NAME|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATEDT SH 70005|CMMT|||0|0|0|0|01/01/2017 SH 70005|99494|99494 - 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS||66.33|0|0|0|01/01/2017 SH 70005|99493|99493 - SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS||128.15|0|0|0|01/01/2017 SH 70005|99492|99492 - 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS||159.45|0|0|0|01/01/2017 SH 70005|99484|99484 - CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS||48.47|0|0|0|01/01/2017 SH 70005|99483|99483 - ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT||242.81|0|0|0|01/01/2017 SH 70005|99157|99157 - MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS||61.42|0|0|0|01/01/2017 SH 70005|99156|99156 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS||81.02|0|0|0|01/01/2017 SH 70005|99155|99155 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS||99.11|0|0|0|01/01/2017 SH 70005|99153|99153 - MOD SED SAME PHYS/QHP EACH ADDL 15 MINS||11.68|0|0|0|01/01/2017 SH 70005|99152|99152 - MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS||54.64|0|0|0|01/01/2017 SH 70005|99151|99151 - MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS||82.15|0|0|0|01/01/2017 SH 70005|97763|97763 - ORTHOTICS/PROSTH MGMT &/TRAING SBSQ ENCTR 15 MIN||48.52|0|0|0|01/01/2017 SH 70005|97762|97762 - CHECKOUT ORTHOTIC/PROSTHETIC ESTAB PT EA 15 MIN||46.24|0|0|0|01/01/2017 SH 70005|97761|97761 - PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS||33.14|0|0|0|01/01/2017 SH 70005|97760|97760 - ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS||37.88|0|0|0|01/01/2017 SH 70005|97750|97750 - PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN||33.14|0|0|0|01/01/2017 SH 70005|97542|97542 - WHEELCHAIR MGMT EA 15 MIN||31.12|0|0|0|01/01/2017 SH 70005|97537|97537 - COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN||30.44|0|0|0|01/01/2017 SH 70005|97535|97535 - SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES||35.17|0|0|0|01/01/2017 SH 70005|97533|97533 - SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES||29.39|0|0|0|01/01/2017 SH 70005|97532|97532 - DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES||27.02|0|0|0|01/01/2017 SH 70005|97530|97530 - THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN||34.79|0|0|0|01/01/2017 SH 70005|97168|97168 - OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS||55.02|0|0|0|01/01/2017 SH 70005|97167|97167 - OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS||83.28|0|0|0|01/01/2017 SH 70005|97166|97166 - OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS||83.28|0|0|0|01/01/2017 SH 70005|97165|97165 - OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS||83.28|0|0|0|01/01/2017 SH 70005|97164|97164 - PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS||58.41|0|0|0|01/01/2017 SH 70005|97163|97163 - PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS||85.92|0|0|0|01/01/2017 SH 70005|97162|97162 - PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS||85.92|0|0|0|01/01/2017 SH 70005|97161|97161 - PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS||85.92|0|0|0|01/01/2017 SH 70005|97150|97150 - THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS||17.66|0|0|0|01/01/2017 SH 70005|97140|97140 - MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES||30.02|0|0|0|01/01/2017 SH 70005|97124|97124 - THER PX 1/> AREAS EACH 15 MINUTES MASSAGE||26.34|0|0|0|01/01/2017 SH 70005|97113|97113 - THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS||42.57|0|0|0|01/01/2017 SH 70005|97112|97112 - THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA||33.82|0|0|0|01/01/2017 SH 70005|97110|97110 - THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES||32.47|0|0|0|01/01/2017 SH 70005|97035|97035 - APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN||12.97|0|0|0|01/01/2017 SH 70005|97033|97033 - APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN||26|0|0|0|01/01/2017 SH 70005|97032|97032 - APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN||19.2|0|0|0|01/01/2017 SH 