mdicare fee 2016 01-16-mo99

1 of 379 http://www.wpsmedicare.com/index.shtml

WPS GHA 2016 Medicare Physician Fee Schedule for Missouri Locality 99

Effective January 1, 2016

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2015 by the American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related

listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. Current Dental Terminology copyright © 2002, 2005

American Dental Association. All rights reserved.

Participating Anesthesia Conversion Factor for Missouri Locality 99 = $21.41 # - THESE AMOUNTS APPLY WHEN SERVICE IS PERFORMED IN A FACILITY SETTING

C - THE PAYMENT FOR THE TECHNICAL COMPONENT IS CAPPED AT THE OPPS AMOUNT. - LIMITING CHARGE APPLIES TO UNASSIGNED CLAIMS BY NON-PARTICIPATING PROVIDERS. ** - LIMITING CHARGE REDUCED BASED ON THE EHR NEGATIVE ADJUSTMENT PROGRAM.

*** - LIMITING CHARGE REDUCED BASED ON THE PQRS NEGATIVE ADJUSTMENT PROGRAM. **** - LIMITING CHARGE REDUCED FOR EPS THAT ARE SUBJECT TO BOTH EHR AND PQRS

NEGATIVE ADJUSTMENT PROGRAMS.

NOTE PROCEDURE MOD PAR

AMOUNT NON-PAR AMOUNT

LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

D7111 76.02 72.22 83.05 81.40 81.40 79.76 D7140 76.02 72.22 83.05 81.40 81.40 79.76 D7210 168.73 160.29 184.33 180.64 180.64 177.03 D7220 168.73 160.29 184.33 180.64 180.64 177.03 D7230 262.51 249.38 286.79 281.05 281.05 275.43 D7240 262.51 249.38 286.79 281.05 281.05 275.43 G0101 35.42 33.65 38.70 37.93 37.93 37.17

# G0101 26.61 25.28 29.07 28.49 28.49 27.91 G0102 17.66 16.78 19.30 18.91 18.91 18.53

# G0102 8.55 8.12 9.34 9.15 9.15 8.97 G0104 148.91 141.46 162.68 159.42 159.42 156.24

# G0104 54.48 51.76 59.52 58.33 58.33 57.17 G0105 346.63 329.30 378.70 371.12 371.12 363.70

# G0105 189.05 179.60 206.54 202.41 202.41 198.36 G0105 53 172.69 164.06 188.67 184.90 184.90 181.19

# G0105 53 94.96 90.21 103.74 101.67 101.67 99.64 G0106 186.86 177.52 204.15 200.07 200.07 196.06 G0106 TC 138.49 131.57 151.31 148.28 148.28 145.31 G0106 26 48.37 45.95 52.84 51.78 51.78 50.75 G0108 50.31 47.79 54.96 53.85 53.85 52.77 G0109 13.54 12.86 14.79 14.49 14.49 14.20 G0117 48.97 46.52 53.50 52.43 52.43 51.38 G0118 38.91 36.96 42.50 41.65 41.65 40.83 G0120 188.55 179.12 205.99 201.87 201.87 197.83 G0120 TC 138.49 131.57 151.31 148.28 148.28 145.31 G0120 26 50.07 47.57 54.71 53.61 53.61 52.54 G0121 346.97 329.62 379.06 371.48 371.48 364.06

# G0121 189.39 179.92 206.91 202.77 202.77 198.71 G0121 53 172.99 164.34 188.99 185.21 185.21 181.50

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LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# G0121 53 94.66 89.93 103.42 101.35 101.35 99.33 G0124 30.29 28.78 33.10 32.43 32.43 31.79 G0127 20.70 19.67 22.62 22.17 22.17 21.72

# G0127 7.64 7.26 8.35 8.18 8.18 8.02 G0128 6.71 6.37 7.33 7.18 7.18 7.04 G0130 30.42 28.90 33.24 32.57 32.57 31.91 G0130 TC 19.47 18.50 21.28 20.85 20.85 20.44 G0130 26 10.95 10.40 11.96 11.72 11.72 11.49 G0141 30.29 28.78 33.10 32.43 32.43 31.79 G0166 118.63 112.70 129.61 127.02 127.02 124.48 G0168 90.71 86.17 99.10 97.12 97.12 95.17

# G0168 26.95 25.60 29.44 28.85 28.85 28.28 G0179 37.77 35.88 41.26 40.43 40.43 39.63 G0180 49.67 47.19 54.27 53.19 53.19 52.13 G0181 102.14 97.03 111.58 109.35 109.35 107.17 G0182 102.41 97.29 111.88 109.64 109.64 107.44 G0186 885.25 840.99 967.14 947.80 947.80 928.84

# G0186 839.46 797.49 917.11 898.77 898.77 880.80 G0202 118.45 112.53 129.41 126.82 126.82 124.28 G0202 TC 84.44 80.22 92.25 90.41 90.41 88.61 G0202 26 34.01 32.31 37.16 36.41 36.41 35.68 G0204 144.91 137.66 158.31 155.15 155.15 152.04 G0204 TC 102.36 97.24 111.83 109.60 109.60 107.40 G0204 26 42.56 40.43 46.49 45.56 45.56 44.65 G0206 113.90 108.21 124.44 121.96 121.96 119.52 G0206 TC 79.89 75.90 87.29 85.54 85.54 83.82 G0206 26 34.01 32.31 37.16 36.41 36.41 35.68 G0237 8.54 8.11 9.33 9.14 9.14 8.96 G0238 9.14 8.68 9.98 9.79 9.79 9.59














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

G0239 11.27 10.71 12.32 12.08 12.08 11.83 G0245 61.47 58.40 67.16 65.81 65.81 64.50

# G0245 42.04 39.94 45.93 45.01 45.01 44.11 G0246 35.35 33.58 38.62 37.85 37.85 37.09

# G0246 21.08 20.03 23.03 22.57 22.57 22.13 G0247 65.07 61.82 71.09 69.67 69.67 68.28

# G0247 22.87 21.73 24.99 24.50 24.50 24.00 G0248 95.41 90.64 104.24 102.15 102.15 100.11 G0249 95.37 90.60 104.19 102.11 102.11 100.06 G0250 8.91 8.46 9.73 9.53 9.53 9.34 G0268 49.79 47.30 54.40 53.30 53.30 52.23

# G0268 33.09 31.44 36.16 35.43 35.43 34.72 G0270 28.33 26.91 30.95 30.33 30.33 29.72

# G0270 26.20 24.89 28.62 28.05 28.05 27.49 G0271 15.06 14.31 16.46 16.12 16.12 15.80

# G0271 14.45 13.73 15.79 15.48 15.48 15.17 G0276 389.70 370.22 425.75 417.24 417.24 408.89 G0277 38.29 36.38 41.84 41.00 41.00 40.18 G0278 13.72 13.03 14.98 14.69 14.69 14.39 G0279 50.74 48.20 55.43 54.33 54.33 53.25 G0279 TC 21.56 20.48 23.55 23.08 23.08 22.62 G0279 26 29.18 27.72 31.88 31.25 31.25 30.62 G0281 12.86 12.22 14.05 13.78 13.78 13.50 G0283 12.86 12.22 14.05 13.78 13.78 13.50 G0288 31.59 30.01 34.51 33.82 33.82 33.14 G0289 85.62 81.34 93.54 91.67 91.67 89.84 G0296 27.22 25.86 29.74 29.14 29.14 28.55

# G0296 25.71 24.42 28.08 27.52 27.52 26.97 G0297 221.87 210.78 242.40 237.54 237.54 232.79














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

G0297 TC 172.49 163.87 188.45 184.68 184.68 180.99 G0297 26 49.38 46.91 53.95 52.87 52.87 51.81 G0329 8.56 8.13 9.35 9.17 9.17 8.98 G0339 450.03 427.53 491.66 481.83 481.83 472.19 G0340 736.44 699.62 804.56 788.47 788.47 772.71 G0341 2,024.56 1,923.33 2,211.83 2,167.59 2,167.59 2,124.23

# G0341 369.52 351.04 403.70 395.62 395.62 387.71 G0342 682.99 648.84 746.17 731.24 731.24 716.61 G0343 1,212.28 1,151.67 1,324.42 1,297.94 1,297.94 1,271.98 G0364 11.53 10.95 12.59 12.34 12.34 12.10

# G0364 8.50 8.08 9.29 9.11 9.11 8.92 C G0365 142.11 135.00 155.25 152.15 152.15 149.10 C G0365 TC 130.02 123.52 142.05 139.21 139.21 136.42

G0365 26 12.09 11.49 13.21 12.95 12.95 12.68 G0372 8.55 8.12 9.34 9.15 9.15 8.97 G0389 102.62 97.49 112.11 109.87 109.87 107.67 G0389 TC 74.12 70.41 80.97 79.35 79.35 77.76 G0389 26 28.50 27.08 31.14 30.52 30.52 29.91 G0396 34.34 32.62 37.51 36.77 36.77 36.03

# G0396 32.52 30.89 35.52 34.81 34.81 34.11 G0397 68.38 64.96 74.70 73.21 73.21 71.75

# G0397 66.26 62.95 72.39 70.94 70.94 69.53 G0398 193.98 184.28 211.92 207.68 207.68 203.53 G0398 TC 112.25 106.64 122.64 120.19 120.19 117.78 G0398 26 81.72 77.63 89.27 87.49 87.49 85.74 G0399 193.98 184.28 211.92 207.68 207.68 203.53 G0399 TC 112.25 106.64 122.64 120.19 120.19 117.78 G0399 26 81.72 77.63 89.27 87.49 87.49 85.74 G0400 193.98 184.28 211.92 207.68 207.68 203.53














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

G0400 TC 112.25 106.64 122.64 120.19 120.19 117.78 G0400 26 81.72 77.63 89.27 87.49 87.49 85.74 G0402 155.85 148.06 170.27 166.87 166.87 163.53

# G0402 122.45 116.33 133.78 131.10 131.10 128.48 G0403 15.57 14.79 17.01 16.66 16.66 16.33 G0404 7.32 6.95 7.99 7.83 7.83 7.67 G0405 8.25 7.84 9.02 8.83 8.83 8.66 G0406 37.71 35.82 41.19 40.37 40.37 39.56 G0407 68.84 65.40 75.21 73.70 73.70 72.23 G0408 98.98 94.03 108.13 105.97 105.97 103.86 G0409 10.36 9.84 11.32 11.09 11.09 10.87 G0412 690.81 656.27 754.71 739.61 739.61 724.82 G0413 1,031.68 980.10 1,127.12 1,104.58 1,104.58 1,082.48 G0414 935.09 888.34 1,021.59 1,001.16 1,001.16 981.13 G0415 1,328.89 1,262.45 1,451.82 1,422.78 1,422.78 1,394.33 G0416 470.13 446.62 513.61 503.34 503.34 493.28 G0416 TC 319.21 303.25 348.74 341.77 341.77 334.94 G0416 26 150.92 143.37 164.88 161.58 161.58 158.34 G0420 105.54 100.26 115.30 112.99 112.99 110.73 G0421 24.38 23.16 26.63 26.11 26.11 25.59 G0422 96.55 91.72 105.48 103.37 103.37 101.30 G0423 96.55 91.72 105.48 103.37 103.37 101.30 G0424 27.10 25.75 29.61 29.03 29.03 28.45

# G0424 13.44 12.77 14.69 14.39 14.39 14.10 G0425 95.92 91.12 104.79 102.70 102.70 100.64 G0426 130.45 123.93 142.52 139.67 139.67 136.87 G0427 194.04 184.34 211.99 207.75 207.75 203.60 G0429 91.75 87.16 100.23 98.23 98.23 96.27

# G0429 68.67 65.24 75.03 73.53 73.53 72.06














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

G0436 13.82 13.13 15.10 14.80 14.80 14.50 # G0436 12.00 11.40 13.11 12.85 12.85 12.59

G0437 26.51 25.18 28.96 28.38 28.38 27.82 # G0437 24.99 23.74 27.30 26.76 26.76 26.22

G0438 160.10 152.10 174.92 171.42 171.42 167.99 G0439 107.80 102.41 117.77 115.41 115.41 113.10 G0442 16.50 15.68 18.03 17.68 17.68 17.32

# G0442 9.21 8.75 10.06 9.87 9.87 9.67 G0443 24.72 23.48 27.00 26.46 26.46 25.93

# G0443 22.90 21.76 25.02 24.52 24.52 24.02 G0444 16.50 15.68 18.03 17.68 17.68 17.32

# G0444 8.91 8.46 9.73 9.53 9.53 9.34 G0445 25.63 24.35 28.00 27.44 27.44 26.89

# G0445 22.90 21.76 25.02 24.52 24.52 24.02 G0446 24.72 23.48 27.00 26.46 26.46 25.93

# G0446 22.90 21.76 25.02 24.52 24.52 24.02 G0447 24.72 23.48 27.00 26.46 26.46 25.93

# G0447 22.90 21.76 25.02 24.52 24.52 24.02 G0451 7.63 7.25 8.34 8.18 8.18 8.02 G0452 26 17.84 16.95 19.49 19.10 19.10 18.72 G0453 31.68 30.10 34.62 33.93 33.93 33.25 G0454 8.91 8.46 9.73 9.53 9.53 9.34 G0455 118.41 112.49 129.36 126.78 126.78 124.25

# G0455 71.65 68.07 78.28 76.72 76.72 75.19 G0459 40.53 38.50 44.28 43.39 43.39 42.53 G0473 11.91 11.31 13.01 12.74 12.74 12.49

# G0473 11.31 10.74 12.35 12.11 12.11 11.87 G6001 47.59 45.21 51.99 50.96 50.96 49.93 G6001 TC 18.86 17.92 20.61 20.19 20.19 19.79














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

G6001 26 28.73 27.29 31.38 30.75 30.75 30.14 G6002 66.60 63.27 72.76 71.30 71.30 69.87 G6002 TC 47.10 44.75 51.46 50.44 50.44 49.43 G6002 26 19.50 18.53 21.31 20.88 20.88 20.47 G6003 159.74 151.75 174.51 171.03 171.03 167.61 G6004 123.61 117.43 135.04 132.34 132.34 129.70 G6005 123.30 117.14 134.71 132.02 132.02 129.38 G6006 123.00 116.85 134.38 131.69 131.69 129.05 G6007 256.90 244.06 280.67 275.06 275.06 269.56 G6008 170.97 162.42 186.78 183.05 183.05 179.39 G6009 169.15 160.69 184.79 181.10 181.10 177.48 G6010 168.85 160.41 184.47 180.78 180.78 177.17 G6011 274.51 260.78 299.90 293.89 293.89 288.02 G6012 225.32 214.05 246.16 241.24 241.24 236.41 G6013 225.63 214.35 246.50 241.57 241.57 236.74 G6014 225.63 214.35 246.50 241.57 241.57 236.74 G6015 294.65 279.92 321.91 315.47 315.47 309.15 G6016 293.64 278.96 320.80 314.39 314.39 308.10 G9157 96.07 91.27 104.96 102.86 102.86 100.80 G9187 39.34 37.37 42.98 42.11 42.11 41.27 P3001 30.29 28.78 33.10 32.43 32.43 31.79 Q0035 18.91 17.96 20.65 20.24 20.24 19.84 Q0035 TC 10.36 9.84 11.32 11.09 11.09 10.87 Q0035 26 8.55 8.12 9.34 9.15 9.15 8.97 Q0091 40.71 38.67 44.47 43.59 43.59 42.71

# Q0091 19.16 18.20 20.93 20.52 20.52 20.10 Q0092 21.59 20.51 23.59 23.12 23.12 22.66 R0070 203.52 193.34 222.34 217.89 217.89 213.53 R0075 203.52 193.34 222.34 217.89 217.89 213.53














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

0075T 5,382.27 5,113.16 5,880.13 5,762.54 5,762.54 5,647.28 0075T TC 4,305.82 4,090.53 4,704.11 4,610.03 4,610.03 4,517.83 0075T 26 1,076.46 1,022.64 1,176.04 1,152.52 1,152.52 1,129.47 0076T 5,382.27 5,113.16 5,880.13 5,762.54 5,762.54 5,647.28 0076T TC 4,305.82 4,090.53 4,704.11 4,610.03 4,610.03 4,517.83 0076T 26 1,076.46 1,022.64 1,176.04 1,152.52 1,152.52 1,129.47 0163T 1,641.17 1,559.11 1,792.98 1,757.12 1,757.12 1,721.98 0171T 722.67 686.54 789.52 773.73 773.73 758.25 0172T 135.61 128.83 148.15 145.19 145.19 142.29 0191T 687.09 652.74 750.65 735.64 735.64 720.94 0295T 88.42 84.00 96.60 94.67 94.67 92.77 0296T 25.35 24.08 27.69 27.14 27.14 26.60 0297T 37.41 35.54 40.87 40.05 40.05 39.25 0298T 25.68 24.40 28.06 27.50 27.50 26.94 0308T 1,475.63 1,401.85 1,612.13 1,579.88 1,579.88 1,548.28 0394T 198.79 188.85 217.18 212.83 212.83 208.58 0395T 533.39 506.72 582.73 571.08 571.08 559.66 10021 113.47 107.80 123.97 121.49 121.49 119.06

# 10021 68.23 64.82 74.54 73.05 73.05 71.59 10022 128.82 122.38 140.74 137.92 137.92 135.16

# 10022 64.45 61.23 70.41 69.01 69.01 67.63 10030 691.00 656.45 754.92 739.82 739.82 725.02

# 10030 166.65 158.32 182.07 178.42 178.42 174.86 10035 470.74 447.20 514.28 504.00 504.00 493.91

# 10035 85.75 81.46 93.68 91.80 91.80 89.96 10036 405.72 385.43 443.24 434.38 434.38 425.70

# 10036 43.20 41.04 47.20 46.25 46.25 45.33 10040 94.62 89.89 103.37 101.30 101.30 99.28

# 10040 83.39 79.22 91.10 89.29 89.29 87.50














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

10060 107.90 102.51 117.89 115.53 115.53 113.22 # 10060 90.89 86.35 99.30 97.31 97.31 95.37

10061 192.00 182.40 209.76 205.56 205.56 201.46 # 10061 169.84 161.35 185.55 181.84 181.84 178.20

10080 161.51 153.43 176.44 172.91 172.91 169.45 # 10080 96.23 91.42 105.13 103.03 103.03 100.97

10081 245.89 233.60 268.64 263.27 263.27 258.00 # 10081 162.09 153.99 177.09 173.55 173.55 170.07

10120 137.69 130.81 150.43 147.42 147.42 144.47 # 10120 96.70 91.87 105.65 103.53 103.53 101.46

10121 252.23 239.62 275.56 270.05 270.05 264.65 # 10121 177.54 168.66 193.96 190.08 190.08 186.28

10140 149.57 142.09 163.40 160.14 160.14 156.94 # 10140 111.92 106.32 122.27 119.82 119.82 117.43

10160 119.40 113.43 130.44 127.83 127.83 125.28 # 10160 90.56 86.03 98.93 96.96 96.96 95.01

10180 227.11 215.75 248.11 243.16 243.16 238.29 # 10180 170.03 161.53 185.76 182.05 182.05 178.40

11000 50.20 47.69 54.84 53.75 53.75 52.68 # 11000 28.34 26.92 30.96 30.34 30.34 29.73

11001 20.26 19.25 22.14 21.70 21.70 21.26 # 11001 14.19 13.48 15.50 15.19 15.19 14.89

11004 574.77 546.03 627.93 615.38 615.38 603.07 11005 777.71 738.82 849.64 832.65 832.65 815.99 11006 697.70 662.82 762.24 746.99 746.99 732.06 11008 273.54 259.86 298.84 292.86 292.86 287.01 11010 450.23 427.72 491.88 482.05 482.05 472.41

# 11010 269.58 256.10 294.52 288.63 288.63 282.85 11011 492.13 467.52 537.65 526.90 526.90 516.36














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 11011 292.04 277.44 319.06 312.67 312.67 306.42 11012 659.29 626.33 720.28 705.87 705.87 691.75

# 11012 416.09 395.29 454.58 445.49 445.49 436.57 11042 106.11 100.80 115.92 113.60 113.60 111.32

# 11042 59.66 56.68 65.18 63.88 63.88 62.61 11043 213.15 202.49 232.86 228.21 228.21 223.64

# 11043 151.82 144.23 165.86 162.55 162.55 159.30 11044 296.67 281.84 324.12 317.63 317.63 311.28

# 11044 226.84 215.50 247.83 242.87 242.87 238.02 11045 38.19 36.28 41.72 40.88 40.88 40.07

# 11045 25.74 24.45 28.12 27.55 27.55 27.00 11046 69.69 66.21 76.14 74.62 74.62 73.13

# 11046 55.12 52.36 60.21 59.01 59.01 57.82 11047 118.47 112.55 129.43 126.85 126.85 124.30

# 11047 98.13 93.22 107.20 105.06 105.06 102.96 11055 42.66 40.53 46.61 45.68 45.68 44.77

# 11055 15.94 15.14 17.41 17.07 17.07 16.72 11056 52.62 49.99 57.49 56.34 56.34 55.21

# 11056 22.56 21.43 24.64 24.15 24.15 23.67 11057 59.85 56.86 65.39 64.08 64.08 62.80

# 11057 29.49 28.02 32.22 31.58 31.58 30.95 11100 93.45 88.78 102.10 100.05 100.05 98.05

# 11100 47.30 44.94 51.68 50.65 50.65 49.63 11101 30.68 29.15 33.52 32.86 32.86 32.20

# 11101 24.30 23.09 26.55 26.02 26.02 25.51 11200 80.45 76.43 87.89 86.14 86.14 84.41

# 11200 68.31 64.89 74.62 73.13 73.13 71.67 11201 18.11 17.20 19.78 19.39 19.39 19.00

# 11201 16.29 15.48 17.80 17.45 17.45 17.10














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

11300 86.74 82.40 94.76 92.86 92.86 91.01 # 11300 34.21 32.50 37.38 36.63 36.63 35.89

11301 107.94 102.54 117.92 115.56 115.56 113.25 # 11301 52.08 49.48 56.90 55.76 55.76 54.65

11302 127.08 120.73 138.84 136.07 136.07 133.34 # 11302 61.20 58.14 66.86 65.53 65.53 64.22

11303 141.03 133.98 154.08 151.00 151.00 147.97 # 11303 72.41 68.79 79.11 77.52 77.52 75.97

11305 89.61 85.13 97.90 95.94 95.94 94.02 # 11305 38.91 36.96 42.50 41.65 41.65 40.83

11306 110.06 104.56 120.24 117.84 117.84 115.48 # 11306 50.85 48.31 55.56 54.44 54.44 53.35

11307 130.33 123.81 142.38 139.53 139.53 136.74 # 11307 65.35 62.08 71.39 69.97 69.97 68.56

11308 137.78 130.89 150.52 147.51 147.51 144.56 # 11308 72.80 69.16 79.53 77.95 77.95 76.38

11310 101.90 96.81 111.33 109.10 109.10 106.92 # 11310 46.03 43.73 50.29 49.29 49.29 48.30

11311 102.19 97.08 111.64 109.41 109.41 107.23 # 11311 63.93 60.73 69.84 68.45 68.45 67.08

11312 145.28 138.02 158.72 155.55 155.55 152.43 # 11312 76.06 72.26 83.10 81.43 81.43 79.80

11313 169.42 160.95 185.09 181.39 181.39 177.77 # 11313 97.77 92.88 106.81 104.67 104.67 102.58

11400 111.62 106.04 121.95 119.51 119.51 117.12 # 11400 74.88 71.14 81.81 80.18 80.18 78.58

11401 135.46 128.69 147.99 145.04 145.04 142.14 # 11401 97.50 92.63 106.52 104.40 104.40 102.30

11402 150.79 143.25 164.74 161.45 161.45 158.22














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 11402 107.68 102.30 117.65 115.29 115.29 112.99 11403 176.00 167.20 192.28 188.44 188.44 184.67

# 11403 139.26 132.30 152.15 149.10 149.10 146.12 11404 200.19 190.18 218.71 214.34 214.34 210.05

# 11404 154.04 146.34 168.29 164.92 164.92 161.62 11406 291.87 277.28 318.87 312.49 312.49 306.25

# 11406 236.61 224.78 258.50 253.32 253.32 248.25 11420 111.08 105.53 121.36 118.93 118.93 116.55

# 11420 76.77 72.93 83.87 82.19 82.19 80.55 11421 143.21 136.05 156.46 153.33 153.33 150.26

# 11421 104.04 98.84 113.67 111.39 111.39 109.16 11422 160.62 152.59 175.48 171.97 171.97 168.53

# 11422 127.52 121.14 139.31 136.53 136.53 133.80 11423 186.04 176.74 203.25 199.19 199.19 195.21

# 11423 149.00 141.55 162.78 159.53 159.53 156.34 11424 215.97 205.17 235.95 231.23 231.23 226.61

# 11424 171.34 162.77 187.19 183.44 183.44 179.77 11426 312.42 296.80 341.32 334.49 334.49 327.80

# 11426 264.45 251.23 288.91 283.14 283.14 277.48 11440 121.85 115.76 133.12 130.46 130.46 127.85

# 11440 95.43 90.66 104.26 102.18 102.18 100.13 11441 153.35 145.68 167.53 164.19 164.19 160.90

# 11441 123.29 117.13 134.70 132.01 132.01 129.36 11442 172.14 163.53 188.06 184.30 184.30 180.61

# 11442 136.92 130.07 149.58 146.59 146.59 143.66 11443 206.87 196.53 226.01 221.49 221.49 217.06

# 11443 169.22 160.76 184.87 181.17 181.17 177.55 11444 261.47 248.40 285.66 279.94 279.94 274.34

# 11444 216.84 206.00 236.90 232.16 232.16 227.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

11446 365.57 347.29 399.38 391.39 391.39 383.56 # 11446 312.44 296.82 341.34 334.51 334.51 327.82

11450 348.19 330.78 380.40 372.78 372.78 365.33 # 11450 239.50 227.53 261.66 256.43 256.43 251.30

11451 445.80 423.51 487.04 477.30 477.30 467.75 # 11451 310.38 294.86 339.09 332.30 332.30 325.66

11462 338.86 321.92 370.21 362.80 362.80 355.55 # 11462 228.04 216.64 249.14 244.16 244.16 239.27

11463 450.55 428.02 492.22 482.38 482.38 472.73 # 11463 311.19 295.63 339.97 333.18 333.18 326.52

11470 379.17 360.21 414.24 405.96 405.96 397.84 # 11470 268.04 254.64 292.84 286.98 286.98 281.24

11471 469.41 445.94 512.83 502.57 502.57 492.52 # 11471 334.00 317.30 364.90 357.59 357.59 350.44

11600 174.85 166.11 191.03 187.21 187.21 183.46 # 11600 113.21 107.55 123.68 121.21 121.21 118.78

11601 208.80 198.36 228.11 223.55 223.55 219.08 # 11601 142.00 134.90 155.14 152.03 152.03 148.99

11602 226.69 215.36 247.66 242.71 242.71 237.85 # 11602 155.94 148.14 170.36 166.96 166.96 163.62

11603 260.70 247.67 284.82 279.13 279.13 273.55 # 11603 187.53 178.15 204.87 200.78 200.78 196.77

11604 290.21 275.70 317.06 310.72 310.72 304.51 # 11604 207.02 196.67 226.17 221.65 221.65 217.22

11606 419.15 398.19 457.92 448.76 448.76 439.79 # 11606 310.45 294.93 339.17 332.38 332.38 325.74

11620 176.79 167.95 193.14 189.28 189.28 185.50 # 11620 114.86 109.12 125.49 122.98 122.98 120.52

11621 210.10 199.60 229.54 224.95 224.95 220.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 11621 143.30 136.14 156.56 153.43 153.43 150.36 11622 234.84 223.10 256.57 251.44 251.44 246.41

# 11622 164.10 155.90 179.29 175.70 175.70 172.18 11623 277.67 263.79 303.36 297.29 297.29 291.34

# 11623 204.19 193.98 223.08 218.62 218.62 214.25 11624 313.89 298.20 342.93 336.08 336.08 329.36

# 11624 231.91 220.31 253.36 248.29 248.29 243.32 11626 380.17 361.16 415.33 407.03 407.03 398.89

# 11626 285.74 271.45 312.17 305.92 305.92 299.81 11640 182.12 173.01 198.96 194.98 194.98 191.08

# 11640 118.66 112.73 129.64 127.05 127.05 124.51 11641 217.61 206.73 237.74 232.99 232.99 228.33

# 11641 149.29 141.83 163.10 159.84 159.84 156.64 11642 249.49 237.02 272.57 267.12 267.12 261.77

# 11642 176.62 167.79 192.96 189.09 189.09 185.31 11643 296.19 281.38 323.59 317.11 317.11 310.78

# 11643 221.81 210.72 242.33 237.49 237.49 232.74 11644 366.13 347.82 399.99 391.99 391.99 384.15

# 11644 275.35 261.58 300.82 294.80 294.80 288.90 11646 482.52 458.39 527.15 516.60 516.60 506.28

# 11646 384.15 364.94 419.68 411.29 411.29 403.06 11719 12.80 12.16 13.98 13.71 13.71 13.43

# 11719 7.64 7.26 8.35 8.18 8.18 8.02 11720 29.44 27.97 32.17 31.52 31.52 30.89

# 11720 14.56 13.83 15.90 15.58 15.58 15.27 11721 41.64 39.56 45.49 44.59 44.59 43.69

# 11721 24.64 23.41 26.92 26.38 26.38 25.85 11730 91.28 86.72 99.73 97.74 97.74 95.78

# 11730 50.60 48.07 55.28 54.18 54.18 53.10














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

11732 33.17 31.51 36.24 35.51 35.51 34.80 # 11732 20.11 19.10 21.97 21.53 21.53 21.10

11740 44.63 42.40 48.76 47.78 47.78 46.83 # 11740 30.36 28.84 33.17 32.50 32.50 31.84

11750 164.17 155.96 179.35 175.77 175.77 172.25 # 11750 130.77 124.23 142.86 140.01 140.01 137.22

11752 300.52 285.49 328.31 321.75 321.75 315.31 # 11752 249.21 236.75 272.26 266.82 266.82 261.49

11755 122.25 116.14 133.56 130.89 130.89 128.27 # 11755 75.19 71.43 82.14 80.50 80.50 78.89

11760 176.56 167.73 192.89 189.04 189.04 185.25 # 11760 110.98 105.43 121.24 118.82 118.82 116.44

11762 258.02 245.12 281.89 276.25 276.25 270.73 # 11762 176.65 167.82 192.99 189.13 189.13 185.35

11765 150.57 143.04 164.50 161.21 161.21 157.99 # 11765 88.33 83.91 96.50 94.56 94.56 92.68

11770 256.03 243.23 279.71 274.13 274.13 268.64 # 11770 178.00 169.10 194.47 190.58 190.58 186.77

11771 533.16 506.50 582.48 570.83 570.83 559.41 # 11771 416.57 395.74 455.10 446.00 446.00 437.08

11772 646.32 614.00 706.10 691.98 691.98 678.14 # 11772 547.94 520.54 598.62 586.65 586.65 574.92

11900 50.74 48.20 55.43 54.33 54.33 53.25 # 11900 30.40 28.88 33.21 32.55 32.55 31.89

11901 64.86 61.62 70.86 69.45 69.45 68.06 # 11901 46.94 44.59 51.28 50.26 50.26 49.25

11920 155.72 147.93 170.12 166.72 166.72 163.38 # 11920 108.65 103.22 118.70 116.33 116.33 114.01

11921 181.96 172.86 198.79 194.81 194.81 190.91














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 11921 128.82 122.38 140.74 137.92 137.92 135.16 11922 55.78 52.99 60.94 59.72 59.72 58.52

# 11922 28.76 27.32 31.42 30.79 30.79 30.16 11950 67.97 64.57 74.26 72.77 72.77 71.31

# 11950 49.15 46.69 53.69 52.62 52.62 51.57 11951 91.01 86.46 99.43 97.44 97.44 95.50

# 11951 69.76 66.27 76.21 74.68 74.68 73.19 11952 122.72 116.58 134.07 131.39 131.39 128.77

# 11952 94.48 89.76 103.22 101.15 101.15 99.13 11954 146.87 139.53 160.46 157.25 157.25 154.11

# 11954 111.05 105.50 121.33 118.90 118.90 116.52 11960 890.63 846.10 973.02 953.56 953.56 934.49 11970 577.95 549.05 631.41 618.78 618.78 606.41 11971 424.37 403.15 463.62 454.35 454.35 445.27

# 11971 297.16 282.30 324.65 318.15 318.15 311.79 11976 133.09 126.44 145.41 142.50 142.50 139.64

# 11976 92.10 87.50 100.63 98.61 98.61 96.65 11980 87.17 82.81 95.23 93.32 93.32 91.46

# 11980 55.29 52.53 60.41 59.20 59.20 58.02 11981 129.81 123.32 141.82 138.98 138.98 136.19

# 11981 80.92 76.87 88.40 86.63 86.63 84.89 11982 148.01 140.61 161.70 158.47 158.47 155.30

# 11982 98.22 93.31 107.31 105.16 105.16 103.05 11983 211.09 200.54 230.62 226.01 226.01 221.49

# 11983 171.01 162.46 186.83 183.09 183.09 179.43 12001 81.47 77.40 89.01 87.23 87.23 85.48

# 12001 43.52 41.34 47.54 46.59 46.59 45.66 12002 99.94 94.94 109.18 107.00 107.00 104.86

# 12002 57.44 54.57 62.76 61.50 61.50 60.27














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

12004 118.45 112.53 129.41 126.82 126.82 124.28 # 12004 72.00 68.40 78.66 77.08 77.08 75.54

12005 150.46 142.94 164.38 161.09 161.09 157.87 # 12005 94.29 89.58 103.02 100.96 100.96 98.93

12006 178.80 169.86 195.34 191.43 191.43 187.60 # 12006 115.64 109.86 126.34 123.81 123.81 121.34

12007 209.62 199.14 229.01 224.43 224.43 219.95 # 12007 145.56 138.28 159.02 155.84 155.84 152.72

12011 100.17 95.16 109.43 107.25 107.25 105.10 # 12011 54.32 51.60 59.34 58.16 58.16 56.99

12013 105.31 100.04 115.05 112.75 112.75 110.49 # 12013 57.64 54.76 62.97 61.71 61.71 60.48

12014 124.08 117.88 135.56 132.85 132.85 130.19 # 12014 74.29 70.58 81.17 79.55 79.55 77.96

12015 150.82 143.28 164.77 161.47 161.47 158.24 # 12015 93.43 88.76 102.07 100.03 100.03 98.03

12016 192.66 183.03 210.48 206.28 206.28 202.15 # 12016 127.69 121.31 139.51 136.71 136.71 133.98

12017 152.99 145.34 167.14 163.79 163.79 160.52 12018 173.46 164.79 189.51 185.71 185.71 182.00 12020 266.34 253.02 290.97 285.15 285.15 279.45

# 12020 186.18 176.87 203.40 199.33 199.33 195.34 12021 155.70 147.92 170.11 166.70 166.70 163.37

# 12021 134.45 127.73 146.89 143.96 143.96 141.08 12031 215.40 204.63 235.32 230.62 230.62 226.01

# 12031 145.26 138.00 158.70 155.53 155.53 152.42 12032 275.55 261.77 301.04 295.01 295.01 289.11

# 12032 185.08 175.83 202.20 198.16 198.16 194.19 12034 285.64 271.36 312.06 305.82 305.82 299.70














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 12034 198.20 188.29 216.53 212.20 212.20 207.95 12035 350.28 332.77 382.69 375.03 375.03 367.53

# 12035 230.95 219.40 252.31 247.26 247.26 242.32 12036 388.62 369.19 424.57 416.08 416.08 407.76

# 12036 269.60 256.12 294.54 288.65 288.65 282.88 12037 441.88 419.79 482.76 473.10 473.10 463.63

# 12037 315.88 300.09 345.10 338.20 338.20 331.44 12041 215.94 205.14 235.91 231.20 231.20 226.57

# 12041 143.68 136.50 156.98 153.84 153.84 150.75 12042 265.02 251.77 289.54 283.74 283.74 278.07

# 12042 191.54 181.96 209.25 205.07 205.07 200.96 12044 327.52 311.14 357.81 350.66 350.66 343.64

# 12044 206.38 196.06 225.47 220.96 220.96 216.55 12045 369.25 350.79 403.41 395.34 395.34 387.42

# 12045 258.43 245.51 282.34 276.69 276.69 271.16 12046 438.96 417.01 479.56 469.97 469.97 460.58

# 12046 298.08 283.18 325.66 319.15 319.15 312.77 12047 477.48 453.61 521.65 511.22 511.22 501.00

# 12047 332.05 315.45 362.77 355.51 355.51 348.40 12051 235.89 224.10 257.72 252.56 252.56 247.51

# 12051 163.63 155.45 178.77 175.19 175.19 171.68 12052 270.04 256.54 295.02 289.12 289.12 283.34

# 12052 195.05 185.30 213.10 208.83 208.83 204.65 12053 315.57 299.79 344.76 337.86 337.86 331.10

# 12053 209.00 198.55 228.33 223.77 223.77 219.29 12054 330.90 314.36 361.51 354.28 354.28 347.20

# 12054 215.22 204.46 235.13 230.43 230.43 225.81 12055 429.58 408.10 469.32 459.93 459.93 450.73

# 12055 294.47 279.75 321.71 315.28 315.28 308.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

12056 502.24 477.13 548.70 537.73 537.73 526.98 # 12056 361.97 343.87 395.45 387.54 387.54 379.79

12057 521.87 495.78 570.15 558.74 558.74 547.56 # 12057 392.23 372.62 428.51 419.95 419.95 411.55

13100 305.47 290.20 333.73 327.06 327.06 320.52 # 13100 197.99 188.09 216.30 211.98 211.98 207.74

13101 361.30 343.24 394.73 386.84 386.84 379.10 # 13101 242.59 230.46 265.03 259.73 259.73 254.53

13102 112.27 106.66 122.66 120.21 120.21 117.81 # 13102 72.80 69.16 79.53 77.95 77.95 76.38

13120 320.22 304.21 349.84 342.85 342.85 336.00 # 13120 225.79 214.50 246.68 241.74 241.74 236.91

13121 391.29 371.73 427.49 418.95 418.95 410.56 # 13121 258.00 245.10 281.87 276.23 276.23 270.71

13122 123.45 117.28 134.87 132.17 132.17 129.52 # 13122 83.67 79.49 91.41 89.59 89.59 87.79

13131 353.51 335.83 386.20 378.48 378.48 370.91 # 13131 240.87 228.83 263.15 257.89 257.89 252.74

13132 438.43 416.51 478.99 469.41 469.41 460.02 # 13132 304.23 289.02 332.37 325.73 325.73 319.22

13133 167.35 158.98 182.83 179.17 179.17 175.58 # 13133 128.18 121.77 140.04 137.23 137.23 134.48

13151 389.07 369.62 425.06 416.56 416.56 408.24 # 13151 277.33 263.46 302.98 296.92 296.92 290.98

13152 468.55 445.12 511.89 501.65 501.65 491.63 # 13152 337.08 320.23 368.26 360.90 360.90 353.68

13153 181.58 172.50 198.38 194.41 194.41 190.52 # 13153 138.47 131.55 151.28 148.26 148.26 145.29

13160 777.11 738.25 848.99 832.01 832.01 815.37














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

14000 574.76 546.02 627.92 615.37 615.37 603.06 # 14000 476.69 452.86 520.79 510.37 510.37 500.16

14001 743.46 706.29 812.23 795.98 795.98 780.07 # 14001 624.13 592.92 681.86 668.22 668.22 654.86

14020 643.66 611.48 703.20 689.14 689.14 675.36 # 14020 538.91 511.96 588.75 576.98 576.98 565.44

14021 809.80 769.31 884.71 867.01 867.01 849.67 # 14021 685.62 651.34 749.04 734.06 734.06 719.37

14040 708.70 673.27 774.26 758.77 758.77 743.59 # 14040 603.35 573.18 659.16 645.98 645.98 633.06

14041 878.74 834.80 960.02 940.82 940.82 922.00 # 14041 744.23 707.02 813.07 796.81 796.81 780.87

14060 725.77 689.48 792.90 777.04 777.04 761.51 # 14060 642.88 610.74 702.35 688.31 688.31 674.54

14061 944.26 897.05 1,031.61 1,010.98 1,010.98 990.76 # 14061 795.79 756.00 869.40 852.01 852.01 834.97

14301 1,007.08 956.73 1,100.24 1,078.24 1,078.24 1,056.68 # 14301 847.37 805.00 925.75 907.24 907.24 889.09

14302 216.90 206.06 236.97 232.23 232.23 227.59 14350 670.18 636.67 732.17 717.53 717.53 703.18 15002 321.78 305.69 351.54 344.52 344.52 337.63

# 15002 220.68 209.65 241.10 236.28 236.28 231.55 15003 70.16 66.65 76.65 75.12 75.12 73.61

# 15003 44.96 42.71 49.12 48.14 48.14 47.17 15004 373.26 354.60 407.79 399.64 399.64 391.64

# 15004 263.66 250.48 288.05 282.29 282.29 276.64 15005 117.51 111.63 128.37 125.81 125.81 123.29

# 15005 89.58 85.10 97.87 95.91 95.91 93.99 15040 233.29 221.63 254.87 249.78 249.78 244.79














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 15040 124.29 118.08 135.79 133.08 133.08 130.42 15050 519.50 493.53 567.56 556.21 556.21 545.09

# 15050 420.82 399.78 459.75 450.55 450.55 441.53 15100 802.63 762.50 876.88 859.34 859.34 842.16

# 15100 685.13 650.87 748.50 733.53 733.53 718.85 15101 171.24 162.68 187.08 183.34 183.34 179.68

# 15101 108.09 102.69 118.09 115.74 115.74 113.42 15110 760.53 722.50 830.88 814.26 814.26 797.97

# 15110 673.08 639.43 735.34 720.64 720.64 706.23 15111 112.31 106.69 122.69 120.24 120.24 117.84

# 15111 102.90 97.76 112.42 110.17 110.17 107.96 15115 780.08 741.08 852.24 835.20 835.20 818.49

# 15115 692.03 657.43 756.04 740.92 740.92 726.10 15116 149.27 141.81 163.08 159.82 159.82 156.62

# 15116 136.52 129.69 149.14 146.17 146.17 143.24 15120 797.55 757.67 871.32 853.90 853.90 836.82

# 15120 671.25 637.69 733.34 718.68 718.68 704.31 15121 192.30 182.69 210.09 205.90 205.90 201.78

# 15121 128.54 122.11 140.43 137.62 137.62 134.87 15130 627.73 596.34 685.79 672.07 672.07 658.63

# 15130 538.17 511.26 587.95 576.18 576.18 564.66 15131 95.61 90.83 104.45 102.36 102.36 100.31

# 15131 88.62 84.19 96.82 94.89 94.89 92.99 15135 796.05 756.25 869.69 852.30 852.30 835.26

# 15135 708.30 672.89 773.82 758.34 758.34 743.18 15136 91.29 86.73 99.74 97.75 97.75 95.80

# 15136 86.13 81.82 94.09 92.21 92.21 90.37 15150 664.65 631.42 726.13 711.61 711.61 697.37

# 15150 614.25 583.54 671.07 657.65 657.65 644.49














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

15151 119.07 113.12 130.09 127.49 127.49 124.94 # 15151 111.18 105.62 121.46 119.04 119.04 116.66

15152 146.50 139.18 160.06 156.86 156.86 153.72 # 15152 138.30 131.39 151.10 148.07 148.07 145.11

15155 686.20 651.89 749.67 734.68 734.68 719.98 # 15155 640.35 608.33 699.58 685.58 685.58 671.88

15156 154.81 147.07 169.13 165.75 165.75 162.44 # 15156 147.83 140.44 161.51 158.27 158.27 155.11

15157 169.31 160.84 184.97 181.26 181.26 177.64 # 15157 159.59 151.61 174.35 170.87 170.87 167.45

15200 772.60 733.97 844.07 827.18 827.18 810.64 # 15200 641.74 609.65 701.10 687.08 687.08 673.34

15201 135.55 128.77 148.09 145.12 145.12 142.22 # 15201 76.95 73.10 84.07 82.39 82.39 80.74

15220 713.32 677.65 779.30 763.72 763.72 748.44 # 15220 585.19 555.93 639.32 626.53 626.53 614.00

15221 125.02 118.77 136.59 133.85 133.85 131.17 # 15221 69.76 66.27 76.21 74.68 74.68 73.19

15240 868.63 825.20 948.98 930.01 930.01 911.41 # 15240 761.75 723.66 832.21 815.57 815.57 799.26

15241 170.61 162.08 186.39 182.67 182.67 179.01 # 15241 108.98 103.53 119.06 116.68 116.68 114.34

15260 943.77 896.58 1,031.07 1,010.45 1,010.45 990.24 # 15260 819.59 778.61 895.40 877.50 877.50 859.95

15261 199.79 189.80 218.27 213.90 213.90 209.62 # 15261 136.33 129.51 148.94 145.96 145.96 143.04

15271 130.04 123.54 142.07 139.23 139.23 136.45 # 15271 82.98 78.83 90.65 88.84 88.84 87.07

15272 25.35 24.08 27.69 27.14 27.14 26.60














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 15272 17.15 16.29 18.73 18.35 18.35 17.99 15273 278.16 264.25 303.89 297.82 297.82 291.86

# 15273 198.61 188.68 216.98 212.65 212.65 208.39 15274 66.59 63.26 72.75 71.29 71.29 69.86

# 15274 45.33 43.06 49.52 48.53 48.53 47.56 15275 139.02 132.07 151.88 148.84 148.84 145.87

# 15275 94.09 89.39 102.80 100.74 100.74 98.73 15276 32.69 31.06 35.72 35.01 35.01 34.30

# 15276 24.79 23.55 27.08 26.54 26.54 26.01 15277 302.47 287.35 330.45 323.84 323.84 317.37

# 15277 221.10 210.05 241.56 236.73 236.73 231.99 15278 79.62 75.64 86.99 85.25 85.25 83.55

# 15278 56.24 53.43 61.44 60.21 60.21 59.01 15570 851.20 808.64 929.94 911.34 911.34 893.11

# 15570 703.95 668.75 769.06 753.69 753.69 738.61 15572 827.18 785.82 903.69 885.62 885.62 867.91

# 15572 711.50 675.93 777.32 761.77 761.77 746.53 15574 854.02 811.32 933.02 914.35 914.35 896.07

# 15574 733.79 697.10 801.67 785.63 785.63 769.93 15576 752.38 714.76 821.97 805.53 805.53 789.42

# 15576 641.25 609.19 700.57 686.56 686.56 672.83 15600 289.34 274.87 316.10 309.78 309.78 303.58

# 15600 191.88 182.29 209.63 205.44 205.44 201.33 15610 320.67 304.64 350.34 343.33 343.33 336.47

# 15610 224.72 213.48 245.50 240.59 240.59 235.78 15620 401.13 381.07 438.23 429.47 429.47 420.88

# 15620 306.40 291.08 334.74 328.05 328.05 321.48 15630 420.07 399.07 458.93 449.75 449.75 440.76

# 15630 326.25 309.94 356.43 349.30 349.30 342.32














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

15650 462.50 439.38 505.29 495.18 495.18 485.28 # 15650 361.39 343.32 394.82 386.92 386.92 379.18

15731 1,062.63 1,009.50 1,160.93 1,137.71 1,137.71 1,114.95 # 15731 966.39 918.07 1,055.78 1,034.67 1,034.67 1,013.98

