTA) 6MG SC INJ	25407
2626424	DUTASTERIDE (AVODART) 0.5MG CAP	29
2626425	CHOLECALCIFEROL (VIT D3) 1000IU TAB	15
2626426	ALFUZOSIN (UROXATRAL) 10MG TAB	29
2626427	MAGNESIUM OX (MAG-OX) 400MG TAB	15
2626428	20MEQ K++ D51/2NS 1000ML IV	97
2626429	PEG 3350(MIRALAX)238GM BOWELPREPSUS	61
2626430	DULOXETINE (CYMBALTA) 30MG CAP	41
2626431	PREGABALIN (LYRICA) 75MG CAP C5	30
2626432	NALOXONE (NARCAN)2MG INJ 2ML PFS	137
2626433	CYCLOSPORINE (RESTASIS) OP SOL 0.4ML	35
2626434	NITROGLYCERIN 50MG/D5W 250ML	113
2626435	ERGOCALCIFEROL (VIT D2) 50,000IU CAP	16
2626436	CIPROFLOXACIN (CIPRO) 200MG PREMIX	66
2626437	RABIES VACCINE (RABAVERT) INJ	1225
2626438	RABIES IMM GLOB 300IU 2ML VIAL	2886
2626439	CEFDINIR (OMNICEF) 250MG/5ML SUS 60ML	427
2626440	CEFDINIR (OMNICEF) 300MG CAP	34
2626441	REGADENOSON (LEXISCAN) 0.4MG INJ 5ML	1155
2626442	IPRATROP(ATROVENT)0.5MG/2.5ML INH / NEB	29
2626443	LEVALBUTEROL 0.63MG INH SOL 4X3ML PAK	46
2626444	LEVALBUTEROL / SOD CHL 1.25MG / 3ML	63
2626445	SODIUM CHLOR INH SOL 0.9% 3ML NEB TX	24
2626446	RACEMIC EPI 2.25% INH SOL 0.5ML	32
2626447	MASTISOL ADH SURG LIQ DROP0.67MLSOL	35
2626448	BUDESONIDE 0.5MG INH SUSP 2ML	46
2626449	DAPTOMYCIN/NS (CUBICIN) 500MG IVPB	2028
2626451	CIPROFLOX/DEXAM (CIPRODEX)OTIC SUSP 7.5M	475
2626452	DILTIAZEM 125MG VIAL 25ML	92
2626453	OXYCODONE (OXY IR) 5MG IR TAB C2	29
2626454	ALTEPLASE(CATHFLO ACTIVASE) 2MG INJ	592
2626455	FENTANYL 50MCG/ML INJ 2ML	57
2626456	FENTANYL(SUBLIMAZE)50MCG/ML 5ML INJ C2	132
2626457	METOPROLOL (LOPRESSOR) 25MG TAB UD	16
2626458	HYDROMORPHONE (DILAUDID) 2MG/ML INJ C2	75
2626459	SOD HYPOCHLOR (DAKINS SOL) 0.5% TOP SOL	42
2626460	TIGECYCLINE (TYGACIL) 50MG IVPB	368
2626461	PHENYTOIN (DILANTIN) 100MG/2ML INJ	49
2626462	ASCORBIC ACID(VIT C)500MG/ML50MLINJ	108
2626463	ROSUVASTATIN (CRESTOR) 10MG TAB UD	36
2626464	INSULIN DRIP 100U REG INS/100ML IVPB	1385
2626465	NYSTATIN 100MU/ML 5ML SUSP	15
2626466	SODI, POTA, PHOS (PHOS NAK) 1.5GM PKT	13
2626467	LIDOCAINE (XYLOCAINE) 5% 35.44GM OINT	150
2626468	FLUTIC/SALMET (ADVAIR) 500/50 INH	393
2626469	FLUTIC/SALMET (ADVAIR) 100/50 INH 14-DS	284
2626470	MAGNESIUM SULFATE 500MG/ML 20ML IV/IM	159
2626471	NICOTINE (NICODERM) 14MG/DAY PATCH	54
2626472	SIMVASTATIN (ZOCOR) 20MG TAB UD	30
2626473	SIMVASTATIN (ZOCOR) 40MG TAB	32
2626474	SITAGLIPTIN (JANUVIA) 25MG TAB	51
2626475	HEPARIN IV FLUSH 5ML PFS IV	41
2626476	NS IV FLUSH PF 10ML PFS	41
2626477	AZTREONAM (AZACTAM) 2GM IVPB	383
2626478	MEROPENEM (MERREM) 1GM IVPB	217
2626479	PRAMIPEXOLE (MIRAPEX) 0.25MG TAB	19
2626480	BRIMONID/TIMOL(COMBIGAN)5ML OP SOL	236
2626481	GUAIFEN (MUCINEX MAX)XR 1200MG TAB	13
2626482	GUAIF/DM(MUCINEX DM)XR 600/30MGTAB	13
2626483	GUAIF/DM(MUCINEXDMMAX)XR1200/60MGTB	13
2626484	CALCITRIOL (ROCALTROL) 0.25MCG CAP	15
2626485	DICLOFENAC (VOLTAREN) 1% 100GM GEL	130
2626486	PPN AA/ELEC/GLY (PROCALAMI) 1000ML	165
2626487	EZETIMIBE (ZETIA) 10MG TAB	33
2626488	MORPHINE 4MG INJ 1ML C2	65
2626489	NEBIVOLOL (BYSTOLIC) 5MG TAB	18
2626490	OMEGA 3 ACID (LOVAZA) 1GM CAP	15
2626491	CEFEPIME (MAXIPIME) 1GM IVPB	110
2626492	BUPROPION (WELLBUTRIN)150MG SR TAB	16
2626493	NYSTAT/TRIAMCIN (MYCOLOG) 15GM CRM	263
2626494	BUPIVACAI (MARCAINE) 0.5% 50ML INJ	128
2626495	NIACIN 500MG PLAIN TAB	13
2626496	LACTOBACILLUS (ACIDOPHILUS) CAP	15
2626497	ALBUTEROL (PROAIR HFA) 8.5GM INH	142
2626498	LAMOTRIGINE (LAMICTAL) 25MG TAB	26
2626499	LEVETIRACETAM (KEPPRA) 500MG TAB UD	24
2626500	PRAMIPEXOLE (MIRAPEX) 1MG TAB EMP	21
2626501	INFLUENZA HIGH-DOSE VACC 65+ PFS	260
2626502	TOPIRAMATE (TOPAMAX) 25MG TAB	18
2626503	ROPINIROLE (REQUIP) 1MG TAB	14
2626504	SULFASALAZINE 500MG TAB EMP	12
2626505	CEFPODOXIME PROX(VANTIN) 200MG TAB	35
2626506	RENAL CAPS (VIRT-CAPS) CAP	12
2626507	CALCIUM ACETATE (PHOS LO) 667MG CAP	16
2626508	PIPERAC/TAZOBACT (ZOSYN)2.25GM IVPB	86
2626509	MORPHINE 20MG/ML CONC.ORAL SOL 30MLC2	131
2626511	DIPHENHYDRAMINE (BENADRYL) 2% CRM 28GM	29
2626512	FENTANYL (DURAGESIC) 12MCG PATCH C2	126
2626513	VANCOMYCIN / SWFI 125MG/2.5ML ORAL SOL	82
2626514	PANTOPRAZOLE (PROTONIX) 40MG SUSP	49
2626515	ACYCLOVIR (ZOVIRAX) 400MG TAB	29
2626516	CALC CARB (TUMS) 500MG ANTACID TAB	13
2626517	HYDROCLORTHIAZIDE 12.5MG CAP	12
2626518	MOXIFLOXAC(AVELOX) 400MG/250ML IVPB	139
2626519	POTASSIUM CHLORIDE 10MEQ/5ML INJ	44
2626520	OMEGA 3 (FISH OIL) 1000MG CAP	12
2626521	GALANTAMINE (RAZADYNE) ER 16MG TAB	33
2626522	SEVELAMER CARB (RENVELA) 800MG TAB	19
2626523	SODIUM BICARBONATE 650MG TAB (10GR)	12
2626524	PRIMIDONE (MYSOLINE) 50MG TAB UD	13
2626525	PYRIDOSTIGMINE (MESTINON) 60MG TAB	13
2626526	MEMANTINE (NAMENDA) 5MG TAB UD	24
2626527	MAGNESIUM SULF 50% (1GM) 2ML VIAL IV/IM	29
2626528	ASPIRIN/DIPYR(AGGRENOX)25/200MGTAB	26
2626529	DENOSUMAB (PROLIA) 60MG/ML SC INJ	4649
2626530	CILOSTAZOL (PLETAL) 100MG TAB	15
2626531	ATORVASTATIN (LIPITOR) 40MG TAB UD	30
2626532	METHYLPRED (DEPOMED) 80MG IM INJ 1ML	117
2626533	DIAZEPAM (DIASTAT) 10MG RECTAL GEL C4	471
2626534	ATROPINE 1% OP DROPS 15ML	153
2626536	FLUTICASONE HFA 220MCG INH 120 DOSES	789
2626537	OLANZAPINE (ZYPREXA) 10MG IM INJ	226
2626538	DEXAMETHASONE 10MG/ML INJ 10ML MDV	72
2626539	LIDOCAINE(XYLOCAINE MPF)MPF 1%5ML J	62
2626540	SODIUM CHL PF 0.9% 10ML INJ VIAL	37
2626541	NEBIVOLOL (BYSTOLIC) 20MG TAB	24
2626542	PHENYLEPHRINE 1% 10MG INJ 1ML	72
2626543	LEVALBUT (XOPENEX) 1.25MG NEB SOL 3ML	48
2626544	LIDOCAINE (XYLOC)2% 40MG INJ 2ML SDV	50
2626545	EPTIFIBAT (INTEGRILIN)75MG/100ML J	1922
2626546	EPTIFIBATIDE(INTEGRILIN)20MG/10ML J	653
2626547	CEFPROZIL(CEFZIL)250MG/5MLSUSP 75ML	193
2626548	FORMOT (PERFOROMIST)20MCG2MLINHSOL	50
2626550	DOXYCYCLINE HYCLATE 20MG TAB	16
2626551	FERUMOXYTOL (FERAHEME) 30MG/ML 17M	3912
2626552	OSELTAMIVIR (TAMIFLU) 45MG CAP	49
2626553	OSELTAMIVIR(TAMIFLU) 6MG/ML60ML SUS	555
2626554	GABAPENTIN (NEURONTIN) 600MG TAB	16
2626555	FAMOTIDINE (PEPCID) 20MG INJ 2ML	194
2626558	PALONOSETRON (ALOXI) 0.25MG/5ML IV	3493
2626559	ROFLUMILAST (DALIRESP) 500MCG TAB	35
2626560	RIVAROXABAN (XARELTO) 10MG TAB	53
2626561	PERMETHRIN (ELIMITE) 5% 60GM CRM	290
2626562	RITUXIMAB (RITUXAN) 100MG 10ML IVPB	5802
2626563	RITUXIMAB (RITUXAN) 500MG 50ML IVPB	28841
2626564	D5W AVIVA BAG 6E0063 500ML IV SOL	100
2626565	NS AVIVA BAG 6E1323 500ML IV SOL	100
2626566	NS AVIVA BAG 6E1322 250ML IV SOL	100
2626568	PHASEAL INJECTOR FOR CHEMO (N35)	96
2626569	PHASEAL CONNECTOR FOR CHEMO (N35)	63
2626570	VALACYCLOVIR (VALTREX) 500MG TAB	35
2626571	LORATADINE (CLARITIN) 5MG/5ML SYR	12
2626572	CHLORHEX (PERIDEX) ORAL RINSE 0.12%15ML	12
2626573	HYDROMORPHONE (DILAUDID) 4MG/ML INJ C2	78
2626574	PARICALCITOL (ZEMPLAR) 1MCG CAP	54
2626575	CETUXIMAB (ERBITUX) 200MG/100ML IVP	9322
2626576	LOSARTAN (COZAAR) 100MG TAB	18
2626577	FUROSEMIDE (LASIX) 100MG/10ML INJ	50
2626578	INSULIN DETEMIR 1UN INJ (LEVEMIR)	14
2626579	TRAZODONE (DESYREL) 150MG TAB	15
2626580	MORPHINE PCA 1MG/ML 30ML PFS C2	95
2626581	GRANISETRON (KYTRIL) 1MG/ML 1ML INJ	633
2626582	CARBOPLAT(PARAPLAT) 600MG/60ML IVPB	521
2626583	ETOPOSIDE (VEPESID)20MG/ML 5ML IVP	132
2626584	CARBOPLAT (PARAPLAT) 450MG/45ML IVP	633
2626585	CARBOPLAT (PARAPLAT) 150MG/15ML IVP	192
2626586	ETOPOSIDE (VEPESID) 20MG/ML25ML IVP	338
2626587	MORPHINE SULF IR 15MG TAB C2	26
2626588	TOLVAPTAN (SAMSCA) 15MG TAB	1315
2626589	POTAS AC PHOSPHATE (K-PHOS) TAB	15
2626590	DIVALPROEX (DEPAKOTE) 125MG DR TAB	16
2626591	BUDES/FORMOT (SYMBICORT)160/4.5 INH 6GM	513
2626592	CEFTAZIDIME (FORTAZ) 2GM IVPB	72
2626593	METHYLPRED (SOLU-MEDROL) 500MG IVP 4ML	163
2626594	HYDROXYZINE PAM (VISTARIL)25MG CAP	19
2626595	BINFANTIS (ALIGN) PROBIOTIC 4MG CAP	13
2626596	LITHIUM (LITHOBID) 150MG CAP	15
2626597	TOLTERODINE (DETROL LA) 4MG CAP	37
2626598	AMIODARONE (PACERONE) 200MG TAB UD	18
2626599	MELOXICAM (MOBIC) 7.5MG TAB	17
2626600	PREGABALIN (LYRICA) 100MG CAP C5	26
2626601	THEOPHYLLINE (THEODUR) ER 100MG TAB	16
2626602	VENLAFAXINE (EFFEXOR) 75MG TAB UD	16
2626603	LAMOTRIGINE (LAMICTAL) 100MG TAB	30
2626604	CHLORDIAZEPOXIDE (LIBRIUM)25MG CAP C4	17
2626605	LEVOTHYROXINE (SYNTHROID)75MCG TAB	15
2626606	DEXAMETHASONE (DECADRON) 2MG TAB UD	16
2626607	EYE-VITE (OCUVITE) TAB	9
2626608	CHOLECALCIFEROL (VIT D3) 2000IU TAB	15
2626609	METFORMIN (GLUCOPHAGE)ER 750MG TAB	16
2626610	ACYCLOVIR (ZOVIRAX) 1000MG IVPB	150
2626611	CRASH CART FEE	452
2626612	ZINC SULFATE (ZINC) 220MG CAP	15
2626613	LEVOTHYROXINE (SYNTHROID)50MCG TAB	15
2626614	LACTULOSE (DUPHALAC) 10G/15ML SOL UD	15
2626615	ISOSORBIDE MONO (IMDUR) 60MG ER TAB	16
2626616	FELODIPINE (PLENDIL) ER 5MG TAB	15
2626617	SUCRALFATE (CARAFATE) 1GM/10ML SUSP	38
2651645	NEO/POLY/DEX (MAXITROL)5ML OP SUSP	51
2651647	NEO/POLY/DEX (MAXITROL)3.5GM OP OIN	51
2654004	ACETAMINOPHEN (TYLENOL) 120MG SUPP	15
2654006	ACETAMINOPHEN (TYLENOL) 650MG SUPP	14
2654010	ACETAMIN(TYLENOL)160MG/5MLSOL/SUSP	15
2654011	ACETAMIN/COD(TYL#3)120/12.5/5ML SOL C5	15
2654015	ACETAMINOPHEN (TYLENOL) 325MG TAB UD	15
2654025	ACETAMIN/COD (TYL#3) 300/30 TAB C3	29
2654036	ACETYLCYSTINE(MUCOMYST)10% 10ML SOL	57
2654038	ACETYLCYSTINE 20% 30ML SOL ORAL/INH	770
2654040	ALBUMIN 25% 50ML IVPB	635
2654050	ALBUTEROL (VENTOLIN)HFA 60-DOSE INH	87
2654051	IPRATROP/ALBUT(COMBIVENT)14.7GM INH	659
2654060	ALLOPURINOL (ZYLOPRIM) 100MG TAB	15
2654061	ADMINISTRATION FEE FLU VACCINE	33
2654063	EPINEPHRINE (ADRENALIN) 30ML VIAL	268
2654070	ALPRAZOLAM (XANAX) 0.25MG TAB C4	16
2654075	ALPRAZOLAM (XANAX) 0.5MG TAB C4	16
2654105	AMINOPHYLLIN 250MG INJ 10ML	81
2654117	OLANZAPINE (ZYPREXA) 2.5MG TAB	37
2654155	AMITRIPTYLINE (ELAVIL) 25MG TAB	15
2654161	AMLODIPINE (NORVASC) 5MG TAB	18
2654170	AMOX 125MG/5ML SUSP 80ML	16
2654175	AMOXICILLIN (AMOXIL) 250MG/5ML SUSP	10
2654185	AMOXICILLIN 500MG CAP	16
2654205	AMPICILLIN 500MG CAP EMP	16
2654221	AMPICILLIN (OMNIPEN) 2GM VIAL IVPB	110
2654224	CALCIUM CARB (TUMS) EX 750MG 4 TABS	15
2654226	LIDOCAINE VISCOUS 2% SUSP 10ML	24
2654235	LUBRICANT EYE DROPS 15ML	44
2654236	LUBRICANT (LACRI-LUBE) OP OINT	46
2654245	ASPIRIN CHEWABLE 81MG TAB	15
2654249	ASPIRIN 325MG EC TAB	15
2654252	LORAZEPAM (ATIVAN) 2MG INJ 1ML C4	172
2654253	LOVASTATIN (MEVACOR) 20MG TAB	33
2654254	HYDROCODONE/APAP (LORCET PLUS) 7.5/650 T	13
2654255	ATROPINE 0.4MG INJ 1ML	49
2654260	ATROPINE 1MG/10ML PFS INJ	131
2654262	IPRATROPIUM HFA (ATROVENT HFA) 13GM INH	828
2654263	TRIAMCINOLONE (KENALOG) 40MG/ML INJ 5ML	227
2654264	AMOX/CLAV 500/125MG TAB	35
2654266	MUPIROCIN (BACTROBAN) 2% OINT 22GM	128
2654276	BETHANECHOL (URECHOLINE) 10MG TAB	17
2654285	PENICIL G BENZ LA 1.2MU INJ	679
2654305	BISACODYL (DULCOLAX) 5MG TAB	15
2654310	BISACODYL (BISCOLAX) 10MG SUPP	15
2654329	BRIMONID(ALPHAGAN P)0.1% 10ML OP SOL	629
2654352	BUSPIRONE (BUSPAR) 5MG TAB	18
2654353	BUSPIRONE (BUSPAR) 10MG TAB EMP	18
2654355	BUT/ACET/CAF(FIORICET) 50/325/40 TAB EMP	15
2654375	CALCIUM CHLORIDE 10%(1GM) PFS INJ 10ML	57
2654376	CALCIUM GLUCONATE 10% 1000MG SDV 10ML	49
2654378	CAPTOPRIL (CAPOTEN) 12.5MG TAB	17
2654385	CAPTOPRIL (CAPOTEN) 50MG TAB	18
2654405	CARBID/LEVOD (SINEMET) 25-100MG TAB	16
2654418	CEFTAZIDIME (FORTAZ) 500MG INJ	49
2654437	CEFUROXIME (CEFTIN) 250MG TAB	39
2654450	CEPHALEX (KEFLEX) 250MG/5ML SUSP 100ML	77
2654455	CEPHALEXIN (KEFLEX) 250MG CAP	16
2654460	CEPHALEXIN (KEFLEX) 500MG CAP	21
2654470	CEFAZOLIN (ANCEF) 1GM INJ	57
2654473	ACTIVATED CHARCOAL 25GM	77
2654477	CLOPIDOGREL (PLAVIX) 75MG TAB UD	30
2654540	CHLORPROMAZINE (THORAZINE) 25MG TAB	40
2654561	CHLORASEPTIC SORE THROAT 177ML SPR	57
2654600	MAG CITRATE (CITROMA) 296ML OR SOL	18
2654604	LORATADINE (CLARITIN) 10MG TAB	21
2654605	CLINDAMYCIN (CLEOCIN) 150MG CAP	21
2654610	CLINDAMYCIN (CLEOCIN) 300MG INJ 2ML	151
2654617	IBUTILIDE FUM (CORVERT) 1MG/ML 10ML	821
2654620	CLONIDINE (CATAPRES) 0.1MG TAB	15
2654647	COLCHICINE (COLCRYS) 0.6MG TAB	32
2654676	DILTIAZEM CD (CARDIZEM) 180MG CAP	21
2654678	DILTIAZEM CD (CARDIZEM) 120MG CAP	16
2654684	CYANOCOBALAMIN (VIT B-12) 1MG VL 1ML	50
2654690	CYCLOBENZAPRINE (FLEXERIL) 10MG TAB UD	17
2654720	DEXAMETHASONE 4MG INJ 1ML	57
2654755	DEXTROSE 50% (25GM) PFS INJ 50ML	131
2654775	DIAZEPAM (VALIUM) 5MG TAB C4	15
2654794	DICYCLOMINE (BENTYL) 20MG/2ML AMP INJ	191
2654795	DICYCLOMINE (BENTYL) 10MG CAP	15
2654810	DIGOXIN (LANOXIN) 125MCG TAB	16
2654815	DIGOXIN (LANOXIN) 0.25MG TAB	9
2654820	DIGOXIN (LANOXIN) 500MCG/2ML AMP INJ	50
2654832	DILTIAZEM (CARDIZEM) 60MG TAB UD	16
2654840	DIPHENHYDRAMINE (BENADRYL) 25MG CAP	15
2654855	DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ	49
2654860	DIPHENOXYL/ATROPINE (LOMOTIL) TAB C5	15
2654886	DOCUSATE (COLACE) 100MG ORAL SOL 10ML	12
2654890	DOME PASTE BANDAGE 3 INCH BANDAGE	84
2654900	DOME PASTE BANDAGE 4INCH BANDAGE	84
2654906	DOPAMINE 400/5ML INJ	38
2654925	DOXYCYCLINE HYCLATE 100MG TAB	16
2654930	DOXYCYCLINE (VIBRAMYCIN) 100MG/20ML INJ	227
2654937	ENALAPRIL (VASOTEC) 10MG TAB U/D	16
2654938	EPHEDRINE 50MG INJ 1ML	129
2654939	EPINEPHRINE 1MG/ML AMP/VIAL 1ML	75
2654940	EPINEPHRINE 1MG/10ML PFS	39
2654941	EPOETIN ALFA 4,000U/ML (PROCRIT)	540
2654996	ERYTHROMYCIN LACTOBINATE 500MG VIAL	151
2655000	ERYTHROMYCIN 3.5GM OP OINT	46
2655020	FERROUS SULFATE (FEOSOL) 324MG TAB	15
2655023	FLUCONAZOLE (DIFLUCAN) 150MG TAB	72
2655037	FLUOXETINE (PROZAC) 20MG CAP	37
2655040	FOLIC ACID (FOLVITE) 1MG TAB UD	15
2655050	FUROSEMIDE (LASIX) 20MG TAB UD	15
2655055	FUROSEMIDE (LASIX) 40 MG TAB	15
2655060	FUROSEMIDE (LASIX) 20MG INJ 2ML VL	46
2655070	FUROSEMIDE (LASIX) 40MG INJ 4ML VL	74
2655085	GENTAMICIN (GARAMYCIN) 80MG INJ 2ML	81
2655090	GENTAMIC (GARAMYCIN) 0.3% 5ML OPSOL	68
2655092	GLIPIZIDE (GLUCOTROL) 5MG TAB	16
2655094	METFORMIN (GLUCOPHAGE) 500MG TAB	15
2655095	GLUCAGON (GLUCAGEN) 1MG INJ	814
2655105	GLYCERIN PEDIATRIC SUPP	15
2655110	GLYCOPYRROLATE 0.4MG INJ (ROBINUL) 2ML	132
2655114	CARBAMIDE PEROX (DEBROX) 15ML EAR DRP	68
2655117	GOLYTELY PEG 3350 & ELECTROLYTE SOL	165
2655119	GUAIFENESIN/DM SYR 5ML	15
2655120	GUAIFEN 200MG SYR SF AF 10ML	15
2655121	GUAIFEN/CODIENE ORAL SOL 5ML C5	15
2655125	HALOPERIDOL (HALDOL) 0.5MG TAB	9
2655140	HALOPERIDOL (HALDOL) 5MG INJ 1ML	61
2655150	HEMORRHOIDAL HC (ANUSOL) 25MG SUPP	59
2655170	HEPARIN 10000U INJ 1ML	50
2655172	HEPARIN FLUSH 100U VIAL 1ML	37
2655173	HEPARIN 5000U INJ	38
2655174	HETASTARCH 6% IN NS 500ML	242
2655185	HYDRALAZINE (APRESOLINE) 10MG TAB	15
2655186	HYDRALAZINE 25MG TAB UD	15
2655195	HYDRALAZINE (APRESOLINE) 20MG/ML J	72
2655205	HYDROCHLOROTHIAZIDE (ORETIC) 25MG TAB UD	72
2655215	HYDROCORTIS (SOLU-CORTEF) 100MG/2ML INJ	95
2655225	HYDROGEN PEROXIDE 3% SOLN	16
2655234	HYDROXYZINE (ATARAX) HCL 10MG TAB	15
2655235	HYDROXYZINE (ATARAX) HCL 25MG TAB UD	17
2655244	HYDROXYZINE 10MG ORAL SYRUP 5ML	15
2655245	HYDROXYZINE (VISTARIL) 50MG/ML INJ	49
2655295	INFLUEN VACC PED 6M-35M PFS 0.25ML	149
2655300	IBUPROFEN (MOTRIN) 400MG TAB	15
2655305	IBUPROFEN (MOTRIN) 600MG TAB	15
2655359	ISOSORBIDE DIN (ISORDIL) 10MG TAB	15
2655375	LEVOFLOXACIN (LEVAQUIN) 500MG/100ML PREM	239
2655377	LEVOFLOXACIN (LEVAQUIN) 500MG TAB	57
2655378	LABETOLOL (TRANDATE) 5MG/ML INJ 20ML MDV	48
2655379	LEVOFLOXACIN (LEVAQUIN) 250MG TAB	51
2655382	LEVOTHYROXINE (SYNTHROID) 25MCG TAB UD	15
2655387	DOCUSATE (COLACE) 100MG CAPSULE	15
2655390	LEVOTHYROXINE (SYNTHROID) 100MCG TAB	15
2655400	LIDOCAINE/EPI 1% 20ML VIAL	63
2655405	LIDOCAINE PFS 2% 20MG/ML 5ML	120
2655409	LIDO/DEXTROSE 2GM/500ML PREMIX	95
2655426	XYLOCAINE4TOP 5-18-99	30
2655431	LISINOPRIL (PRINIVIL) 10MG TAB UD	17
2655435	LOPERAMIDE (IMMODIUM) 2MG TAB	17
2655437	LOPERAMIDE (IMMODIUM AD) 1MG/5ML LIQ	9
2655442	OMEPRAZOLE (PRILOSEC) 20MG CAP	48
2655443	HYDROCOD/APAP (LORCET) 10/650MG TAB	18
2655445	LORAZEPAM (ATIVAN) 0.5MG TAB C4	15
2655447	CLOTRIMAZOLE (LOTRIMIN) 1% CRM 28.35GM	141
2655460	MANNITOL 12.5GM/50ML (25%) INJECTION	72
2655465	MECLIZINE (ANTIVERT) 12.5MG TAB	15
2655470	MEPERIDINE (DEMEROL) 25MG/ML INJ C2	68
2655471	MEPERIDINE (DEMEROL) 50MG/ML INJ C2	72
2655472	METHYLENE BLUE 1% 10MG INJ 1ML	128
2655473	MEPERIDINE (DEMEROL) 75MG INJ 1ML C2	68
2655495	METHOCARBAMOL (ROBAXIN) 500MG TAB	16
2655530	METHYLPRED (SOLU-MEDRO) 40MG/ML INJ	50
2655535	METHYLPRED (SOLU-MED) 125MG/2ML INJ	69
2655545	METHYLPRED (SOLU-MED) 1GM INJ	285
2655550	METHYLPRED (DEPO-MED) 40MG IM INJ 1ML	68
2655556	METOCLOPRAMIDE (REGLAN) 10MG TAB	16
2655558	METOCLOPRAMIDE (REGLAN) 10MG INJ 2ML VL	57
2655561	METOPROLOL (LOPRESSOR) 100MG TAB	17
2655566	METOLAZONE (ZAROXOLYN) 5MG TAB	24
2655570	METRONIDAZOLE (FLAGYL) 250MG TAB	15
2655571	METRONIDAZOLE 500MG TAB	15
2655573	METOPROLOL (LOPRES) 5MG/5ML INJ 5ML	97
2655574	DILTIAZEM 25MG VIAL 5ML SDV	81
2655575	METRONIDAZOLE 500MG PREMIX 100ML BAG	113
2655583	GLYBURIDE (DIABETA) 5MG TAB	16
2655585	MILK OF MAGNESIA 30ML	15
2655590	MINERAL OIL 10ML	15
2655600	MORPHINE 10 MG/ML INJ 1ML C2	66
2655604	MORPHINE ER 15MG TAB C2	26
2655608	MORPHINE 2MG INJ 1ML C2	63
2655620	NALOXONE (NARCAN) 0.4MG/ML INJ	85
2655632	NAPROXEN (NAPROSYN) 500MG TABLET	11
2655643	NICOTINE (NICODERM) 21MG/24H PATCH	56
2655705	NITROGLYC (NITROSTAT) 0.4MG 3 TABS	46
2655720	NITROGLYCERIN (NITRO-BID) 2% OINT 1GM PK	13
2655721	NITROGLYCERIN 50MG/10ML INJ	223
2655722	IVAC UNINVERSAL SET c LOW SORBING TUBING	108
2655727	KETOCONAZOLE 2% CRM 15GM EMP	171
2655732	NORTRIPTYLINE (PAMELOR) 10MG CAP	15
2655745	NYSTATIN SUSP 60ML BOTTLE	56
2655747	OFLOXACIN (OCUFLOX) 0.3% OP SOL 5ML	121
2655750	NYSTATIN 100 M-U/GM CRM 15GM	54
2655751	NEO/POLY/HC (CORTISPOR) EAR SUSP 10ML	228
2655752	NEO/POLY/HC (CORTISPOR) EAR SOL 10ML	228
2655775	NAFCILLIN 2GM VIAL	193
2655790	OXYCOD/ACET (PERCOCET) 5/325MG TAB C2	26
2655800	OXYTOCIN (PITOCIN) 10UNITS/ML INJ 1ML	44
2655806	PAROXETINE (PAXIL) 20MG TAB UD	33
2655830	PENICILLIN VK (VEETIDS) 500MG TAB	13
2655850	PHENAZOPYRID (PYRIDIUM) 100MG TAB	21
2655855	PHENAZOPYRID (PYRIDIUM) 200MG TAB	8
2655860	PHENOBARBITAL 20MG/5ML ELIXIR C4	13
2655865	PHENOBARBITAL 130MG/ML INJ C4	39
2655870	PHENOBARBITAL 30MG TAB C4	13
2655880	PHENYTOIN (DILANTIN) 100MG ER CAP	13
2655881	PHENYTOIN 125MG/5ML SUSP 237ML	142
2655882	PHENYTOIN (DILANTIN) 50MG TAB	13
2655887	VITAMIN K (MEPHYTON) 5MG TAB	253
2655888	VITAMIN K-1 (PHYTONADIONE) 10MG INJ 1ML	198
2655925	PNEUMONIA VACCINE 23 POLYVALENT	384
2655930	NEO/POL/HC (CORTISPOR) OP SUS 7.5ML	321
2655934	NEO/POLY/BAC (NEOSPOR) OP OINT 3.5GM	137
2655944	NEO/POL/BAC/HC(CORTISP) OP OI 3.5GM	184
2655945	NEO/POLY/GRAM (NEOSPOR) OP SOL 10ML	149
2655946	POLYSPORIN POWDER 10GM	95
2655948	POLYMIX/BAC (POLYSPORIN) OP OINT 3.5GM	95
2655960	POTASSIUM CHLORIDE 20MEQ/10ML INJ	42
2655961	POTASSIUM CHLORIDE 40MEQ/20ML INJ	42
2655965	POTASSIUM CHLORIDE (KDUR) 10MEQ ER TAB	13
2655970	POTASSIUM CL 10% 20MEQ/15ML ORAL SOLN	50
2655980	POTASSIUM PHOS 45MM/66MEQ 15ML INJ	42
2655994	PREDNISOLONE (PEDIAPRED) 1MG/ML LIQ	16
2655996	PREDNISONE (DELTASONE) 5MG TABLET	13
2655997	PREDNISONE (DELTASONE) 10MG TAB UD	13
2655998	PREDNISONE (DELTASONE) 20MG TABLET	13
2656000	PRE-PEN TEST	44
2656001	LISINOPRIL (PRINIVIL) 20MG TAB UD	16
2656002	AMPICIL/SULBACT (UNASYN) 1.5GM VIAL IVPB	121
2656003	AMPICIL/SULBACT (UNASYN) 3GM VIAL IVPB	172
2656006	LISINOPRIL (PRINIVIL) 5MG TAB UD	15
2656010	PROCAINAMIDE (PROCAN) 500MG SR TAB	9
2656019	IMIPEN-CILAST(PRIMAXIN) 500MG 10ML VL	204
2656029	ONDANSETRON (ZOFRAN) 4MG/2ML VL INJ	171
2656057	NIFEDIPINE (NIFEDICAL) XL 30MG TAB EMP	17
2656060	PROMETHAZINE (PHENERGAN) 50MG INJ 1ML	46
2656061	PROMETHAZINE (PHENERGAN)25MG INJ 1ML	35
2656071	PROMETH/COD 6.25/10MG SYP 10ML C5	16
2656101	PROPRANOLOL (INDERAL) 20MG TABLET	13
2656146	RANITIDINE 25MG/ML MDV 6ML (150MG/6ML)	33
2656147	RANITIDINE (ZANTAC) 150MG TAB	26
2656149	RANITIDINE (ZANTAC) 300MG TAB EMP	38
2656150	RISPERIDONE (RISPERDAL) 1MG TAB	19
2656157	CEFTRIAXONE (ROCEPHIN) 1GM VIAL	405
2656159	CEFTRIAXONE (ROCEPHIN) 2GM VIAL	775
2656165	SENNA (SENOKOT) 8.6MG TAB	13
2656167	SENNA/DOCUSATE (SENOKOT-S) TAB	13
2656177	SILVER NITRATE APPLICATOR STICK/SWAB 1	13
2656180	SIMETHICONE (MYLICON) 125MG TAB	13
2656181	SERTRALINE (ZOLOFT) 50MG TAB	33
2656184	SIMVASTATIN (ZOCOR) 10MG TAB	26
2656185	SIMETHICONE DROPS 30ML (20MG/0.3ML) SUSP	70
2656190	SODIUM BICARB 8.4% INJ ADULT 50ML	131
2656193	SODIUM BICARB 8.4% PEDIATRIC INJ 10ML	98
2656195	SODIUM CHLORIDE 50MEQ INJ	36
2656199	SOD CITRATE/CITRIC ACID(BICITRA)SOL	13
2656200	SODIUM CHLORIDE (OCEAN) 0.65% NASAL SPRA	51
2656210	SPIRONOLACTONE (ALDACTONE) 25MG TAB UD	13
2656217	STOMATITIS COCKTAIL ALA/DON/LIDO 30ML	161
2656230	SUCRALFATE (CARAFATE) 1GM TAB	16
2656236	SUMATRIPTAN (IMITREX) 6MG/0.5ML INJ	385
2656259	TAMSULOSIN (FLOMAX) 0.4MG CAP UD	19
2656261	TEMAZEPAM (RESTORIL) 15MG CAP C4	13
2656263	TERBUTALINE(BRETHINE)1MG/ML INJ 1ML	46
2656295	TETANUS TOXOID INJ 0.5ML	44
2656297	TETRACAINE 0.5% OP SOL DROPPERETTE 2ML	30
2656338	THIAMINE (VIT B1) 200MG INJ 2ML VIAL	61
2656370	PHENOL 29MG 18 LOZENGE BOX	51
2656393	TOBRAMYC/DEXAMETH (TOBRADEX) OP OINT	509
2656422	KETOROLAC 60MG/2ML INJ (IM)	124
2656423	ACTIVASE (ALTEPLASE) 100MG INJ	37425
2656430	TRAZODONE (DESYREL) 50MG TAB UD	15
2656432	PENTOXIFYLLINE(TRENTAL)400MG ER TAB	16
2656435	TRIAMCINOLONE(KENALOG)0.1% CRM 15GM	35
2656440	NYSTATIN/TRIAMCINOLONE CRM 60GM	521
2656452	TRIAMTERENE/HCTZ (MAXIDE) 37.5/25 TAB	16
2656485	SULFA / TRIMETH DS 800/160 U/D TAB	21
2656486	SULFA / TRIMETH 200/40 ORAL SUSP 5ML	34
2656510	TUBERCULIN (APLISOL) TB PPD TEST	66
2656515	VERAPAMIL (CALAN) 80MG TAB	25
2656516	AMPICIL/SULBAC (UNASYN) 1.5GM IM INJ	70
2656517	AMPICIL/SULBAC (UNASYN) 3GM IM INJ	109
2656519	VANCOMYCIN (VANCOCIN) 1GM INJ	548
2656521	VERAPAMIL (CALAN SR) 180MG SR TAB	18
2656522	VERAPAMIL (VERELAN) 240MG SR CAP EMP	18
2656523	TRAMADOL (ULTRAM) 50MG TAB UD C4	16
2656525	VERAPAMIL (CALAN) 5MG INJ 2ML VIAL	143
2656530	MULTIVITAMIN+MINERALS TABLET	15
2656540	MULTIVITAMIN (MVI 12) 10ML INJ	109
2656554	WARFARIN (COUMADIN) 2.5MG TAB	10
2656555	WARFARIN (COUMADIN) 5MG TAB	16
2656556	WARFARIN (COUMADIN) 2MG TAB	16
2656557	ROCURONIUM (ZEMURON) 50MG INJ 5ML VIAL	128
2656559	ZOLPIDEM (AMBIEN) 5MG TAB UD C4	33
2656565	IVAC CONTROLLER	70
2656570	BAXTER PUMP	152
2656571	RFA RADIO FREQUENCY ABLATION	525
2657102	ACYCLOVIR (ZOVIRAX) 200MG/5ML SUSP	18
2657103	ADENOSINE (ADENOCARD) 3MG/ML 2ML INJ	282
2657112	ENALAPRIL (VASOTEC) 5MG TAB EMP	17
2657117	BENZONATATE (TESSALON) 100MG CAP	16
2657120	LABETALOL (NORMODYNE) 100MG TAB	16
2657121	BETAMETHASONE (CELESTONE) 6MG INJ 1ML	57