70005|97022|97022 - APPLICATION MODALITY 1/> AREAS WHIRLPOOL||22.95|0|0|0|01/01/2017 SH 70005|97018|97018 - APPL MODALITY 1/> AREAS PARAFFIN BATH||10.71|0|0|0|01/01/2017 SH 70005|97016|97016 - APPL MODALITY 1/> AREAS VASOPNEUMATIC DEVICES||18.94|0|0|0|01/01/2017 SH 70005|97010|97010 - APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS||5.98|0|0|0|01/01/2017 SH 70005|96574|96574 - DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT||239.34|0|0|0|01/01/2017 SH 70005|96573|96573 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP||184.51|0|0|0|01/01/2017 SH 70005|96161|96161 - CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM||4.9|0|0|0|01/01/2017 SH 70005|96160|96160 - PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM||4.9|0|0|0|01/01/2017 SH 70005|96111|96111 - DEVELOPMENTAL TESTING W/INTERP & REPORT||133.26|0|0|0|01/01/2017 SH 70005|96110|96110 - DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM||8.45|0|0|0|01/01/2017 SH 70005|96105|96105 - ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR||109.07|0|0|0|01/01/2017 SH 70005|95249|95249 - CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT||53.21|0|0|0|01/01/2017 SH 70005|94618|94618 - PULMONARY STRESS TESTING||34.99|24.05|0|0|01/01/2017 SH 70005|94617|94617 - EXERCISE TEST FOR BRONCHOSPASM||94.75|35.15|0|0|01/01/2017 SH 70005|93793|93793 - ANTICOAGULANT MGMT FOR PT TAKING WARFARIN||12.31|0|0|0|01/01/2017 SH 70005|93792|93792 - PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR||52.12|0|0|0|01/01/2017 SH 70005|93592|93592 - PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV||478.2|0|0|0|01/01/2017 SH 70005|93591|93591 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE||1085.27|0|0|0|01/01/2017 SH 70005|93590|93590 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE||1307.6|0|0|0|01/01/2017 SH 70005|92610|92610 - EVAL ORAL&PHARYNGEAL SWLNG FUNCJ||86.4|0|0|0|01/01/2017 SH 70005|92609|92609 - THER SP-GENRATJ DEV PRGRMG&MODIFICAJ||111.15|0|0|0|01/01/2017 SH 70005|92607|92607 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR||127.7|0|0|0|01/01/2017 SH 70005|92604|92604 - ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG||90.26|0|0|0|01/01/2017 SH 70005|92603|92603 - ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG||153.22|0|0|0|01/01/2017 SH 70005|92602|92602 - ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG||90.46|0|0|0|01/01/2017 SH 70005|92601|92601 - ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG||143.95|0|0|0|01/01/2017 SH 70005|92597|92597 - EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC||73.74|0|0|0|01/01/2017 SH 70005|92567|92567 - TYMPANOMETRY||14.62|0|0|0|01/01/2017 SH 70005|92526|92526 - TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING||87.23|0|0|0|01/01/2017 SH 70005|92524|92524 - BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE||91.22|0|0|0|01/01/2017 SH 70005|92523|92523 - EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION||196.29|0|0|0|01/01/2017 SH 70005|92522|92522 - EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE||93.92|0|0|0|01/01/2017 SH 70005|92521|92521 - EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)||112.45|0|0|0|01/01/2017 SH 70005|92507|92507 - TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND||80.31|0|0|0|01/01/2017 SH 70005|92242|92242 - FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI||241.17|182.01|0|0|01/01/2017 SH 70005|74021|74021 - RADIOLOGIC EXAM ABDOMEN 3+ VIEWS||38.61|14.42|0|0|01/01/2017 SH 70005|74019|74019 - RADIOLOGIC EXAM ABDOMEN 2 VIEWS||32.95|12.16|0|0|01/01/2017 SH 70005|74018|74018 - RADIOLOGIC EXAM ABDOMEN 1 VIEW||26.98|9.59|0|0|01/01/2017 SH 70005|71048|71048 - RADIOLOGIC EXAM CHEST 4+ VIEWS||41.41|16.88|0|0|01/01/2017 SH 70005|71047|71047 - RADIOLOGIC EXAM CHEST 3 VIEWS||38.54|14.69|0|0|01/01/2017 SH 70005|71046|71046 - RADIOLOGIC EXAM CHEST 2 VIEWS||30.2|11.44|0|0|01/01/2017 SH 70005|71045|71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW||19.85|9.59|0|0|01/01/2017 SH 70005|64913|64913 - NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND||168.76|0|0|0|01/01/2017 