15732 1,210.08 1,149.58 1,322.02 1,295.58 1,295.58 1,269.67 # 15732 1,071.02 1,017.47 1,170.09 1,146.69 1,146.69 1,123.76

15734 1,426.94 1,355.59 1,558.93 1,527.75 1,527.75 1,497.20 # 15734 1,274.82 1,211.08 1,392.74 1,364.89 1,364.89 1,337.59

15736 1,248.30 1,185.89 1,363.77 1,336.50 1,336.50 1,309.77 # 15736 1,098.61 1,043.68 1,200.23 1,176.23 1,176.23 1,152.70

15738 1,332.81 1,266.17 1,456.10 1,426.98 1,426.98 1,398.43 # 15738 1,192.24 1,132.63 1,302.52 1,276.48 1,276.48 1,250.95

15740 951.17 903.61 1,039.15 1,018.37 1,018.37 998.00 # 15740 816.06 775.26 891.55 873.71 873.71 856.24

15750 879.41 835.44 960.76 941.54 941.54 922.71 15756 2,257.54 2,144.66 2,466.36 2,417.04 2,417.04 2,368.69 15757 2,233.25 2,121.59 2,439.83 2,391.03 2,391.03 2,343.22 15758 2,235.24 2,123.48 2,442.00 2,393.16 2,393.16 2,345.30 15760 796.58 756.75 870.26 852.86 852.86 835.81

# 15760 677.56 643.68 740.23 725.43 725.43 710.92 15770 639.34 607.37 698.48 684.50 684.50 670.82 15775 283.29 269.13 309.50 303.31 303.31 297.25

# 15775 218.32 207.40 238.51 233.74 233.74 229.07 15776 461.43 438.36 504.11 494.03 494.03 484.15

# 15776 344.84 327.60 376.74 369.21 369.21 361.82 15777 209.32 198.85 228.68 224.10 224.10 219.62 15780 777.88 738.99 849.84 832.84 832.84 816.19

# 15780 602.69 572.56 658.44 645.28 645.28 632.37 15781 509.08 483.63 556.17 545.05 545.05 534.15














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 15781 407.97 387.57 445.71 436.79 436.79 428.05 15782 574.28 545.57 627.41 614.86 614.86 602.57

# 15782 414.58 393.85 452.93 443.87 443.87 434.99 15783 428.34 406.92 467.96 458.60 458.60 449.42

# 15783 340.29 323.28 371.77 364.33 364.33 357.04 15786 222.57 211.44 243.16 238.29 238.29 233.53

# 15786 130.27 123.76 142.32 139.47 139.47 136.68 15787 44.10 41.90 48.19 47.22 47.22 46.28

# 15787 17.08 16.23 18.66 18.30 18.30 17.93 15788 408.96 388.51 446.79 437.85 437.85 429.10

# 15788 227.09 215.74 248.10 243.14 243.14 238.28 15789 502.84 477.70 549.36 538.37 538.37 527.61

# 15789 389.59 370.11 425.63 417.12 417.12 408.78 15792 392.90 373.26 429.25 420.66 420.66 412.24

# 15792 239.87 227.88 262.06 256.82 256.82 251.68 15793 448.42 426.00 489.90 480.10 480.10 470.50

# 15793 343.07 325.92 374.81 367.31 367.31 359.96 15819 704.62 669.39 769.80 754.40 754.40 739.31 15820 520.22 494.21 568.34 556.98 556.98 545.84

# 15820 473.46 449.79 517.26 506.91 506.91 496.77 15821 561.39 533.32 613.32 601.05 601.05 589.03

# 15821 509.17 483.71 556.27 545.15 545.15 534.24 15822 410.00 389.50 447.93 438.97 438.97 430.19

# 15822 363.85 345.66 397.51 389.56 389.56 381.78 15823 560.95 532.90 612.84 600.58 600.58 588.57

# 15823 507.82 482.43 554.79 543.70 543.70 532.82 15830 1,126.57 1,070.24 1,230.78 1,206.17 1,206.17 1,182.04 15832 877.30 833.44 958.46 939.29 939.29 920.49 15833 821.67 780.59 897.68 879.73 879.73 862.13














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

15834 845.94 803.64 924.19 905.71 905.71 887.59 15835 887.34 842.97 969.42 950.03 950.03 931.03 15836 728.21 691.80 795.57 779.65 779.65 764.06 15837 756.43 718.61 826.40 809.88 809.88 793.68

# 15837 643.79 611.60 703.34 689.28 689.28 675.49 15838 548.37 520.95 599.09 587.11 587.11 575.37 15839 828.38 786.96 905.00 886.90 886.90 869.17

# 15839 706.63 671.30 772.00 756.55 756.55 741.42 15840 969.80 921.31 1,059.51 1,038.31 1,038.31 1,017.54 15841 1,570.41 1,491.89 1,715.67 1,681.36 1,681.36 1,647.73 15842 2,547.10 2,419.75 2,782.71 2,727.06 2,727.06 2,672.52 15845 955.95 908.15 1,044.37 1,023.49 1,023.49 1,003.02 15847 316.23 300.42 345.48 338.57 338.57 331.80 15851 90.01 85.51 98.34 96.37 96.37 94.44

# 15851 44.77 42.53 48.91 47.93 47.93 46.98 15852 46.16 43.85 50.43 49.42 49.42 48.43 15860 108.70 103.27 118.76 116.38 116.38 114.06 15920 577.84 548.95 631.29 618.67 618.67 606.29 15922 741.60 704.52 810.20 793.99 793.99 778.11 15931 661.74 628.65 722.95 708.49 708.49 694.32 15933 811.56 770.98 886.63 868.89 868.89 851.52 15934 893.37 848.70 976.01 956.49 956.49 937.37 15935 1,050.07 997.57 1,147.21 1,124.26 1,124.26 1,101.78 15936 857.81 814.92 937.16 918.41 918.41 900.05 15937 993.52 943.84 1,085.42 1,063.70 1,063.70 1,042.43 15940 673.83 640.14 736.16 721.44 721.44 707.01 15941 858.66 815.73 938.09 919.33 919.33 900.94 15944 847.21 804.85 925.58 907.06 907.06 888.93 15945 933.75 887.06 1,020.12 999.72 999.72 979.72














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

15946 1,572.75 1,494.11 1,718.23 1,683.86 1,683.86 1,650.19 15950 564.91 536.66 617.16 604.82 604.82 592.72 15951 833.57 791.89 910.67 892.46 892.46 874.61 15952 854.02 811.32 933.02 914.35 914.35 896.07 15953 946.70 899.37 1,034.28 1,013.59 1,013.59 993.31 15956 1,107.35 1,051.98 1,209.78 1,185.58 1,185.58 1,161.87 15958 1,123.55 1,067.37 1,227.48 1,202.92 1,202.92 1,178.87 16000 64.44 61.22 70.40 69.00 69.00 67.62

# 16000 45.31 43.04 49.50 48.51 48.51 47.54 16020 74.32 70.60 81.19 79.57 79.57 77.98

# 16020 51.24 48.68 55.98 54.87 54.87 53.77 16025 137.26 130.40 149.96 146.96 146.96 144.01

# 16025 107.20 101.84 117.12 114.77 114.77 112.47 16030 172.52 163.89 188.47 184.70 184.70 181.01

# 16030 129.10 122.65 141.05 138.23 138.23 135.47 16035 192.47 182.85 210.28 206.07 206.07 201.95 16036 79.82 75.83 87.20 85.46 85.46 83.74 17000 61.02 57.97 66.67 65.33 65.33 64.02

# 17000 49.79 47.30 54.40 53.30 53.30 52.23 17003 5.11 4.85 5.58 5.46 5.46 5.36

# 17003 2.38 2.26 2.60 2.54 2.54 2.50 17004 137.20 130.34 149.89 146.89 146.89 143.96

# 17004 94.99 90.24 103.78 101.71 101.71 99.67 17106 315.81 300.02 345.02 338.12 338.12 331.36

# 17106 261.77 248.68 285.98 280.27 280.27 274.67 17107 402.21 382.10 439.42 430.63 430.63 422.02

# 17107 330.25 313.74 360.80 353.59 353.59 346.52 17108 595.87 566.08 650.99 637.97 637.97 625.21

# 17108 502.66 477.53 549.16 538.18 538.18 527.41














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

17110 99.16 94.20 108.33 106.17 106.17 104.04 # 17110 64.55 61.32 70.52 69.10 69.10 67.72

17111 118.38 112.46 129.33 126.74 126.74 124.21 # 17111 80.12 76.11 87.53 85.78 85.78 84.07

17250 70.98 67.43 77.54 75.99 75.99 74.47 # 17250 35.15 33.39 38.40 37.63 37.63 36.88

17260 87.09 82.74 95.15 93.25 93.25 91.39 # 17260 66.74 63.40 72.91 71.45 71.45 70.02

17261 130.54 124.01 142.61 139.76 139.76 136.97 # 17261 86.82 82.48 94.85 92.95 92.95 91.09

17262 160.01 152.01 174.81 171.32 171.32 167.89 # 17262 111.12 105.56 121.39 118.97 118.97 116.59

17263 175.22 166.46 191.43 187.60 187.60 183.85 # 17263 123.60 117.42 135.03 132.33 132.33 129.69

17264 187.95 178.55 205.33 201.23 201.23 197.20 # 17264 132.08 125.48 144.30 141.42 141.42 138.59

17266 213.98 203.28 233.77 229.09 229.09 224.51 # 17266 154.78 147.04 169.10 165.72 165.72 162.40

17270 137.50 130.63 150.22 147.22 147.22 144.28 # 17270 94.99 90.24 103.78 101.71 101.71 99.67

17271 149.12 141.66 162.91 159.65 159.65 156.46 # 17271 105.70 100.42 115.48 113.17 113.17 110.91

17272 170.86 162.32 186.67 182.93 182.93 179.27 # 17272 122.58 116.45 133.92 131.24 131.24 128.62

17273 191.01 181.46 208.68 204.50 204.50 200.41 # 17273 138.48 131.56 151.29 148.27 148.27 145.30

17274 226.72 215.38 247.69 242.73 242.73 237.88 # 17274 169.64 161.16 185.33 181.63 181.63 178.00

17276 263.72 250.53 288.11 282.35 282.35 276.70














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 17276 204.21 194.00 223.10 218.64 218.64 214.27 17280 128.11 121.70 139.96 137.16 137.16 134.41

# 17280 86.21 81.90 94.19 92.30 92.30 90.45 17281 163.27 155.11 178.38 174.81 174.81 171.32

# 17281 119.24 113.28 130.27 127.66 127.66 125.11 17282 188.26 178.85 205.68 201.56 201.56 197.52

# 17282 138.16 131.25 150.94 147.92 147.92 144.97 17283 226.42 215.10 247.37 242.42 242.42 237.57

# 17283 172.98 164.33 188.98 185.20 185.20 181.49 17284 259.50 246.53 283.51 277.84 277.84 272.29

# 17284 202.11 192.00 220.80 216.38 216.38 212.06 17286 335.51 318.73 366.54 359.21 359.21 352.03

# 17286 272.36 258.74 297.55 291.61 291.61 285.78 17311 605.42 575.15 661.42 648.20 648.20 635.24

# 17311 368.29 349.88 402.36 394.31 394.31 386.42 17312 353.70 336.02 386.42 378.70 378.70 371.12

# 17312 195.81 186.02 213.92 209.65 209.65 205.45 17313 564.54 536.31 616.76 604.42 604.42 592.33

# 17313 330.15 313.64 360.69 353.48 353.48 346.40 17314 338.59 321.66 369.91 362.51 362.51 355.27

# 17314 181.62 172.54 198.42 194.45 194.45 190.57 17315 73.81 70.12 80.64 79.03 79.03 77.45

# 17315 51.64 49.06 56.42 55.29 55.29 54.19 17340 48.83 46.39 53.35 52.28 52.28 51.23

# 17340 47.01 44.66 51.36 50.34 50.34 49.32 17360 119.50 113.53 130.56 127.95 127.95 125.38

# 17360 94.30 89.59 103.03 100.97 100.97 98.95 19000 102.42 97.30 111.90 109.65 109.65 107.46

# 19000 43.21 41.05 47.21 46.26 46.26 45.34














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

19001 25.84 24.55 28.23 27.67 27.67 27.12 # 19001 21.59 20.51 23.59 23.12 23.12 22.66

19020 431.32 409.75 471.21 461.79 461.79 452.56 # 19020 290.14 275.63 316.97 310.64 310.64 304.43

19030 151.22 143.66 165.21 161.91 161.91 158.67 # 19030 76.83 72.99 83.94 82.26 82.26 80.62

19081 617.41 586.54 674.52 661.03 661.03 647.81 # 19081 168.05 159.65 183.60 179.93 179.93 176.33

19082 503.94 478.74 550.55 539.55 539.55 528.76 # 19082 84.03 79.83 91.80 89.96 89.96 88.17

19083 596.46 566.64 651.64 638.61 638.61 625.83 # 19083 157.43 149.56 171.99 168.56 168.56 165.19

19084 484.50 460.28 529.32 518.73 518.73 508.36 # 19084 78.86 74.92 86.16 84.43 84.43 82.74

19085 909.61 864.13 993.75 973.88 973.88 954.40 # 19085 184.86 175.62 201.96 197.93 197.93 193.97

19086 714.29 678.58 780.37 764.76 764.76 749.47 # 19086 91.57 86.99 100.04 98.04 98.04 96.08

19100 137.88 130.99 150.64 147.63 147.63 144.67 # 19100 69.26 65.80 75.67 74.15 74.15 72.67

19101 314.99 299.24 344.13 337.25 337.25 330.50 # 19101 213.58 202.90 233.34 228.67 228.67 224.09

19105 1,865.61 1,772.33 2,038.18 1,997.41 1,997.41 1,957.46 # 19105 191.75 182.16 209.48 205.30 205.30 201.19

19110 446.84 424.50 488.18 478.41 478.41 468.84 # 19110 326.00 309.70 356.16 349.04 349.04 342.06

19112 417.76 396.87 456.40 447.27 447.27 438.32 # 19112 294.79 280.05 322.06 315.62 315.62 309.30

19120 465.54 442.26 508.60 498.42 498.42 488.45














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 19120 398.14 378.23 434.96 426.27 426.27 417.75 19125 517.22 491.36 565.06 553.76 553.76 542.69

# 19125 443.44 421.27 484.46 474.77 474.77 465.27 19126 160.50 152.48 175.35 171.84 171.84 168.41 19260 1,164.85 1,106.61 1,272.60 1,247.15 1,247.15 1,222.21 19271 1,564.67 1,486.44 1,709.41 1,675.22 1,675.22 1,641.72 19272 1,715.94 1,630.14 1,874.66 1,837.17 1,837.17 1,800.43 19281 217.98 207.08 238.14 233.38 233.38 228.71

# 19281 100.48 95.46 109.78 107.58 107.58 105.43 19282 150.32 142.80 164.22 160.93 160.93 157.71

# 19282 50.43 47.91 55.10 53.99 53.99 52.91 19283 243.89 231.70 266.46 261.13 261.13 255.91

# 19283 101.19 96.13 110.55 108.34 108.34 106.18 19284 181.05 172.00 197.80 193.84 193.84 189.97

# 19284 51.10 48.55 55.83 54.72 54.72 53.62 19285 453.74 431.05 495.71 485.79 485.79 476.08

# 19285 85.75 81.46 93.68 91.80 91.80 89.96 19286 394.79 375.05 431.31 422.68 422.68 414.23

# 19286 43.20 41.04 47.20 46.25 46.25 45.33 19287 756.80 718.96 826.80 810.27 810.27 794.06

# 19287 128.61 122.18 140.51 137.70 137.70 134.95 19288 605.79 575.50 661.83 648.59 648.59 635.62

# 19288 64.13 60.92 70.06 68.66 68.66 67.29 19296 3,428.72 3,257.28 3,745.87 3,670.95 3,670.95 3,597.53

# 19296 207.91 197.51 227.14 222.59 222.59 218.14 19297 94.29 89.58 103.02 100.96 100.96 98.93 19298 942.78 895.64 1,029.99 1,009.39 1,009.39 989.21

# 19298 321.88 305.79 351.66 344.62 344.62 337.73 19300 485.88 461.59 530.83 520.21 520.21 509.81














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 19300 392.97 373.32 429.32 420.73 420.73 412.31 19301 634.70 602.97 693.42 679.55 679.55 665.95 19302 874.88 831.14 955.81 936.70 936.70 917.96 19303 983.97 934.77 1,074.99 1,053.48 1,053.48 1,032.41 19304 551.10 523.55 602.08 590.04 590.04 578.24 19305 1,096.48 1,041.66 1,197.91 1,173.95 1,173.95 1,150.47 19306 1,163.99 1,105.79 1,271.66 1,246.22 1,246.22 1,221.30 19307 1,161.70 1,103.62 1,269.16 1,243.78 1,243.78 1,218.91 19316 738.14 701.23 806.41 790.29 790.29 774.49 19318 1,057.21 1,004.35 1,155.00 1,131.90 1,131.90 1,109.26 19324 470.19 446.68 513.68 503.41 503.41 493.35 19325 609.18 578.72 665.53 652.22 652.22 639.18 19328 470.44 446.92 513.96 503.68 503.68 493.60 19330 604.06 573.86 659.94 646.74 646.74 633.80 19340 958.72 910.78 1,047.40 1,026.44 1,026.44 1,005.92 19342 879.29 835.33 960.63 941.41 941.41 922.59 19350 767.42 729.05 838.41 821.64 821.64 805.21

# 19350 641.11 609.05 700.41 686.40 686.40 672.67 19355 664.25 631.04 725.70 711.18 711.18 696.96

# 19355 553.73 526.04 604.95 592.85 592.85 580.99 19357 1,421.96 1,350.86 1,553.49 1,522.42 1,522.42 1,491.96 19361 1,514.75 1,439.01 1,654.86 1,621.76 1,621.76 1,589.33 19364 2,663.23 2,530.07 2,909.58 2,851.39 2,851.39 2,794.36 19366 1,362.34 1,294.22 1,488.35 1,458.59 1,458.59 1,429.42 19367 1,723.75 1,637.56 1,883.19 1,845.53 1,845.53 1,808.62 19368 2,127.03 2,020.68 2,323.78 2,277.31 2,277.31 2,231.76 19369 1,975.29 1,876.53 2,158.01 2,114.85 2,114.85 2,072.55 19370 652.40 619.78 712.75 698.49 698.49 684.51 19371 746.79 709.45 815.87 799.55 799.55 783.55














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

19380 735.79 699.00 803.85 787.77 787.77 772.02 19396 252.29 239.68 275.63 270.12 270.12 264.72

# 19396 135.40 128.63 147.92 144.97 144.97 142.07 20005 289.58 275.10 316.37 310.04 310.04 303.84

# 20005 225.52 214.24 246.38 241.45 241.45 236.62 20100 596.85 567.01 652.06 639.02 639.02 626.24 20101 408.61 388.18 446.41 437.48 437.48 428.73

# 20101 203.06 192.91 221.85 217.41 217.41 213.06 20102 449.92 427.42 491.53 481.70 481.70 472.06

# 20102 249.23 236.77 272.29 266.83 266.83 261.50 20103 535.76 508.97 585.32 573.61 573.61 562.13

# 20103 336.59 319.76 367.72 360.36 360.36 353.15 20150 876.78 832.94 957.88 938.72 938.72 919.94 20200 188.38 178.96 205.80 201.69 201.69 197.65

# 20200 93.04 88.39 101.65 99.61 99.61 97.62 20205 265.52 252.24 290.08 284.28 284.28 278.60

# 20205 151.97 144.37 166.03 162.70 162.70 159.45 20206 209.77 199.28 229.17 224.58 224.58 220.09

# 20206 57.66 54.78 63.00 61.73 61.73 60.50 20220 153.07 145.42 167.23 163.89 163.89 160.61

# 20220 71.09 67.54 77.67 76.12 76.12 74.60 20225 465.36 442.09 508.40 498.24 498.24 488.28

# 20225 106.18 100.87 116.00 113.68 113.68 111.40 20240 150.65 143.12 164.59 161.30 161.30 158.07 20245 507.35 481.98 554.28 543.19 543.19 532.32 20250 375.37 356.60 410.09 401.89 401.89 393.85 20251 408.13 387.72 445.88 436.97 436.97 428.23 20500 97.26 92.40 106.26 104.13 104.13 102.05

# 20500 80.86 76.82 88.34 86.57 86.57 84.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

20501 106.40 101.08 116.24 113.92 113.92 111.64 # 20501 37.78 35.89 41.27 40.45 40.45 39.64

20520 187.08 177.73 204.39 200.31 200.31 196.31 # 20520 138.50 131.58 151.32 148.29 148.29 145.33

20525 435.99 414.19 476.32 466.80 466.80 457.46 # 20525 238.63 226.70 260.71 255.50 255.50 250.39

20526 72.17 68.56 78.84 77.27 77.27 75.73 # 20526 55.77 52.98 60.93 59.71 59.71 58.51

20527 78.64 74.71 85.92 84.20 84.20 82.52 # 20527 64.07 60.87 70.00 68.60 68.60 67.23

20550 55.10 52.35 60.20 59.00 59.00 57.81 # 20550 40.83 38.79 44.61 43.71 43.71 42.84

20551 56.28 53.47 61.49 60.26 60.26 59.05 # 20551 41.40 39.33 45.23 44.32 44.32 43.44

20552 51.51 48.93 56.27 55.14 55.14 54.04 # 20552 36.93 35.08 40.34 39.54 39.54 38.74

20553 59.32 56.35 64.80 63.50 63.50 62.24 # 20553 42.01 39.91 45.90 44.98 44.98 44.08

20555 321.84 305.75 351.61 344.59 344.59 337.70 20600 44.83 42.59 48.98 48.00 48.00 47.05

# 20600 34.81 33.07 38.03 37.27 37.27 36.52 20604 67.44 64.07 73.68 72.21 72.21 70.76

# 20604 45.27 43.01 49.46 48.47 48.47 47.51 20605 47.10 44.75 51.46 50.44 50.44 49.43

# 20605 36.47 34.65 39.85 39.05 39.05 38.27 20606 74.79 71.05 81.71 80.07 80.07 78.48

# 20606 51.71 49.12 56.49 55.36 55.36 54.26 20610 56.64 53.81 61.88 60.64 60.64 59.43

# 20610 44.80 42.56 48.94 47.97 47.97 47.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

20611 85.49 81.22 93.40 91.54 91.54 89.71 # 20611 60.29 57.28 65.87 64.55 64.55 63.26

20612 56.35 53.53 61.56 60.33 60.33 59.12 # 20612 40.56 38.53 44.31 43.42 43.42 42.55

20615 225.05 213.80 245.87 240.95 240.95 236.13 # 20615 156.13 148.32 170.57 167.15 167.15 163.81

20650 192.63 183.00 210.45 206.24 206.24 202.11 # 20650 149.82 142.33 163.68 160.40 160.40 157.19

20660 242.71 230.57 265.16 259.85 259.85 254.66 20661 478.17 454.26 522.40 511.95 511.95 501.71 20662 412.95 392.30 451.15 442.12 442.12 433.27 20663 444.05 421.85 485.13 475.42 475.42 465.91 20664 840.95 798.90 918.74 900.36 900.36 882.35 20665 98.84 93.90 107.99 105.82 105.82 103.71

# 20665 86.39 82.07 94.38 92.49 92.49 90.64 20670 338.03 321.13 369.30 361.92 361.92 354.68

# 20670 138.85 131.91 151.70 148.66 148.66 145.68 20680 571.90 543.31 624.81 612.31 612.31 600.06

# 20680 405.82 385.53 443.36 434.49 434.49 425.80 20690 572.97 544.32 625.97 613.44 613.44 601.17 20692 1,075.56 1,021.78 1,175.05 1,151.54 1,151.54 1,128.51 20693 425.46 404.19 464.82 455.53 455.53 446.42 20694 394.96 375.21 431.49 422.87 422.87 414.41

# 20694 321.18 305.12 350.89 343.87 343.87 337.00 20696 1,159.33 1,101.36 1,266.56 1,241.23 1,241.23 1,216.40 20697 1,707.94 1,622.54 1,865.92 1,828.60 1,828.60 1,792.03 20802 2,355.58 2,237.80 2,573.47 2,522.00 2,522.00 2,471.56 20805 3,206.82 3,046.48 3,503.45 3,433.38 3,433.38 3,364.72 20808 3,904.86 3,709.62 4,266.06 4,180.74 4,180.74 4,097.13














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

20816 2,009.64 1,909.16 2,195.53 2,151.63 2,151.63 2,108.59 20822 1,726.09 1,639.79 1,885.76 1,848.04 1,848.04 1,811.08 20824 1,978.11 1,879.20 2,161.08 2,117.86 2,117.86 2,075.51 20827 1,768.13 1,679.72 1,931.68 1,893.05 1,893.05 1,855.19 20838 2,378.70 2,259.77 2,598.74 2,546.76 2,546.76 2,495.82 20900 380.48 361.46 415.68 407.36 407.36 399.22

# 20900 184.64 175.41 201.72 197.69 197.69 193.73 20902 278.80 264.86 304.59 298.49 298.49 292.53 20910 391.51 371.93 427.72 419.16 419.16 410.78 20912 458.70 435.77 501.14 491.11 491.11 481.29 20920 376.76 357.92 411.61 403.37 403.37 395.30 20922 572.31 543.69 625.24 612.74 612.74 600.48

# 20922 481.52 457.44 526.06 515.53 515.53 505.22 20924 481.87 457.78 526.45 515.91 515.91 505.60 20926 410.81 390.27 448.81 439.83 439.83 431.03 20931 111.88 106.29 122.23 119.78 119.78 117.39 20937 166.22 157.91 181.60 177.96 177.96 174.41 20938 183.62 174.44 200.61 196.59 196.59 192.66 20950 225.66 214.38 246.54 241.60 241.60 236.77

# 20950 87.52 83.14 95.61 93.70 93.70 91.83 20955 2,440.67 2,318.64 2,666.44 2,613.11 2,613.11 2,560.84 20956 2,582.55 2,453.42 2,821.43 2,765.00 2,765.00 2,709.70 20957 2,400.77 2,280.73 2,622.84 2,570.39 2,570.39 2,518.98 20962 2,080.08 1,976.08 2,272.49 2,227.04 2,227.04 2,182.50 20969 2,701.01 2,565.96 2,950.85 2,891.84 2,891.84 2,834.00 20970 2,847.70 2,705.32 3,111.12 3,048.89 3,048.89 2,987.92 20972 2,330.01 2,213.51 2,545.54 2,494.63 2,494.63 2,444.74 20973 2,592.33 2,462.71 2,832.12 2,775.48 2,775.48 2,719.97 20974 70.05 66.55 76.53 75.00 75.00 73.51














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 20974 47.89 45.50 52.33 51.28 51.28 50.26 20975 172.80 164.16 188.78 185.01 185.01 181.31 20979 48.89 46.45 53.42 52.35 52.35 51.30

# 20979 31.89 30.30 34.85 34.14 34.14 33.47 20982 2,652.06 2,519.46 2,897.38 2,839.43 2,839.43 2,782.64

# 20982 377.64 358.76 412.57 404.32 404.32 396.23 20983 6,312.66 5,997.03 6,896.58 6,758.65 6,758.65 6,623.48

# 20983 399.65 379.67 436.62 427.89 427.89 419.34 20985 144.70 137.47 158.09 154.93 154.93 151.83 21010 715.58 679.80 781.77 766.13 766.13 750.81 21011 320.00 304.00 349.60 342.61 342.61 335.75

# 21011 244.40 232.18 267.01 261.67 261.67 256.44 21012 323.44 307.27 353.36 346.29 346.29 339.37 21013 482.83 458.69 527.49 516.95 516.95 506.61

# 21013 383.24 364.08 418.69 410.32 410.32 402.11 21014 498.94 473.99 545.09 534.19 534.19 523.50 21015 680.78 646.74 743.75 728.88 728.88 714.30 21016 988.45 939.03 1,079.88 1,058.29 1,058.29 1,037.13 21025 844.13 801.92 922.21 903.76 903.76 885.68

# 21025 724.19 687.98 791.18 775.35 775.35 759.85 21026 575.34 546.57 628.56 615.99 615.99 603.67

# 21026 473.32 449.65 517.10 506.76 506.76 496.63 21029 719.47 683.50 786.03 770.30 770.30 754.89

# 21029 608.95 578.50 665.28 651.97 651.97 638.93 21030 485.37 461.10 530.27 519.66 519.66 509.27

# 21030 398.53 378.60 435.39 426.68 426.68 418.15 21031 366.96 348.61 400.90 392.89 392.89 385.03

# 21031 280.73 266.69 306.69 300.56 300.56 294.55 21032 372.98 354.33 407.48 399.33 399.33 391.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 21032 278.56 264.63 304.32 298.24 298.24 292.27 21034 1,257.18 1,194.32 1,373.47 1,345.99 1,345.99 1,319.07

# 21034 1,122.37 1,066.25 1,226.19 1,201.67 1,201.67 1,177.63 21040 488.71 464.27 533.91 523.23 523.23 512.76

# 21040 399.14 379.18 436.06 427.34 427.34 418.80 21044 847.09 804.74 925.45 906.95 906.95 888.81 21045 1,190.26 1,130.75 1,300.36 1,274.36 1,274.36 1,248.88 21046 1,072.86 1,019.22 1,172.10 1,148.67 1,148.67 1,125.69 21047 1,285.12 1,220.86 1,403.99 1,375.91 1,375.91 1,348.39 21048 1,100.72 1,045.68 1,202.53 1,178.49 1,178.49 1,154.91 21049 1,181.73 1,122.64 1,291.04 1,265.22 1,265.22 1,239.92 21050 809.03 768.58 883.87 866.19 866.19 848.87 21060 765.79 727.50 836.63 819.89 819.89 803.49 21070 587.46 558.09 641.80 628.97 628.97 616.39 21073 359.65 341.67 392.92 385.07 385.07 377.36

# 21073 243.97 231.77 266.54 261.20 261.20 255.98 21076 964.46 916.24 1,053.68 1,032.61 1,032.61 1,011.95

# 21076 823.58 782.40 899.76 881.76 881.76 864.13 21077 2,419.64 2,298.66 2,643.46 2,590.59 2,590.59 2,538.79

# 21077 2,068.95 1,965.50 2,260.33 2,215.12 2,215.12 2,170.82 21079 1,626.13 1,544.82 1,776.54 1,741.01 1,741.01 1,706.19

# 21079 1,376.25 1,307.44 1,503.56 1,473.48 1,473.48 1,444.01 21080 1,824.94 1,733.69 1,993.74 1,953.87 1,953.87 1,914.80

# 21080 1,532.86 1,456.22 1,674.65 1,641.17 1,641.17 1,608.34 21081 1,684.01 1,599.81 1,839.78 1,802.98 1,802.98 1,766.92

# 21081 1,409.23 1,338.77 1,539.59 1,508.79 1,508.79 1,478.61 21082 1,587.20 1,507.84 1,734.02 1,699.33 1,699.33 1,665.35

# 21082 1,318.49 1,252.57 1,440.46 1,411.65 1,411.65 1,383.42 21083 1,508.78 1,433.34 1,648.34 1,615.37 1,615.37 1,583.07














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 21083 1,223.38 1,162.21 1,336.54 1,309.82 1,309.82 1,283.62 21084 1,736.50 1,649.68 1,897.13 1,859.19 1,859.19 1,822.01

# 21084 1,419.83 1,348.84 1,551.17 1,520.14 1,520.14 1,489.73 21085 723.74 687.55 790.68 774.87 774.87 759.37

# 21085 557.36 529.49 608.91 596.74 596.74 584.80 21086 1,798.67 1,708.74 1,965.05 1,925.76 1,925.76 1,887.24

# 21086 1,532.40 1,455.78 1,674.15 1,640.66 1,640.66 1,607.85 21087 1,795.90 1,706.11 1,962.03 1,922.79 1,922.79 1,884.33

# 21087 1,529.32 1,452.85 1,670.78 1,637.36 1,637.36 1,604.61 21100 929.01 882.56 1,014.94 994.65 994.65 974.75

# 21100 469.94 446.44 513.41 503.14 503.14 493.07 21110 743.31 706.14 812.06 795.82 795.82 779.91

# 21110 630.06 598.56 688.34 674.58 674.58 661.09 21116 131.07 124.52 143.20 140.33 140.33 137.53

# 21116 43.32 41.15 47.32 46.38 46.38 45.45 21120 606.78 576.44 662.91 649.65 649.65 636.65

# 21120 488.06 463.66 533.21 522.55 522.55 512.10 21121 757.64 719.76 827.72 811.16 811.16 794.94

# 21121 641.36 609.29 700.68 686.67 686.67 672.93 21122 628.76 597.32 686.92 673.18 673.18 659.71 21123 889.51 845.03 971.78 952.35 952.35 933.31 21125 2,725.24 2,588.98 2,977.33 2,917.78 2,917.78 2,859.43

# 21125 755.35 717.58 825.22 808.71 808.71 792.55 21127 3,922.96 3,726.81 4,285.83 4,200.11 4,200.11 4,116.10

# 21127 862.77 819.63 942.57 923.73 923.73 905.26 21137 726.04 689.74 793.20 777.34 777.34 761.79 21138 852.63 810.00 931.50 912.87 912.87 894.61 21139 921.77 875.68 1,007.03 986.90 986.90 967.16 21141 1,297.44 1,232.57 1,417.46 1,389.11 1,389.11 1,361.32














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

21142 1,359.19 1,291.23 1,484.91 1,455.22 1,455.22 1,426.12 21143 1,370.92 1,302.37 1,497.73 1,467.77 1,467.77 1,438.41 21145 1,534.31 1,457.59 1,676.23 1,642.71 1,642.71 1,609.85 21146 1,507.86 1,432.47 1,647.34 1,614.39 1,614.39 1,582.10 21147 1,696.62 1,611.79 1,853.56 1,816.48 1,816.48 1,780.15 21150 1,631.25 1,549.69 1,782.14 1,746.51 1,746.51 1,711.58 21151 1,950.41 1,852.89 2,130.82 2,088.20 2,088.20 2,046.44 21154 2,023.70 1,922.52 2,210.90 2,166.68 2,166.68 2,123.35 21155 2,104.26 1,999.05 2,298.91 2,252.93 2,252.93 2,207.87 21159 2,452.48 2,329.86 2,679.34 2,625.75 2,625.75 2,573.23 21160 3,073.93 2,920.23 3,358.26 3,291.10 3,291.10 3,225.28 21172 1,747.12 1,659.76 1,908.72 1,870.54 1,870.54 1,833.13 21175 2,080.05 1,976.05 2,272.46 2,227.01 2,227.01 2,182.47 21179 1,401.06 1,331.01 1,530.66 1,500.05 1,500.05 1,470.05 21180 1,505.91 1,430.61 1,645.20 1,612.30 1,612.30 1,580.05 21181 707.92 672.52 773.40 757.93 757.93 742.77 21182 1,899.90 1,804.91 2,075.65 2,034.13 2,034.13 1,993.44 21183 2,241.45 2,129.38 2,448.79 2,399.81 2,399.81 2,351.81 21184 2,101.44 1,996.37 2,295.83 2,249.91 2,249.91 2,204.91 21188 1,557.47 1,479.60 1,701.54 1,667.51 1,667.51 1,634.16 21193 1,180.95 1,121.90 1,290.19 1,264.38 1,264.38 1,239.09 21194 1,394.36 1,324.64 1,523.34 1,492.87 1,492.87 1,463.02 21195 1,291.60 1,227.02 1,411.07 1,382.85 1,382.85 1,355.19 21196 1,430.81 1,359.27 1,563.16 1,531.89 1,531.89 1,501.26 21198 1,123.61 1,067.43 1,227.54 1,202.99 1,202.99 1,178.93 21199 1,042.91 990.76 1,139.37 1,116.58 1,116.58 1,094.25 21206 1,128.46 1,072.04 1,232.85 1,208.19 1,208.19 1,184.03 21208 1,721.70 1,635.62 1,880.96 1,843.35 1,843.35 1,806.48

# 21208 804.16 763.95 878.54 860.97 860.97 843.76














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

21209 756.42 718.60 826.39 809.86 809.86 793.67 # 21209 588.52 559.09 642.95 630.10 630.10 617.49

21210 2,076.28 1,972.47 2,268.34 2,222.97 2,222.97 2,178.51 # 21210 835.99 794.19 913.32 895.06 895.06 877.15

21215 3,635.02 3,453.27 3,971.26 3,891.83 3,891.83 3,814.00 # 21215 869.65 826.17 950.10 931.10 931.10 912.48

21230 691.59 657.01 755.56 740.45 740.45 725.64 21235 677.83 643.94 740.53 725.72 725.72 711.21

# 21235 541.81 514.72 591.93 580.09 580.09 568.49 21240 1,085.66 1,031.38 1,186.09 1,162.36 1,162.36 1,139.12 21242 993.54 943.86 1,085.44 1,063.73 1,063.73 1,042.45 21243 1,645.96 1,563.66 1,798.21 1,762.25 1,762.25 1,727.00 21244 1,019.85 968.86 1,114.19 1,091.90 1,091.90 1,070.06 21245 1,049.99 997.49 1,147.11 1,124.17 1,124.17 1,101.69

# 21245 856.59 813.76 935.82 917.10 917.10 898.76 21246 843.38 801.21 921.39 902.97 902.97 884.91 21247 1,509.53 1,434.05 1,649.16 1,616.18 1,616.18 1,583.85 21248 1,054.54 1,001.81 1,152.08 1,129.04 1,129.04 1,106.45

# 21248 878.13 834.22 959.35 940.17 940.17 921.37 21249 1,452.95 1,380.30 1,587.35 1,555.59 1,555.59 1,524.49

# 21249 1,252.56 1,189.93 1,368.42 1,341.05 1,341.05 1,314.23 21255 1,331.99 1,265.39 1,455.20 1,426.09 1,426.09 1,397.57 21256 1,153.63 1,095.95 1,260.34 1,235.13 1,235.13 1,210.43 21260 1,327.07 1,260.72 1,449.83 1,420.84 1,420.84 1,392.42 21261 2,049.00 1,946.55 2,238.53 2,193.76 2,193.76 2,149.89 21263 1,889.69 1,795.21 2,064.49 2,023.21 2,023.21 1,982.74 21267 1,487.65 1,413.27 1,625.26 1,592.75 1,592.75 1,560.90 21268 1,684.48 1,600.26 1,840.30 1,803.49 1,803.49 1,767.42 21270 897.68 852.80 980.72 961.10 961.10 941.88














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 21270 690.01 655.51 753.84 738.76 738.76 723.98 21275 801.56 761.48 875.70 858.19 858.19 841.03 21280 533.43 506.76 582.77 571.11 571.11 559.69 21282 355.10 337.35 387.95 380.19 380.19 372.59 21295 168.56 160.13 184.15 180.47 180.47 176.86 21296 405.94 385.64 443.49 434.62 434.62 425.93 21310 117.60 111.72 128.48 125.91 125.91 123.40

# 21310 27.12 25.76 29.62 29.03 29.03 28.45 21315 251.98 239.38 275.29 269.78 269.78 264.39

# 21315 143.59 136.41 156.87 153.73 153.73 150.66 21320 234.68 222.95 256.39 251.26 251.26 246.24

# 21320 129.63 123.15 141.62 138.79 138.79 136.02 21325 438.60 416.67 479.17 469.59 469.59 460.20 21330 530.18 503.67 579.22 567.64 567.64 556.29 21335 690.14 655.63 753.97 738.90 738.90 724.12 21336 603.60 573.42 659.43 646.24 646.24 633.32 21337 372.51 353.88 406.96 398.82 398.82 390.84

# 21337 278.39 264.47 304.14 298.06 298.06 292.10 21338 672.56 638.93 734.77 720.07 720.07 705.67 21339 723.53 687.35 790.45 774.64 774.64 759.15 21340 727.83 691.44 795.16 779.25 779.25 763.67 21343 1,139.35 1,082.38 1,244.74 1,219.84 1,219.84 1,195.45 21344 1,351.36 1,283.79 1,476.36 1,446.83 1,446.83 1,417.89 21345 761.78 723.69 832.24 815.60 815.60 799.30

# 21345 626.67 595.34 684.64 670.94 670.94 657.52 21346 864.70 821.47 944.69 925.80 925.80 907.28 21347 1,075.79 1,022.00 1,175.30 1,151.79 1,151.79 1,128.76 21348 1,161.53 1,103.45 1,268.97 1,243.59 1,243.59 1,218.71 21355 401.13 381.07 438.23 429.47 429.47 420.88














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 21355 307.62 292.24 336.08 329.36 329.36 322.77 21356 466.24 442.93 509.37 499.18 499.18 489.20

# 21356 360.58 342.55 393.93 386.06 386.06 378.34 21360 514.92 489.17 562.55 551.30 551.30 540.27 21365 1,075.86 1,022.07 1,175.38 1,151.87 1,151.87 1,128.84 21366 1,124.90 1,068.66 1,228.96 1,204.38 1,204.38 1,180.29 21385 653.29 620.63 713.72 699.45 699.45 685.47 21386 664.33 631.11 725.78 711.26 711.26 697.04 21387 683.82 649.63 747.07 732.14 732.14 717.50 21390 760.15 722.14 830.46 813.86 813.86 797.58 21395 964.97 916.72 1,054.23 1,033.15 1,033.15 1,012.48 21400 176.60 167.77 192.94 189.07 189.07 185.29

# 21400 145.33 138.06 158.77 155.60 155.60 152.48 21401 407.32 386.95 444.99 436.09 436.09 427.37

# 21401 272.51 258.88 297.71 291.76 291.76 285.92 21406 498.42 473.50 544.53 533.63 533.63 522.96 21407 617.71 586.82 674.84 661.34 661.34 648.12 21408 842.35 800.23 920.26 901.86 901.86 883.83 21421 698.57 663.64 763.19 747.93 747.93 732.96

# 21421 595.65 565.87 650.75 637.73 637.73 624.98 21422 643.30 611.14 702.81 688.76 688.76 674.98 21423 781.94 742.84 854.27 837.18 837.18 820.43 21431 696.02 661.22 760.40 745.20 745.20 730.30 21432 627.46 596.09 685.50 671.80 671.80 658.36 21433 1,676.17 1,592.36 1,831.21 1,794.59 1,794.59 1,758.70 21435 1,227.54 1,166.16 1,341.08 1,314.27 1,314.27 1,287.98 21436 2,019.49 1,918.52 2,206.30 2,162.17 2,162.17 2,118.93 21440 528.71 502.27 577.61 566.05 566.05 554.74

# 21440 433.07 411.42 473.13 463.67 463.67 454.40














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

21445 715.50 679.73 781.69 766.06 766.06 750.74 # 21445 590.11 560.60 644.69 631.80 631.80 619.16

21450 567.06 538.71 619.52 607.13 607.13 594.99 # 21450 458.67 435.74 501.10 491.08 491.08 481.26

21451 704.48 669.26 769.65 754.25 754.25 739.16 # 21451 597.30 567.44 652.56 639.50 639.50 626.72

21452 538.75 511.81 588.58 576.81 576.81 565.27 # 21452 323.78 307.59 353.73 346.66 346.66 339.72

21453 843.07 800.92 921.06 902.64 902.64 884.58 # 21453 728.91 692.46 796.33 780.40 780.40 764.80

21454 565.45 537.18 617.76 605.41 605.41 593.30 21461 1,933.25 1,836.59 2,112.08 2,069.84 2,069.84 2,028.44

# 21461 883.64 839.46 965.38 946.07 946.07 927.15 21462 2,058.32 1,955.40 2,248.71 2,203.73 2,203.73 2,159.65

# 21462 988.37 938.95 1,079.79 1,058.20 1,058.20 1,037.04 21465 921.74 875.65 1,007.00 986.86 986.86 967.13 21470 1,165.84 1,107.55 1,273.68 1,248.21 1,248.21 1,223.24 21480 89.56 85.08 97.84 95.89 95.89 93.97

# 21480 31.57 29.99 34.49 33.80 33.80 33.12 21485 646.37 614.05 706.16 692.04 692.04 678.19

# 21485 545.56 518.28 596.02 584.10 584.10 572.41 21490 882.83 838.69 964.49 945.21 945.21 926.30 21495 659.47 626.50 720.48 706.07 706.07 691.94 21497 674.43 640.71 736.82 722.09 722.09 707.64

# 21497 566.04 537.74 618.40 606.04 606.04 593.92 21501 419.14 398.18 457.91 448.75 448.75 439.78

# 21501 305.89 290.60 334.19 327.51 327.51 320.95 21502 513.77 488.08 561.29 550.07 550.07 539.06 21510 431.32 409.75 471.21 461.79 461.79 452.56














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

21550 240.93 228.88 263.21 257.95 257.95 252.78 # 21550 150.75 143.21 164.69 161.40 161.40 158.17

21552 431.81 410.22 471.75 462.32 462.32 453.08 21554 710.71 675.17 776.45 760.92 760.92 745.71 21555 385.43 366.16 421.08 412.67 412.67 404.41

# 21555 292.22 277.61 319.25 312.87 312.87 306.61 21556 511.08 485.53 558.36 547.19 547.19 536.25 21557 931.01 884.46 1,017.13 996.79 996.79 976.84 21558 1,315.55 1,249.77 1,437.24 1,408.49 1,408.49 1,380.31 21600 533.44 506.77 582.79 571.12 571.12 559.71 21610 1,162.73 1,104.59 1,270.28 1,244.88 1,244.88 1,219.98 21615 609.68 579.20 666.08 652.76 652.76 639.71 21616 739.31 702.34 807.69 791.53 791.53 775.70 21620 487.27 462.91 532.35 521.70 521.70 511.27 21627 518.69 492.76 566.67 555.34 555.34 544.23 21630 1,181.05 1,122.00 1,290.30 1,264.49 1,264.49 1,239.21 21632 1,185.62 1,126.34 1,295.29 1,269.38 1,269.38 1,243.99 21685 969.82 921.33 1,059.53 1,038.34 1,038.34 1,017.57 21700 365.57 347.29 399.38 391.39 391.39 383.56 21705 548.39 520.97 599.12 587.13 587.13 575.39 21720 432.37 410.75 472.36 462.92 462.92 453.66 21725 510.14 484.63 557.32 546.18 546.18 535.26 21740 1,007.83 957.44 1,101.06 1,079.03 1,079.03 1,057.45 21742 895.48 850.71 978.32 958.76 958.76 939.58 21750 673.01 639.36 735.26 720.56 720.56 706.15 21811 605.47 575.20 661.48 648.26 648.26 635.29 21812 726.54 690.21 793.74 777.87 777.87 762.31 21813 950.85 903.31 1,038.81 1,018.03 1,018.03 997.67 21820 130.30 123.79 142.36 139.51 139.51 136.71














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 21820 133.34 126.67 145.67 142.76 142.76 139.91 21825 522.97 496.82 571.34 559.91 559.91 548.71 21920 235.80 224.01 257.61 252.46 252.46 247.41