2657124	OXYBUTYNIN (DITROPAN) 5MG TAB	16
2657129	CARBAMAZEPINE (TEGRETOL) 200MG TAB	16
2657130	IBUPROFEN (MOTRIN) 800MG TAB UD	15
2657132	GEMFIBROZIL (LOPID) 600MG TABLET	21
2657138	CIPROFLOXACIN (CIPRO) 500MG TAB UD	41
2657140	DIVALPROEX (DEPAKOTE) DR 250MG TAB	16
2657150	BUPIVACAINE (MARCAINE) 0.25%PF INJ 10ML	50
2657155	DOBUTAMINE (DOBUTREX) 250MG PREMIX 250ML	893
2657156	BUMETANIDE (BUMEX) 1MG TAB	16
2657158	BUMETANIDE (BUMEX) 1MG/4ML INJ	53
2657165	HYDROCORTISONE (CORTAID) 1% CREAM	46
2657169	MIDAZOLAM (VERSED) 2MG INJ 2ML C4	143
2657172	MIVACURIUM INJ 2MG/ML(MIVACRON)VIAL	41
2658097	PHENYLEPHRINE 0.25% (MILD)15ML NASPRY	70
2659102	PREDNISOLONE 1% OP SOL 5ML	113
2659103	OXYMETAZOLINE 0.5% 12HR NAS SPRY	53
2659104	NS 100ML IV FLUID	100
2659105	D5LR 1000ML IV 404881	100
2659107	D5 1/2NS 1000ML IV 019531	100
2659108	D5W 1000ML IV	100
2659109	LR 1000ML IV FLUID	100
2659110	NS 1000ML IV FLUID	100
2659111	NS 0.45% 1000ML IV	100
2659112	NS 250ML IV	100
2659113	NS 500ML IV	100
2659114	NS 0.45% 500ML IV 2B1313Q	100
2659115	D5W 500ML IV	100
2659120	D5NS 1000ML IV	100
2659121	TOBRAMYCIN (TOBREX) 0.3% OP SOL 5ML	100
2659149	AZITHROMYCIN (ZITHROMAX) 250MG TAB	88
2659150	TERAZOSIN (HYTRIN) 1MG CAP	18
2659191	AZITHROMYCIN 100MG/5ML SUSP 15ML	153
2659193	AZITHROMYC(ZITHRO)200MG/5MLSUSP15ML	161
2676081	IPRATR/ALBUT 0.5/2.5MG (DUO NEB) SOL 3ML	55
2684637	GENTAMICIN (GARAMYCIN) OP OINT 3.5GM	72
2684638	WARFARIN (COUMADIN) 1MG TAB	15
2684641	POTASSIUM CHLORIDE (KDUR) 20MEQ TAB	15
2684664	LITHIUM CARBONATE (LITHOBID) 300MG CAP	14
2684667	FLUMAZENIL (ROMAZICON) 0.1MG/ML 5ML VL	53
2684668	EYE STREAM OP IRRIGATION SOL 30ML	63
2684670	ACYCLOVIR (ZOVIRAX) 500MG VL	141
2684672	OLOPATADINE 0.1% OP SOLN 5ML EMP	484
2686436	PANCRELIPASE DR L=5K,P=17K,A=27K CP	13
2686454	HYDROCORTISONE (HYTONE) 2.5% CRM 30GM	57
2696413	CHEMOTHERAPY ADMIN UP TO 1 HR	801
2696415	CHEMOTHERAPY ADMIN EA ADDITION HR	193
2696416	PRESSURE PAD	32
2696417	IVAC CONTROLLER	81
2696418	IVAC PUMP	93
2696419	ALCOHOL ISOPROPYL 70% 480ML	41
2696420	NEO/POLY/BAC (TRPL ABX) OINT UD PKT	15
2696421	PROCHLORPER (COMPAZINE) 10MG 2ML INJ	72
2696422	THIAMINE (VITAMIN B1) 100MG/ML INJ	40
2696423	LIDOCAINE (XYLOCAINE) 2% 20MG/ML 5ML INJ	63
2696424	MATTRESS, AIR FLUIDIZED	82
2696425	FLOMAX (TAMSULOSIN) 0.4MG CAP	11
2696427	ASCORBIC ACID (VITAMIN C) 500MG TAB	13
2696428	NEO/POLY/BAC (TRIP ANTIB) 28GM OINT	72
2697037	FINGER STICK	48
2697038	SULFA / TRIMETH DS 800/160 TAB EMP	21
2697039	GUAIFENESIN/DM SYR EMP	15
2697040	INSULIN 70/30 INJ 1 UNIT	14
2697041	INSULIN LISPRO INJ (HUMALOG) 1 UNIT	14
2697042	LORAZEPAM 2MG/ML ORAL SOL 30ML C4	150
2697043	MIDAZOLAM (VERSED) 2MG/ML SYRUP C4	15
2697044	BENTYL 20MG/2ML INJ	128
2697045	PHENYTOIN 250MG INJ 5ML SDV	48
2697046	CYANOCOBAL (VIT B-12) 1MG/ML INJ 10ML	39
2697047	LEVOTHYROXINE (SYNTHROID) 500MCG INJ	823
2697048	CEFTRIAXONE (ROCEPHIN) 250MG VIAL	217
2697049	BETAMETHASONE W PHOSPHATE/ACETATE 6MG/ML	50
2697050	AMINOPHYLLINE 500MG INJ 20ML SDV	46
2697051	CEFEPIME (MAXIPIME) 2GM IVPB	183
2697052	LEVOFLOXACIN 750MG (DIABETIC) VIAL 30ML	252
2697053	ENALAPRILAT 2.5MG/2ML(VASOTEC)	95
2697054	LIDOCAINE (XYLOCAINE) 1% PF 5ML SDV	37
2697055	HEPARIN FLUSH 100U/ML 5ML VIAL	41
2697056	LIDOCAINE (XYLOCAINE) 1% MPF 30ML	77
2697057	ESTRADIOL CYP (DEPO-ESTRAD) 25MG VIAL	372
2697058	SOD NITROPRUS (NITROPRESS) 50MG/2ML INJ	1996
2697059	BUPIVAC/EPI (MARCAINE/EPI)PF 0.5% 30ML	70
2697060	IOHEXOL (OMNIPAQUE) 240MGI/ML INJ 10ML	355
2697061	PHENOBARBITAL 32.4MG TAB C4	13
2697062	LISINOPRIL (PRINIVIL) 40MG TAB	16
2697063	NADOLOL (CORGARD) 20MG TAB EMP	41
2697064	PIOGLITAZONE (ACTOS) 15MG TAB	35
2697065	DOXAZOSIN (CARDURA) 4MG TAB	18
2697066	BUSPIRONE (BUSPAR) 15MG TAB	18
2697067	FERROUS SULFATE ORAL SOL 220MG 5ML	15
2697070	CLOTRIMAZOLE (MYCELEX) 10MG LOZENGE	51
2697071	ENTACAPONE (COMTAN) 200MG TAB	18
2697072	TORSEMIDE (DEMADEX) 20MG TAB	15
2697073	IRBESARTAN (AVAPRO) 75MG TAB	17
2697075	CHOLECALCIFEROL (VIT D3) 400IU TAB	15
2697076	CYANOCOBAL (VIT B-12) 1000 MCG TAB	11
2697077	CYANOCOBALAMIN 100MCG (VIT B-12)TAB	13
2697078	NICOTINE (NICODERM) 7MG/DAY PATCH	54
2697079	DICYCLOMINE (BENTYL) 10MG/5ML SOL	15
2697080	AMOX/CLAV 250MG/5ML 75ML SUSP	425
2697081	BRINZOLAMIDE(AZOPT) 1% OP SUSP 10ML	340
2697082	POLYMYX B /TRIMETH OP SOL 10ML	41
2697083	NYSTAT/TRIAM(MYCOLOG) 30GM CRM	372
2697084	TIMOLOL MAL (TIMOPTIC)0.5% OP SOL 5ML	61
2697085	PHENYLEPHRINE 0.5% (REG) 15ML NA SPRY	70
2697086	GLUCOSE GEL ORAL 31GM	15
2697087	MICONAZOLE NIT 2% CRM 28G	24
2697088	TRIAMCINOLONE(KENALOG)0.1% CRM 80GM	49
2697090	SODIUM CHLORIDE 0.9% 1000ML HSP IVF	100
2697092	CALCIUM/VIT D 500/200 (OS-CAL)TAB	13
2697093	OXYCOD/ACET 5/325MG TAB EMP C2	26
2697097	HYDROCO/APAP (NORCO) 7.5/325MG TAB C2	21
2697098	HYDROCO/APAP (NORCO) 10/325MG TAB C2	30
2697099	ALBUTEROL 2.5MG/3ML INH/NEB 0.083% U/D	16
2697104	ASPIRIN ENTERIC COATED 81MG TAB UD	15
2697107	MENTHOL/ZINC OX (CALMOSEPTINE) OINT 4OZ	41
2697108	MULTIVITAMIN (THERA) TAB	15
2697115	HYDROMORPHONE 0.2MG/ML PCA 30ML C2	100
2697121	PHENOBARB/BELLADON ALKA ELIXIR 10ML	123
2697122	DICYCLOMINE (BENTYL) 20MG TAB UD	15
2697123	MAG-AL PLUS XS 30ML	17
2697125	DIAZEPAM 10MG/2ML PFS INJ 2ML C4	121
2697137	LEVONORGESTREL (PLAN-B ONE STEP) TAB	149
2697140	AMPHOTERICIN-B 50MG VIAL	120
2697141	GLYCERIN ADULT SUPPOSITORY 1 SUPP	18
2697142	ACETAMINOPHEN 80MG SUPP (FEVER ALL)	18
2697143	ASPIRIN 300MG (5 GRAINS) SUPP	19
2697144	SINCALIDE (KINEVAC) 5MCG VIAL	441
2697145	AMPICILLIN / NS IVPB : 2GM / 100ML	76
2697150	FENOFIBRATE (TRICOR) 48MG TAB	77
2697157	HEPATITIS-A VACCINE 1ML INJ (HAVRIX)	320
2697158	ALENDRONATE SOD (FOSAMAX) 70MG TAB	85
2697172	CEFADROXIL (DURICEF) 500MG CAP	24
2697173	INFLUEN VACC 6M – 64Y QUAD 0.5ML PFS	160
2697174	VANCOMYCIN / SWFI 250MG/5ML ORAL SOL	82
2697175	VANCOMYCIN / SWFI 500MG/10ML ORAL SOL	82
2697179	D5 1/2NS 500ML IV	100
2697183	DIPHENHYDRAMINE 12.5MG ORAL SOL 5ML	12
2697198	NF-TRAMADOL HCL TAB 50MG	11
2697199	ONDANSETRON (ZOFRAN) 4MG ODT	98
2697205	AMLODIPINE 10MG TAB EMP	13
2697206	ALLOPURINOL 300MG TAB EMP	11
2697210	HYDROCHLOROTHIAZIDE 25MG TAB EMP	11
2697211	OMEPRAZOLE (PRILOSEC) 20MG CAP EMP	15
2697212	FLUOXETINE (PROZAC) 20MG CAP EMP	15
2697213	GABAPENTIN (NEURONTIN) 300MG CAP EMP	16
2697214	DAPTOMYCIN/NS (CUBICIN) 370MG IVPB	926
2697225	CARVEDILOL (COREG) 6.25MG TAB EMP	11
2697226	CLONIDINE 0.1MG TAB EMP	11
2697227	BARIATRIC CHEWABLE ONE-A-DAY VIT TAB	33
2697228	ATORVASTATIN 40MG TAB EMP	29
2697229	DENOSUMAB (XGEVA) 120MG INJ	8849
2697230	CLONIDINE 0.2MG TAB EMP	11
2697231	IPRATROP/ALBUT(COMBIVENT RESPIMAT) 4G IH	858
2697232	AMLODIPINE (NORVASC) 5MG TAB EMP	12
2697233	DORZOLAMIDE/TIMOLOL OP SOL 10ML EMP	44
2697234	WARFARIN (COUMADIN) 3MG TAB	16
2697245	LOPERAMIDE (IMMODIUM) 2MG/15ML OR SUSP	24
2697251	LEVOTHYROXINE (SYNTHROID) 137MCG TAB EMP	35
2697252	MELOXICAM (MOBIC) 15MG TAB EMP	9
2697253	ALLOPURINOL 100MG TAB EMP	13
2697254	AMITRIPTYLINE 75MG TAB EMP	11
2697255	ATORVASTATIN 20MG TAB EMP	29
2697256	CITALOPRAM (CELEXA) 20MG TAB EMP	11
2697257	CHLORTHALIDONE 25MG TAB EMP	75
2697258	DOXEPIN 25MG CAP EMP	35
2697259	ENALAPRIL 10MG TAB EMP	17
2697260	ACETYLCYSTINE(MUCOMYST)10% SOL 30ML	137
2697261	SUMATRIPTAN (IMITREX) 25MG TABS	113
2697262	NORTRIPTYLINE 25MG CAP EMP	12
2697271	SILV SULFA 1% CRM 20G	58
2697272	SILVER SULFAD (SILVADENE) 1% CRM 25GM	62
2697273	DOPAMINE (INOTROPIN) 800MG PREMIX 500ML	104
2697275	LIDOCAINE (XYLOCAINE) 1% 20ML INJ	61
2697276	LISINOPRIL 20MG TAB EMP	11
2697281	SODIUM CHLORIDE PF INJ 10ML VIAL	41
2697282	AZITHROMYCIN (Z-PAK) 250MG TAB EMP	32
2697298	SOTALOL (BETAPACE) 80MG TAB EMP	41
2697299	SERTRALINE (ZOLOFT) 50MG TAB EMP	11
2697302	SOTALOL (BETAPACE) 80MG TAB	16
2697303	LEVOTHYROXINE 50MCG TAB EMP	12
2697304	LOSARTAN/HCTZ (HYZAAR)100/25MG TAB EMP	24
2697305	ETHYL CHLORIDE FINE SPRAY 5ML DOSE	24
2697306	SEVOFLURANE (ULTANE) INH SOL 250ML ANEST	2544
2697307	DEXAMETHASONE 10MG PF INJ 1ML SDV	39
2697308	LIDO / EPI 2% INJ 20ML VIAL (SURGERY)	61
2697320	NIACIN 500MG FLUSH FREE CAPS #60	13
2697321	CETIRIZINE 10MG TAB EMP (ZYRTEC)	33
2697322	LOVASTATIN 40MG TAB EMP	30
2697323	LISINOPRIL 2.5MG TAB EMP	9
2697325	OMEPRAZOLE 40MG CAP EMP	41
2697334	HALOPERIDOL 1MG TAB (HALDOL)	11
2697337	BENZTROPINE 0.5MG TAB (COGENTIN)	11
2697338	QUINAPRIL 40MG TAB EMP	35
2697339	RIVAROXABAN (XARELTO) 20MG TAB EMP	386
2697342	INSULIN SYRINGE 1/2CC 31G SHORT	15
2697343	INSULIN PEN NEEDLES 4MM 32G 50CT	15
2697344	INSULIN LISPRO PEN 5X3ML EMP	94
2697345	INSULIN 70/30 PEN 5X3ML 15ML EMP	198
2697346	FREESTYLE LITE TEST STRIPS 100CT	197
2697347	FREESTYLE LANCETS 100CT	13
2697348	ISOSORBIDE MONO 30MG ER TAB EMP	37
2697372	LR 500ML	100
2697373	LR 500ML AVIVA BAG	100
2697378	LOSARTAN 50MG TAB EMP	16
2697379	METFORMIN ER 500MG EMP	11
2697381	MIDODRINE 2.5MG TAB	18
2697392	IRBESARTAN 150MG TAB EMP	29
2697393	ACYCLOVIR 5% OINT 5GM	328
2697394	ACYCLOVIR 5% OINT. 15GM TUBE	902
2697395	CLOTRIM/BETAMETH DIP CREAM 45GM	211
2697419	GLIPIZIDE 10MG TAB EMP	11
2697423	INSULIN LISPRO 1 UN INJ (HUMALOG)	17
2697429	CIPROFLOXACIN 500MG TAB EMP	11
2697438	TORSEMIDE (DEMADEX) 20MG TAB EMP	15
2697465	DICYCLOMINE (BENTYL) 20MG TAB EMP	15
2697466	FLUORESCEIN SOD OPTH STRIPS (BIO GLO)100	50
2697474	IBUPROFEN (MOTRIN) 600MG TAB EMP	15
2697481	DOXAZOSIN (CARDURA) 4MG TAB EMP	18
2697491	POTASSIUM CHLORIDE (KDUR) 20MEQ TAB EMP	15
2697505	BUPIVACAINE 0.5% MPF INJ 10ML	50
2697515	LIDOCAINE – PF 1% AMP 5ML (SURG)	33
2697516	RANITIDINE (ZANTAC) 150MG TAB EMP	26
2697518	GLIPIZIDE XL 10MG TAB EMP	53
2697553	SIMVASTATIN (ZOCOR) 40MG TAB EMP	32
2697554	NAPROXEN (NAPROSYN) 500MG TAB EMP	11
2697571	HYDROCO/APAP (NORCO) 5/325MG TAB UD C2	15
2697572	EMP RX-DUO NEB INH SOL (IPRAT/ALB)	55
2697577	INFLUENZA VAC (FLUZONE) I-D PFS 3YRS+	118
2697579	LEVOTHYROXINE 175MCG TAB EMP	35
2697583	AMOX 200MG/5ML SUSP 50ML	18
2697584	AMOX 400MG/5ML SUSP 100ML EMP	41
2697602	ADVAIR HFA 115/21 12GM INH	730
2697604	BACITRACIN ZINC 500UN/GM OINT 14GM	33
2697605	COLESEVELAM (WELCHOL) 625MG TAB	15
2697606	DAPTOMYCIN (CUBICIN) 575MG IVPB	2247
2697607	FIBERLAX 625MG TAB	9
2697608	FLORASTOR 250MG CAP #20	69
2697609	METHIMAZOLE (TAPAZOLE)10MG TAB	35
2697611	PACLITAXEL (TAXOL) 300MG/50ML IVPB	452
2697612	SYNVISC-ONE (HYLAN GF 20) PFS 6ML INJ	6225
2697613	VALPROATE (VALPROIC ACID) 500MG INJ 5ML	63
2697623	ZOLEDRONIC ACID 4MG/100ML IVPB	4331
2697631	INSULIN DETEMIR INJ (LEVEMIR) 1 UNIT	14
2697632	INS REG INJ 1 UNIT	14
2697633	INSULIN NPH INJ (NOVOLIN-N) 1 UNIT	14
2697634	HYDROGEL WND DRES (CARRASYN) 85GM	124
2697637	CHLORHEXIDINE GLUCONATE 4% 118ML BOTTLE	32
2697644	AMOXICILLIN 875MG TAB EMP	11
2697690	GUAIFEN/COD (CHERATUSS AC) SYP 240ML C5	35
2697718	FINASTERIDE (PROSCAR) 5MG TAB EMP	21
2697737	ACETYLCYS (10% 10ML) 150MG/200ML IVPB	150
2697738	ACETYLCYS (10% 10ML) 50MG/500ML IVPB	150
2697739	ACETYLCYS (10% 10ML) 100MG/1000ML IVPB	150
2697740	ACETYLCYSTINE(MUCOMYST)10% 30ML SOL	230
2697741	ACETYLCYS (10% 30ML) 50MG/500ML IVPB	230
2697742	ACETYLCYS (10% 30ML) 1000MG/1000ML IVPB	230
2697743	LEUPROLIDE ACETATE 22.5MG DEPOT IM INJ	26345
2697746	TAMOXIFEN CIT 20MG TAB EMP	13
2697747	AMIKACIN SULF 500MG/2ML INJ	61
2697755	SERTRALINE (ZOLOFT) 25MG TAB EMP	11
2697756	CLONIDINE 0.3MG TAB EMP	11
2697767	FLUDROCORTISONE 0.1MG TAB	12
2697791	LISINOPRIL 10MG TAB EMP	17
2697797	METFORMIN 500MG TAB EMP	15
2697799	MEGESTROL 40MG/ML SUSP 240ML	521
2697810	CHLORHEX ORAL RINSE 0.12% 473ML EMP	46
2697818	ALUM SULF TET/CALC ACE MON PWDR PKT	18
2697861	METOPROLOL TART 50MG TAB (LOPRESSOR) UD	14
2697874	LEVALBUTEROL TART HFA INH 200 DOSES	166
2697902	CHLORPROMAZINE (THORAZINE) 100MG TAB	45
2697903	CLOZAPINE 100MG TAB	25
2697906	BENAZEPRIL (LOTENSIN) 5MG TAB	11
2697948	HEPATITIS B VAC ADULT 1ML PFS PF	300
2697969	LORAZEPAM 1MG TAB EMP C4	16
2697970	TRAMADOL/ACET 37.5/325MG TAB EMP C4	12
2697978	QUETIAPINE (SEROQUEL) 25MG TAB EMP	17
2698014	GLIPIZIDE (GLUCOTROL) 5MG TAB EMP	16
2698015	HEPARIN PED FLSH 10U/ML 5ML IN 12ML PFS	46
2698042	HYDROCO/APAP 5/216MG OR SOL 10ML C2	37
2698049	HYDROCO/APAP 7.5/325MG TAB EMP C2	21
2698054	FILTER NEEDLE (CHEMO) 0.22 MICRON	17
2698055	AMOX 400MG/5ML SUSP 50ML	41
2698082	PAROXETINE 10MG TAB EMP	33
2698083	HYDROMORPHONE 1MG/ML ORAL SOL 1ML C2	13
2698098	HYDROCORTISONE 10MG TAB	11
2698101	LINACLOTIDE 145MCG CAP (LINZESS)	46
2698102	TBO-FILGRASTIM 300MCG/0.5ML INJ	2154
2698103	HYDROMORPHONE 4MG TAB C2	15
2698104	FILGRASTIM 300MCG INJ (NEUPOGEN)	2783
2698105	ONABOTULINUMTOXINA 200U VIAL INJECTION	9619
2698106	GUAIFEN/COD (CHERATUSS AC) SYP 180ML C5	35
2698111	PHENOL 29MG LOZENGE 1 LOZ	9
2698146	CLONAZEPAM 1MG TAB EMP C4	15
2698157	LIDOCAINE (XYLOCAINE) MPF 1% 2ML VIAL	32
2698186	TRAZODONE (DESYREL) 100MG TAB EMP	15
2698195	DILTIAZEM 30MG TAB EMP	8
2698196	SELENIUM SULFIDE SHAMPOO 1% 7OZ	38
2698205	NOREPINEPHRINE 4MG INJ 4ML AMP	173
2698209	LISINOPRIL 5MG TAB EMP	15
2698210	HYDROXYZINE 25MG/ML INJ 1ML	49
2698216	INDIA INK (SURGERY) 1ML	76
2698223	PANTOPRAZOLE 40MG TAB EMP	29
2698224	MONTELUKAST 10MG TAB EMP	32
2698225	ATORVASTATIN 10MG TAB EMP	18
2698226	FUROSEMIDE 20MG TAB EMP	15
2698230	GABAPENTIN 600MG TAB EMP	16
2698231	METOPROLOL TAR 25MG TAB EMP	16
2698253	SUMATRIPTAN 100MG TAB EMP	113
2698296	CILOSTAZOL 50MG TAB EMP	15
2698312	PNEUMONIA VACCINE 13 CONJUGATE PFS INJ	755
2698320	NS ADVANTAGE 100ML	100
2698323	PROPRANOLOL 40MG TAB EMP	13
2698325	TETANUS, DIPTHERIA, PERTUSSIS VACCINE	175
2698345	GLUCOSE GEL 24GM TUBE	24
2698371	METHYLPRED (DEPOMED) 80MG IM (MDV 5ML)	117
2698380	DARBEPOETIN ALFA 300MCG/0.6ML INJ	18305
2698383	METHACHOLINE 100MG 20ML VIAL	145
2698384	SYRINGE 3CC W/ 22G 1-1/2 NEEDLE	15
2698385	SYRINGE 10CC	15
2698386	STERILE GLOVE SZ 7-1/2	17
2698387	LOVASTATIN 20MG TAB EMP	30
2698389	STERILE VIAL 10ML	26
2698392	TRAMADOL 50MG TAB EMP C4	16
2698411	IRON DEXTRAN (INFED) 100MG INJ 2ML VIAL	361
2698417	UNITHROID 125MCG TAB EMP	35
2698418	NITROSTAT 0.4MG TAB 4X25 EMP	61
2698427	MENTHOL COUGH LOZENGE	24
2698428	APIXABAN (ELIQUIS) 2.5MG TAB	34
2698466	VENLAFAXINE XR 75MG CAP EMP	21
2698467	GEMFIBROZIL 600MG TAB EMP	21
2698498	CHLORTHALIDONE 25MG TAB	75
2698514	PRAVASTATIN 20MG TAB EMP	21
2698516	VENLAFAXINE XR 150MG EMP	24
2800118	CHULANGIOGRAM DRIP	326
2800121	IVP ADMIN PAK	121
2800122	SALPINGIOGRAM CONTRA	101
2800123	UGI BA CUP	37
2800128	VENOGRAM KIT	117
2800131	A/C BE-BAG	50
2800301	DESITIN OINTMENT/CREAMY 4OZ	13
2800347	ADULT ET TUBE HOLDER	87
2800348	PEDIATRIC ET TUBE HOLDER	87
2800487	PULSE OX	66
2802517	BLOOD/SOLUTION SET Y-TYPE(2C6750H)TUBING	41
2810039	AIRWAY COMBI	245
2810040	AIRWAY, SUPRAGLOTTIC PEDI #2	101
2810041	AIRWAY, SUPRAGLOTTIC MEDIUM ADULT #4	101
2810042	AIRWAY, SUPRAGLOTTIC LARGE ADULT #5	101
2810854	JELLY, PETROLEUM	16
2810858	JELCO 20GA	35
2810860	JELCO 22GA	35
2810861	JELCO 24GA	35
2810862	JELCO 16GA	35
2810863	JELCO 18GA	35
2810864	JELCO 14GA	35
2811289	CUP INFUSOR 17 GA	65
2811295	KETO DIASTIX	68
2811307	KLING, 2 IN	29
2811308	KLING, 3 IN	32
2811309	KLING, 4 IN	39
2811398	CALCIUM ALGINATE DRESSING	44
2811399	KALTOSTAT (LARGE) #168117	77
2811680	KLEENEX LARGE #21400	12
2811681	KERLIX 4 1/2 IN	39
2811683	KERLIX 2 1/4	16
2811813	KNEE SUPPORT ELASTIC	120
2811814	PT PATELLA STABLIZER BRACE	151
2811815	LAPROSCOPE	555
2812003	LAVACUATOR TUBE 22	101
2812008	LENS, CONTINUOUS CORNEA LEVAGE	97
2812010	L A T KIT	85
2812016	LENS, CORNEA IRRIG FLOW	124
2812018	LAVAGE, TRAY	109
2812039	LIVER BIOPSY TRAY	68
2812045	LOOP OSTOMY SET	68
2812050	LOTION INTENSIVE CAR	13
2812539	LUMBAR PUNCTURE SET	118
2812870	CENTRAL LINE DRESSING KIT	29
2813035	MONITOR O.R.	168
2813052	MARLEX MESH 2X12	532
2813100	MATTRESS EGG CREATE	78
2813102	MEDIFIL PARTICLES	88
2813103	PRESSURE, PAD	33
2813523	MOUTH CLEAN KIT	11
2813680	MASK, ANESTHESIA	46
2813683	MASK	81
2813685	MASK (ISOLATION)	39
2813745	MITTEN CONTROL	68
2813839	MOUTH WASH	12
2813849	MULTI FLO ADAPTER	39
2813850	MESH, MERSILENE	609
2813852	MICRO-MONTH SHIELD	44
2814003	NASAL TRAY	48
2814005	EPISTAXIS/NASAL PACK	153
2814013	NASAL SPLINT	35
2814015	RHINO ROCKET	39
2814250	NEDDLE, BIOPSY DISP	172
2814251	NEEDLE HUBER 20GA X 3/4	81
2814253	NEEDLE HUBER 20GA X 1	81
2814282	NEEDLE, SPINAL	93
2814286	NERVE ELECTRODE	29
2814353	POST-OP SHOE	27
2815335	OPSITE & PAD	29
2815336	OP-SITE 10CM X 14CM	29
2815338	OP-SITE 45CM X 55CM	68
2815359	OUTPUT COMMODE	29
2815360	PELVIS EXAM	49
2815362	SURGIGRIP 12MM	53
2816009	PREP TRAY E.R.	29
2816027	PILLOW	26
2816031	PINS, STEINMAN	57
2816040	PACK, BASIK #5	161
2816042	PACK, LAP	161
2816045	PACK, OB INSTRUMENT	127
2816047	PACK, TRANSVERSE	168
2816100	PERI AIRE	35
2816140	PERSONAL CARE KIT	12
2816171	PAD HEEL-ELBOW	44
2816268	PACK, COLD	32
2816278	PAD, PREP #51301	30
2816322	PLASTER, 2 IN	32
2816323	PLASTER, 3 IN	32
2816324	PLASTER, 4 IN	37
2816330	PLASTER, 5 IN	37
2816331	PLASTER, 6 PER INCH	12
2816332	5 OCL SPLINTING	12
2816333	PLEURX DRAINAGE KIT	193
2816390	PEDIALYTE ORAL SOL	15
2816400	PAD, GEL	30
2816427	PED URINE COLLECTOR	17
2816443	PCA MINIBORE EXTENSION SET	30
2816445	PCA PUMP USAGE	92
2816525	CATH PLUG	12
2816530	PHISOHEX WASH	48
2816671	PICC NEEDLES	321
2816677	LINE PIC	363
2816678	LINE PIC INSERTION	653
2816679	PADS, PER REG.	17
2816680	PADS, PER O.B.	16
2816743	PLEUR-EVAC (CAVITY DRAIN SYS)	441
2816745	PLEURX DRAINAGE KIT 1000ML	245
2816750	PERVENOUS LEAD TEMP	359
2816838	PADS, K	41
2816848	PRECIP BASIN	101
2816906	PROTECTIVE BARRIER FILM	53
2817064	PREP SET OR	48
2818014	CRUTCHES	100
2818600	CLIPPERS & BLADES	142
2818611	RAZOR, SINGLE	13
2818613	RECTAL TUBE	87
2818640	RESTRAINT, WRIST	39
2818785	RUBBER RING	17
2819001	SLING ARM CHILD	51
2819002	SLING ARM SMALL	51
2819003	SLING ARM LARGE	51
2819004	SLING ARM XLARGE	51
2819008	CATH TRAY FOLEY 18FR	107
2819009	SYRINGE 3CC W/ 22G 1-1/2 NEEDLE	15
2819011	SCALPEL DISPOSABLE #10	16
2819017	SERV CHG COLLAR RIG	48
2819019	SHEATH O’CONNOR	299
2819020	SLING ARM MED	51
2819022	SUTURE ETHILON 5.0, P3–698G	33
2819023	SUTURE, TEVDEK	37
2819024	SCALPEL DISPOSABLE #15	16
2819025	ATTENDS, FITRESTORE XLARGE	15
2819026	ATTENDS, FITRESTORE MEDIUM	15
2819028	STERILE GLOVE 6.5	7
2819029	CATH, FOLEY 14FR–5CC SILICONE	16
2819030	STERILE GLOVE SZ 6	7
2819031	STERILE GLOVE SZ 7	7
2819032	STERILE GLOVE SZ 8	7
2819034	STERILE GLOVE SZ 9	7
2819035	SUTURE ETHILON 4.0, P3–699G	33
2819036	SUTURE ETHILON 4.0, FS2–662G	33
2819037	SUTURE PROLENE 4.0, P3–8699G	33
2819038	SUTURE ETHILON 3.0, PS-1: 1663G	15
2819039	SUTURE ETHILON 5.0, PS-2: 1666G	15
2819040	SUTURE ETHILON 5.0, FS-2: 661G	9
2819041	SUTURE VICRYL 3.0, PS-2: J497G	16
2819042	SUTURE VICRYL 4.0, PS-2: J496G	16
2819043	SUTURE VICRYL 4.0, RB-1: J214H	8
2819044	SUTURE VICRYL 5.0, P-1: J490G	16
2819045	SUTURE,5.0 CHROMIC GUT P3 #687G	26
2819046	SUTURE, 6.0 CHROMIC GUT PS-4 #1641G	26
2819047	SUTURE, VICRYL 0 UR-6 #J603H	9
2819048	SUTURE, VICRYL 2-0 CT-2, #J269H	9
2819049	SUTURE, VICRYL 2-0 CT-3, #J328H	9
2819050	SUTURE, VICRYL 2-0 SH, #J417H	9
2819051	SUTURE, CHROMIC GUT 0, #L114G	15
2819052	SUTURE, VICRYL 2-0, #J105T	32
2819053	SUTURE, PDS II, 0 TP-1, #Z991G	24
2819054	SUTURE, PDS II, 1 CT-1, #Z347H	12
2819055	SUTURE, PROLENE 2-0 CT-2, #8411H	11
2819056	SUTURE, PROLENE 2-0 SH, #8833H	12
2819057	SUTURE, PROLENE 4-0 RB-1, #8871H	12
2819058	SUTURE, O SILK FSL #678G	18
2819059	SUTURE, CHROMIC GUT P-3, #1654G	26
2819060	STURE, SILK 2-0 BLK BR FSL 30 INCH	9
2819061	SUCTION WOUND	194
2819062	16FR SALEM SUMP	32
2819063	14FR SALEM SUMP	32
2819064	18FR SALEM SUMP	32
2819065	STERILE GLOVE SZ 8-1/2	7
2819066	SUTURE, 4-0 VICRYL P-3 18 J494G	16
2819067	SUTURE, PROLENE 4-0 PS2 8682G	18
2819068	SUTURE, SILK 4-0, P-3	18
2819069	SUTURE, ETHILON 6-0, PS-4	16
2819071	SUTURE, 0 NUROLON CT-2–C527D	41
2819072	SUTURE, 0 PROLENE CT-2–8412H	11
2819073	SUTURE, VICRYL 2-0 CT-1, #J339H	9
2819074	SUTURE, 3-0 PERMA HAND SILK #A184H	17
2819075	SUTURE, 2-0 SILK SA65H	17
2819076	SUTURE, 4-0 VICRYL 27 PS-2 J426H	17
2819077	SUTURE PROLENE 5.0, P3–8698G	33
2819078	SUTURE, SILK 4-0 BLK FS2 18	15
2819079	SUTURE, SILK 3-0 BLK FS-1 18	15
2819080	SUTURE VICRYL 3.0, SH #J416H	9
2819081	SUTURE, ETHILON 3-0 BLK MONO PS-2 18	17
2819082	SUTURE, MONOCRYL 4-0 #Y462H	32
2819083	ALCOHOL 4OZ #IA7004	6
2819084	SUTURE, ETHILON 4-0 BLK MONO PS-2	8
2819085	SUTURE VICRYL 2.0, PS-2: J428H	8
2819180	SUPENSORY	75
2819220	SHAMPOO NO RINSE	29
2819232	SHOULDER IMMOB SMALL	379
2819233	SHOULDER IMMOB MEDIUM	379
2819234	SHOULDER IMMOB LARGE	379
2819235	SHOULDER IMMOB EX-LARGE	379
2819237	SHUR-CLENS	44
2819247	SOF-TAPE (STRAPPING)	16
2819272	THERMOMETER, RECTAL	29
2819273	THERMOMETER, ORAL	35
2819274	TISSUE TACKER, STAT TACK	541
2819283	SCAPEL BLADES	12
2819284	SCALPEL DISPOSABLE #11	16
2819286	SCREW-COMP.	121
2819287	SCREW-CORTE	81
2819288	SCREW-LAG	506
2819289	SKIN STAPLE REMOVER	86
2819293	STERI STRIP 1/2 X 4	41
2819294	STERI STRIP 1/4 X 4	17
2819295	STERI DRAPE 18X20	41
2819297	STERI DRAPE 24X30	104
2819300	STERILE INST EA	12
2819354	SLIPPER FOAM XXL	17
2819355	SLIPPER FOAM XLG	17
2819356	SLIPPER FOAM CHILD	7
2819357	SLIPPER, FOAM, MEDIUM	17
2819358	SLIPPER, FOAM, LARGE	17
2819360	SUCTION CURETTE	44
2819386	SUCTION CATH 6FR.	17
2819388	SUCTION CATHAETER	34
2819390	EZ SPECIMAN TRAP	53
2819392	SUCTION KIT 14FR	34
2819393	SUCTION CATH 18 FR	21
2819394	SUCTION YAN KAUER SET #8888505016	29
2819396	SUCTION CANNISTER	49
2819397	SPECIMAN TRAP/40CC(SUCTION)	51
2819406	POUCH, DRAINABLE STOMA	7
2819410	WAFER, STOMA–REF#14604	8
2819411	SPECIMAN JAR	11
2819412	SPECULUM	12
2819418	SPLINT/PLASTER 4 PER INCH SR415	11
2819419	SPLINT/PLASTER 3 PER INCH SR315	9
2819420	SPLINT/PLASTIC 2 FT	44
2819421	SPLINT/PLASTIC 6, FT	78
2819423	OCL SPLINT 2 SR215	8
2819433	SPLINT. PLASTER	16
2819434	SPLINT SCOTCHCAST 3 X12	18
2819437	SPONGE GAUZE 2INX2IN STERILE	12
2819438	SPONGE 4X4 NON-STERILE	29
2819440	SPONGE CURITY 4X4 (10 PAK)	32
2819441	DRESSING PAK	57
2819442	SPINAL TRAY	100
2819443	SYRINGE ASCEPTO 3 OZ	32
2819445	SITZ BATH KIT	127
2819446	STOCKINET SURG 2	12
2819447	STOCKINET TUBING 3	16
2819448	STOCKINET ORTHO 4	9
2819449	STOCKINET SURG 5 IMPERVIOUS 12 X 48	17
2819450	STOCKINET 6	16
2819451	SWAB GLYCERINE	11
2819452	STOCKINET 6X72–(SURG)	57
2819454	STOCKINET 4X60–(SURG)	17
2819455	STERILE COTTON TIP APPLICATOR	18