SH 70005|64912|64912 - NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND||818.24|0|0|0|01/01/2017 SH 70005|58575|58575 - LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC||1979.58|0|0|0|01/01/2017 SH 70005|55874|55874 - TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX||3598.54|0|0|0|01/01/2017 SH 70005|43288|43288 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ||4024.67|0|0|0|01/01/2017 SH 70005|43287|43287 - ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ||3859.14|0|0|0|01/01/2017 SH 70005|43286|43286 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ||3375|0|0|0|01/01/2017 SH 70005|38573|38573 - LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX||1240.63|0|0|0|01/01/2017 SH 70005|38222|38222 - DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS||170.63|0|0|0|01/01/2017 SH 70005|36483|36483 - ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN||147.56|0|0|0|01/01/2017 SH 70005|36482|36482 - ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN||2058.91|0|0|0|01/01/2017 SH 70005|36466|36466 - NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS||1617.3|0|0|0|01/01/2017 SH 70005|36465|36465 - NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN||1545.39|0|0|0|01/01/2017 SH 70005|34716|34716 - OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ||406.72|0|0|0|01/01/2017 SH 70005|34715|34715 - OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI||328.29|0|0|0|01/01/2017 SH 70005|34714|34714 - OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH||293.57|0|0|0|01/01/2017 SH 70005|34713|34713 - PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT||139.99|0|0|0|01/01/2017 SH 70005|34712|34712 - TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I||736.69|0|0|0|01/01/2017 SH 70005|34711|34711 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL||325.67|0|0|0|01/01/2017 SH 70005|34710|34710 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL||868.19|0|0|0|01/01/2017 SH 70005|34709|34709 - PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR||352.71|0|0|0|01/01/2017 SH 70005|34708|34708 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT||2009.92|0|0|0|01/01/2017 SH 70005|34707|34707 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT||1247.31|0|0|0|01/01/2017 SH 70005|34706|34706 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT||2501.57|0|0|0|01/01/2017 SH 70005|34705|34705 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT||1660.46|0|0|0|01/01/2017 SH 70005|34704|34704 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT||2510.81|0|0|0|01/01/2017 SH 70005|34703|34703 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT||1508.15|0|0|0|01/01/2017 SH 70005|34702|34702 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT||1998.39|0|0|0|01/01/2017 SH 70005|34701|34701 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT||1336.64|0|0|0|01/01/2017 SH 70005|33927|33927 - IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY||2770.8|0|0|0|01/01/2017 SH 70005|32994|32994 - ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION||5995.09|0|0|0|01/01/2017 SH 70005|31298|31298 - NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS||3753.95|0|0|0|01/01/2017 SH 70005|31259|31259 - NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL||501.53|0|0|0|01/01/2017 SH 70005|31257|31257 - NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY||473.01|0|0|0|01/01/2017 SH 70005|31253|31253 - NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL||531.57|0|0|0|01/01/2017 SH 70005|31241|31241 - NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY||474.55|0|0|0|01/01/2017 SH 70005|20939|20939 - BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY||71.6|0|0|0|01/01/2017 SH 70005|19294|19294 - PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY||175.53|0|0|0|01/01/2017 SH 70005|15733|15733 - MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL||1099.17|0|0|0|01/01/2017 SH 70005|15730|15730 - MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES||1566.87|0|0|0|01/01/2017