# 21920 152.91 145.26 167.05 163.70 163.70 160.43 21925 416.32 395.50 454.83 445.73 445.73 436.82

# 21925 338.29 321.38 369.59 362.19 362.19 354.95 21930 441.40 419.33 482.23 472.58 472.58 463.13

# 21930 349.71 332.22 382.05 374.42 374.42 366.93 21931 454.70 431.97 496.77 486.83 486.83 477.09 21932 641.56 609.48 700.90 686.88 686.88 673.14 21933 715.59 679.81 781.78 766.14 766.14 750.82 21935 996.71 946.87 1,088.90 1,067.12 1,067.12 1,045.78 21936 1,377.95 1,309.05 1,505.41 1,475.30 1,475.30 1,445.79 22010 918.87 872.93 1,003.87 983.79 983.79 964.11 22015 890.57 846.04 972.95 953.49 953.49 934.42 22100 839.53 797.55 917.18 898.84 898.84 880.87 22101 818.59 777.66 894.31 876.43 876.43 858.90 22102 760.59 722.56 830.94 814.33 814.33 798.04 22103 138.45 131.53 151.26 148.24 148.24 145.27 22110 1,013.76 963.07 1,107.53 1,085.38 1,085.38 1,063.67 22112 954.30 906.59 1,042.58 1,021.73 1,021.73 1,001.29 22114 957.84 909.95 1,046.44 1,025.51 1,025.51 1,005.01 22116 140.82 133.78 153.85 150.77 150.77 147.75 22206 2,394.55 2,274.82 2,616.04 2,563.72 2,563.72 2,512.44 22207 2,346.17 2,228.86 2,563.19 2,511.92 2,511.92 2,461.68 22208 577.92 549.02 631.37 618.75 618.75 606.37 22210 1,740.45 1,653.43 1,901.44 1,863.41 1,863.41 1,826.14 22212 1,437.35 1,365.48 1,570.30 1,538.90 1,538.90 1,508.12 22214 1,442.58 1,370.45 1,576.02 1,544.50 1,544.50 1,513.61














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

22216 360.30 342.29 393.63 385.76 385.76 378.04 22220 1,554.23 1,476.52 1,698.00 1,664.04 1,664.04 1,630.76 22222 1,508.26 1,432.85 1,647.78 1,614.82 1,614.82 1,582.53 22224 1,537.25 1,460.39 1,679.45 1,645.86 1,645.86 1,612.94 22226 359.73 341.74 393.00 385.15 385.15 377.44 22305 178.77 169.83 195.30 191.39 191.39 187.57

# 22305 163.59 155.41 178.72 175.15 175.15 171.64 22310 291.84 277.25 318.84 312.47 312.47 306.22

# 22310 271.19 257.63 296.27 290.35 290.35 284.54 22315 836.48 794.66 913.86 895.59 895.59 877.67

# 22315 740.84 703.80 809.37 793.18 793.18 777.32 22318 1,610.30 1,529.79 1,759.26 1,724.07 1,724.07 1,689.59 22319 1,791.33 1,701.76 1,957.02 1,917.88 1,917.88 1,879.53 22325 1,397.52 1,327.64 1,526.79 1,496.25 1,496.25 1,466.33 22326 1,456.23 1,383.42 1,590.93 1,559.11 1,559.11 1,527.94 22327 1,462.61 1,389.48 1,597.90 1,565.94 1,565.94 1,534.63 22328 281.25 267.19 307.27 301.13 301.13 295.10 22505 123.21 117.05 134.61 131.92 131.92 129.28 22510 1,577.77 1,498.88 1,723.71 1,689.24 1,689.24 1,655.45

# 22510 445.27 423.01 486.46 476.73 476.73 467.20 22511 1,558.71 1,480.77 1,702.89 1,668.82 1,668.82 1,635.45

# 22511 417.70 396.82 456.34 447.21 447.21 438.27 22512 872.46 828.84 953.17 934.10 934.10 915.41

# 22512 208.74 198.30 228.05 223.48 223.48 219.01 22513 6,389.82 6,070.33 6,980.88 6,841.26 6,841.26 6,704.43

# 22513 528.42 502.00 577.30 565.75 565.75 554.44 22514 6,377.84 6,058.95 6,967.79 6,828.44 6,828.44 6,691.86

# 22514 492.16 467.55 537.68 526.93 526.93 516.40 22515 3,856.10 3,663.30 4,212.80 4,128.53 4,128.53 4,045.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 22515 224.80 213.56 245.59 240.68 240.68 235.87 22532 1,741.71 1,654.62 1,902.81 1,864.76 1,864.76 1,827.47 22533 1,611.85 1,531.26 1,760.95 1,725.72 1,725.72 1,691.21 22534 358.07 340.17 391.20 383.38 383.38 375.71 22548 1,942.38 1,845.26 2,122.05 2,079.60 2,079.60 2,038.01 22551 1,682.93 1,598.78 1,838.60 1,801.82 1,801.82 1,765.78 22552 398.62 378.69 435.49 426.79 426.79 418.26 22554 1,225.57 1,164.29 1,338.93 1,312.15 1,312.15 1,285.91 22556 1,632.18 1,550.57 1,783.16 1,747.49 1,747.49 1,712.55 22558 1,508.40 1,432.98 1,647.93 1,614.97 1,614.97 1,582.66 22585 328.17 311.76 358.52 351.35 351.35 344.32 22586 1,774.03 1,685.33 1,938.13 1,899.36 1,899.36 1,861.38 22590 1,546.73 1,469.39 1,689.80 1,656.00 1,656.00 1,622.88 22595 1,474.32 1,400.60 1,610.69 1,578.48 1,578.48 1,546.91 22600 1,254.80 1,192.06 1,370.87 1,343.45 1,343.45 1,316.59 22610 1,228.58 1,167.15 1,342.22 1,315.38 1,315.38 1,289.07 22612 1,554.23 1,476.52 1,698.00 1,664.04 1,664.04 1,630.76 22614 390.02 370.52 426.10 417.58 417.58 409.23 22630 1,533.52 1,456.84 1,675.37 1,641.86 1,641.86 1,609.02 22632 320.38 304.36 350.01 343.01 343.01 336.15 22633 1,818.97 1,728.02 1,987.22 1,947.48 1,947.48 1,908.53 22634 495.11 470.35 540.90 530.08 530.08 519.48 22800 1,314.64 1,248.91 1,436.25 1,407.52 1,407.52 1,379.37 22802 2,052.14 1,949.53 2,241.96 2,197.12 2,197.12 2,153.18 22804 2,376.35 2,257.53 2,596.16 2,544.24 2,544.24 2,493.35 22808 1,798.96 1,709.01 1,965.36 1,926.05 1,926.05 1,887.53 22810 1,991.68 1,892.10 2,175.92 2,132.40 2,132.40 2,089.75 22812 2,359.84 2,241.85 2,578.13 2,526.56 2,526.56 2,476.03 22818 2,122.20 2,016.09 2,318.50 2,272.14 2,272.14 2,226.69














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

22819 2,731.83 2,595.24 2,984.53 2,924.84 2,924.84 2,866.34 22830 788.25 748.84 861.17 843.94 843.94 827.06 22840 757.96 720.06 828.07 811.51 811.51 795.28 22842 760.30 722.29 830.63 814.02 814.02 797.73 22843 812.28 771.67 887.42 869.68 869.68 852.29 22844 977.56 928.68 1,067.98 1,046.63 1,046.63 1,025.70 22845 729.92 693.42 797.43 781.48 781.48 765.85 22846 758.11 720.20 828.23 811.67 811.67 795.43 22847 822.67 781.54 898.77 880.80 880.80 863.18 22848 357.21 339.35 390.25 382.44 382.44 374.80 22849 1,271.74 1,208.15 1,389.37 1,361.59 1,361.59 1,334.36 22850 700.57 665.54 765.37 750.06 750.06 735.07 22851 406.38 386.06 443.97 435.09 435.09 426.39 22852 671.07 637.52 733.15 718.49 718.49 704.11 22855 1,082.81 1,028.67 1,182.97 1,159.32 1,159.32 1,136.13 22856 1,590.72 1,511.18 1,737.86 1,703.10 1,703.10 1,669.04 22857 1,921.00 1,824.95 2,098.69 2,056.72 2,056.72 2,015.58 22858 501.87 476.78 548.30 537.33 537.33 526.59 22861 1,981.54 1,882.46 2,164.83 2,121.53 2,121.53 2,079.10 22862 1,973.01 1,874.36 2,155.51 2,112.40 2,112.40 2,070.15 22864 2,029.82 1,928.33 2,217.58 2,173.22 2,173.22 2,129.75 22865 1,997.15 1,897.29 2,181.88 2,138.24 2,138.24 2,095.47 22900 546.54 519.21 597.09 585.15 585.15 573.45 22901 645.81 613.52 705.55 691.44 691.44 677.61 22902 408.95 388.50 446.78 437.84 437.84 429.09

# 22902 317.25 301.39 346.60 339.66 339.66 332.87 22903 424.39 403.17 463.65 454.38 454.38 445.29 22904 1,023.59 972.41 1,118.27 1,095.90 1,095.90 1,073.99 22905 1,300.90 1,235.86 1,421.24 1,392.81 1,392.81 1,364.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

23000 534.21 507.50 583.63 571.95 571.95 560.51 # 23000 350.82 333.28 383.27 375.60 375.60 368.09

23020 657.96 625.06 718.82 704.44 704.44 690.36 23030 403.63 383.45 440.97 432.15 432.15 423.50

# 23030 244.84 232.60 267.49 262.14 262.14 256.90 23031 385.67 366.39 421.35 412.92 412.92 404.66

# 23031 208.36 197.94 227.63 223.08 223.08 218.62 23035 646.44 614.12 706.24 692.12 692.12 678.27 23040 687.52 653.14 751.11 736.09 736.09 721.37 23044 542.97 515.82 593.19 581.33 581.33 569.70 23065 202.06 191.96 220.75 216.34 216.34 212.01

# 23065 160.16 152.15 174.97 171.48 171.48 168.05 23066 508.41 482.99 555.44 544.33 544.33 533.44

# 23066 337.47 320.60 368.69 361.32 361.32 354.10 23071 404.28 384.07 441.68 432.85 432.85 424.19 23073 669.86 636.37 731.83 717.19 717.19 702.85 23075 432.69 411.06 472.72 463.27 463.27 454.00

# 23075 311.24 295.68 340.03 333.24 333.24 326.57 23076 518.14 492.23 566.06 554.75 554.75 543.65 23077 1,113.05 1,057.40 1,216.01 1,191.69 1,191.69 1,167.86 23078 1,397.57 1,327.69 1,526.84 1,496.31 1,496.31 1,466.39 23100 472.07 448.47 515.74 505.43 505.43 495.32 23101 431.23 409.67 471.12 461.70 461.70 452.47 23105 607.97 577.57 664.21 650.92 650.92 637.91 23106 466.19 442.88 509.31 499.12 499.12 489.14 23107 628.76 597.32 686.92 673.18 673.18 659.71 23120 554.21 526.50 605.48 593.37 593.37 581.50 23125 678.22 644.31 740.96 726.13 726.13 711.61 23130 579.50 550.53 633.11 620.45 620.45 608.04














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

23140 509.36 483.89 556.47 545.34 545.34 534.44 23145 664.29 631.08 725.74 711.23 711.23 697.00 23146 590.10 560.60 644.69 631.80 631.80 619.16 23150 626.78 595.44 684.76 671.06 671.06 657.64 23155 759.22 721.26 829.45 812.85 812.85 796.59 23156 645.26 613.00 704.95 690.85 690.85 677.04 23170 528.17 501.76 577.02 565.48 565.48 554.17 23172 537.99 511.09 587.75 576.00 576.00 564.48 23174 715.68 679.90 781.89 766.25 766.25 750.92 23180 636.99 605.14 695.91 682.00 682.00 668.36 23182 620.56 589.53 677.96 664.40 664.40 651.12 23184 701.46 666.39 766.35 751.02 751.02 736.00 23190 541.12 514.06 591.17 579.35 579.35 567.76 23195 720.18 684.17 786.80 771.06 771.06 755.64 23200 1,443.35 1,371.18 1,576.86 1,545.32 1,545.32 1,514.41 23210 1,720.81 1,634.77 1,879.99 1,842.38 1,842.38 1,805.53 23220 1,885.29 1,791.03 2,059.68 2,018.49 2,018.49 1,978.13 23330 217.89 207.00 238.05 233.29 233.29 228.62

# 23330 142.59 135.46 155.78 152.66 152.66 149.62 23333 430.81 409.27 470.66 461.24 461.24 452.02 23334 1,036.56 984.73 1,132.44 1,109.80 1,109.80 1,087.60 23335 1,236.90 1,175.06 1,351.32 1,324.29 1,324.29 1,297.81 23350 118.40 112.48 129.35 126.76 126.76 124.23

# 23350 50.39 47.87 55.05 53.95 53.95 52.87 23395 1,237.07 1,175.22 1,351.50 1,324.48 1,324.48 1,297.99 23397 1,100.23 1,045.22 1,202.00 1,177.97 1,177.97 1,154.40 23400 934.14 887.43 1,020.54 1,000.13 1,000.13 980.13 23405 596.96 567.11 652.18 639.14 639.14 626.35 23406 737.33 700.46 805.53 789.42 789.42 773.63














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

23410 787.41 748.04 860.25 843.04 843.04 826.18 23412 817.38 776.51 892.99 875.13 875.13 857.62 23415 664.41 631.19 725.87 711.36 711.36 697.13 23420 929.35 882.88 1,015.31 995.00 995.00 975.11 23430 712.95 677.30 778.90 763.31 763.31 748.05 23440 724.40 688.18 791.41 775.58 775.58 760.07 23450 909.34 863.87 993.45 973.58 973.58 954.11 23455 963.09 914.94 1,052.18 1,031.14 1,031.14 1,010.52 23460 1,050.90 998.36 1,148.11 1,125.15 1,125.15 1,102.64 23462 1,022.71 971.57 1,117.31 1,094.96 1,094.96 1,073.07 23465 1,071.51 1,017.93 1,170.62 1,147.21 1,147.21 1,124.26 23466 1,073.63 1,019.95 1,172.94 1,149.48 1,149.48 1,126.49 23470 1,162.03 1,103.93 1,269.52 1,244.13 1,244.13 1,219.24 23472 1,410.70 1,340.17 1,541.20 1,510.38 1,510.38 1,480.17 23473 1,577.43 1,498.56 1,723.34 1,688.88 1,688.88 1,655.10 23474 1,705.39 1,620.12 1,863.14 1,825.88 1,825.88 1,789.37 23480 787.97 748.57 860.86 843.64 843.64 826.77 23485 919.06 873.11 1,004.08 984.00 984.00 964.32 23490 809.14 768.68 883.98 866.31 866.31 848.98 23491 974.34 925.62 1,064.46 1,043.18 1,043.18 1,022.32 23500 202.25 192.14 220.96 216.55 216.55 212.21

# 23500 205.59 195.31 224.61 220.11 220.11 215.71 23505 329.15 312.69 359.59 352.41 352.41 345.36

# 23505 312.45 296.83 341.35 334.52 334.52 327.83 23515 687.63 653.25 751.24 736.22 736.22 721.50 23520 208.02 197.62 227.26 222.72 222.72 218.27

# 23520 211.06 200.51 230.59 225.98 225.98 221.46 23525 348.70 331.27 380.96 373.34 373.34 365.87

# 23525 324.41 308.19 354.42 347.33 347.33 340.39














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

23530 525.78 499.49 574.41 562.93 562.93 551.67 23532 590.10 560.60 644.69 631.80 631.80 619.16 23540 208.26 197.85 227.53 222.97 222.97 218.51

# 23540 211.60 201.02 231.17 226.55 226.55 222.02 23545 314.16 298.45 343.22 336.35 336.35 329.62

# 23545 287.75 273.36 314.36 308.07 308.07 301.91 23550 537.51 510.63 587.22 575.48 575.48 563.97 23552 624.84 593.60 682.64 668.99 668.99 655.62 23570 215.12 204.36 235.01 230.31 230.31 225.70

# 23570 221.19 210.13 241.65 236.82 236.82 232.08 23575 371.86 353.27 406.26 398.13 398.13 390.17

# 23575 350.61 333.08 383.04 375.38 375.38 367.87 23585 944.01 896.81 1,031.33 1,010.70 1,010.70 990.48 23600 300.36 285.34 328.14 321.57 321.57 315.15

# 23600 284.26 270.05 310.56 304.35 304.35 298.26 23605 432.33 410.71 472.32 462.88 462.88 453.62

# 23605 399.23 379.27 436.16 427.43 427.43 418.89 23615 847.57 805.19 925.97 907.45 907.45 889.31 23616 1,198.76 1,138.82 1,309.64 1,283.45 1,283.45 1,257.78 23620 248.44 236.02 271.42 266.00 266.00 260.67

# 23620 237.20 225.34 259.14 253.95 253.95 248.87 23625 352.96 335.31 385.61 377.89 377.89 370.33

# 23625 330.49 313.97 361.07 353.84 353.84 346.77 23630 746.45 709.13 815.50 799.19 799.19 783.21 23650 291.63 277.05 318.61 312.24 312.24 305.99

# 23650 269.77 256.28 294.72 288.82 288.82 283.05 23655 377.39 358.52 412.30 404.05 404.05 395.97 23660 553.35 525.68 604.53 592.45 592.45 580.60 23665 396.17 376.36 432.81 424.15 424.15 415.67














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 23665 371.27 352.71 405.62 397.51 397.51 389.56 23670 839.87 797.88 917.56 899.21 899.21 881.22 23675 515.66 489.88 563.36 552.09 552.09 541.05

# 23675 473.76 450.07 517.58 507.23 507.23 497.09 23680 890.98 846.43 973.39 953.93 953.93 934.85 23700 187.05 177.70 204.36 200.27 200.27 196.27 23800 987.73 938.34 1,079.09 1,057.51 1,057.51 1,036.36 23802 1,216.70 1,155.87 1,329.25 1,302.66 1,302.66 1,276.62 23900 1,342.62 1,275.49 1,466.81 1,437.48 1,437.48 1,408.73 23920 1,082.63 1,028.50 1,182.78 1,159.12 1,159.12 1,135.94 23921 443.03 420.88 484.01 474.33 474.33 464.84 23930 324.23 308.02 354.22 347.14 347.14 340.19

# 23930 206.73 196.39 225.85 221.33 221.33 216.90 23931 259.57 246.59 283.58 277.91 277.91 272.35

# 23931 150.26 142.75 164.16 160.89 160.89 157.67 23935 479.63 455.65 524.00 513.52 513.52 503.25 24000 451.94 429.34 493.74 483.86 483.86 474.19 24006 674.90 641.16 737.33 722.59 722.59 708.14 24065 234.73 222.99 256.44 251.31 251.31 246.28

# 24065 159.13 151.17 173.85 170.37 170.37 166.97 24066 574.88 546.14 628.06 615.50 615.50 603.20

# 24066 396.05 376.25 432.69 424.04 424.04 415.56 24071 390.71 371.17 426.85 418.31 418.31 409.95 24073 668.16 634.75 729.96 715.37 715.37 701.06 24075 451.64 429.06 493.42 483.55 483.55 473.88

# 24075 314.40 298.68 343.48 336.62 336.62 329.89 24076 520.09 494.09 568.20 556.84 556.84 545.71 24077 1,004.16 953.95 1,097.04 1,075.10 1,075.10 1,053.60 24079 1,286.11 1,221.80 1,405.07 1,376.96 1,376.96 1,349.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

24100 395.01 375.26 431.55 422.91 422.91 414.46 24101 473.99 450.29 517.83 507.47 507.47 497.32 24102 587.33 557.96 641.65 628.82 628.82 616.24 24105 327.77 311.38 358.09 350.92 350.92 343.91 24110 551.63 524.05 602.66 590.61 590.61 578.80 24115 706.08 670.78 771.40 755.96 755.96 740.84 24116 828.68 787.25 905.34 887.24 887.24 869.49 24120 502.00 476.90 548.44 537.46 537.46 526.71 24125 583.76 554.57 637.76 625.00 625.00 612.50 24126 619.41 588.44 676.71 663.17 663.17 649.91 24130 481.43 457.36 525.96 515.44 515.44 505.14 24134 714.15 678.44 780.21 764.60 764.60 749.31 24136 595.42 565.65 650.50 637.49 637.49 624.74 24138 638.05 606.15 697.07 683.13 683.13 669.47 24140 668.78 635.34 730.64 716.02 716.02 701.71 24145 564.31 536.09 616.50 604.18 604.18 592.09 24147 589.23 559.77 643.74 630.86 630.86 618.24 24149 1,124.10 1,067.90 1,228.09 1,203.52 1,203.52 1,179.45 24150 1,509.13 1,433.67 1,648.72 1,615.75 1,615.75 1,583.44 24152 1,277.79 1,213.90 1,395.99 1,368.06 1,368.06 1,340.70 24155 811.25 770.69 886.29 868.57 868.57 851.20 24160 1,219.71 1,158.72 1,332.53 1,305.88 1,305.88 1,279.77 24164 699.25 664.29 763.93 748.65 748.65 733.68 24200 190.04 180.54 207.62 203.47 203.47 199.40

# 24200 132.65 126.02 144.92 142.03 142.03 139.18 24201 501.79 476.70 548.21 537.25 537.25 526.50

# 24201 343.91 326.71 375.72 368.21 368.21 360.85 24220 146.04 138.74 159.55 156.37 156.37 153.24

# 24220 68.01 64.61 74.30 72.82 72.82 71.36














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

24300 387.21 367.85 423.03 414.56 414.56 406.27 24301 716.83 680.99 783.14 767.48 767.48 752.12 24305 547.86 520.47 598.54 586.57 586.57 574.84 24310 447.36 424.99 488.74 478.96 478.96 469.38 24320 748.89 711.45 818.17 801.80 801.80 785.77 24330 686.74 652.40 750.26 735.25 735.25 720.54 24331 754.01 716.31 823.76 807.28 807.28 791.13 24332 581.96 552.86 635.79 623.07 623.07 610.60 24340 582.98 553.83 636.90 624.16 624.16 611.69 24341 708.53 673.10 774.07 758.59 758.59 743.42 24342 742.90 705.76 811.62 795.39 795.39 779.48 24343 670.82 637.28 732.87 718.21 718.21 703.85 24344 1,050.74 998.20 1,147.93 1,124.98 1,124.98 1,102.48 24345 668.77 635.33 730.63 716.01 716.01 701.70 24346 1,048.46 996.04 1,145.45 1,122.54 1,122.54 1,100.09 24357 405.91 385.61 443.45 434.59 434.59 425.89 24358 494.88 470.14 540.66 529.85 529.85 519.26 24359 628.95 597.50 687.13 673.38 673.38 659.92 24360 850.67 808.14 929.36 910.78 910.78 892.56 24361 960.13 912.12 1,048.94 1,027.96 1,027.96 1,007.40 24362 1,021.42 970.35 1,115.90 1,093.58 1,093.58 1,071.71 24363 1,407.17 1,336.81 1,537.33 1,506.58 1,506.58 1,476.45 24365 607.73 577.34 663.94 650.66 650.66 637.64 24366 649.58 617.10 709.67 695.47 695.47 681.56 24370 1,504.99 1,429.74 1,644.20 1,611.32 1,611.32 1,579.10 24371 1,727.98 1,641.58 1,887.82 1,850.06 1,850.06 1,813.07 24400 781.81 742.72 854.13 837.05 837.05 820.31 24410 1,017.40 966.53 1,111.51 1,089.28 1,089.28 1,067.50 24420 939.33 892.36 1,026.21 1,005.69 1,005.69 985.57














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

24430 1,016.15 965.34 1,110.14 1,087.93 1,087.93 1,066.18 24435 1,032.24 980.63 1,127.72 1,105.17 1,105.17 1,083.07 24470 546.57 519.24 597.13 585.19 585.19 573.48 24495 620.60 589.57 678.01 664.45 664.45 651.15 24498 831.37 789.80 908.27 890.10 890.10 872.30 24500 330.16 313.65 360.70 353.49 353.49 346.41

# 24500 302.83 287.69 330.84 324.23 324.23 317.75 24505 465.03 441.78 508.05 497.88 497.88 487.92

# 24505 424.35 403.13 463.60 454.33 454.33 445.25 24515 838.86 796.92 916.46 898.13 898.13 880.16 24516 826.06 784.76 902.47 884.42 884.42 866.73 24530 351.36 333.79 383.86 376.18 376.18 368.66

# 24530 320.69 304.66 350.36 343.36 343.36 336.49 24535 575.85 547.06 629.12 616.54 616.54 604.21

# 24535 535.78 508.99 585.34 573.63 573.63 562.15 24538 708.11 672.70 773.61 758.14 758.14 742.98 24545 891.93 847.33 974.43 954.94 954.94 935.84 24546 998.95 949.00 1,091.35 1,069.52 1,069.52 1,048.13 24560 294.30 279.59 321.53 315.10 315.10 308.80

# 24560 265.76 252.47 290.34 284.53 284.53 278.84 24565 494.71 469.97 540.47 529.66 529.66 519.06

# 24565 457.66 434.78 500.00 489.99 489.99 480.19 24566 681.02 646.97 744.02 729.13 729.13 714.55 24575 695.86 661.07 760.23 745.03 745.03 730.12 24576 311.92 296.32 340.77 333.95 333.95 327.27

# 24576 282.46 268.34 308.59 302.42 302.42 296.37 24577 508.14 482.73 555.14 544.04 544.04 533.16

# 24577 469.88 446.39 513.35 503.08 503.08 493.02 24579 799.15 759.19 873.07 855.61 855.61 838.50














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

24582 763.83 725.64 834.49 817.80 817.80 801.45 24586 1,042.70 990.57 1,139.16 1,116.37 1,116.37 1,094.04 24587 1,040.31 988.29 1,136.53 1,113.80 1,113.80 1,091.52 24600 340.45 323.43 371.94 364.50 364.50 357.21

# 24600 314.34 298.62 343.41 336.55 336.55 329.82 24605 442.99 420.84 483.97 474.28 474.28 464.80 24615 681.14 647.08 744.14 729.26 729.26 714.68 24620 521.18 495.12 569.39 558.00 558.00 546.85 24635 640.25 608.24 699.48 685.49 685.49 671.78 24640 123.79 117.60 135.24 132.54 132.54 129.89

# 24640 87.36 82.99 95.44 93.53 93.53 91.66 24650 239.60 227.62 261.76 256.53 256.53 251.40

# 24650 221.38 210.31 241.86 237.02 237.02 232.28 24655 403.90 383.71 441.27 432.45 432.45 423.80

# 24655 370.81 352.27 405.11 397.00 397.00 389.07 24665 618.65 587.72 675.88 662.37 662.37 649.12 24666 699.22 664.26 763.90 748.62 748.62 733.64 24670 267.45 254.08 292.19 286.35 286.35 280.62

# 24670 243.47 231.30 266.00 260.67 260.67 255.46 24675 422.50 401.38 461.59 452.35 452.35 443.30

# 24675 388.49 369.07 424.43 415.94 415.94 407.63 24685 620.93 589.88 678.36 664.79 664.79 651.50 24800 794.48 754.76 867.97 850.61 850.61 833.60 24802 942.06 894.96 1,029.20 1,008.62 1,008.62 988.45 24900 700.88 665.84 765.72 750.40 750.40 735.39 24920 700.16 665.15 764.92 749.63 749.63 734.63 24925 523.30 497.14 571.71 560.28 560.28 549.08 24930 737.87 700.98 806.13 790.00 790.00 774.20 24931 779.14 740.18 851.21 834.19 834.19 817.50














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

24935 1,072.88 1,019.24 1,172.13 1,148.69 1,148.69 1,125.71 24940 967.35 918.98 1,056.83 1,035.69 1,035.69 1,014.98 25000 313.79 298.10 342.82 335.96 335.96 329.25 25001 319.72 303.73 349.29 342.31 342.31 335.47 25020 535.15 508.39 584.65 572.95 572.95 561.50 25023 1,041.99 989.89 1,138.37 1,115.60 1,115.60 1,093.29 25024 740.07 703.07 808.53 792.36 792.36 776.51 25025 1,162.18 1,104.07 1,269.68 1,244.29 1,244.29 1,219.40 25028 487.04 462.69 532.09 521.46 521.46 511.03 25031 337.95 321.05 369.21 361.82 361.82 354.59 25035 550.09 522.59 600.98 588.96 588.96 577.19 25040 534.79 508.05 584.26 572.57 572.57 561.12 25065 232.01 220.41 253.47 248.40 248.40 243.43

# 25065 154.59 146.86 168.89 165.51 165.51 162.20 25066 338.34 321.42 369.63 362.24 362.24 354.99 25071 408.55 388.12 446.34 437.41 437.41 428.66 25073 507.45 482.08 554.39 543.31 543.31 532.44 25075 438.57 416.64 479.14 469.56 469.56 460.16

# 25075 300.42 285.40 328.21 321.64 321.64 315.22 25076 490.90 466.36 536.31 525.58 525.58 515.07 25077 853.27 810.61 932.20 913.56 913.56 895.29 25078 1,126.96 1,070.61 1,231.20 1,206.58 1,206.58 1,182.45 25085 424.87 403.63 464.17 454.89 454.89 445.80 25100 324.39 308.17 354.40 347.31 347.31 340.37 25101 379.18 360.22 414.25 405.97 405.97 397.85 25105 455.28 432.52 497.40 487.45 487.45 477.70 25107 581.53 552.45 635.32 622.61 622.61 610.16 25109 509.05 483.60 556.14 545.02 545.02 534.12 25110 322.00 305.90 351.79 344.75 344.75 337.85














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25111 299.44 284.47 327.14 320.60 320.60 314.18 25112 364.07 345.87 397.75 389.79 389.79 382.00 25115 720.87 684.83 787.55 771.80 771.80 756.37 25116 566.59 538.26 619.00 606.61 606.61 594.48 25118 358.44 340.52 391.60 383.77 383.77 376.10 25119 467.08 443.73 510.29 500.09 500.09 490.08 25120 469.94 446.44 513.41 503.14 503.14 493.07 25125 552.37 524.75 603.46 591.40 591.40 579.57 25126 564.73 536.49 616.96 604.62 604.62 592.53 25130 420.04 399.04 458.90 449.72 449.72 440.73 25135 524.79 498.55 573.33 561.87 561.87 550.63 25136 463.51 440.33 506.38 496.25 496.25 486.32 25145 490.26 465.75 535.61 524.91 524.91 514.41 25150 537.72 510.83 587.45 575.70 575.70 564.19 25151 554.85 527.11 606.18 594.06 594.06 582.18 25170 1,432.79 1,361.15 1,565.32 1,534.02 1,534.02 1,503.34 25210 460.00 437.00 502.55 492.50 492.50 482.64 25215 585.99 556.69 640.19 627.39 627.39 614.85 25230 408.31 387.89 446.07 437.15 437.15 428.41 25240 403.15 382.99 440.44 431.63 431.63 422.99 25246 148.35 140.93 162.07 158.83 158.83 155.65

# 25246 74.27 70.56 81.14 79.52 79.52 77.94 25248 394.30 374.59 430.78 422.17 422.17 413.72 25250 495.49 470.72 541.33 530.51 530.51 519.89 25251 685.76 651.47 749.19 734.21 734.21 719.52 25259 384.44 365.22 420.00 411.61 411.61 403.37 25260 596.41 566.59 651.58 638.55 638.55 625.77 25263 588.72 559.28 643.17 630.30 630.30 617.70 25265 713.36 677.69 779.34 763.76 763.76 748.49














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25270 462.20 439.09 504.95 494.86 494.86 484.96 25272 524.30 498.09 572.80 561.35 561.35 550.13 25274 631.59 600.01 690.01 676.21 676.21 662.69 25275 638.72 606.78 697.80 683.84 683.84 670.16 25280 533.88 507.19 583.27 571.61 571.61 560.18 25290 411.98 391.38 450.09 441.08 441.08 432.26 25295 495.44 470.67 541.27 530.45 530.45 519.83 25300 647.51 615.13 707.40 693.25 693.25 679.39 25301 611.67 581.09 668.25 654.89 654.89 641.79 25310 587.75 558.36 642.11 629.27 629.27 616.69 25312 681.77 647.68 744.83 729.94 729.94 715.35 25315 737.61 700.73 805.84 789.73 789.73 773.94 25316 877.45 833.58 958.62 939.45 939.45 920.66 25320 935.97 889.17 1,022.55 1,002.10 1,002.10 982.05 25332 804.07 763.87 878.45 860.88 860.88 843.66 25335 783.09 743.94 855.53 838.42 838.42 821.65 25337 844.70 802.47 922.84 904.38 904.38 886.29 25350 641.28 609.22 700.60 686.60 686.60 672.87 25355 720.02 684.02 786.62 770.89 770.89 755.47 25360 622.00 590.90 679.54 665.94 665.94 652.63 25365 874.69 830.96 955.60 936.49 936.49 917.76 25370 964.56 916.33 1,053.78 1,032.70 1,032.70 1,012.05 25375 915.45 869.68 1,000.13 980.13 980.13 960.53 25390 734.90 698.16 802.88 786.83 786.83 771.10 25391 957.90 910.01 1,046.51 1,025.58 1,025.58 1,005.07 25392 844.77 802.53 922.91 904.45 904.45 886.36 25393 1,087.70 1,033.32 1,188.32 1,164.55 1,164.55 1,141.26 25394 746.17 708.86 815.19 798.88 798.88 782.91 25400 769.05 730.60 840.19 823.39 823.39 806.92














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25405 995.76 945.97 1,087.87 1,066.11 1,066.11 1,044.79 25415 924.98 878.73 1,010.54 990.33 990.33 970.53 25420 1,123.69 1,067.51 1,227.64 1,203.08 1,203.08 1,179.03 25425 925.63 879.35 1,011.25 991.02 991.02 971.20 25426 1,083.94 1,029.74 1,184.20 1,160.52 1,160.52 1,137.32 25430 697.46 662.59 761.98 746.74 746.74 731.80 25431 752.05 714.45 821.62 805.18 805.18 789.08 25440 732.02 695.42 799.73 783.74 783.74 768.06 25441 893.17 848.51 975.79 956.27 956.27 937.15 25442 768.83 730.39 839.95 823.15 823.15 806.68 25443 747.36 709.99 816.49 800.16 800.16 784.15 25444 791.19 751.63 864.37 847.09 847.09 830.15 25445 688.90 654.46 752.63 737.58 737.58 722.82 25446 1,125.53 1,069.25 1,229.64 1,205.05 1,205.05 1,180.95 25447 787.63 748.25 860.49 843.28 843.28 826.41 25449 991.02 941.47 1,082.69 1,061.04 1,061.04 1,039.82 25450 498.90 473.96 545.05 534.15 534.15 523.47 25455 591.88 562.29 646.63 633.70 633.70 621.02 25490 686.98 652.63 750.52 735.52 735.52 720.81 25491 707.77 672.38 773.24 757.77 757.77 742.61 25492 867.47 824.10 947.72 928.76 928.76 910.19 25500 251.64 239.06 274.92 269.42 269.42 264.03

# 25500 232.51 220.88 254.01 248.93 248.93 243.95 25505 468.22 444.81 511.53 501.30 501.30 491.27

# 25505 432.09 410.49 472.06 462.62 462.62 453.36 25515 636.61 604.78 695.50 681.58 681.58 667.95 25520 524.48 498.26 573.00 561.53 561.53 550.30

# 25520 500.19 475.18 546.46 535.53 535.53 524.83 25525 748.06 710.66 817.26 800.92 800.92 784.90














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25526 910.07 864.57 994.26 974.37 974.37 954.88 25530 239.83 227.84 262.02 256.77 256.77 251.63

# 25530 218.88 207.94 239.13 234.35 234.35 229.66 25535 456.00 433.20 498.18 488.22 488.22 478.46

# 25535 425.03 403.78 464.35 455.06 455.06 445.96 25545 590.58 561.05 645.21 632.30 632.30 619.65 25560 255.20 242.44 278.81 273.23 273.23 267.77

# 25560 232.42 220.80 253.92 248.84 248.84 243.86 25565 484.95 460.70 529.81 519.21 519.21 508.83

# 25565 442.75 420.61 483.70 474.03 474.03 464.55 25574 639.34 607.37 698.48 684.50 684.50 670.82 25575 860.88 817.84 940.52 921.70 921.70 903.27 25600 299.86 284.87 327.60 321.05 321.05 314.63

# 25600 284.68 270.45 311.02 304.80 304.80 298.70 25605 510.48 484.96 557.70 546.55 546.55 535.61

# 25605 482.85 458.71 527.52 516.97 516.97 506.63 25606 628.03 596.63 686.12 672.41 672.41 658.96 25607 698.28 663.37 762.88 747.62 747.62 732.67 25608 785.21 745.95 857.84 840.68 840.68 823.87 25609 1,000.29 950.28 1,092.82 1,070.96 1,070.96 1,049.54 25622 279.20 265.24 305.03 298.93 298.93 292.95

# 25622 256.12 243.31 279.81 274.21 274.21 268.72 25624 440.36 418.34 481.09 471.47 471.47 462.04

# 25624 404.53 384.30 441.95 433.10 433.10 424.44 25628 686.26 651.95 749.74 734.75 734.75 720.05 25630 281.59 267.51 307.64 301.48 301.48 295.46

# 25630 260.64 247.61 284.75 279.06 279.06 273.48 25635 395.98 376.18 432.61 423.96 423.96 415.48

# 25635 357.11 339.25 390.14 382.34 382.34 374.69














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25645 539.30 512.34 589.19 577.40 577.40 565.86 25650 295.80 281.01 323.16 316.70 316.70 310.36

# 25650 278.80 264.86 304.59 298.49 298.49 292.53 25651 455.87 433.08 498.04 488.08 488.08 478.32 25652 592.25 562.64 647.04 634.10 634.10 621.41 25660 383.50 364.33 418.98 410.60 410.60 402.39 25670 576.79 547.95 630.14 617.54 617.54 605.19 25671 500.61 475.58 546.92 535.98 535.98 525.26 25675 404.02 383.82 441.39 432.56 432.56 423.91

# 25675 371.53 352.95 405.89 397.77 397.77 389.82 25676 595.93 566.13 651.05 638.03 638.03 625.27 25680 447.61 425.23 489.01 479.24 479.24 469.66 25685 700.55 665.52 765.35 750.04 750.04 735.05 25690 448.29 425.88 489.76 479.96 479.96 470.36 25695 604.40 574.18 660.31 647.11 647.11 634.17 25800 698.29 663.38 762.89 747.63 747.63 732.68 25805 809.15 768.69 883.99 866.32 866.32 848.99 25810 827.72 786.33 904.28 886.19 886.19 868.47 25820 580.56 551.53 634.26 621.58 621.58 609.14 25825 716.79 680.95 783.09 767.43 767.43 752.08 25830 887.18 842.82 969.24 949.85 949.85 930.86 25900 675.82 642.03 738.33 723.57 723.57 709.10 25905 625.37 594.10 683.22 669.55 669.55 656.17 25907 556.42 528.60 607.89 595.73 595.73 583.82 25909 654.63 621.90 715.19 700.88 700.88 686.86 25915 1,136.81 1,079.97 1,241.97 1,217.13 1,217.13 1,192.78 25920 660.21 627.20 721.28 706.86 706.86 692.73 25922 546.36 519.04 596.90 584.96 584.96 573.26 25924 583.86 554.67 637.87 625.12 625.12 612.62














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

25927 762.36 724.24 832.88 816.22 816.22 799.89 25929 562.98 534.83 615.05 602.75 602.75 590.70 25931 627.78 596.39 685.85 672.13 672.13 658.69 26010 236.57 224.74 258.45 253.29 253.29 248.23

# 26010 128.48 122.06 140.37 137.56 137.56 134.81 26011 349.09 331.64 381.39 373.76 373.76 366.29

# 26011 174.21 165.50 190.33 186.52 186.52 182.79 26020 407.50 387.13 445.20 436.30 436.30 427.57 26025 397.79 377.90 434.59 425.89 425.89 417.37 26030 465.21 441.95 508.24 498.08 498.08 488.12 26034 507.20 481.84 554.12 543.03 543.03 532.17 26035 811.61 771.03 886.68 868.95 868.95 851.58 26037 539.22 512.26 589.10 577.31 577.31 565.77 26040 290.92 276.37 317.83 311.47 311.47 305.23 26045 442.30 420.19 483.22 473.56 473.56 464.08 26055 499.63 474.65 545.85 534.93 534.93 524.24

# 26055 287.70 273.32 314.32 308.03 308.03 301.86 26060 247.23 234.87 270.10 264.70 264.70 259.41 26070 295.02 280.27 322.31 315.86 315.86 309.55 26075 312.21 296.60 341.09 334.27 334.27 327.59 26080 365.78 347.49 399.61 391.62 391.62 383.79 26100 312.64 297.01 341.56 334.73 334.73 328.04 26105 312.08 296.48 340.95 334.13 334.13 327.45 26110 300.64 285.61 328.45 321.89 321.89 315.45 26111 396.51 376.68 433.18 424.52 424.52 416.04 26113 520.08 494.08 568.19 556.83 556.83 545.70 26115 459.24 436.28 501.72 491.68 491.68 481.85

# 26115 313.19 297.53 342.16 335.32 335.32 328.61 26116 499.23 474.27 545.41 534.50 534.50 523.80














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26117 713.97 678.27 780.01 764.41 764.41 749.12 26118 1,006.75 956.41 1,099.87 1,077.87 1,077.87 1,056.31 26121 566.04 537.74 618.40 606.04 606.04 593.92 26123 791.35 751.78 864.55 847.25 847.25 830.31 26125 268.18 254.77 292.99 287.12 287.12 281.38 26130 436.42 414.60 476.79 467.26 467.26 457.91 26135 520.25 494.24 568.38 557.01 557.01 545.87 26140 476.09 452.29 520.13 509.73 509.73 499.54 26145 483.80 459.61 528.55 517.98 517.98 507.62 26160 516.38 490.56 564.14 552.86 552.86 541.81

# 26160 311.13 295.57 339.91 333.11 333.11 326.45 26170 380.72 361.68 415.93 407.62 407.62 399.46 26180 416.16 395.35 454.65 445.56 445.56 436.64 26185 510.62 485.09 557.85 546.70 546.70 535.76 26200 425.12 403.86 464.44 455.15 455.15 446.04 26205 573.87 545.18 626.96 614.42 614.42 602.13 26210 415.86 395.07 454.33 445.25 445.25 436.34 26215 535.18 508.42 584.68 572.99 572.99 561.53 26230 472.24 448.63 515.92 505.61 505.61 495.50 26235 466.86 443.52 510.05 499.85 499.85 489.85 26236 416.43 395.61 454.95 445.86 445.86 436.94 26250 1,031.00 979.45 1,126.37 1,103.84 1,103.84 1,081.76 26260 764.85 726.61 835.60 818.89 818.89 802.52 26262 593.39 563.72 648.28 635.32 635.32 622.61 26320 325.83 309.54 355.97 348.85 348.85 341.87 26340 305.81 290.52 334.10 327.42 327.42 320.87 26341 90.87 86.33 99.28 97.29 97.29 95.35

# 26341 70.52 66.99 77.04 75.50 75.50 73.99 26350 645.68 613.40 705.41 691.30 691.30 677.48














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26352 749.91 712.41 819.27 802.88 802.88 786.83 26356 817.52 776.64 893.14 875.28 875.28 857.77 26357 811.69 771.11 886.78 869.04 869.04 851.67 26358 904.78 859.54 988.47 968.70 968.70 949.33 26370 691.27 656.71 755.22 740.12 740.12 725.32 26372 808.76 768.32 883.57 865.89 865.89 848.57 26373 775.50 736.73 847.24 830.30 830.30 813.69 26390 777.40 738.53 849.31 832.32 832.32 815.67 26392 894.58 849.85 977.33 957.78 957.78 938.62 26410 512.18 486.57 559.56 548.37 548.37 537.40 26412 621.86 590.77 679.39 665.79 665.79 652.48 26415 710.34 674.82 776.04 760.52 760.52 745.30 26416 678.48 644.56 741.24 726.42 726.42 711.90 26418 520.02 494.02 568.12 556.76 556.76 545.63 26420 646.66 614.33 706.48 692.35 692.35 678.50 26426 473.28 449.62 517.06 506.72 506.72 496.59 26428 690.79 656.25 754.69 739.60 739.60 724.81 26432 451.02 428.47 492.74 482.89 482.89 473.23 26433 482.24 458.13 526.85 516.32 516.32 505.99 26434 591.92 562.32 646.67 633.73 633.73 621.06 26437 568.44 540.02 621.02 608.60 608.60 596.44 26440 559.34 531.37 611.08 598.85 598.85 586.88 26442 884.24 840.03 966.03 946.71 946.71 927.79 26445 518.66 492.73 566.64 555.31 555.31 544.20 26449 654.80 622.06 715.37 701.06 701.06 687.04 26450 371.94 353.34 406.34 398.21 398.21 390.24 26455 366.14 347.83 400.00 392.00 392.00 384.16 26460 358.51 340.58 391.67 383.84 383.84 376.15 26471 559.77 531.78 611.55 599.31 599.31 587.33














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26474 548.11 520.70 598.81 586.83 586.83 575.09 26476 525.82 499.53 574.46 562.97 562.97 551.71 26477 527.79 501.40 576.61 565.08 565.08 553.77 26478 566.06 537.76 618.42 606.05 606.05 593.93 26479 558.30 530.39 609.95 597.75 597.75 585.79 26480 682.90 648.76 746.07 731.15 731.15 716.52 26483 772.72 734.08 844.19 827.31 827.31 810.76 26485 738.09 701.19 806.37 790.25 790.25 774.44 26489 838.49 796.57 916.06 897.74 897.74 879.78 26490 724.89 688.65 791.95 776.11 776.11 760.59 26492 805.80 765.51 880.34 862.73 862.73 845.48 26494 728.50 692.08 795.89 779.98 779.98 764.38 26496 793.65 753.97 867.07 849.72 849.72 832.73 26497 804.65 764.42 879.08 861.50 861.50 844.27 26498 1,072.79 1,019.15 1,172.02 1,148.59 1,148.59 1,125.61 26499 769.67 731.19 840.87 824.06 824.06 807.58 26500 569.20 540.74 621.85 609.42 609.42 597.23 26502 638.95 607.00 698.05 684.09 684.09 670.40 26508 587.54 558.16 641.88 629.05 629.05 616.47 26510 540.48 513.46 590.48 578.67 578.67 567.10 26516 642.05 609.95 701.44 687.41 687.41 673.67 26517 762.52 724.39 833.05 816.39 816.39 800.06 26518 761.26 723.20 831.68 815.05 815.05 798.76 26520 588.30 558.89 642.72 629.87 629.87 617.27 26525 589.10 559.65 643.60 630.73 630.73 618.11 26530 507.58 482.20 554.53 543.44 543.44 532.58 26531 591.37 561.80 646.07 633.14 633.14 620.48 26535 397.75 377.86 434.54 425.85 425.85 417.32 26536 648.12 615.71 708.07 693.91 693.91 680.03














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26540 601.15 571.09 656.75 643.62 643.62 630.75 26541 739.14 702.18 807.51 791.36 791.36 775.54 26542 620.81 589.77 678.24 664.67 664.67 651.37 26545 632.37 600.75 690.86 677.05 677.05 663.52 26546 916.26 870.45 1,001.02 981.00 981.00 961.38 26548 699.57 664.59 764.28 749.00 749.00 734.01 26550 1,463.97 1,390.77 1,599.39 1,567.39 1,567.39 1,536.04 26551 2,762.22 2,624.11 3,017.73 2,957.37 2,957.37 2,898.23 26553 3,151.06 2,993.51 3,442.54 3,373.69 3,373.69 3,306.22 26554 3,216.60 3,055.77 3,514.14 3,443.85 3,443.85 3,374.97 26555 1,261.20 1,198.14 1,377.86 1,350.31 1,350.31 1,323.31 26556 3,272.25 3,108.64 3,574.94 3,503.44 3,503.44 3,433.37 26560 512.11 486.50 559.48 548.29 548.29 537.31 26561 865.29 822.03 945.33 926.43 926.43 907.90 26562 1,262.37 1,199.25 1,379.14 1,351.56 1,351.56 1,324.52 26565 620.35 589.33 677.73 664.17 664.17 650.89 26567 624.13 592.92 681.86 668.22 668.22 654.86 26568 829.08 787.63 905.77 887.66 887.66 869.91 26580 1,383.44 1,314.27 1,511.41 1,481.18 1,481.18 1,451.55 26587 879.62 835.64 960.99 941.77 941.77 922.93 26590 1,283.09 1,218.94 1,401.78 1,373.74 1,373.74 1,346.27 26591 391.79 372.20 428.03 419.47 419.47 411.08 26593 544.94 517.69 595.34 583.44 583.44 571.77 26596 700.86 665.82 765.69 750.38 750.38 735.37 26600 269.25 255.79 294.16 288.27 288.27 282.51