2819456	SPINAL BLOCK TRAY	50
2819457	STOCKINGS SM, THIGH HIGH	46
2819458	STOCKINGS MED, THIGH HIGH	46
2819459	STOCKINGS LG, THIGH HIGH	46
2819460	STOCKINGS EX-LG, THIGH HIGH	46
2819461	STOCKINGS SM, KNEE HIGH	46
2819462	STOCKINGS MED, KNEE HIGH	46
2819463	STOCKINGS LG, KNEE HIGH	46
2819464	STOCKINGS EX-LG, KNEE HIGH	46
2819470	12FR STOMACH TUBE/LEVIN TYPE	21
2819471	14FR STOMACH TUBE/LEVIN TYPE	21
2819472	16FR STOMACH TUBE/LEVIN TYPE	21
2819478	STONE BASKET	578
2819479	STOPCOCK 4-WAY	30
2819480	GATORADE	9
2819481	PEDIALYTE/ELECTROLYTE	9
2819483	SPONGE, LAP	29
2819485	SPRITE SODA (ALL) EA. CAN	9
2819486	SNARE ASSEMBLY, OVAL	142
2819540	SIGMOID, PROCTO	63
2819742	SUCT CATH MUCUS TRAP	17
2819793	SHEETS 1/4 1/2	12
2819802	SUCTION MACHINE PER DAY	161
2819806	SUBCLAVIAN JUGULAR	65
2819807	SUTURE REMOVAL SET	44
2819809	SURGICEL 2 X 14	348
2819810	SLING, SWATH	135
2819811	SLNG,HANG CAST,CHILD	77
2819812	SLNG,HANG CAST,ADULT	77
2819813	AIR SPLINT	166
2819817	SOFTWICK	12
2819828	SPLINT,FROG,SMALL	50
2819829	SPLINT,FROG,MEDIUM	29
2819830	SPLINT,FROG,LARGE	35
2819846	SPLINT FINGER 1-1/2	18
2819847	SPLINT FINGER 3	70
2819848	SPLINT FINGER 5-1/2	70
2819850	SPLINT, FINGER STRIP	70
2819851	SPLINT FOUR PRONG FINGER 2	18
2819852	SPLINT FOUR PRONG FINGER 3	18
2819853	SPLINT FOUR PRONG FINGER 3-1/2	18
2819854	SPLINT FINGER TOAD–SM	18
2819855	SPLINT FINGER TOAD–MED	18
2819856	SPLINT FINGER TOAD–LG	18
2819897	SPLINT KNEE SMALL	239
2819898	SPLINT KNEE LARGE	239
2819899	SPLINT KNEE EX-LARGE	239
2819900	SPLINT KNEE MEDIUM	239
2819901	NUT. 1000CC RTH.	33
2819902	NUT. SPIKE SET	77
2819903	SPLINT WRIST COCKUP MED RIGHT	186
2819904	SPLINT WRIST ECONOMY	109
2819905	SPLINT WRIST ELASTIC	81
2819906	SURGI CLIP	356
2819907	NUT 4 OZ.	12
2819908	NUT. 8 OZ. CAN	13
2819909	E.O.A. TUBE	234
2819910	E.O.A. REPLACEMENT TUBE	110
2819911	SYRINGES-ALL SIZE EA	12
2819912	SYRINGE TOOMEY 70CC	21
2819913	SPLINT WRIST COCKUP PED LEFT	186
2819914	SPLINT WRIST COCKUP PED RIGHT	186
2819915	SPLINT WRIST COCKUP SM LEFT	186
2819916	SPLINT WRIST COCKUP SM RIGHT	186
2819917	SPLINT WRIST COCKUP MED LEFT	186
2819918	SPLINT WRIST COCKUP LG LEFT	186
2819919	SPLINT WRIST COCKUP LG RIGHT	186
2819920	SPLINT WRIST COCKUP XLG LEFT	186
2819921	SPLINT WRIST COCKUP XLG RIGHT	186
2820002	T A-90	836
2820003	T A	123
2820004	T A STAPLES	599
2820006	TRAY, TRACHEOTOMY	315
2820007	TRI-LUMEN VENOUS CATH #AK-15703-A	234
2820009	TRILENE	53
2820010	TEMP STRIP	35
2820011	TRACH PLUG	48
2820012	TRACH SPONGE	16
2820013	SGL-LUMEN VENOUS CATH	240
2820015	TRACH, TUBE, DISP.	255
2820100	TUBE CANTOR	81
2820146	T TUBE	210
2820460	TEGADERM DRESSING 4X4	18
2820461	MEDIPORE TAPE 2 #2962	32
2820462	TEGADERM DRESSING 8X12	21
2820465	TAPE MICROPORE 1	16
2820466	TAPE MICRO 2	21
2820468	ROLL TAPE	16
2820510	TUBE GAUZE PER IN.	7
2820522	TRACH CLEANING TRAY	29
2820532	THORACENTESS TRAY	189
2820676	TOWELS	17
2820723	TUBE CONNECT CONDUCT 8888301622	44
2820725	TUBE, KANGAROO GASTROSTOMY 26FR 88847202	207
2820726	TUBE,KANGAROO GASTROSTOMY 20FR 888472026	207
2820737	1/4 SHEET	17
2820738	U-DRAPE 54X76	11
2820739	3X8 TELFA PAD	12
2820740	TELFA 3 X 4	12
2820745	TELEMETRY & ELECTRODES	484
2820851	TRAY, CHEST TUBE	81
2820856	TROCAR 12MM	428
2820890	TUR APRON	65
2821038	URETHRAL DILATORS	120
2821524	URI-METER	68
2821706	UNDERPAD LARGE, SINGLE	15
2821708	UNDERPAD/PKG	29
2821795	URINAL H140D01	17
2821877	VACCUUM BOTTLE / BBRAUN#S9901-10	39
2822040	VENOGRAPHY TRAY	121
2822247	TOURNIQUET 18	96
2822248	TOURNIQUET 12 CUFF	96
2822249	TOURNIQUET 24 ZIMMER#60707010400	96
2822474	TUOHY EPI NEEDLE	16
2822526	VENOUS PRESS SOL	48
2822527	VENT TUBE	85
2822732	VASELENE GAZE 1/2 72	32
2822800	VEST SAFETY	85
2822802	VOMIT & URINE DISP BAG	21
2823010	WASHCLOTHS DISP.	11
2823330	CAST PADDING(UNSTERILE) 4 X40	12
2823331	UNDERCAST PADDING 4 X40	16
2823333	WEBRIL 2 IN	12
2823334	WEBRIL 3 IN	16
2823335	WEBRIL 4 IN	16
2823336	WEBRIL 6 IN	21
2823399	INTERLINK INSECTION SITE	12
2824220	XEROFORM DRESSING	29
2824411	BREVI-XL CATHETER	247
2824440	SPONGE X-RAY 4IN 4IN #7317	29
2824441	SLIMPLEX 360 NEEDLE	40
2824444	SYRINGE 10CC	15
2824456	BUTTERFLY	33
2824457	18GX5 WEISS NEEDLE #405190	41
2824458	SLIMPLEX A NEEDLE	51
2824459	25GX4.69 SPINAL NEEDLE	18
2824460	20GX3.5 SPINAL NEEDLE	11
2824461	18GX3.5 SPINAL NEEDLE	11
2824462	ANESTHESIA GAS MACHINE	324
2824463	18G 15CMX10MM CANNULA NEEDLE	62
2824464	18G10CMX10MM CANNULA NEEDLE	41
2824465	25GX3.5 SPINAL NEEDLE	12
2824466	20G 15CMX10MM CANNULA NEEDLE	41
2824467	22GX3.5 SPINAL NEEDLE	30
2824468	SPINAL NEEDLE	93
2824469	SPINAL NEEDLE 25GX5IN	34
2824470	22GX5 SPINAL NEEDLE #405148	21
2824471	22GX2.5 SPINAL NEEDLE	12
2824472	27GX3.5 SPINAL NEEDLE	30
2824473	22GX1.5 SPINAL NEEDLE	12
2824474	18GX6.0 TUOHY EPI NEEDLE	37
2824475	17GX5 EPIDURAL NEEDLE	49
2824476	RX EPI N (TW)	57
2824477	22GX7 SPINAL NEEDLE	21
2824478	NERVE BLOCK NEEDLE	62
2824479	R.K. EPI. NEEDLE	75
2824480	20G 10.3 CMX10MM CANNULA NEEDLE	41
2824481	CANNULA RFK,10CM 20GA	62
2824482	20G 10CMX5MM CANNULA NEEDLE	41
2824483	22G 10CMX5MM CANNULA NEEDLE	41
2824484	PNEUMATIC TURNIQST	48
2824485	22G 5CMX5MM CANNULA NEEDLE	41
2824486	22G 10CMX10MM CANNULA NEEDLE	41
2824487	CANNULA, NASAL CO2 SAMPLING	25
2824491	EPI NEEDLE TUOHY 20GX3.5	24
2824557	18GX3.5 TUOHY NEEDLE #	41
2828374	CATHETER EXTENSION SET	18
2828375	CATHETER EXTENSION SET/DELUXE	27
2828399	MALE LUER LOCK ADAPTER	13
2833550	MATTRESS LOW AIR LOSS	96
2835630	INFANT CATH KIT	16
2846876	CALMOSEPTINE OINTMENT	17
2850600	QUANTUM SPIKE SET	15
2851204	PULMOCARE 1000ML RTH	29
2858110	Y BLOOD TUBING	44
2858114	3 WAY STOP COCK TUBING	66
2882962	GLUCOSE MONITORING	16
2890018	CHEMSTRIPS	12
2890801	TEGADERM ABSORB	30
2894120	MAXORB XTRA AG ROPE DRESSING	39
2897605	WOUND VAC PUMP <50CM	249
2897606	WOUND VAC PUMP >50CM	249
2897607	WOUND VAC DRESSING AND CANNISTERS	356
3000002	.AFB ACID-FAST BACILLI (AFB)	74
3000004	.AFB ACID-FAST BACILLI (AFB)SMEAR	58
3007186	LAB CHG SENSITIVITY BLOOD	153
3011000	CULTURE SPUTUM W/GRAM STAIN	171
3011100	CULTURE MISC LOWER RESP	47
3012000	.CULTURE STOOL ADDT PATHOGENS	76
3012004	YERSINIA STOOL	117
3012005	.OVA AND PARASITES STOOL STAIN	25
3012006	.OVA AND PARASITES STOOL SMEAR	25
3012007	CDIFF	168
3012008	PARASITE ID, WORM	34
3013000	CULTURE THROAT	171
3013100	CULTURE MISC UPPER RESP	47
3013500	STREP A RAPID	130
3014000	URETHRA CULT/GRAMS	88
3015000	CULTURE URINE	46
3017010	CULTURE VRE	168
3017019	CULTURE GENITAL	57
3059116	LYMES IMMUNOBLOT IGM	65
3086318	CRYPTOSPORIDIUM ANTIGEN	47
3086759	ROTAVIRUS ANTIGEN	145
3086789	VARICELLA ZOSTER VIRAL CULTURE	145
3087015	CYCLOSPORA	150
3087070	CULTURE BODY FLUID	171
3087071	CULTURE B PERTUSSIS, NASAL SWAB	62
3087076	LAB CHG ORGANISM ID AEROBIC	80
3087077	LAB CHG ORGANISM ID ANAEROBIC	80
3087080	CULTURE GROUP B STREP	57
3087081	CULTURE NEISSERIA GONORRHOEAE	132
3087102	CULTURE YEAST STOOL	50
3087103	CULTURE FUNGAL BLOOD	63
3087106	YEAST, IDENTIFICATION, LAB CHARGE ONLY	194
3087107	FUNGAL CULTURE	300
3087186	LAB CHG SENSITIVITY CULT	153
3087206	WET PREP	61
3087251	CULTURE VIRAL	236
3087255	HSV CULTURE	90
3087899	.CULTURE STOOL (SALMONELLA/SHIGELLA)	41
3176075	BONE DENSITY, DEXA, AXIAL SKELETON	428
3200119	CYSTOGRAM CONT. MEDIA	164
3200120	GB LIPOMUL ADMIN	49
3200121	IVP ADMIN PAK	118
3200123	UGI BA CUP	37
3200125	UGI GASTRO KIT	118
3200128	VENOGRAM KIT	97
3200130	AC B.E. KIT	153
3200131	AC BE-BAG	49
3200132	CHIBA BIOPSY NEEDLE	30
3211134	KNEE XRAY RT	349
3211135	KNEE XRAY LT	349
3212122	L SPINE X-RAY	492
3212123	L SPINE OBLS XRAY	485
3212135	LOWER LEG X-RAY RIGHT	359
3212136	LOWER LEG X-RAY LEFT	359
3213103	MASTOIDS X-RAY	393
3213106	MANDIBLE X-RAY	452
3213199	METASTATIC SERIES	962
3213912	MYELOGRAM	944
3213914	MYELOGRAM TRAY	298
3213999	WATER VIEW SINUSES	234
3214005	4 VIEWS KNEE RT	233
3214006	4 VIEWS KNEE LT	233
3214010	4 VIEWS SHOULDER RT	286
3214011	4 VIEWS SHOULDER LT	286
3214015	CCK	500
3214020	4 VIEW ELBOW RT	421
3214021	4 VIEW ELBOW LT	421
3214105	NASAL BONES X-RAY	390
3215161	OB FILMS PA & LAT	157
3215163	OBSTRUCTION SERIES	538
3215165	ORBIT X-RAY	410
3215166	OSCALSIS RT	343
3215167	OSCALSIS LT	343
3216111	PAROTID GLAND X-RAY	62
3216114	PELVIS X-RAY	361
3216159	IVP X-RAY	785
3216195	EXTERNAL PACEMAKER	197
3218111	RIBS XRAY RT	445
3218112	RIBS XRAY LT	445
3219100	SELLA TURSICA TOMO	270
3219103	SKULL X-RAY	492
3219104	SINUSES	485
3219106	SI JOINT	309
3219111	SOFT TISSUE NECK	410
3219115	SHOULDER XRAY LT	361
3219116	SHOULDER XRAY RT	361
3219117	SCAPULA RT	361
3219118	SCAPULA LT	361
3219124	STERNUM X-RAY	279
3219125	SACRUM	448
3220107	TM JOINT	383
3220121	THORACIC SPINE XRAY	445
3220132	TOES XRAY RT	349
3220133	TOES XRAY LT	349
3221148	UGI	595
3222200	VENOGRAPHY UNILATEXT	620
3222202	VOIDING CYSTOURETHRO	562
3223129	WRIST XRAY RT	350
3223130	WRIST XRAY LT	350
3226108	ZYGOMAS	184
3236005	VENOGRAPHY-CONTRAST INJECTION PROCEDURE	194
3253137	ARTHROGRAM SHOULDER LT	589
3253139	ARTHROGRAM KNEE RT	612
3253140	ARTHROGRAM KNEE LT	612
3271021	CHEST (W/ LORDOTIC)	309
3271030	CHEST COMPLETE 4 (V)	342
3272020	SPINE SINGLE VIEW	299
3272082	SCOLIOSIS SURVEY	458
3272190	PELVIS – COMPLETE	193
3273020	SHOULDER-1 VIEW RT	242
3273021	SHOULDER-1 VIEW LT	242
3273092	UPPER EXTREMITY INFANT 2(V)	328
3273120	2 VIEW HAND RT	349
3273121	2 VIEW HAND LT	349
3273500	HIP XRAY ONE VIEW RT	342
3273522	HIP XRAY, BILAT	629
3273525	ARTHROGRAM HIP RT	513
3273526	ARTHROGRAM HIP LT	513
3273562	KNEE RT 3 VIEW	425
3273563	KNEE LT 3 VIEW	425
3273592	LOWER EXTREMITY INFANT RT	214
3273593	LOWER EXTREMITY INFANT LT	214
3273600	2 VIEW ANKLE RT	324
3273601	2 VIEW ANKLE LT	324
3273620	2 VIEW FOOT RT	323
3273621	2 VIEW FOOT LT	323
3274210	MODIFIED BA SWALLOW	390
3274330	ENDOSCOPIC RETRO	958
3274415	IVP-NEPHROTOMOGRAM	893
3275827	VENOGRAPHY, SVC	626
3276065	OSSEOUS SURVEY COMPLETE INFANT	236
3277002	C ARM FLUORO LESS THAN 1 HR	335
3277003	C ARM SPINE FLUORO LESS THAN 1 HR	335
3277022	BONE AGE STUDY	251
3277075	SKELETAL SURVEY	2292
3309579	CONTRAST OMNISCAN PER 15 ML	238
3370336	MR TMJ	2161
3370540	MR ORBIT, FACE AND NECK	2818
3370541	MRA NECK	3021
3370543	MRI ORBIT FACE NECK	2773
3370544	MRA BRAIN WO	2876
3370551	MR BRAIN WO CONTRAST	2686
3370552	MR BRAIN W CONTRAST	2818
3370553	MR BRAIN W WO CONTRAST	3401
3371550	MR CHEST	2333
3371552	MR CHEST WWO	3165
3371555	MRA CHEST	3068
3372141	MR CERVICAL WO	2880
3372142	MR CERVICAL W CONTRAST	3025
3372146	MR THORACIC WO	2601
3372147	MR THORACIC W CONTRAST	2491
3372148	MR LUMBAR WO	2829
3372149	MR LUMBAR W CONTRAST	2884
3372156	MR CERVICAL WWO CONTRAST	3462
3372157	MR THORACIC WWO CONTRAST	2711
3372158	MR LUMBAR WWO CONTRAST	3362
3372159	MRA SPINAL CANAL	2711
3372195	MR PELVIS WO CONTRAST	2384
3372196	MR PELVIS W CONTRAST	2384
3372197	MR PELVIS W W/O CONTRAST	2700
3372198	MRA PELVIS	2970
3373218	MR RT UPPER EXT W/O	1937
3373219	MR LT UPPER EXT W/O	1937
3373220	MR RT UPPER EXT W/WO	2403
3373221	MR RT UPPER JOINT W/O	3534
3373222	MR LT UPPER JOINT WO CONTRAST	3534
3373223	MRI RT UPPER JOINT W/WO CONTRAST	4040
3373224	MR LT UPPER JOINT W/WO	4040
3373225	MR LT UPPER EXT W/WO	2403
3373226	MRA UPPER EXTREMITY LT	2491
3373717	MR LT LOWER WO	2731
3373718	MR RT LOWER EXT WO	2793
3373719	MR LT LOWER EXT W/WO	3255
3373720	MR RT LOWER EXT W/WO	3317
3373721	MR RT LOWER JOINTW/O	3534
3373722	MR LT LOWER JOINT WO	3534
3373723	MR RT LOWER JOINT W/WO	4017
3373724	MR LT LOWER JOINT W/WO	3954
3373725	MRA LOW EXTREMITY RT	2384
3373726	MRA LOW EXTREMITY LT	2384
3373727	MR RT LOWER EXTREMITY JOINT W CONTRAST	3824
3373728	MR LT LOWER EXTREMITY JOINT W CONTRAST	3762
3374181	MR ABDOMEN WO CONTRAST	2780
3374182	MR ABDOMEN W CONTRAST	3211
3374183	MR ABDOMEN W WO CONTRAST	3256
3374185	MRA ABDOMEN	3165
3375554	MR CARDIAC FUNCTION	2932
3376093	BREAST UNI W OR WO CONT	2210
3376094	MR BREAST BILATERAL W OR WO CONTRAST	3068
3400019	NM STRESS THALLIUM (ISO KIT)	363
3400020	NM CARDIOLITE ISO	321
3400022	NM ULTRA TAG RED BLOOD CELL KIT	228
3400201	NM BONE SCAN ISOTOPE KIT	189
3400204	NM BRAIN SCAN ISOTOPE KIT	242
3400207	NM CARD SCAN ISOTOPE KIT	295
3400210	NM HEP-HIDA SCAN ISOTOPE KIT	301
3400213	NM SULFUR COLLOID	181
3400216	NM LUNG SCAN ISOTOPE KIT	389
3400219	NM RENAL SCAN ISOTOPE KIT	242
3400222	NM THYROID SCAN ISOTOPE KIT	142
3478010	NM THYROID SCAN	1139
3478012	NM THYROID UPTAKE SINGLE OR MULTIPLE	1198
3478070	NM PARATHYROID IMAGING	1139
3478206	NM LIVER IMAGING 3D W/ FLOW	1304
3478215	NM LIVER SPLEEN SCAN	1255
3478226	NM HIDA SCAN WO CCK	1442
3478227	NM HIDA SCAN W CCK	1525
3478264	NM GASTRIC EMPTYING STUDY	1528
3478278	NM ACUTE GI BLOOD LOSS IMAGING	1255
3478300	NM LIMITED BONE SCAN	659
3478306	NM BONE SCAN FULL BODY	903
3478315	NM BONE SCAN 3 PHASE	1350
3478320	NM BONE SPECT	1295
3478452	NM MYOCARDIAL PERFUSION	2596
3478464	NM SINGLE-MYOCARDIAL PERFUSION SPECT	813
3478466	NM MYOCARDIAC PYP SCAN	813
3478472	NM MUGA	813
3478580	NM LUNG SCAN PERFUSION	2018
3478582	NM LUNG VENTILATION W PERFUSION	2712
3478600	NM BRAIN SCAN WO FLOW	1255
3478601	NM BRAIN SCAN WFLOW	1290
3478700	NM RENAL SCAN – STATIC ONLY	996
3478701	NM RENAL WITH FLOW	1076
3478708	NM RENAL (PHARMA COLOGICAL)	1253
3478805	NM RADIOPHARMACEUTICAL LOCALIZATION	2106
3478990	NM I-123 SODIUM IODIDE CAP 200 UCI	276
3500205	US LIMITED M-MODE ECHO	278
3500235	US M-MODE ECHOCARDIOGRAM	898
3500244	US FEMORAL DOPPLER	755
3500267	US BIOPSY GUN	127
3500300	US STERILE CENTESIS KIT	189
3500489	US CAROTID DOPPLER STUDY	1027
3575989	US GUIDED PERCUTANIOUS DRAINAGE	410
3576506	US ECHOENCEPHALOGRAPHY	659
3576536	US THYROID	628
3576550	US ECHO-COAT NEEDLES	114
3576604	US ECHOGRAPHY CHEST	670
3576641	US BREAST UNILATERAL	453
3576700	US ABDOMEN COMPLETE	930
3576705	US GB,CBD,CHD,/RUQ	873
3576770	US RENAL	646
3576775	US RENAL UNILATERAL	609
3576801	US OB < 14 WEEKS	792
3576805	US OB > 14 WEEKS	792
3576815	US LIMITED OB (AFI & ECT.)	578
3576818	US FETAL BIOPHYSICAL PROFILE	887
3576830	US PELVIC TRANS VAGINAL	531
3576856	US PELVIC (NON-0B)	754
3576870	US TESTICULAR	485
3576872	US PROSTATE TRANSRECTAL	621
3576882	US MASS SOFT TISSUE	578
3576934	US GUIDANCE FOR THOROCENTISIS	427
3576942	US NEEDLE GUIDANCE	223
3576946	US AMNIOCENTESIS	377
3593306	US ECHO M-MODE & COLOR DOPPLER	2878
3593307	US M-MODE ECHOCARDIOGRAM	1032
3593320	US CARDIAC DOPPLER WITH	833
3593325	US ECHO – COLOR FLOW DOPPLER	875
3593880	US CAROTID DOPPLER	874
3593922	US ANKLE BRACHIAL INDICES (ABI)	356
3593923	US ARTERIAL DOPP LOWER EXT W SEG PRESS	1435
3593925	US ARTERIAL DOPPLER LOWER EXT	646
3593926	US ARTERIAL UNILAT./LIMITED	548
3593930	US ARTERIAL DOPPLER UPPER EXT	868
3593965	US VENOUS UPPER EXTREMITY DOPPLER	868
3593970	US VENOUS BILATERAL LOWER EXT	1577
3593971	US VENOUS UNILATERAL RIGHT	569
3593972	US VENOUS UNILATERAL LT	569
3593975	US DUPLEX OF ABD PELVIS	887
3593978	US DUPLEX SCAN OF AORTA	522
3600017	CT EXTRA VIEWS	97
3600024	CT EXTRA SLICES	53
3600030	PNEUMOTHORAX SET	248
3600042	CT CALL BACK	228
3600080	CT NEEDLE BIO GUIDANCE	1483
3600132	CT CONTRAST KIT	207
3600142	OPTIRAY CONTRAST	491
3658823	CT DRAINAGE OF PELVIC ABCESS	1252
3670450	CT HEAD WO CONTRAST	1957
3670460	CT HEAD W CONTRAST	2141
3670470	CT HEAD WWO CONTRAST	2376
3670480	CT ORBIT SELLA EAR MASTOID WO	1877
3670481	CT ORBIT SELLA EAR MASTOID WITH	2167
3670482	CT ORBIT SELLA EAR MASTOID WO WITH	2376
3670486	CT MAXILLA FACIAL SINUSES WO	1766
3670487	CT MAXILLOFACIAL AREA WO CONTRAST	1903
3670488	CT MAXILLOFACIAL AREA WWO CONTRAST	2025
3670490	CT NECK WO SOFT TISSUE	1882
3670491	CT NECK WITH	1998
3670492	CT SOFT TISSUE NECK WWO CONTRAST	2376
3670496	CTA HEAD	3442
3670498	CTA NECK	3442
3671250	CT CHEST WO CONTRAST	1877
3671260	CT CHEST W CONT	2091
3671270	CT CHEST WO WITH CONT	2469
3671275	CTA CHEST	3442
3672125	CT C SPINE WO CONTRAST	1877
3672126	CT C SPINE WITH CONTRAST	2137
3672127	CT C SPINE WO W CONT	1329
3672128	CT THORACIC SPINE WO CONTRAST	1877
3672129	CT THORACIC WITH CONTRAST	2246
3672130	CT THORACIC WO & WITH CONTRAST	2406
3672131	CT LUMBAR SPINE WO CONTRAST	2070
3672132	CT LUMBAR SPINE WITH CONTRAST	2246
3672133	CT SPINE LUMBAR WWO CONTRAST	2376
3672191	CTA PELVIS	3259
3672192	CT PELVIS WO CONTRAST	1933
3672193	CT PELVIS WITH CONTRAST	2337
3672194	CT PELVIS WO AND W CONTRAST	2469
3673200	CT EXTREMITY UPPER WO RT	1527
3673201	CT EXTREMITY UPPER WO LT	1527
3673202	CT EXTREMITY UPPER W WO LT	1527
3673203	CT EXTREMITY UPPER W WO RT	1527
3673206	CTA UPPER EXTREMITY RT	3081
3673207	CTA UPPER EXTREMITY LT	3081
3673699	CT EXTREMITY LOWER WO LT	1527
3673700	CT EXTREMITY LOWER WO RT	1527
3673701	CT LOWER EXTREMITY W CONTRAST	1724
3673702	CT EXTREMITY LOWER WWO LT	1424
3673703	CT EXTREMITY LOWER WWO RT	1424
3673706	CTA LOWER EXT RT	3442
3673707	CTA LOWER EXT LT	3442
3674150	CT ABD WO CONT	2054
3674160	CT ABD W CONT	2267
3674170	CT ABD WWO	2490
3674175	CTA ABDOMEN	3259
3674176	CT ABD PELVIS WO CONTRAST	3929
3674177	CT ABD PEL W CONT	4601
3674178	CT ABD PELVIS WWO CONT	4956
3675635	CTA ABA AORTA W BIL FEMORAL EXT RUNOFF	3804
3675989	CT GUIDE FOR DRAINAGE ABCESS	1481
3676380	CT SINUSES LIMITED	1116
3677012	CT NEEDLE BIO GUIDANCE	1259
3677078	CT BMD STUDY AXIAL SKEL 1 OR MORE SITES	428
3776086	GALACTOGRAM SINGLE DIRECT	303
3776090	MAMMOGRAM UNILATERAL	181
3776098	SURGICAL SPECIMEN	101
3777054	MAMMOGRAM UNILATERAL LEFT	253
3777055	MAMMOGRAM UNILATERAL RIGHT	253
3777056	MAMMOGRAM BILATERAL	405
3895805	MULT SLEEP LATENCY/WAKEFULNESS TESTING,	1720
3895808	STRAIGHT SLEEP STUDY	2649
3895810	POLYSOMNOGRAPHY; SLEEP STAGING W/TECHNOL	4405
3895811	POLYSOMNOGRAPHY; SLEEP STUDY W/CPAP TECH	5207
3900001	FLU MIST NASAL VACCINE	63
3900008	ADMIN FLU VAC	8
3900009	ADMIN PNEUMO VAC	8
3900025	HCY SCREENING	81
3900073	CL – TD 7 YEARS AND OLDER	70
3900091	PAP SMEAR	32
3900101	MC CERVICAL/VAGINAL EXAMINATION	66
3900243	IV INFUSION REGENCOV ADMINISTRATION	309.6
3900540	CL- FISCHER PENICILLIN INJECTION	150
3900696	CL- FISCHER ROCEPHIN 500 MG	175
3901000	CL- FISCHER DEPO ESTRADIOL 5 MG	130
3901030	CL- FISCHER DEPO MEDROL 40 MG	53
3901040	CL- FISCHER DEPO MEDROL 80 MG	95
3901200	CL- FISCHER DIPHENHYDRAMINE 50 MG	41
3901885	CL- FISCHER TORADOL-KETORALAC 30 MG	85
3902405	CL- FISCHER ZOFRAN INJ 4 MG	16
3902550	CL- FISCHER PHENERGAN 50 MG	38
3902902	CL- FISCHER SOLU MEDROL 40 MG	40
3902920	SOLU MEDROL UP TO 40MG	47
3903301	CL- FISCHER TRIAMCINOLONE ACETON 40 MG	95
3903410	CL- FISCHER VISTARIL 50MG	40
3903420	CL- FISCHER VITAMIN B-12	35
3903490	CL- FISCHER LIPO B INJECTION	15
3910060	I & D SIMPLE ABCESS	104
3911055	PARING OR CUTTING OF CORNS	70
3911981	NEXPLANNON PLACEMENT	480
3917000	CRYOFREEZE FIRST LESION	135
3917003	CRYOFREEZE LESION 2-14	50
3917110	DESTRUCTION BENIGN LESIONS	115
3920600	INJECTION SMALL JOINT	180
3920605	INJECTION INTERMEDIATE JOINT	195
3920610	INJECTION MAJOR JOINT	255
3956217	GI COCKTAIL	6
3969210	EARWAX REMOVAL	130
3981000	URINE DIP	30
3981002	FISCHER URINE DIP	27
3981025	FISCHER URINE PREGNANCY TEST	40
3982270	FISCHER OCCULT BLOOD	25
3982962	FISCHER GLUCOSE BY MONITOR	25
3983036	HB	95
3986580	CL- FISCHER TB PPD INTRADERMAL	45
3987210	FISCHER KOH WET MOUNT	35
3987502	FISCHER INFLUENZA A&B TEST	123
3987634	FISCHER RSV TEST	123
3987651	FISCHER STREP	123
3987804	FISCHER INFLUENZA A & B CLIA WAVED	71
3987880	FISCHER RAPID STREP	65
3988150	PAP SMEAR	60
3990376	CL- IMOGAM 300 IU 2 ML	600
3990460	CL-INFLUENZA PEDIATRIC	70
3990471	VACCINE ADMINISTRATION ONE	35
3990632	CL- FISCHER HEP A ADULT VACCINE	25
3990649	CL- FISCHER HPV GARDISAL VACCINE	150
3990657	CL- FISCHER INFLUENZA VAC 6-36 MONTHS	35
3990658	CL- FISCHER INFLUENZA VACCINE 3 YRS &OLD	60
3990662	CL- HIGHDOSE FLU 65+	90
3990672	CL – INFLUENZA VACCINE NASAL FLUMIST	65
3990674	CL-FLUCELVAX 2 YRS +	90
3990675	CL- FISCHER RABAVERT VACCINE FOR IM USE	350
3990682	CL-FLUBLOK 18+	90
3990686	CL-FLUZONE 6 MONTHS +	90
3990694	CL-FLUAD 65 +	90
3990696	CL- FISCHER DTAP IPV 4-6 YRS OLD VACCINE	55
3990707	CL- FISCHER MMR VACCINE	55
3990716	CL- FISCHER VARICELLA VARIVAX VACCINE	95
3990724	CL- FISCHER INFLUENZA VACCINE	35
3990732	CL- FISCHER PNEUMO 23 VACCINE	250
3990734	CL- FISCHER MENACTRA VACCINE	130
3990782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
3993000	EKG WITH REPORT AND INTERPRETATION	223
3993225	HOLTER MONITOR HOOK UP AND DISCONNECT	263
3993270	EVENT MONITOR HOOK UP AND DISCONNECT	263
3994664	NEBULIZER FIRST TREATMENT	65
3994760	PULSE OXIMETRY	45
3996372	THERAPEUTIC/DIAGNOSTIC INJECTION	50
3998312	CL- FISCHER PREVNAR 13	541
3999201	OFFICE VISIT – NEW PT – BRIEF	120
3999202	OFFICE VISIT – NEW PT – LIMITED	170
3999203	OFFICE VISIT – NEW PT – INTERMEDIATE	225
3999204	OFFICE VISIT – NEW PT – EXTENDED	320
3999205	OFFICE VISIT – NEW PT – COMPREHENSIVE	430
3999211	OFFICE VISIT – EST. PT – MINIMAL	70
3999212	OFFICE VISIT – EST. PT – BRIEF	110
3999213	OFFICE VISIT – EST. PT – INTERMEDIATE	150
3999214	OFFICE VISIT – EST. PT – EXTENDED	220
3999215	OFFICE VISIT – EST. PT – COMPREHENSIVE	300
3999218	OBSERVATION VISIT INITIAL BRIEF	127.5
3999222	INITIAL HOSP CARE INTERMEDIATE	193.5
3999232	SUBSEQ INPT INTERMEDIATED HOSP VISIT	105
3999238	HOSPITAL DISCHARGE INPATIENT <30 MIN	108.5
3999241	CONSULTATIONS – INITIAL – BRIEF	145
3999242	CONSULTATIONS – INITIAL – INTERMEDIATE	210
3999243	CONSULTATIONS – INITIAL – EXTENDED	275
3999244	CONSULTATIONS – INITIAL – COMPREHENSIVE	375
3999245	CONSULTATIONS – INITIAL – COMPLEX	475
3999315	NH DISCHARGE – LESS 30 MIN.	88.5
3999316	NH DISCHARGE – MORE 30 MIN.	110.5
3999381	HCY SCREENING NEW PT NEWBORN TO 1 YEAR	225
3999382	HCY SCREENING NEW PT AGE 1 – 4	235
3999383	HCY SCREENING NEW PT AGE 5 – 11	240
3999384	HCY SCREENING NEW PT AGE 12 – 17	270
3999385	HCY SCREENING NEW PT AGE 18 – 39	300
3999386	HCY SCREENING NEW PT AGE 40 – 64	345
3999387	HCY SCREENING NEW PT AGE 65 & OVER	365
3999391	HCY SCREENING EST PT NEWBORN TO 1 YEAR	195
3999392	HCY SCREENING EST PT 1 – 4	210
3999393	HCY SCREENING EST PT 5 – 11	205
3999394	HCY SCREENING EST PT 12 – 17	220
3999395	HCY SCREENING EST PT 18 – 39	250
3999396	HCY SCREENING EST PT 40 – 64	280
3999397	HCY SCREENING EST PT 65 & OLDER	300
4000245	CATH. SELF (MENTOR 245)	12
4000612	CATH. BARD12 (TIEMAN)	34
4000614	CATH. BARD14 (TIEMAN)	34
4000616	CATH. BARD16 (TIEMAN)	34
4000618	CARH. BARD18 (TIEMAN)	34
4000620	CATH. BARD20 (TIEMAN)	34
4000622	CATH. BARD22 (TIEMAN)	34
4002231	BANDAGE, CONFROM31 (KENDALL)	11
4002232	BANDAGE, CONFROM32 (KENDALL)	11
4002236	BANDAGE, CONFROM36 (KENDALL)	11
4002237	FOOT STRAPPING TAPE	15
4002238	CAM WALKER BOOT SMALL	317
4002239	CAM WALKER BOOT MEDIUM	317
4002240	CAM WALKER BOOT LARGE	317
4003014	TELEHEALTH ORIGINATING SITE FEE	42
4015275	EPIFIX FACILITY APPLICATION	1967
4016812	CATH. BARD12 (CARSON COUDE TIP)	63
4016814	CATH. BARD14 (CARSON COUDE TIP)	63
4016816	CATH. BARD16 (CARSON COUDE TIP)	101
4016818	CATH. BARD18 (CARSON COUDE TIP)	63
4016820	CATH. BARD20 (CARSON COUDE TIP)	63
4016822	CATH. BARD22 (CARSON COUDE TIP)	63
4016824	CATH. BARD24 (CARSON COUDE TIP)	63
4059106	LIDOCAINE 2% 10ML	86
4070001	FACILITY-CLINIC	42
4070003	AIR CAST – ALL SIZES	93
4070005	PLASTIC HEEL CAPS	12
4070006	EAR WICKS (DISPOSABLE)	15
4070007	FELT, ORTHOPEDIC-1/4 ROLL	81
4070009	SPLINT, WRIST-ALL SIZES	50
4070011	SPLINT, WRIST STAT DEROYAL	39
4070013	KNEE IMMOBILIZER STAT DEROYAL	63
4070015	STRAPPING UNIV. ELBOW-STAT DEROYAL	26
4070016	SURGITUBE TUBE GAUZE	11
4070017	ANKLETS, SUMMIT MEDICA	42
4070019	SPLINTS,J&J SPECIALIST 3	11
4070020	WOOL, LAMBS	11
4070021	SPLINTS,J&J SPECIALIST 4	11
4070023	SPLINTS,J&J SPECIALIST 5	11
4070800	DISPOSABLE BIOPSY PUNCH (ALL SIZES)	15
4093225	HOLTOR MONITORING, HOOKUP,RECORD&DISCONN	482
4100008	ADMIN FLU VAC	8
4100009	ADMIN PNEUMO VAC	8
4100025	HCY MEDICAID SCREENING	81
4100091	MEDICARE SCREENING PAP SMEAR	32
4100101	MEDICARE CERVICAL/VAGINAL EXAMINATION	66
4100696	ROCEPHIN PER 250MG	175
4101000	DEPOESTROGEN 1CC	130
4101030	DEPO MEDROL 40MG	53
4101040	DEPO MEDROL 80MG	95
4101100	DECADRON	26
4101200	DIPEHNHYDRAMINE HCI	41
4101885	TORADOL KETORALAC 30MG	85
4102010	LINCOCIN	21
4102902	SOLUMEDROL 40MG	40
4103301	TRIAMACILONE ACETONID 20 MG	95
4103420	ASCORBIC ACID INJ 500 MG/ML 50 ML VIAL	35
4103430	VITAMIN K	11
4106060	PHENERGAN 50 MG	26
4107325	SYNVISC 1 MG	818
4108120	OXYGEN 1 CUBIC FOOT	38
4110060	INCISION/DRAIN-ABSCESS SINGLE/SIMPLE	104
4110061	ABD. ABCESS I&D	228
4110080	I&D	141
4110120	FORIGN BODY REMOVAL-LOCAL ANEST.	128
4110121	INCISION & REMOV OF F/B COMPLICATED	373
4110140	DRAINAGE OF SEROMA	110
4110160	PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA	103
4110180	I&D POST/OP WOUND	423
4111000	DEBRIDEMENT OF EXT ECZEM/INFEC SKIN 10%	100
4111042	DEBREDMENT OF WOUND	300
4111043	DEBRID OF SKIN SUBCUT TISS AND MUSCLE	165
4111044	DEBRIDEMENT SKIN, TISS, MUSC & BONE	882
4111100	BIOPSY LESION	121
4111101	BIOPSY EACH ADDITIONAL LES	105
4111200	REMOVAL OF SKIN TAG	115
4111201	10+ LESIONS, REMOVAL	61
4111300	SHAV OF EPIDERMAL LESION .5 CM OR LESS	110
4111400	EXCISION,BENIGN LES SXCEPT LEM TRK-0.5	131
4111401	EXCISION-BENIGN LESION 0.6 TO 1.0CM	164
4111402	EXCISION-BENIGN LESION 1.1 TO 2.0CM	213
4111403	EXCISION LESION	281
4111404	EXCUSION LIPOMA	370
4111406	REMOVAL OF SKIN LESION	529
4111420	EXCISION LESION-BENIGN/EXCEP,SK-NK-SCLP	135
4111421	EXCISION BENIGN	184
4111422	EXCISION LESION 1.1 TO 2.0 CM	242
4111423	REMOVAL OF SKIN LIESON	329
4111426	EXCISION,BENIGN OVER 5 CM	718
4111440	EXCISION LESION-BENIGN/NOSE,EYES,EARS	176
4111441	EXCISION LESION	228
4111442	EXCISION LESION 1.1 TO 2.0 CM FACE	242
4111443	EXCISION LESION-MALIGN/NOSE,2.1 TO 3.0	416
4111444	EXCISION CYST	495
4111600	EXCISION LESION-MALIGN/TRUNK LIMB -0.5	228
4111601	EXCISION LESION-MALIGN/LIMB 0.6-1.0CM	285
4111602	EXC OF LESION 1 TO 2 CENTEMETERS	371
4111603	EXCISION LESION	435
4111622	EXCISION LESION	479
4111623	EXCISION LESION-MALIGN/SC/NK/ND 2.1-3.0	276
4111640	REMOVAL OF LESION	362
4111641	EXCISION LESION-MALIGN/FACE .6 TO 1.0 CM	434
4111642	EXCISION LESION-MALIGN/FACE1.1 TO 2.0 CM	606
4111643	EXCISION LESION	697
4111646	EXCISION LESION-MALIGN/FACE,EARS 4.0 CM	1080
4111720	WEDGE EXCISION OF TOENAIL	66
4111740	DRAINAGE/EVACUATION OF SUBUNGUAL HEMATOM	83
4111750	EXC OF NAIL & NAIL MATRIX, PART/COMPLETE	440
4111752	EXC TOENAIL W/AMPUTATION DISTAL PHALANX	695
4111765	EXCISION OF NAIL	152
4111770	EXCISION OF PILONIDAL SINUS	478
4111900	INJECTION,INTRALESIONAL; UP TO 7 LESIONS	158
4112001	REPAIR WOUND	151
4112002	REPAIR WOUND,SIMPLE	194
4112004	REPAIR SIMPLE WOUND 7.6 CM – 12.5 CM	232
4112011	REPAIR WOUND,LIP	183
4112031	REPAIR INTERMEDIATE LAYER CLOSURE 2.5CM	213
4112032	REPAIR INTERMEDIATE LAYER CLOS 2.6-7.5CM	313
4112034	REPAIR WOUND	403
4112035	REPAIR WOUND,SCALP	461
4112042	LAYER CLOSURE OF WOUND 2.6 TO 7.5 CM	405
4112044	REPAIR WOUND	400
4112051	REPAIR WOUND	285
4112052	REPAIR INTERMED WOUND FACE 2.6-5.0CM	390
4112053	WOUND REPAIR	457
4113121	REPAIR COMPLES WOUND	617
4113131	REPAIR	518
4113132	REPAIR WOUND 2.6CM (HAND)	883
4114020	TISSUE TRANS/REARRANGEMENT-ADJACENT	1138
4114060	TISSUE TRANS/REARRANGEMENT-ADJACENT	1891
4115260	FULL THICKNESS GRAFT 20 SQ CM FACE	2095
4115261	FULL THICKNESS GRAFT EA ADD’L 20 SQ CM	910
4115999	EXCISION PRESSURE ULCER, UNLISTED	1654
4117000	DESTRUCTION LESION	135
4117003	CRYOFREEZE	50
4117100	REPAIR WOUND,SIMPLE	77
4117250	CAUTERIZATION CHEM GRANULATION TISSUE	100
4119000	PUNCTURE ASPIRATION OF BREAST CYST	142
4119020	MASTOTOMY W/DRAINAGE OF ABSCESS	500
4119100	BREAST BIOPSY	224
4119101	BIOPSY, BREAST	605
4119112	EXC OF LACTI DUCT FISTULA	868
4119120	EXCISION OF CYST BREAST	899
4119125	EXCISION/BREAST-SINGLE LEASION W/MARKER	1032
4119126	NEEDLE LOC. AND EXC.	521
4120102	EXPLORATION OF PENETRATING WOUND ABD/BAC	290
4120103	EXPLORATION OF PENETRATING WOUND EXTREMI	764
4120520	REMOVAL OF F/B SIMPLE	276
4120525	REMOVAL OF F/B DEEP OR COMPLICATED	745
4120551	INJECTION SINGLE TENDON	190
4120552	TRIGGER POINT INJECTION 1 OR 2 MUSCLES	210
4120553	INJECTION TENDON SHEATH SINGLE/MULT 3 OR	270
4120600	ARTHROCENTESIS, ASPIR/INJ SMALL JOINT	180
4120605	ARTHROCENTESIS, ASPIR/INJ INTERMED JOINT	195
4120610	INJECTION MAJOR JOINT	255
4120680	REMOVAL OF IMPLANT	731
4121550	EXCISION BIOPSY	310
4123075	EXC SOFT TISSUE SHOULDER AREA, SUBCUTAN	432
4125111	EXCISION OF GANGLION	975
4125600	FX COLLES TYPE; CLOSED NO MANIPULATION	750
4126010	I AND D ABSCESS	151
4126160	EXC OF GANG OF THE TENDEN SHEATH	405
4127096	CT GUIDED SI INJECTION W/ANESTH & STEROI	760
4127324	EXCISION OF DEEP CYST	632
4127590	AMPUTATION LEG	2431
4128190	REMOVAL OF FOREIGN BODY	212
4128200	REPAIR TENDON FLEXOR FOOT PRIM EA TENDON	1123
4128810	AMPUTATION, METATARSAL, WITH TOE, SINGLE	1389
4129540	STRAPPING ANKLE	64
4129580	STRAPPING UNNA BOOT	82
4130300	REMOVAL FORIGN BODY/NOSE	159
4131605	TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMB	1193
4132421	THORACENTESIS, PUCT OF PLEURAL CAVITY AS	400
4133207	INSERTION PACEMAKER	2368
4133212	INSERT/REPLACE P’MAKER SINGLE CHAMBER	1284
4133216	REVISION OF PACEMAKER	1439
4133233	REMOVAL OF PACEMAKER	584
4136010	INTRODUCTION CATHETER	547
4136140	INTRACATHETER	500
4137607	LIGATION OF ANGIOACCESS AV FISTULA	1376
4137609	BIOPSY OF TEMPORAL ARTERY	616
4137618	LIGATION MAJOR ARTERY EXTREMITY	1764
4138115	REPAIR OF RUPTURED SPLEEN	2928
4138505	NEEDLE BIOPSY .	308
4138510	EXCISION OF LYMPH NODES OF NECK, DEEP	1158
4140530	RESECTION OF LIP, MORE THAN 1/4 W/O RECO	1323
4140800	DRAINAGE OF ABSCESS VESTIBULE OF MOUTH	169
4140812	EXCISION OF LESION/MOUTH	347
4140830	CLOSURE OF LACERTAION,VEST MOUTH UND 2.5	244
4142400	BIOPSY OF SALIVARY GLAND .	198
4142440	SUBMANDIBULAR GLAND	2030
4143215	ENDOSCOPY W/REMOVAL OF FOREIGN OBJECT.	842
4143235	UPPER ENDOSCOPY	685
4143239	EGD UPPER GASTRO ENDOSCOPY W/BIOPSY	875
4143280	LAPAROSCOPIC NISSEN FUNDOPLICATION	2205
4143605	EXCISION-BIO OF STOMACH-LAPAROTOMY	2129
4143620	GASTRECTOMY,TOTAL W/ESOPAGOENTEROSTOMY	4879
4143631	GASTRECTOMY,PART W/ESOPAGOENTEROSTOMY	3337
4143632	GASTRECTOMY,PART W/GASTROIEJEJUNOSTOMY	3683
4143633	GASTRECTOMY,PART W/ROUX-EN-Y RECONSTRUCT	4287
4143635	VAGOTOMY W/PARTIAL DISTAL GASRECTOMY	1620
4143640	VAGOTOMY-PYLOR,GASTRO-TRUNCAL/SELECT	2885
4143760	GASTROSTOMY TUBE CHANGE	215
4143830	GASTRECTOMY,TEMPORARY	1786
4143832	GASTROSTOMY,PERM,W/CONST OF GASTRIC TUBE	2135
4143840	GASTRORHAPHY,SUTURE OF PERF DUOD G/ULCER	2308
4143860	REV OF GASTRO ANASTOMOSIS-ROUX-EN-Y	3418
4144005	ENTEROLYSIS-INCISION-INTESTINES	2326
4144020	ENTEROTOMY FOR EXPL BIOPSY OR F/B REMOV	2528
4144120	ENTERECTOMY,RESECTION SM INTES-SING/ANAS	2871
4144139	MOBILIZATION OF SPLENIC FLEXURE	402
4144140	COLECTOMY, PART W/ANASTOMOSIS	3245
4144141	COLECTOMY,PART W/SKIN LEVEL CECOS OR COL	3366
4144143	COLECTOMY,PART W/END CLOSURE OF DIST SEG	3401
4144145	COLECTOMY,PART W/COLCPROCTOSTOMY	3807
4144146	COLECTOMY,PART W/COLCPROCTOSTOMY W/COLOS	4474
4144147	ABDOMINAL AND TRANSANAL APPROACH	4349
4144160	HEMICOLECTOMY	3433
4144202	LAPAROSCOPY, INTESTINAL RESEC W/ANASTOMO	2205
4144602	ENTERORRHAP	2158
4144603	SUTURE OF SMALL INTESTINE FOR PERFORATIO	2923
4144800	EXC OF MECKELS DIVERTICULUM	2171
4144820	EXC OF LESION OF MESENTERY	2067
4144900	I&D OF ABSCESS	1662
4144950	APPENDECTOMY, EXCISION	1532
4144955	APPENDECTOMY, EXCISION FOR INDICATED PUR	772
4144960	APPENDECTOMY, RUPTURED APPENDIX	1886
4144970	LAP APPENDECTOMY	1544
4145111	PARTIEL REMOVAL OF RECTUM	3250
4145300	PROCTOSIGMOIDOSCOPY,RIGID DIAG. COLL-SPE	123
4145305	PROCTOSIGMOIDOSCOPY,W/BIO SING OR MULTIE	246
4145315	PROCTOSIG W/REM OF TUMORS/POLYPS SNARE..	408
4145330	SIGM’COPY FLEX,W/WO SPECIMAN BY BRUSH	240
4145331	SIGM’COPY FLEX,W/BIOPSY	341
4145380	COLONOSCOPY W/BIOPSY	1058
4145905	DILATION OF ANAL SPHINCTA	274
4146040	INCISION/DRAIN OF ISCHIO/PERIRCTAL ABSC	570
4146050	INCISION/DRAIN PERIANAL ABSCESS SUPERFIC	195
4146080	SPHINCTEROTOMY, ANAL DIV OF SPINCTER	549
4146083	INCISION OF THROMBOSED HEMORRHOID, EXT	165
4146200	FISSURECTOMY, W/WO SPHINCTEROTOMY-EXCISI	866
4146220	EXC ANAL POLYP	866
4146221	RUBBERBAND LIGATION HEMORRHOIDS	290
4146230	PARTIAL HEMORRHOIDECTOMY	266
4146255	HOMORRHOIDECTOMY	1231
4146260	HEMORRHOIDECTOMY	1615
4146261	HEMORRHOIDECTOMY W/FISSURECTOMY .	1691
4146270	FISTULECTOMY	824
4146320	ENUCLEATION OF HEMORRHOID	217
4146600	ANOSCOPY	78
4146604	ANOSCOPY WITH DILATION, ANY METHOD	152
4146610	ENDOSCOPY WITH REMOVAL OF SINGLE POLYP	248
4146922	EXC OF LESION(S) IN ANUS	463
4146924	DEST. OF LESION,ANUS,EXTENS, ANY MTHD.	784
4146946	LIGATION OF INTERNAL HEMORRHOIDS-MULTIPL	408
4147001	BIOPSY (NEEDLE), LIVER	370
4147300	MARSUPIALIZATION CYST ABCESS OF LIVER	2492
4147350	REPAIR LIVER WOUND	2641
4147420	CHOLEDOCHOTOMY W/REMOVAL OF CALCIUM	2987
4147425	CHOLEDOCHOTOMY W/TRANSDUO PLASTY/ROTOMYI	3710
4147480	CHOLEDOCHOTOMY W/XPLOR DRAIN/REMOVE CALC	2149
4147550	ENDOSCOPY-BILE DUCT	865
4147600	CHOLSCTYSTECTOMY	2340
4147605	CHOLSCTYSTECTOMY OPEN & IOC	2543
4147610	CHOLSCTYSTECTOMY W/XPLOR OF COMMON DUCT	3017
4147720	CHOLECYSTOENTEROSTOMY; DIRECT	2617
4147760	ANASTOMOSIS	3581
4149000	EXPLORATION OF ABDOMEN	2096
4149020	DRAIN ABDOMINAL ABSESS	1628
4149021	DRAINAGE OF PERITONEAL ABSCESS PERCUTANE	1329
4149080	PARACENTESIS, ABD	283
4149255	OMENTECTOMY	1709
4149500	REPAIR INGUINAL HERNIA	1504
4149505	REPAIR INIT ING HERNIA 5 YRS+ REDUCIBLE	1586
4149507	REPAIR INIT ING HERNIA 5 YRS+ INCARC/STR	1586
4149520	INGUINAL HERNIA REPAIR	1927
4149521	REPAIR RECUR INGUINAL HERNIA INCARC/STRA	2006
4149550	REPAIR INIT FEMORAL HER ALL AGE REDUCIBL	1629
4149553	REPAIR INITIAL FEMORAL HERNIA INCARC	1694
4149560	REPAIR INIT INCISION HERNIA, REDUCIBLEBL	2034
4149561	REPAIR INCISIONAL HERNIA	2454
4149565	REPAIR HERNIA	2151
4149566	REPAIR OF HERNIA	2671
4149568	IMPLANTATION OF PROST FOR INCIS HERNIA R	710
4149570	REPAIR EPIGASTRIC HERNIA.	1194
4149572	HERNIA REPAIR	1487
4149580	UMBILICAL HERNIA	620
4149585	REPAIR UMBILICAL HERNIA 5 YRS+ REDUCIBLE	1444
4149587	REPAIR OF UMBILICAL HERNIA L	1800
4149650	REPAIR LAPAROSCOPY INITIAL INGUINAL HERN	1654
4149900	SUTURE-ABDOM WALL, EVISCER OR DEHISCENCE	1209
4151702	INSERTION FOLEY CATHETER	330
4151840	URETHROPEXY	2066
4152000	CYSTOCOPY	340
4152005	CYSTOURETHROSCOPY	695
4154150	CIRCUMCISUM	185
4154161	CIRCUMCISION	665
4154360	OPERATION TO CORR ANGULATION-PENIS	1674
4154450	PREPUTIAL STRETCHING	194
4154520	ORCHIECTOMY, SIMPLE W/WO TEST PROSTHESIS	1108
4154700	I & D OF ABSCESS	352
4155040	REMOVAL OF HYDROCELE	1216
4155250	VASECTOMY	653
4155500	EXCISION OF HYDRO OF SPERM CORD.	1024
4155520	EXCISION LESION OF SPERMATIC CORD	984
4156300	LAPAROSCOPY, DIAGNOSTIC	1649
4156303	OVERIAN CYSTOSTOMY	1624
4156304	LAPAROSCOPY W/LYSIS OF ADHES	1744
4156306	LAP. OVARIA CYSTOTOMY	1459
4156311	LAPAROSCOPY, LYMPHNODE BIOPSY	2025
4156315	LAPAROSCOPY, APPENDECTOMY	1563
4156340	CHOLECYSTECOMY	2969
4156341	LAPAROSCOPY, CHOLECYSTECTOMY W/CHOLANGIO	3166
4156342	LAPAROSCOPY, CHOLECYSTECTOMY W/XPLOR-DUC	4143
4156346	LAP GASTROSTOMY W/G-TUBE	3473
4158150	HYSTERECTOMY	2663
4158152	ABD. HYSTERECTOMY	3704
4158262	VAGINAL HYSTERECTOMY W/TUBES/OVARIES	3071
4158611	TUBAL W/C-SECTION	811
4158660	EXTENSIVE LYSIS ADHESIONS ABDOMINAL APPR	1744
4158662	LAP W/LYSIS ADHES W FULG OR EXC LES OVAR	1654
4158800	DRAINAGE OF OVARIAN CYST, UNIL OR BIL VA	1544
4158805	DRAINAGE OF OVARIAN CYST ABD APPROACH	1924
4158925	OVARIAN CYSTECTOMY	2315
4159410	POST PARTUM CARE	608
4159510	C-SECTION	3357
4160210	LOBECTOMY,PARTIAL THYROID,UNILATER W/IST	2311
4160212	LOBECTOMY,PARTIAL THYROID,UNILATER W/CON	3026
4160220	TOTAL THYROID LOBECTOMY UNI W OR W/O IST	2536
4160240	THYRIODECTOMY	3311
4160280	EXCISION OF THYROGLOSSAL DUCT CYST	1854
4162310	CESI WITH CT FLUORO GUIDANCE	1200
4162311	LESI WITH CT FLURO GUIDANCE	1200
4162320	CESI WITHOUT CT FLURO GUIDE	1000
4162321	CESI WITH CT FLURO GUIDE	1200
4162322	LESI WITHOUT CT FLUORO GUIDANCE	1000
4162323	LESI WITH CT FLUORO GUIDANCE	1200
4163650	PERCUTANEOUS IMPLANTATION OF NEUROSTIMUL	4400
4164400	NERVE BLOCK TRIGEMINAL NERVE ANY BRANCH	480
4164405	NERVE BLOCK OCCIPITAL	500
4164445	SCIATIC NERVE INJ	640
4164447	INJECTION FEMORAL NERVE	700
4164450	INJ ANES AGENT OTHER PERIPHERAL NERVE/BR	400
4164483	INJECTION LUMBAR OR SACRAL, SECOND LEVEL	1300
4164484	INJ SECOND LEVEL, LUMBAR OR SACRAL	1200
4164490	FACET BLOCK C/T SINGLE LEVEL	900
4164491	FACET BLOCK C/T SECOND LEVEL	470
4164492	FACET BLOCK C/T THIRD LEVEL	480
4164493	FACET BLOCK LUMBAR SACRAL SINGLE LEVEL	850
4164494	FACET BLOCK LUMBAR SACRAL SECOND LEVEL	450
4164495	FACET BLOCK LUMBAR SACRAL THIRD LEVEL	460
4164520	INJECTION LUMBAR/THORACIC PARAVERT SYMP	1000
4164624	DEST BY NEUROLYTIC AGENT, OTHER PERI NER	1000
4164633	DEST BY NEUROLYTIC AGENT, PARAVERTEBRAL	1900
4164634	DEST BY NEUROLYTIC AGENT, EA ADDL FACET	880
4164635	DEST BY NEURO AGENT FACET JT NERVE LUMBA	1900
4164636	DEST BY NEURO AGENT FACET JT NERVE EA A	800
4164640	DEST BY NEUROLYTIC AGENT, OTHER PERI NER	700
4169110	EXCISION EXTERNAL EAR;PARTIAL SIMP REPAR	811
4169200	F/B REMOVAL FROM EAR CANAL SIMPLE NO ANE	72
4169210	EARWAX REMOVAL	130
4172275	EPIDUROGRAPHY PROF COMPONENT	660
4177002	FLUORO GUIDANCE FOR NEEDLE PLACEMENT PC	200
4177003	FLUORO GUID & LOC NEEDLE/CATH FOR SPINE	200
4181000	URINE DIP	30
4181002	URINE DIP	27
4181025	URINE PREGNANCY TEST	40
4182270	OCCULT BLOOD	25
4182962	GLUCOSE BY MONITOR OUTPT PHY	25
4186580	TB PPD INTRADERMAL	45
4187210	KOH WET MOUNT	35
4187804	INFLUENZA A & B CLIA WAVED	71
4187880	RAPID STREP	65
4188150	PAP SMEAR	60
4188302	SPECIAL HANDLING-PHY.	29
4190658	INFLUENZA VACCINE	60
4190732	PNEUOMOCOCCAL VAC	250
4193000	EKG WITH INTERPRETATION & REPORT	223
4193225	HOLTER MONITOR HOOK UP & DISCONNECT	263
4193227	HOLTER MONITORING PHY REV & INTERPRET	315
4193270	EVENT MONITOR HOOK UP & DISCONNECT	263
4193272	EVENT MONITOR PHY REVIEW & INTERPRET	315
4194664	NEBULIZER TREATMENT FIRST	65
4194665	NEBULIZER TREATMENT SUBSEQUENT	53
4194760	PULSE OX	45
4195972	ELECTRONIC ANALYSIS NEUROSTIM COMPLEX SP	350
4197026	K LASER	40
4198925	MANIPULATION 1 -2	91
4198926	MANIPULATION 3 – 4	122
4198927	MANIPULATION 5 -6	156
4199201	OFFICE O/P (NEW) 10 MIN	120
4199202	OFFICE O/P (NEW) EXPANDED	170
4199203	OFFICE O/P (NEW) DETAIL HIST.	225
4199204	OFFICE O/P (NEW) COMPRE. HIST 45 MIN.	320
4199205	OFFICE O/P (NEW) COMPRE. HIST 60 MIN.	430
4199211	OFFICE VISIT EST. PT.- MINIMAL .	70
4199212	OFFICE VISIT EST. PT.- BRIEF	110
4199213	OFFICE VISIT EST. PT.- INTER.	150
4199214	OFFICE VISIT EST. PT.- EXTEND	220
4199215	OFFICE VISIT EST. PT.- COMPRE.	300
4199217	DISCHARGE OBSERV. CARE .	204
4199218	OBSERVATION CARE	235
4199219	INITIAL OBSERV. CARE .	333
4199220	HOSP INITIAL OBSERVATION CARE HIGH COMPL	450
4199221	HOSPITAL INP SERVICE .	260
4199222	INITIAL HOSPITAL CARE	345
4199223	INITIAL HOSPITAL CARE (HIGH COMPLEX)	471
4199231	FOLLOW-UP LOW/COMPLEX 15.MIN	128
4199232	SUBESQUENT HOSPITAL CARE	195
4199233	FOLLOW-UP DETAIL HIGH COMPLEX	282
4199234	ADMIT/DISCHARGE SAME DAY	353
4199235	ADMIT/DISCHARGE INTERMEDIATE	465
4199236	OBSER.ADMIT/DISCHARGE	604
4199238	DISCHARGE (HOSPITAL EVAL.)	202
4199239	DISCHARE HOSP INPT OVER 30 MIN	285
4199241	OFFICE CONS.(NEW) 15 MIN.	155
4199242	OFFICE CONS.(NEW) 30 MIN.	230
4199243	OFFICE CONS.(NEW) 40 MIN.	300
4199244	OFFICE CONS.(NEW) 60 MIN.	410
4199245	OFFICE CONS.(NEW) 80 MIN.	515
4199251	INIT. I/P CONSUL. 20 MIN.	155
4199252	INIT. I/P CONSUL. 40 MIN.	215
4199253	INIT. I/P CONSUL. 55 MIN.	270
4199254	INIT. I/P CONSUL. 80 MIN.	350
4199255	INIT. I/P CONSUL. 110 MIN.	440
4199281	E/R VISIT-EXAM & HISTORY	68
4199282	E/R VISIT-EXAM & HIST. LOW COMPLEX	93
4199283	E/R VISIT-EXPANDED PROB. W/MOD.COMPLX	141
4199284	E/R VISIT-DETAIL HIST. MOD COMPLEX	212
4199285	E/R VISIT-COMPRE HIST. HIGH COMPLEX	307
4199291	CRITICAL CARE 1ST HR.)	348
4199292	CRITICAL CARE +30 MIN	164
4199304	NH INITIAL VISIT LEVEL 1	176
4199305	NH INITIAL VISIT LEVEL 2	235
4199306	NH INITIAL VISIT LEVEL 3	285
4199307	NH SUBSEQUENT VISIT LEVEL 1	95
4199308	NH SUBSEQUENT VISIT LEVEL 2	140
4199309	NH SUBSEQUENT VISIT LEVEL 3	185
4199310	NH SUBSEQUENT VISIT LEVEL 4	245
4199315	NH DISCHARGE -30 MIN	165
4199316	NH DISCHARGE +30 MIN	220
4199318	NH ANNUAL ASSESSMENT	190
4199344	HOME VISIT +60MIN	285
4199354	MINI MENTAL – PROLONGED OFFICE VISIT	230
4199381	NP HCY NEWBORN	225
4199382	NP HCY AGE 1-4	235
4199383	NP HCY AGE 5-11	240
4199384	NP HCY AGE 12-17	270
4199385	NP PHYSICAL AGE 18 – 39	300
4199386	NP PHYSICAL AGE 40-64	345
4199387	NP PHYSICAL AGE 65 & OVER	365
4199391	EST PT HCY NEWBORN	195
4199392	EST PT HCY AGE 1-4	210
4199393	EST PT HCY AGE 5-11	205
4199394	HCY SCREENING EST PT AGE 12 – 17	220
4199395	EP PHYSICAL AGE 18 – 39	250
4199396	EP PHYSICAL AGE 40-64	280
4199397	EP PHYSICAL AGE 65 & OVER	300
4200008	DIAG INJ FOR FLU VACCINE	8
4200009	THERAP PNEUMO INJ	8
4200025	HCY SCREENING	77.5
4200372	MOBILITY (POWER) EVALUATION	50
4200540	CL- MCGRAW PENICILLIN	150
4200696	CL- MCGRAW ROCEPHIN PER 250 MG	175
4201000	ESTRADIOL	130
4201030	CL- MCGRAW DEPO MEDROL 40 MG	53
4201040	CL- MCGRAW DEPO MEDROL 80MG INJ	95
4201200	DIPHENHYDRAMINE HCI	41
4201885	CL- MCGRAW TORADOL PER 15 MG	85
4202180	CL- MCGRAW DEMEROL 50 MG INJECTION	41
4202360	CL- MCGRAW NORFLEX 60 MG	94
4202550	CL- MCGRAW PHENERGAN 50 MG	38
4202902	SOLU MEDROL 40 MG	40
4202920	SOLU-MEDROL UP TO 40 MG	47
4202930	SOLU-MEDROL UP TO 125MG	88
4203301	CL- MCGRAW TRIAMACILONE ACETONID 20 MG	95
4203410	CL- MCGRAW VISTARIL UP TO 25 MG	40
4203420	CL- MCGRAW B-12 INJECTION	35
4210060	I & D SIMPLE CYST	185
4210120	INC AND REM OF FB SUB TIS SIMPLE	375
4211042	DEBRIDEMENT SUB TISSUE FIRST 20 SQ CM	300
4211100	BIOPSY OF SKIN SINGLE LESION	170
4211200	EXCISION SKIN LESION	87
4211305	SHAVING OF EPIDERMAL/DERMAL LES SINGLE	140
4211307	SHAV OF EPIDERML/DERML LES .6 TO 1.CM	190
4211400	EXC BEN LES TRUNK ARMS LEGS .5CM OR LESS	125
4211401	EXC BEN LES TRUNK ARMS LEGS .6 TO 1.0 CM	270
4211402	EXC BEN LES 1.1 TO 2.0 CM TRUNK,ARM/LEG	340
4211420	EXC BEN LES SCALP NECK .5 CM OR LESS	230
4211421	EXC .6 – 1.0 CM BEN EXC NECK	105
4211440	EXC BEN LES >.5CM OR LESS TRUNK,ARM,LEGS	220
4211441	EXC BEN LES FACE, .6 TO 1.0 CM	365
4211600	EXC MAL LES .5 CM OR< TRUNK,ARMS,LEGS	400
4211601	EXC MAL LES .6 TO 1 CM TRUNK,ARMS,LEGS	450
4211603	EXC MAL LES 2.1 TO 3.0 CM TRUNK,ARM/LEG	600
4211719	TRIMMING OF NONDYSTROPHIC NAILS	45
4211730	AVULSION OF NAIL	160
4211975	NORPLANT INSERTION (11975)	267
4211976	NORPLANT REMOVAL	365
4211977	NORPLANT REMOVAL/REINSERTION	463
4212001	SIMPLE REPAIR SCALP 2.5 CM OR LESS	160
4212002	REPAIR SIMPLE 2.6 CM TO 7.5 CM	184
4212004	REPAIR SIMPLE WOUND 7.6 TO 12.5 CM SCALP	400
4212011	SIMPLE REP SUPERF WOUND FACE 2.5 CM OR >	375
4212031	REPAIR INTERMED TRUNK EXTREM <2.5 CM	360
4213121	REPAIR COMPLEX 2.6 TO 7.5CM SCALP ARMS	850
4213122	REPAIR COMPLEX EA ADD’L 5 CM OR LESS	300
4217000	CRYOFREEZE FIRST LESION	135
4217003	CRYOFREEZE 2ND THRU 14 LESIONS	50
4217110	CRYOFREEZE BENIGN UP TO 14 LESIONS	110
4217261	DESTRUCTION MALIG LES 6-1.0CM TRUNK, ARM	280
4217270	DESTRUCTION OF MALIGNANT LESION 0.5 CM	275
4217271	DESTRUCTION MAL LES .6 TO 1CM SCALP,NECK	340
4217281	DESTRUCTION MALIG LES .6 TO 1.0 CM	375
4220550	TRIGGER POINT INJECTION	235
4220552	INJ SINGLE/MULT TRIGGER POINTS 1 OR 2 MU	190
4220600	INJECTION SMALL JOINT	180
4220605	INJECTION INTERMEDIATE JOINT	195
4220610	INJECTION MAJOR JOINT	255
4225560	FX CLOSED RADIAL/ULNAR W/O MANIPULATION	750
4225600	FX CARE CLOSED DISTAL RADIAL FX W/O MANI	800
4225622	FX TRTMT OF CARPAL SCAPHOID CLOSED W/O M	840
4226600	FX CLOSED TX METACRAPAL FX W/O MANIPULAT	750
4229580	UNNA BOOT	155
4230300	REMOVAL FOREIGN BODY INTRANASAL	420
4236415	VENIPUNCTURE/FINGERSTICK	8
4241105	BIOPSY OF TONGUE POSTERIOR ONE-THIRD	425
4246600	ANOSCOPY	78
4254056	DESTRUCTION OF LES PENIS CRYOSURGERY	380
4254150	CIRCUMCISIAM/NEWBORN	146
4256300	DIAGNOSTIC LAPROSCOPY	1111
4256301	LAPROSCOPY W/TUBAL FULGERATION	1212
4256302	LAPROSCOPY W/MECH. TUBAL OCCLUSION	1212
4256303	LAPROSCOPY W/ EXCISION/FULG OF LESION	1810
4256304	LAPROSCOPY W/LYSES OF ADHESIONS	1810
4256305	LAPROSCOPY W/BIOPSY	1242
4256306	LAPROSCOPY W/ASPIRATION	1242
4256307	LAPROSCOPY W/RESECTION OF ADNEXAL STRUCT	1810
4256405	I&D VULVAR/PERNINAL ABCESS	129
4256420	I&D BARTHOLIN CYST	182
4256501	DESTRUCTION LESION-VULVA SIMPLE	204
4256515	DESTRUCTION LESION-VULVA EXTENSIVE	644
4256605	BIOPSY- PERCPEUM/VULVA	129
4256606	BIOPSY- ADDITIONAL	65
4257020	CULDOCENTESIS	123
4257100	BIOPSY- VAGINAL	104
4257160	PESSARY FITTING	34
4257170	DIAPHRAM FITTING	95
4257452	COLPOSCOPY W/OUT BIOPSY	268