# 26600 254.68 241.95 278.24 272.68 272.68 267.23 26605 295.93 281.13 323.30 316.84 316.84 310.50

# 26605 271.64 258.06 296.77 290.84 290.84 285.02 26607 427.81 406.42 467.38 458.03 458.03 448.87














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26608 447.08 424.73 488.44 478.68 478.68 469.11 26615 543.85 516.66 594.16 582.28 582.28 570.63 26641 342.04 324.94 373.68 366.21 366.21 358.88

# 26641 314.71 298.97 343.82 336.94 336.94 330.20 26645 392.66 373.03 428.98 420.41 420.41 412.00

# 26645 363.51 345.33 397.13 389.18 389.18 381.40 26650 446.83 424.49 488.16 478.40 478.40 468.83 26665 599.13 569.17 654.55 641.46 641.46 628.62 26670 315.37 299.60 344.54 337.65 337.65 330.90

# 26670 288.65 274.22 315.35 309.05 309.05 302.88 26675 420.18 399.17 459.05 449.87 449.87 440.88

# 26675 388.91 369.46 424.88 416.38 416.38 408.05 26676 468.90 445.46 512.28 502.03 502.03 491.99 26685 543.78 516.59 594.08 582.20 582.20 570.55 26686 593.54 563.86 648.44 635.47 635.47 622.76 26700 300.69 285.66 328.51 321.94 321.94 315.50

# 26700 283.99 269.79 310.26 304.05 304.05 297.97 26705 386.74 367.40 422.51 414.06 414.06 405.78

# 26705 356.98 339.13 390.00 382.20 382.20 374.56 26706 413.99 393.29 452.28 443.23 443.23 434.37 26715 539.47 512.50 589.38 577.59 577.59 566.04 26720 181.23 172.17 198.00 194.04 194.04 190.16

# 26720 169.39 160.92 185.06 181.36 181.36 177.73 26725 311.64 296.06 340.47 333.66 333.66 326.99

# 26725 283.41 269.24 309.63 303.44 303.44 297.37 26727 439.62 417.64 480.29 470.68 470.68 461.27 26735 563.57 535.39 615.70 603.38 603.38 591.32 26740 210.83 200.29 230.33 225.72 225.72 221.20

# 26740 198.99 189.04 217.40 213.05 213.05 208.78














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26742 342.10 325.00 373.75 366.28 366.28 358.95 # 26742 313.25 297.59 342.23 335.39 335.39 328.68

26746 704.61 669.38 769.79 754.39 754.39 739.30 26750 169.27 160.81 184.93 181.23 181.23 177.61

# 26750 169.57 161.09 185.25 181.55 181.55 177.92 26755 289.63 275.15 316.42 310.10 310.10 303.90

# 26755 254.71 241.97 278.27 272.70 272.70 267.25 26756 389.48 370.01 425.51 417.00 417.00 408.66 26765 470.50 446.98 514.03 503.75 503.75 493.67 26770 255.55 242.77 279.19 273.60 273.60 268.12

# 26770 238.24 226.33 260.28 255.07 255.07 249.96 26775 353.65 335.97 386.37 378.64 378.64 371.07

# 26775 322.68 306.55 352.53 345.48 345.48 338.57 26776 413.93 393.23 452.21 443.18 443.18 434.31 26785 515.74 489.95 563.44 552.17 552.17 541.13 26820 726.53 690.20 793.73 777.86 777.86 762.30 26841 665.37 632.10 726.92 712.38 712.38 698.13 26842 724.00 687.80 790.97 775.15 775.15 759.64 26843 681.61 647.53 744.66 729.77 729.77 715.17 26844 748.25 710.84 817.47 801.11 801.11 785.09 26850 634.12 602.41 692.77 678.91 678.91 665.33 26852 732.95 696.30 800.75 784.73 784.73 769.03 26860 511.56 485.98 558.88 547.70 547.70 536.74 26861 101.07 96.02 110.42 108.22 108.22 106.05 26862 666.52 633.19 728.17 713.61 713.61 699.34 26863 225.89 214.60 246.79 241.86 241.86 237.02 26910 664.31 631.09 725.75 711.24 711.24 697.02 26951 595.91 566.11 651.03 638.01 638.01 625.24 26952 590.78 561.24 645.43 632.52 632.52 619.87














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

26990 593.18 563.52 648.05 635.09 635.09 622.39 26991 652.29 619.68 712.63 698.38 698.38 684.41

# 26991 497.45 472.58 543.47 532.60 532.60 521.95 26992 918.85 872.91 1,003.85 983.77 983.77 964.09 27000 397.06 377.21 433.79 425.12 425.12 416.62 27001 511.01 485.46 558.28 547.11 547.11 536.18 27003 566.94 538.59 619.38 606.99 606.99 594.85 27005 692.57 657.94 756.63 741.50 741.50 726.66 27006 702.81 667.67 767.82 752.47 752.47 737.41 27025 877.41 833.54 958.57 939.40 939.40 920.61 27027 866.54 823.21 946.69 927.76 927.76 909.21 27030 901.45 856.38 984.84 965.14 965.14 945.84 27033 935.88 889.09 1,022.45 1,002.01 1,002.01 981.96 27035 1,109.63 1,054.15 1,212.27 1,188.03 1,188.03 1,164.27 27036 969.94 921.44 1,059.66 1,038.46 1,038.46 1,017.69 27040 315.39 299.62 344.56 337.67 337.67 330.92

# 27040 192.12 182.51 209.89 205.69 205.69 201.57 27041 663.84 630.65 725.25 710.75 710.75 696.53 27043 454.77 432.03 496.83 486.90 486.90 477.16 27045 724.78 688.54 791.82 775.99 775.99 760.46 27047 436.01 414.21 476.34 466.82 466.82 457.48

# 27047 347.05 329.70 379.16 371.58 371.58 364.15 27048 589.68 560.20 644.23 631.35 631.35 618.72 27049 1,314.94 1,249.19 1,436.57 1,407.84 1,407.84 1,379.69 27050 362.73 344.59 396.28 388.36 388.36 380.59 27052 548.17 520.76 598.87 586.89 586.89 575.15 27054 653.39 620.72 713.83 699.56 699.56 685.56 27057 978.56 929.63 1,069.07 1,047.70 1,047.70 1,026.74 27059 1,776.46 1,687.64 1,940.79 1,901.97 1,901.97 1,863.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27060 439.33 417.36 479.96 470.36 470.36 460.95 27062 433.18 411.52 473.25 463.78 463.78 454.50 27065 485.51 461.23 530.41 519.81 519.81 509.42 27066 775.77 736.98 847.53 830.58 830.58 813.97 27067 984.77 935.53 1,075.86 1,054.34 1,054.34 1,033.25 27070 809.89 769.40 884.81 867.11 867.11 849.77 27071 875.90 832.11 956.93 937.79 937.79 919.03 27075 2,038.86 1,936.92 2,227.46 2,182.91 2,182.91 2,139.25 27076 2,465.00 2,341.75 2,693.01 2,639.16 2,639.16 2,586.37 27077 2,772.11 2,633.50 3,028.53 2,967.95 2,967.95 2,908.59 27078 2,007.68 1,907.30 2,193.40 2,149.52 2,149.52 2,106.54 27080 490.71 466.17 536.10 525.38 525.38 514.87 27086 262.61 249.48 286.90 281.16 281.16 275.54

# 27086 156.34 148.52 170.80 167.38 167.38 164.04 27087 600.68 570.65 656.25 643.13 643.13 630.27 27090 796.50 756.68 870.18 852.78 852.78 835.73 27091 1,548.82 1,471.38 1,692.09 1,658.24 1,658.24 1,625.08 27093 169.70 161.22 185.40 181.70 181.70 178.07

# 27093 68.90 65.46 75.28 73.77 73.77 72.30 27095 217.42 206.55 237.53 232.78 232.78 228.13

# 27095 81.09 77.04 88.60 86.83 86.83 85.09 27096 147.87 140.48 161.55 158.32 158.32 155.16

# 27096 82.29 78.18 89.91 88.11 88.11 86.35 27097 643.77 611.58 703.32 689.25 689.25 675.46 27098 639.60 607.62 698.76 684.79 684.79 671.09 27100 783.20 744.04 855.65 838.53 838.53 821.77 27105 831.15 789.59 908.03 889.87 889.87 872.07 27110 929.67 883.19 1,015.67 995.36 995.36 975.45 27111 863.77 820.58 943.67 924.80 924.80 906.30














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27120 1,256.93 1,194.08 1,373.19 1,345.73 1,345.73 1,318.82 27122 1,060.06 1,007.06 1,158.12 1,134.96 1,134.96 1,112.26 27125 1,094.21 1,039.50 1,195.43 1,171.52 1,171.52 1,148.09 27130 1,314.81 1,249.07 1,436.43 1,407.70 1,407.70 1,379.55 27132 1,624.63 1,543.40 1,774.91 1,739.41 1,739.41 1,704.62 27134 1,865.87 1,772.58 2,038.47 1,997.70 1,997.70 1,957.75 27137 1,429.91 1,358.41 1,562.17 1,530.93 1,530.93 1,500.31 27138 1,486.39 1,412.07 1,623.88 1,591.40 1,591.40 1,559.57 27140 859.24 816.28 938.72 919.94 919.94 901.54 27146 1,243.19 1,181.03 1,358.18 1,331.02 1,331.02 1,304.40 27147 1,425.25 1,353.99 1,557.09 1,525.95 1,525.95 1,495.43 27151 1,539.74 1,462.75 1,682.16 1,648.53 1,648.53 1,615.55 27156 1,666.78 1,583.44 1,820.96 1,784.54 1,784.54 1,748.84 27158 1,379.72 1,310.73 1,507.34 1,477.20 1,477.20 1,447.65 27161 1,172.42 1,113.80 1,280.87 1,255.25 1,255.25 1,230.14 27165 1,327.03 1,260.68 1,449.78 1,420.79 1,420.79 1,392.37 27170 1,137.12 1,080.26 1,242.30 1,217.45 1,217.45 1,193.10 27175 640.77 608.73 700.04 686.04 686.04 672.32 27176 865.26 822.00 945.30 926.39 926.39 907.87 27177 1,074.14 1,020.43 1,173.49 1,150.02 1,150.02 1,127.02 27178 882.12 838.01 963.71 944.44 944.44 925.55 27179 939.61 892.63 1,026.52 1,006.00 1,006.00 985.87 27181 938.05 891.15 1,024.82 1,004.33 1,004.33 984.24 27185 589.01 559.56 643.49 630.63 630.63 618.01 27187 953.98 906.28 1,042.22 1,021.37 1,021.37 1,000.95 27193 446.94 424.59 488.28 478.52 478.52 468.95

# 27193 452.40 429.78 494.25 484.36 484.36 474.67 27194 678.87 644.93 741.67 726.83 726.83 712.30 27200 168.01 159.61 183.55 179.88 179.88 176.28














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 27200 174.69 165.96 190.85 187.04 187.04 183.30 27202 506.81 481.47 553.69 542.62 542.62 531.76 27220 503.75 478.56 550.34 539.34 539.34 528.55

# 27220 499.80 474.81 546.03 535.11 535.11 524.40 27222 939.82 892.83 1,026.75 1,006.22 1,006.22 986.09 27226 1,019.80 968.81 1,114.13 1,091.84 1,091.84 1,070.01 27227 1,609.92 1,529.42 1,758.83 1,723.65 1,723.65 1,689.18 27228 1,838.06 1,746.16 2,008.08 1,967.93 1,967.93 1,928.57 27230 447.90 425.51 489.34 479.55 479.55 469.96

# 27230 445.47 423.20 486.68 476.95 476.95 467.42 27232 728.88 692.44 796.31 780.38 780.38 764.77 27235 875.26 831.50 956.23 937.10 937.10 918.36 27236 1,155.38 1,097.61 1,262.25 1,237.01 1,237.01 1,212.27 27238 435.43 413.66 475.71 466.20 466.20 456.87 27240 921.01 874.96 1,006.20 986.08 986.08 966.36 27244 1,189.60 1,130.12 1,299.64 1,273.65 1,273.65 1,248.18 27245 1,189.26 1,129.80 1,299.27 1,273.28 1,273.28 1,247.82 27246 364.55 346.32 398.27 390.30 390.30 382.49

# 27246 366.37 348.05 400.26 392.25 392.25 384.41 27248 715.32 679.55 781.48 765.85 765.85 750.54 27250 181.08 172.03 197.83 193.88 193.88 190.00 27252 730.14 693.63 797.67 781.72 781.72 766.08 27253 905.35 860.08 989.09 969.31 969.31 949.92 27254 1,225.36 1,164.09 1,338.70 1,311.93 1,311.93 1,285.69 27256 284.94 270.69 311.29 305.07 305.07 298.97

# 27256 229.98 218.48 251.25 246.23 246.23 241.30 27257 351.06 333.51 383.54 375.87 375.87 368.35 27258 1,071.29 1,017.73 1,170.39 1,146.99 1,146.99 1,124.04 27259 1,504.86 1,429.62 1,644.06 1,611.18 1,611.18 1,578.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27265 377.29 358.43 412.19 403.95 403.95 395.86 27266 554.93 527.18 606.26 594.14 594.14 582.26 27267 412.00 391.40 450.11 441.11 441.11 432.29 27268 507.52 482.14 554.46 543.38 543.38 532.51 27269 1,202.35 1,142.23 1,313.56 1,287.30 1,287.30 1,261.55 27275 172.36 163.74 188.30 184.54 184.54 180.85 27279 666.30 632.99 727.94 713.38 713.38 699.11 27280 1,326.27 1,259.96 1,448.95 1,419.97 1,419.97 1,391.57 27282 792.60 752.97 865.92 848.60 848.60 831.62 27284 1,517.94 1,442.04 1,658.35 1,625.18 1,625.18 1,592.68 27286 1,585.30 1,506.04 1,731.95 1,697.31 1,697.31 1,663.36 27290 1,561.71 1,483.62 1,706.16 1,672.04 1,672.04 1,638.60 27295 1,224.90 1,163.66 1,338.21 1,311.45 1,311.45 1,285.22 27301 624.56 593.33 682.33 668.68 668.68 655.30

# 27301 479.43 455.46 523.78 513.30 513.30 503.03 27303 608.63 578.20 664.93 651.64 651.64 638.61 27305 456.77 433.93 499.02 489.04 489.04 479.26 27306 337.13 320.27 368.31 360.94 360.94 353.72 27307 438.67 416.74 479.25 469.67 469.67 460.28 27310 699.35 664.38 764.04 748.75 748.75 733.78 27323 248.82 236.38 271.84 266.40 266.40 261.07

# 27323 169.57 161.09 185.25 181.55 181.55 177.92 27324 379.04 360.09 414.10 405.82 405.82 397.70 27325 520.48 494.46 568.63 557.26 557.26 546.11 27326 492.05 467.45 537.57 526.82 526.82 516.28 27327 422.92 401.77 462.04 452.79 452.79 443.74

# 27327 298.74 283.80 326.37 319.84 319.84 313.44 27328 597.44 567.57 652.71 639.65 639.65 626.87 27329 1,004.52 954.29 1,097.43 1,075.48 1,075.48 1,053.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27330 395.84 376.05 432.46 423.81 423.81 415.33 27331 450.50 427.98 492.18 482.33 482.33 472.68 27332 610.36 579.84 666.82 653.48 653.48 640.41 27333 557.25 529.39 608.80 596.62 596.62 584.68 27334 652.10 619.50 712.43 698.18 698.18 684.22 27335 730.55 694.02 798.12 782.16 782.16 766.52 27337 403.03 382.88 440.31 431.50 431.50 422.88 27339 728.87 692.43 796.29 780.37 780.37 764.76 27340 350.29 332.78 382.70 375.04 375.04 367.54 27345 456.08 433.28 498.27 488.30 488.30 478.54 27347 502.87 477.73 549.39 538.41 538.41 527.64 27350 620.60 589.57 678.01 664.45 664.45 651.15 27355 573.47 544.80 626.52 613.99 613.99 601.70 27356 704.09 668.89 769.22 753.84 753.84 738.76 27357 778.83 739.89 850.87 833.85 833.85 817.18 27358 273.08 259.43 298.34 292.38 292.38 286.53 27360 812.42 771.80 887.57 869.81 869.81 852.41 27364 1,521.43 1,445.36 1,662.16 1,628.92 1,628.92 1,596.34 27365 2,013.41 1,912.74 2,199.65 2,155.66 2,155.66 2,112.55 27370 139.51 132.53 152.41 149.36 149.36 146.37

# 27370 49.94 47.44 54.56 53.46 53.46 52.39 27372 557.23 529.37 608.78 596.60 596.60 584.66

# 27372 383.56 364.38 419.04 410.65 410.65 402.44 27380 562.80 534.66 614.86 602.57 602.57 590.51 27381 760.34 722.32 830.67 814.05 814.05 797.77 27385 542.89 515.75 593.11 581.26 581.26 569.63 27386 791.18 751.62 864.36 847.08 847.08 830.14 27390 423.84 402.65 463.05 453.79 453.79 444.72 27391 548.96 521.51 599.74 587.74 587.74 575.99














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27392 677.88 643.99 740.59 725.78 725.78 711.26 27393 481.48 457.41 526.02 515.50 515.50 505.18 27394 607.11 576.75 663.26 650.00 650.00 637.01 27395 842.70 800.57 920.66 902.24 902.24 884.20 27396 587.35 557.98 641.68 628.84 628.84 616.26 27397 866.83 823.49 947.01 928.07 928.07 909.51 27400 663.24 630.08 724.59 710.10 710.10 695.90 27403 610.97 580.42 667.48 654.13 654.13 641.04 27405 643.47 611.30 703.00 688.93 688.93 675.15 27407 744.61 707.38 813.49 797.21 797.21 781.28 27409 916.54 870.71 1,001.32 981.30 981.30 961.66 27412 1,600.53 1,520.50 1,748.58 1,713.60 1,713.60 1,679.33 27415 1,322.66 1,256.53 1,445.01 1,416.11 1,416.11 1,387.79 27416 942.33 895.21 1,029.49 1,008.91 1,008.91 988.72 27418 794.32 754.60 867.79 850.44 850.44 833.43 27420 712.14 676.53 778.01 762.45 762.45 747.20 27422 709.63 674.15 775.27 759.77 759.77 744.58 27424 716.22 680.41 782.47 766.82 766.82 751.48 27425 423.38 402.21 462.54 453.30 453.30 444.23 27427 680.85 646.81 743.83 728.95 728.95 714.37 27428 1,068.81 1,015.37 1,167.68 1,144.32 1,144.32 1,121.43 27429 1,195.56 1,135.78 1,306.15 1,280.02 1,280.02 1,254.42 27430 707.17 671.81 772.58 757.13 757.13 741.98 27435 770.14 731.63 841.37 824.55 824.55 808.06 27437 631.29 599.73 689.69 675.90 675.90 662.39 27438 806.73 766.39 881.35 863.72 863.72 846.45 27440 765.50 727.23 836.31 819.59 819.59 803.21 27441 789.65 750.17 862.70 845.45 845.45 828.54 27442 834.93 793.18 912.16 893.92 893.92 876.04














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27443 774.39 735.67 846.02 829.10 829.10 812.52 27445 1,206.62 1,146.29 1,318.23 1,291.86 1,291.86 1,266.02 27446 1,122.17 1,066.06 1,225.97 1,201.45 1,201.45 1,177.43 27447 1,314.50 1,248.78 1,436.10 1,407.37 1,407.37 1,379.22 27448 747.05 709.70 816.16 799.84 799.84 783.84 27450 972.47 923.85 1,062.43 1,041.18 1,041.18 1,020.35 27454 1,256.76 1,193.92 1,373.01 1,345.55 1,345.55 1,318.64 27455 904.69 859.46 988.38 968.61 968.61 949.23 27457 912.68 867.05 997.11 977.17 977.17 957.63 27465 1,195.12 1,135.36 1,305.66 1,279.55 1,279.55 1,253.96 27466 1,136.35 1,079.53 1,241.46 1,216.63 1,216.63 1,192.30 27468 1,197.56 1,137.68 1,308.33 1,282.17 1,282.17 1,256.52 27470 1,133.23 1,076.57 1,238.06 1,213.30 1,213.30 1,189.03 27472 1,219.81 1,158.82 1,332.64 1,305.99 1,305.99 1,279.87 27475 632.54 600.91 691.05 677.22 677.22 663.68 27477 700.52 665.49 765.31 750.01 750.01 735.01 27479 766.85 728.51 837.79 821.03 821.03 804.61 27485 641.36 609.29 700.68 686.67 686.67 672.93 27486 1,361.29 1,293.23 1,487.21 1,457.48 1,457.48 1,428.32 27487 1,706.78 1,621.44 1,864.66 1,827.36 1,827.36 1,790.81 27488 1,158.52 1,100.59 1,265.68 1,240.37 1,240.37 1,215.56 27495 1,088.13 1,033.72 1,188.78 1,165.01 1,165.01 1,141.71 27496 513.60 487.92 561.11 549.88 549.88 538.89 27497 552.21 524.60 603.29 591.23 591.23 579.40 27498 616.59 585.76 673.62 660.15 660.15 646.94 27499 666.30 632.99 727.94 713.38 713.38 699.11 27500 489.48 465.01 534.76 524.07 524.07 513.59

# 27500 456.38 433.56 498.59 488.62 488.62 478.85 27501 477.79 453.90 521.99 511.54 511.54 501.31














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 27501 474.45 450.73 518.34 507.98 507.98 497.82 27502 736.99 700.14 805.16 789.06 789.06 773.28 27503 770.02 731.52 841.25 824.42 824.42 807.93 27506 1,291.49 1,226.92 1,410.96 1,382.74 1,382.74 1,355.08 27507 939.96 892.96 1,026.90 1,006.37 1,006.37 986.24 27508 493.96 469.26 539.65 528.85 528.85 518.27

# 27508 467.54 444.16 510.78 500.57 500.57 490.56 27509 609.08 578.63 665.42 652.12 652.12 639.08 27510 655.26 622.50 715.88 701.56 701.56 687.53 27511 965.40 917.13 1,054.70 1,033.61 1,033.61 1,012.93 27513 1,205.23 1,144.97 1,316.72 1,290.38 1,290.38 1,264.57 27514 935.86 889.07 1,022.43 1,001.98 1,001.98 981.94 27516 475.92 452.12 519.94 509.54 509.54 499.35

# 27516 449.51 427.03 491.08 481.26 481.26 471.64 27517 645.20 612.94 704.88 690.78 690.78 676.97 27519 861.99 818.89 941.72 922.89 922.89 904.43 27520 297.84 282.95 325.39 318.88 318.88 312.50

# 27520 273.55 259.87 298.85 292.87 292.87 287.02 27524 720.43 684.41 787.07 771.33 771.33 755.91 27530 277.33 263.46 302.98 296.92 296.92 290.98

# 27530 259.11 246.15 283.07 277.41 277.41 271.87 27532 581.10 552.05 634.86 622.16 622.16 609.72

# 27532 548.91 521.46 599.68 587.68 587.68 575.93 27535 867.55 824.17 947.80 928.84 928.84 910.27 27536 1,148.27 1,090.86 1,254.49 1,229.40 1,229.40 1,204.81 27538 440.76 418.72 481.53 471.90 471.90 462.46

# 27538 415.25 394.49 453.66 444.59 444.59 435.70 27540 776.12 737.31 847.91 830.94 830.94 814.33 27550 474.12 450.41 517.97 507.61 507.61 497.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 27550 442.85 420.71 483.82 474.15 474.15 464.66 27552 595.24 565.48 650.30 637.30 637.30 624.55 27556 844.96 802.71 923.12 904.66 904.66 886.57 27557 1,016.29 965.48 1,110.30 1,088.10 1,088.10 1,066.34 27558 1,155.15 1,097.39 1,262.00 1,236.76 1,236.76 1,212.02 27560 336.79 319.95 367.94 360.58 360.58 353.37

# 27560 312.81 297.17 341.75 334.91 334.91 328.22 27562 444.31 422.09 485.40 475.70 475.70 466.19 27566 857.17 814.31 936.46 917.72 917.72 899.37 27570 142.81 135.67 156.02 152.90 152.90 149.85 27580 1,386.52 1,317.19 1,514.77 1,484.48 1,484.48 1,454.78 27590 794.82 755.08 868.34 850.98 850.98 833.96 27591 928.98 882.53 1,014.91 994.61 994.61 974.72 27592 671.61 638.03 733.73 719.06 719.06 704.67 27594 492.29 467.68 537.83 527.08 527.08 516.53 27596 709.44 673.97 775.07 759.56 759.56 744.37 27598 707.64 672.26 773.10 757.63 757.63 742.47 27600 398.21 378.30 435.05 426.34 426.34 417.82 27601 425.03 403.78 464.35 455.06 455.06 445.96 27602 482.57 458.44 527.21 516.66 516.66 506.32 27603 493.31 468.64 538.94 528.16 528.16 517.59

# 27603 371.86 353.27 406.26 398.13 398.13 390.17 27604 458.25 435.34 500.64 490.62 490.62 480.82

# 27604 330.12 313.61 360.65 353.44 353.44 346.37 27605 313.55 297.87 342.55 335.70 335.70 328.98

# 27605 177.83 168.94 194.28 190.39 190.39 186.59 27606 272.62 258.99 297.84 291.88 291.88 286.04 27607 582.92 553.77 636.84 624.09 624.09 611.62 27610 624.16 592.95 681.89 668.25 668.25 654.89














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27612 534.11 507.40 583.51 571.84 571.84 560.41 27613 231.74 220.15 253.17 248.11 248.11 243.16

# 27613 154.93 147.18 169.26 165.88 165.88 162.56 27614 537.62 510.74 587.35 575.61 575.61 564.10

# 27614 388.24 368.83 424.15 415.67 415.67 407.35 27615 992.73 943.09 1,084.55 1,062.86 1,062.86 1,041.61 27616 1,234.83 1,173.09 1,349.05 1,322.07 1,322.07 1,295.64 27618 414.14 393.43 452.44 443.39 443.39 434.53

# 27618 292.39 277.77 319.44 313.04 313.04 306.79 27619 451.05 428.50 492.78 482.92 482.92 473.26 27620 433.20 411.54 473.27 463.81 463.81 454.53 27625 562.17 534.06 614.17 601.89 601.89 589.85 27626 594.01 564.31 648.96 635.97 635.97 623.25 27630 517.50 491.63 565.37 554.07 554.07 542.98

# 27630 349.30 331.84 381.62 373.98 373.98 366.51 27632 399.34 379.37 436.28 427.55 427.55 418.99 27634 663.15 629.99 724.49 710.00 710.00 695.80 27635 561.67 533.59 613.63 601.36 601.36 589.33 27637 716.77 680.93 783.07 767.41 767.41 752.05 27638 733.54 696.86 801.39 785.36 785.36 769.65 27640 803.43 763.26 877.75 860.19 860.19 842.98 27641 643.51 611.33 703.03 688.97 688.97 675.19 27645 1,722.60 1,636.47 1,881.94 1,844.30 1,844.30 1,807.42 27646 1,491.17 1,416.61 1,629.10 1,596.52 1,596.52 1,564.59 27647 1,009.00 958.55 1,102.33 1,080.29 1,080.29 1,058.68 27648 147.47 140.10 161.12 157.90 157.90 154.73

# 27648 51.83 49.24 56.63 55.50 55.50 54.38 27650 630.20 598.69 688.49 674.73 674.73 661.24 27652 660.57 627.54 721.67 707.24 707.24 693.09














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27654 680.33 646.31 743.26 728.39 728.39 713.82 27656 580.41 551.39 634.10 621.41 621.41 608.98

# 27656 374.56 355.83 409.20 401.02 401.02 393.00 27658 355.91 338.11 388.83 381.05 381.05 373.43 27659 462.56 439.43 505.34 495.24 495.24 485.33 27664 343.12 325.96 374.85 367.36 367.36 360.01 27665 392.37 372.75 428.66 420.10 420.10 411.69 27675 468.10 444.70 511.41 501.18 501.18 491.15 27676 578.87 549.93 632.42 619.77 619.77 607.37 27680 410.34 389.82 448.29 439.32 439.32 430.54 27681 518.28 492.37 566.23 554.90 554.90 543.80 27685 617.93 587.03 675.08 661.58 661.58 648.35

# 27685 444.86 422.62 486.01 476.30 476.30 466.77 27686 533.92 507.22 583.30 571.64 571.64 560.21 27687 434.37 412.65 474.55 465.06 465.06 455.76 27690 603.81 573.62 659.66 646.47 646.47 633.55 27691 717.30 681.44 783.66 767.98 767.98 752.62 27692 103.30 98.14 112.86 110.61 110.61 108.40 27695 454.61 431.88 496.66 486.73 486.73 477.00 27696 536.04 509.24 585.63 573.92 573.92 562.44 27698 617.60 586.72 674.73 661.24 661.24 648.01 27700 575.69 546.91 628.95 616.37 616.37 604.04 27702 932.58 885.95 1,018.84 998.46 998.46 978.50 27703 1,072.98 1,019.33 1,172.23 1,148.78 1,148.78 1,125.80 27704 550.92 523.37 601.88 589.84 589.84 578.04 27705 729.57 693.09 797.05 781.11 781.11 765.50 27707 381.10 362.05 416.36 408.03 408.03 399.87 27709 1,128.23 1,071.82 1,232.59 1,207.94 1,207.94 1,183.78 27712 1,060.44 1,007.42 1,158.53 1,135.36 1,135.36 1,112.65














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27715 1,032.15 980.54 1,127.62 1,105.07 1,105.07 1,082.97 27720 840.27 798.26 918.00 899.63 899.63 881.64 27722 844.31 802.09 922.40 903.96 903.96 885.88 27724 1,225.76 1,164.47 1,339.14 1,312.36 1,312.36 1,286.11 27725 1,162.06 1,103.96 1,269.55 1,244.16 1,244.16 1,219.28 27726 934.13 887.42 1,020.53 1,000.12 1,000.12 980.12 27727 998.41 948.49 1,090.76 1,068.95 1,068.95 1,047.57 27730 544.87 517.63 595.27 583.37 583.37 571.70 27732 386.73 367.39 422.50 414.05 414.05 405.77 27734 627.07 595.72 685.08 671.38 671.38 657.95 27740 677.42 643.55 740.08 725.28 725.28 710.78 27742 738.46 701.54 806.77 790.64 790.64 774.82 27745 723.78 687.59 790.73 774.92 774.92 759.41 27750 320.22 304.21 349.84 342.85 342.85 336.00

# 27750 295.93 281.13 323.30 316.84 316.84 310.50 27752 505.10 479.85 551.83 540.79 540.79 529.98

# 27752 469.88 446.39 513.35 503.08 503.08 493.02 27756 544.71 517.47 595.09 583.19 583.19 571.53 27758 855.20 812.44 934.31 915.62 915.62 897.31 27759 962.33 914.21 1,051.34 1,030.32 1,030.32 1,009.71 27760 307.80 292.41 336.27 329.54 329.54 322.95

# 27760 282.91 268.76 309.07 302.89 302.89 296.83 27762 444.78 422.54 485.92 476.20 476.20 466.68

# 27762 408.95 388.50 446.78 437.84 437.84 429.09 27766 581.23 552.17 635.00 622.30 622.30 609.86 27767 259.22 246.26 283.20 277.53 277.53 271.98

# 27767 260.73 247.69 284.84 279.15 279.15 273.57 27768 414.18 393.47 452.49 443.44 443.44 434.57 27769 699.91 664.91 764.65 749.35 749.35 734.37














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27780 282.25 268.14 308.36 302.20 302.20 296.15 # 27780 258.57 245.64 282.49 276.84 276.84 271.31

27781 393.83 374.14 430.26 421.66 421.66 413.23 # 27781 367.41 349.04 401.40 393.37 393.37 385.50

27784 684.48 650.26 747.80 732.84 732.84 718.19 27786 291.82 277.23 318.81 312.44 312.44 306.20

# 27786 266.01 252.71 290.62 284.81 284.81 279.12 27788 392.78 373.14 429.11 420.53 420.53 412.13

# 27788 361.81 343.72 395.28 387.38 387.38 379.63 27792 623.45 592.28 681.12 667.49 667.49 654.14 27808 307.43 292.06 335.87 329.15 329.15 322.58

# 27808 278.28 264.37 304.03 297.94 297.94 291.99 27810 436.64 414.81 477.03 467.49 467.49 458.14

# 27810 399.90 379.91 436.90 428.16 428.16 419.59 27814 739.40 702.43 807.79 791.64 791.64 775.80 27816 295.47 280.70 322.81 316.35 316.35 310.03

# 27816 267.23 253.87 291.95 286.11 286.11 280.38 27818 453.67 430.99 495.64 485.73 485.73 476.01

# 27818 410.86 390.32 448.87 439.89 439.89 431.09 27822 802.78 762.64 877.04 859.50 859.50 842.31 27823 914.61 868.88 999.21 979.23 979.23 959.64 27824 291.86 277.27 318.86 312.48 312.48 306.23

# 27824 284.27 270.06 310.57 304.36 304.36 298.28 27825 513.84 488.15 561.37 550.15 550.15 539.14

# 27825 470.42 446.90 513.94 503.65 503.65 493.58 27826 793.80 754.11 867.23 849.88 849.88 832.89 27827 1,034.62 982.89 1,130.32 1,107.71 1,107.71 1,085.57 27828 1,245.20 1,182.94 1,360.38 1,333.17 1,333.17 1,306.50 27829 650.40 617.88 710.56 696.35 696.35 682.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

27830 354.43 336.71 387.22 379.48 379.48 371.89 # 27830 332.26 315.65 363.00 355.74 355.74 348.62

27831 370.11 351.60 404.34 396.26 396.26 388.33 27832 723.39 687.22 790.30 774.50 774.50 759.01 27840 348.00 330.60 380.19 372.59 372.59 365.14 27842 471.22 447.66 514.81 504.52 504.52 494.43 27846 696.54 661.71 760.97 745.75 745.75 730.84 27848 780.20 741.19 852.37 835.33 835.33 818.62 27860 167.13 158.77 182.59 178.93 178.93 175.35 27870 994.93 945.18 1,086.96 1,065.22 1,065.22 1,043.91 27871 655.32 622.55 715.93 701.62 701.62 687.59 27880 909.12 863.66 993.21 973.35 973.35 953.88 27881 852.48 809.86 931.34 912.71 912.71 894.46 27882 594.16 564.45 649.12 636.13 636.13 623.42 27884 564.94 536.69 617.19 604.85 604.85 592.76 27886 645.31 613.04 705.00 690.90 690.90 677.07 27888 664.76 631.52 726.25 711.72 711.72 697.49 27889 644.17 611.96 703.75 689.68 689.68 675.89 27892 532.59 505.96 581.85 570.22 570.22 558.81 27893 576.14 547.33 629.43 616.84 616.84 604.50 27894 826.84 785.50 903.33 885.26 885.26 867.55 28001 257.58 244.70 281.41 275.78 275.78 270.26

# 28001 163.76 155.57 178.91 175.33 175.33 171.82 28002 417.63 396.75 456.26 447.14 447.14 438.20

# 28002 308.93 293.48 337.50 330.75 330.75 324.14 28003 672.36 638.74 734.55 719.87 719.87 705.47

# 28003 548.49 521.07 599.23 587.25 587.25 575.51 28005 559.83 531.84 611.62 599.38 599.38 587.40 28008 404.02 383.82 441.39 432.56 432.56 423.91














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 28008 281.96 267.86 308.04 301.88 301.88 295.84 28010 219.22 208.26 239.50 234.70 234.70 230.01

# 28010 199.18 189.22 217.60 213.26 213.26 208.99 28011 305.88 290.59 334.18 327.50 327.50 320.94

# 28011 275.83 262.04 301.35 295.32 295.32 289.41 28020 504.33 479.11 550.98 539.96 539.96 529.16

# 28020 346.75 329.41 378.82 371.24 371.24 363.81 28022 455.73 432.94 497.88 487.92 487.92 478.16

# 28022 312.12 296.51 340.99 334.17 334.17 327.49 28024 430.23 408.72 470.03 460.63 460.63 451.42

# 28024 292.38 277.76 319.42 313.03 313.03 306.77 28035 491.13 466.57 536.56 525.83 525.83 515.32

# 28035 340.23 323.22 371.70 364.27 364.27 356.98 28039 478.71 454.77 522.99 512.52 512.52 502.27

# 28039 338.74 321.80 370.07 362.66 362.66 355.41 28041 445.26 423.00 486.45 476.72 476.72 467.19 28043 372.85 354.21 407.34 399.20 399.20 391.22

# 28043 252.01 239.41 275.32 269.81 269.81 264.42 28045 465.18 441.92 508.21 498.04 498.04 488.08

# 28045 334.93 318.18 365.91 358.59 358.59 351.42 28046 711.10 675.55 776.88 761.35 761.35 746.12 28047 1,042.68 990.55 1,139.13 1,116.35 1,116.35 1,094.03 28050 396.88 377.04 433.60 424.93 424.93 416.43

# 28050 269.05 255.60 293.94 288.06 288.06 282.30 28052 416.29 395.48 454.80 445.71 445.71 436.79

# 28052 273.29 259.63 298.57 292.61 292.61 286.75 28054 363.54 345.36 397.16 389.22 389.22 381.43

# 28054 233.89 222.20 255.53 250.42 250.42 245.41 28055 363.56 345.38 397.19 389.24 389.24 381.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28060 485.50 461.23 530.41 519.81 519.81 509.42 # 28060 343.10 325.95 374.84 367.34 367.34 360.00

28062 551.83 524.24 602.88 590.82 590.82 579.00 # 28062 394.25 374.54 430.72 422.11 422.11 413.67

28070 497.89 473.00 543.95 533.07 533.07 522.41 # 28070 341.53 324.45 373.12 365.65 365.65 358.34

28072 471.28 447.72 514.88 504.59 504.59 494.49 # 28072 317.65 301.77 347.04 340.09 340.09 333.29

28080 486.83 462.49 531.86 521.23 521.23 510.81 # 28080 348.08 330.68 380.28 372.68 372.68 365.23

28086 509.90 484.41 557.07 545.93 545.93 535.01 # 28086 345.34 328.07 377.28 369.74 369.74 362.34

28088 415.82 395.03 454.28 445.20 445.20 436.30 # 28088 270.08 256.58 295.07 289.17 289.17 283.38

28090 438.96 417.01 479.56 469.97 469.97 460.58 # 28090 295.65 280.87 323.00 316.54 316.54 310.21

28092 392.56 372.93 428.87 420.29 420.29 411.88 # 28092 256.53 243.70 280.26 274.65 274.65 269.16

28100 566.41 538.09 618.80 606.43 606.43 594.30 # 28100 395.17 375.41 431.72 423.09 423.09 414.62

28102 576.68 547.85 630.03 617.42 617.42 605.07 28103 380.13 361.12 415.29 406.99 406.99 398.84 28104 493.08 468.43 538.69 527.92 527.92 517.36

# 28104 339.14 322.18 370.51 363.10 363.10 355.84 28106 447.63 425.25 489.04 479.26 479.26 469.68 28107 522.85 496.71 571.22 559.80 559.80 548.60

# 28107 359.81 341.82 393.09 385.23 385.23 377.52 28108 410.91 390.36 448.91 439.93 439.93 431.14

# 28108 276.40 262.58 301.97 295.93 295.93 290.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28110 430.31 408.79 470.11 460.70 460.70 451.49 # 28110 277.29 263.43 302.94 296.88 296.88 290.95

28111 462.35 439.23 505.11 495.02 495.02 485.12 # 28111 315.40 299.63 344.57 337.69 337.69 330.94

28112 455.93 433.13 498.10 488.14 488.14 478.38 # 28112 300.78 285.74 328.60 322.03 322.03 315.59

28113 553.53 525.85 604.73 592.63 592.63 580.77 # 28113 406.58 386.25 444.19 435.31 435.31 426.60

28114 1,011.81 961.22 1,105.40 1,083.30 1,083.30 1,061.63 # 28114 802.92 762.77 877.19 859.64 859.64 842.44

28116 714.43 678.71 780.52 764.91 764.91 749.62 # 28116 551.69 524.11 602.73 590.67 590.67 578.86

28118 556.36 528.54 607.82 595.67 595.67 583.75 # 28118 396.96 377.11 433.68 425.01 425.01 416.51

28119 492.64 468.01 538.21 527.45 527.45 516.90 # 28119 347.51 330.13 379.65 372.06 372.06 364.62

28120 637.30 605.44 696.26 682.33 682.33 668.68 # 28120 478.81 454.87 523.10 512.64 512.64 502.38

28122 563.83 535.64 615.99 603.67 603.67 591.59 # 28122 423.86 402.67 463.07 453.81 453.81 444.74

28124 446.36 424.04 487.65 477.89 477.89 468.34 # 28124 316.72 300.88 346.01 339.09 339.09 332.30

28126 367.97 349.57 402.01 393.97 393.97 386.09 # 28126 238.02 226.12 260.04 254.84 254.84 249.75

28130 616.48 585.66 673.51 660.04 660.04 646.84 28140 566.37 538.05 618.76 606.38 606.38 594.25

# 28140 427.92 406.52 467.50 458.15 458.15 448.98 28150 399.40 379.43 436.34 427.62 427.62 419.06

# 28150 270.05 256.55 295.03 289.13 289.13 283.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28153 382.54 363.41 417.92 409.56 409.56 401.37 # 28153 251.98 239.38 275.29 269.78 269.78 264.39

28160 391.89 372.30 428.15 419.58 419.58 411.18 # 28160 258.29 245.38 282.19 276.54 276.54 271.01

28171 833.80 792.11 910.93 892.71 892.71 874.85 28173 748.29 710.88 817.51 801.16 801.16 785.14 28175 474.70 450.97 518.62 508.24 508.24 498.08 28190 236.25 224.44 258.11 252.94 252.94 247.88

# 28190 128.46 122.04 140.35 137.54 137.54 134.79 28192 440.86 418.82 481.64 472.01 472.01 462.56

# 28192 302.40 287.28 330.37 323.76 323.76 317.29 28193 498.44 473.52 544.55 533.66 533.66 522.99

# 28193 355.74 337.95 388.64 380.87 380.87 373.26 28200 456.83 433.99 499.09 489.11 489.11 479.32

# 28200 308.36 292.94 336.88 330.14 330.14 323.54 28202 563.76 535.57 615.91 603.59 603.59 591.51

# 28202 413.16 392.50 451.38 442.35 442.35 433.50 28208 441.55 419.47 482.39 472.74 472.74 463.29

# 28208 298.24 283.33 325.83 319.31 319.31 312.93 28210 539.54 512.56 589.44 577.66 577.66 566.10

# 28210 394.41 374.69 430.89 422.28 422.28 413.84 28220 421.15 400.09 460.10 450.90 450.90 441.89

# 28220 289.99 275.49 316.81 310.48 310.48 304.27 28222 476.48 452.66 520.56 510.15 510.15 499.95

# 28222 337.42 320.55 368.63 361.26 361.26 354.04 28225 380.98 361.93 416.22 407.89 407.89 399.74

# 28225 248.30 235.89 271.27 265.85 265.85 260.53 28226 560.69 532.66 612.56 600.31 600.31 588.31

# 28226 370.93 352.38 405.24 397.13 397.13 389.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28230 406.37 386.05 443.96 435.08 435.08 426.37 # 28230 272.17 258.56 297.34 291.40 291.40 285.57

28232 359.91 341.91 393.20 385.33 385.33 377.63 # 28232 232.39 220.77 253.89 248.80 248.80 243.82

28234 378.66 359.73 413.69 405.42 405.42 397.31 # 28234 250.53 238.00 273.70 268.23 268.23 262.87

28238 633.97 602.27 692.61 678.75 678.75 665.18 # 28238 471.84 448.25 515.49 505.18 505.18 495.08

28240 413.17 392.51 451.39 442.36 442.36 433.52 # 28240 279.27 265.31 305.11 299.00 299.00 293.02

28250 545.73 518.44 596.21 584.28 584.28 572.60 # 28250 390.58 371.05 426.71 418.17 418.17 409.81

28260 649.31 616.84 709.37 695.18 695.18 681.27 # 28260 493.85 469.16 539.53 528.75 528.75 518.17

28261 934.60 887.87 1,021.05 1,000.63 1,000.63 980.62 # 28261 754.24 716.53 824.01 807.53 807.53 791.38

28262 1,393.40 1,323.73 1,522.29 1,491.85 1,491.85 1,462.01 # 28262 1,142.00 1,084.90 1,247.64 1,222.68 1,222.68 1,198.23

28264 941.72 894.63 1,028.82 1,008.25 1,008.25 988.09 # 28264 732.83 696.19 800.62 784.61 784.61 768.91

28270 459.32 436.35 501.80 491.76 491.76 481.93 # 28270 319.96 303.96 349.55 342.56 342.56 335.71

28272 368.48 350.06 402.57 394.52 394.52 386.63 # 28272 244.60 232.37 267.23 261.88 261.88 256.65

28280 485.15 460.89 530.02 519.42 519.42 509.04 # 28280 336.99 320.14 368.16 360.80 360.80 353.59

28285 500.90 475.86 547.24 536.29 536.29 525.56 # 28285 362.14 344.03 395.63 387.72 387.72 379.97

28286 423.37 402.20 462.53 453.28 453.28 444.22














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 28286 288.56 274.13 315.25 308.95 308.95 302.77 28288 565.09 536.84 617.37 605.02 605.02 592.92

# 28288 410.55 390.02 448.52 439.55 439.55 430.77 28289 690.11 655.60 753.94 738.86 738.86 724.09

# 28289 526.15 499.84 574.82 563.32 563.32 552.05 28290 550.57 523.04 601.50 589.47 589.47 577.68

# 28290 379.94 360.94 415.08 406.78 406.78 398.65 28292 742.83 705.69 811.54 795.32 795.32 779.41

# 28292 577.05 548.20 630.43 617.83 617.83 605.48 28293 983.07 933.92 1,074.01 1,052.53 1,052.53 1,031.48

# 28293 685.22 650.96 748.60 733.63 733.63 718.96 28294 724.52 688.29 791.53 775.70 775.70 760.18

# 28294 529.60 503.12 578.59 567.02 567.02 555.68 28296 672.21 638.60 734.39 719.70 719.70 705.31

# 28296 502.79 477.65 549.30 538.32 538.32 527.55 28297 766.46 728.14 837.36 820.62 820.62 804.21

# 28297 563.64 535.46 615.78 603.46 603.46 591.40 28298 679.67 645.69 742.54 727.70 727.70 713.14

# 28298 489.30 464.84 534.57 523.87 523.87 513.39 28299 851.72 809.13 930.50 911.89 911.89 893.65

# 28299 658.31 625.39 719.20 704.81 704.81 690.71 28300 628.45 597.03 686.58 672.85 672.85 659.40 28302 684.91 650.66 748.26 733.30 733.30 718.64 28304 779.46 740.49 851.56 834.53 834.53 817.85

# 28304 585.75 556.46 639.93 627.13 627.13 614.58 28305 645.48 613.21 705.19 691.09 691.09 677.27 28306 573.64 544.96 626.70 614.17 614.17 601.89

# 28306 388.43 369.01 424.36 415.87 415.87 407.56 28307 635.79 604.00 694.60 680.71 680.71 667.09














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 28307 432.06 410.46 472.03 462.59 462.59 453.34 28308 527.67 501.29 576.48 564.95 564.95 553.64

# 28308 361.29 343.23 394.71 386.83 386.83 379.09 28309 876.68 832.85 957.78 938.62 938.62 919.85 28310 512.27 486.66 559.66 548.47 548.47 537.50

# 28310 345.28 328.02 377.22 369.68 369.68 362.28 28312 473.83 450.14 517.66 507.31 507.31 497.17

# 28312 306.24 290.93 334.57 327.88 327.88 321.32 28313 494.21 469.50 539.93 529.13 529.13 518.55

# 28313 343.91 326.71 375.72 368.21 368.21 360.85 28315 451.20 428.64 492.94 483.08 483.08 473.42

# 28315 313.05 297.40 342.01 335.17 335.17 328.46 28320 588.98 559.53 643.46 630.59 630.59 617.98 28322 743.44 706.27 812.21 795.96 795.96 780.05

# 28322 557.01 529.16 608.53 596.37 596.37 584.44 28340 547.68 520.30 598.35 586.37 586.37 574.64

# 28340 401.33 381.26 438.45 429.67 429.67 421.08 28341 637.67 605.79 696.66 682.72 682.72 669.07

# 28341 479.18 455.22 523.50 513.04 513.04 502.78 28344 437.13 415.27 477.56 468.00 468.00 458.64

# 28344 299.89 284.90 327.64 321.08 321.08 314.66 28345 492.48 467.86 538.04 527.28 527.28 516.73

# 28345 353.11 335.45 385.77 378.05 378.05 370.50 28360 893.25 848.59 975.88 956.36 956.36 937.24 28400 230.01 218.51 251.29 246.26 246.26 241.34

# 28400 211.80 201.21 231.39 226.77 226.77 222.24 28405 370.97 352.42 405.28 397.18 397.18 389.23

# 28405 339.39 322.42 370.78 363.37 363.37 356.10 28406 495.81 471.02 541.67 530.84 530.84 520.23














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28415 1,064.83 1,011.59 1,163.33 1,140.06 1,140.06 1,117.26 28420 1,205.98 1,145.68 1,317.53 1,291.19 1,291.19 1,265.36 28430 219.47 208.50 239.78 234.98 234.98 230.28

# 28430 196.70 186.87 214.90 210.60 210.60 206.39 28435 297.92 283.02 325.47 318.96 318.96 312.58

# 28435 268.47 255.05 293.31 287.44 287.44 281.69 28436 421.54 400.46 460.53 451.32 451.32 442.29 28445 1,024.43 973.21 1,119.19 1,096.81 1,096.81 1,074.88 28446 1,168.10 1,109.70 1,276.16 1,250.64 1,250.64 1,225.62 28450 200.01 190.01 218.51 214.14 214.14 209.86

# 28450 179.66 170.68 196.28 192.36 192.36 188.51 28455 270.94 257.39 296.00 290.08 290.08 284.28

# 28455 245.74 233.45 268.47 263.10 263.10 257.83 28456 295.75 280.96 323.10 316.64 316.64 310.30 28465 596.91 567.06 652.12 639.08 639.08 626.30 28470 202.77 192.63 221.52 217.10 217.10 212.75

# 28470 190.33 180.81 207.93 203.77 203.77 199.70 28475 241.45 229.38 263.79 258.51 258.51 253.33

# 28475 216.25 205.44 236.26 231.53 231.53 226.90 28476 328.62 312.19 359.02 351.84 351.84 344.80 28485 502.15 477.04 548.60 537.63 537.63 526.87 28490 133.50 126.83 145.85 142.93 142.93 140.07

# 28490 115.89 110.10 126.62 124.09 124.09 121.60 28495 164.62 156.39 179.85 176.25 176.25 172.72

# 28495 140.03 133.03 152.98 149.93 149.93 146.92 28496 398.54 378.61 435.40 426.70 426.70 418.16

# 28496 218.79 207.85 239.03 234.24 234.24 229.56 28505 627.85 596.46 685.93 672.21 672.21 658.77

# 28505 479.99 455.99 524.39 513.90 513.90 503.62














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28510 114.64 108.91 125.25 122.74 122.74 120.29 # 28510 111.91 106.31 122.26 119.81 119.81 117.42

28515 149.63 142.15 163.47 160.21 160.21 157.00 # 28515 133.23 126.57 145.56 142.65 142.65 139.79

28525 528.95 502.50 577.88 566.32 566.32 554.99 # 28525 381.08 362.03 416.33 408.01 408.01 399.84

28530 106.93 101.58 116.82 114.48 114.48 112.19 # 28530 95.69 90.91 104.55 102.45 102.45 100.41

28531 317.67 301.79 347.06 340.11 340.11 333.32 # 28531 175.27 166.51 191.49 187.66 187.66 183.91

28540 193.04 183.39 210.90 206.68 206.68 202.55 # 28540 175.43 166.66 191.66 187.83 187.83 184.07

28545 270.03 256.53 295.01 289.11 289.11 283.33 # 28545 241.49 229.42 263.83 258.55 258.55 253.38

28546 509.27 483.81 556.38 545.25 545.25 534.35 # 28546 307.97 292.57 336.46 329.73 329.73 323.14

28555 829.08 787.63 905.77 887.66 887.66 869.91 # 28555 642.96 610.81 702.43 688.38 688.38 674.61

28570 204.48 194.26 223.40 218.93 218.93 214.54 # 28570 175.03 166.28 191.22 187.39 187.39 183.64

28575 339.41 322.44 370.81 363.39 363.39 356.12 # 28575 309.35 293.88 337.96 331.20 331.20 324.58

28576 368.28 349.87 402.35 394.30 394.30 386.41 28585 812.14 771.53 887.26 869.52 869.52 852.13

# 28585 650.01 617.51 710.14 695.93 695.93 682.02 28600 202.04 191.94 220.73 216.32 216.32 211.99

# 28600 175.63 166.85 191.88 188.04 188.04 184.28 28605 301.38 286.31 329.26 322.67 322.67 316.22

# 28605 273.14 259.48 298.40 292.43 292.43 286.58














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28606 375.60 356.82 410.34 402.13 402.13 394.09 28615 754.27 716.56 824.04 807.56 807.56 791.42 28630 146.93 139.58 160.52 157.31 157.31 154.16

# 28630 105.94 100.64 115.74 113.42 113.42 111.16 28635 163.48 155.31 178.61 175.03 175.03 171.53

# 28635 125.83 119.54 137.47 134.72 134.72 132.03 28636 264.17 250.96 288.60 282.83 282.83 277.17

# 28636 174.91 166.16 191.08 187.27 187.27 183.52 28645 619.00 588.05 676.26 662.73 662.73 649.47

# 28645 467.49 444.12 510.74 500.53 500.53 490.52 28660 108.97 103.52 119.05 116.67 116.67 114.33

# 28660 84.99 80.74 92.85 91.00 91.00 89.18 28665 145.32 138.05 158.76 155.58 155.58 152.47

# 28665 125.58 119.30 137.20 134.45 134.45 131.76 28666 179.46 170.49 196.06 192.14 192.14 188.30 28675 544.71 517.47 595.09 583.19 583.19 571.53

# 28675 392.90 373.26 429.25 420.66 420.66 412.24 28705 1,218.60 1,157.67 1,331.32 1,304.70 1,304.70 1,278.60 28715 901.11 856.05 984.46 964.77 964.77 945.47 28725 747.56 710.18 816.71 800.38 800.38 784.37 28730 704.56 669.33 769.73 754.33 754.33 739.24 28735 755.94 718.14 825.86 809.35 809.35 793.16 28737 667.65 634.27 729.41 714.82 714.82 700.52 28740 796.39 756.57 870.06 852.66 852.66 835.60

# 28740 599.64 569.66 655.11 642.01 642.01 629.17 28750 763.68 725.50 834.33 817.64 817.64 801.29

# 28750 567.85 539.46 620.38 607.97 607.97 595.82 28755 474.40 450.68 518.28 507.92 507.92 497.77

# 28755 317.43 301.56 346.79 339.86 339.86 333.06














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

28760 745.10 707.85 814.03 797.74 797.74 781.79 # 28760 557.76 529.87 609.35 597.16 597.16 585.21

28800 527.72 501.33 576.53 565.00 565.00 553.69 28805 719.68 683.70 786.26 770.53 770.53 755.12 28810 419.90 398.91 458.75 449.57 449.57 440.58 28820 531.44 504.87 580.60 568.99 568.99 557.60

# 28820 382.06 362.96 417.40 409.06 409.06 400.88 28825 505.63 480.35 552.40 541.35 541.35 530.53

# 28825 357.47 339.60 390.54 382.73 382.73 375.07 28890 301.59 286.51 329.49 322.90 322.90 316.43

# 28890 215.36 204.59 235.28 230.58 230.58 225.96 29000 265.26 252.00 289.80 284.00 284.00 278.32

# 29000 167.80 159.41 183.32 179.65 179.65 176.07 29010 218.90 207.96 239.15 234.37 234.37 229.68

# 29010 141.17 134.11 154.23 151.14 151.14 148.12 29015 261.93 248.83 286.15 280.43 280.43 274.82

# 29015 170.55 162.02 186.32 182.60 182.60 178.94 29035 179.59 170.61 196.20 192.28 192.28 188.44

# 29035 115.22 109.46 125.88 123.36 123.36 120.89 29040 209.27 198.81 228.63 224.05 224.05 219.57

# 29040 140.35 133.33 153.33 150.26 150.26 147.26 29044 258.08 245.18 281.96 276.32 276.32 270.79

# 29044 144.52 137.29 157.88 154.72 154.72 151.63 29046 225.29 214.03 246.13 241.21 241.21 236.39

# 29046 152.42 144.80 166.52 163.19 163.19 159.92 29049 78.24 74.33 85.48 83.77 83.77 82.09

# 29049 59.72 56.73 65.24 63.94 63.94 62.66 29055 204.70 194.47 223.64 219.17 219.17 214.79

# 29055 132.43 125.81 144.68 141.78 141.78 138.94














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

29058 114.20 108.49 124.76 122.27 122.27 119.82 # 29058 89.00 84.55 97.23 95.29 95.29 93.38

29065 88.79 84.35 97.00 95.06 95.06 93.16 # 29065 65.11 61.85 71.13 69.70 69.70 68.31

29075 79.98 75.98 87.38 85.63 85.63 83.92 # 29075 59.03 56.08 64.49 63.20 63.20 61.94

29085 88.15 83.74 96.30 94.38 94.38 92.49 # 29085 64.16 60.95 70.09 68.69 68.69 67.32

29086 71.67 68.09 78.30 76.74 76.74 75.21 # 29086 48.29 45.88 52.76 51.70 51.70 50.67

29105 81.40 77.33 88.93 87.15 87.15 85.40 # 29105 56.81 53.97 62.07 60.82 60.82 59.60

29125 58.83 55.89 64.27 62.99 62.99 61.72 # 29125 37.28 35.42 40.73 39.92 39.92 39.12

29126 70.51 66.98 77.03 75.49 75.49 73.98 # 29126 46.22 43.91 50.50 49.48 49.48 48.50

29130 38.49 36.57 42.06 41.22 41.22 40.39 # 29130 27.86 26.47 30.44 29.83 29.83 29.23

29131 47.26 44.90 51.64 50.60 50.60 49.59 # 29131 31.78 30.19 34.72 34.03 34.03 33.35

29200 27.70 26.32 30.27 29.66 29.66 29.06 # 29200 17.98 17.08 19.64 19.25 19.25 18.87

29240 27.09 25.74 29.60 29.01 29.01 28.44 # 29240 18.28 17.37 19.98 19.57 19.57 19.18

29260 27.46 26.09 30.00 29.41 29.41 28.82 # 29260 19.27 18.31 21.06 20.63 20.63 20.22

29280 27.77 26.38 30.34 29.73 29.73 29.13 # 29280 19.87 18.88 21.71 21.28 21.28 20.85

29305 227.45 216.08 248.49 243.52 243.52 238.65














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 29305 151.85 144.26 165.90 162.58 162.58 159.32 29325 250.87 238.33 274.08 268.59 268.59 263.22

# 29325 170.10 161.60 185.84 182.13 182.13 178.48 29345 126.94 120.59 138.68 135.91 135.91 133.19

# 29345 96.58 91.75 105.51 103.41 103.41 101.34 29355 131.67 125.09 143.85 140.98 140.98 138.16

# 29355 102.22 97.11 111.68 109.45 109.45 107.26 29358 148.47 141.05 162.21 158.96 158.96 155.79

# 29358 99.89 94.90 109.14 106.95 106.95 104.81 29365 113.76 108.07 124.28 121.80 121.80 119.36

# 29365 83.71 79.52 91.45 89.62 89.62 87.83 29405 75.82 72.03 82.83 81.18 81.18 79.56

# 29405 57.00 54.15 62.27 61.03 61.03 59.81 29425 73.05 69.40 79.81 78.21 78.21 76.65

# 29425 54.23 51.52 59.25 58.06 58.06 56.90 29435 108.23 102.82 118.24 115.87 115.87 113.55

# 29435 79.39 75.42 86.73 85.00 85.00 83.29 29440 41.19 39.13 45.00 44.10 44.10 43.22

# 29440 28.44 27.02 31.07 30.45 30.45 29.84 29445 127.28 120.92 139.06 136.28 136.28 133.55

# 29445 101.17 96.11 110.53 108.32 108.32 106.16 29450 136.47 129.65 149.10 146.12 146.12 143.20

# 29450 110.06 104.56 120.24 117.84 117.84 115.48 29505 76.37 72.55 83.43 81.77 81.77 80.13

# 29505 47.52 45.14 51.91 50.88 50.88 49.86 29515 66.53 63.20 72.68 71.23 71.23 69.81

# 29515 47.40 45.03 51.78 50.75 50.75 49.74 29520 29.21 27.75 31.91 31.28 31.28 30.66

# 29520 18.28 17.37 19.98 19.57 19.57 19.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

29530 27.12 25.76 29.62 29.03 29.03 28.45 # 29530 18.32 17.40 20.01 19.61 19.61 19.22

29540 24.70 23.47 26.99 26.45 26.45 25.92 # 29540 18.02 17.12 19.69 19.30 19.30 18.91

29550 17.83 16.94 19.48 19.09 19.09 18.71 # 29550 11.45 10.88 12.51 12.26 12.26 12.02

29580 48.78 46.34 53.29 52.22 52.22 51.18 # 29580 34.21 32.50 37.38 36.63 36.63 35.89

29581 54.53 51.80 59.57 58.37 58.37 57.20 # 29581 12.33 11.71 13.47 13.20 13.20 12.94

29582 62.36 59.24 68.13 66.77 66.77 65.44 # 29582 15.60 14.82 17.04 16.70 16.70 16.36

29583 39.04 37.09 42.65 41.80 41.80 40.96 # 29583 11.11 10.55 12.13 11.89 11.89 11.65

29584 62.36 59.24 68.13 66.77 66.77 65.44 # 29584 15.60 14.82 17.04 16.70 16.70 16.36

29700 57.77 54.88 63.11 61.85 61.85 60.61 # 29700 32.57 30.94 35.58 34.87 34.87 34.17

29705 62.58 59.45 68.37 67.00 67.00 65.65 # 29705 45.88 43.59 50.13 49.13 49.13 48.15

29710 114.17 108.46 124.73 122.23 122.23 119.78 # 29710 80.77 76.73 88.24 86.48 86.48 84.76

29720 77.97 74.07 85.18 83.48 83.48 81.81 # 29720 43.06 40.91 47.05 46.10 46.10 45.18

29730 60.67 57.64 66.29 64.96 64.96 63.66 # 29730 43.97 41.77 48.04 47.07 47.07 46.13

29740 93.43 88.76 102.07 100.03 100.03 98.03 # 29740 68.54 65.11 74.88 73.38 73.38 71.91

29750 84.81 80.57 92.66 90.80 90.80 88.99














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 29750 65.98 62.68 72.08 70.64 70.64 69.23 29800 486.78 462.44 531.81 521.17 521.17 510.75 29804 618.41 587.49 675.61 662.10 662.10 648.86 29805 449.45 426.98 491.03 481.21 481.21 471.58 29806 1,021.98 970.88 1,116.51 1,094.18 1,094.18 1,072.29 29807 996.67 946.84 1,088.87 1,067.09 1,067.09 1,045.74 29819 559.84 531.85 611.63 599.39 599.39 587.41 29820 510.06 484.56 557.24 546.10 546.10 535.18 29821 557.22 529.36 608.76 596.59 596.59 584.65 29822 540.79 513.75 590.81 579.00 579.00 567.42 29823 590.59 561.06 645.22 632.32 632.32 619.67 29824 636.51 604.68 695.38 681.48 681.48 667.85 29825 551.38 523.81 602.38 590.33 590.33 578.52 29826 172.94 164.29 188.93 185.15 185.15 181.45 29827 1,017.28 966.42 1,111.38 1,089.15 1,089.15 1,067.37 29828 876.29 832.48 957.35 938.20 938.20 919.44 29830 431.10 409.55 470.98 461.56 461.56 452.33 29834 462.62 439.49 505.41 495.31 495.31 485.40 29835 482.23 458.12 526.84 516.30 516.30 505.98 29836 542.96 515.81 593.18 581.31 581.31 569.69 29837 498.84 473.90 544.99 534.08 534.08 523.40 29838 559.88 531.89 611.67 599.44 599.44 587.45 29840 430.03 408.53 469.81 460.41 460.41 451.20 29843 460.53 437.50 503.13 493.06 493.06 483.21 29844 471.07 447.52 514.65 504.36 504.36 494.27 29845 547.96 520.56 598.64 586.67 586.67 574.94 29846 494.74 470.00 540.50 529.69 529.69 519.10 29847 508.21 482.80 555.22 544.11 544.11 533.23 29848 484.13 459.92 528.91 518.33 518.33 507.97














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

29850 589.85 560.36 644.41 631.52 631.52 618.90 29851 853.66 810.98 932.63 913.97 913.97 895.69 29855 749.45 711.98 818.78 802.40 802.40 786.36 29856 960.33 912.31 1,049.16 1,028.17 1,028.17 1,007.61 29860 632.37 600.75 690.86 677.05 677.05 663.52 29861 689.85 655.36 753.66 738.59 738.59 723.82 29862 772.57 733.94 844.03 827.15 827.15 810.60 29863 772.64 734.01 844.11 827.23 827.23 810.68 29866 1,001.89 951.80 1,094.57 1,072.67 1,072.67 1,051.22 29867 1,219.23 1,158.27 1,332.01 1,305.37 1,305.37 1,279.26 29868 1,559.50 1,481.53 1,703.76 1,669.69 1,669.69 1,636.29 29870 539.58 512.60 589.49 577.70 577.70 566.15

# 29870 392.02 372.42 428.28 419.72 419.72 411.32 29871 490.88 466.34 536.29 525.56 525.56 515.05 29873 496.61 471.78 542.55 531.69 531.69 521.05 29874 513.47 487.80 560.97 549.75 549.75 538.75 29875 472.25 448.64 515.94 505.62 505.62 495.51 29876 630.02 598.52 688.30 674.53 674.53 661.04 29877 594.71 564.97 649.72 636.72 636.72 623.99 29879 634.18 602.47 692.84 678.98 678.98 665.40 29880 536.56 509.73 586.19 574.47 574.47 562.98 29881 516.48 490.66 564.26 552.98 552.98 541.91 29882 671.86 638.27 734.01 719.33 719.33 704.94 29883 808.28 767.87 883.05 865.39 865.39 848.08 29884 587.36 557.99 641.69 628.85 628.85 616.27 29885 719.79 683.80 786.37 770.64 770.64 755.23 29886 609.49 579.02 665.87 652.56 652.56 639.50 29887 715.34 679.57 781.51 765.88 765.88 750.56 29888 950.61 903.08 1,038.54 1,017.77 1,017.77 997.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

29889 1,176.52 1,117.69 1,285.34 1,259.64 1,259.64 1,234.44 29891 649.52 617.04 709.60 695.41 695.41 681.50 29892 567.36 538.99 619.84 607.44 607.44 595.30 29893 570.38 541.86 623.14 610.67 610.67 598.46

# 29893 409.16 388.70 447.01 438.07 438.07 429.31 29894 481.79 457.70 526.36 515.83 515.83 505.52 29895 459.22 436.26 501.70 491.66 491.66 481.83 29897 486.92 462.57 531.96 521.32 521.32 510.89 29898 545.19 517.93 595.62 583.71 583.71 572.03 29899 999.69 949.71 1,092.17 1,070.33 1,070.33 1,048.93 29900 430.53 409.00 470.35 460.94 460.94 451.72 29901 505.75 480.46 552.53 541.48 541.48 530.64 29902 532.10 505.50 581.33 569.70 569.70 558.30 29904 611.38 580.81 667.93 654.57 654.57 641.48 29905 655.83 623.04 716.50 702.17 702.17 688.13 29906 689.37 654.90 753.14 738.07 738.07 723.30 29907 842.04 799.94 919.93 901.53 901.53 883.50 29914 958.96 911.01 1,047.66 1,026.71 1,026.71 1,006.17 29915 975.60 926.82 1,065.84 1,044.52 1,044.52 1,023.63 29916 976.81 927.97 1,067.17 1,045.82 1,045.82 1,024.90 30000 208.57 198.14 227.86 223.31 223.31 218.85

# 30000 111.72 106.13 122.05 119.61 119.61 117.22 30020 211.34 200.77 230.89 226.26 226.26 221.74

# 30020 112.66 107.03 123.08 120.62 120.62 118.21 30100 128.23 121.82 140.09 137.29 137.29 134.54

# 30100 65.69 62.41 71.77 70.33 70.33 68.93 30110 210.37 199.85 229.83 225.23 225.23 220.72

# 30110 123.54 117.36 134.96 132.26 132.26 129.62 30115 402.60 382.47 439.84 431.04 431.04 422.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

30117 781.78 742.69 854.09 837.02 837.02 820.27 # 30117 316.03 300.23 345.26 338.36 338.36 331.60

30118 728.29 691.88 795.66 779.75 779.75 764.15 30120 483.16 459.00 527.85 517.29 517.29 506.94

# 30120 413.63 392.95 451.89 442.85 442.85 434.00 30124 267.69 254.31 292.46 286.60 286.60 280.88 30125 572.42 543.80 625.37 612.86 612.86 600.60 30130 351.52 333.94 384.03 376.35 376.35 368.82 30140 404.42 384.20 441.83 433.00 433.00 424.34 30150 726.99 690.64 794.24 778.35 778.35 762.78 30160 731.20 694.64 798.84 782.86 782.86 767.21 30200 103.61 98.43 113.19 110.93 110.93 108.71

# 30200 56.55 53.72 61.78 60.55 60.55 59.34 30210 136.96 130.11 149.63 146.64 146.64 143.70

# 30210 93.24 88.58 101.87 99.83 99.83 97.83 30220 273.00 259.35 298.25 292.28 292.28 286.44

# 30220 118.46 112.54 129.42 126.83 126.83 124.29 30300 167.95 159.55 183.48 179.81 179.81 176.21

# 30300 98.42 93.50 107.53 105.37 105.37 103.27 30310 191.36 181.79 209.06 204.87 204.87 200.78 30320 413.50 392.83 451.75 442.72 442.72 433.86 30400 943.36 896.19 1,030.62 1,010.01 1,010.01 989.81 30410 1,111.34 1,055.77 1,214.14 1,189.85 1,189.85 1,166.05 30420 1,292.56 1,227.93 1,412.12 1,383.88 1,383.88 1,356.20 30430 884.64 840.41 966.47 947.14 947.14 928.20 30435 1,040.95 988.90 1,137.24 1,114.49 1,114.49 1,092.20 30450 1,417.30 1,346.44 1,548.41 1,517.44 1,517.44 1,487.09 30460 680.66 646.63 743.62 728.76 728.76 714.18 30462 1,477.30 1,403.44 1,613.96 1,581.68 1,581.68 1,550.04














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

30465 926.29 879.98 1,011.98 991.74 991.74 971.90 30520 583.66 554.48 637.65 624.90 624.90 612.40 30540 649.86 617.37 709.98 695.77 695.77 681.86 30545 833.64 791.96 910.75 892.54 892.54 874.69 30560 241.28 229.22 263.60 258.34 258.34 253.17

# 30560 127.42 121.05 139.21 136.42 136.42 133.70 30580 611.03 580.48 667.55 654.20 654.20 641.11

# 30580 489.28 464.82 534.54 523.85 523.85 513.37 30600 549.78 522.29 600.63 588.62 588.62 576.84

# 30600 426.20 404.89 465.62 456.31 456.31 447.18 30620 579.36 550.39 632.95 620.29 620.29 607.88 30630 584.45 555.23 638.51 625.75 625.75 613.24 30801 205.91 195.61 224.95 220.46 220.46 216.05

# 30801 125.45 119.18 137.06 134.32 134.32 131.63 30802 264.98 251.73 289.49 283.71 283.71 278.04

# 30802 177.85 168.96 194.30 190.42 190.42 186.61 30901 89.13 84.67 97.37 95.43 95.43 93.52

# 30901 56.04 53.24 61.23 60.01 60.01 58.81 30903 200.74 190.70 219.31 214.92 214.92 210.62

# 30903 79.59 75.61 86.95 85.22 85.22 83.51 30905 246.74 234.40 269.56 264.17 264.17 258.89

# 30905 105.25 99.99 114.99 112.69 112.69 110.43 30906 316.97 301.12 346.29 339.37 339.37 332.58

# 30906 134.80 128.06 147.27 144.33 144.33 141.44 30915 545.22 517.96 595.65 583.74 583.74 572.07 30920 793.21 753.55 866.58 849.25 849.25 832.27 30930 114.94 109.19 125.57 123.06 123.06 120.60 31000 166.83 158.49 182.26 178.62 178.62 175.04

# 31000 99.43 94.46 108.63 106.46 106.46 104.33














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31002 179.75 170.76 196.37 192.44 192.44 188.59 31020 439.37 417.40 480.01 470.41 470.41 461.00

# 31020 330.98 314.43 361.59 354.36 354.36 347.28 31030 637.71 605.82 696.69 682.76 682.76 669.10

# 31030 497.14 472.28 543.12 532.25 532.25 521.61 31032 539.95 512.95 589.89 578.09 578.09 566.54 31040 721.37 685.30 788.10 772.33 772.33 756.88 31050 455.62 432.84 497.77 487.81 487.81 478.06 31051 604.23 574.02 660.12 646.92 646.92 633.98 31070 408.45 388.03 446.23 437.31 437.31 428.56 31075 740.36 703.34 808.84 792.66 792.66 776.80 31080 977.06 928.21 1,067.44 1,046.10 1,046.10 1,025.18 31081 1,383.31 1,314.14 1,511.26 1,481.04 1,481.04 1,451.42 31084 1,096.11 1,041.30 1,197.50 1,173.54 1,173.54 1,150.07 31085 1,479.21 1,405.25 1,616.04 1,583.72 1,583.72 1,552.05 31086 1,066.06 1,012.76 1,164.67 1,141.38 1,141.38 1,118.55 31087 1,029.77 978.28 1,125.02 1,102.52 1,102.52 1,080.47 31090 957.16 909.30 1,045.70 1,024.78 1,024.78 1,004.28 31200 521.99 495.89 570.27 558.87 558.87 547.69 31201 694.49 659.77 758.74 743.56 743.56 728.69 31205 835.41 793.64 912.69 894.44 894.44 876.54 31225 1,793.25 1,703.59 1,959.13 1,919.95 1,919.95 1,881.55 31230 1,998.52 1,898.59 2,183.38 2,139.71 2,139.71 2,096.92 31231 188.69 179.26 206.15 202.02 202.02 197.98

# 31231 63.29 60.13 69.15 67.77 67.77 66.41 31233 241.27 229.21 263.59 258.32 258.32 253.16

# 31233 132.58 125.95 144.84 141.94 141.94 139.10 31235 275.87 262.08 301.39 295.37 295.37 289.46

# 31235 157.46 149.59 172.03 168.59 168.59 165.22














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31237 240.43 228.41 262.67 257.42 257.42 252.26 # 31237 156.94 149.09 171.45 168.03 168.03 164.67

31238 240.96 228.91 263.25 257.98 257.98 252.82 # 31238 164.45 156.23 179.66 176.08 176.08 172.56

31239 587.55 558.17 641.90 629.06 629.06 616.48 31240 156.72 148.88 171.21 167.79 167.79 164.43 31254 266.86 253.52 291.55 285.72 285.72 280.00 31255 392.01 372.41 428.27 419.70 419.70 411.31 31256 192.92 183.27 210.76 206.54 206.54 202.41 31267 310.85 295.31 339.61 332.81 332.81 326.15 31276 495.28 470.52 541.10 530.28 530.28 519.67 31287 226.67 215.34 247.64 242.68 242.68 237.83 31288 262.80 249.66 287.11 281.37 281.37 275.75 31290 1,123.19 1,067.03 1,227.08 1,202.54 1,202.54 1,178.50 31291 1,198.07 1,138.17 1,308.90 1,282.72 1,282.72 1,257.07 31292 970.05 921.55 1,059.78 1,038.59 1,038.59 1,017.82 31293 1,053.61 1,000.93 1,151.07 1,128.05 1,128.05 1,105.48 31294 1,206.26 1,145.95 1,317.84 1,291.48 1,291.48 1,265.66 31295 1,788.30 1,698.89 1,953.72 1,914.65 1,914.65 1,876.35

# 31295 159.98 151.98 174.78 171.28 171.28 167.85 31296 1,826.43 1,735.11 1,995.38 1,955.47 1,955.47 1,916.36

# 31296 192.05 182.45 209.82 205.62 205.62 201.50 31297 1,790.36 1,700.84 1,955.97 1,916.84 1,916.84 1,878.50

# 31297 156.58 148.75 171.06 167.65 167.65 164.29 31300 1,237.57 1,175.69 1,352.04 1,325.01 1,325.01 1,298.51 31320 637.69 605.81 696.68 682.74 682.74 669.09 31360 2,030.77 1,929.23 2,218.61 2,174.25 2,174.25 2,130.77 31365 2,517.37 2,391.50 2,750.23 2,695.22 2,695.22 2,641.32 31367 2,144.91 2,037.66 2,343.31 2,296.45 2,296.45 2,250.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31368 2,394.17 2,274.46 2,615.63 2,563.32 2,563.32 2,512.05 31370 2,014.04 1,913.34 2,200.34 2,156.33 2,156.33 2,113.21 31375 1,901.65 1,806.57 2,077.56 2,036.01 2,036.01 1,995.28 31380 1,880.31 1,786.29 2,054.23 2,013.14 2,013.14 1,972.88 31382 2,073.44 1,969.77 2,265.24 2,219.93 2,219.93 2,175.52 31390 2,802.77 2,662.63 3,062.02 3,000.79 3,000.79 2,940.77 31395 2,955.52 2,807.74 3,228.90 3,164.33 3,164.33 3,101.04 31400 927.63 881.25 1,013.44 993.17 993.17 973.31 31420 796.38 756.56 870.04 852.64 852.64 835.59 31500 109.61 104.13 119.75 117.36 117.36 115.01 31502 34.48 32.76 37.67 36.92 36.92 36.18 31505 75.86 72.07 82.88 81.22 81.22 79.60

# 31505 46.71 44.37 51.03 50.00 50.00 49.00 31510 194.82 185.08 212.84 208.59 208.59 204.41

# 31510 118.00 112.10 128.92 126.34 126.34 123.81 31511 197.18 187.32 215.42 211.11 211.11 206.89

# 31511 127.04 120.69 138.79 136.02 136.02 133.30 31512 190.51 180.98 208.13 203.96 203.96 199.88

# 31512 125.84 119.55 137.48 134.73 134.73 132.04 31513 128.46 122.04 140.35 137.54 137.54 134.79 31515 171.38 162.81 187.23 183.48 183.48 179.81

# 31515 102.46 97.34 111.94 109.70 109.70 107.50 31520 152.70 145.07 166.83 163.50 163.50 160.23 31525 236.38 224.56 258.24 253.08 253.08 248.02

# 31525 156.83 148.99 171.34 167.91 167.91 164.55 31526 154.04 146.34 168.29 164.92 164.92 161.62 31527 190.72 181.18 208.36 204.19 204.19 200.11 31528 141.61 134.53 154.71 151.62 151.62 148.58 31529 158.66 150.73 173.34 169.88 169.88 166.49














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31530 194.70 184.97 212.72 208.46 208.46 204.29 31531 208.95 198.50 228.28 223.71 223.71 219.24 31535 186.11 176.80 203.32 199.25 199.25 195.26 31536 207.23 196.87 226.40 221.87 221.87 217.43 31540 237.97 226.07 259.98 254.78 254.78 249.69 31541 260.06 247.06 284.12 278.44 278.44 272.87 31545 357.46 339.59 390.53 382.72 382.72 375.06 31546 545.08 517.83 595.50 583.59 583.59 571.92 31560 309.00 293.55 337.58 330.83 330.83 324.22 31561 338.66 321.73 369.99 362.60 362.60 355.34 31570 319.45 303.48 349.00 342.02 342.02 335.18

# 31570 225.93 214.63 246.82 241.89 241.89 237.05 31571 246.09 233.79 268.86 263.48 263.48 258.21 31575 105.80 100.51 115.59 113.28 113.28 111.01

# 31575 73.61 69.93 80.42 78.81 78.81 77.23 31576 206.90 196.56 226.04 221.52 221.52 217.10

# 31576 120.36 114.34 131.49 128.86 128.86 126.28 31577 225.38 214.11 246.23 241.30 241.30 236.47

# 31577 146.44 139.12 159.99 156.79 156.79 153.65 31578 260.09 247.09 284.15 278.47 278.47 272.91

# 31578 168.40 159.98 183.98 180.30 180.30 176.69 31579 196.81 186.97 215.02 210.71 210.71 206.51

# 31579 137.30 130.44 150.01 147.00 147.00 144.06 31580 1,153.84 1,096.15 1,260.57 1,235.36 1,235.36 1,210.66 31582 1,793.46 1,703.79 1,959.36 1,920.17 1,920.17 1,881.77 31584 1,444.24 1,372.03 1,577.83 1,546.28 1,546.28 1,515.36 31587 966.27 917.96 1,055.65 1,034.54 1,034.54 1,013.85 31588 1,084.43 1,030.21 1,184.74 1,161.05 1,161.05 1,137.83 31590 828.15 786.74 904.75 886.66 886.66 868.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31595 720.26 684.25 786.89 771.16 771.16 755.73 31600 393.30 373.64 429.69 421.10 421.10 412.68 31601 247.79 235.40 270.71 265.29 265.29 259.99 31603 221.80 210.71 242.32 237.48 237.48 232.73 31605 183.24 174.08 200.19 196.19 196.19 192.27 31610 681.29 647.23 744.31 729.43 729.43 714.84 31611 507.23 481.87 554.15 543.06 543.06 532.21 31612 78.65 74.72 85.93 84.21 84.21 82.54

# 31612 48.29 45.88 52.76 51.70 51.70 50.67 31613 425.51 404.23 464.86 455.57 455.57 446.46 31614 711.37 675.80 777.17 761.62 761.62 746.38 31615 170.85 162.31 186.66 182.92 182.92 179.26

# 31615 125.00 118.75 136.56 133.84 133.84 131.16 31622 279.46 265.49 305.31 299.21 299.21 293.23

# 31622 142.52 135.39 155.70 152.58 152.58 149.53 31623 302.86 287.72 330.88 324.27 324.27 317.78

# 31623 144.68 137.45 158.07 154.91 154.91 151.81 31624 287.68 273.30 314.30 308.00 308.00 301.84

# 31624 145.89 138.60 159.39 156.20 156.20 153.08 31625 361.86 343.77 395.34 387.42 387.42 379.67

# 31625 167.54 159.16 183.03 179.38 179.38 175.79 31626 810.36 769.84 885.32 867.61 867.61 850.25

# 31626 209.50 199.03 228.88 224.31 224.31 219.82 31627 1,231.87 1,170.28 1,345.82 1,318.90 1,318.90 1,292.52

# 31627 96.94 92.09 105.90 103.79 103.79 101.72 31628 382.43 363.31 417.81 409.45 409.45 401.26

# 31628 186.60 177.27 203.86 199.78 199.78 195.79 31629 453.26 430.60 495.19 485.29 485.29 475.58

# 31629 197.61 187.73 215.89 211.58 211.58 207.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

31630 197.88 187.99 216.19 211.86 211.86 207.63 31631 227.74 216.35 248.80 243.82 243.82 238.95 31632 70.56 67.03 77.08 75.54 75.54 74.04

# 31632 49.00 46.55 53.53 52.46 52.46 51.42 31633 87.42 83.05 95.51 93.60 93.60 91.72

# 31633 63.13 59.97 68.97 67.59 67.59 66.23 31634 1,629.98 1,548.48 1,780.75 1,745.14 1,745.14 1,710.23

# 31634 204.48 194.26 223.40 218.93 218.93 214.54 31635 323.18 307.02 353.07 346.01 346.01 339.09

# 31635 186.55 177.22 203.80 199.73 199.73 195.74 31636 219.58 208.60 239.89 235.09 235.09 230.39 31637 73.99 70.29 80.83 79.21 79.21 77.63 31638 250.68 238.15 273.87 268.40 268.40 263.03 31640 252.10 239.50 275.43 269.92 269.92 264.52 31641 255.48 242.71 279.12 273.54 273.54 268.07 31643 174.93 166.18 191.11 187.29 187.29 183.54 31645 298.12 283.21 325.69 319.18 319.18 312.80

# 31645 159.36 151.39 174.10 170.61 170.61 167.20 31646 266.74 253.40 291.41 285.58 285.58 279.86

# 31646 137.70 130.82 150.44 147.43 147.43 144.49 31647 219.40 208.43 239.69 234.90 234.90 230.20 31648 203.56 193.38 222.39 217.94 217.94 213.58 31649 69.39 65.92 75.81 74.29 74.29 72.81 31651 78.90 74.96 86.20 84.48 84.48 82.79 31652 807.75 767.36 882.46 864.81 864.81 847.52

# 31652 232.09 220.49 253.56 248.49 248.49 243.52 31653 859.83 816.84 939.37 920.58 920.58 902.16

# 31653 256.24 243.43 279.94 274.34 274.34 268.86 31654 132.56 125.93 144.82 141.92 141.92 139.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 31654 67.28 63.92 73.51 72.04 72.04 70.60 31660 207.98 197.58 227.22 222.67 222.67 218.22 31661 218.48 207.56 238.69 233.92 233.92 229.24 31717 237.39 225.52 259.35 254.16 254.16 249.08

# 31717 106.83 101.49 116.71 114.38 114.38 112.09 31720 51.02 48.47 55.74 54.63 54.63 53.53 31725 89.63 85.15 97.92 95.97 95.97 94.05 31730 1,080.88 1,026.84 1,180.87 1,157.25 1,157.25 1,134.10

# 31730 147.55 140.17 161.20 157.98 157.98 154.81 31750 1,327.76 1,261.37 1,450.58 1,421.56 1,421.56 1,393.13 31755 1,651.90 1,569.31 1,804.71 1,768.61 1,768.61 1,733.23 31760 1,374.81 1,306.07 1,501.98 1,471.94 1,471.94 1,442.50 31766 1,773.46 1,684.79 1,937.51 1,898.75 1,898.75 1,860.78 31770 1,329.22 1,262.76 1,452.17 1,423.13 1,423.13 1,394.66 31775 1,281.52 1,217.44 1,400.06 1,372.05 1,372.05 1,344.61 31780 1,158.65 1,100.72 1,265.83 1,240.52 1,240.52 1,215.71 31781 1,419.53 1,348.55 1,550.83 1,519.82 1,519.82 1,489.42 31785 1,064.57 1,011.34 1,163.04 1,139.78 1,139.78 1,116.98 31786 1,425.93 1,354.63 1,557.82 1,526.67 1,526.67 1,496.14 31800 692.54 657.91 756.60 741.46 741.46 726.64 31805 811.53 770.95 886.59 868.86 868.86 851.48 31820 406.66 386.33 444.28 435.39 435.39 426.68

# 31820 315.27 299.51 344.44 337.55 337.55 330.80 31825 565.91 537.61 618.25 605.89 605.89 593.77

# 31825 461.76 438.67 504.47 494.39 494.39 484.50 31830 414.96 394.21 453.34 444.28 444.28 435.39

# 31830 328.73 312.29 359.13 351.95 351.95 344.91 32035 702.94 667.79 767.96 752.59 752.59 737.54 32036 759.95 721.95 830.24 813.64 813.64 797.36














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

32096 795.82 756.03 869.43 852.05 852.05 835.00 32097 795.44 755.67 869.02 851.64 851.64 834.61 32098 753.84 716.15 823.57 807.10 807.10 790.96 32100 798.89 758.95 872.79 855.34 855.34 838.22 32110 1,446.12 1,373.81 1,579.88 1,548.28 1,548.28 1,517.31 32120 856.84 814.00 936.10 917.38 917.38 899.04 32124 912.44 866.82 996.84 976.90 976.90 957.36 32140 983.28 934.12 1,074.24 1,052.76 1,052.76 1,031.70 32141 1,514.89 1,439.15 1,655.02 1,621.93 1,621.93 1,589.48 32150 990.62 941.09 1,082.25 1,060.61 1,060.61 1,039.39 32151 989.36 939.89 1,080.87 1,059.25 1,059.25 1,038.07 32160 776.19 737.38 847.99 831.02 831.02 814.41 32200 1,117.51 1,061.63 1,220.87 1,196.46 1,196.46 1,172.53 32215 782.78 743.64 855.19 838.09 838.09 821.32 32220 1,562.32 1,484.20 1,706.83 1,672.70 1,672.70 1,639.24 32225 981.25 932.19 1,072.02 1,050.58 1,050.58 1,029.57 32310 897.56 852.68 980.58 960.97 960.97 941.76 32320 1,578.42 1,499.50 1,724.43 1,689.94 1,689.94 1,656.14 32400 141.30 134.24 154.38 151.29 151.29 148.27

# 32400 86.65 82.32 94.67 92.77 92.77 90.92 32405 399.73 379.74 436.70 427.97 427.97 419.42

# 32405 102.19 97.08 111.64 109.41 109.41 107.23 32440 1,551.44 1,473.87 1,694.95 1,661.05 1,661.05 1,627.83 32442 3,183.01 3,023.86 3,477.44 3,407.89 3,407.89 3,339.73 32445 3,527.21 3,350.85 3,853.48 3,776.40 3,776.40 3,700.87 32480 1,464.54 1,391.31 1,600.01 1,568.00 1,568.00 1,536.64 32482 1,565.79 1,487.50 1,710.63 1,676.41 1,676.41 1,642.89 32484 1,426.44 1,355.12 1,558.39 1,527.22 1,527.22 1,496.68 32486 2,345.29 2,228.03 2,562.23 2,510.99 2,510.99 2,460.77














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

32488 2,379.80 2,260.81 2,599.93 2,547.93 2,547.93 2,496.97 32491 1,458.24 1,385.33 1,593.13 1,561.26 1,561.26 1,530.04 32501 246.08 233.78 268.85 263.47 263.47 258.20 32503 1,793.59 1,703.91 1,959.50 1,920.30 1,920.30 1,881.89 32504 2,048.52 1,946.09 2,238.00 2,193.25 2,193.25 2,149.38 32505 920.39 874.37 1,005.53 985.41 985.41 965.70 32506 157.54 149.66 172.11 168.67 168.67 165.30 32507 157.20 149.34 171.74 168.30 168.30 164.93 32540 1,721.44 1,635.37 1,880.68 1,843.06 1,843.06 1,806.20 32550 700.76 665.72 765.58 750.27 750.27 735.26

# 32550 220.13 209.12 240.49 235.68 235.68 230.97 32551 169.15 160.69 184.79 181.10 181.10 177.48 32552 176.66 167.83 193.00 189.14 189.14 185.36

# 32552 155.11 147.35 169.45 166.06 166.06 162.74 32553 533.47 506.80 582.82 571.16 571.16 559.74

# 32553 192.51 182.88 210.31 206.10 206.10 201.99 32554 183.60 174.42 200.58 196.57 196.57 192.64

# 32554 89.17 84.71 97.42 95.47 95.47 93.56 32555 263.54 250.36 287.91 282.15 282.15 276.51

# 32555 111.73 106.14 122.06 119.62 119.62 117.23 32556 481.11 457.05 525.61 515.10 515.10 504.79

# 32556 122.84 116.70 134.21 131.53 131.53 128.89 32557 463.71 440.52 506.60 496.47 496.47 486.54

# 32557 153.11 145.45 167.27 163.92 163.92 160.64 32560 220.58 209.55 240.98 236.16 236.16 231.44

# 32560 77.88 73.99 85.09 83.39 83.39 81.72 32561 88.59 84.16 96.78 94.85 94.85 92.95

# 32561 68.24 64.83 74.55 73.06 73.06 71.60 32562 79.91 75.91 87.30 85.55 85.55 83.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 32562 61.69 58.61 67.40 66.06 66.06 64.73 32601 306.60 291.27 334.96 328.26 328.26 321.69 32604 480.90 456.86 525.39 514.88 514.88 504.59 32606 460.80 437.76 503.42 493.35 493.35 483.48 32607 306.97 291.62 335.36 328.66 328.66 322.08 32608 376.95 358.10 411.82 403.58 403.58 395.51 32609 257.06 244.21 280.84 275.23 275.23 269.72 32650 654.17 621.46 714.68 700.38 700.38 686.38 32651 1,084.27 1,030.06 1,184.57 1,160.88 1,160.88 1,137.66 32652 1,649.11 1,566.65 1,801.65 1,765.62 1,765.62 1,730.30 32653 1,047.45 995.08 1,144.34 1,121.46 1,121.46 1,099.03 32654 1,173.89 1,115.20 1,282.48 1,256.84 1,256.84 1,231.70 32655 944.31 897.09 1,031.65 1,011.02 1,011.02 990.81 32656 791.05 751.50 864.23 846.94 846.94 830.00 32658 702.82 667.68 767.83 752.48 752.48 737.43 32659 719.59 683.61 786.15 770.43 770.43 755.02 32661 790.23 750.72 863.33 846.07 846.07 829.15 32662 880.74 836.70 962.21 942.97 942.97 924.11 32663 1,390.81 1,321.27 1,519.46 1,489.07 1,489.07 1,459.28 32664 840.83 798.79 918.61 900.23 900.23 882.22 32665 1,214.88 1,154.14 1,327.26 1,300.72 1,300.72 1,274.71 32666 858.90 815.96 938.35 919.59 919.59 901.20 32667 157.84 149.95 172.44 168.99 168.99 165.61 32668 157.54 149.66 172.11 168.67 168.67 165.30 32669 1,336.06 1,269.26 1,459.65 1,430.45 1,430.45 1,401.84 32670 1,591.65 1,512.07 1,738.88 1,704.10 1,704.10 1,670.02 32671 1,763.08 1,674.93 1,926.17 1,887.64 1,887.64 1,849.89 32672 1,513.34 1,437.67 1,653.32 1,620.26 1,620.26 1,587.85 32673 1,207.47 1,147.10 1,319.17 1,292.78 1,292.78 1,266.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