4257454	COLPOSCOPY W/BIOPSY	533
4257460	LEEP	566
4257500	BIOPSY- CERVIX/POLYP	260
4257505	ENDOMETRIAL CURETTAGE	136
4257511	CRYOCOUTERY CREVIX	268
4257800	CERVICAL DILATION EXAM W/ANESTHESIA	100
4258100	ENDOMETRIAL SAMPLING	171
4258120	NON OBSTETRIC D&C	665
4258300	IUD INSERTION	314
4258301	IUD REMOVAL	93
4258340	INJECTION FOR HSG	198
4258600	LIGATION OF FALLOPIAN TUBES	1234
4258605	POSTPARTUM TUBAL LIGATION	1067
4258611	TUBAL LIGATION AT CESAREAN	534
4258940	EXP. LAPRO W/R SALPINGCOPHORECTOMY	1662
4259000	AMMIOCENTISIS N	135
4259020	CONTRACTION STRESS TEST	143
4259025	NONSTRESS TEST	119
4259120	LAPROSCOPY (ECTOPIC) W/SALPINGECTOMY	1779
4259121	LAPROSCOPY (ECTOPIC) W/O SALPINGECTOMY	1731
4259160	POSTPARTUM CURETTAGE	616
4259400	COMPREHENSIVE OB W/VAG DEL	2207
4259409	VAGINAL DEL. ONLY	1153
4259410	VAG. DEL. W/POST PARTUMCARE	1275
4259425	ANTEPARTUM CARE 4-6 VISITS	313
4259426	ANTEPARTUM CARE 7+ VISITS	932
4259510	COMPREHENSIVE OB WITH C/S	2592
4259515	CESAREAN SECTION	1668
4259610	COMPREHENSIVE OB WITH VBAC	2381
4259618	COMPREHENSIVE OB WITH FAILED VBAC	2862
4259812	INCOMPLETE ABORTION D&C	676
4264435	PARACERVICAL BLOCK	149
4269100	BIOPSY EXTERNAL EAR	200
4269210	EARWAX REMOVAL	130
4276805	ULTRASOUND/COMPLETE OB	358
4276815	ULTRASOUND/LIMITED OB	170
4276818	BIOPHYSICAL PROFILE	234
4276830	GYN TRANS VAG. U S	251
4276856	GYN PELVIC ULTRA S.	262
4276946	ULTRASOUND/AMMINO	282
4280050	COMP HEALTH PROFILE	64
4280055	PRENATAL PANEL	58
4280058	LIVER FUNCTION PANEL	47
4280061	LIPID PANEL	49
4280093	HYPOTHYROID PANEL (84443)	61
4280100	URINE DRUG SCREEN	58
4281000	URINALYSIS (MICRO + DIP)	30
4281002	URINALYSIS (DIP ONLY)	27
4281025	URINE PREGNANCY TEST	40
4282105	MSAFP	61
4282270	STOOL OCCULT BLOOD	14
4282626	DHEAS	81
4282670	ESTRADIOL	86
4282677	TRIPPLE SCREEN (82677)	87
4282947	BLOOD SUGER	17
4282950	1′ GLOCOSE CHALLANGE TEST	19
4282951	GLOCOSE TOLERANCE TEST (82951)	47
4282952	GLUCOSE TOLERANCE TEST (82952)	19
4282962	MCGRAW GLUCOSE – FINGER STICK	25
4283001	FSH	58
4283002	LH	58
4283020	HEMOGLOBIN ELECTROPHORESIS	48
4283036	GLYCOHEMOGLOBIN	95
4283550	SERUM Fe/TIBC	41
4284144	PROGESTERONE	84
4284146	PROLACTIN	84
4284403	TOTAL TESTOSTERONE	93
4284443	TSH	61
4284450	PRECCLAMPSIA PANEL	20
4284550	PRECCLAMPSIA PANEL	19
4284702	TRIPPLE SCREEN (84702)	54
4284703	QUANTITATIVE SERUM HCG (84703)	30
4285018	HEMOGLOBIN	14
4285025	PRECCLAMPSIA PANEL	22
4285610	PT/PTT	20
4285651	ESR	20
4285660	SICKLE CELL PREP	22
4285730	PRECCLAMPSIA PANEL	22
4286038	ANA	46
4286280	RUBELLA ANTIBODY TITER	37
4286308	MONOSPOT	24
4286316	CA125	79
4286317	CHLAMYDIA	43
4286580	CL- MCGRAW TB PPD INTRADERMAL	45
4286592	R P R	16
4286687	HIV	50
4286850	ANTIBODY SCREENING	25
4286900	BLOOD TYPE	15
4286901	BLOOD RH	15
4287070	CULTURE (ROUTINE)	32
4287081	CULTURE – GC	21
4287088	CULTURE-URINE	32
4287110	CULTURE – CHLAMYDIA	53
4287207	CULTURE-VIRAL	33
4287210	KOH WET MOUNT	35
4287502	MCGRAW INFLUENZA A&B TEST	123
4287634	MCGRAW RSV	123
4287651	MCGRAW STREP	123
4287804	INFLUENZA A & B CLIA WAVED	71
4287807	RSV	109
4287880	RAPID STREP	65
4288104	CYTOLOGY	62
4288150	PAPSMEAR	60
4288305	TISSUE EXAM SINGLE/MULTIPLE	130
4289300	POST COITAL TEST/INSERTION	48
4290460	CL- INFLUENZA PEDIATRIC	70
4290471	VACCINE ADMINISTRATION	35
4290472	EA ADD’L VACCINE ADMINISTRATION	35
4290649	CL – HPV GARDISIL VACCINE	150
4290657	CL- MCGRAW FLUZONE AGE 6 MONTHS TO 36 MO	35
4290658	CL- MCGRAW FLUZONE VACCINE AGES 3+	60
4290662	CL- HIGHDOSE 65+	90
4290670	CL- MCGRAW PREVNAR 13	536
4290674	CL- FLUCELVAX 2 YR +	90
4290682	CL- FLUBLOK 18+	90
4290686	CL- FLUZONE 6 MO +	90
4290694	CL- FLUAD 65+	90
4290703	CL- MCGRAW TETNUS TOXOID	33
4290706	CL – MMRV VACCINE	110
4290707	CL – MMR VACCINE	55
4290715	CL- MCGRAW TDAP ADACEL >7 YRS OF AGE	40
4290716	CL- MCGRAW VARICELLA VARIVAX VACCINE	95
4290732	CL- MCGRAW PNEUMOVAX 23 VACCINE DAVIS	250
4290734	CL – MENINGOCOCCAL MENACTRA VACCINE	125
4290736	CL- MCGRAW ZOSTAVAX	200
4290743	RH GAMMA GLOBULIN IM (J2790)	41
4290782	THERAPEUTIC OR DIAGNOSTIC INJECTION	50
4290789	CEFTRIAXONE 250MG IM (J0696)	21
4293000	EKG OFFICE	90
4293225	HOLTER MONITOR HOOK UP & DISCONNECT	160
4293227	HOLTER MONITOR PHY REVIEW & INTERPRET	180
4293228	EXTERNAL MOBILE CARDIO TELEMETRY W/ECG R	170
4293270	EVENT MONITOR HOOK UP & DISCONNECT	160
4294664	NEBULIZER TREATMENT	65
4294760	PULSE OXIMETRY	45
4297597	DEBRIDEMENT OPEN WOUND	125
4299000	SPEC. HANDLING/LAB	11
4299060	SERVICES PROVIDED ON AN ER BASIS OUT OF	110
4299073	SURGICAL TRAY	47
4299201	OFFICE VISIT NEW LEVEL 1	120
4299202	OFFICE VISIT NEW LEVEL 2	170
4299203	OFFICE VISIT NEW LEVEL 3	225
4299204	OFFICE VISIT NEW LEVEL 4	320
4299205	OFFICE VISIT NEW LEVEL 5	430
4299211	OFFICE VISIT EST LEVEL 1	70
4299212	OFFICE VISIT EST LEVEL 2	110
4299213	OFFICE VISIT EST LEVEL 3	150
4299214	OFFICE VISIT EST LEVEL 4	220
4299215	OFFICE VISIT EST LEVEL 5	300
4299217	OBSERVATION CARE DISCHARGE	204
4299218	OPO INITIAL CARE BRIEF	235
4299219	OPO INITIAL CARE INTERMEDIATED	333
4299220	OPO INITIAL CARE EXTENDED	450
4299221	IP INITIAL HOSP CARE BRIEF	260
4299222	IP INITIAL HOSP CARE INTERMEDIATED	345
4299223	IP INITIAL HOSP CARE EXTENDED	471
4299231	IP SUBSEQ HOSP CARE BRIEF	125
4299232	IP SUBSEQ HOSP CARE INTERMEDIATE	195
4299233	IP SUBSEQ HOSP CARE EXTENDED	282
4299234	SAME DAY HOSP ADMIT/DISC BRIEF	353
4299235	SAME DAY HOSP ADMIT/DISC INTERMEDIATE	465
4299236	SAME DAY HOSP ADMIT/DISC EXTENDED	604
4299238	IP DISCHARGE UNDER 30 MIN	202
4299239	IP DISCHARGE OVER 30 MIN	285
4299241	OFFICE CONSULT LEVEL 1	155
4299242	OFFICE CONSULT LEVEL 2	225
4299243	OFFICE CONSULT LEVEL 3	300
4299244	OFFICE CONSULT LEVEL 4	400
4299245	OFFICE CONSULT LEVEL 5	500
4299251	IP CONSULT BRIEF	170
4299252	IP CONSULT INTERMEDIATE	240
4299253	EXTENDED CONSULT INPAT	300
4299254	INITIAL INPT COMPREHENSIVE	390
4299255	INITIAL INPT COMPLEX	480
4299281	EMERGENCY DEPT VISIT MIN VISIT	107
4299291	CRITICAL CARE IP 30 – 74 MINUTES	610
4299292	CRITICAL CARE IP EA ADD’L 30 MIN	270
4299301	NURSING HOME NEW BRIEF	91
4299302	NURSING HOME NEW UNDER 30 MIN	121.5
4299303	NURSING HOME NEW 30 + MIN	169.5
4299304	NH ADMISSION LOW SEVERITY	176
4299305	NH ADMISSION MODERATE SEVERITY	235
4299306	NH ADMISSION HIGH SEVERITY	285
4299307	NH SUBSEQ STRAIGHTFORWARD VISIT	95
4299308	NH SUBSEQ LOW SEVERITY VISIT	140
4299309	NH SUBSEQ MODERATE SEVERITY VISIT	185
4299310	NURSING HOME EST COMPREHENSIVE	245
4299311	NURSING HOME EST BRIEF	57
4299312	NURSING HOME EST INTERMEDIATE	88.5
4299313	NURSING HOME EST EXTENDED	114
4299315	NURSING HOME DISC UNDER 30 MIN	165
4299316	NURSING HOME DISC OVER 30 MIN	220
4299318	ANNUAL NH ASSESSMENT MODERATE COMPLEX	190
4299324	OZARK NEW BRIEF VISIT	120
4299325	OZARK NEW 30 MIN	175
4299326	OZARK NEW ADMIT 45 MIN	245
4299327	OZARK NEW ADMIT 60 MIN	330
4299328	OZARK NEW ADMIT 75 MIN	415
4299334	OZARK BRIEF VISIT 15 MIN	105
4299335	OZARK EST MODERATE VISIT 25 MIN	145
4299336	OZARK EST HIGH 40 MIN	215
4299337	OZARK EST UNSTABLE	310
4299339	OZARK CPO <30 MIN	165
4299340	OZARK CPO >30 MIN	246
4299347	HOME VISIT EST PT LEVEL 1	110
4299348	HOME VISIT EST PT LEVEL 2	155
4299349	HOME VISIT EST PT LEVEL 3	230
4299350	HOME VISIT EST PT LEVEL 4	325
4299374	CPO HH PT <30 MIN	173
4299375	CPO HH PT >30 MIN	251
4299377	CPO HOSPICE PT <30 MIN	172
4299378	CPO HOSPICE PT >30 MIN	265
4299379	CPO NH PT NOT PRESENT <30 MIN	172
4299380	CPO NH PT NOT PRESENT >30 MIN	254
4299381	HCY NP NEWBORN	225
4299382	HCY NP 1 – 4	235
4299383	HCY SCREENING NEW PT AGE 5 – 11	240
4299384	HCY SCREENING NEW PT AGE 12 – 17	270
4299385	HCY SCREENING NEW PT AGE 18 – 39	300
4299386	HCY SCREENING NEW PT AGE 40 – 64	345
4299387	HCY SCREENING NEW PT AGE 65 & OVER	365
4299391	HCY EST PT NEWBORN	195
4299392	HCY EST PT AGE 1 – 4	210
4299393	HCY EST PT AGE 5 – 11	205
4299394	HCY SCREENING EST PT AGE 12 – 17	220
4299395	HCY SCREENING EST PT AGE 18 – 39	250
4299396	HCY SCREENING EST PT AGE 40 – 64	280
4299397	HCY SCREENING EST PT AGE 65 & OVER	300
4299407	SMOKING/TOBACCO CESSATION >10MIN	80
4300489	TOPTAINER W/GRAV FDG	17
4311400	STOMA BAG W/WAFER	15
4319394	SUCTION YAN KAUER	21
4319411	*USE 287394*	21
4319438	SPONGE 4X4 (10PKG)	29
4319471	NG TUBE W/O STYLET	109
4320465	TAPE MICRO 1	16
4321797	UROSTOMY BAG	26
4350080	LOW PROFILE GAS. TUBES (ALL SIZES)	299
4350124	FLEXFLO ENT FEED TUBE 12FR 36 CLEAR	26
4350138	FLEXFLO ENT FEED TUBE 16FR 36 CLEAR	26
4350152	FLEXIFLO GAS TUBES (ALL SIZES) CLEAR	82
4350164	SUPLENA 8 OZ.	12
4350240	GLUCERMA 8 OZ	12
4350340	ENSURE PLUS 1000ML	11
4350460	ENSURE VANILLA 8 OZ.	11
4350464	ENSURE PLUS 8 OZ	11
4350465	ENLIVE 8 OZ	13
4350471	FLEXFLO ENT FEED TUBE 8FR 36 W/STYLET	33
4350472	FLEXFLO ENT FEED TUBE 8FR 45	30
4350473	FLEXFLO ENT FEED TUBE 8FR 45 W/STYLET	30
4350474	FLEXFLO ENT FEED TUBE 12FR 36	26
4350475	FLEXFLO ENT FEED TUBE 12FR 45 W/STYLET	30
4350476	FLEXFLO ENT FEED TUBE 10FR 45 W/STYLET	33
4350477	FLEXFLO ENT FEED TUBE 14FR 36	32
4350600	QUANTUM SPIKE SET	15
4350602	QUANTUM SCREW SET	15
4350604	QUANTUM SPIKE SET W/FLUSH	17
4350606	TOPFILL W/QUANT SET W/FLUSH	18
4350608	TOPFILL W/QUANTUM SET	16
4350610	TOPTAINER W/QUANTUM SET	34
4350614	TOPTAINER W/QUNATUM SET W/FLU BAG	18
4350628	PERATIVE 8 OZ.	12
4350651	ENSURE W/FIBER 8 OZ	11
4350724	PEG KITS	245
4350729	TWO CAL HN 8 OZ.	11
4350766	VITAL HN 3 OZ. PWDR.	13
4350772	PROMOD 100 CAL.	12
4350774	PROMOTE 8 OZ.	11
4351143	JEVITY 8 OZ	11
4351204	PULMOCARE 1000ML RTH	12
4351206	GLUCERMA 1000 RTH	12
4351616	PROMOTE RTH 1000ML	11
4351681	ENSURE PLUS HN 1000ML RTH	11
4351682	JEVITY 1000 RTH	11
4351699	PULMOCARE 8 OZ. VANILLA	12
4351721	ENSURE PLUS HN 8 OZ	11
4351872	PROMOTE W/FIBER 8 OZ.	11
4351874	PROMOTE W/FIBER 1000ML	11
4352064	ENSURE HIGH PRO. 8 OZ	11
4353124	JEVITY PLUS 1000ML RTH	9
4356565	IVAC CONTROLLER	85
4356570	IVAC PUMP	96
4400008	ADMIN OF INFLUENZA	6
4400009	ADMIN OF PNEUM. Vac	6
4400010	INJECTION DIPENHYDRAMINE HCI	3
4400025	HCY Screening	81
4400179	CARE PLAN OVERSIGHT RECERTIFICATION	110
4400180	CARE PLAN OVERSIGHT INITIAL CERTIFICATIO	132
4400558	CL- BICILLIN LA 600000 UNITS	82
4400610	ALLEN GLUCAGON	33.5
4400690	ACEF 500 MG	11
4400696	CL- ALLEN ROCEPHIN 500 MG	175
4401000	CL- ALLEN DEPO ESTRADIOL 5 MG	130
4401030	CL- ALLEN DEPO MEDROL 40 MG	53
4401040	CL- ALLEN DEPO MEDROL 80 MG	95
4401080	CL- ALLEN TESTOSTERONE CYPIONATE 200MG	17
4401200	CL- ALLEN DIPHENHYDRAMINE 50 MG	41
4401610	INJECTION GLUCAGON HYDROCHLORIDE 1 MG.	41
4401880	CL- ALLEN KENALOG 40 mg	47
4401885	CL- ALLEN TORADOL- KETORALAC TROMETHAMIN	85
4402550	CL- ALLEN PHENERGAN 50MG	38
4402902	CL- ALLEN SOLU MEDROL 40MG	40
4402920	SOLU-MEDROL 40 MG	24
4402930	CL- ALLEN SOLU-MEDROL 125 MG	47
4403301	CL- ALLEN TRIAMCINOLONE ACETONID 40 MG	95
4403410	CL- ALLEN VISTARIL 50MG	40
4403420	CL- ALLEN VIT B-12 CYANOOCOBALAMI 1000MC	35
4410060	I&D OF ABSCESS	104
4410120	INC & REM OF F/B SIMPLE	149
4410160	ASPIRATION, PUNCTURE-ABSCESS,HEMA,CYST	104
4411010	DEBRIDEMENT W/REM OF F/B SKIN	158
4411100	PUNCH BIOPSY OF SKIN LESIONS	121
4411101	PUNCH BIOPSY OF SKIN LESIONS EACH ADD’L	70
4411200	REMOVAL OF SKIN TAG	115
4411312	SHAVING OF EPID LESION 1.1 TO 2.0 FACE	236
4411400	EXC OF BEN LESION .5 CM OR LESS	131
4411402	EXC OF BEN LESION 1.1 TO 2.0 CM	210
4411404	EXC OF LESION 3.1 TO 4.0 CENTIMETERS	695
4411406	EXC OF BEN LESION >4.0 CM TRUNK,ARMS,LEG	368
4411420	EXC OF BEN LES GENITALIA LESS THAN .5CM	132
4411421	EXC BEN LES SCALP, GENITALIA .6 TO 1.0CM	263
4411422	EXC OF BEN LES 1 – 2 CM	242
4411426	EXC OF BEN LESION >4.0 CM NECK	368
4411440	EXC OF BEN LESION .5 CM OR LESS FACE	131
4411441	EXC BEN LES FACE .6 TO 1.0	263
4411442	EXC OF BEN LESION 1.1-2.0CM – FACE	264
4411443	EXC OF BEN LESION 2.1 TO 3.0 CM FACE,EAR	441
4411444	EXC OF BEN LESION 3.1 TO 4.0 CM FACE,EAR	401
4411602	EXC MALIG LES TRUNK,ARMS LEGS 1.1 TO 2.0	368
4411606	EXC OF MALIG LESION OVER 4.0 CM TRNK ARM	695
4411620	EXC OF MAL LES SCALP .5CM OR LESS	131
4411621	EXC OF MAL LES FACE .5CM TO 1.0	221
4411623	EXC OF MAL LES SCALP,NECK HANDS 2.1 TO 3	350
4411626	EXC OF MAL LES SCALP OVER 4.0 CM	893
4411641	EXC OF MAL LES FACE .6 TO 1.0CM	221
4411642	EXC MAL LESION FACE 1.1 TO 2.0 CM	498
4411643	EXC MALIG LESION/FACE 2.1 TO 3.0 CM	684
4411750	EXC OF NAIL AND MATRIX PART OR COMPLETE	368
4411770	EXC PILONIDAL CYST	368
4412001	REPAIR OF WOUND	151
4412002	REPAIR OF WOUND	194
4412013	REPAIR WOUND FACE 2.0 – 3.0	105
4412031	REPAIR WOUND LAYER INTERMED TRUNK <2.5CM	150
4412052	REPAIR LAYER CLOSURE FACE 2.6-5.0 CM	400
4413131	REPAIR OF COMPLEX WOUND HEAD, HANDS,FEET	368
4417000	CRYOFREEZE	135
4417003	CRYOFREEZE SECOND THROUGH 14 LESIONS	50
4419000	ASPIRATION/NEEDLE BIOPSY BREAST	263
4420520	REMOVAL OF F/B IN MUSCLE OR TENDON SIMPL	341
4420550	TRIGGER POINT INJECTION	235
4420600	SMALL JOINT INJ	180
4420605	INTERMEDIATE JOINT INJ	195
4420610	MAJOR JOINT INJECTION	255
4423650	CLOSED TREATMENT-SHOULDER DISLOCATION	485
4423931	DRAINAGE OF ABCESS	537
4424200	REM FOREIGN BODY UPPER ARM	137
4424650	CLOSED FX TX RADIAL HEAD W/O MANIPULATIO	368
4424670	FX ULNAR, PROX END OLECRANON PROCESS	500
4425500	FX RADIAL SHAFT W/O MANIPULATION CLOSED	600
4425600	CLOSED FX TREATMENT DISTAL RADIAL FX COL	557
4425622	CLOSED FX TREATMENT CARPAL SCAPHOID W/O	557
4426600	FX METACARPAL CLOSED SIMPLE	368
4426720	FX CLOSED TX PHALANGEAL SHAFT FX CAST	300
4427780	FX FIBULA OR SHAFT W/O MANIPULATION	500
4427786	FX CARE LATERAL MALLEOLUS (ANKLE)	368
4428190	EXCISION OF F/B FOOT, SUBCUTANEOUS	232
4428400	CLOSED TX OF CALCANEAL FX	368
4428510	FX CARE/CAST NONDISPLACED FX OF TOE	263
4429405	APPLICATION OF SHORT LEG CAST	250
4430801	CAUTERY/ABLATION MUCOSA	158
4431500	INTUBATION, ENDOTRACHEAL, EMERGENCY	303
4436415	VENIPUNCTURE, FOR SPECIMEN	18
4443760	G-TUBE PLACEMENT	215
4445300	PROCTOSIGMOIDSCOPY, RIGID W/OR W/O COLLE	137
4445330	SIGMOIDOSCOPY, FLEXIBLE, W OR W/O COLLEC	263
4446221	HEMORRHOIDECTOMY, BY SIMPLE LIG RUBBER B	263
4446230	HEMORRHOIDECTOMY, EXC OF EXTERNAL TAGS	347
4446600	ANOSCOPY	78
4456440	MARSUPIALIZATION OF BARTHOLIN’S GLAND	900
4458100	ENDOMETRIAL BIOPSY	210
4464405	OCCIPITAL NERVE BLOCK	276
4465205	REMOVAL OF F/B SUPERFICIAL EYE	105
4467700	DRAINAGE OF ABCESS – EYELID	140
4467840	EXC OF LESION-EYELID	267
4469200	REMOVAL FOREIGN BODY EXT AUDITORY CANAL	137
4469210	EAR WAX REMOVAL	130
4480150	PELVIC EXAM	32
4481000	URINE DIP	30
4481002	ALLEN URINE DIP	27
4481025	ALLEN URINE PREGNANCY TEST	40
4482270	ALLEN OCCULT BLOOD	25
4482948	GLUCOSE TESTING, FINGER STICK	12
4482962	ALLEN GLUCOSE BY MONITOR	25
4483036	HB	95
4486580	ALLEN TB PPD INTRADERMAL	45
4487210	ALLEN KOH WET MOUNT	35
4487502	ALLEN INFLUENZA A&B TEST	123
4487634	ALLEN RSV	123
4487651	ALLEN STREP	123
4487804	ALLEN INFLUENZA A & B CLIA WAVED	71
4487807	CL- ALLEN RSV	85
4487880	ALLEN RAPID STREP	65
4488150	PAP SMEAR	60
4488403	RAPID STREP	18
4490376	CL- ALLEN IMOGAM 300 IU 2 ML	600
4490460	CL- INFLUENZA PEDIATRIC	70
4490471	VACCINE ADMINISTRATION	35
4490632	CL- ALLEN HEPATITIS A	25
4490657	CL- ALLEN INFLUENZA VACCINATION	35
4490658	CL- ALLEN INFLUENZA VACCINATION	60
4490662	CL- HIGHDOSE 65+	90
4490674	CL- FLUCELVAX 2 YR +	90
4490675	CL- ALLEN RABAVERT VACCINE FOR IM USE	350
4490682	CL- FLUBLOK 18+	90
4490686	CL- FLUZONE 6 MO +	90
4490694	CL- FLUAD 65+	90
4490702	CL- ALLEN DT < 7 YRS OLD	14
4490703	CL- ALLEN TD AGES 7 AND >	50
4490715	CL – TDAP > 7 YEARS OF AGE	70
4490732	CL- ALLEN PNEUMO 23 VACCINE	250
4490736	ZOSTAVAX	200
4490750	CL – SHINGRIX	225
4490782	THERAPEUTIC OR DIAGNOSTIC INJ.	50
4492960	CARDIOVERSION	436
4493000	ELECTROCARDIOGRAM W/INTERPRETATION &REPO	223
4493010	EKG INTERP AND REPORT	49
4493015	CARDIOVASCULAR STRESS TESTING	359
4493224	HOLTOR MONITORING GLOBAL W/SUPERIMPOSITI	637
4493225	HOLTOR MONITORING HOOKUP,RECORD,& DISCON	263
4493227	HOLTOR MONITORING PHYSICIAN REV & INTERP	315
4493268	EVENT MONITORING GLOBAL PRE/POST SYM MON	556
4493270	EVENT MONITORING HOOK-UP, DISCON SYM MON	263
4493272	EVENT MONITORING PHY REV&INTERPR SYM MON	315
4494664	NEBULIZER-1ST. TIME	65
4494665	NEBULIZER-SUBSEQUENT	50
4494760	PULSE OXIMETRY	45
4494762	PULSE OX 24 HR OVERNIGHT	47.5
4498312	CL- ALLEN PREVNAR 13 VACCINATION	536
4499195	PHLEBOTOMY, THERAPEUTIC	18
4499201	OFFICE VISIT/NEW OP (BRIEF)	120
4499202	OFFICE VISIT/NEW OP (LIMITED)	170
4499203	OFFICE VISIT/NEW OP (INTER)	225
4499204	OFFICE VISIT/NEW OP (EXTENDED)	320
4499205	OFFICE VISIT/NEW OP (COMPRE)	430
4499211	ESTAB. O/P VISIT MINIMAL	70
4499212	ESTAB. O/P VISIT (BRIEF)	110
4499213	ESTAB. O/P VISIT (INTER)	150
4499214	ESTAB. O/P VISIT (EXTENDED)	220
4499215	ESTAB. O/P VISIT (COMPRE)	300
4499217	OBSERVATION CARE DISCHARGE	204
4499218	OBSERVATION CARE INIT (BRIEF)	235
4499219	OBSERVATION CARE INIT.(LIMITED)	333
4499220	OBSERVATION CARE INIT.(INTER)	450
4499221	ACUTE CARE INIT. (BRIEF)	260
4499222	ACUTE CARE INIT. (LIMITED)	345
4499223	ACUTE CARE INIT. (INTER)	471
4499231	SUBSEQ. ACUTE CARE (BRIEF)	128
4499232	SUBSEQ. ACUTE CARE (LIMITED)	195
4499233	SUBSEQ. ACUTE CARE (INTER)	282
4499234	OBSERV. ACUTE CARE (BRIEF)	353
4499235	OBSERV. ACUTE CARE (LIMITED)	465
4499236	OBSERV. ACUTE CARE (INTER)	604
4499238	HOSP. DISCH. < 30 MINUTES	202
4499239	HOSP. DISCH. > 30 MINUTES	285
4499241	OFFICE CONSUL. (BRIEF)	155
4499242	OFFICE CONSUL. (LIMITED)	225
4499243	OFFICE CONSUL. (INTER)	240
4499244	OFFICE CONSUL. (EXTENDED)	400
4499245	OFFICE CONSUL. (COMPRE)	500
4499251	INIT INP. CONSULT.(BRIEF)	150
4499252	INIT INP. CONSULT.(LIMITED)	210
4499253	INIT INP. CONSULT.(INTER)	300
4499254	INIT INP. CONSULT.(EXTENDED)	390
4499255	INIT INP. CONSULT.(COMPRE)	480
4499281	EMERG. ROOM VISIT (BRIEF)	68
4499282	EMERG. ROOM VISIT (LIMITED)	93
4499283	EMERG. ROOM VISIT (INTER)	141
4499284	EMERG. ROOM VISIT (EXTENDED)	214
4499285	EMERG. ROOM VISIT (COMPRE)	307
4499288	PHYSICIAN DIRECTION	172
4499291	CRITICAL CARE 1ST HR.	331
4499292	CRITICAL CARE ADDL 30 MIN.	156
4499301	EVAL. & MGMT. (BRIEF)	91
4499302	EVAL. & MGMT. (LIMITED)	121.5
4499303	EVAL. & MGMT. (INTER)	169.5
4499304	NURSING HOME NEW BRIEF	176
4499305	NH ADMISSION MODERATE SEV	235
4499306	NH ADMISSION HIGH SEVERITY	285
4499307	SUB. NURSING FAC. CARE (BRIEF)	95
4499308	SUB. NURSING FAC. CARE (BRIEF)	140
4499309	SUB NH VISIT MODERATE	185
4499310	SUB. NURSING FAC. CARE COMPREHENSIVE	245
4499311	SUB. NURSING FAC. CARE (BRIEF)	57
4499312	SUB. NURSING FAC. CARE (LIMITED)	88.5
4499313	SUB. NURSING FAC. CARE (INTER)	114
4499315	NURSING FAC. DISH. < 30 MIN.	165
4499316	NURSING FAC. DISH. > 30 MIN.	220
4499318	ANNUAL NH ASSESSMENT	190
4499324	OZARK INITIAL LOW 20 MIN	120
4499325	OZARK INITIAL MODERATE 30 MIN	175
4499326	REST HOME NEW PT LEVEL 3	245
4499327	REST HOME NEW PT LEVEL 4	330
4499328	REST HOME NEW PT LEVEL 5	415
4499334	REST HOME EST PT LEVEL 1	105
4499335	REST HOME EST PT LEVEL 2	145
4499336	REST HOME EST PT LEVEL 3	215
4499337	REST HOME EST PT LEVEL 4	310
4499339	OZARK CPO <30 MIN	165
4499340	OZARK CPO >30 MIN	246
4499341	HOME VISIT	130
4499348	HOME VISIT EST PT LEVEL II	155
4499350	HOME VISIT EST PT COMP OVER 60 MIN	325
4499354	PROLONGED OV BEYOND THE USUAL (MINI MENT	265
4499374	CPO HH PATIENT <30 MIN	173
4499375	CPO HH PATIENT >30 MIN	251
4499377	CPO HOSPICE PT <30 MIN	172
4499378	CPO HOSPICE PT >30 MIN	265
4499379	CPO HH PT NOT PRESENT <30 MIN	172
4499380	CPO HH PT NOT PRESENT >30 MIN	254
4499381	HCY SCREENING NEW PT NEWBORN	225
4499382	HCY SCREENING NEW PT AGE 1 – 4	235
4499383	HCY SCREENING NEW PT AGE 5 – 11	240
4499384	OFFICE VISIT NEW PT – 12-17 YRS OLD	270
4499385	OFFICE VISIT NEW PT – 18-39 YRS OLD	300
4499386	OFFICE VISIT NEW PT – 40-64 YRS OLD	345
4499387	OFFICE VISIT NEW PT – 65 & OVER	365
4499391	HCY Screening EST PT NEWBORN	195
4499392	HCY SCREENING EST PT AGE 1 – 4	210
4499393	HCY Screening EST PT AGE 5 – 11	205
4499394	HCY Screening EST PT 12 – 17 YRS	220
4499395	HCY Screening EST PT 18 – 39 YEARS	250
4499396	HCY Screening EST PT 40 – 64 YEARS	280
4499397	HCY Screening EST PT 65 & OVER	300
4499499	PHYSICAL	35
4500076	HAG HOURS	34
4500150	EEG	1006
4500211	CPAP SETUP	205
4500220	CPAP SUBSEQUENT PER HOUR	41
4500224	BI LEVEL CIRCUIT W/TUBING AND FILTER	61
4500225	VENT-TUBING	95
4500226	ADULT AMBU-BAG #5372	104
4500227	INFANT AMBU BAG	48
4500228	PEDIATRIC AMBU BAG	39
4500232	CONCENTRATOR-OXYGEN/NH MONTHLY	186
4500240	ELECTROCARDIOGRAM	386
4500242	EKG PADS	37
4500260	HEATED AEROSOL SETUP – INITIAL	117
4500270	HYD-CROUPETTE SETUP	141
4500280	HYD-CROUPETTE/DAY	113
4500290	INFLATION BAG W/ MANOMETER–INFANT	74
4500325	ISO EQUIP CHG	48
4500330	TRI FLO	107
4500340	PFT MULITI	776
4500341	NEB U SET-UP	127
4500342	NEB-U-MIST	127
4500343	DUO NEB-U-MIST	198
4500345	LIMITED PFT	349
4500347	E.T HOLDER	87
4500360	SPUTUM INDUCTION	130
4500365	SUCTION	117
4500370	ROOM HUMIDIFIER S/U	117
4500380	TREADMILL EKG, TRACING ONLY	1435
4500385	HOLTER MONITOR, HOOK-UP	305
4500390	OXYGEN	32
4500395	OXYGEN PORTABLE	70
4500400	OXYGEN UNIT SET-UP	70
4500419	PEDIATRIC NASAL CANNULA	9
4500420	OXYGEN CANNULA	16
4500421	NASAL CANNULA	16
4500422	OXYMIZER PENDANT	127
4500435	OZY-EARS	13
4500439	PEDIATRIC OXYGEN MASK	9
4500440	MASK (OXYGEN) #1041	16
4500441	FULL MASK W/ HEAD GEAR C/BI PAP SMALL	137
4500442	MASK (AEROSOL) HUDSON#1083	16
4500443	PEDIATRIC MASK (AEROSOL)	9
4500444	INFANT MASK (OXYGEN)	16
4500445	DISP PED PULSE OX PROBE	91
4500446	FULL MASK W/HEAD GEAR C/BI PAP MEDIUM	137
4500447	FULL MASK W/HEAD GEAR C/BI PAP LARGE	137
4500450	OXYGEN CONN. TUBE	13
4500451	14FT LENGTH OXYGEN SUPPLY TUBING	16
4500460	02 REBR. MASK SETUP #1059	53
4500461	PEDIATRIC NON REBREATHER MASK	9
4500470	02 VENTI-MASK SETUP	53
4500480	02 BUBBLE JET HUMIDIFICATION	32
4500482	PEAK FLOW METER SET-UP	120
4500484	PEAK FLOW TEST	86
4500485	POSTURAL DRAINAGE INITIAL	82
4500487	PULSE OX	66
4500490	PULSE OX-MULTI READINGS-EXERCISE	97
4500512	DEMONSTRATION EDUCATION	116
4500513	DAILY RT EDUCATION	116
4501205	NEBULIZER CONTINUOUS-1 HR	121
4512005	CARDIAC/BP/O2 SAT MONITOR	292
4524400	VENTILATOR INITIAL DAY	565
4524401	VENTILATOR DAILY AFTER INITIAL	392
4524488	VENTILATOR CIRCUIT	35
4593010	EKG, INTERPRETATION AND REPORT ONLY	92
4593016	TREADMILL EKG PHYSICIAN SUPERVISION	223
4593018	TREADMILL EKG, PHY INTERPRETATION&REPORT	276
4593040	RHYTHM ECG, 1-3 LEADS W/ INTER & REPORT	223