32674 216.77 205.93 236.82 232.08 232.08 227.44 32701 217.90 207.01 238.06 233.30 233.30 228.63 32800 932.40 885.78 1,018.65 998.27 998.27 978.31 32810 889.04 844.59 971.28 951.86 951.86 932.82 32815 2,782.51 2,643.38 3,039.89 2,979.09 2,979.09 2,919.51 32820 1,318.64 1,252.71 1,440.62 1,411.81 1,411.81 1,383.58 32851 3,285.77 3,121.48 3,589.70 3,517.91 3,517.91 3,447.55 32852 3,596.56 3,416.73 3,929.24 3,850.66 3,850.66 3,773.64 32853 4,586.12 4,356.81 5,010.33 4,910.12 4,910.12 4,811.92 32854 4,876.56 4,632.73 5,327.64 5,221.09 5,221.09 5,116.67 32855 227.08 215.73 248.09 243.13 243.13 238.27 32856 272.50 258.88 297.71 291.76 291.76 285.92 32900 1,385.64 1,316.36 1,513.81 1,483.53 1,483.53 1,453.86 32905 1,329.83 1,263.34 1,452.84 1,423.78 1,423.78 1,395.31 32906 1,646.51 1,564.18 1,798.81 1,762.84 1,762.84 1,727.58 32940 1,223.05 1,161.90 1,336.19 1,309.46 1,309.46 1,283.27 32960 134.17 127.46 146.58 143.65 143.65 140.77

# 32960 98.95 94.00 108.10 105.94 105.94 103.82 32997 342.71 325.57 374.41 366.92 366.92 359.58 32998 2,098.23 1,993.32 2,292.32 2,246.47 2,246.47 2,201.54

# 32998 282.88 268.74 309.05 302.88 302.88 296.82 33010 119.87 113.88 130.96 128.34 128.34 125.78 33011 120.52 114.49 131.66 129.03 129.03 126.45 33015 500.85 475.81 547.18 536.23 536.23 525.50 33020 868.84 825.40 949.21 930.22 930.22 911.62 33025 789.71 750.22 862.75 845.50 845.50 828.60 33030 1,993.81 1,894.12 2,178.24 2,134.68 2,134.68 2,091.99 33031 2,463.90 2,340.71 2,691.82 2,637.99 2,637.99 2,585.22 33050 986.26 936.95 1,077.49 1,055.94 1,055.94 1,034.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33120 2,093.33 1,988.66 2,286.96 2,241.22 2,241.22 2,196.40 33130 1,368.43 1,300.01 1,495.01 1,465.11 1,465.11 1,435.81 33140 1,566.54 1,488.21 1,711.44 1,677.22 1,677.22 1,643.67 33141 132.45 125.83 144.70 141.81 141.81 138.97 33202 767.48 729.11 838.48 821.71 821.71 805.28 33203 798.99 759.04 872.90 855.44 855.44 838.33 33206 452.39 429.77 494.24 484.35 484.35 474.66 33207 483.94 459.74 528.70 518.13 518.13 507.77 33208 524.28 498.07 572.78 561.33 561.33 550.10 33210 178.44 169.52 194.95 191.05 191.05 187.23 33211 182.64 173.51 199.54 195.55 195.55 191.64 33212 326.51 310.18 356.71 349.58 349.58 342.59 33213 340.64 323.61 372.15 364.71 364.71 357.42 33214 479.75 455.76 524.12 513.64 513.64 503.37 33215 303.46 288.29 331.53 324.90 324.90 318.40 33216 373.43 354.76 407.97 399.81 399.81 391.82 33217 366.86 348.52 400.80 392.78 392.78 384.93 33218 390.52 370.99 426.64 418.11 418.11 409.75 33220 391.60 372.02 427.82 419.27 419.27 410.88 33221 364.52 346.29 398.23 390.26 390.26 382.46 33222 338.55 321.62 369.86 362.47 362.47 355.22 33223 410.49 389.97 448.47 439.50 439.50 430.71 33224 510.82 485.28 558.07 546.91 546.91 535.97 33225 464.76 441.52 507.75 497.59 497.59 487.65 33226 489.65 465.17 534.95 524.25 524.25 513.76 33227 342.90 325.76 374.62 367.13 367.13 359.79 33228 357.94 340.04 391.05 383.23 383.23 375.57 33229 376.96 358.11 411.83 403.59 403.59 395.52 33230 388.79 369.35 424.75 416.25 416.25 407.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33231 404.70 384.47 442.14 433.30 433.30 424.63 33233 234.36 222.64 256.04 250.92 250.92 245.90 33234 486.41 462.09 531.40 520.78 520.78 510.36 33235 633.11 601.45 691.67 677.83 677.83 664.27 33236 770.27 731.76 841.52 824.69 824.69 808.20 33237 828.67 787.24 905.33 887.23 887.23 869.48 33238 918.19 872.28 1,003.12 983.05 983.05 963.39 33240 370.61 352.08 404.89 396.80 396.80 388.86 33241 221.30 210.24 241.78 236.95 236.95 232.21 33243 1,353.84 1,286.15 1,479.07 1,449.49 1,449.49 1,420.50 33244 852.70 810.07 931.58 912.95 912.95 894.69 33249 911.08 865.53 995.36 975.45 975.45 955.95 33250 1,456.49 1,383.67 1,591.22 1,559.40 1,559.40 1,528.21 33251 1,614.00 1,533.30 1,763.30 1,728.02 1,728.02 1,693.47 33254 1,359.76 1,291.77 1,485.54 1,455.82 1,455.82 1,426.70 33255 1,609.54 1,529.06 1,758.42 1,723.25 1,723.25 1,688.79 33256 1,944.72 1,847.48 2,124.60 2,082.11 2,082.11 2,040.47 33257 573.82 545.13 626.90 614.36 614.36 602.08 33258 645.07 612.82 704.74 690.64 690.64 676.83 33259 833.00 791.35 910.05 891.85 891.85 874.01 33261 1,628.97 1,547.52 1,779.65 1,744.06 1,744.06 1,709.18 33262 376.77 357.93 411.62 403.39 403.39 395.31 33263 391.81 372.22 428.05 419.50 419.50 411.10 33264 408.40 387.98 446.18 437.25 437.25 428.51 33265 1,348.25 1,280.84 1,472.97 1,443.50 1,443.50 1,414.64 33266 1,837.90 1,746.01 2,007.91 1,967.75 1,967.75 1,928.40 33270 577.51 548.63 630.92 618.31 618.31 605.95 33271 485.19 460.93 530.07 519.47 519.47 509.08 33272 343.11 325.95 374.84 367.34 367.34 360.00














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33273 393.44 373.77 429.84 421.23 421.23 412.80 33282 231.69 220.11 253.13 248.07 248.07 243.11 33284 204.30 194.09 223.20 218.74 218.74 214.37 33300 2,445.94 2,323.64 2,672.19 2,618.75 2,618.75 2,566.37 33305 4,106.51 3,901.18 4,486.36 4,396.63 4,396.63 4,308.71 33310 1,165.65 1,107.37 1,273.48 1,248.00 1,248.00 1,223.05 33315 1,906.97 1,811.62 2,083.36 2,041.70 2,041.70 2,000.86 33320 1,054.10 1,001.40 1,151.61 1,128.58 1,128.58 1,106.00 33321 1,217.56 1,156.68 1,330.18 1,303.58 1,303.58 1,277.51 33322 1,379.58 1,310.60 1,507.19 1,477.05 1,477.05 1,447.51 33330 1,416.21 1,345.40 1,547.21 1,516.26 1,516.26 1,485.94 33335 1,862.78 1,769.64 2,035.09 1,994.39 1,994.39 1,954.51 33361 1,358.27 1,290.36 1,483.91 1,454.23 1,454.23 1,425.15 33362 1,485.12 1,410.86 1,622.49 1,590.04 1,590.04 1,558.24 33363 1,542.06 1,464.96 1,684.70 1,651.01 1,651.01 1,617.99 33364 1,617.54 1,536.66 1,767.16 1,731.82 1,731.82 1,697.18 33365 1,781.54 1,692.46 1,946.33 1,907.40 1,907.40 1,869.26 33366 1,928.36 1,831.94 2,106.73 2,064.60 2,064.60 2,023.30 33367 626.92 595.57 684.91 671.21 671.21 657.79 33368 751.83 714.24 821.38 804.95 804.95 788.85 33369 993.62 943.94 1,085.53 1,063.82 1,063.82 1,042.54 33400 2,270.38 2,156.86 2,480.39 2,430.78 2,430.78 2,382.17 33401 1,430.15 1,358.64 1,562.44 1,531.19 1,531.19 1,500.57 33403 1,470.46 1,396.94 1,606.48 1,574.35 1,574.35 1,542.86 33404 1,751.90 1,664.31 1,913.96 1,875.67 1,875.67 1,838.16 33405 2,263.27 2,150.11 2,472.63 2,423.18 2,423.18 2,374.72 33406 2,871.84 2,728.25 3,137.49 3,074.74 3,074.74 3,013.25 33410 2,528.33 2,401.91 2,762.20 2,706.95 2,706.95 2,652.81 33411 3,353.61 3,185.93 3,663.82 3,590.54 3,590.54 3,518.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33412 3,175.90 3,017.11 3,469.68 3,400.29 3,400.29 3,332.27 33413 3,250.87 3,088.33 3,551.58 3,480.54 3,480.54 3,410.93 33414 2,159.75 2,051.76 2,359.52 2,312.33 2,312.33 2,266.09 33415 2,020.07 1,919.07 2,206.93 2,162.79 2,162.79 2,119.54 33416 2,024.43 1,923.21 2,211.69 2,167.46 2,167.46 2,124.12 33417 1,665.51 1,582.23 1,819.56 1,783.18 1,783.18 1,747.52 33418 1,786.48 1,697.16 1,951.73 1,912.70 1,912.70 1,874.45 33419 422.26 401.15 461.32 452.10 452.10 443.06 33420 1,450.93 1,378.38 1,585.14 1,553.43 1,553.43 1,522.36 33422 1,663.44 1,580.27 1,817.31 1,780.96 1,780.96 1,745.34 33425 2,728.52 2,592.09 2,980.90 2,921.29 2,921.29 2,862.87 33426 2,374.69 2,255.96 2,594.35 2,542.47 2,542.47 2,491.61 33427 2,439.58 2,317.60 2,665.24 2,611.94 2,611.94 2,559.70 33430 2,790.22 2,650.71 3,048.32 2,987.36 2,987.36 2,927.61 33460 2,439.15 2,317.19 2,664.77 2,611.48 2,611.48 2,559.24 33463 3,087.65 2,933.27 3,373.26 3,305.79 3,305.79 3,239.68 33464 2,435.45 2,313.68 2,660.73 2,607.52 2,607.52 2,555.37 33465 2,752.94 2,615.29 3,007.58 2,947.43 2,947.43 2,888.48 33468 2,464.00 2,340.80 2,691.92 2,638.08 2,638.08 2,585.32 33470 1,280.82 1,216.78 1,399.30 1,371.31 1,371.31 1,343.88 33471 1,368.65 1,300.22 1,495.25 1,465.35 1,465.35 1,436.05 33474 2,184.24 2,075.03 2,386.28 2,338.56 2,338.56 2,291.79 33475 2,323.59 2,207.41 2,538.52 2,487.75 2,487.75 2,437.99 33476 1,519.17 1,443.21 1,659.69 1,626.50 1,626.50 1,593.97 33477 1,289.95 1,225.45 1,409.27 1,381.08 1,381.08 1,353.46 33478 1,570.19 1,491.68 1,715.43 1,681.13 1,681.13 1,647.50 33496 1,663.59 1,580.41 1,817.47 1,781.12 1,781.12 1,745.49 33500 1,557.81 1,479.92 1,701.91 1,667.87 1,667.87 1,634.51 33501 1,123.57 1,067.39 1,227.50 1,202.95 1,202.95 1,178.89














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33502 1,270.61 1,207.08 1,388.14 1,360.38 1,360.38 1,333.17 33503 1,319.39 1,253.42 1,441.43 1,412.60 1,412.60 1,384.35 33504 1,462.09 1,388.99 1,597.34 1,565.39 1,565.39 1,534.09 33505 2,076.85 1,973.01 2,268.96 2,223.58 2,223.58 2,179.11 33506 2,065.50 1,962.23 2,256.56 2,211.44 2,211.44 2,167.21 33507 1,730.49 1,643.97 1,890.57 1,852.75 1,852.75 1,815.70 33508 16.20 15.39 17.70 17.34 17.34 17.00 33510 1,925.42 1,829.15 2,103.52 2,061.46 2,061.46 2,020.23 33511 2,116.26 2,010.45 2,312.02 2,265.78 2,265.78 2,220.47 33512 2,407.37 2,287.00 2,630.05 2,577.45 2,577.45 2,525.89 33513 2,477.66 2,353.78 2,706.85 2,652.71 2,652.71 2,599.66 33514 2,609.40 2,478.93 2,850.77 2,793.75 2,793.75 2,737.87 33516 2,724.48 2,588.26 2,976.50 2,916.96 2,916.96 2,858.62 33517 188.30 178.89 205.72 201.61 201.61 197.57 33518 413.82 393.13 452.10 443.06 443.06 434.19 33519 547.29 519.93 597.92 585.96 585.96 574.24 33521 656.31 623.49 717.01 702.67 702.67 688.62 33522 736.38 699.56 804.49 788.41 788.41 772.64 33523 837.33 795.46 914.78 896.48 896.48 878.55 33530 529.02 502.57 577.96 566.40 566.40 555.07 33533 1,861.64 1,768.56 2,033.84 1,993.17 1,993.17 1,953.31 33534 2,191.69 2,082.11 2,394.43 2,346.54 2,346.54 2,299.61 33535 2,445.38 2,323.11 2,671.58 2,618.15 2,618.15 2,565.79 33536 2,637.26 2,505.40 2,881.21 2,823.58 2,823.58 2,767.11 33542 2,623.09 2,491.94 2,865.73 2,808.42 2,808.42 2,752.25 33545 3,097.07 2,942.22 3,383.55 3,315.89 3,315.89 3,249.57 33548 2,955.51 2,807.73 3,228.89 3,164.32 3,164.32 3,101.03 33572 231.74 220.15 253.17 248.11 248.11 243.16 33600 1,717.53 1,631.65 1,876.40 1,838.87 1,838.87 1,802.10














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33602 1,666.51 1,583.18 1,820.66 1,784.25 1,784.25 1,748.56 33606 1,850.62 1,758.09 2,021.80 1,981.37 1,981.37 1,941.74 33608 1,800.28 1,710.27 1,966.81 1,927.47 1,927.47 1,888.92 33610 1,775.12 1,686.36 1,939.31 1,900.52 1,900.52 1,862.52 33611 2,048.13 1,945.72 2,237.58 2,192.83 2,192.83 2,148.97 33612 2,012.21 1,911.60 2,198.34 2,154.38 2,154.38 2,111.29 33615 2,000.66 1,900.63 2,185.72 2,142.01 2,142.01 2,099.18 33617 2,169.21 2,060.75 2,369.86 2,322.47 2,322.47 2,276.02 33619 2,730.01 2,593.51 2,982.54 2,922.89 2,922.89 2,864.43 33620 1,656.06 1,573.26 1,809.25 1,773.06 1,773.06 1,737.59 33621 929.27 882.81 1,015.23 994.92 994.92 975.03 33622 3,626.33 3,445.01 3,961.76 3,882.53 3,882.53 3,804.88 33641 1,644.01 1,561.81 1,796.08 1,760.16 1,760.16 1,724.95 33645 1,735.57 1,648.79 1,896.11 1,858.18 1,858.18 1,821.01 33647 1,824.63 1,733.40 1,993.41 1,953.54 1,953.54 1,914.47 33660 1,762.93 1,674.78 1,926.00 1,887.47 1,887.47 1,849.72 33665 1,921.86 1,825.77 2,099.64 2,057.64 2,057.64 2,016.49 33670 1,986.16 1,886.85 2,169.88 2,126.48 2,126.48 2,083.95 33675 1,980.68 1,881.65 2,163.90 2,120.62 2,120.62 2,078.21 33676 2,125.72 2,019.43 2,322.34 2,275.90 2,275.90 2,230.38 33677 2,208.93 2,098.48 2,413.25 2,364.99 2,364.99 2,317.69 33681 1,837.78 1,745.89 2,007.77 1,967.62 1,967.62 1,928.26 33684 1,981.71 1,882.62 2,165.01 2,121.72 2,121.72 2,079.28 33688 1,895.14 1,800.38 2,070.44 2,029.03 2,029.03 1,988.44 33690 1,193.53 1,133.85 1,303.93 1,277.85 1,277.85 1,252.29 33692 2,062.10 1,959.00 2,252.85 2,207.79 2,207.79 2,163.63 33694 2,048.13 1,945.72 2,237.58 2,192.83 2,192.83 2,148.97 33697 2,064.95 1,961.70 2,255.96 2,210.84 2,210.84 2,166.62 33702 1,545.24 1,467.98 1,688.18 1,654.41 1,654.41 1,621.33














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33710 2,155.28 2,047.52 2,354.65 2,307.56 2,307.56 2,261.41 33720 1,545.96 1,468.66 1,688.96 1,655.18 1,655.18 1,622.08 33722 1,628.96 1,547.51 1,779.64 1,744.04 1,744.04 1,709.16 33724 1,542.52 1,465.39 1,685.20 1,651.49 1,651.49 1,618.46 33726 2,042.38 1,940.26 2,231.30 2,186.67 2,186.67 2,142.93 33730 2,010.13 1,909.62 2,196.06 2,152.14 2,152.14 2,109.10 33732 1,646.52 1,564.19 1,798.82 1,762.85 1,762.85 1,727.59 33735 1,290.40 1,225.88 1,409.76 1,381.56 1,381.56 1,353.93 33736 1,402.10 1,332.00 1,531.80 1,501.16 1,501.16 1,471.14 33737 1,341.61 1,274.53 1,465.71 1,436.40 1,436.40 1,407.67 33750 1,261.10 1,198.05 1,377.76 1,350.20 1,350.20 1,323.20 33755 1,311.45 1,245.88 1,432.76 1,404.10 1,404.10 1,376.02 33762 1,331.80 1,265.21 1,454.99 1,425.90 1,425.90 1,397.38 33764 1,311.45 1,245.88 1,432.76 1,404.10 1,404.10 1,376.02 33766 1,331.81 1,265.22 1,455.00 1,425.91 1,425.91 1,397.39 33767 1,422.82 1,351.68 1,554.43 1,523.35 1,523.35 1,492.88 33768 421.26 400.20 460.23 451.03 451.03 442.01 33770 2,230.13 2,118.62 2,436.41 2,387.69 2,387.69 2,339.94 33771 2,301.56 2,186.48 2,514.45 2,464.16 2,464.16 2,414.89 33774 1,798.75 1,708.81 1,965.13 1,925.82 1,925.82 1,887.31 33775 1,931.45 1,834.88 2,110.11 2,067.91 2,067.91 2,026.55 33776 2,039.96 1,937.96 2,228.65 2,184.08 2,184.08 2,140.40 33777 1,979.54 1,880.56 2,162.64 2,119.39 2,119.39 2,077.00 33778 2,463.62 2,340.44 2,691.51 2,637.67 2,637.67 2,584.92 33779 2,454.81 2,332.07 2,681.88 2,628.24 2,628.24 2,575.68 33780 2,383.72 2,264.53 2,604.21 2,552.13 2,552.13 2,501.09 33781 2,444.65 2,322.42 2,670.78 2,617.37 2,617.37 2,565.02 33782 3,251.05 3,088.50 3,551.78 3,480.74 3,480.74 3,411.13 33783 3,686.26 3,501.95 4,027.24 3,946.70 3,946.70 3,867.76














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33786 2,287.46 2,173.09 2,499.05 2,449.07 2,449.07 2,400.10 33788 1,599.19 1,519.23 1,747.11 1,712.18 1,712.18 1,677.93 33800 986.27 936.96 1,077.50 1,055.95 1,055.95 1,034.84 33802 1,078.12 1,024.21 1,177.84 1,154.29 1,154.29 1,131.21 33803 1,149.80 1,092.31 1,256.16 1,231.03 1,231.03 1,206.41 33813 1,279.67 1,215.69 1,398.04 1,370.09 1,370.09 1,342.68 33814 1,520.69 1,444.66 1,661.36 1,628.14 1,628.14 1,595.57 33820 965.86 917.57 1,055.21 1,034.10 1,034.10 1,013.43 33822 1,056.66 1,003.83 1,154.40 1,131.31 1,131.31 1,108.69 33824 1,174.50 1,115.78 1,283.15 1,257.48 1,257.48 1,232.33 33840 1,234.62 1,172.89 1,348.82 1,321.84 1,321.84 1,295.41 33845 1,329.01 1,262.56 1,451.94 1,422.91 1,422.91 1,394.44 33851 1,268.08 1,204.68 1,385.38 1,357.68 1,357.68 1,330.53 33852 1,395.99 1,326.19 1,525.12 1,494.62 1,494.62 1,464.73 33853 1,833.38 1,741.71 2,002.97 1,962.91 1,962.91 1,923.65 33860 3,211.88 3,051.29 3,508.98 3,438.80 3,438.80 3,370.02 33863 3,153.36 2,995.69 3,445.04 3,376.15 3,376.15 3,308.62 33864 3,224.94 3,063.69 3,523.24 3,452.78 3,452.78 3,383.73 33870 2,513.59 2,387.91 2,746.10 2,691.17 2,691.17 2,637.35 33875 2,750.60 2,613.07 3,005.03 2,944.93 2,944.93 2,886.03 33877 3,661.80 3,478.71 4,000.52 3,920.51 3,920.51 3,842.10 33880 1,823.09 1,731.94 1,991.73 1,951.90 1,951.90 1,912.85 33881 1,565.15 1,486.89 1,709.92 1,675.72 1,675.72 1,642.21 33883 1,130.51 1,073.98 1,235.08 1,210.38 1,210.38 1,186.17 33884 416.57 395.74 455.10 446.00 446.00 437.08 33886 975.48 926.71 1,065.72 1,044.41 1,044.41 1,023.52 33889 804.42 764.20 878.83 861.26 861.26 844.03 33891 993.18 943.52 1,085.05 1,063.35 1,063.35 1,042.08 33910 2,626.22 2,494.91 2,869.15 2,811.76 2,811.76 2,755.53














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33915 1,282.39 1,218.27 1,401.01 1,372.99 1,372.99 1,345.52 33916 4,217.34 4,006.47 4,607.44 4,515.29 4,515.29 4,424.98 33917 1,453.48 1,380.81 1,587.93 1,556.17 1,556.17 1,525.05 33920 1,894.66 1,799.93 2,069.92 2,028.52 2,028.52 1,987.95 33922 1,386.31 1,316.99 1,514.54 1,484.25 1,484.25 1,454.57 33924 288.91 274.46 315.63 309.32 309.32 303.13 33925 1,724.64 1,638.41 1,884.17 1,846.49 1,846.49 1,809.56 33926 2,548.04 2,420.64 2,783.74 2,728.06 2,728.06 2,673.51 33933 272.50 258.88 297.71 291.76 291.76 285.92 33935 4,998.08 4,748.18 5,460.41 5,351.20 5,351.20 5,244.18 33944 272.50 258.88 297.71 291.76 291.76 285.92 33945 4,857.71 4,614.82 5,307.04 5,200.90 5,200.90 5,096.88 33946 307.11 291.75 335.51 328.81 328.81 322.23 33947 339.50 322.53 370.91 363.49 363.49 356.22 33948 242.10 230.00 264.50 259.21 259.21 254.02 33949 235.55 223.77 257.34 252.18 252.18 247.14 33951 417.87 396.98 456.53 447.40 447.40 438.45 33952 431.46 409.89 471.37 461.94 461.94 452.71 33953 466.70 443.37 509.88 499.68 499.68 489.68 33954 482.42 458.30 527.05 516.50 516.50 506.17 33955 835.29 793.53 912.56 894.31 894.31 876.43 33956 842.31 800.19 920.22 901.82 901.82 883.79 33957 185.35 176.08 202.49 198.44 198.44 194.48 33958 183.06 173.91 200.00 195.99 195.99 192.07 33959 235.36 223.59 257.13 251.99 251.99 246.95 33962 239.05 227.10 261.17 255.94 255.94 250.83 33963 471.08 447.53 514.66 504.37 504.37 494.28 33964 491.70 467.12 537.19 526.45 526.45 515.91 33965 185.35 176.08 202.49 198.44 198.44 194.48














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

33966 236.59 224.76 258.47 253.30 253.30 248.23 33967 259.77 246.78 283.80 278.12 278.12 272.55 33968 33.69 32.01 36.81 36.08 36.08 35.35 33969 274.10 260.40 299.46 293.47 293.47 287.60 33970 356.33 338.51 389.29 381.50 381.50 373.88 33971 702.35 667.23 767.31 751.97 751.97 736.93 33973 516.21 490.40 563.96 552.68 552.68 541.63 33974 878.98 835.03 960.28 941.08 941.08 922.25 33975 1,323.08 1,256.93 1,445.47 1,416.56 1,416.56 1,388.22 33976 1,613.28 1,532.62 1,762.51 1,727.27 1,727.27 1,692.72 33977 1,131.58 1,075.00 1,236.25 1,211.53 1,211.53 1,187.29 33978 1,340.42 1,273.40 1,464.41 1,435.12 1,435.12 1,406.42 33979 1,966.84 1,868.50 2,148.78 2,105.80 2,105.80 2,063.69 33980 1,794.01 1,704.31 1,959.96 1,920.75 1,920.75 1,882.34 33981 842.48 800.36 920.41 902.00 902.00 883.96 33982 1,992.83 1,893.19 2,177.17 2,133.63 2,133.63 2,090.95 33983 2,333.68 2,217.00 2,549.55 2,498.56 2,498.56 2,448.59 33984 286.95 272.60 313.49 307.22 307.22 301.08 33985 517.33 491.46 565.18 553.87 553.87 542.80 33986 531.47 504.90 580.64 569.02 569.02 557.64 33987 209.75 199.26 229.15 224.56 224.56 220.06 33988 782.03 742.93 854.37 837.28 837.28 820.54 33989 504.45 479.23 551.11 540.10 540.10 529.30 33990 440.33 418.31 481.06 471.43 471.43 462.00 33991 641.30 609.24 700.63 686.62 686.62 672.89 33992 208.65 198.22 227.95 223.40 223.40 218.93 33993 183.10 173.95 200.04 196.04 196.04 192.12 34001 983.49 934.32 1,074.47 1,052.97 1,052.97 1,031.92 34051 984.03 934.83 1,075.05 1,053.55 1,053.55 1,032.48














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

34101 608.23 577.82 664.49 651.20 651.20 638.17 34111 606.31 575.99 662.39 649.14 649.14 636.16 34151 1,421.47 1,350.40 1,552.96 1,521.90 1,521.90 1,491.46 34201 1,047.88 995.49 1,144.81 1,121.92 1,121.92 1,099.48 34203 970.03 921.53 1,059.76 1,038.57 1,038.57 1,017.80 34401 1,459.11 1,386.15 1,594.07 1,562.19 1,562.19 1,530.95 34421 738.27 701.36 806.56 790.43 790.43 774.62 34451 1,473.31 1,399.64 1,609.59 1,577.40 1,577.40 1,545.85 34471 1,101.54 1,046.46 1,203.43 1,179.36 1,179.36 1,155.77 34490 614.50 583.78 671.35 657.92 657.92 644.76 34501 979.18 930.22 1,069.75 1,048.36 1,048.36 1,027.40 34502 1,541.35 1,464.28 1,683.92 1,650.24 1,650.24 1,617.23 34510 1,185.92 1,126.62 1,295.61 1,269.70 1,269.70 1,244.31 34520 1,019.75 968.76 1,114.07 1,091.79 1,091.79 1,069.95 34530 1,087.09 1,032.74 1,187.65 1,163.90 1,163.90 1,140.63 34800 1,148.34 1,090.92 1,254.56 1,229.47 1,229.47 1,204.88 34802 1,266.91 1,203.56 1,384.09 1,356.41 1,356.41 1,329.29 34803 1,310.63 1,245.10 1,431.87 1,403.23 1,403.23 1,375.17 34804 1,265.53 1,202.25 1,382.59 1,354.94 1,354.94 1,327.85 34805 1,212.43 1,151.81 1,324.58 1,298.09 1,298.09 1,272.12 34806 102.73 97.59 112.23 109.99 109.99 107.79 34808 211.68 201.10 231.27 226.64 226.64 222.11 34812 344.86 327.62 376.76 369.23 369.23 361.85 34813 242.50 230.38 264.94 259.64 259.64 254.44 34820 502.10 477.00 548.55 537.58 537.58 526.83 34825 703.43 668.26 768.50 753.12 753.12 738.06 34826 209.98 199.48 229.40 224.81 224.81 220.32 34830 1,803.94 1,713.74 1,970.80 1,931.39 1,931.39 1,892.76 34831 1,944.97 1,847.72 2,124.88 2,082.39 2,082.39 2,040.73














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

34832 1,931.65 1,835.07 2,110.33 2,068.13 2,068.13 2,026.76 34833 621.13 590.07 678.58 665.01 665.01 651.71 34834 278.06 264.16 303.78 297.71 297.71 291.76 34900 908.95 863.50 993.03 973.16 973.16 953.71 35001 1,135.69 1,078.91 1,240.75 1,215.93 1,215.93 1,191.61 35002 1,159.56 1,101.58 1,266.82 1,241.48 1,241.48 1,216.65 35005 1,086.57 1,032.24 1,187.08 1,163.34 1,163.34 1,140.08 35011 1,016.58 965.75 1,110.61 1,088.41 1,088.41 1,066.64 35013 1,270.86 1,207.32 1,388.42 1,360.65 1,360.65 1,333.44 35021 1,255.49 1,192.72 1,371.63 1,344.20 1,344.20 1,317.31 35022 1,400.77 1,330.73 1,530.34 1,499.74 1,499.74 1,469.75 35045 1,002.92 952.77 1,095.69 1,073.77 1,073.77 1,052.30 35081 1,779.39 1,690.42 1,943.98 1,905.10 1,905.10 1,867.00 35082 2,235.40 2,123.63 2,442.17 2,393.33 2,393.33 2,345.47 35091 1,833.08 1,741.43 2,002.64 1,962.59 1,962.59 1,923.34 35092 2,653.41 2,520.74 2,898.85 2,840.88 2,840.88 2,784.06 35102 1,927.89 1,831.50 2,106.23 2,064.10 2,064.10 2,022.82 35103 2,291.64 2,177.06 2,503.62 2,453.55 2,453.55 2,404.48 35111 1,528.69 1,452.26 1,670.10 1,636.69 1,636.69 1,603.96 35112 1,847.79 1,755.40 2,018.71 1,978.33 1,978.33 1,938.76 35121 1,673.16 1,589.50 1,827.93 1,791.37 1,791.37 1,755.54 35122 2,155.60 2,047.82 2,354.99 2,307.89 2,307.89 2,261.73 35131 1,412.55 1,341.92 1,543.21 1,512.34 1,512.34 1,482.10 35132 1,668.44 1,585.02 1,822.77 1,786.32 1,786.32 1,750.59 35141 1,125.44 1,069.17 1,229.55 1,204.96 1,204.96 1,180.85 35142 1,346.22 1,278.91 1,470.75 1,441.33 1,441.33 1,412.50 35151 1,265.27 1,202.01 1,382.31 1,354.67 1,354.67 1,327.57 35152 1,431.39 1,359.82 1,563.79 1,532.51 1,532.51 1,501.87 35180 921.20 875.14 1,006.41 986.29 986.29 966.56














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35182 1,787.07 1,697.72 1,952.38 1,913.34 1,913.34 1,875.06 35184 1,053.03 1,000.38 1,150.44 1,127.43 1,127.43 1,104.87 35188 1,135.45 1,078.68 1,240.48 1,215.68 1,215.68 1,191.37 35189 1,562.72 1,484.58 1,707.27 1,673.12 1,673.12 1,639.66 35190 765.68 727.40 836.51 819.78 819.78 803.38 35201 954.39 906.67 1,042.67 1,021.82 1,021.82 1,001.39 35206 780.41 741.39 852.60 835.54 835.54 818.83 35207 730.13 693.62 797.66 781.71 781.71 766.08 35211 1,375.69 1,306.91 1,502.95 1,472.89 1,472.89 1,443.42 35216 2,048.22 1,945.81 2,237.68 2,192.92 2,192.92 2,149.06 35221 1,464.87 1,391.63 1,600.37 1,568.37 1,568.37 1,537.00 35226 842.26 800.15 920.17 901.77 901.77 883.74 35231 1,213.46 1,152.79 1,325.71 1,299.19 1,299.19 1,273.21 35236 990.28 940.77 1,081.89 1,060.24 1,060.24 1,039.04 35241 1,377.81 1,308.92 1,505.26 1,475.15 1,475.15 1,445.65 35246 1,575.35 1,496.58 1,721.07 1,686.65 1,686.65 1,652.92 35251 1,719.89 1,633.90 1,878.99 1,841.40 1,841.40 1,804.58 35256 1,033.23 981.57 1,128.81 1,106.23 1,106.23 1,084.11 35261 1,067.75 1,014.36 1,166.51 1,143.18 1,143.18 1,120.32 35266 880.31 836.29 961.73 942.49 942.49 923.65 35271 1,370.34 1,301.82 1,497.09 1,467.15 1,467.15 1,437.80 35276 1,454.52 1,381.79 1,589.06 1,557.27 1,557.27 1,526.13 35281 1,637.03 1,555.18 1,788.46 1,752.69 1,752.69 1,717.64 35286 947.33 899.96 1,034.95 1,014.25 1,014.25 993.97 35301 1,149.62 1,092.14 1,255.96 1,230.85 1,230.85 1,206.22 35302 1,145.39 1,088.12 1,251.34 1,226.31 1,226.31 1,201.78 35303 1,267.58 1,204.20 1,384.83 1,357.14 1,357.14 1,330.00 35304 1,308.30 1,242.89 1,429.32 1,400.73 1,400.73 1,372.72 35305 1,253.17 1,190.51 1,369.09 1,341.71 1,341.71 1,314.88














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35306 469.22 445.76 512.62 502.37 502.37 492.32 35311 1,487.12 1,412.76 1,624.67 1,592.18 1,592.18 1,560.33 35321 903.53 858.35 987.10 967.36 967.36 948.01 35331 1,476.01 1,402.21 1,612.54 1,580.30 1,580.30 1,548.69 35341 1,392.52 1,322.89 1,521.32 1,490.89 1,490.89 1,461.08 35351 1,305.16 1,239.90 1,425.89 1,397.37 1,397.37 1,369.42 35355 1,055.96 1,003.16 1,153.63 1,130.57 1,130.57 1,107.96 35361 1,571.15 1,492.59 1,716.48 1,682.15 1,682.15 1,648.51 35363 1,772.62 1,683.99 1,936.59 1,897.86 1,897.86 1,859.90 35371 832.63 791.00 909.65 891.46 891.46 873.63 35372 999.10 949.15 1,091.52 1,069.70 1,069.70 1,048.31 35390 162.93 154.78 178.00 174.43 174.43 170.95 35400 152.68 145.05 166.81 163.47 163.47 160.21 35450 516.82 490.98 564.63 553.33 553.33 542.27 35452 349.07 331.62 381.36 373.74 373.74 366.26 35458 501.49 476.42 547.88 536.92 536.92 526.18 35460 319.19 303.23 348.71 341.75 341.75 334.91 35471 2,274.00 2,160.30 2,484.35 2,434.65 2,434.65 2,385.96

# 35471 527.57 501.19 576.37 564.85 564.85 553.55 35472 1,636.07 1,554.27 1,787.41 1,751.66 1,751.66 1,716.63

# 35472 359.65 341.67 392.92 385.07 385.07 377.36 35475 1,388.13 1,318.72 1,516.53 1,486.20 1,486.20 1,456.48

# 35475 335.18 318.42 366.18 358.86 358.86 351.68 35476 1,266.89 1,203.55 1,384.08 1,356.40 1,356.40 1,329.27

# 35476 269.20 255.74 294.10 288.22 288.22 282.46 35500 326.56 310.23 356.76 349.63 349.63 342.64 35501 1,524.22 1,448.01 1,665.21 1,631.91 1,631.91 1,599.27 35506 1,305.26 1,240.00 1,426.00 1,397.48 1,397.48 1,369.54 35508 1,383.13 1,313.97 1,511.07 1,480.84 1,480.84 1,451.23














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35509 1,443.41 1,371.24 1,576.93 1,545.39 1,545.39 1,514.48 35510 1,259.60 1,196.62 1,376.11 1,348.59 1,348.59 1,321.63 35511 1,147.25 1,089.89 1,253.37 1,228.30 1,228.30 1,203.74 35512 1,246.54 1,184.21 1,361.84 1,334.61 1,334.61 1,307.92 35515 1,442.17 1,370.06 1,575.57 1,544.06 1,544.06 1,513.18 35516 1,249.67 1,187.19 1,365.27 1,337.97 1,337.97 1,311.21 35518 1,184.84 1,125.60 1,294.44 1,268.55 1,268.55 1,243.18 35521 1,262.29 1,199.18 1,379.06 1,351.48 1,351.48 1,324.46 35522 1,231.21 1,169.65 1,345.10 1,318.20 1,318.20 1,291.83 35523 1,303.49 1,238.32 1,424.07 1,395.58 1,395.58 1,367.67 35525 1,164.31 1,106.09 1,272.00 1,246.57 1,246.57 1,221.63 35526 1,719.86 1,633.87 1,878.95 1,841.37 1,841.37 1,804.55 35531 2,062.70 1,959.57 2,253.51 2,208.44 2,208.44 2,164.27 35533 1,532.83 1,456.19 1,674.62 1,641.13 1,641.13 1,608.31 35535 1,961.72 1,863.63 2,143.17 2,100.31 2,100.31 2,058.30 35536 1,731.30 1,644.74 1,891.45 1,853.63 1,853.63 1,816.55 35537 2,232.51 2,120.88 2,439.01 2,390.23 2,390.23 2,342.42 35538 2,404.23 2,284.02 2,626.62 2,574.09 2,574.09 2,522.61 35539 2,248.08 2,135.68 2,456.03 2,406.92 2,406.92 2,358.78 35540 2,515.18 2,389.42 2,747.83 2,692.87 2,692.87 2,639.02 35556 1,428.67 1,357.24 1,560.83 1,529.62 1,529.62 1,499.03 35558 1,253.76 1,191.07 1,369.73 1,342.34 1,342.34 1,315.50 35560 1,756.61 1,668.78 1,919.10 1,880.71 1,880.71 1,843.09 35563 1,359.21 1,291.25 1,484.94 1,455.24 1,455.24 1,426.14 35565 1,348.86 1,281.42 1,473.63 1,444.16 1,444.16 1,415.27 35566 1,707.85 1,622.46 1,865.83 1,828.51 1,828.51 1,791.94 35570 1,551.19 1,473.63 1,694.67 1,660.78 1,660.78 1,627.57 35571 1,357.64 1,289.76 1,483.22 1,453.55 1,453.55 1,424.48 35572 352.94 335.29 385.58 377.87 377.87 370.31














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35583 1,477.12 1,403.26 1,613.75 1,581.47 1,581.47 1,549.84 35585 1,715.28 1,629.52 1,873.95 1,836.47 1,836.47 1,799.74 35587 1,393.29 1,323.63 1,522.17 1,491.73 1,491.73 1,461.90 35600 256.91 244.06 280.67 275.06 275.06 269.56 35601 1,431.71 1,360.12 1,564.14 1,532.86 1,532.86 1,502.20 35606 1,196.97 1,137.12 1,307.69 1,281.54 1,281.54 1,255.90 35612 1,092.96 1,038.31 1,194.06 1,170.17 1,170.17 1,146.77 35616 1,129.07 1,072.62 1,233.51 1,208.85 1,208.85 1,184.67 35621 1,120.97 1,064.92 1,224.66 1,200.16 1,200.16 1,176.16 35623 1,345.09 1,277.84 1,469.52 1,440.12 1,440.12 1,411.31 35626 1,592.55 1,512.92 1,739.86 1,705.06 1,705.06 1,670.96 35631 1,890.97 1,796.42 2,065.88 2,024.56 2,024.56 1,984.07 35632 1,848.25 1,755.84 2,019.22 1,978.83 1,978.83 1,939.26 35633 2,048.26 1,945.85 2,237.73 2,192.97 2,192.97 2,149.11 35634 1,810.35 1,719.83 1,977.80 1,938.24 1,938.24 1,899.48 35636 1,640.45 1,558.43 1,792.19 1,756.35 1,756.35 1,721.22 35637 1,759.27 1,671.31 1,922.01 1,883.56 1,883.56 1,845.89 35638 1,796.95 1,707.10 1,963.17 1,923.90 1,923.90 1,885.43 35642 1,005.69 955.41 1,098.72 1,076.75 1,076.75 1,055.21 35645 1,029.46 977.99 1,124.69 1,102.19 1,102.19 1,080.15 35646 1,752.08 1,664.48 1,914.15 1,875.87 1,875.87 1,838.36 35647 1,587.49 1,508.12 1,734.34 1,699.65 1,699.65 1,665.66 35650 1,097.55 1,042.67 1,199.07 1,175.09 1,175.09 1,151.59 35654 1,398.20 1,328.29 1,527.53 1,496.98 1,496.98 1,467.04 35656 1,105.02 1,049.77 1,207.24 1,183.09 1,183.09 1,159.42 35661 1,104.56 1,049.33 1,206.73 1,182.59 1,182.59 1,158.94 35663 1,279.49 1,215.52 1,397.85 1,369.89 1,369.89 1,342.50 35665 1,196.13 1,136.32 1,306.77 1,280.63 1,280.63 1,255.02 35666 1,289.50 1,225.03 1,408.78 1,380.61 1,380.61 1,353.00














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35671 1,136.17 1,079.36 1,241.26 1,216.44 1,216.44 1,192.10 35681 81.93 77.83 89.50 87.71 87.71 85.95 35682 362.77 344.63 396.32 388.40 388.40 380.64 35683 423.80 402.61 463.00 453.74 453.74 444.67 35685 204.08 193.88 222.96 218.50 218.50 214.13 35686 166.04 157.74 181.40 177.78 177.78 174.23 35691 977.57 928.69 1,067.99 1,046.64 1,046.64 1,025.71 35693 829.39 787.92 906.11 887.98 887.98 870.23 35694 1,010.49 959.97 1,103.97 1,081.89 1,081.89 1,060.24 35695 1,069.50 1,016.03 1,168.43 1,145.07 1,145.07 1,122.17 35697 151.43 143.86 165.44 162.13 162.13 158.88 35700 156.79 148.95 171.29 167.87 167.87 164.51 35701 561.72 533.63 613.67 601.40 601.40 589.38 35721 456.93 434.08 499.19 489.21 489.21 479.42 35741 515.98 490.18 563.71 552.44 552.44 541.39 35761 384.44 365.22 420.00 411.61 411.61 403.37 35800 709.42 673.95 775.04 759.54 759.54 744.35 35820 2,010.03 1,909.53 2,195.96 2,152.04 2,152.04 2,109.00 35840 1,184.27 1,125.06 1,293.82 1,267.94 1,267.94 1,242.59 35860 849.54 807.06 928.12 909.56 909.56 891.37 35870 1,271.18 1,207.62 1,388.76 1,360.99 1,360.99 1,333.77 35875 602.13 572.02 657.82 644.67 644.67 631.78 35876 961.77 913.68 1,050.73 1,029.72 1,029.72 1,009.13 35879 939.76 892.77 1,026.69 1,006.15 1,006.15 986.02 35881 1,039.68 987.70 1,135.86 1,113.14 1,113.14 1,090.88 35883 1,233.20 1,171.54 1,347.27 1,320.33 1,320.33 1,293.92 35884 1,268.26 1,204.85 1,385.58 1,357.86 1,357.86 1,330.71 35901 477.11 453.25 521.24 510.82 510.82 500.61 35903 567.00 538.65 619.45 607.06 607.06 594.92














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

35905 1,723.83 1,637.64 1,883.29 1,845.62 1,845.62 1,808.71 35907 1,953.84 1,856.15 2,134.57 2,091.88 2,091.88 2,050.05 36002 152.53 144.90 166.64 163.30 163.30 160.03

# 36002 105.77 100.48 115.55 113.24 113.24 110.98 36005 285.94 271.64 312.39 306.14 306.14 300.02

# 36005 48.51 46.08 52.99 51.93 51.93 50.90 36010 448.81 426.37 490.33 480.52 480.52 470.90

# 36010 123.02 116.87 134.40 131.71 131.71 129.08 36011 740.14 703.13 808.60 792.43 792.43 776.58

# 36011 157.80 149.91 172.40 168.95 168.95 165.57 36012 765.94 727.64 836.79 820.05 820.05 803.65

# 36012 175.10 166.35 191.30 187.47 187.47 183.72 36013 694.07 659.37 758.28 743.11 743.11 728.25

# 36013 125.69 119.41 137.32 134.57 134.57 131.88 36014 719.13 683.17 785.65 769.94 769.94 754.54

# 36014 150.45 142.93 164.37 161.08 161.08 157.86 36015 772.16 733.55 843.58 826.71 826.71 810.18

# 36015 172.21 163.60 188.14 184.38 184.38 180.69 36100 452.41 429.79 494.26 484.37 484.37 474.69

# 36100 156.08 148.28 170.52 167.11 167.11 163.76 36120 378.71 359.77 413.74 405.46 405.46 397.35

# 36120 101.20 96.14 110.56 108.35 108.35 106.19 36140 391.26 371.70 427.46 418.91 418.91 410.53

# 36140 103.73 98.54 113.32 111.06 111.06 108.84 36147 747.72 710.33 816.88 800.54 800.54 784.53

# 36147 186.94 177.59 204.23 200.15 200.15 196.14 36148 232.70 221.07 254.23 249.15 249.15 244.17

# 36148 49.32 46.85 53.88 52.80 52.80 51.74 36160 441.93 419.83 482.80 473.14 473.14 463.68














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 36160 124.04 117.84 135.52 132.80 132.80 130.15 36200 558.52 530.59 610.18 597.98 597.98 586.02

# 36200 154.70 146.97 169.02 165.63 165.63 162.32 36215 1,000.98 950.93 1,093.57 1,071.70 1,071.70 1,050.26

# 36215 235.85 224.06 257.67 252.52 252.52 247.47 36216 1,064.30 1,011.09 1,162.75 1,139.50 1,139.50 1,116.71

# 36216 276.41 262.59 301.98 295.94 295.94 290.02 36217 1,736.93 1,650.08 1,897.59 1,859.64 1,859.64 1,822.45

# 36217 328.74 312.30 359.15 351.96 351.96 344.92 36218 172.85 164.21 188.84 185.07 185.07 181.37

# 36218 53.22 50.56 58.14 56.98 56.98 55.84 36221 975.44 926.67 1,065.67 1,044.36 1,044.36 1,023.48

# 36221 216.69 205.86 236.74 232.00 232.00 227.37 36222 1,173.12 1,114.46 1,281.63 1,256.00 1,256.00 1,230.88

# 36222 295.96 281.16 323.33 316.87 316.87 310.53 36223 1,369.13 1,300.67 1,495.77 1,465.86 1,465.86 1,436.55

# 36223 323.16 307.00 353.05 345.99 345.99 339.07 36224 1,609.95 1,529.45 1,758.87 1,723.69 1,723.69 1,689.21

# 36224 359.03 341.08 392.24 384.40 384.40 376.71 36225 1,338.86 1,271.92 1,462.71 1,433.45 1,433.45 1,404.78

# 36225 318.69 302.76 348.17 341.21 341.21 334.39 36226 1,633.70 1,552.02 1,784.82 1,749.13 1,749.13 1,714.14

# 36226 360.01 342.01 393.31 385.45 385.45 377.74 36227 231.29 219.73 252.69 247.64 247.64 242.68

# 36227 113.79 108.10 124.32 121.83 121.83 119.39 36228 1,079.12 1,025.16 1,178.93 1,155.36 1,155.36 1,132.26

# 36228 232.62 220.99 254.14 249.06 249.06 244.08 36245 1,214.98 1,154.23 1,327.36 1,300.82 1,300.82 1,274.81

# 36245 253.72 241.03 277.18 271.64 271.64 266.21














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

36246 804.06 763.86 878.44 860.87 860.87 843.65 # 36246 270.91 257.36 295.96 290.04 290.04 284.25

36247 1,404.42 1,334.20 1,534.33 1,503.65 1,503.65 1,473.58 # 36247 320.19 304.18 349.81 342.82 342.82 335.96

36248 138.60 131.67 151.42 148.40 148.40 145.43 # 36248 49.94 47.44 54.56 53.46 53.46 52.39

36251 1,266.18 1,202.87 1,383.30 1,355.63 1,355.63 1,328.51 # 36251 282.45 268.33 308.58 302.40 302.40 296.36

36252 1,381.54 1,312.46 1,509.33 1,479.14 1,479.14 1,449.56 # 36252 375.94 357.14 410.71 402.50 402.50 394.45

36253 2,006.08 1,905.78 2,191.65 2,147.81 2,147.81 2,104.86 # 36253 378.67 359.74 413.70 405.43 405.43 397.33

36254 1,957.68 1,859.80 2,138.77 2,095.99 2,095.99 2,054.07 # 36254 436.84 415.00 477.25 467.71 467.71 458.36

36260 615.48 584.71 672.42 658.97 658.97 645.79 36261 387.65 368.27 423.51 415.04 415.04 406.73 36262 294.81 280.07 322.08 315.64 315.64 309.33 36400 28.05 26.65 30.65 30.04 30.04 29.44

# 36400 19.85 18.86 21.69 21.25 21.25 20.83 36405 24.56 23.33 26.83 26.29 26.29 25.76

# 36405 16.06 15.26 17.55 17.19 17.19 16.85 36406 15.32 14.55 16.73 16.40 16.40 16.07

# 36406 8.34 7.92 9.11 8.92 8.92 8.74 36410 15.62 14.84 17.07 16.72 16.72 16.39

# 36410 9.25 8.79 10.11 9.90 9.90 9.71 36420 51.83 49.24 56.63 55.50 55.50 54.38 36425 39.40 37.43 43.04 42.18 42.18 41.34 36430 29.82 28.33 32.58 31.92 31.92 31.28 36440 56.05 53.25 61.24 60.02 60.02 58.82














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

36450 115.47 109.70 126.16 123.64 123.64 121.16 36455 125.77 119.48 137.40 134.65 134.65 131.96 36460 341.04 323.99 372.59 365.14 365.14 357.83 36468 139.54 132.56 152.44 149.40 149.40 146.41 36470 136.33 129.51 148.94 145.96 145.96 143.04

# 36470 80.16 76.15 87.57 85.82 85.82 84.11 36471 161.54 153.46 176.48 172.95 172.95 169.49

# 36471 98.39 93.47 107.49 105.34 105.34 103.24 36475 1,362.56 1,294.43 1,488.59 1,458.82 1,458.82 1,429.65

# 36475 281.98 267.88 308.06 301.90 301.90 295.86 36476 274.77 261.03 300.18 294.18 294.18 288.29

# 36476 137.23 130.37 149.93 146.92 146.92 143.98 36478 1,076.68 1,022.85 1,176.28 1,152.75 1,152.75 1,129.69

# 36478 280.28 266.27 306.21 300.08 300.08 294.08 36479 284.34 270.12 310.64 304.43 304.43 298.34

# 36479 137.09 130.24 149.78 146.79 146.79 143.85 36481 1,802.85 1,712.71 1,969.62 1,930.23 1,930.23 1,891.62

# 36481 348.21 330.80 380.42 372.81 372.81 365.36 36500 182.06 172.96 198.90 194.93 194.93 191.03 36510 84.62 80.39 92.45 90.60 90.60 88.78

# 36510 54.86 52.12 59.94 58.74 58.74 57.57 36511 91.56 86.98 100.03 98.03 98.03 96.07 36512 92.17 87.56 100.69 98.68 98.68 96.70 36513 95.36 90.59 104.18 102.10 102.10 100.05 36514 475.21 451.45 519.17 508.78 508.78 498.61

# 36514 91.44 86.87 99.90 97.90 97.90 95.94 36515 1,793.40 1,703.73 1,959.29 1,920.11 1,920.11 1,881.71

# 36515 87.06 82.71 95.12 93.22 93.22 91.36 36516 1,804.21 1,714.00 1,971.10 1,931.68 1,931.68 1,893.05














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 36516 68.72 65.28 75.07 73.57 73.57 72.09 36522 1,217.31 1,156.44 1,329.91 1,303.31 1,303.31 1,277.24

# 36522 98.47 93.55 107.58 105.43 105.43 103.33 36555 237.91 226.01 259.91 254.71 254.71 249.62

# 36555 118.89 112.95 129.89 127.29 127.29 124.75 36556 216.83 205.99 236.89 232.15 232.15 227.50

# 36556 120.59 114.56 131.74 129.11 129.11 126.52 36557 905.13 859.87 988.85 969.07 969.07 949.69

# 36557 322.18 306.07 351.98 344.94 344.94 338.04 36558 706.34 671.02 771.67 756.24 756.24 741.12

# 36558 272.77 259.13 298.00 292.04 292.04 286.20 36560 1,203.97 1,143.77 1,315.34 1,289.02 1,289.02 1,263.24

# 36560 382.98 363.83 418.40 410.03 410.03 401.83 36561 1,054.63 1,001.90 1,152.19 1,129.14 1,129.14 1,106.55

# 36561 349.02 331.57 381.31 373.68 373.68 366.21 36563 1,190.07 1,130.57 1,300.16 1,274.15 1,274.15 1,248.67

# 36563 376.37 357.55 411.18 402.96 402.96 394.90 36565 881.33 837.26 962.85 943.59 943.59 924.72

# 36565 346.66 329.33 378.73 371.15 371.15 363.73 36566 4,749.95 4,512.45 5,189.32 5,085.53 5,085.53 4,983.82

# 36566 380.24 361.23 415.41 407.11 407.11 398.97 36568 271.55 257.97 296.67 290.73 290.73 284.91

# 36568 96.36 91.54 105.27 103.17 103.17 101.11 36569 226.95 215.60 247.94 242.98 242.98 238.12

# 36569 90.93 86.38 99.34 97.35 97.35 95.40 36570 1,033.22 981.56 1,128.79 1,106.22 1,106.22 1,084.09

# 36570 305.14 289.88 333.36 326.69 326.69 320.16 36571 1,161.57 1,103.49 1,269.01 1,243.63 1,243.63 1,218.76

# 36571 317.81 301.92 347.21 340.26 340.26 333.45














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

36575 148.18 140.77 161.89 158.64 158.64 155.47 # 36575 34.93 33.18 38.16 37.40 37.40 36.65

36576 357.13 339.27 390.16 382.35 382.35 374.70 # 36576 194.39 184.67 212.37 208.13 208.13 203.96

36578 471.46 447.89 515.07 504.77 504.77 494.67 # 36578 211.87 201.28 231.47 226.84 226.84 222.31

36580 193.78 184.09 211.70 207.47 207.47 203.32 # 36580 66.56 63.23 72.71 71.27 71.27 69.84

36581 686.25 651.94 749.73 734.74 734.74 720.04 # 36581 193.48 183.81 211.38 207.15 207.15 203.01

36582 985.38 936.11 1,076.53 1,055.00 1,055.00 1,033.90 # 36582 301.93 286.83 329.85 323.25 323.25 316.79

36583 1,216.52 1,155.69 1,329.04 1,302.47 1,302.47 1,276.42 # 36583 332.38 315.76 363.12 355.86 355.86 348.74

36584 184.23 175.02 201.27 197.25 197.25 193.30 # 36584 65.52 62.24 71.58 70.15 70.15 68.75

36585 1,025.83 974.54 1,120.72 1,098.31 1,098.31 1,076.34 # 36585 279.83 265.84 305.72 299.60 299.60 293.61

36589 157.18 149.32 171.72 168.28 168.28 164.91 # 36589 134.71 127.97 147.17 144.22 144.22 141.34

36590 275.75 261.96 301.25 295.23 295.23 289.33 # 36590 201.06 191.01 219.66 215.27 215.27 210.97

36591 20.07 19.07 21.93 21.49 21.49 21.07 36592 22.50 21.38 24.59 24.09 24.09 23.61 36593 26.79 25.45 29.27 28.68 28.68 28.11 36595 527.95 501.55 576.78 565.25 565.25 553.94

# 36595 183.34 174.17 200.30 196.29 196.29 192.37 36596 119.81 113.82 130.89 128.27 128.27 125.71

# 36596 43.90 41.71 47.97 47.01 47.01 46.07














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

36597 117.22 111.36 128.06 125.50 125.50 122.99 # 36597 61.05 58.00 66.70 65.37 65.37 64.06

36598 99.91 94.91 109.15 106.96 106.96 104.82 # 36598 36.76 34.92 40.16 39.35 39.35 38.57

36600 29.17 27.71 31.87 31.23 31.23 30.61 # 36600 15.51 14.73 16.94 16.61 16.61 16.27

36620 51.24 48.68 55.98 54.87 54.87 53.77 36625 104.40 99.18 114.06 111.78 111.78 109.55 36640 115.83 110.04 126.55 124.02 124.02 121.53 36660 64.17 60.96 70.10 68.70 68.70 67.33 36680 58.47 55.55 63.88 62.61 62.61 61.35 36800 123.52 117.34 134.94 132.24 132.24 129.59 36810 215.36 204.59 235.28 230.58 230.58 225.96 36815 146.05 138.75 159.56 156.38 156.38 153.25 36818 699.96 664.96 764.70 749.41 749.41 734.42 36819 741.12 704.06 809.67 793.48 793.48 777.61 36820 737.96 701.06 806.22 790.10 790.10 774.30 36821 670.76 637.22 732.80 718.15 718.15 703.79 36823 1,333.75 1,267.06 1,457.12 1,427.98 1,427.98 1,399.42 36825 807.63 767.25 882.34 864.70 864.70 847.40 36830 675.21 641.45 737.67 722.91 722.91 708.46 36831 623.29 592.13 680.95 667.33 667.33 653.98 36832 764.90 726.66 835.66 818.95 818.95 802.57 36833 820.37 779.35 896.25 878.32 878.32 860.75 36835 485.69 461.41 530.62 520.01 520.01 509.61 36838 1,163.11 1,104.95 1,270.69 1,245.28 1,245.28 1,220.37 36860 191.89 182.30 209.65 205.45 205.45 201.34

# 36860 108.39 102.97 118.42 116.05 116.05 113.72 36861 132.50 125.88 144.76 141.86 141.86 139.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

36870 1,619.50 1,538.53 1,769.31 1,733.92 1,733.92 1,699.24 # 36870 295.71 280.92 323.06 316.60 316.60 310.26

37140 2,279.26 2,165.30 2,490.10 2,440.29 2,440.29 2,391.48 37145 2,131.28 2,024.72 2,328.43 2,281.86 2,281.86 2,236.23 37160 2,189.18 2,079.72 2,391.68 2,343.85 2,343.85 2,296.98 37180 2,020.38 1,919.36 2,207.26 2,163.12 2,163.12 2,119.85 37181 2,305.12 2,189.86 2,518.34 2,467.97 2,467.97 2,418.61 37182 833.83 792.14 910.96 892.75 892.75 874.89 37183 5,164.07 4,905.87 5,641.75 5,528.91 5,528.91 5,418.34

# 37183 393.59 373.91 430.00 421.39 421.39 412.97 37184 2,025.96 1,924.66 2,213.36 2,169.10 2,169.10 2,125.72

# 37184 462.62 439.49 505.41 495.31 495.31 485.40 37185 646.37 614.05 706.16 692.04 692.04 678.19

# 37185 169.69 161.21 185.39 181.69 181.69 178.05 37186 1,225.00 1,163.75 1,338.31 1,311.55 1,311.55 1,285.32

# 37186 252.20 239.59 275.53 270.02 270.02 264.62 37187 1,835.71 1,743.92 2,005.51 1,965.40 1,965.40 1,926.09

# 37187 410.21 389.70 448.16 439.20 439.20 430.41 37188 1,573.31 1,494.64 1,718.84 1,684.46 1,684.46 1,650.78

# 37188 294.16 279.45 321.37 314.94 314.94 308.64 37191 2,306.69 2,191.36 2,520.06 2,469.66 2,469.66 2,420.27

# 37191 239.64 227.66 261.81 256.58 256.58 251.45 37192 1,387.07 1,317.72 1,515.38 1,485.08 1,485.08 1,455.37

# 37192 370.55 352.02 404.82 396.73 396.73 388.79 37193 1,430.28 1,358.77 1,562.59 1,531.33 1,531.33 1,500.70

# 37193 368.22 349.81 402.28 394.23 394.23 386.34 37195 265.91 252.61 290.50 284.69 284.69 279.00 37197 1,354.85 1,287.11 1,480.18 1,450.58 1,450.58 1,421.56

# 37197 318.29 302.38 347.74 340.78 340.78 333.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

37200 220.48 209.46 240.88 236.06 236.06 231.33 37211 403.28 383.12 440.59 431.78 431.78 423.14 37212 354.61 336.88 387.41 379.66 379.66 372.07 37213 248.95 236.50 271.98 266.54 266.54 261.20 37214 136.55 129.72 149.18 146.20 146.20 143.28 37215 1,005.77 955.48 1,098.80 1,076.83 1,076.83 1,055.29 37217 1,104.29 1,049.08 1,206.44 1,182.32 1,182.32 1,158.67 37218 822.81 781.67 898.92 880.95 880.95 863.33 37220 2,786.08 2,646.78 3,043.80 2,982.92 2,982.92 2,923.25

# 37220 421.48 400.41 460.47 451.26 451.26 442.23 37221 4,094.82 3,890.08 4,473.59 4,384.12 4,384.12 4,296.43

# 37221 517.86 491.97 565.77 554.45 554.45 543.36 37222 791.61 752.03 864.83 847.54 847.54 830.59

# 37222 190.44 180.92 208.06 203.90 203.90 199.81 37223 2,269.17 2,155.71 2,479.07 2,429.49 2,429.49 2,380.90

# 37223 218.21 207.30 238.40 233.62 233.62 228.95 37224 3,374.62 3,205.89 3,686.77 3,613.04 3,613.04 3,540.77

# 37224 463.81 440.62 506.71 496.58 496.58 486.65 37225 9,609.70 9,129.22 10,498.60 10,288.64 10,288.64 10,082.87

# 37225 628.30 596.89 686.42 672.69 672.69 659.24 37226 7,906.89 7,511.55 8,638.28 8,465.52 8,465.52 8,296.20

# 37226 545.01 517.76 595.42 583.51 583.51 571.84 37227 12,968.06 12,319.66 14,167.61 13,884.26 13,884.26 13,606.57

# 37227 755.84 718.05 825.76 809.24 809.24 793.06 37228 4,784.11 4,544.90 5,226.64 5,122.10 5,122.10 5,019.66

# 37228 566.82 538.48 619.25 606.87 606.87 594.73 37229 9,486.92 9,012.57 10,364.46 10,157.17 10,157.17 9,954.02

# 37229 732.93 696.28 800.72 784.70 784.70 769.01 37230 7,271.11 6,907.55 7,943.68 7,784.81 7,784.81 7,629.11














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 37230 721.71 685.62 788.46 772.70 772.70 757.24 37231 11,658.51 11,075.58 12,736.92 12,482.18 12,482.18 12,232.54

# 37231 784.95 745.70 857.56 840.41 840.41 823.60 37232 1,074.94 1,021.19 1,174.37 1,150.89 1,150.89 1,127.86

# 37232 205.98 195.68 225.03 220.54 220.54 216.12 37233 1,309.08 1,243.63 1,430.17 1,401.57 1,401.57 1,373.54

# 37233 335.37 318.60 366.39 359.06 359.06 351.89 37234 3,391.01 3,221.46 3,704.68 3,630.58 3,630.58 3,557.97

# 37234 288.31 273.89 314.97 308.67 308.67 302.50 37235 3,583.49 3,404.32 3,914.97 3,836.66 3,836.66 3,759.94

# 37235 409.75 389.26 447.65 438.69 438.69 429.92 37236 3,618.01 3,437.11 3,952.68 3,873.63 3,873.63 3,796.15

# 37236 458.23 435.32 500.62 490.60 490.60 480.79 37237 2,156.62 2,048.79 2,356.11 2,308.98 2,308.98 2,262.80

# 37237 216.48 205.66 236.51 231.78 231.78 227.15 37238 3,671.70 3,488.12 4,011.34 3,931.11 3,931.11 3,852.49

# 37238 317.30 301.44 346.66 339.72 339.72 332.93 37239 1,776.46 1,687.64 1,940.79 1,901.97 1,901.97 1,863.93

# 37239 151.49 143.92 165.51 162.20 162.20 158.95 37241 4,187.69 3,978.31 4,575.06 4,483.55 4,483.55 4,393.89

# 37241 454.67 431.94 496.73 486.80 486.80 477.05 37242 6,698.31 6,363.39 7,317.90 7,171.54 7,171.54 7,028.11

# 37242 497.47 472.60 543.49 532.62 532.62 521.97 37243 8,501.31 8,076.24 9,287.68 9,101.93 9,101.93 8,919.89

# 37243 586.83 557.49 641.11 628.29 628.29 615.72 37244 5,956.07 5,658.27 6,507.01 6,376.87 6,376.87 6,249.33

# 37244 687.04 652.69 750.59 735.59 735.59 720.88 37252 1,220.22 1,159.21 1,333.09 1,306.43 1,306.43 1,280.31

# 37252 93.18 88.52 101.80 99.76 99.76 97.77














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

37253 196.94 187.09 215.15 210.85 210.85 206.63 # 37253 74.58 70.85 81.48 79.84 79.84 78.25

37500 748.93 711.48 818.20 801.84 801.84 785.81 37565 716.04 680.24 782.28 766.64 766.64 751.31 37600 705.81 670.52 771.10 755.68 755.68 740.57 37605 800.11 760.10 874.12 856.64 856.64 839.50 37606 569.10 540.65 621.75 609.32 609.32 597.13 37607 375.17 356.41 409.87 401.67 401.67 393.63 37609 289.64 275.16 316.43 310.11 310.11 303.91

# 37609 201.89 191.80 220.57 216.15 216.15 211.83 37615 497.84 472.95 543.89 533.01 533.01 522.35 37616 1,093.57 1,038.89 1,194.72 1,170.83 1,170.83 1,147.41 37617 1,333.17 1,266.51 1,456.49 1,427.36 1,427.36 1,398.81 37618 378.52 359.59 413.53 405.26 405.26 397.15 37619 1,641.57 1,559.49 1,793.41 1,757.55 1,757.55 1,722.39 37650 505.82 480.53 552.61 541.56 541.56 530.73 37660 1,173.40 1,114.73 1,281.94 1,256.31 1,256.31 1,231.18 37700 246.43 234.11 269.23 263.84 263.84 258.57 37718 434.82 413.08 475.04 465.54 465.54 456.23 37722 479.86 455.87 524.25 513.76 513.76 503.49 37735 680.95 646.90 743.94 729.05 729.05 714.47 37760 617.87 586.98 675.03 661.53 661.53 648.30 37761 549.49 522.02 600.32 588.32 588.32 576.55 37765 621.11 590.05 678.56 664.99 664.99 651.69

# 37765 448.35 425.93 489.82 480.02 480.02 470.42 37766 741.79 704.70 810.41 794.20 794.20 778.32

# 37766 549.29 521.83 600.10 588.10 588.10 576.33 37780 251.39 238.82 274.64 269.15 269.15 263.76 37785 337.24 320.38 368.44 361.07 361.07 353.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 37785 258.00 245.10 281.87 276.23 276.23 270.71 37788 1,267.49 1,204.12 1,384.74 1,357.05 1,357.05 1,329.91 37790 490.37 465.85 535.73 525.01 525.01 514.51 38100 1,139.26 1,082.30 1,244.65 1,219.75 1,219.75 1,195.36 38101 1,141.87 1,084.78 1,247.50 1,222.54 1,222.54 1,198.09 38102 261.25 248.19 285.42 279.71 279.71 274.13 38115 1,251.72 1,189.13 1,367.50 1,340.15 1,340.15 1,313.35 38120 1,034.67 982.94 1,130.38 1,107.77 1,107.77 1,085.61 38200 117.49 111.62 128.36 125.80 125.80 123.28 38205 80.78 76.74 88.25 86.49 86.49 84.77 38206 81.08 77.03 88.58 86.81 86.81 85.08 38220 148.46 141.04 162.20 158.95 158.95 155.78

# 38220 60.11 57.10 65.67 64.35 64.35 63.07 38221 152.30 144.69 166.39 163.07 163.07 159.80

# 38221 73.05 69.40 79.81 78.21 78.21 76.65 38230 194.26 184.55 212.23 207.99 207.99 203.83 38232 193.66 183.98 211.58 207.35 207.35 203.19 38240 217.91 207.01 238.06 233.30 233.30 228.63 38241 163.34 155.17 178.45 174.88 174.88 171.38 38242 114.56 108.83 125.15 122.65 122.65 120.20 38243 114.37 108.65 124.95 122.45 122.45 120.00 38300 254.66 241.93 278.22 272.65 272.65 267.20

# 38300 176.32 167.50 192.63 188.77 188.77 185.00 38305 459.54 436.56 502.04 492.00 492.00 482.16 38308 434.24 412.53 474.41 464.92 464.92 455.62 38380 550.15 522.64 601.04 589.02 589.02 577.24 38381 790.56 751.03 863.68 846.41 846.41 829.48 38382 608.46 578.04 664.75 651.45 651.45 638.42 38500 312.76 297.12 341.69 334.86 334.86 328.16














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 38500 246.87 234.53 269.71 264.32 264.32 259.03 38505 116.50 110.68 127.28 124.74 124.74 122.25

# 38505 69.14 65.68 75.53 74.03 74.03 72.54 38510 495.53 470.75 541.36 530.54 530.54 519.93

# 38510 411.12 390.56 449.14 440.16 440.16 431.37 38520 450.98 428.43 492.69 482.84 482.84 473.18 38525 423.91 402.71 463.12 453.86 453.86 444.79 38530 534.16 507.45 583.57 571.90 571.90 560.45 38542 503.57 478.39 550.15 539.14 539.14 528.36 38550 488.86 464.42 534.08 523.40 523.40 512.93 38555 980.25 931.24 1,070.93 1,049.51 1,049.51 1,028.53 38562 682.91 648.76 746.07 731.15 731.15 716.52 38564 688.91 654.46 752.63 737.58 737.58 722.82 38570 492.72 468.08 538.29 527.53 527.53 516.98 38571 654.98 622.23 715.56 701.26 701.26 687.23 38572 911.84 866.25 996.19 976.27 976.27 956.74 38700 785.28 746.02 857.92 840.77 840.77 823.95 38720 1,316.26 1,250.45 1,438.02 1,409.26 1,409.26 1,381.07 38724 1,422.71 1,351.57 1,554.31 1,523.22 1,523.22 1,492.76 38740 677.15 643.29 739.78 724.98 724.98 710.48 38745 856.97 814.12 936.24 917.52 917.52 899.16 38746 216.13 205.32 236.12 231.39 231.39 226.77 38747 266.17 252.86 290.79 284.97 284.97 279.27 38760 823.97 782.77 900.19 882.18 882.18 864.54 38765 1,270.01 1,206.51 1,387.49 1,359.74 1,359.74 1,332.54 38770 791.12 751.56 864.29 847.01 847.01 830.07 38780 1,002.60 952.47 1,095.34 1,073.43 1,073.43 1,051.96 38790 80.66 76.63 88.12 86.37 86.37 84.64 38792 37.99 36.09 41.50 40.68 40.68 39.86














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

38794 288.94 274.49 315.66 309.35 309.35 303.16 38900 137.46 130.59 150.18 147.18 147.18 144.23 39000 485.18 460.92 530.06 519.46 519.46 509.07 39010 776.80 737.96 848.65 831.68 831.68 815.05 39200 872.01 828.41 952.67 933.62 933.62 914.94 39220 1,125.73 1,069.44 1,229.86 1,205.26 1,205.26 1,181.15 39401 308.91 293.46 337.48 330.73 330.73 324.12 39402 404.37 384.15 441.77 432.94 432.94 424.28 39501 833.74 792.05 910.86 892.64 892.64 874.79 39503 6,098.87 5,793.93 6,663.02 6,529.76 6,529.76 6,399.16 39540 853.00 810.35 931.90 913.26 913.26 895.00 39541 929.98 883.48 1,016.00 995.68 995.68 975.76 39545 879.66 835.68 961.03 941.82 941.82 922.98 39560 782.25 743.14 854.61 837.52 837.52 820.77 39561 1,215.23 1,154.47 1,327.64 1,301.09 1,301.09 1,275.06 40490 118.97 113.02 129.97 127.37 127.37 124.82

# 40490 71.60 68.02 78.22 76.66 76.66 75.13 40500 469.46 445.99 512.89 502.63 502.63 492.58

# 40500 347.71 330.32 379.87 372.27 372.27 364.83 40510 453.39 430.72 495.33 485.43 485.43 475.72

# 40510 343.79 326.60 375.59 368.08 368.08 360.72 40520 457.48 434.61 499.80 489.81 489.81 480.01

# 40520 345.14 327.88 377.06 369.52 369.52 362.12 40525 532.16 505.55 581.38 569.76 569.76 558.36 40527 600.15 570.14 655.66 642.55 642.55 629.71 40530 506.05 480.75 552.86 541.81 541.81 530.98

# 40530 389.15 369.69 425.14 416.65 416.65 408.31 40650 408.47 388.05 446.26 437.33 437.33 428.58

# 40650 286.11 271.80 312.57 306.31 306.31 300.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

40652 452.54 429.91 494.40 484.51 484.51 474.81 # 40652 335.95 319.15 367.02 359.69 359.69 352.49

40654 530.92 504.37 580.03 568.42 568.42 557.05 # 40654 407.04 386.69 444.69 435.80 435.80 427.09

40700 880.71 836.67 962.17 942.93 942.93 924.07 40701 995.30 945.54 1,087.37 1,065.62 1,065.62 1,044.32 40702 831.74 790.15 908.67 890.50 890.50 872.69 40720 986.45 937.13 1,077.70 1,056.15 1,056.15 1,035.02 40761 1,045.14 992.88 1,141.81 1,118.97 1,118.97 1,096.59 40800 195.64 185.86 213.74 209.46 209.46 205.28

# 40800 124.90 118.66 136.46 133.73 133.73 131.05 40801 295.80 281.01 323.16 316.70 316.70 310.36

# 40801 214.42 203.70 234.26 229.57 229.57 224.99 40804 176.25 167.44 192.56 188.70 188.70 184.93

# 40804 111.88 106.29 122.23 119.78 119.78 117.39 40805 340.78 323.74 372.30 364.86 364.86 357.56

# 40805 213.57 202.89 233.32 228.65 228.65 224.08 40806 101.68 96.60 111.09 108.87 108.87 106.70

# 40806 30.33 28.81 33.13 32.46 32.46 31.82 40808 171.53 162.95 187.39 183.64 183.64 179.98

# 40808 102.91 97.76 112.42 110.17 110.17 107.96 40810 191.22 181.66 208.91 204.73 204.73 200.64

# 40810 122.00 115.90 133.29 130.62 130.62 128.01 40812 270.52 256.99 295.54 289.63 289.63 283.83

# 40812 190.97 181.42 208.63 204.46 204.46 200.36 40814 363.68 345.50 397.33 389.38 389.38 381.59

# 40814 294.15 279.44 321.36 314.93 314.93 308.63 40816 380.29 361.28 415.47 407.16 407.16 399.02

# 40816 305.90 290.61 334.20 327.52 327.52 320.97














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

40818 333.64 316.96 364.50 357.21 357.21 350.07 # 40818 258.95 246.00 282.90 277.24 277.24 271.70

40819 296.32 281.50 323.73 317.25 317.25 310.90 # 40819 230.13 218.62 251.41 246.39 246.39 241.47

40820 243.30 231.14 265.81 260.50 260.50 255.29 # 40820 161.63 153.55 176.58 173.05 173.05 169.59

40830 245.82 233.53 268.56 263.19 263.19 257.92 # 40830 157.77 149.88 172.36 168.91 168.91 165.53

40831 313.85 298.16 342.88 336.03 336.03 329.31 # 40831 215.48 204.71 235.42 230.71 230.71 226.10

40840 771.77 733.18 843.16 826.30 826.30 809.77 # 40840 612.67 582.04 669.35 655.96 655.96 642.84

40842 743.72 706.53 812.51 796.26 796.26 780.33 # 40842 588.87 559.43 643.34 630.48 630.48 617.87

40843 1,033.55 981.87 1,129.15 1,106.56 1,106.56 1,084.44 # 40843 831.65 790.07 908.58 890.41 890.41 872.60

40844 1,246.82 1,184.48 1,362.15 1,334.91 1,334.91 1,308.21 # 40844 1,028.82 977.38 1,123.99 1,101.50 1,101.50 1,079.47

40845 1,403.90 1,333.71 1,533.77 1,503.10 1,503.10 1,473.04 # 40845 1,199.57 1,139.59 1,310.53 1,284.32 1,284.32 1,258.63

41000 152.00 144.40 166.06 162.74 162.74 159.48 # 41000 108.28 102.87 118.30 115.93 115.93 113.61

41005 209.10 198.65 228.45 223.88 223.88 219.41 # 41005 119.22 113.26 130.25 127.64 127.64 125.09

41006 337.18 320.32 368.37 361.00 361.00 353.77 # 41006 244.27 232.06 266.87 261.53 261.53 256.30

41007 329.29 312.83 359.75 352.56 352.56 345.51 # 41007 235.17 223.41 256.92 251.78 251.78 246.74

41008 357.24 339.38 390.29 382.48 382.48 374.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 41008 261.90 248.81 286.13 280.40 280.40 274.79 41009 379.39 360.42 414.48 406.19 406.19 398.07

# 41009 283.75 269.56 309.99 303.80 303.80 297.72 41010 186.04 176.74 203.25 199.19 199.19 195.21

# 41010 102.85 97.71 112.37 110.12 110.12 107.92 41015 426.01 404.71 465.42 456.11 456.11 446.99

# 41015 337.66 320.78 368.90 361.51 361.51 354.28 41016 417.20 396.34 455.79 446.67 446.67 437.74

# 41016 339.77 322.78 371.20 363.77 363.77 356.49 41017 420.88 399.84 459.82 450.62 450.62 441.60

# 41017 341.33 324.26 372.90 365.44 365.44 358.12 41018 481.12 457.06 525.62 515.11 515.11 504.80

# 41018 400.97 380.92 438.06 429.30 429.30 420.70 41019 461.33 438.26 504.00 493.91 493.91 484.04 41100 157.27 149.41 171.82 168.38 168.38 165.01

# 41100 104.44 99.22 114.10 111.83 111.83 109.60 41105 160.01 152.01 174.81 171.32 171.32 167.89

# 41105 108.09 102.69 118.09 115.74 115.74 113.42 41108 137.75 130.86 150.49 147.48 147.48 144.53

# 41108 87.35 82.98 95.43 93.52 93.52 91.64 41110 197.24 187.38 215.49 211.17 211.17 206.95

# 41110 126.49 120.17 138.20 135.44 135.44 132.72 41112 314.22 298.51 343.29 336.42 336.42 329.69

# 41112 243.18 231.02 265.67 260.36 260.36 255.15 41113 344.94 327.69 376.84 369.31 369.31 361.93

# 41113 270.25 256.74 295.25 289.35 289.35 283.57 41114 617.58 586.70 674.71 661.22 661.22 647.99 41115 230.31 218.79 251.61 246.57 246.57 241.64

# 41115 147.12 139.76 160.72 157.50 157.50 154.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

41116 309.29 293.83 337.90 331.14 331.14 324.52 # 41116 211.83 201.24 231.43 226.80 226.80 222.27

41120 1,030.75 979.21 1,126.09 1,103.57 1,103.57 1,081.51 41130 1,279.74 1,215.75 1,398.11 1,370.16 1,370.16 1,342.75 41135 2,123.26 2,017.10 2,319.67 2,273.27 2,273.27 2,227.80 41140 2,135.11 2,028.35 2,332.60 2,285.95 2,285.95 2,240.22 41145 2,717.88 2,581.99 2,969.29 2,909.90 2,909.90 2,851.70 41150 2,151.78 2,044.19 2,350.82 2,303.81 2,303.81 2,257.73 41153 2,349.09 2,231.64 2,566.39 2,515.06 2,515.06 2,464.76 41155 2,957.78 2,809.89 3,231.37 3,166.74 3,166.74 3,103.41 41250 247.83 235.44 270.76 265.34 265.34 260.04

# 41250 147.64 140.26 161.30 158.07 158.07 154.91 41251 271.39 257.82 296.49 290.56 290.56 284.75

# 41251 176.06 167.26 192.35 188.50 188.50 184.72 41252 296.17 281.36 323.56 317.09 317.09 310.75

# 41252 204.78 194.54 223.72 219.25 219.25 214.87 41500 389.98 370.48 426.05 417.53 417.53 409.18 41510 396.37 376.55 433.03 424.37 424.37 415.89 41512 631.65 600.07 690.08 676.28 676.28 662.76 41520 331.64 315.06 362.32 355.07 355.07 347.97

# 41520 248.14 235.73 271.09 265.67 265.67 260.36 41530 356.03 338.23 388.96 381.19 381.19 373.57 41800 247.40 235.03 270.28 264.88 264.88 259.58

# 41800 138.10 131.20 150.88 147.87 147.87 144.91 41805 236.99 225.14 258.91 253.74 253.74 248.66

# 41805 164.13 155.92 179.31 175.72 175.72 172.20 41806 332.03 315.43 362.74 355.49 355.49 348.38

# 41806 250.05 237.55 273.18 267.72 267.72 262.36 41822 275.06 261.31 300.51 294.49 294.49 288.60














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 41822 177.90 169.01 194.36 190.47 190.47 186.67 41823 403.81 383.62 441.16 432.34 432.34 423.69

# 41823 312.72 297.08 341.64 334.81 334.81 328.12 41825 196.42 186.60 214.59 210.30 210.30 206.09

# 41825 117.78 111.89 128.67 126.10 126.10 123.58 41826 295.06 280.31 322.36 315.91 315.91 309.59

# 41826 205.19 194.93 224.17 219.68 219.68 215.29 41827 414.99 394.24 453.38 444.31 444.31 435.42

# 41827 298.10 283.20 325.68 319.17 319.17 312.79 41828 294.06 279.36 321.26 314.84 314.84 308.53

# 41828 209.66 199.18 229.06 224.48 224.48 220.00 41830 371.83 353.24 406.23 398.11 398.11 390.15

# 41830 276.49 262.67 302.07 296.03 296.03 290.11 41872 343.78 326.59 375.58 368.07 368.07 360.71

# 41872 247.84 235.45 270.77 265.35 265.35 260.05 41874 354.45 336.73 387.24 379.50 379.50 371.91

# 41874 249.10 236.65 272.15 266.71 266.71 261.37 42000 148.21 140.80 161.92 158.68 158.68 155.50

# 42000 99.93 94.93 109.17 106.98 106.98 104.85 42100 141.12 134.06 154.17 151.09 151.09 148.06

# 42100 105.90 100.61 115.70 113.39 113.39 111.12 42104 201.39 191.32 220.02 215.61 215.61 211.30

# 42104 134.29 127.58 146.72 143.78 143.78 140.91 42106 256.13 243.32 279.82 274.22 274.22 268.73

# 42106 172.63 164.00 188.60 184.83 184.83 181.14 42107 437.20 415.34 477.64 468.08 468.08 458.72

# 42107 336.70 319.87 367.85 360.49 360.49 353.28 42120 978.85 929.91 1,069.40 1,048.01 1,048.01 1,027.04 42140 234.20 222.49 255.86 250.75 250.75 245.73














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 42140 147.67 140.29 161.33 158.10 158.10 154.94 42145 680.90 646.86 743.89 729.01 729.01 714.43 42160 216.60 205.77 236.64 231.90 231.90 227.26

# 42160 141.91 134.81 155.03 151.93 151.93 148.89 42180 231.05 219.50 252.43 247.38 247.38 242.43

# 42180 178.52 169.59 195.03 191.13 191.13 187.31 42182 306.04 290.74 334.35 327.67 327.67 321.11

# 42182 249.87 237.38 272.99 267.52 267.52 262.18 42200 826.61 785.28 903.07 885.01 885.01 867.31 42205 864.90 821.66 944.91 926.01 926.01 907.50 42210 964.69 916.46 1,053.93 1,032.85 1,032.85 1,012.20 42215 634.15 602.44 692.81 678.95 678.95 665.37 42220 482.05 457.95 526.64 516.11 516.11 505.78 42225 835.39 793.62 912.66 894.41 894.41 876.53 42226 856.50 813.68 935.73 917.02 917.02 898.68 42227 813.25 772.59 888.48 870.71 870.71 853.30 42235 697.57 662.69 762.09 746.86 746.86 731.92 42260 780.16 741.15 852.32 835.28 835.28 818.57

# 42260 648.69 616.26 708.70 694.52 694.52 680.63 42280 156.25 148.44 170.71 167.29 167.29 163.94

# 42280 107.67 102.29 117.63 115.28 115.28 112.98 42281 193.05 183.40 210.91 206.69 206.69 202.56

# 42281 145.69 138.41 159.17 155.99 155.99 152.87 42300 197.00 187.15 215.22 210.92 210.92 206.70

# 42300 147.21 139.85 160.83 157.61 157.61 154.46 42305 419.40 398.43 458.19 449.03 449.03 440.05 42310 151.66 144.08 165.69 162.38 162.38 159.14

# 42310 119.18 113.22 130.20 127.60 127.60 125.05 42320 235.02 223.27 256.76 251.62 251.62 246.58














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 42320 169.74 161.25 185.44 181.73 181.73 178.10 42330 218.70 207.77 238.94 234.15 234.15 229.47

# 42330 159.80 151.81 174.58 171.09 171.09 167.66 42335 351.90 334.31 384.46 376.76 376.76 369.23

# 42335 249.28 236.82 272.34 266.89 266.89 261.56 42340 437.96 416.06 478.47 468.90 468.90 459.53

# 42340 325.32 309.05 355.41 348.30 348.30 341.33 42400 97.77 92.88 106.81 104.67 104.67 102.58

# 42400 53.14 50.48 58.05 56.89 56.89 55.75 42405 283.14 268.98 309.33 303.14 303.14 297.08

# 42405 219.98 208.98 240.33 235.52 235.52 230.81 42408 426.67 405.34 466.14 456.81 456.81 447.68

# 42408 316.15 300.34 345.39 338.48 338.48 331.71 42409 310.88 295.34 339.64 332.84 332.84 326.19

# 42409 213.41 202.74 233.15 228.49 228.49 223.93 42410 606.77 576.43 662.89 649.64 649.64 636.64 42415 1,034.11 982.40 1,129.76 1,107.16 1,107.16 1,085.03 42420 1,163.04 1,104.89 1,270.62 1,245.21 1,245.21 1,220.30 42425 817.55 776.67 893.17 875.31 875.31 857.81 42426 1,325.07 1,258.82 1,447.64 1,418.69 1,418.69 1,390.32 42440 400.68 380.65 437.75 429.00 429.00 420.42 42450 427.24 405.88 466.76 457.42 457.42 448.27

# 42450 345.57 328.29 377.53 369.98 369.98 362.58 42500 409.54 389.06 447.42 438.47 438.47 429.70

# 42500 329.99 313.49 360.51 353.30 353.30 346.24 42505 528.31 501.89 577.17 565.63 565.63 554.31

# 42505 439.35 417.38 479.99 470.38 470.38 460.98 42507 493.53 468.85 539.18 528.39 528.39 517.82 42509 816.57 775.74 892.10 874.26 874.26 856.78














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

42510 618.31 587.39 675.50 661.99 661.99 648.75 42550 124.69 118.46 136.23 133.50 133.50 130.84

# 42550 62.75 59.61 68.55 67.18 67.18 65.84 42600 451.71 429.12 493.49 483.62 483.62 473.95

# 42600 337.25 320.39 368.45 361.08 361.08 353.86 42650 78.36 74.44 85.61 83.89 83.89 82.21

# 42650 56.50 53.68 61.73 60.50 60.50 59.29 42660 120.29 114.28 131.42 128.79 128.79 126.21

# 42660 86.59 82.26 94.60 92.70 92.70 90.85 42665 288.37 273.95 315.04 308.74 308.74 302.57

# 42665 196.98 187.13 215.20 210.90 210.90 206.68 42700 177.23 168.37 193.63 189.75 189.75 185.96

# 42700 129.86 123.37 141.88 139.04 139.04 136.25 42720 438.38 416.46 478.93 469.35 469.35 459.97

# 42720 384.64 365.41 420.22 411.82 411.82 403.58 42725 797.50 757.63 871.27 853.85 853.85 836.77 42800 148.54 141.11 162.28 159.03 159.03 155.85

# 42800 107.55 102.17 117.50 115.15 115.15 112.85 42804 180.14 171.13 196.80 192.87 192.87 189.01

# 42804 107.88 102.49 117.86 115.51 115.51 113.19 42806 203.42 193.25 222.24 217.80 217.80 213.44

# 42806 126.61 120.28 138.32 135.55 135.55 132.84 42808 214.37 203.65 234.20 229.52 229.52 224.93

# 42808 157.59 149.71 172.17 168.73 168.73 165.36 42809 189.30 179.84 206.82 202.68 202.68 198.63

# 42809 119.16 113.20 130.18 127.58 127.58 125.03 42810 361.99 343.89 395.47 387.56 387.56 379.81

# 42810 275.76 261.97 301.27 295.24 295.24 289.34 42815 537.90 511.01 587.66 575.91 575.91 564.39














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

42820 281.67 267.59 307.73 301.58 301.58 295.55 42821 292.21 277.60 319.24 312.86 312.86 306.60 42825 252.55 239.92 275.91 270.39 270.39 264.98 42826 242.78 230.64 265.24 259.93 259.93 254.74 42830 198.84 188.90 217.24 212.89 212.89 208.63 42831 214.69 203.96 234.55 229.86 229.86 225.26 42835 184.17 174.96 201.20 197.18 197.18 193.23 42836 232.23 220.62 253.71 248.64 248.64 243.67 42842 979.42 930.45 1,070.02 1,048.62 1,048.62 1,027.64 42844 1,348.13 1,280.72 1,472.83 1,443.38 1,443.38 1,414.51 42845 2,194.48 2,084.76 2,397.47 2,349.52 2,349.52 2,302.53 42860 180.06 171.06 196.72 192.79 192.79 188.93 42870 567.49 539.12 619.99 607.59 607.59 595.44 42890 1,395.68 1,325.90 1,524.79 1,494.29 1,494.29 1,464.40 42892 1,848.46 1,756.04 2,019.45 1,979.06 1,979.06 1,939.48 42894 2,328.62 2,212.19 2,544.02 2,493.14 2,493.14 2,443.28 42900 329.58 313.10 360.07 352.87 352.87 345.81 42950 780.37 741.35 852.55 835.50 835.50 818.79 42953 936.61 889.78 1,023.25 1,002.78 1,002.78 982.72 42955 738.29 701.38 806.59 790.45 790.45 774.64 42960 164.47 156.25 179.69 176.10 176.10 172.58 42961 409.09 388.64 446.94 438.00 438.00 429.24 42962 502.19 477.08 548.64 537.67 537.67 526.92 42970 390.23 370.72 426.33 417.81 417.81 409.45 42971 442.90 420.76 483.87 474.19 474.19 464.70 42972 496.99 472.14 542.96 532.11 532.11 521.47 43020 517.02 491.17 564.85 553.55 553.55 542.48 43030 506.07 480.77 552.89 541.82 541.82 530.99 43045 1,290.54 1,226.01 1,409.91 1,381.71 1,381.71 1,354.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43100 608.39 577.97 664.67 651.37 651.37 638.34 43101 1,005.18 954.92 1,098.16 1,076.19 1,076.19 1,054.67 43107 2,534.63 2,407.90 2,769.09 2,713.70 2,713.70 2,659.43 43108 4,565.77 4,337.48 4,988.10 4,888.34 4,888.34 4,790.58 43112 2,681.43 2,547.36 2,929.46 2,870.87 2,870.87 2,813.45 43113 4,509.54 4,284.06 4,926.67 4,828.14 4,828.14 4,731.57 43116 5,011.08 4,760.53 5,474.61 5,365.12 5,365.12 5,257.81 43117 2,457.14 2,334.28 2,684.42 2,630.73 2,630.73 2,578.12 43118 3,684.17 3,499.96 4,024.95 3,944.45 3,944.45 3,865.56 43121 2,864.29 2,721.08 3,129.24 3,066.66 3,066.66 3,005.33 43122 2,545.28 2,418.02 2,780.72 2,725.11 2,725.11 2,670.61 43123 4,701.05 4,466.00 5,135.90 5,033.18 5,033.18 4,932.52 43124 3,818.26 3,627.35 4,171.45 4,088.02 4,088.02 4,006.26 43130 770.45 731.93 841.72 824.88 824.88 808.38 43135 1,476.39 1,402.57 1,612.96 1,580.70 1,580.70 1,549.08 43180 539.19 512.23 589.06 577.29 577.29 565.74 43191 150.87 143.33 164.83 161.53 161.53 158.30 43192 166.88 158.54 182.32 178.68 178.68 175.10 43193 166.34 158.02 181.72 178.09 178.09 174.52 43194 191.81 182.22 209.55 205.37 205.37 201.26 43195 181.03 171.98 197.78 193.82 193.82 189.95 43196 194.08 184.38 212.04 207.79 207.79 203.64 43197 173.34 164.67 189.37 185.59 185.59 181.87

# 43197 82.25 78.14 89.86 88.07 88.07 86.31 43198 193.36 183.69 211.24 207.02 207.02 202.88

# 43198 98.63 93.70 107.76 105.60 105.60 103.49 43200 244.08 231.88 266.66 261.33 261.33 256.11

# 43200 91.97 87.37 100.48 98.46 98.46 96.50 43201 249.46 236.99 272.54 267.09 267.09 261.75














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 43201 107.37 102.00 117.30 114.95 114.95 112.65 43202 323.88 307.69 353.84 346.77 346.77 339.84

# 43202 107.40 102.03 117.33 114.99 114.99 112.69 43204 139.40 132.43 152.29 149.25 149.25 146.26 43205 145.23 137.97 158.67 155.49 155.49 152.39 43206 299.60 284.62 327.31 320.77 320.77 314.35

# 43206 138.99 132.04 151.85 148.81 148.81 145.83 43210 422.14 401.03 461.18 451.96 451.96 442.92 43211 240.03 228.03 262.23 256.99 256.99 251.85 43212 195.13 185.37 213.18 208.91 208.91 204.73 43213 1,083.07 1,028.92 1,183.26 1,159.59 1,159.59 1,136.40

# 43213 262.69 249.56 286.99 281.26 281.26 275.63 43214 196.19 186.38 214.34 210.05 210.05 205.85 43215 376.87 358.03 411.73 403.50 403.50 395.43