4593270	EVENT MONITOR, HOOK-UP, 30 DAY	458
4594010	SPIROMETRY	298
4594011	INIT SPIROMETRY CHG ONCE	303
4594012	SUBSEQUENT SPIROMETRY 2XDAY MAX	166
4594060	BRONCHODILATION RESPONSIVENESS	489
4594640	MDI INITIAL	127
4594641	MDI SUBSEQUENT	127
4594668	POSTURAL DRAINAGE SUBSEQUENT	117
4594761	HOME OXYGEN QUALIFIER	217
4594762	PULSE OX – OVERNIGHT MONITORING	297
4595070	METHACHOLINE CHALLENGE	649
4600512	DEMONSTRATION EDUCATION	116
4618003	PT COLD PACKS HOME USE	51
4618005	PT HOME CERVICAL TRACTION UNIT	58
4618006	PT SHOULDER PULLEY HOME UNIT	66
4618008	PT TENS UNIT ELECTRODES	66
4618012	PT AIR MEDIC PILLOW	95
4618014	PT CRUTCHES	100
4619001	GRIPPER HINGED KNEE BRACE	63
4620600	PT NEO WRIST THUMB SUPPORT	86
4620617	PT ANKLE BRACE WITH STRAPS	191
4634008	PT STIM ELECTRODES PADS	51
4634010	PT LUMBAR CERVICAL ROLL	61
4638028	PT THERA BAND	13
4638030	PT THERA PUTTY	21
4638035	PT TUBIGRIP STOCKINET	12
4638040	PT BOOK BACK NECK CARE	21
4648002	PT BACK SUPPORT	78
4690901	PT BIOFEEDBACK TRAINING BY ANY MODALITY	82
4690911	PTBIOFEEDBACK PERIURO	82
4697002	PT RE EVALUATION	128
4697010	PT HOT COLD PACKS	41
4697012	PT CERVICAL PELVIC TRACTION	87
4697014	PT ELECTRICAL STIMULATION	82
4697016	PT VASOPNEUMATIC DEVICES	82
4697018	PT PARAFFIN BATH	82
4697022	PT WHIRLPOOL	141
4697024	PT DIATHERMY	68
4697026	PT INFRARED	68
4697033	PT IONTOPHORESIS	114
4697034	PT CONTRAST BATH	37
4697035	PT ULTRASOUND	82
4697039	PT UNLISTED MODALITIES	78
4697110	PT EXERCISE 15 MIN ROM STRENGTH ENDUR	113
4697112	PT EXERCISE 15 MIN.BALANCE COORD REEDUC	109
4697116	PT GAIT TRAINING	93
4697124	PT MASSAGE	53
4697139	PT UNLISTED THERAPUETIC PROCEDURE	70
4697161	PT EVALUATION LOW	181
4697162	PT EVALUATION MOD COMPLEXITY	181
4697163	PT HIGH EVALUATION	181
4697164	PT RE EVALUATION	128
4697250	PT MANUAL THERAPY MYOFACIAL MOBIL MANIP	113
4697500	PT ORTHOTICS TRAINING FITTING	68
4697530	PT THERAPUTIC ACT15 MIN	96
4697535	PT SELF CARE 15 MIN	58
4697542	PT WHEELCHAIR MGR	58
4697545	PT WORK HARDENINGCONDITION INITIAL 2 HRS	278
4697546	PT WORK HARDENINGCONDITION EACH ADD HR	127
4697750	PT PHY PERFORMANCE TEST	68
4697770	PT DEVEL COGNITIVE SKILLS	68
4700023	ST SP THER SESS 30	95
4792507	ST SP THER SESS 1 HR	147
4792521	ST EVAL FLUENCY	209
4792522	ST EVAL ARTICULATION	209
4792523	ST EVAL COMPREHENSION	209
4792524	ST EVAL VOICE	209
4792526	ST SPEECH THER SWAL TREATMNT 1HR	147
4792610	ST SWAL FUNC SP EVAL BEDSIDE	209
4792611	ST SWAL FUNC SP EVAL	209
5010854	JELLY PETROL	9
5010858	JELCO	9
5011307	KLING 2 IN.	9
5011309	KLING 4 IN.	9
5011398	DERMACEA ALGINATE	50
5011681	KERLIX 4.5 IN.	9
5013102	MEDIFIL	30
5014252	NEEDLE, INFUSE AID	15
5015336	OP-SITE 10CM X 14CM	12
5015338	OP-SITE 45CM X 55CM	12
5016171	PAD HEEL-ELBO	8
5016257	SHAMPOO, BETADINE	9
5016906	BARRIER FILM	15
5019289	SKIN STAPLE REMOVER	11
5019293	STERI-STRIP .5 X 4.0 IN.	11
5019294	SUCTION YON K	11
5019394	SUCTION YAN K	11
5019410	STOMAHESIVE	26
5019437	SPONGE,GAUZE 2X2 (STERILE)	9
5019438	SPONGE,GAUZE 2X2 (NON-STER)	11
5019439	SPONGE,NONSTERILE 4X4	18
5019440	SPONGE,CURITY 4X4 10PK(STERILE)	11
5019451	SWAB GLYCERIN	9
5019807	SUTURE REMOVEL KIT	11
5020460	TEGADERM DRESSING 4X4	11
5020462	TEGADERM DRESSING 8 X 12	13
5020465	TAPE, MICRO 1	9
5020510	TUBE GAUZE	11
5020522	TRACH CLEANING TRAY	11
5020534	TUBE, EXT. I.V.	9
5020700	SMALL DRY WOUND KIT	21
5020701	LARGE DRY WOUND KIT	37
5020702	SMALL MOIST WOUND KIT	18
5020703	LARGE MOIST WOUND KIT	33
5020704	SMALL WET WOUND KIT	32
5020705	LARGE WET WOUND KIT	39
5020740	Talfa Pad 3×4	9
5020750	COVERLET DRESSING	9
5024444	SYRINGE – ALL SIZES	9
5031815	MEDIHONEY GEL 1.5OZ	54
5031915	SOLOSITE WOUND GEL, 3OZ TUBE	19
5039001	OCCUPATIONAL THERAPY ASSISTANT	194
5050152	FLEXIFLO GAS TUBES (ALL SIZES) CLEAR	80
5073810	LATEX GLOVES (BOX)	15
5085610	PRO-TIME	46
5090018	CHEMSTRIPS	9
5200008	ADM FLU VAC	8
5200009	ADM PNEUMO VAC	8
5200025	HCY SCREENING	81
5200243	IV INFUSION REGENCOV ADMINISTRATION	309.6
5200540	CL- PENC G PROCAIN 1,200,000 BICILLIN	150
5200696	CL- ROCEPHIN 500 MG	175
5201000	CL- DEPO ESTRADIOL CYPIONATE UP TO 5 MG	130
5201020	CL- DEPO MEDROL 20 MG	21
5201030	CL- DEPO MEDROL 40 MG	53
5201040	CL- DEPO MEDROL 80 MG	95
5201100	CL- DEXAMETHASONE SOD PHOS 10 MG	26
5201200	DIPEHNHYDRAMINE HCI	41
5201885	CL- TORADOL 30 MG	85
5202010	CL- LINCOCIN HCI UP TO 300 MG	21
5202550	CL- PHENERGAN 50 MG	38
5202902	SOLU MEDROL 40MG	40
5202920	CL- SOLUMEDROL 40MG	47
5203301	CL- TRIAMCINOLONE ACETONID 40 MG	95
5203410	CL- VISTARIL 50MG	40
5203420	CL- VITAMIN B12	30
5204386	SIDEKICK LOW PROFILE WALKER	225
5206060	PHENERGAN 50 MG	22
5210040	PUSTULAR	58
5210060	I & D OF ABSCESS SIMPLE	180
5210080	INC & DRAINAGE SIMPLE	101
5210120	INCISION & REM OF F/B SIMPLE	158
5211010	DEBRIDEMENT INC REM F/B SKIN	101
5211100	BIOPSY SKIN SIMPLE	53
5211200	SKIN TAG EXCISION	105
5211400	EXC BEN LES TRUNK ARMS .5 CM OR LESS	126
5211401	EXC BEN LES TRUNK ARMS .06 CM – 1CM	210
5211421	EXC BEN LES SCALP NECK HANDS .6 TO 1.0CM	184
5211602	EXC MAL LES ARM 1.1 TO 2.0 CM	189
5211606	EXC MAL LES ARM 4.0 CM OR LARGER	315
5211641	EXC MAL LES FACE .5 TO 1.0 CM	368
5211642	EXC MAL LES FACE 1.1 TO 2.0CM	420
5211750	EXC OF INGROWN NAIL AND MATRIX	368
5211976	REMOVAL, IMPLANTABLE CONTRACEPT CAPSULES	232
5212001	SIMPLE REPAIR 2.5CM	139
5212011	REPAIR SIMPLE WOUND FACE <2.5 CM	200
5212013	SIMPLE REPAIR WOUND 2.6CM TO 5.0CM	210
5217000	CRYOFREEZE FIRST LEX	135
5217003	CRYOFREEZE 2 – 14 LESIONS	50
5217110	DESTRUCTION SKIN TAGS	87
5220600	INJECTION SMALL JOINT	180
5220605	INJ/ASPIRATION INTERMEDIATE JOINT	195
5220610	INJECTION MAJOR JOINT	255
5225600	FX DISTAL RADIAL W/O MANIPULATION	368
5226160	EXC CYST HAND OR FINGER	158
5227610	ARTHROTOMY, ANKLE, INC EXPL D&R W/REM FB	315
5244140	SIGMOID COLECTOMY W/BAKERS ANASTAMOSIS	974
5244145	COLECTOMY-PARTIAL	1331
5247550	ASSIST-ENDOSCOPY BILE DUCT	307
5247610	ASSIST-CHOLESCTESTECTOMY W/EXPLORATION	1056
5251702	INSERTION FOLEY CATHETER	330
5251725	CYSTOMETROGRAM (SIMPLE)	203
5251840	URETHROPEXY	2084
5252000	CYSTOURETHROSCOPY	261
5252005	CYSTOURETHROSCOPY, WITH URETERAL CATH	695
5254150	CIRCUMCISION NEWBORN	174
5256300	LAPAROSCOPY	1621
5256301	LAPAROSCOPY W/TUBAL	1621
5256303	LAPHROSCOPY W/FULGURATION OF OVARY	2431
5256304	LAPAROSCOPY WITH LYSIS OF ADHESIONS	523
5256350	HYSTEROSCOPY DIAGNOSTIC	1100
5256440	MARSAP. OF BARTHOLINS GLAND CYST	695
5256605	BIOPSY OF VULVA ONE LESION	232
5257100	BIOPSY-VAGINA	104
5257250	POSTERIOR COLPORRHAPHY	1389
5257454	COLPOSCOPY W/BIOPSY	405
5257500	BIOPSY-CERVIX/POLYP	255
5257505	ENDOCERVICAL CURRETTAGE	171
5257511	CAUTERIAZTION OF CERVIX CRYCAUTERY	255
5258100	ENDOMETRIAL SAMPLING	171
5258120	D&C THERAPUTIC	813
5258150	ABD. HYSTERECTOMY (TOT.)	2663
5258152	ABD.HYSERECTOMY/COLPOURETHROCYSTOPEXY	3704
5258262	VAGINAL HYSTERECTOMY W/REM TUBES OVARIES	3241
5258301	IUD REMOVAL	104
5258611	TUBAL LIGATION W/C-SECTION	811
5258720	SALPINGO-OOPHORECTOMY COMPLETE	2315
5259120	ECTOPIC PREG. TUBE REMOVED	2547
5259400	VAGINAL DEL (POST CARE)	2315
5259409	DELIVERY (VAGINAL)	1153
5259410	VAG/DEL PP CARE	1389
5259425	ANETEPARTUM CARE	608
5259426	ANTEPARTUM CARE ONLY 7+VISITS	608
5259510	ANTE-POST C-SECTION	3357
5259515	DELIVERY, C-SECTION (POST P)	1852
5260210	PARTIAL THYROIS LOBECTOMY	811
5260212	LOBECTOMY, PARTIAL THYROIDECTOMY	1216
5269200	F/B REMOVAL FROM EAR	300
5269210	EARWAX REMOVAL	130
5281000	URIN DIP TESTING	30
5281002	URINE DIP	27
5281025	URINE PREGNANCY TEST	40
5282270	HEMOCCULT EACH SLIDE	12
5282962	GLUCOSE FINGER STICK	25
5283036	HB	95
5286317	CHLAMYDIA	32
5286580	TB PPD	45
5287070	ROUTINE CULTURE	32
5287081	GC CULTURE	21
5287088	CULTURE URINE	32
5287110	CHLAMYDIA CULTURE	35
5287207	HERPES CULTURE SMEAR	35
5287210	MICRO EXAM (WETMOUNT)	35
5287502	CHEANEY INFLUENZA A&B TEST	123
5287634	CHEANEY RSV	123
5287651	CHEANEY STREP	123
5287804	INFLUENZA A & B CLIA WAVED	71
5287880	RAPID STREP	65
5288150	PAPSMEAR	60
5290460	CL- INFLUENZA PEDIATRIC	70
5290471	VACCINE ADMINISTRATION	35
5290632	CL – HEP A ADULT VACCINE	25
5290647	CL – HIB 3 DOSE	25
5290657	CL- FLUZONE VACCINE 6MO – 35 MO	35
5290658	CL- FLUZONE VACCINE AGES 3+	60
5290662	CL- HIGHDOSE FLU 65+	90
5290670	CL -PREVNAR 13	135
5290674	CL- FLUCELVAX 2+	90
5290675	CL- RABAVERT VACCINE FOR IM USE	350
5290680	CL – ROTAVIRUS	75
5290682	CL- FLUBLOK 18+	90
5290686	CL- FLUZONE 6 MONTHS +	90
5290694	CL- FLUAD 65+	90
5290698	CL – PEDIARIX	80
5290703	CL- TDAP > 7 YEARS OF AGE	87
5290715	CL – TDAP 7 YRS OLD AND OVER	50
5290724	CL- INFLUENZA VAC	35
5290732	CL- PNEUMOCOCCAL VAC	250
5290734	CL – MENACTRA VACCINE	130
5290782	THERAPEUTIC DIAG INJECT	50
5293000	EKG IN OFFICE W/REPORT & INTERPRETATION	223
5293225	HOLTOR MONITORING HOOKUP,RECORD,& DISCON	263
5293227	HOLTER MONITOR, PROF. COMP.	105
5294664	NEBULIZER TREATMENT FIRST	65
5294665	NEBULIZER TREATMENT SUBSEQUENT	50
5294760	PULSE OXIMETRY	45
5296372	THERAPEUTIC/DIAG INJECTION	50
5299000	SPEC. HANDLING/LAB	11
5299201	OFFICE VISIT FOCUSED (NEW)	120
5299202	OFFICE VISIT EXPAND (NEW)	170
5299203	OFFICE VISIT DETAIL (NEW)	225
5299204	OFFICE VISIT COMPRE. (NEW)	320
5299205	OFFICE VISIT COMPRE. (COMPLEX)	430
5299211	OFFICE VISIT MIN. (EST)	70
5299212	OFFICE VISIT FOCUSED (EST)	110
5299213	OFFICE VISIT EXPAND (EST)	150
5299214	OFFICE VISIT DETAIL (EST)	220
5299215	OFFICE VISIT COMPRE. (EST)	300
5299217	OBs Care Discharge	204
5299218	ADMISSION TO OPO	235
5299219	INIT. OBSERV/CARE MOD COMPLEX	333
5299220	INIT. OBSERV/CARE MOD EXT	450
5299221	VISIT, INIT HOSP	260
5299222	VISIT, INIT HOSP INTER	345
5299223	INITIAL HOSP CARE-HIGH COMPLEX	471
5299231	SUBSQ.HOSP CARECUSED (EST)	128
5299232	SUBSQ.HOSP CARECUSED INTER	195
5299233	SUBSQ.HOSP CARECUSED EXT	282
5299234	ADMIT, INPAT (HOSP)	353
5299235	ADMIT, INPAT INTER	465
5299236	ADMIT SAME DAY EXT	604
5299238	HOSP. DISCH. < 30 MIN.	202
5299239	HOSP. DISCH. > 30 MIN.	285
5299241	CONSULT	145
5299242	CONSULT INTERMEDIATED	210
5299243	CONSULT EXTENDED	275
5299244	CONSULT COMP	275
5299245	CONSULT COMPLEX	355
5299251	INITIAL INPT CONSULT	135
5299252	INITIAL INPT CONSULT INTERM	190
5299253	INITIAL INPT CONSULT EXTENDED	235
5299254	INITIAL INPT CONSULT COMP	290
5299255	INITIAL INPT CONSULT COMPLEX	365
5299281	EMERG VISIT(STREIGHTFORWARD)	70
5299283	EMERG VISIT(MOD-COMPLEX)	110
5299291	CRITICAL CARE 1 HOUR	331
5299292	CRITICAL CARE + 30 MIN	156
5299301	INITIAL NH ADMIT	91
5299302	INITIAL NH ADMIT >30 MIN	121.5
5299303	INITIAL NH ADMIT <30 MIN	169.5
5299304	INITIAL NH ADMIT	176
5299305	INITIAL NH ADMIT >30 MIN	235
5299306	INITIAL NH ADMIT <30 MIN	285
5299307	SUBSEQ NH BRIEF	95
5299308	SUBSEQ NH INTERMED	140
5299309	SUBSEQ NH EXTENDED	185
5299310	SUBSEQ NH COMPREHENSIVE	245
5299311	SUBSEQ NH BRIEF	57
5299312	SUBSEQ NH INTERMED	88.5
5299313	SUBSEQ NH EXTENDED	114
5299315	NH DISCHARGE	165
5299316	NH DISCHARGE >30 MIN	220
5299318	ANNUAL NH ASSESSMENT	190
5299324	INITIAL RH ADMIT	100
5299325	INITIAL RH ADMIT <30 MIN	135
5299326	INITIAL RH ADMIT >30 MIN	165
5299327	INITIAL RH ADMIT 45 MIN	185
5299328	INITIAL RH ADMIT 75 MIN	205
5299334	SUBSEQ RH BRIEF	90
5299335	SUBSEQ RH INTERMED	135
5299336	SUBSEQ RH EXTENDED	195
5299337	SUBSEQ RH UNSTABLE	285
5299339	OZARK CPO <30 MIN	165
5299340	OZARK CPO >30 MIN	246
5299354	PROLONGED OV BEYOND USUAL CARE (MINI MEN	158
5299374	CPO HH PT <30 MIN	173
5299375	CPO HH PT >30 MIN	251
5299377	CPO HOSPICE PT <30 MIN	172
5299378	CPO HOSPICE PT >30 MIN	265
5299379	CPO NH PT NOT PRESENT >30 MIN	172
5299380	CPO NH PT NOT PRESENT >30 MIN	254
5299381	HCY SCREENING NEW PATIENT NEWBORN	225
5299382	HCY SCREENING NEW PATIENT AGE 1 – 4	235
5299383	HCY SCREENING NEW PATIENT AGE 5 – 11	240
5299384	HCY SCREENING NEW PATIENT AGE 12 – 17	270
5299385	HCY SCREENING NEW PATIENT AGE 18 – 39	300
5299386	HCY SCREENING NEW PATIENT AGE 40 – 64	345
5299387	HCY SCREENING NEW PATIENT AGE 65 & OVER	365
5299391	HCY SCREENING EST PT NEWBORN	195
5299392	HCY SCREENING EST PT 1 – 4	210
5299393	HCY SCREENING EST PT 5 – 11	205
5299394	HCY SCREENING EST PT 12 – 17	220
5299395	HCY SCREENING EST PT 18 – 39	250
5299396	HCY SCREENING EST PT 40 – 64	280
5299397	HCY SCREENING EST PT 65 & OVER	300
5339001	OT OCCU. THERAPY EVAL. UNIT	114
5339003	OT OCCU. THERAPY UNIT 15 MIN.	114
5349001	OT EZ SPONGE	18
5349002	OT LONG HANDLED SPONGE	42
5349003	OT SHOE HORN RIGID	34
5349004	OT SOCK AID W CORD	15
5349005	OT SLING SHED	127
5349006	OT LEG LIFTER	77
5349007	OT SPLINT HAND RESTING	120
5349009	OT SPLINT SOFT PADDED	233
5349010	BUTTON HOOK	15
5349011	OT REACHER 26	26
5349012	DRESSING STICK	15
5349013	OT SOCK AID	65
5349014	DIABETIC FOOTCARE HANDLE	68
5349015	OT SHOE HORN FLEXIBLE	15
5349016	TOILET AID 19 INCH	29
5349017	OT BUTTONHOOK	26
5349018	TOILET AID 12 INCH	21
5349019	OT ELASTIC SHOE LACES	17
5349023	OT HAND EXERCISER	29
5349025	OT THERAPUTTY 2 OZ.	26
5349026	OT THERAPUTTY 3OZ	30
5349027	OT THERAPUTTY 4 OZ.	33
5349029	OT THERABAND 1 YD	17
5349031	OT FOAM HAND EXER	21
5349033	OT FINGER CONTRACTURE CU	46
5349035	OT HAND CANE	39
5349037	OT GEL SHEET 1X1 INCH	35
5349039	OT RESTING HAND SPLINT	144
5349041	OT FUNCTIONAL SOFT SPLINT	233
5349043	OT COBAN 1 ROLL	13
5349045	OT PALM PROTECTOR	46
5350004	DRESSING STICK	42
5397003	OT EVALUATION	205
5397004	OT RE EVALUATION	186
5397010	OT HOT COLD PACK	41
5397014	OT ELECTRICAL STIMULATION	86
5397018	OT PARAFFIN BATH	86
5397035	OT ULTRASOUND	86
5397110	OT THERAPEUTIC EXERCISE 15 MIN	93
5397112	OT NEUROMUSCULAR RE-EDUC.	109
5397140	OT MANUAL THERAPY MYOFACIAL MOBIL MANIP	113
5397165	OT LOW EVALUATION	205
5397166	OT MOD EVALUATION	205
5397167	OT HIGH EVALUATION	205
5397168	OT RE EVALUATION	186
5397504	OT ORTHODICS FITTING & TRAINING 15 MIN	77
5397530	OT THERAPEUTIC ACTIVITIES	66
5397535	OT ADL RE-TRAINING 15 MIN	82
5397542	OT WHEELCHAIR MGT-15MIN	66
5397770	OT COGNITIVE TRAINING 15 MIN	77
5400696	CL- ROCEPHIN 250 MG OLIVERO	175
5401030	CL- DEPO MEDROL 40MG OLIVERO	53
5401040	DEPO MEDROL 80 MG OLIVERO	95
5401885	CL- TORADOL KETORALAC 30 MG OLIVERO	85
5402902	CL- SOLU MEDROL 40MG OLIVERO	40
5403420	CL- B-12 OLIVERO	35
5407325	CL- SYNVISC OLIVERO	818
5410060	I & D OF SINMPLE ABCESS	200
5410061	I & D OF ABSCESS, COMPLICATED OR MULTIPL	394
5410081	I & D OF PILONIDAL CYST COMPLICATED	420
5410120	INC & REMOVAL F/B SUBCUT TISSUE SIMPLE	260
5411000	DEBRIDEMENT OF ECZEMATOUS OR INFEC SKIN	120
5411042	DEBRID; SKIN, PART TKNS SKIN & SUBQ TISS	289
5411100	BIOPSY OF SKIN SINGLE LESION	175
5411101	BIOPSY OF SKIN ADD’L LESION	100
5411104	PUNCH BX SINGLE LESION	240
5411200	SHAVING OF EPIDERMAL LES TRUNK .5 OR LES	142
5411300	SHAVING OF EPIDERMAL LES TRUNK .5 OR LES	131
5411301	SHAVING OF EPIDERMAL LES TRUNK .6 TO 1.0	173
5411302	SHAVING OF LES TRUNK,ARMS LEGS 1.1TO 2.0	215
5411303	SHAVING LESION OVER 2.0 CM	257
5411305	SHAVING OF EPIDERMAL LES NECK .5 OR LESS	137
5411307	SHAVE BIOPSY LESION 1.1 TO 2.0 CM	184
5411308	SHAVING OF EPIDERMAL LES SCALP >2.0 CM	268
5411310	SHAVING OF EPIDERMAL LES FACE .5 OR LESS	173
5411311	SHAVING OF EPIDERMAL LES .5 TO 1.0CM	242
5411312	SHAVING OF EPIDERMAL LES 1.1 TO 2.0CM	257
5411400	EXC BEN LES <1.0 TRUNK,ARMS,LEGS	210
5411401	EXC BEN LES .6 TO 1.0 TRUNK,ARMS,LEGS	273
5411402	EXC BEN TRUNK,ARMS, LEGS 1.1 TO 2.0 CM	341
5411403	EXC BEN LES 2.1 TO 3.0 TRUNK,ARMS,LEGS	410
5411404	EXC BEN TRUNK,ARMS, LEGS 3.1 TO 4.0CM	515
5411406	EXC BEN LES OVER 4.0 CM TRUNK,ARMS,LEGS	735
5411420	EXC BEN LES SCALP,NECK,HANDS <0.6	215
5411421	EXC BEN LES SCALP,NECK,HANDS 0.6 TO 1.0	289
5411422	EXC BEN LES SCALP,NECK,HANDS 1.1 TO 2.0	336
5411423	EXC BEN LES SCALP,NECK,HANDS 2.1 TO 3.0	452
5411440	EXC BEN LES <.5 FACE,EARS,NOSE,EYE	252
5411441	EXC BEN LES .6 TO 1.0 FACE,EARS,NOSE,EYE	347
5411442	EXC BEN LES FAC 1.1 TO 2.0 CM	410
5411443	EXC BEN LES FAC 2.1 TO 3.0 CM	504
5411601	EXC MAL TRUNK,ARMS, LEGS .6 TO 1.0	378
5411602	EXC MAL TRUNK,ARMS, LEGS 1.1 CM	446
5411603	EXC MAL TRUNK,ARMS, LEGS 2.1 TO 3.0 CM	541
5411622	EXC MALIG LES NECK 1 TO 1.5 CM	536
5411623	EXC MAL LES 2.1 TO 3.0 SCALP,NECK,HANDS,	641
5411642	EXC MALIG LES 1.1 TO 2.0 FACE EARS EYELI	646
5411730	AVULSION OF NAIL PLATE PARTIAL OR COMPLE	250
5411771	EXC OF PILONIDAL CYST EXTENSIVE	1260
5412005	SIMPLE REPAIR 10 CM TO 20 CM	550
5412031	REPAIR INTERMED LAYER CLOSURE 2.5 OR LES	336
5412032	REPAIR INTERMED LAYER CLOSURE 2.6 TO 7.5	550
5412034	REPAIR INTERMED LAYER CLOSURE >7.5	525
5412041	REPAIR INTERMED 2.5 OR LESS NECK,HANDS,	368
5412042	LAYER CLOSURE 2.6 TO 7.5 NECK,HANDS,FEET	420
5412051	REPAIR INTERMED CLOS >2.5 FACE,EYES,NOSE	420
5412052	REPAIR INTERMED CLOS 2.6TO5.0 FACE,EARS,	525
5412053	REPAIR INTERMED CLOS >5.1 CM	630
5413101	REPAIR, COMPLEX, TRUNK 2.6 CM TO 7.5 CM	630
5413121	REPAIR, COMPLEX, SCALP, ARMS, LEG 2.6-7.	814
5413122	REPAIR COMP SCALP,ARM,LEG EA ADDL 5CM	289
5413131	REPAIR, COMPLEX, FACE,HEAD 1.1 TO 2.5CM	630
5417000	CRYOFREEZE FIRST LESION	135
5417003	CRYOFREEZE 2ND THRU 14 LESIONS	50
5417110	DESTRUCTION OF LESION BY ANY METHOD	142
5417250	CHEMICAL CAUTERIZATION TISSUE	137
5419020	MASTOTOMY W/EXPL OR DRAIN OF ABSCES DEEP	866
5419100	BIOPSY OF BREAST,PERCUTANEOUS NEEDLE COR	341
5419101	BIOPSY OF BREAST; NEEDLE OPEN INCISIONAL	945
5419120	EXC OF CYST,FIBRO OR BEN/MAL BREAST LESI	1365
5419125	EXC OF BREAST LES BY RADIOL MARK OPEN	1470
5419126	ADD’L LESION SEP ID BY RAD MARKER	735
5419162	MASTECTOMY,PARTIAL W/LYMPHADENECTOMY	3465
5420103	EXPLORATION OF PENETRATING WOUND EXTREME	1680
5420550	TRIGGER POINT INJECTION	235
5420552	TRIGGER POINT INJECTION 1 OR 2 MUSCLES	250
5420553	TRIGGER POINT INJECTION 3 OR MOREMUSCLES	350
5420600	SMALL JOINT INJECTION	175
5420605	INJECTION INTERMEDIATE JOINT	195
5420610	MAJOR JOINT INJECTION	255
5421555	EXC TUMOR SOFT TISSUE NECK SUBCUTANEOUS	998
5421556	EXC, TUMOR, NECK/THORAX DEEP,SUBFAS,INTR	1470
5421920	BIOPSY, SOFT TISSUE OF BACK SUPERFICIAL	378
5421930	EXC, TUMOR, SOFT TISSUE OF BACK/FLANK	1575
5422900	RESECTION OF FATTY TUMOR	1575
5423075	EXCISION, SOFT TISSUE TUMOR,SHOULDER SUB	840
5423650	CLOSED TX SHOULDER DISLOCATION W/O ANEST	800
5423930	I&D OF DEEP ABSCESS	945
5424076	EXC TUMOR SOFT TISSUE FOREARM/WRIST SUBC	1470
5425075	EXC TUMOR SOFT TISSUE FOREARM/WRIST SUBC	1050
5425111	EXC OF GANGLION, WRIST; PRIMARY	1286
5425248	EXPLORATION OF F/B DEEP ARM	1470
5425600	CLOSED TX OF COLLES FX	925
5425622	CLOSED TX OF SCAPHOID FX	925
5426605	CLOSED TX METACARPAL FX WITH MANIPULATIO	985
5427047	EXCISION TUMOR SUBQ PELVIS & HIP REGION	1575
5427550	CLOSED TX KNEE DISLOCATION	1100
5436589	REMOVAL OF TUNNELED CENTRAL VEN CATHETER	735
5438500	BIOPSY OR EXC OF LYMPH NODE;OPEN SUPERFI	866
5438770	LYMPHADENECTOMY INC EXT ILIAC,NODE ETC	4725
5438999	UNLISTED LYMPH NODE PROCEDURE	1260
5440810	EXC OF LES MUCOSA/SUBMUCOSA VEST OF MOUT	420
5440812	EXC OF LESION MUCOSA W SIMPLE REPAIR	578
5441108	BIOPSY OF FLOOR OF MOUTH	389
5441112	EXC OF LESION OF TONGUE W/CLOSURE ANT2/3	840
5442104	EXC LESION OF PALATE, UVULA W/SIMP CLOSU	578
5442106	EXC LESION OF PALATE, UVULA W/SIMP CLOSU	709
5443220	ESOPHAGOSCOPY W/BALLOON DILATION	945
5443239	EGD W/BIOPSY, SINGLE OR MULTIPLE	1050
5443247	REMOVAL OF F/B (PEG TUBE)	1155
5443251	EGD W REM OF TUM,POLYP LESION BY SNARE	1365
5443258	EGD W/ABLATION OF TUMOR, POLYP, LESION E	1470
5444005	ENTEROLYSIS	3360
5444110	EXC OF ONE OR MORE LES OF INTESTINES NOT	2730
5444180	LAPAROSCOPIC EXTENSIVE LYSIS OF ADHESION	2940
5444200	LAPAROSCOPIC EXTENSIVE LYSIS OF ADHESION	2520
5444388	COLONOSCOPY THRU STOMA, DIAGNOSTIC	1155
5444950	APPENDECTOMY	2100
5445170	EXCISION OF RECTAL TUMOR, TRANSANAL APPR	2205
5445339	FLEXIBLE FIBEROPTIC RECTOSIGMOIDOSCOPY	998
5445378	COLONOSCOPY, FLEXIBLE	1260
5445379	COLONOSCOPY W/REM OF FOREIGN BODY	1470
5445380	COLONOSCOPY, FLEXIBLE, WITH BIOPSY(S)	1365
5445381	COLONOSCOPY, FLEXIBLE, W/SUBMUC INJECTIO	1418
5445383	COLONOSCOPY W/ABLATION OF POLYPS BY SNAR	1628
5445385	COLONOSCOPY W/REM POLYPS BY HOT SNARE	1733
5445905	DILATION OF ANAL SPHINCTER (SEP PROC)ANE	446
5445990	ANORECTAL EXAM,SURG,UNDER ANESTH	420
5446040	I & D PERIRECTAL ABSCESS	1050
5446050	INCISION AND DRAINAGE, PERIANAL ABSCESS,	550
5446083	INCISION OF THROMBOSED HEMORRHOID EXTERN	420
5446200	FISSURECTOMY,W OR W/O SPHINCTEROTOMY	1260
5446220	PAPILLECTOMY/EXC OF SINGLE TAG, ANUS	420
5446260	HEMORRHOIDECTOMY,INT & EXT COMPLEX OR EX	1995
5446922	DEST OF LES, ANUS,PAPILLOMA, MULLUSCUM,C	735
5447001	BIOPSY LIVER ADD ON (SECONDARY) CODE	446
5447379	LAPAROSCOPY CORE NEEDLE LIVER BIOPSY	1050
5447562	LAPAROSCOPY CHOLECYSTECTOMY	3570
5447563	LAPAROSCOPY CHOLECYSTECTOMY W/CHOLANGIOG	3675
5447579	UNLISTED LAPAROSCOPY PROC,BILIARY TRACT	1680
5449000	EXP LAP, EXP CELIOTOMY W OR W/O BX	2625
5449255	OMENTECTOMY, EPIPLEOCTOMY, RESEC OF OMEN	2100
5449320	DIAGNOSTIC LAPAROSCOPY	1890
5449505	REPAIR INIT ING HERNIA >5 AGE REDUCIBLE	1995
5449520	REPAIR RECURRENT ING HERNIA ANY AGE	2310
5449560	REPAIR INIT INC OR VENT HERNIA;REDUCIBLE	2520
5449561	REPAIR INITIAL INC OR VENT HERNIA INCARC	2835
5449565	REPAIR RECURRENT INC/VENT HERNIA REDUCIB	2625
5449566	REPAIR INCARCERATED REC VENTAL HERNIA	3045
5449568	IMPLANTATION OF MESH	945
5449570	REPAIR EPIGASTRIC HERNIA	1470
5449572	REPAIR INCARC EPIGASTRIC VENTRAL HERNIA	1785
5449585	REPAIR UMB HERNIA >5 YRS REDUCIBLE	1680
5449587	REPAIR UMBILICAL HERNIA >5 INCARCERATED	1995
5453020	MEATOTOMY, EXCEPT INFANT	446
5454161	CIRCUMCISION EXCEPT NEWBORN OTHER THAN C	945
5454163	CIRCUMCISION REPAIR	683
5455040	EXCISION OF HYDROCELE; UNILATERAL	1575
5455250	VASECTOMY, UNILATERAL OR BILATERAL	998
5455520	EXC OF LESION OF SPERMATIC CORD	1470
5458925	OVARIAN CYSTECTOMY, UNILATERAL OR BILAT	2940
5460200	EXC OF CYST/ADENOMA THYROID;RESEC ISTHMU	2205
5460220	TOTAL THYROID LOBECTOMY;UNILAT	3045
5469200	REMOVAL FB EXTERNAL AUDITORY CANAL	300
5469210	EARWAX REMOVAL	130
5481002	OLIVERO URINE DIP	27
5481025	OLIVERO URINE PREGNANCY TEST	40
5482270	OLIVERO OCCULT BLOOD	25
5482962	OLIVERO GLUCOSE BY MONITOR	25
5486580	TB PPD INTRADERMAL	45
5487210	OLIVERO KOH WET MOUNT	35
5487502	OLIVERO INFLUENZA A&B TEST	123
5487634	OLIVERO RSV TEST	123
5487651	OLIVERO STREP	123
5487804	OLIVERO INFLUENZA A & B CLIA WAVED	71
5487880	OLIVERO RAPID STREP	65
5490460	CL- INFLUENZA PEDIATRIC	70
5490471	VACCINE ADMINISTRATION	35
5490649	CL- GARDISIL OLIVERO	150
5490657	CL- INFLUENZA VACCINE 6 MO -3 YEARS OLIV	35
5490658	CL- INFLUENZA VACCINE OLIVERO	60
5490662	CL- INFLUENZA VACCINE HI DOSE OLIVERO	90
5490670	CL-PREVNAR 13 OLIVERO	541
5490682	CL- INFLUENZA FLUBLOK	90
5490686	CL- INFLUENZA QUAD	70
5490715	CL- TDAP 7 AND > OLIVERO	50
5490732	CL- PNEUMO 23 VACCINE OLIVERO	250
5490736	CL-ZOSTAVAX OLIVERO	200
5490750	CL- ZOOSTER SHINGLES VACCINE OLIVERO	600
5490782	THERAPEUTIC DIAG INJECTION	50
5497602	DEBRIDEMANT OF WOUND	100
5499201	NEW PT MINIMAL 10 MIN VISIT	120
5499202	NEW PT BRIEF 20 MIN VISIT	170
5499203	NEW PATIENT OFFICE VISIT INTERMEDIATE	225
5499204	OFFICE VISIT NEW PAT EXT 45 MIN	320
5499205	COMPREHENSIVE 60 MINUTES	430
5499211	EST PATIENT OFFICE VISIT MINIMAL	70
5499212	EST PATIENT OFFICE VISIT BRIEF	110
5499213	EST PATIENT OFFICE VISIT INTERMEDIATE	150
5499214	EST PATIENT OFFICE VISIT EXTENDED	220
5499215	EST PATIENT OFFICE VISIT COMPREHENSIVE	300
5499217	HOSPITAL DISCHARGE OBS	204
5499218	HOSPITAL ADMISSIONS OPO	235
5499219	OBSERVATION CARE INTERMEDIATE	333
5499220	OBSERVATION CARE EXTENDED	450
5499223	IP ADMISSIONS LEVEL 3	471
5499231	SUSEQ HOSP CARE I/P	128
5499232	SUBSEQ HOSP CARE INPT INTERMEDIATE	195
5499233	SUBSEQ HOSP CARE INPT EXTENDED	282
5499234	ADMIT/DISCHARGE OPO SAME DAY	353
5499238	INPT HOSP DISCHARGE UNDER 30 MIN	202
5499241	CONSULTATION INITIAL BRIEF	142
5499242	CONSULTATION INTERMEDIATE 30 MINUTES	200
5499243	CONSULTATION COMPREHENSIVE 40 MINUTES	263
5499244	INITIAL CONSULTATION	368
5499245	CONSULTATION COMPREHENSIVE 80 MINUTES	473
5499251	INIT INPAT CONS BRIEF 15MIN	163
5499252	INIT INPAT CONS INTERMEDIATE 30 MIN	226
5499253	INIT INPAT CONS EXTENDED 40 MIN	284
5499254	INITIAL INPAT CONS COMP 60 MIN	368
5499255	INIT INPAT CONS COMPLEX 80 MIN	462
5499305	NH ADMISSION MODERATE SEV	235
5499306	NH ADMISSION HIGH SEVERITY	285
5499308	SUB. NURSING FAC. CARE (BRIEF)	140
5499309	SUB NH VISIT MODERATE	185
5499310	SUBSEQ NH COMPREHENSIVE	245
5499386	NP PHYSICAL 40-65	345
5499392	EST PT HCY AGE 1 – 4	190
5499393	EST PT HCY AGE 5-11	205
5499394	EST PT HCY AGE 12-17	220
5499395	EST PT HCY AGE 18-39	250
5499396	EST PT HCY AGE 40-64	280
5499397	EST PT HCY AGE 65 AND UP	300
5600999	ELECTRODES	6
5610001	STERILE WATER 1000CC	19
5610007	JELCO	13
5610009	2 KLING	9
5610010	KLING	13
5610014	4 KERLEX	19
5610016	2 KERLEX	4
5610022	O B KIT	87
5610024	COLD PACK	13
5610026	ARM SLING	23
5610032	4X4 SPONGE	13
5610034	AIR SPLINT	57
5610044	SUCTION TUBING	19
5610046	TELFA PAD	4
5610048	URINAL	6
5610050	EMESIS BASIN	6
5610052	O’2 MASK	7
5656030	PROCHLORPER 5MG/ML 2ML INJ(COMPAZINE)	45
5656040	PROMETHAZINE 25MG/ML INJ	18
5656338	THIAMINE (VIT B1) 100MG/ML INJ 2ML VIAL	40
5656570	PUMP	59
5680022	AMB MILEAGE	15
5680025	AMB. WAITING TIME (1/2 HR.)	38
5680035	AMB. STANDBY (HR. RATE)	112
5680102	LIDOCAINE 2% 20MG/ML 5ML INJ	63
5680125	ALUMINUM FOIL	5
5680130	INTRAOSSEOUS PROCEDURE	120
5680160	BED PAN	9
5680170	AMONIA INHALANT	5
5680175	CID IMMOBILIZOR	20
5680185	EYE PAD	4
5680190	HOT PAK	26
5680195	RAZOR ( DISP )	3
5680200	RIGID SUCTION	9
5680205	FLEXIBLE SUCTION	9
5680210	VASELINE GAUZE	6
6120019	TELEPHONE OR FAX	3
6911309	KLING, 4IN.	29
6913101	MATTRESS, AIR FLUIDIZED	86
6919906	ENTERAL-NUT SYS EA 32 OZ. CAN	35
6919907	ENTERAL-NUT SYS 4 OZ.	12
6921707	UNDERPAD (single)	16
6921797	UROSTOMY BAG	26
6921800	TRIPLE CARE EPC CREAM	85
6990018	CHIMSTRIP	12
7592585	A.E.R. AUDITORY	129
7595819	EEG SLEEP STUDY	205
7595824	EDS	228
7595860	EMG 1 EXTREMITY	182
7595861	EMG 2 EXTREMITY	307
7595863	EMG.3 EXTREMITY	378
7595864	EMG 4 EXTREMITY	489
7595900	MOTOR NERVE CONDUCTION TEST	86
7595903	F WAVE STUDY TECH COMP	68
7595904	SENSE NERVE COND. TEST	75
7595920	INTRA-OPER. NERVE TESTING	373
7595925	SOMATOSENSORY TEST UPPER LIMBS	280
7595926	SOMATOSENSORY TEST LOWER LIMBS	321
7595934	H REFLEX STUDY TECH COMP	68
7595950	EEG AMBULATORY	320
8500049	LUNG VENT ISO KIT	320
8754415	*FLOMAX 0.4MG CAP TAMSULOSIN	17
8800107	TELEVISION/MONTHLY RT	19
8800113	TELEPHONE	2
8800129	PERS LAUNDRY-MONTHLY RT	26
9100020	LIDOCAINE	31
9100702	CELESTONE 3 MG	51
9101030	DEPO MEDROL 40 MG	53
9101040	DEPO MEDROL 80 MG	95
9101200	DIPEHNHYDRAMINE HCI	41
9101885	TORADOL KETORALAC 30 MG	85
9102902	SOLU MEDROL 40 MG	40
9103301	TRIAMACILONE ACETONID 20 MG	95
9107315	HYALGAN ORTHOVISC	250
9107324	ORTHOVISC 30MG INJ 2ML	435
9110140	INCISION AND DRAINAGE OF HEMATOMA SEROMA	260
9120550	INJ SINGLE TENDON SHEATH,LIGAMENT	180
9120600	INJECTION SMALL JOINT FINGERS TOES	180
9120605	INJECTION WRIST ELBOW ANKLE	195
9120610	INJECTION MAJOR JOINT	255
9120611	INJECTION MAJOR JOINT US GUIDED	371
9120612	ASPIRATION AND OR INJECTION	250
9125111	EXC OF GANGLION, WRIST PRIMARY	1400
9125600	CLOSED TX DISTAL RADIAL FX	1015
9125622	CLOSED TX OF SCAPHOID FX W/O MANIP	988
9126605	CLOSED TX METACARPAL FX WITH MANIP EA BO	990
9126720	CLOSED TX OF PHALANGEAL SHAFT FX	590
9128470	CLOSED TX METATARSAL FX W/O MANIP EACH	722
9129065	APPLICATION OF LONG ARM CAST	330
9129075	APPLICATION OF SHORT ARM CAST	320
9129405	APPLICATION OF SHORT LEG CAST	320
9164721	NEUROPLASTY AND OR TRANSPOSITION CTS MED	2450
9181025	URINE PREGNANCY TEST	40
9182270	BYRNE OCCULT BLOOD	25
9182962	GLUCOSE BY MONITOR BAILEY	25
9186580	TB PPD INTRADERMAL	45
9187210	BYRNE KOH WET MOUNT	35
9187804	INFLUENZA A/B CLIA WAVED	71
9187880	RAPID STREP	65
9190782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
9199201	OFFICE VISIT NEW PT MINIMAL	120
9199202	OFFICE VISIT NEW PT LIMITED	170
9199203	OFFICE VISIT NEW PT INTERMEDIATE	225
9199204	NEW PATIENT LEVEL 4 VISIT	320
9199205	OFFICE VISIT NEW PT COMPREHENSIVE	430
9199211	OFFICE VISIT EST MINIMAL	70
9199212	OFFICE VISIT EST BRIEF	110
9199213	OFFICE VISIT EST INTERMEDIATE	150
9199214	OFFICE VISIT EST EXTENDED	220
9199215	OFFICE VISIT EST COMPREHENSIVE	300
9199252	INPATIENT INTERMEDIATE CONSULTATION	255
9200540	CL- BUFORD PENICILLIN	150
9200696	CL- BUFORD ROCEPHIN 500 MG	175
9200735	CL- BUFORD CLONIDINE .1 MG	10
9201000	CL- BUFORD DEPO ESTRADIOL 5 MG	130
9201030	CL- BUFORD DEPO MEDROL 40 MG	53
9201040	CL- BUFORD DEPO MEDROL 80 MG	95
9201200	CL- BUFORD DIPHENHYDRAMINE 50 MG	41
9201885	CL- BUFORD TORADOL KETORALAC 30MG	85
9202550	CL- BUFORD PHENERGAN 50MG	38
9202902	CL- BUFORD SOLU MEDROL 40 MG	40
9202930	CL- BUFORD SOLU MEDROL 125 MG	38
9203301	CL- BUFORD TRIAMCINOLONE ACETONID 40 MG	95
9203410	CL- BUFORD VISTARIL 50MG	40
9203420	CL- BUFORD VITAMIN B-12	35
9207300	PARAGARD PRODUCT	550
9207302	MIRENA PRODUCT	850
9207307	NEXPLANNON PRODUCT	550
9210060	I & D SIMPLE	104
9211981	NEXPLANNON INSERTION	480
9217000	CRYOFREEZE FIRST LESION	135
9217003	CRYOFREEZE 2 – 14 LESIONS	50
9217110	DESTRUCTION BEN LES UP TO 14 LESIONS	180
9220600	INJECTION SMALL JOINT	180
9220605	INJECTION INTERMEDIATE JOINT	195
9220610	INJECTION MAJOR JOINT	255
9229580	UNA BOOT	150
9255471	CL- BUFORD DEMEROL 50 MG	50
9257454	COLPOSCOPY W/BIOPSY & ENDO CURRETTAGE	530
9257500	BIOPSY OF CERVIX SINGLE OR MULT W OR W/O	400
9258300	INSERTION OF IUD	360
9258301	REMOVAL OF IUD	330
9269210	EARWAX REMOVAL	130
9281000	URINE DIP	30
9281002	BUFORD URINE DIP	27
9281025	BUFORD URINE PREGNANCY TEST	40
9282270	BUFORD OCCULT BLOOD	25
9282962	BUFORD GLUCOSE BY MONITOR	25
9283986	PH BODY FLUID	27
9286580	CL- BUFORD TB PPD INTRADERMAL	45
9287210	BUFORD KOH WET MOUNT	35
9287502	BUFORD INFLUENZA A&B TEST	123
9287634	BUFORD RSV	123
9287651	BUFORD STREP	123
9287804	BUFORD INFLUENZA A & B CLIA WAVED	71
9287880	BUFORD RAPID STREP	65
9288150	PAP SMEAR	60
9290460	CL- INFLUENZA PEDIATRIC	70
9290471	VACCINE ADMINISTRATION	35
9290632	CL – HEP A ADULT VACCINE	25
9290636	CL – TWINRIX ADULT HEP A B VACCINE	150
9290647	HIB	25
9290649	CL- BUFORD GARDISAL HPV VACCINE	150
9290657	CL- BUFORD INFLUENZA VACCINE 6 – 35 MO	35
9290658	CL- BUFORD INFLUENZA VACCINE 3 YEARS +	60
9290662	CL – HIGHDOSE 65+	90
9290674	CL – FLUCELVAX 2 YR+	90
9290682	CL- FLUBLOK 18+	90
9290686	CL- FLUZONE 6 MO+	90
9290694	CL – FLUAD 65+	90
9290698	CL – DTAP/IPV/HIB	80
9290700	CL – DTAP <7 YEARS OF AGE	25
9290703	CL- BUFORD TD 7 & > IMMUNIZATION	33
9290707	CL- BUFORD MMR VACCINE	55
9290715	CL – TDAP > 7 YEARS OF AGE	40
9290716	CL – VARICELLA VACCINE	100
9290723	CL – DTAP/HEPB/IPV	80
9290724	CL -INFLUENZA VACCINE 3+	35
9290732	CL- BUFORD PNEUMO 23 VACCINE	250
9290734	CL – MENACTRA VACCINE	130
9290736	ZOSTERVAX	200
9290750	CL – SHINGRIX	225
9290782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
9293225	HOLTER HOOK UP AND DISCONNECT	263
9294664	NEBULIZER FIRST TX	65
9294760	PULSE OXIMETRY	45
9299201	NP OFFICE VISIT LEVEL 1	120
9299202	NP OFFICE VISIT LEVEL 2	170
9299203	NP OFFICE VISIT LEVEL 3	225
9299204	NP OFFICE VISIT LEVEL 4	320
9299205	NP OFFICE VISIT LEVEL 5	430
9299211	EST PT OFFICE VISIT LEVEL1	70
9299212	EST PT OFFICE VISIT LEVEL 2	110
9299213	EST PT OFFICE VISIT LEVEL 3	150
9299214	EST PT OFFICE VISIT LEVEL 4	220
9299215	EST PT OFFICE VISIT LEVEL 5	300
9299304	NP NH VISIT LEVEL 1	140
9299305	NH VISIT LEVEL 2	165
9299306	NP NH VISIT LEVEL 3	205
9299307	EST PT NH VISIT LEVEL 1	75
9299308	EST PT NH VISIT LEVEL 2	115
9299309	EST PT NH VISIT LEVEL 3	150
9299310	EST PT NH VISIT LEVEL 4	190
9299315	EST PT NH VISIT DISCHARGE <30 MIN	125
9299316	EST PT NH VISIT DISCHARGE >30 MIN	155
9299324	NP OZARK VISIT LEVEL 1	100
9299325	NP OZARK VISIT LEVEL 2	135
9299326	NP OZARK VISIT LEVEL 3	165
9299327	NP OZARK VISIT LEVEL 4	185
9299328	NP OZARK VISIT LEVEL 5	205
9299334	EST PT OZARK VISIT LEVEL 1	85
9299335	EST PT OZARK VISIT LEVEL 2	130
9299336	EST PT OZARK VISIT LEVEL 3	190
9299337	EST PT OZARK VISIT LEVEL 4	280
9299381	NP HCY NEWBORN	225
9299382	NP HCY AGES 1 – 4	235
9299383	NP HCY AGES 5 – 11	240
9299384	NP HCY AGES 12 – 17	270
9299385	NP PHYSICAL AGE 18 – 39	300
9299386	NP PHYSICAL AGE 40 – 64	345
9299387	NP PHYSICAL AGE 65 AND OLDER	365
9299391	EST PT HCY NEWBORN	195
9299392	EST PT HCY AGE 1 – 4	210
9299393	EST PT HCY AGE 5 – 11	205
9299394	EST PT HCY AGE 12 – 17	220
9299395	EST PT PHYSICAL AGE 18 – 39	250
9299396	EST PT PHYSICAL AGE 40 – 64	280
9299397	EST PT PHYSICAL AGE 65 AND OLDER	300
9300702	CELESTONE 3 MG	51
9301030	CL- DEPO MEDROL 40MG HOFFMAN	53
9303301	TRIAMCINOLONE ACETONID 20 MG	95
9311423	EXC BEN LES SCALP,NECK,HANDS,FT,2.1-3.0	500
9317110	DESTRUCTION OF BEN LESION UP TO 14 LESIO	160
9320550	TRIGGER POINT INJECTION	235
9320552	INJ SINGLE OR MULTI TRIGGER POINTS	210
9320553	PLACEMENT OF NEEDLES INTO MUSCLE/SOFT TI	270
9320600	INJECTION SMALL JOINT	180
9320605	ARTHROCENTESIS ASPIRATION INJ WRIST ELB	350
9320610	ARTHROCENTESIS,ASP, AND/OR INJ MAJOR JOI	255
9320611	INJ MAJOR JOINT U/S GUIDED	371
9330117	EXC OR DESTR INTRANASAL LESION INTERNAL	1160
9330140	SUBMUCOUS RESEC INFERIOR TURBANATE	1445
9330300	REMOVAL OF FOREIGN BODY NOSE OFFICE	450
9331231	NASAL ENDOSCOPY DIAGNOSTIC UNI AND BI	490
9331254	NASAL/SINUS ENDO W/ETHMOIDECTOMY PARTIAL	2210
9331295	NASAL/SINUS ENDO SURG; DILATION OF MAX S	780
9331296	NASAL/SINUS ENDO W/DILATION OF FRONTAL S	890
9331575	LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGN	460
9341520	FRENOPLASTY	920
9342820	TONSILLECTOMY & ADENOID < 12 YRS OLD	1400
9342821	TONSILLECTOMY & ADENOID > 12 YRS OLD	1400
9342825	TONSILLECTOMY & ADENOID < 12 YRS OLD	1200
9342826	TONSILLECTOMY > 12 YRS OLD	1200
9342830	ADENOIDECTOMY < 12 YRS AGE	950
9342860	EXCISION OF TONSIL TAGS	770
9343235	EGD DIAG WITH BRUSHING AND WASHING	1080
9343239	EGD WITH BIOPSY ADD ON CODE	1260
9343248	EGD DIAG WITH INS WIRE/DIALATION	1500
9343249	EGD WITH BALLOON DIL	1300
9343255	EGD DIAG WITH CONTROL OF BLEEDING ANY ME	1475
9343450	DILATION OF ESOPHAGUS, SINGLE OR MULTIPL	550
9345331	SIGMOIDOSCOPY WITH BIOPSY, SINGLE/MULTIP	470
9345378	COLONOSCOPY DIAG BRUSHING & WASHING	1450
9345380	COLONOSCOPY W BIOPSY ADD ON CODE	1680
9345381	COLONOSCOPY W/DIRECTED SUBMUCOSAL INJ	1680
9345384	COLONOSCOPY WITH REM POLYP	1800
9345385	COLONOSCOPY WITH REM POLYP BY SNARE	2040
9350590	LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE	4300
9351715	ENDOSCOPIC INJ URETHRA/BLADDER	1400
9351798	BLADDER U/S NON IMAGING	100
9352000	CYSTOURETHROSCOPY	935
9355700	BIOPSY, PROSTATE	780
9369200	F/B REMOVAL EXTERNAL AUDITORY CANAL W/O	300
9369205	REM F/B EAR W/GENERAL ANESTH	660
9369210	CERUMEN REMOVAL	130
9369436	TYMPANOSTOMY REQ INS TUBE W/ANESTH	900
9369540	EXCISION AURAL POLYP	560
9369610	TYMPANIC MEMBRANE REPAIR	1000
9369620	MYRINGOPLASTY	2700
9369990	MICROSURGICAL TECHNIQUES REQ USE OF OF M	1200
9392511	NSASOPHARYNGOSCOPY W/ENDOSCOPE	330
9399201	OFFICE VISIT NP LEVEL 1	120
9399202	OFFICE VISIT NP LEVEL 2	170
9399203	OFFICE VISIT NP LEVEL 3	225
9399204	OFFICE VISIT NP LEVEL 4	320
9399205	OFFICE VISIT NP LEVEL 5	430
9399211	OFFICE VISIT EST PT LEVEL 1	70
9399212	OFFICE VISIT EST PT LEVEL 2	110
9399213	OFFICE VISIT EST PT LEVEL 3	150
9399214	OFFICE VISIT EST PT LEVEL 4	220
9399215	OFFICE VISIT EST PT LEVEL 5	300
9399241	CONSULT LEVEL 1	155
9399242	CONSULT LEVEL 2	225
9399243	CONSULT LEVEL 3	300
9399244	CONSULT LEVEL 4	400
9399245	CONSULT LEVEL 5	500
9400540	CL- DEFRAN PENICILLIN	150
9400696	CL- DEFRAN ROCEPHIN 500 MG	175
9401000	CL- DEFRAN DEPO ESTRADIOL 5 MG	130
9401030	CL- DEFRAN DEPO MEDROL 40 MG	53
9401040	CL- DEFRAN DEPO MEDROL 80 MG	95
9401200	CL- DEFRAN DIPHENHYDRAMINE 50 MG	41
9401885	CL- DEFRAN TORADOL KETORALAC 30MG	85
9401940	CL- DEFRAN FUROSEMIDE 10 MG	34
9402550	CL- DEFRAN PHENERGAN 50MG	38
9402902	CL- DEFRAN SOLU MEDROL 40 MG	40
9402930	CL- DEFRAN SOLU MEDROL 125 MG	38
9403301	CL- DEFRAN TRIAMCINOLONE ACETONID 40 MG	95
9403410	CL- DEFRAN VISTARIL 50MG	40
9403420	CL- DEFRAN VITAMIN B-12	35
9410060	I & D SIMPLE	104
9417000	CRYOFREEZE FIRST LESION	135
9417003	CRYOFREEZE 2 – 14 LESIONS	50
9417110	DESTRUCTION OF BEN LES UP TO 14 LESIONS	180
9420600	INJECTION SMALL JOINT	180
9420605	INJECTION INTERMEDIATE JOINT	195
9420610	INJECTION MAJOR JOINT	255
9429580	UNA BOOT	150
9442820	TONSILLECTOMY & ADENOID > 12 YRS OLD	1300
9469210	EARWAX REMOVAL	130
9481000	URINE DIP	30
9481002	DEFRAN URINE DIP	27
9481025	DEFRAN URINE PREGNANCY TEST	40
9482270	DEFRAN OCCULT BLOOD	25
9482962	DEFRAN GLUCOSE BY MONITOR	25
9486580	CL- DEFRAN TB PPD INTRADERMAL	45
9487210	DEFRAN KOH WET MOUNT	35
9487502	DEFRAN INFLUENZA A&B TEST	123
9487634	DEFRAN RSV	123
9487651	DEFRAN STREP	123
9487804	DEFRAN INFLUENZA A & B CLIA WAVED	71
9487880	DEFRAN RAPID STREP	65
9488150	PAP SMEAR	60
9490460	CL- INFLUENZA PEDIATRIC	70
9490471	VACCINE ADMINISTRATION	35
9490632	CL- DEFRAN HEPATITIS A VACCINE	25
9490647	CL- DEFRAN HIB	25
9490649	CL- DEFRAN GARDISAL HPV	150
9490657	CL- DEFRAN INFLUENZA VACCINE 6 – 35 MON	35
9490658	CL- DEFRAN INFLUENZA VACCINE 3 YEARS A	60
9490662	CL- HIGHDOSE 65+	90
9490674	CL- FLUCELVAX 2 YR+	90
9490682	CL- FLUBLOK 18+	90
9490686	CL- FLUZONE 6 MO +	90
9490694	CL- FLUAD 65+	90
9490696	CL- DEFRAN KINRIX	100
9490700	CL- DEFRAN DTAP < 7 YRS OF AGE	25
9490703	CL- DEFRAN TD IMMUNIZATION	33
9490707	CL- DEFRAN MMR LIVE SUBCUTANEOUS USE	55
9490710	CL- DEFRAN PROQUAD	250
9490713	CL- DEFRAN POLIO VACCINE	35
9490715	CL- DEFRAN TDAP >7 YEARS OF AGE	50
9490716	CL- DEFRAN VARICELLA VACCINE	100
9490723	CL- DEFRAN DTAP/HEPB/IPV	25
9490724	CL -INFLUENZA VACCINE 6 MONTHS AND OLDER	35
9490732	CL- DEFRAN PNEUMO 23 VACCINE	250
9490734	CL- DEFRAN MENECTRA	130
9490736	CL – ZOSTAVAX	200
9490782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
9493225	HOLTER HOOK UP AND DISCONNECT	263
9494664	NEBULIZER FIRST TX	65
9494760	PULSE OXIMETRY	45
9499201	NP OFFICE VISIT LEVEL 1	120
9499202	NP OFFICE VISIT LEVEL 2	170
9499203	NP OFFICE VISIT LEVEL 3	225
9499204	NP OFFICE VISIT LEVEL 4	320
9499205	NP OFFICE VISIT LEVEL 5	430
9499211	EST PT OFFICE VISIT LEVEL 1	70
9499212	EST PT OFFICE VISIT LEVEL 2	110
9499213	EST PT OFFICE VISIT LEVEL 3	150
9499214	EST PT OFFICE VISIT LEVEL 4	220
9499215	EST PT OFFICE VISIT LEVEL 5	300
9499217	OBSERVATION CARE DISCHARGE	204
9499219	OBSERVATION CARE INIT.(LIMITED)	333
9499221	INITIAL HOSP CARE LOW 30 MIN	260
9499222	INITIAL HOSP CARE MOD 50 MIN	345
9499232	SUBSEQ HOSP CARE MODERATE 25 MIN	195
9499235	ADMIT/DISCHARGE SAME DAY MODERATE SEVERI	465
9499239	HOSP. DISCH. > 30 MINUTES	285
9499304	NP NH VISIT LEVEL 1	176
9499305	NP NH VISIT LEVEL 2	235
9499306	NP NH VISIT LEVEL 3	285
9499307	EST PT NH VISIT LEVEL 1	95
9499308	EST PT NH VISIT LEVEL 2	140
9499309	EST PT NH VISIT LEVEL 3	185
9499310	EST PT NH VISIT LEVEL 4	245
9499315	EST PT NH VISIT DISCHARGE <30 MIN	165
9499316	EST PT NH VISIT DISCHARGE >30 MIN	220
9499318	NH ANNUAL ASSESSMENT	190
9499324	NP OZARK VISIT LEVEL 1	100
9499325	NP OZARK VISIT LEVEL 2	135
9499326	NP OZARK VISIT LEVEL 3	165
9499327	NP OZARK VISIT LEVEL 4	185
9499328	NP OZARK VISIT LEVEL 5	205
9499334	EST PT OZARK VISIT LEVEL 1	85
9499335	EST PT OZARK VISIT LEVEL 2	130
9499336	EST PT OZARK VISIT LEVEL 3	190
9499337	EST PT OZARK VISIT LEVEL 4	280
9499374	NH CARE PLAN OVERSIGHT HOME HEALTH	173
9499375	NH CARE PLAN OVERSIGHT HOME HEALTH L 2	251
9499377	NH CARE PLAN OVERSIGHT HOSPICE LVL 1	172
9499378	NH CARE PLAN OVERSIGHT HOSPICE LVL 2	265
9499379	NH CARE PLAN OVERSIGHT NH PT NOT PRESENT	172
9499380	NH CARE PLAN OVERSIGHT PT NOT PRST LVL 2	254
9499381	NP HCY NEWBORN	225
9499382	NP HCY AGES 1 – 4	235
9499383	NP HCY AGES 5 – 11	240
9499384	NP HCY AGES 12 – 17	270
9499385	NP PHYSICAL AGE 18 – 39	300
9499386	NP PHYSICAL AGE 40 – 64	345
9499387	NP PHYSICAL AGE 65 AND OLDER	365
9499391	EST PT HCY NEWBORN	195
9499392	EST PT HCY AGE 1 – 4	210
9499393	EST PT HCY AGE 5 – 11	205
9499394	EST PT HCY AGE 12 – 17	220
9499395	EST PT PHYSICAL AGE 18 – 39	250
9499396	EST PT PHYSICAL AGE 40 – 64	280
9499397	EST PT PHYSICAL AGE 65 AND OLDER	300
9500540	CL- BENZ PENICILLIN – BICILLIN 1,200,000	150
9500696	CL- BENZ ROCEPHIN 500 MG	175
9501000	CL- BENZ DEPO ESTRADIOL 5 MG	130
9501030	CL- BENZ DEPO MEDROL 40 MG	53
9501040	CL- BENZ DEPO MEDROL 80 MG	95
9501200	CL- BENZ DIPHENHYDRAMINE 50 MG	41
9501885	CL- BENZ TORADOL-KETORALAC 30 MG	85
9501940	CL- BENZ FUROSEMIDE 10 MG	34
9502550	CL- BENZ PHENERGAN 50 MG	38
9502765	CL- BENZ REGLAN 5 MG	20.5
9502902	CL- BENZ SOLU MEDROL 40MG	40
9503301	CL- BENZ TRIAMCINOLONE ACETONID 40 MG	95
9503410	CL- BENZ VISTARIL 50MG	40
9503420	CL- BENZ VITAMIN B-12	35
9503490	CL- BENZ CLINDAMICIIN 600 MG INJECTION	110
9517000	CRYOFREEZE FIRST LESION	135
9517003	CRYOFREEZE 2 – 14 LESIONS	50
9520550	INJECTION TENDON SHEATH	235
9520600	INJECTION SMALL JOINT	180
9520605	INJECTION INTERMEDIATE JOINT	195
9520610	INJECTION MAJOR JOINT	255
9556217	CL- BENZ GI COCKTAIL	6
9569210	EARWAX REMOVAL	130
9581000	URINE DIP	30
9581025	BENZ URINE PREGNANCY TEST	40
9582962	BENZ GLUCOSE BY MONITOR	25
9583036	HB	95
9586580	BENZ TB PPD INTRADERMAL	45
9587210	BENZ KOH WET MOUNT	35
9587880	BENZ RAPID STREP	65
9590460	CL- NFLUENZA PEDIATRIC	70
9590657	CL- BENZ INFLUENZA VACCINE 6 – 35 MONTH	35
9590658	CL- BENZ INFLUENZA VACCINE 3 YEARS AND O	60
9590662	CL- HIGH DOSE VACCINE 65+	90
9590682	CL- NFLUENZA FLUBLOK	90
9590686	CL- NFLUENZA QUAD	70
9590703	CL- BENZ TD AGE 7 & > IMMUNIZATION	33
9590732	CL- BENZ PNEUMO 23 VACCINE	250
9590782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
9594664	NEBULIZER TREATMENT FIRST	65
9594760	PULSE OXIMETRY	45
9598312	CL- BENZ PREVNAR 13	541
9599201	OFFICE VISIT – NP – BRIEF	120
9599202	OFFICE VISIT – NP – LIMITED	170
9599203	OFFICE VISIT – NP – INTERMEDIATE	225
9599204	OFFICE VISIT – NP – EXTENDED	320
9599205	OFFICE VISIT – NP – COMPREHENSIVE	430
9599211	OFFICE VISIT – EST PT – MINIMAL	70
9599212	OFFICE VISIT – EST PT – BRIEF	110
9599213	OFFICE VISIT – EST PT – INTERMEDIATE	150
9599214	OFFICE VISIT – EST PT – EXTENDED	220
9599215	OFFICE VISIT – EST PT – COMPREHENSIVE	300
9599222	ACUTE CARE INIT. (LIMITED)	203
9599339	CPO DOMICILIARY, REST HOME, ASSIST LIV F	165
9599381	HCY SCREENING NEW PT NEWBORN	225
9599382	HCY SCREENING NEW PT AGE 1 -4	235
9599383	HCY SCREENING NEW PT AGE 5 – 11	240
9599384	HCY SCREENING NEW PT AGE 12 – 17	270
9599385	HCY SCREENING NEW PT AGE 18 – 39	300
9599386	HCY SCREENING NEW PT AGE 40 – 64	345
9599387	HCY SCREENING NEW PT AGE 65 AND OVER	365
9599391	HCY SCREENING EST PT NEWBORN	195
9599392	HCY SCREENING EST PT AGE 1 – 4	210
9599393	HCY SCREENING EST PT AGE 5 – 11	205
9599394	HCY SCREENING EST PT AGE 12 – 17	220
9599395	HCY SCREENING EST PT AGE 18 – 39	250
9599396	HCY SCREENING EST PT AGE 40 – 64	280
9599397	HCY SCREENING EST PT AGE 65 AND OVER	300
9600025	HCY SCREENING	81
9600696	ROCEPHIN PER 250 MG	175
9601000	DEPOESTROGEN 1CC	130
9601030	DEPO MEDROL 40 MG	53
9601040	DEPO MEDROL 80MG	95
9601200	DIPEHNYDRAMINE HCI	41
9601885	TORADOL 30 MG	85
9602550	PHENERGAN 50MG	38
9602902	SOLU MEDROL 40 MG	40
9603301	KENALOG	95
9603420	VITAMIN B-12	35
9606060	PHENERGAN 50 MG	28
9610060	I & D SIMPLE ABSCESS	104
9611200	REMOVAL OF SKIN TAGS UP TO 15	115
9612013	REP WOUND FACE 2.0 – 5.0	252
9617000	CRYOFREEZE FIRST LESION	135
9617003	CRYOFREEZE LESION 2 – 14	50
9617110	CRYOFREEZE BEN UP TO 14 LESIONS	110
9620610	INJECTION MAJOR JOINT	255
9643235	EGD NO BIOPSY	998
9645378	COLONOSCOPY, FLEXIBLE	1155
9645380	COLONOSCOPY W/BIOPSY SINGLE OR MULTIPLE	1260
9656217	GI COCKTAIL	6
9669200	F/B REMOVAL FROM EAR SUPERFICIAL	75
9669210	EARWAX REMOVAL	130
9681000	URINE DIP	30
9681002	URINE DIP	27
9681025	URINE PREGNANCY TEST	40
9682270	OCCULT BLOOD	25
9682962	GLUCOSE BY MONITOR	25
9683036	HB	95
9686580	TB PPD INTRADERMAL	45
9687210	KOH WET MOUNT	35
9687502	LODGE INFLUENZA A&B TEST	123
9687634	LODGE RSV	123
9687651	LODGE STREP	123
9687804	INFLUENZA A & B CLIA WAVED	71
9687807	RSV	109
9687880	RAPID STREP	65
9688150	PAP SMEAR	60
9690460	CL – INFLUENZA PEDIATRIC	70
9690471	VACCINE ADMINISTRATION	40
9690620	CL – MENINGOCOCCAL GRP B	225
9690632	CL – HEPATITIS A	25
9690633	CL – HEPATITIS A	25
9690647	CL – HIB	25
9690649	CL – GARDISAL	150
9690657	CL- INFLUENZA VACCINE 6 – 35 MO OF AGE	35
9690658	CL – INFLUENZA VACCINE 3 YEARS AND UP	60
9690662	CL – HIGHDOSE 65+	90
9690670	CL – PREVNAR 13	541
9690674	CL – FLUCELVAX 2 YR +	90
9690680	CL – ROTAVIRUS	75
9690682	CL – FLUBLOK 18+	90
9690686	CL – FLUZONE 6 MO +	90
9690694	CL – FLUAD 65+	90
9690696	CL – KINRIX	100
9690700	CL – DTAP <7 YEARS OF AGE	35
9690707	CL – MMR	60
9690710	CL – PROQUAD	250
9690715	CL – TDAP AGE 7 AND >	50
9690716	CL – VARICELLA VAC	100
9690723	CL – PEDIARIX	150
9690732	CL – PNEUMO 23 VACCINE	250
9690734	CL – MENACTRA	130
9690782	THERAPEUTIC/DIAGNOSTIC INJECTION	50
9693000	EKG W/REPORT AND INTERPRETATION	223
9693225	HOLTER MONITOR HOOK UP & DISCONNECT	263
9693270	EVENT MONITOR HOOK UP & DISCONNECT	263
9693306	2D ECHO READING ONLY	400
9694664	NEBULIZER TREATMENT FIRST	65
9694665	NEBULIZER TREATMENT SUBSEQ	50
9694760	PULSE OXIMETRY	45
9699201	NEW PATIENT OFFICE VISIT	120
9699202	OFFICE VISIT – NP LIMITED	170
9699203	OFFICE VISIT – NP INTERMEDIATE	225
9699204	OFFICE VISIT – NP EXTENDED	320
9699205	OFFICE VISIT – COMPREHENSIVE	430
9699211	OFFICE VISIT – EST PAT MINIMAL	70
9699212	OFFICE VISIT – EST PT BRIEF	110
9699213	OFFICE VISIT – EST PT INTERMEDIATE	150
9699214	OFFICE VISIT – EST PT EXTENDED	220
9699215	OFFICE VISIT – EST PT COMPREHENSIVE	300
9699217	OPO DISCHARGE	150
9699218	OPO, INITIAL, LOW SEVERITY	210
9699219	OPO MODERATE SEVERITY ADMIT	240
9699220	OPO INITIAL, HIGH SEVERITY	410
9699221	HOSPITAL ADMIT (30 MIN)	230
9699222	INITIAL IP HOSP ADMIT 50 MIN	260
9699223	HOSPITAL ADMIT (70 MIN)	415
9699231	HOSPITAL FOLLOW UP (15 MIN)	115
9699232	SUBSEQUENT HOSP CARE INPATIENT MOD 25 MI	170
9699233	HOSPITAL FOLLOW UP (35 MIN)	245
9699234	LOW SEVERITY ADM AND DISCHARGE SAME DAY	150
9699235	ADMIT/DISCHARE SAME DAY MODERATE	410
9699236	HIGH SEVERITY ADM AND DISCHARGE SAME DAY	550
9699238	HOSPITAL DISCHARGE MANAGEMENT	180
9699239	DISCHARGE IP HOSP ADMIT >30 MIN	250
9699241	CONSULTATION BRIEF	135
9699242	CONSULTATION INTERMEDIATE	190
9699243	CONSULTATION EXTENDED	250
9699244	CONSULTATION COMPREHENSIVE	350
9699245	CONSULTATION COMPLEX	450
9699253	INITIAL INPATIENT CONSULTATION	270
9699307	EFC-STRAIGHT FORWARD	85
9699308	ECF-LOW SEVERITY	125
9699309	ECF-MODERATE SEVERITY	165
9699310	ECF-HIGH SEVERITY	215
9699315	NH DISCHARGE <30 MIN	135
9699316	NH DISCHARGE >30 MIN	175
9699381	HCY SCREENING NEW PATIENT NEWBORN	225
9699382	HCY SCREENING NEW PATIENT 1 – 4	235
9699383	HCY SCREENING NEW PATIENT 5 – 11	240
9699384	HCY SCREENING NEW PT AGE 12 – 17	270
9699385	HCY SCREENING NEW PT AGE 18 – 39	300
9699386	HCY SCREENING NEW PATIENT AGE 40 – 64	345
9699387	HCY SCREENING NEW PATIENT AGE 65 AND OVE	365
9699391	HCY SCREENING EST PT NEWBORN	195
9699392	HCY SCREENING EST PT AGE 1 – 4	210
9699393	HCY SCREENING EST PT AGE 5 – 11	200
9699394	HCY SCREENING EST PT 12 – 17	220
9699395	HCY SCREENING EST PT 18 – 39	250
9699396	HCY SCREENING EST PT 40 – 64	280
9699397	HCY SCREENING EST PT 65 & OVER	300
9700372	MOBILITY EVALUATION	50
9700540	CL- MENZ PENICILLIN	150
9700696	CL- MENZ ROCEPHIN 500 MG	175
9701030	CL- MENZ DEPO MEDROL 40 MG	53
9701040	CL- MENZ DEPO MEDROL 80 MG	95
9701200	CL- MENZ DIPHENHYDRAMINE 50 MG	41
9701885	CL- MENZ TORADOL- KETORALAC TROMETHAMIN	85
9702550	CL- PHENERGAN MENZ 50MG	38
9702902	SOLU MEDROL 40MG	40
9703410	CL- VISTARIL MENZ 25MG	40
9703420	CL- MENZ VIT B12 CYANOOCOBALAMI 1000MCG	35
9710060	I & D SIMPLE ABSCESS	104
9711100	BIOPSY OF SKIN, SINGLE LESION	165
9711101	BIOPSY OF SKIN, EA ADDL LESION	150
9711200	SKIN TAG REMOVAL	105
9711311	SHAVE FACE .6 TO 1.0	225
9711402	EXC BEN LES TRUNK, ARMS 1.1 TO 2.0 CM	280
9711422	EXC BEN LES 1.1 TO 2.0 CM SCALP,NECK,HAN	350
9711441	EXC FACE, EARS, EYELIDS .6 TO 1.0 CM	280
9711622	EXC MAL LES 1.1-2.0 CM SCALP, NECK,HANDS	520
9711750	EXC NAIL AND MATRIX	368
9717000	EXC NAIL AND MATRIX	135
9728190	REMOVAL OF FOREIGN BODY, FOOT; SUBQ	570
9729580	UNNA BOOT	150
9769200	REMOVAL OF F/B EAR	185
9769210	EARWAX REMOVAL	130
9781000	URINE DIP	30
9781002	MENZ URINE DIP	27
9781025	MENZ URINE PREGNANCY TEST	40
9782270	STOOK OCCULT BLOOD	25
9782962	MENZ GLUCOSE BY MONITOR	25
9786580	CL- STOOK TB PPD INTRADERMAL	45
9787210	MENZ KOH WET MOUNT	35
9787502	MENZ INFLUENZA A&B TEST	123
9787634	MENZ RSV	123
9787651	MENZ STREP	123
9787804	STOOK INFLUENZA A & B CLIA WAVED	71
9787880	MENZ RAPID STREP	65
9788150	PAP SMEAR	60
9790460	CL- INFLUENZA PEDIATRIC	70
9790471	VACCINE ADMINISTRATION	35
9790632	CL – HEP A ADULT VAX	25
9790657	CL- MENZ INFLUENZA VACCINE 6 – 35 MO	30
9790658	CL- MENZ INFLUENZA VACCINE 3 YRS +	60
9790662	CL- HIGHDOSE 65+	90
9790674	CL- FLUCELVAX 2 YR +	90
9790682	CL- FLUBLOK 18+	90
9790686	CL- FLUZONE 6 MO+	90
9790694	CL- FLUAD 65+	90
9790700	DTAP <7 YEARS OF AGE	25
9790703	CL- MENZ TD 7 AND > IMMUNIZATION	33
9790724	CL- MENZ INFLUENZA VACCINE 3 YEARS +	35
9790732	CL- MENZ PNEUMO 23 VACCINE	250
9790782	THERAPEUTIC OF DIAGNOSTIC INJECTION	50
9793225	HOLTER MONITOR HOOK UP AND DISCONNECT	263
9794664	NEBULIZER FIRST TREATMENT	65
9794760	PULSE OX	45
9799201	OFFICE VISIT NP BRIEF	120
9799202	OFFICE VISIT NP LIMITED	170
9799203	OFFICE VISIT NP INTERMEDIATE	225
9799204	OFFICE VISIT NP EXTENDED	320
9799205	OFFICE VISIT NP COMPREHENSIVE	430
9799211	OFFICE VISIT EST MINIMAL	70
9799212	OFFICE VISIT EST BRIEF	110
9799213	OFFICE VISIT EST INTERMEDIATE	150
9799214	OFFICE VISIT EST EXTENDED	220
9799215	OFFICE VISIT EST COMPREHENSIVE	300
9799217	OBSERVATION DISCHARGE	204
9799218	OBSERVATION ADMIT BRIEF	235
9799219	OBSERVATION ADMIT INTERMEDIATE	333
9799220	OBSERVATION ADMIT EXTENDED	450
9799221	INITIAL IP HOSP VISIT BRIEF	260
9799222	INITIAL IP HOSP VISIT INTERMEDIATE	345
9799223	INITIAL IP HOSP VISIT BRIEF	471
9799231	SUBSEQ IP VISIT BRIEF	128
9799232	SUBSEQ IP VISIT INTERMEDIATE	195
9799233	SUBSEQ IP VISIT EXTENDED	282
9799234	SAME DAY ADMIT/DISCHARGE BRIEF	353
9799235	SAME DAY ADMIT/DISCHARGE INTERMEDIATE	465
9799236	ADMIT/DISCHARGE SAME DAY EXTENDED	604
9799238	IP DISCHARGE <30 MIN	202
9799239	IP DISCHARGE >30 MIN	285
9799241	CONSULTATION INITIAL BRIEF	155
9799242	CONSULTATION INITIAL INTERMEDIATE	225
9799243	CONSULTATION INITIAL EXTENDED	300
9799244	CONSULTATION INITIAL COMPREHENSIVE	400
9799245	CONSULTATION INITIAL COMPLEX	500
9799304	NH ADMISSION MODERATE	176
9799305	NH ADMISSION MODERATE	235
9799306	NH ADMISSION HIGH SEVERITY	285
9799307	SUBSEQ NH VISIT BRIEF	95
9799308	NH SUB VISIT LEVEL II	140
9799309	NH SUB VISIT LEVEL III	185
9799310	SUB NH VISIT	245
9799311	SUBSEQ NH VISIT BRIEF	60
9799315	NH DISCHARGE <30 MIN	165
9799316	NH DISCHARGE >30 MIN	220
9799318	ANNUAL NURSING HOME ASSESSMENT	190
9799324	OZARK MANOR ADMIT LOW 20 MIN	120
9799325	OZARK MANOR ADMIT MOD 30 MIN	170
9799326	OZARK MANOR ADMIT HIGH 45 MIN	245
9799327	OZARK MANOR ADMIT COMPLEX 60 MIN	330
9799328	OZARK MANOR ADMIT UNSTABLE 75 MIN	415
9799334	OZARK MANOR SUBSEQ LOW 15 MIN	105
9799335	OZARK MANOR SUBSEQ MOD 25 MIN	150
9799336	OZARK MANOR SUBSEQ HIGH 40 MIN	220
9799337	OZARK MANOR SUBSEQ UNSTABLE 60 MIN	310
9799339	OZARK MANOR DISCHARGE <30 MIN	165
9799340	OZARK MANOR DISCHARGE >30 MIN	246
9799349	HOME VISIT EST PT DETAILED VISIT	230
9799350	HOME VISIT LEVEL 4	300
9799364	COUMADIN MANAGEMENT SUBSEQ 90 DAYS	90
9799377	CPO HOSPICE PT NOT PRESENT <30 MIN	172
9799379	CPO NH PT NOT PRESENT <30 MIN	172
9799380	CPO NH PT NOT PRESENT >30 MIN	254
9799381	HCY NEWBORN NEW PATIENT	225
9799382	HCY NEW PT PT AGE 1 – 4	235
9799383	HYC NEW PT AGES 5 – 11	240
9799384	HYC NEW PT AGES 12 – 17	270
9799385	OFFICE VISIT NEW PT – 18-39 YRS OLD	300
9799386	NP PHYSICAL AGE 40 – 64	345
9799387	NP PHYSICAL AGE 65 & OLDER	365
9799391	HCY NEWBORN EST VISIT	195
9799392	HCY EST PT AGE 1 – 4	210
9799393	HCY EST VISIT AGE 5 – 11	205
9799394	HCY EST VISIT AGE 12 – 17	220
9799395	HCY EST 18 – 39	250
9799396	PHYSICAL AGE 40 – 64	280
9799397	PHYSICAL AGE 65 AND OLDER	300
9800073	CL – DTAP <7 YRS OF AGE	70
9800270	CL- ZOFRAN INJ 4 MG DAVIS	64
9800372	MOBILITY (POWER) EVALUATION	50
9800540	CL- PENICILLIN INJECTION DAVIS	150
9800696	CL- ROCEPHIN 500 MG DAVIS	175
9801000	CL- DEPO ESTRADIOL 5 MG DAVIS	130
9801030	CL- DEPO MEDROL 40MG DAVIS	53
9801040	CL- DEPO MEDROL 80MG DAVIS	95
9801200	CL- DAVIS DIPHENHYDRAMINE 50 MG	41
9801885	CL- DAVIS TORADOL-KETORALAC 30 MG	85
9801940	CL- FUROSEMIDE 10 MG DAVIS	34
9802180	CL- DEMEROL 50 MG DAVIS	46
9802550	CL- PHENERGAN 50 MG DAVIS	38
9802902	CL- SOLU MEDROL 40MG DAVIS	40
9803301	CL- DAVIS TRIAMCINOLONE ACETONID 40 MG	95
9803332	HEEL LIFT, INSIDE SHOE TAPERED TO 1/2	5
9803410	CL- VISTARIL 50MG DAVIS	40
9803420	CL- DAVIS VITAMIN B12	35
9803430	CL- VITAMIN K DAVIS	45
9803490	CL- LIPO B INJECTION DAVIS	15
9804049	FINGER SPLINT	15
9807325	CL- ALLEN SYNVISC 1 MG	818
9810040	ACNE SURGERY EXAMPLE MARSUPIALIZATION OP	185
9810060	I&D SIMPLE ABSCESS	185
9810061	I & D OF ABSCESS COMPLICATED OR MULTIPLE	425
9810120	INC & REM OF FOR BODY SUBCUT TIS SIMPLE	240
9810140	I & D OF HEMATOMA SEROMA OR FLUID COLLEC	250
9810160	PUNCTURE ASP OF ABS, HEMATOMA, BULLA CYS	210
9811000	DEBRIDEMENT OF EXT ECZ/INF SKIN <10% OF	120
9811040	DEBRIDEMENT; 20 SQ CM OR LESS	125
9811042	DEBRIDEMENT; PARTIAL THICKNESS SKIN&SUBC	289
9811055	PARING OR CUTTING BEN HYPERKER LESION	70
9811056	PARING OR CUTTING 2-5	100
9811200	SKIN TAG EXCISION	105
9811201	SKIN TAG EXCISION ADDL 10	50
9811300	SHAVING OF EPIDER/DERM LES <.5 EACH LESI	140
9811301	SHAVING LES TRUNK .5 TO 1.0 CM	170
9811302	SHAVING LES .6 TO 1 CM TRUNK,ARMS,LEGS	185
9811303	DEBRIDEMENT	140
9811305	SHAVING LES SCALP,NECK,HANDS,FEET,GENITA	140
9811306	SHAVING LESION .6 TO 1.0 CM	185
9811307	SHAVING EPI OR DERM LES 1.1 TO 2.0 CM SC	230
9811310	SHAVING LES FACE,EARS <.5 CM	140
9811311	SHAVING EPIDERMAL/DERMAL LES .6 TO 1 CM	220
9811400	EXC BEN LES .5CM LESS TRUNK ARMS	225
9811402	EXC BEN TRK,ARMS,LEGS 1.1 TO 2.0 CM	250
9811403	EXC BEN TRK,ARMS,LEGS 2.1 TO 3.0 CM	300
9811404	EXC BEN LES 3.1 TO 4.0 CM TRUNK, ARMS OR	550
9811406	EXC BEN LES >4.0 CM TRUNK, ARMS, LEGS	700
9811420	EXC BEN LES >.5 CM SCALP NECK HANDS FEET	230
9811421	EXC BEN LES .6 TO 1.0 CM SCALP, NECK HAN	300
9811422	EXC BEN 1.1 TO 2.0 CM SCALP NECK HANDS F	350
9811423	EXC BEN LESION 2.1 TO 3.0 CM SCALP,NECK,	530
9811424	EXC BEN 3.1 – 4.0 CM SCALP NECK HANDS F	650
9811440	EXC BEN LES FACE LESS THAN .5	125
9811441	EXC BEN LES .6 TO 1.0 FACE, EARS, EYELI	200
9811442	EXC BEN LES 1.1 TO 2.0 FACE, EARS, EYELI	250
9811443	EXC BEN LES 2.1 TO 30	550
9811602	EXC MALIG LES 1.1 TO 2.0 CM TRUNK,ARMS,L	500
9811603	EXC MAL LES TRUNK, ARMS, LEGS 2.1 TO 3.0	590
9811604	EXC MAL LES 3.1-4.0CM TRUNK,ARMS,LEGS	500
9811622	EXC MAL LES 1.1 TO 2.0 CM SCALP NECK HAN	520
9811642	EXC MAL LES 1.1 TO 2.0 CM FACE EARS EYEL	650
9811643	EXC MAL LES 2.1 TO 3.0 CM FACE EARS EYEL	825
9811644	EXC MAL NEO FACE 3.1 TO 4.0 CM	1000
9811730	PARTIAL TOENAIL DESTRUCTION	65
9811750	EXC OF NAIL PART OR COMPLETE	400
9811982	NEXPLANNON REMOVAL	500
9812001	SIMPLE REPAIR SCALP, NECK FACE <2.5CM	200
9812002	SIMPLE REPAIR WOUND 2.6 TO 7.5CM SCALP N	370
9812011	REPAIR WOUNDS FACE 2.5 CM OR LESS	200
9812013	REPAIR SIMPLE WOUNDS FACE,EAR 2.6 TO5.0C	250
9812020	TX OF SUPERFICIAL WOUND DEHIS; SIMPLE CL	580
9812032	REP INTERMED 2.6-7.5 CM SCALP, AXILLAE,	460
9812034	REPAIR INTERMED 7.6 TO 12.5 CM SCALP,AXI	580
9812041	REP INTERMED 2.5 CMOR> NECK HANDS FEET	415
9813101	COMPLEX REPAIR TRUNK 2.6 CM TO 7.5 CM	600
9815786	ABRASION SINGLE LESION	95
9816020	DRESSING/DEBRIDEMENT BURN	200
9817000	CRYOFREEZE FIRST LESION	135
9817003	CRYOFREEZE 2-14 LESION	50
9817106	DEST OF CUTAN VASC LES < 10 SQ CM	750
9817110	CRYOFREEZE BENIGN UP TO 14 LESIONS	125
9817111	DESTRUCTION OF 15 OR MORE BEN LESIONS	110
9817250	CHEMICAL CAUTERIZATION OF GRANULATION TI	165
9817260	DESTRUCTION MALIG LESION CRYO, SURGICAL	255
9817280	DEST MALIG LES .5 CM OR LESS	350
9817281	DEST MAL LES .6 TO 1 CM FACE EARS EYELID	400
9817282	EXC MAL LES 1.1 TO 2.0 CM FACE	390
9817286	EXC MAL LES 4.0 AND > CM FACE	540
9820520	FOREIGN BODY SIMPLE	341
9820525	FOREIGN BODY DEEP OR COMPLICATED	800
9820526	INJECTION CARPAL TUNNEL	255
9820550	TRIGGER POINT INJECTION	235
9820551	INJECTION SINGLE TENDON ORIGIN/INSERTION	160
9820552	INJ SING/MULT TRIGGER POINTS 3 OR MORE M	190
9820600	INJECTION SMALL JOINT	180
9820605	INJECTION INTERMEDIATE JOINT	195
9820610	INJECTION MAJOR JOINT	255
9820612	ASPIRATION/INJ GANGLION CYST	181
9824530	FX CLOSED HUMERAL W/O MANI	955
9824560	FX CLOSED EPICONDYLAR LATERAL	955
9825600	FX CLOSED TREATEMENT RADIUS W/O MANIPULA	800
9826600	FX CLOSED TX METACARPAL	720
9826641	CLOSED TX CARPOMETACARPAL DISL THUMB W M	950
9826720	FX CLOSED FINGER	350
9826725	FX CLOSED FINGER WITH MANIPULATION	350
9827530	FX CLOSED TIBIA	1200
9827786	FX CLOSED TX DIST FIB FX W/O MANIPULATIO	1000
9828470	FX CLOSED TRTMT METATARSAL W/O MANIPULAT	600
9828510	FX CLOSED TX TOE	263
9829405	APPLICATION OF SHORT LEG CAST BELOW KNEE	300
9829580	UNNA BOOT EACH	150
9830901	CONTROL NASAL HEMORRHAGE; CAUT/PACKING	100
9836410	VENIPUNCTURE IV	5
9836415	VENIPUNCTURE	5
9836589	REMOVAL OF PIC LINE	620
9840810	EXC OF LES MUCOSA VEST OF MOUTH W/O REPA	450
9840819	EXC OF FRENUM, LABIAL OR BUCCAL	800
9840820	DESTRUCTION OF LESION MOUTH BY CRYO, CHE	590
9846083	INCISION OF THROMBOSED HEMORRHOID, EXTER	440
9851701	CATHETERIZATION STRAIGHT BLADDER	225
9854056	CRYOFREEZE LESION ON PENIS	425
9854065	DEST OF LES PENIS EXTENSIVE	1160
9854162	LYSIS OF PENILE ADHESIONS	760
9856217	CL- STOMATITIS GI COCKTAIL DAVIS	6
9857454	COLPOSCOPY OF CERVIX WITH BIOPSY	400
9865205	REM OF FOREIGN BODY EXT EYE CONJ OR SUPE	200
9865210	REMOVAL OF FOREIGN BODY CONJUNCTIVAL EMB	240
9867700	BLEPHARATOMY DRAINAGE OF ABSCESS, EYELID	590
9869100	BIOPSY EXTERNAL EAR	230
9869200	REM F/B FROM EAR W/O ANESTH	185
9869210	EARWAX REMOVAL	130
9873130	XRAY FINGER PROF COMPONENT 3 VIEWS	45
9881000	URINE DIP	30
9881002	DAVIS URINE DIP	30
9881025	DAVIS URINE PREGNANCY TEST	40
9882270	DAVIS OCCULT BLOOD	25
9882962	DAVIS GLUCOSE BY MONITOR	25
9883036	HGB BY MONITOR	95
9883986	PH BODY FLUID NOT OTHERWISE SPECFIED	25
9886580	CL- TB PPD INTRADERMAL DAVIS	45
9887210	DAVIS KOH WET MOUNT	35
9887502	DAVIS INFLUENZA A&B TEST	123
9887634	DAVIS RSV TEST	123
9887651	DAVIS STREP	123
9887804	DAVIS INFLUENZA A & B CLIA WAVED	71
9887880	DAVIS RAPID STREP	65
9888150	PAP SMEAR	60
9889300	DAVIS SEMEN ANALYSIS	85
9890460	CL- INFLUENZA PEDIATRIC	70
9890471	VACCINE ADMINISTRATION	35
9890649	CL- GARDISAL HPV DAVIS	150
9890657	CL- INFLUENZA VACCINE 6 – 35 MO DAVIS	35
9890658	CL- INFLUENZA VACCINE AGES 3 + DAVIS	60
9890662	CL- HIGHDOSE 65+	90
9890674	CL- FLUCELVAX 2 +	90
9890682	CL- FLUBLOK 18+	70
9890686	CL- FLUZONE 6 MO +	90
9890694	CL- FLUAD 65+	90
9890703	CL- TETNUS INJECTION DAVIS	33
9890713	CL- POLIO DAVIS	200
9890715	CL- TDAP DAVIS	50
9890716	CL- VARIVAX DAVIS	100
9890724	CL- INFLUENZA VACCINE AGES 3 +	35
9890732	CL- PNEUMOVAX 23 VACCINE DAVIS	250
9890734	CL- MENACTRA DAVIS	130
9890750	CL- SHINGRIX	225
9890782	THERAPEUTIC/DIAG INJECTION	50
9892213	EST INTERMEDIATE OFFICE VISIT	150
9893000	EKG 12 LEAD W/INTERPRETATION AND REPORT	90
9893225	HOLTER MONITOR HOOK UP AND DISCONNECT	263
9894664	NEBULIZER TREATMENT FIRST	65
9894665	NEBULIZER TREATMENT SUBSEQ	50
9894760	PULSE OXIMETRY	45
9896372	THERAPEUTIC/DIAG INJECTION	50
9897033	IONTOPHORESIS EACH 15 MIN	64
9897597	DEBRIDEMENT; OPEN WOUND FIRST 20 SQ CM	150
9897598	DEBRIDEMENT; OPEN WOUND EA ADDL 20 SQ CM	160
9897602	REM OF DEV TISSUE FROM WOUND	90
9898312	CL- PREVNAR 13 DAVIS	541
9898925	SPINAL MANIPULATION 1 – 2	91
9898926	SPINAL MANIPULATION 3 – 4	122
9898927	SPINAL MANIPULATION 5 – 6	156
9898928	SPINAL MANIPULATION 7-8	190
9898929	SPINAL MANIPULATION 9-10	221
9899050	SERVICES PROV IN OFFICE AFTER HOURS	80
9899056	EMERG SERVICES REQ PT OUTSIDE OF OFFICE	100
9899058	EMERGENCY SERVICES IN OFFICE IN ADD OV	125
9899201	NP OFFICE VISIT BRIEF	120
9899202	NP OFFICE VISIT LIMITED	170
9899203	NP OFFICE VISIT INTERMEDIATE	225
9899204	NP OFFICE VISIT EXTENDED	320
9899205	NP OFFICE VISIT COMPREHENSIVE	430
9899211	EST PT OFFICE VISIT BRIEF	70
9899212	EST PT OFFICE VISIT INTERMEDIATE	110
9899213	EST PT OFFICE VISIT EXTENDED	150
9899214	EST PT OFFICE VISIT EXTENDED	220
9899215	EST PT OFFICE VISIT COMPREHENSIVE	300
9899217	OPO DISCHARGE	204
9899218	OPO ADMIT BRIEF	235
9899219	OPO ADMIT INTERMEDIATE	333
9899220	OPO ADMIT EXTENDED	450
9899221	IP INITIAL ADMIT BRIEF	260
9899222	IP INITIAL ADMIT INTERMEDIATE	345
9899223	IP INITIAL ADMIT EXTENDED	471
9899231	IP SUSEQ VISIT BRIEF	128
9899232	IP SUBSEQ VISIT INTERMEDIATE	195
9899233	IP SUBSEQ VISIT EXTENDED	282
9899234	ADMIT/DISCHARGE SAME DAY BRIEF	353
9899235	ADMIT/DISCHARGE SAME DAY INTERMEDIATE	465
9899236	ADMIT/DISCHARGE SAME DAY EXTENDED	604
9899238	IP DISCHARGE < 30 MIN	202
9899239	IP DISCHARGE > 30 MIN	285
9899241	CONSULT OFFICE BRIEF	155
9899242	CONSULT OFFICE INTERMEDIATE	225
9899243	CONSULT OFFICE EXTENDED	300
9899244	CONSULT OFFICE COMPREHENSIVE	400
9899245	CONSULT OFFICE COMPLEX	500
9899251	IP INITIAL CONSULT BRIEF	170
9899252	IP INITIAL CONSULT INTERMEDIATE	240
9899253	IP INITIAL CONSULT EXTENDED	300
9899254	IP INITIAL CONSULT COMPREHENSIVE	390
9899255	IP INITIAL CONSULT COMPLEX	480
9899291	IP CRITICAL CARE FIRST HOUR	700
9899292	IP CRITICAL CARE SECOND HOUR	355
9899301	NP NH BRIEF ADMISSION	91
9899302	NP NH ADMIT <30 MIN ADMISSION	121.5
9899303	NP NH ADMIT >30 MIN ADMISSION	169.5
9899304	NP NH BRIEF ADMISSION	176
9899305	NP NH ADMIT <30 MIN ADMISSION	235
9899306	NP NH ADMIT >30 MIN ADMISSION	285
9899307	SUBSEQ NH BRIEF VISIT	95
9899308	SUBSEQ NH INTERMEDIATE VISIT	140
9899309	SUBSEQ NH EXTENDED VISIT	185
9899310	SUBSEQ NH COMPREHENSIVE	245
9899311	SUBSEQ NH BRIEF VISIT	57
9899312	SUBSEQ NH INTERMEDIATE VISIT	85.5
9899313	SUBSEQ NH EXTENDED VISIT	114
9899315	DISCHARGE NH <30 MIN	165
9899316	DISCHARGE NH >30 MIN	220
9899318	ANNUAL NH ASSESSMENT	190
9899324	NP RH BRIEF ADMISSION	120
9899325	NP RH ADMIT <30 MIN ADMISSION	175
9899326	NP RH ADMIT >30 MIN ADMISSION	245
9899327	NP RH ADMIT >30 MIN ADMISSION	330
9899328	NP RH ADMIT >30 MIN ADMISSION	415
9899334	SUBSEQ RH BRIEF VISIT	105
9899335	SUBSEQ RH INTERMEDIATE VISIT	145
9899336	SUBSEQ RH EXTENDED VISIT	215
9899337	SUBSEQ RH EXTENDED VISIT	310
9899339	OZARK CPO <30 MIN	165
9899340	OZARK CPO >30 MIN	246
9899354	PROLONGED SERV IN OFFICE OR OTHER SETTIN	265
9899356	PROLONGED PHY SERV INPT ONE HOUR	290
9899357	PROLONGED PHY SERV INPT EA ADDL 30 MIN	215
9899358	PROLONGED EVAL AFTER FACE TO FACE 1HOUR	250
9899359	PROLONGED EVAL AFTER FACE TO FACE 30 MIN	150
9899363	COUMADIN MANAGEMENT INITIAL 90 DAYS	240
9899364	COUMADIN MANAGMENT SUBSEQ 90 DAYS	90
9899374	CPO HH PT <30 MIN	173
9899375	CPO HH PT >30 MIN	251
9899377	CPO HOSPICE PT <30 MIN	172
9899378	CPO HOSPICE PT >30 MIN	265
9899379	CPO NH PT NOT PRESENT <30 MIN	172
9899380	CPO NH PT NOT PRESENT >30 MIN	254
9899381	NP HCY NEWBORN	225
9899382	NP HCY AGE 1 – 4	235
9899383	NP HCY AGE 5 – 11	240
9899384	NP HCY AGE 12 – 17	270
9899385	NP PREVENTATIVE EXAM 18 – 39	300
9899386	NP PREVENTATIVE EXAM 40 – 64	345
9899387	NP PREVENTATIVE EXAM 65 AND OVER	365
9899391	EST PT HCY NEWBORN	195
9899392	EST PT HCY AGE 1 – 4	210
9899393	EST PT HCY AGE 5 – 11	205
9899394	EST PT HCY AGE 12 – 17	220
9899395	EST PT PREVENTATIVE EXAM 18 – 39	250
9899396	EST PT PREVENTATIVE EXAM 40 – 64	280
9899397	EST PT PREVENTATIVE EXAM 65 AND OVER	300
9899401	PREVENTATIVE MEDICINE COUNSELING 15 MIN	100
9899406	SMOKING CESSATION COUNSELING 3 – 9 MIN	35
9899407	SMOKING CESSATION COUNSELING >10 MIN	60
9899499	UNLISTED EVALUATION & MANAGEMENT	167
12101001	PIN GUARD	11
12150000	CO2 LASER	3443
22086001	.GLUTEN IGG	163
22086003	.GLUTEN IGE	156
22111121	HF LIPID PANEL	15
22111122	HF CHOLESTEROL	2.5
22111123	HF VIT D	10
22111124	HF PSA	10
22111125	HF GLUCOSE	5
22550070	.HCV QUANT PCR RFX CHARGE ONLY	338
22802991	WARFARIN	68
22816750	.SALIVARY PROTIEN 1 IGA	41
22816751	.SALIVARY PROTIEN 1 IGG	41
22816832	.SALIVARY PROTEIN 1 IGA	30
22816856	.SALIVARY PROTIEN 1 IGM	41
22816857	.CARBONIC ANHYDRASE V1 IGG	41
22816858	.CARBONIC ANHYDRASE V1 IGA	41
22816859	.CARBONIC ANHYDRASE V1 IGM	41
22816860	.PAROTID SPEC PROT IGG	41
22816861	.PAROTID SPEC PROT IGA	41
22816862	.PAROTID SPEC PROT IGM	41
22849990	OVA1	1060
22860221	PLATELET ANTIBODY	252
22860222	PLATELET ANTIBODY DIRECT	196
22861610	C1 ESTERASE INHIBITOR FUNCT	107
22862551	MITOCHONDRIAL AB	82
22862561	CENTROMERE B AB	96
22866151	B PERTUSSIS IGG	91
22867351	MUMPS AB IGG	85
22887906	.HIV INF AGENT PHENO, CHG ONLY	184
28021401	ADULT RES ELECTRODE	287
28021402	SILVASORB WOUND GEL 1.5 OZ	71
28021501	PEDI RES ELECTRODE	223
28251795	FILTER, ISO GUARD HEPA	9
28266197	SALEM SUMP ANTI-REFLEX VALVE	37
28285580	MESALT DRESSING 2 X 2 #285580-11	8
28324908	ALOE VESTA PROTECTIVE OINTMENT 8OZ	26
28403764	AQUACEL AG EXTRA 4 X 5 #420677	38
28403765	AQUACEL EXTRA #420674	62
28403766	PRISMA AG	16
28412009	AQUACEL AG SURGICAL 3 1/2 X 4	107
28412011	AQUACEL AG SURGICAL 3.5X10	140
28605200	EAR WICK	15
30180968	LAB CHG FUNGAL SENS AMB/KETO	654
30182220	LAB CHG FUNGAL SENS FLUCONAZOLE	408
30183509	LAB CHG FUNGAL SENS MICAFUNGIN	515
30183517	LAB CHG FUNGAL SENST POSA	515
41992536	ADMIT/DISCHARGE SAME DAY EXTENDED	267
42847020	QUANTITATIVE SERUM HCG(84702)	19
42907820	PROGESTRONE____MG IM	137
50177902	AQUACEL HYDROFIBER DRESSING 4X4	29
50291010	MEPITEL 4 X 7.2	26
56580258	ORAL GLUCOSE GEL TUBE	16
75958601	EMG 1 EXT. TECHNICAL COMP.	37
75958611	EMG 2 EXT.TECHNICAL COMP.	65
75958631	EMG.3 EXT. TECHNICAL COMP.	110
75958641	EMG 4 EXT. TECHNICAL COMP.	197
75959000	MOTOR NERVE COND. TECH COMP.	66
75959044	SENSE NERVE COND. TECH. COMP.	72
75959200	INTRA-OPER. NERVE TECH COMP.	186
75959255	SOMATOSENSORY TECH COMP. UPPER LIMBS	110
75959266	SOMATOSENSORY TECH COMP LOWER LIMBS	131
80000031	BAIR HUGGER BLANKETS UPPER BODY	36
80000336	TB SYRINGE	15
80000337	1CC SYRINGE W/25GA 5/8 NEEDLE	15
80000338	SYRINGE 5CC	15
80000339	SYRINGE 20CC	15
80000340	SYRINGE 60CC	15
80000341	SYRINGE 3CC	15
80000344	TAPE DURAPORE 1	16
80000345	TAPE DURAPORE 2	16
80000346	BANDAID 1 X3	11
80000349	MEPILEX BORDER SACRUM	34
80000355	POUCH, ONE PIECE DRAINABLE 1 1/2 #022770	8
90000051	ATTEND, FITRESTOREXXL	6
90000077	BUTTON HOOKS	15
90000142	ALLEVYN, DRESSING 3 X 3 ADHESIVE	11
90000175	SCD KNEE LENGTH SLEEVE MEDIUM #9529	80
90000176	SCD KNEE LENGTH SLEEVE LARGE #9789	132
91007324	ORTHOVISC	350
91007325	MONOVISC	1500
98113000	SHAVING OF LESION .5 CM OR LESS	130
98171000	CRYOFREEZE UP TO 14 LESIONS BENIGN	110
98171100	WART DESTRUCTION ANY METHOD	115
98911305	SHAVING LES SCALP,NECK,HANDS,FEET,GENITA	140

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