# 43215 146.43 139.11 159.98 156.78 156.78 153.64 43216 371.21 352.65 405.55 397.44 397.44 389.49

# 43216 138.03 131.13 150.80 147.79 147.79 144.83 43217 402.92 382.77 440.19 431.38 431.38 422.75

# 43217 165.19 156.93 180.47 176.86 176.86 173.32 43220 988.62 939.19 1,080.07 1,058.47 1,058.47 1,037.30

# 43220 122.39 116.27 133.71 131.03 131.03 128.41 43226 342.52 325.39 374.20 366.71 366.71 359.38

# 43226 135.14 128.38 147.64 144.68 144.68 141.78 43227 616.75 585.91 673.80 660.32 660.32 647.12

# 43227 169.82 161.33 185.53 181.82 181.82 178.18 43229 643.68 611.50 703.23 689.16 689.16 675.37

# 43229 201.91 191.81 220.58 216.17 216.17 211.84 43231 362.90 344.76 396.47 388.54 388.54 380.77

# 43231 164.64 156.41 179.87 176.27 176.27 172.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43232 434.25 412.54 474.42 464.93 464.93 455.63 # 43232 202.89 192.75 221.66 217.24 217.24 212.89

43233 232.41 220.79 253.91 248.83 248.83 243.85 43235 281.37 267.30 307.40 301.24 301.24 295.22

# 43235 126.83 120.49 138.56 135.79 135.79 133.08 43236 348.69 331.26 380.95 373.32 373.32 365.86

# 43236 143.14 135.98 156.38 153.25 153.25 150.18 43237 200.18 190.17 218.70 214.33 214.33 210.04 43238 237.34 225.47 259.29 254.10 254.10 249.02 43239 357.23 339.37 390.28 382.47 382.47 374.82

# 43239 143.18 136.02 156.42 153.30 153.30 150.22 43240 397.69 377.81 434.48 425.79 425.79 417.28 43241 147.13 139.77 160.74 157.52 157.52 154.36 43242 267.98 254.58 292.77 286.91 286.91 281.18 43243 242.00 229.90 264.39 259.10 259.10 253.91 43244 250.26 237.75 273.41 267.95 267.95 262.59 43245 547.90 520.51 598.59 586.62 586.62 574.89

# 43245 180.52 171.49 197.21 193.27 193.27 189.41 43246 204.97 194.72 223.93 219.45 219.45 215.06 43247 377.93 359.03 412.88 404.63 404.63 396.53

# 43247 181.79 172.70 198.61 194.64 194.64 190.75 43248 369.95 351.45 404.17 396.08 396.08 388.16

# 43248 170.77 162.23 186.56 182.84 182.84 179.18 43249 941.20 894.14 1,028.26 1,007.70 1,007.70 987.54

# 43249 157.86 149.97 172.47 169.02 169.02 165.63 43250 411.24 390.68 449.28 440.30 440.30 431.49

# 43250 174.72 165.98 190.88 187.06 187.06 183.32 43251 451.04 428.49 492.76 482.91 482.91 473.25

# 43251 200.86 190.82 219.44 215.05 215.05 210.75














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43252 334.84 318.10 365.82 358.50 358.50 351.34 # 43252 172.70 164.07 188.68 184.91 184.91 181.21

43253 267.34 253.97 292.07 286.22 286.22 280.50 43254 275.56 261.78 301.05 295.02 295.02 289.12 43255 650.37 617.85 710.53 696.31 696.31 682.39

# 43255 205.26 195.00 224.25 219.77 219.77 215.37 43257 237.66 225.78 259.65 254.45 254.45 249.35 43259 230.82 219.28 252.17 247.12 247.12 242.18 43260 327.40 311.03 357.68 350.53 350.53 343.52 43261 343.78 326.59 375.58 368.07 368.07 360.71 43262 362.53 344.40 396.06 388.14 388.14 380.37 43263 362.86 344.72 396.43 388.50 388.50 380.73 43264 369.34 350.87 403.50 395.43 395.43 387.52 43265 438.65 416.72 479.23 469.65 469.65 460.25 43266 231.23 219.67 252.62 247.57 247.57 242.62 43270 672.74 639.10 734.97 720.27 720.27 705.86

# 43270 237.34 225.47 259.29 254.10 254.10 249.02 43273 119.78 113.79 130.86 128.24 128.24 125.67 43274 468.30 444.89 511.62 501.39 501.39 491.36 43275 381.97 362.87 417.30 408.95 408.95 400.78 43276 487.74 463.35 532.85 522.19 522.19 511.75 43277 384.01 364.81 419.53 411.14 411.14 402.91 43278 438.29 416.38 478.84 469.26 469.26 459.87 43279 1,279.06 1,215.11 1,397.38 1,369.43 1,369.43 1,342.04 43280 1,066.89 1,013.55 1,165.58 1,142.27 1,142.27 1,119.42 43281 1,529.48 1,453.01 1,670.96 1,637.54 1,637.54 1,604.79 43282 1,720.45 1,634.43 1,879.59 1,842.00 1,842.00 1,805.17 43283 158.78 150.84 173.47 169.99 169.99 166.59 43300 599.60 569.62 655.06 641.96 641.96 629.13














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43305 1,076.74 1,022.90 1,176.34 1,152.81 1,152.81 1,129.75 43310 1,479.86 1,405.87 1,616.75 1,584.41 1,584.41 1,552.73 43312 1,612.56 1,531.93 1,761.72 1,726.48 1,726.48 1,691.95 43313 2,673.40 2,539.73 2,920.69 2,862.28 2,862.28 2,805.03 43314 3,054.62 2,901.89 3,337.17 3,270.43 3,270.43 3,205.02 43320 1,374.08 1,305.38 1,501.19 1,471.16 1,471.16 1,441.73 43325 1,322.61 1,256.48 1,444.95 1,416.05 1,416.05 1,387.73 43327 807.00 766.65 881.65 864.02 864.02 846.73 43328 1,127.56 1,071.18 1,231.86 1,207.22 1,207.22 1,183.07 43330 1,310.55 1,245.02 1,431.77 1,403.14 1,403.14 1,375.08 43331 1,332.41 1,265.79 1,455.66 1,426.54 1,426.54 1,398.01 43332 1,147.20 1,089.84 1,253.32 1,228.25 1,228.25 1,203.68 43333 1,250.79 1,188.25 1,366.49 1,339.16 1,339.16 1,312.38 43334 1,245.90 1,183.61 1,361.15 1,333.93 1,333.93 1,307.25 43335 1,337.13 1,270.27 1,460.81 1,431.59 1,431.59 1,402.95 43336 1,497.21 1,422.35 1,635.70 1,602.99 1,602.99 1,570.92 43337 1,613.51 1,532.83 1,762.75 1,727.50 1,727.50 1,692.95 43338 116.78 110.94 127.58 125.03 125.03 122.53 43340 1,346.58 1,279.25 1,471.14 1,441.72 1,441.72 1,412.89 43341 1,394.87 1,325.13 1,523.90 1,493.42 1,493.42 1,463.56 43351 1,273.95 1,210.25 1,391.79 1,363.96 1,363.96 1,336.68 43352 1,056.73 1,003.89 1,154.47 1,131.38 1,131.38 1,108.75 43360 2,340.39 2,223.37 2,556.88 2,505.74 2,505.74 2,455.62 43361 2,544.23 2,417.02 2,779.57 2,723.98 2,723.98 2,669.51 43400 1,459.61 1,386.63 1,594.62 1,562.74 1,562.74 1,531.48 43401 1,541.32 1,464.25 1,683.89 1,650.22 1,650.22 1,617.21 43405 1,445.68 1,373.40 1,579.41 1,547.82 1,547.82 1,516.86 43410 1,030.28 978.77 1,125.59 1,103.07 1,103.07 1,081.01 43415 2,555.75 2,427.96 2,792.15 2,736.31 2,736.31 2,681.58














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43420 996.30 946.49 1,088.46 1,066.69 1,066.69 1,045.36 43425 1,427.67 1,356.29 1,559.73 1,528.53 1,528.53 1,497.97 43450 190.62 181.09 208.25 204.09 204.09 200.01

# 43450 83.44 79.27 91.16 89.33 89.33 87.55 43453 842.63 800.50 920.58 902.16 902.16 884.12

# 43453 89.95 85.45 98.27 96.30 96.30 94.38 43460 212.11 201.50 231.73 227.09 227.09 222.55 43496 1,796.34 1,706.52 1,962.50 1,923.25 1,923.25 1,884.78 43500 769.61 731.13 840.80 823.99 823.99 807.51 43501 1,326.05 1,259.75 1,448.71 1,419.74 1,419.74 1,391.35 43502 1,502.75 1,427.61 1,641.75 1,608.92 1,608.92 1,576.74 43510 925.41 879.14 1,011.01 990.79 990.79 970.98 43520 675.89 642.10 738.42 723.65 723.65 709.17 43605 821.87 780.78 897.90 879.93 879.93 862.34 43610 965.25 916.99 1,054.54 1,033.45 1,033.45 1,012.78 43611 1,205.07 1,144.82 1,316.54 1,290.21 1,290.21 1,264.40 43620 1,937.06 1,840.21 2,116.24 2,073.92 2,073.92 2,032.44 43621 2,250.60 2,138.07 2,458.78 2,409.61 2,409.61 2,361.41 43622 2,294.89 2,180.15 2,507.17 2,457.03 2,457.03 2,407.89 43631 1,430.70 1,359.17 1,563.05 1,531.79 1,531.79 1,501.15 43632 2,012.17 1,911.56 2,198.29 2,154.33 2,154.33 2,111.24 43633 1,900.55 1,805.52 2,076.35 2,034.82 2,034.82 1,994.12 43634 2,094.72 1,989.98 2,288.48 2,242.71 2,242.71 2,197.86 43635 112.21 106.60 122.59 120.14 120.14 117.74 43640 1,161.04 1,102.99 1,268.44 1,243.07 1,243.07 1,218.21 43641 1,169.35 1,110.88 1,277.51 1,251.96 1,251.96 1,226.92 43644 1,711.56 1,625.98 1,869.88 1,832.48 1,832.48 1,795.83 43645 1,830.21 1,738.70 1,999.51 1,959.52 1,959.52 1,920.33 43647 1,174.70 1,115.97 1,283.37 1,257.70 1,257.70 1,232.55














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43648 376.62 357.79 411.46 403.22 403.22 395.16 43651 637.01 605.16 695.93 682.02 682.02 668.38 43652 750.44 712.92 819.86 803.46 803.46 787.39 43653 556.94 529.09 608.45 596.29 596.29 584.36 43752 40.52 38.49 44.26 43.38 43.38 42.52 43753 21.79 20.70 23.81 23.33 23.33 22.86 43754 94.25 89.54 102.97 100.91 100.91 98.90

# 43754 31.40 29.83 34.30 33.61 33.61 32.95 43755 127.27 120.91 139.05 136.26 136.26 133.54

# 43755 59.86 56.87 65.40 64.09 64.09 62.81 43756 181.86 172.77 198.69 194.71 194.71 190.81

# 43756 49.48 47.01 54.06 52.98 52.98 51.92 43757 257.91 245.01 281.76 276.13 276.13 270.61

# 43757 75.73 71.94 82.73 81.08 81.08 79.45 43760 425.56 404.28 464.92 455.62 455.62 446.51

# 43760 46.65 44.32 50.97 49.94 49.94 48.94 43761 113.39 107.72 123.88 121.41 121.41 118.98

# 43761 101.85 96.76 111.27 109.04 109.04 106.86 43770 1,098.53 1,043.60 1,200.14 1,176.14 1,176.14 1,152.62 43771 1,252.09 1,189.49 1,367.91 1,340.56 1,340.56 1,313.75 43772 933.81 887.12 1,020.19 999.79 999.79 979.79 43773 1,247.65 1,185.27 1,363.06 1,335.79 1,335.79 1,309.08 43774 943.76 896.57 1,031.06 1,010.44 1,010.44 990.23 43775 1,098.24 1,043.33 1,199.83 1,175.83 1,175.83 1,152.31 43800 914.97 869.22 999.60 979.62 979.62 960.02 43810 1,001.88 951.79 1,094.56 1,072.66 1,072.66 1,051.22 43820 1,322.67 1,256.54 1,445.02 1,416.12 1,416.12 1,387.80 43825 1,286.89 1,222.55 1,405.93 1,377.82 1,377.82 1,350.26 43830 683.33 649.16 746.53 731.61 731.61 716.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

43831 565.94 537.64 618.29 605.92 605.92 593.80 43832 1,024.43 973.21 1,119.19 1,096.81 1,096.81 1,074.88 43840 1,340.00 1,273.00 1,463.95 1,434.67 1,434.67 1,405.98 43843 1,258.94 1,195.99 1,375.39 1,347.88 1,347.88 1,320.92 43845 1,939.69 1,842.71 2,119.12 2,076.74 2,076.74 2,035.20 43846 1,592.71 1,513.07 1,740.03 1,705.23 1,705.23 1,671.12 43847 1,751.84 1,664.25 1,913.89 1,875.62 1,875.62 1,838.10 43848 1,901.61 1,806.53 2,077.51 2,035.96 2,035.96 1,995.24 43850 1,600.90 1,520.86 1,748.99 1,714.01 1,714.01 1,679.72 43855 1,625.42 1,544.15 1,775.77 1,740.26 1,740.26 1,705.45 43860 1,615.64 1,534.86 1,765.09 1,729.78 1,729.78 1,695.19 43865 1,682.73 1,598.59 1,838.38 1,801.61 1,801.61 1,765.58 43870 697.89 663.00 762.45 747.20 747.20 732.26 43880 1,578.43 1,499.51 1,724.44 1,689.95 1,689.95 1,656.15 43881 376.62 357.79 411.46 403.22 403.22 395.16 43882 1,174.70 1,115.97 1,283.37 1,257.70 1,257.70 1,232.55 43886 346.70 329.37 378.78 371.20 371.20 363.77 43887 311.35 295.78 340.15 333.34 333.34 326.67 43888 442.98 420.83 483.95 474.27 474.27 464.78 44005 1,078.87 1,024.93 1,178.67 1,155.09 1,155.09 1,131.99 44010 847.79 805.40 926.21 907.68 907.68 889.53 44015 142.13 135.02 155.27 152.17 152.17 149.12 44020 959.91 911.91 1,048.70 1,027.72 1,027.72 1,007.17 44021 959.78 911.79 1,048.56 1,027.58 1,027.58 1,007.03 44025 971.06 922.51 1,060.89 1,039.67 1,039.67 1,018.88 44050 921.53 875.45 1,006.77 986.63 986.63 966.90 44055 1,474.15 1,400.44 1,610.51 1,578.29 1,578.29 1,546.73 44100 107.83 102.44 117.81 115.45 115.45 113.14 44110 837.92 796.02 915.42 897.12 897.12 879.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

44111 969.78 921.29 1,059.48 1,038.29 1,038.29 1,017.52 44120 1,208.07 1,147.67 1,319.82 1,293.43 1,293.43 1,267.56 44121 241.80 229.71 264.17 258.89 258.89 253.71 44125 1,165.61 1,107.33 1,273.43 1,247.96 1,247.96 1,223.00 44126 2,439.47 2,317.50 2,665.13 2,611.82 2,611.82 2,559.59 44127 2,804.48 2,664.26 3,063.90 3,002.62 3,002.62 2,942.56 44128 244.13 231.92 266.71 261.37 261.37 256.14 44130 1,294.50 1,229.78 1,414.25 1,385.96 1,385.96 1,358.24 44139 121.07 115.02 132.27 129.63 129.63 127.04 44140 1,322.77 1,256.63 1,445.12 1,416.23 1,416.23 1,387.90 44141 1,795.66 1,705.88 1,961.76 1,922.52 1,922.52 1,884.07 44143 1,640.65 1,558.62 1,792.41 1,756.57 1,756.57 1,721.44 44144 1,747.69 1,660.31 1,909.36 1,871.17 1,871.17 1,833.74 44145 1,638.28 1,556.37 1,789.83 1,754.03 1,754.03 1,718.95 44146 2,084.92 1,980.67 2,277.77 2,232.22 2,232.22 2,187.58 44147 1,923.92 1,827.72 2,101.88 2,059.85 2,059.85 2,018.65 44150 1,835.13 1,743.37 2,004.88 1,964.78 1,964.78 1,925.48 44151 2,102.95 1,997.80 2,297.47 2,251.52 2,251.52 2,206.48 44155 2,046.46 1,944.14 2,235.76 2,191.05 2,191.05 2,147.22 44156 2,258.23 2,145.32 2,467.12 2,417.77 2,417.77 2,369.41 44157 2,118.22 2,012.31 2,314.16 2,267.87 2,267.87 2,222.51 44158 2,092.50 1,987.88 2,286.06 2,240.34 2,240.34 2,195.53 44160 1,224.19 1,162.98 1,337.43 1,310.68 1,310.68 1,284.47 44180 904.16 858.95 987.79 968.04 968.04 948.67 44186 639.61 607.63 698.77 684.80 684.80 671.11 44187 1,080.22 1,026.21 1,180.14 1,156.54 1,156.54 1,133.42 44188 1,199.42 1,139.45 1,310.37 1,284.16 1,284.16 1,258.48 44202 1,368.51 1,300.08 1,495.09 1,465.19 1,465.19 1,435.89 44203 240.78 228.74 263.05 257.80 257.80 252.64














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

44204 1,519.38 1,443.41 1,659.92 1,626.72 1,626.72 1,594.19 44205 1,320.98 1,254.93 1,443.17 1,414.30 1,414.30 1,386.01 44206 1,730.73 1,644.19 1,890.82 1,853.01 1,853.01 1,815.94 44207 1,800.85 1,710.81 1,967.43 1,928.08 1,928.08 1,889.52 44208 1,959.76 1,861.77 2,141.04 2,098.21 2,098.21 2,056.25 44210 1,753.09 1,665.44 1,915.26 1,876.95 1,876.95 1,839.41 44211 2,147.59 2,040.21 2,346.24 2,299.32 2,299.32 2,253.33 44212 2,012.79 1,912.15 2,198.97 2,155.00 2,155.00 2,111.89 44213 187.65 178.27 205.01 200.91 200.91 196.89 44227 1,647.90 1,565.51 1,800.34 1,764.33 1,764.33 1,729.05 44300 827.57 786.19 904.12 886.04 886.04 868.32 44310 1,028.36 976.94 1,123.48 1,101.01 1,101.01 1,078.99 44312 576.02 547.22 629.30 616.72 616.72 604.38 44314 985.48 936.21 1,076.64 1,055.11 1,055.11 1,034.01 44316 1,396.44 1,326.62 1,525.61 1,495.10 1,495.10 1,465.20 44320 1,181.75 1,122.66 1,291.06 1,265.24 1,265.24 1,239.94 44322 962.70 914.57 1,051.76 1,030.72 1,030.72 1,010.10 44340 607.66 577.28 663.87 650.59 650.59 637.58 44345 1,032.51 980.88 1,128.01 1,105.45 1,105.45 1,083.33 44346 1,163.06 1,104.91 1,270.65 1,245.23 1,245.23 1,220.32 44360 147.94 140.54 161.62 158.39 158.39 155.23 44361 163.26 155.10 178.37 174.80 174.80 171.30 44363 196.14 186.33 214.28 209.99 209.99 205.79 44364 208.68 198.25 227.99 223.43 223.43 218.96 44365 183.47 174.30 200.45 196.43 196.43 192.50 44366 245.12 232.86 267.79 262.43 262.43 257.19 44369 250.62 238.09 273.80 268.33 268.33 262.96 44370 271.28 257.72 296.38 290.46 290.46 284.65 44372 245.03 232.78 267.70 262.34 262.34 257.09














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

44373 196.85 187.01 215.06 210.76 210.76 206.54 44376 289.11 274.65 315.85 309.53 309.53 303.35 44377 304.99 289.74 333.20 326.54 326.54 320.01 44378 390.16 370.65 426.25 417.73 417.73 409.38 44379 414.42 393.70 452.76 443.70 443.70 434.83 44380 195.80 186.01 213.91 209.63 209.63 205.44

# 44380 60.69 57.66 66.31 64.99 64.99 63.69 44381 870.23 826.72 950.73 931.72 931.72 913.09

# 44381 89.02 84.57 97.26 95.31 95.31 93.40 44382 282.89 268.75 309.06 302.89 302.89 296.83

# 44382 77.34 73.47 84.49 82.80 82.80 81.14 44384 156.64 148.81 171.13 167.70 167.70 164.35 44385 217.20 206.34 237.29 232.54 232.54 227.90

# 44385 75.72 71.93 82.72 81.06 81.06 79.44 44386 304.30 289.09 332.45 325.81 325.81 319.29

# 44386 92.98 88.33 101.58 99.54 99.54 97.55 44388 321.46 305.39 351.20 344.17 344.17 337.28

# 44388 160.84 152.80 175.72 172.20 172.20 168.76 44388 53 159.54 151.56 174.29 170.81 170.81 167.39

# 44388 53 79.39 75.42 86.73 85.00 85.00 83.29 44389 402.34 382.22 439.55 430.77 430.77 422.15

# 44389 176.44 167.62 192.76 188.91 188.91 185.13 44390 405.82 385.53 443.36 434.49 434.49 425.80

# 44390 215.15 204.39 235.05 230.35 230.35 225.73 44391 685.95 651.65 749.40 734.41 734.41 719.73

# 44391 235.38 223.61 257.15 252.01 252.01 246.97 44392 382.69 363.56 418.09 409.73 409.73 401.53

# 44392 203.25 193.09 222.05 217.61 217.61 213.27 44394 430.52 408.99 470.34 460.93 460.93 451.71














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 44394 230.74 219.20 252.08 247.04 247.04 242.10 44401 2,831.97 2,690.37 3,093.93 3,032.04 3,032.04 2,971.40

# 44401 247.25 234.89 270.12 264.72 264.72 259.43 44402 267.60 254.22 292.35 286.51 286.51 280.78 44403 307.76 292.37 336.23 329.50 329.50 322.91 44404 386.35 367.03 422.08 413.64 413.64 405.38

# 44404 176.85 168.01 193.21 189.35 189.35 185.56 44405 547.30 519.94 597.93 585.97 585.97 574.25

# 44405 188.12 178.71 205.52 201.41 201.41 197.39 44406 234.60 222.87 256.30 251.17 251.17 246.15 44407 281.07 267.02 307.07 300.93 300.93 294.92 44408 236.98 225.13 258.90 253.72 253.72 248.65 44500 24.36 23.14 26.61 26.08 26.08 25.56 44602 1,399.38 1,329.41 1,528.82 1,498.24 1,498.24 1,468.27 44603 1,602.96 1,522.81 1,751.23 1,716.20 1,716.20 1,681.88 44604 1,044.76 992.52 1,141.40 1,118.57 1,118.57 1,096.20 44605 1,287.79 1,223.40 1,406.91 1,378.77 1,378.77 1,351.19 44615 1,061.46 1,008.39 1,159.65 1,136.45 1,136.45 1,113.73 44620 853.93 811.23 932.91 914.26 914.26 895.98 44625 1,001.88 951.79 1,094.56 1,072.66 1,072.66 1,051.22 44626 1,587.02 1,507.67 1,733.82 1,699.15 1,699.15 1,665.17 44640 1,386.14 1,316.83 1,514.35 1,484.06 1,484.06 1,454.38 44650 1,433.57 1,361.89 1,566.17 1,534.85 1,534.85 1,504.15 44660 1,314.73 1,248.99 1,436.34 1,407.61 1,407.61 1,379.46 44661 1,534.65 1,457.92 1,676.61 1,643.07 1,643.07 1,610.21 44680 1,051.23 998.67 1,148.47 1,125.51 1,125.51 1,103.00 44700 1,004.69 954.46 1,097.63 1,075.68 1,075.68 1,054.16 44701 168.03 159.63 183.57 179.91 179.91 176.31 44720 274.69 260.96 300.10 294.10 294.10 288.22














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

44721 384.45 365.23 420.01 411.62 411.62 403.39 44800 746.70 709.37 815.78 799.46 799.46 783.47 44820 824.24 783.03 900.48 882.48 882.48 864.82 44850 737.32 700.45 805.52 789.41 789.41 773.62 44900 758.39 720.47 828.54 811.97 811.97 795.73 44950 632.41 600.79 690.91 677.09 677.09 663.54 44955 83.60 79.42 91.33 89.50 89.50 87.71 44960 860.93 817.88 940.56 921.75 921.75 903.31 44970 588.20 558.79 642.61 629.75 629.75 617.16 45000 409.49 389.02 447.37 438.43 438.43 429.66 45005 250.88 238.34 274.09 268.61 268.61 263.24

# 45005 154.02 146.32 168.27 164.90 164.90 161.60 45020 554.52 526.79 605.81 593.69 593.69 581.82 45100 287.05 272.70 313.61 307.34 307.34 301.20 45108 353.61 335.93 386.32 378.59 378.59 371.02 45110 1,814.50 1,723.78 1,982.35 1,942.70 1,942.70 1,903.84 45111 1,066.63 1,013.30 1,165.30 1,141.98 1,141.98 1,119.15 45112 1,855.51 1,762.73 2,027.14 1,986.60 1,986.60 1,946.87 45113 1,863.21 1,770.05 2,035.56 1,994.85 1,994.85 1,954.95 45114 1,794.59 1,704.86 1,960.59 1,921.37 1,921.37 1,882.94 45116 1,622.50 1,541.38 1,772.59 1,737.13 1,737.13 1,702.39 45119 1,916.60 1,820.77 2,093.89 2,052.00 2,052.00 2,010.96 45120 1,479.04 1,405.09 1,615.85 1,583.54 1,583.54 1,551.87 45121 1,712.51 1,626.88 1,870.91 1,833.49 1,833.49 1,796.82 45123 1,099.18 1,044.22 1,200.85 1,176.84 1,176.84 1,153.30 45126 2,756.28 2,618.47 3,011.24 2,951.02 2,951.02 2,892.00 45130 1,068.08 1,014.68 1,166.88 1,143.55 1,143.55 1,120.68 45135 1,345.48 1,278.21 1,469.94 1,440.55 1,440.55 1,411.74 45136 1,775.34 1,686.57 1,939.56 1,900.77 1,900.77 1,862.75














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

45150 377.00 358.15 411.87 403.64 403.64 395.57 45160 1,001.58 951.50 1,094.23 1,072.34 1,072.34 1,050.89 45171 577.66 548.78 631.10 618.47 618.47 606.10 45172 784.04 744.84 856.57 839.43 839.43 822.64 45190 671.96 638.36 734.11 719.43 719.43 705.04 45300 111.08 105.53 121.36 118.93 118.93 116.55

# 45300 52.17 49.56 56.99 55.86 55.86 54.74 45303 837.42 795.55 914.88 896.59 896.59 878.66

# 45303 90.21 85.70 98.56 96.59 96.59 94.66 45305 176.42 167.60 192.74 188.89 188.89 185.12

# 45305 76.84 73.00 83.95 82.27 82.27 80.63 45307 212.90 202.26 232.60 227.94 227.94 223.39

# 45307 104.21 99.00 113.85 111.57 111.57 109.34 45308 195.47 185.70 213.56 209.29 209.29 205.10

# 45308 87.08 82.73 95.14 93.24 93.24 91.38 45309 204.92 194.67 223.87 219.40 219.40 215.00

# 45309 92.89 88.25 101.49 99.46 99.46 97.47 45315 205.85 195.56 224.89 220.40 220.40 215.99

# 45315 102.32 97.20 111.78 109.55 109.55 107.35 45317 222.45 211.33 243.03 238.17 238.17 233.40

# 45317 115.27 109.51 125.94 123.42 123.42 120.95 45320 221.87 210.78 242.40 237.54 237.54 232.79

# 45320 108.32 102.90 118.34 115.97 115.97 113.64 45321 105.18 99.92 114.91 112.61 112.61 110.35 45327 119.98 113.98 131.08 128.46 128.46 125.89 45330 148.91 141.46 162.68 159.42 159.42 156.24

# 45330 54.48 51.76 59.52 58.33 58.33 57.17 45331 227.46 216.09 248.50 243.54 243.54 238.66

# 45331 70.49 66.97 77.02 75.47 75.47 73.97














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

45332 278.90 264.96 304.70 298.61 298.61 292.64 # 45332 109.48 104.01 119.61 117.22 117.22 114.87

45333 310.44 294.92 339.16 332.37 332.37 325.73 # 45333 97.91 93.01 106.96 104.82 104.82 102.73

45334 537.37 510.50 587.08 575.33 575.33 563.82 # 45334 122.02 115.92 133.31 130.64 130.64 128.03

45335 255.73 242.94 279.38 273.79 273.79 268.32 # 45335 70.53 67.00 77.05 75.51 75.51 74.00

45337 120.27 114.26 131.40 128.77 128.77 126.19 45338 292.39 277.77 319.44 313.04 313.04 306.79

# 45338 124.49 118.27 136.01 133.29 133.29 130.62 45340 430.08 408.58 469.87 460.47 460.47 451.26

# 45340 81.83 77.74 89.40 87.62 87.62 85.87 45341 128.17 121.76 140.02 137.22 137.22 134.47 45342 174.19 165.48 190.30 186.50 186.50 182.77 45346 2,702.76 2,567.62 2,952.76 2,893.71 2,893.71 2,835.83

# 45346 164.80 156.56 180.04 176.44 176.44 172.91 45347 159.08 151.13 173.80 170.33 170.33 166.92 45349 202.82 192.68 221.58 217.15 217.15 212.81 45350 513.39 487.72 560.88 549.67 549.67 538.67

# 45350 104.72 99.48 114.40 112.11 112.11 109.87 45378 346.97 329.62 379.06 371.48 371.48 364.06

# 45378 189.39 179.92 206.91 202.77 202.77 198.71 45378 53 173.33 164.66 189.36 185.58 185.58 181.86

# 45378 53 94.70 89.97 103.47 101.40 101.40 99.37 45379 438.29 416.38 478.84 469.26 469.26 459.87

# 45379 243.98 231.78 266.55 261.21 261.21 255.99 45380 425.76 404.47 465.14 455.84 455.84 446.72

# 45380 205.33 195.06 224.32 219.83 219.83 215.44














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

45381 410.24 389.73 448.19 439.23 439.23 430.45 # 45381 205.29 195.03 224.28 219.80 219.80 215.41

45382 711.83 676.24 777.68 762.13 762.13 746.89 # 45382 264.30 251.09 288.75 282.98 282.98 277.32

45384 468.49 445.07 511.83 501.60 501.60 491.57 # 45384 233.19 221.53 254.76 249.67 249.67 244.67

45385 451.48 428.91 493.25 483.38 483.38 473.71 # 45385 259.59 246.61 283.60 277.93 277.93 272.38

45386 587.73 558.34 642.09 629.25 629.25 616.66 # 45386 216.70 205.87 236.75 232.01 232.01 227.38

45388 2,851.14 2,708.58 3,114.87 3,052.57 3,052.57 2,991.52 # 45388 275.83 262.04 301.35 295.32 295.32 289.41

45389 295.20 280.44 322.51 316.05 316.05 309.73 45390 337.46 320.59 368.68 361.31 361.31 354.09 45391 262.64 249.51 286.94 281.20 281.20 275.57 45392 309.37 293.90 337.99 331.22 331.22 324.60 45393 258.58 245.65 282.50 276.85 276.85 271.32 45395 1,941.86 1,844.77 2,121.49 2,079.05 2,079.05 2,037.47 45397 2,116.94 2,011.09 2,312.75 2,266.50 2,266.50 2,221.17 45398 656.94 624.09 717.70 703.35 703.35 689.29

# 45398 240.07 228.07 262.28 257.04 257.04 251.90 45400 1,120.05 1,064.05 1,223.66 1,199.19 1,199.19 1,175.20 45402 1,497.69 1,422.81 1,636.23 1,603.50 1,603.50 1,571.43 45500 502.64 477.51 549.14 538.15 538.15 527.39 45505 571.28 542.72 624.13 611.65 611.65 599.41 45520 138.96 132.01 151.81 148.78 148.78 145.80

# 45520 38.46 36.54 42.02 41.18 41.18 40.35 45540 1,040.79 988.75 1,137.06 1,114.33 1,114.33 1,092.04 45541 920.47 874.45 1,005.62 985.50 985.50 965.79














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

45550 1,433.93 1,362.23 1,566.56 1,535.24 1,535.24 1,504.53 45560 669.29 635.83 731.20 716.58 716.58 702.25 45562 1,095.35 1,040.58 1,196.67 1,172.74 1,172.74 1,149.28 45563 1,617.80 1,536.91 1,767.45 1,732.10 1,732.10 1,697.46 45800 1,180.52 1,121.49 1,289.71 1,263.92 1,263.92 1,238.64 45805 1,435.11 1,363.35 1,567.85 1,536.49 1,536.49 1,505.76 45820 1,167.45 1,109.08 1,275.44 1,249.94 1,249.94 1,224.93 45825 1,358.48 1,290.56 1,484.14 1,454.46 1,454.46 1,425.38 45900 196.26 186.45 214.42 210.13 210.13 205.93 45905 162.84 154.70 177.91 174.35 174.35 170.87 45910 187.60 178.22 204.95 200.86 200.86 196.85 45915 306.95 291.60 335.34 328.64 328.64 322.06

# 45915 217.38 206.51 237.49 232.74 232.74 228.08 45990 105.42 100.15 115.17 112.87 112.87 110.62 46020 258.83 245.89 282.77 277.12 277.12 271.57

# 46020 223.61 212.43 244.29 239.41 239.41 234.62 46030 128.51 122.08 140.39 137.59 137.59 134.84

# 46030 86.61 82.28 94.62 92.72 92.72 90.87 46040 498.64 473.71 544.77 533.88 533.88 523.20

# 46040 396.02 376.22 432.65 424.01 424.01 415.53 46045 416.13 395.32 454.62 445.52 445.52 436.61 46050 181.83 172.74 198.65 194.68 194.68 190.79

# 46050 92.57 87.94 101.13 99.11 99.11 97.13 46060 456.23 433.42 498.43 488.46 488.46 478.70 46070 214.78 204.04 234.65 229.95 229.95 225.35 46080 230.81 219.27 252.16 247.11 247.11 242.17

# 46080 155.20 147.44 169.56 166.16 166.16 162.84 46083 161.15 153.09 176.05 172.53 172.53 169.08

# 46083 101.64 96.56 111.04 108.82 108.82 106.65














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

46200 407.79 387.40 445.51 436.60 436.60 427.87 # 46200 306.08 290.78 334.40 327.70 327.70 321.15

46220 188.38 178.96 205.80 201.69 201.69 197.65 # 46220 113.69 108.01 124.21 121.73 121.73 119.29

46221 246.41 234.09 269.20 263.82 263.82 258.54 # 46221 180.22 171.21 196.89 192.96 192.96 189.09

46230 252.77 240.13 276.15 270.63 270.63 265.21 # 46230 166.84 158.50 182.28 178.63 178.63 175.05

46250 429.12 407.66 468.81 459.44 459.44 450.25 # 46250 302.51 287.38 330.49 323.87 323.87 317.40

46255 470.79 447.25 514.34 504.06 504.06 493.97 # 46255 340.53 323.50 372.03 364.58 364.58 357.29

46257 404.51 384.28 441.92 433.08 433.08 424.42 46258 449.34 426.87 490.90 481.08 481.08 471.45 46260 458.00 435.10 500.37 490.36 490.36 480.55 46261 504.54 479.31 551.21 540.18 540.18 529.38 46262 531.20 504.64 580.34 568.73 568.73 557.36 46270 472.16 448.55 515.83 505.52 505.52 495.41

# 46270 373.48 354.81 408.03 399.87 399.87 391.87 46275 499.97 474.97 546.22 535.29 535.29 524.58

# 46275 394.62 374.89 431.12 422.50 422.50 414.05 46280 449.34 426.87 490.90 481.08 481.08 471.45 46285 495.62 470.84 541.47 530.63 530.63 520.02

# 46285 393.30 373.64 429.69 421.10 421.10 412.68 46288 529.06 502.61 578.00 566.44 566.44 555.12 46320 169.08 160.63 184.72 181.03 181.03 177.41

# 46320 106.83 101.49 116.71 114.38 114.38 112.09 46500 177.04 168.19 193.42 189.55 189.55 185.76

# 46500 116.02 110.22 126.75 124.22 124.22 121.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

46505 267.40 254.03 292.13 286.29 286.29 280.57 # 46505 228.23 216.82 249.34 244.35 244.35 239.46

46600 79.82 75.83 87.20 85.46 85.46 83.74 # 46600 39.14 37.18 42.76 41.91 41.91 41.07

46601 127.54 121.16 139.33 136.55 136.55 133.83 # 46601 91.11 86.55 99.53 97.54 97.54 95.59

46604 539.97 512.97 589.92 578.12 578.12 566.56 # 46604 64.50 61.28 70.47 69.06 69.06 67.68

46606 202.46 192.34 221.19 216.76 216.76 212.43 # 46606 74.03 70.33 80.88 79.26 79.26 77.67

46607 178.49 169.57 195.01 191.11 191.11 187.29 # 46607 123.23 117.07 134.63 131.94 131.94 129.31

46608 208.65 198.22 227.95 223.40 223.40 218.93 # 46608 79.00 75.05 86.31 84.58 84.58 82.89

46610 203.41 193.24 222.23 217.79 217.79 213.43 # 46610 78.93 74.98 86.23 84.50 84.50 82.81

46611 159.96 151.96 174.75 171.26 171.26 167.83 # 46611 79.20 75.24 86.53 84.80 84.80 83.11

46612 232.14 220.53 253.61 248.54 248.54 243.57 # 46612 91.26 86.70 99.71 97.72 97.72 95.76

46614 117.13 111.27 127.96 125.40 125.40 122.89 # 46614 62.78 59.64 68.59 67.22 67.22 65.87

46615 133.93 127.23 146.31 143.39 143.39 140.53 # 46615 90.52 85.99 98.89 96.91 96.91 94.97

46700 632.02 600.42 690.48 676.67 676.67 663.14 46705 482.44 458.32 527.07 516.52 516.52 506.20 46706 159.64 151.66 174.41 170.92 170.92 167.51 46707 456.62 433.79 498.86 488.88 488.88 479.10 46710 1,025.35 974.08 1,120.19 1,097.79 1,097.79 1,075.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

46712 2,096.69 1,991.86 2,290.64 2,244.82 2,244.82 2,199.93 46715 523.47 497.30 571.90 560.45 560.45 549.24 46716 1,075.16 1,021.40 1,174.61 1,151.12 1,151.12 1,128.09 46730 1,779.46 1,690.49 1,944.06 1,905.18 1,905.18 1,867.08 46735 2,064.89 1,961.65 2,255.90 2,210.78 2,210.78 2,166.57 46740 2,102.33 1,997.21 2,296.79 2,250.86 2,250.86 2,205.84 46742 2,383.99 2,264.79 2,604.51 2,552.41 2,552.41 2,501.37 46744 3,476.96 3,303.11 3,798.58 3,722.61 3,722.61 3,648.16 46746 3,594.12 3,414.41 3,926.57 3,848.04 3,848.04 3,771.08 46748 3,905.53 3,710.25 4,266.79 4,181.46 4,181.46 4,097.83 46750 732.55 695.92 800.31 784.30 784.30 768.61 46751 577.30 548.44 630.71 618.09 618.09 605.73 46753 592.19 562.58 646.97 634.03 634.03 621.35 46754 271.65 258.07 296.78 290.85 290.85 285.03

# 46754 216.69 205.86 236.74 232.00 232.00 227.37 46760 1,059.70 1,006.72 1,157.73 1,134.58 1,134.58 1,111.89 46761 900.09 855.09 983.35 963.69 963.69 944.41 46762 899.86 854.87 983.10 963.44 963.44 944.16 46900 221.18 210.12 241.64 236.81 236.81 232.07

# 46900 131.31 124.74 143.45 140.59 140.59 137.78 46910 233.84 222.15 255.47 250.37 250.37 245.36

# 46910 128.79 122.35 140.70 137.89 137.89 135.13 46916 209.87 199.38 229.29 224.70 224.70 220.20

# 46916 136.40 129.58 149.02 146.04 146.04 143.12 46917 400.24 380.23 437.26 428.52 428.52 419.96

# 46917 126.38 120.06 138.07 135.31 135.31 132.61 46922 242.75 230.61 265.20 259.90 259.90 254.70

# 46922 130.10 123.60 142.14 139.30 139.30 136.52 46924 477.50 453.63 521.67 511.24 511.24 501.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 46924 177.52 168.64 193.94 190.06 190.06 186.25 46930 187.46 178.09 204.80 200.71 200.71 196.70

# 46930 137.66 130.78 150.40 147.38 147.38 144.44 46940 212.08 201.48 231.70 227.07 227.07 222.53

# 46940 142.25 135.14 155.41 152.31 152.31 149.26 46942 199.42 189.45 217.87 213.51 213.51 209.24

# 46942 127.16 120.80 138.92 136.14 136.14 133.41 46945 281.29 267.23 307.31 301.17 301.17 295.15

# 46945 210.55 200.02 230.02 225.42 225.42 220.92 46946 288.01 273.61 314.65 308.36 308.36 302.20

# 46946 212.71 202.07 232.38 227.73 227.73 223.18 46947 369.72 351.23 403.91 395.84 395.84 387.93 47000 324.58 308.35 354.60 347.51 347.51 340.56

# 47000 101.42 96.35 110.80 108.58 108.58 106.41 47001 103.61 98.43 113.19 110.93 110.93 108.71 47010 1,181.10 1,122.05 1,290.36 1,264.55 1,264.55 1,239.26 47015 1,122.71 1,066.57 1,226.56 1,202.03 1,202.03 1,177.99 47100 823.28 782.12 899.44 881.45 881.45 863.82 47120 2,296.84 2,182.00 2,509.30 2,459.11 2,459.11 2,409.93 47122 3,401.83 3,231.74 3,716.50 3,642.18 3,642.18 3,569.34 47125 3,040.09 2,888.09 3,321.30 3,254.88 3,254.88 3,189.78 47130 3,266.88 3,103.54 3,569.07 3,497.69 3,497.69 3,427.74 47135 5,296.65 5,031.82 5,786.59 5,670.86 5,670.86 5,557.44 47140 3,522.66 3,346.53 3,848.51 3,771.54 3,771.54 3,696.11 47141 4,213.69 4,003.01 4,603.46 4,511.39 4,511.39 4,421.16 47142 4,649.58 4,417.10 5,079.67 4,978.07 4,978.07 4,878.51 47143 440.15 418.14 480.86 471.25 471.25 461.82 47144 545.46 518.19 595.92 584.00 584.00 572.32 47145 413.63 392.95 451.89 442.85 442.85 434.00














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

47146 328.64 312.21 359.04 351.87 351.87 344.83 47147 382.46 363.34 417.84 409.48 409.48 401.29 47300 1,109.58 1,054.10 1,212.22 1,187.97 1,187.97 1,164.21 47350 1,346.69 1,279.36 1,471.26 1,441.84 1,441.84 1,412.99 47360 1,833.49 1,741.82 2,003.09 1,963.03 1,963.03 1,923.77 47361 2,990.91 2,841.36 3,267.56 3,202.21 3,202.21 3,138.17 47362 1,424.53 1,353.30 1,556.30 1,525.16 1,525.16 1,494.67 47370 1,228.73 1,167.29 1,342.38 1,315.53 1,315.53 1,289.22 47371 1,112.39 1,056.77 1,215.29 1,190.97 1,190.97 1,167.16 47380 1,422.98 1,351.83 1,554.60 1,523.51 1,523.51 1,493.03 47381 1,316.78 1,250.94 1,438.58 1,409.81 1,409.81 1,381.61 47382 4,418.41 4,197.49 4,827.11 4,730.57 4,730.57 4,635.96

# 47382 766.16 727.85 837.03 820.28 820.28 803.87 47383 6,565.39 6,237.12 7,172.69 7,029.24 7,029.24 6,888.65

# 47383 485.69 461.41 530.62 520.01 520.01 509.61 47400 2,123.42 2,017.25 2,319.84 2,273.45 2,273.45 2,227.98 47420 1,319.93 1,253.93 1,442.02 1,413.18 1,413.18 1,384.91 47425 1,331.99 1,265.39 1,455.20 1,426.09 1,426.09 1,397.57 47460 1,231.87 1,170.28 1,345.82 1,318.90 1,318.90 1,292.52 47480 852.63 810.00 931.50 912.87 912.87 894.61 47490 318.85 302.91 348.35 341.38 341.38 334.55 47531 331.93 315.33 362.63 355.37 355.37 348.27

# 47531 94.80 90.06 103.57 101.50 101.50 99.46 47532 732.41 695.79 800.16 784.15 784.15 768.46

# 47532 215.04 204.29 234.93 230.23 230.23 225.63 47533 1,189.81 1,130.32 1,299.87 1,273.87 1,273.87 1,248.39

# 47533 304.76 289.52 332.95 326.29 326.29 319.77 47534 1,470.07 1,396.57 1,606.06 1,573.94 1,573.94 1,542.46

# 47534 404.66 384.43 442.09 433.25 433.25 424.59














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

47535 981.11 932.05 1,071.86 1,050.42 1,050.42 1,029.41 # 47535 232.38 220.76 253.87 248.79 248.79 243.81

47536 720.99 684.94 787.68 771.93 771.93 756.49 # 47536 146.54 139.21 160.09 156.89 156.89 153.76

47537 359.05 341.10 392.27 384.42 384.42 376.73 # 47537 98.55 93.62 107.66 105.51 105.51 103.41

47538 3,925.21 3,728.95 4,288.29 4,202.53 4,202.53 4,118.47 # 47538 327.91 311.51 358.24 351.07 351.07 344.05

47539 4,299.71 4,084.72 4,697.43 4,603.48 4,603.48 4,511.42 # 47539 443.73 421.54 484.77 475.08 475.08 465.58

47540 4,478.27 4,254.36 4,892.51 4,794.66 4,794.66 4,698.76 # 47540 529.68 503.20 578.68 567.11 567.11 555.77

47541 1,052.12 999.51 1,149.44 1,126.45 1,126.45 1,103.92 # 47541 281.84 267.75 307.91 301.76 301.76 295.72

47542 462.00 438.90 504.74 494.64 494.64 484.75 # 47542 133.48 126.81 145.83 142.91 142.91 140.05

47543 1,163.92 1,105.72 1,271.58 1,246.15 1,246.15 1,221.23 # 47543 167.44 159.07 182.93 179.27 179.27 175.69

47544 729.98 693.48 797.50 781.55 781.55 765.92 # 47544 215.04 204.29 234.93 230.23 230.23 225.63

47550 165.31 157.04 180.60 176.99 176.99 173.44 47552 309.25 293.79 337.86 331.10 331.10 324.47 47553 307.30 291.94 335.73 329.02 329.02 322.44 47554 474.87 451.13 518.80 508.43 508.43 498.26 47555 367.67 349.29 401.68 393.65 393.65 385.77 47556 418.06 397.16 456.73 447.60 447.60 438.66 47562 644.38 612.16 703.98 689.91 689.91 676.11 47563 700.80 665.76 765.62 750.31 750.31 735.30 47564 1,093.10 1,038.45 1,194.22 1,170.33 1,170.33 1,146.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

47570 752.44 714.82 822.04 805.60 805.60 789.49 47600 1,049.33 996.86 1,146.39 1,123.46 1,123.46 1,100.99 47605 1,105.48 1,050.21 1,207.74 1,183.59 1,183.59 1,159.92 47610 1,236.17 1,174.36 1,350.51 1,323.50 1,323.50 1,297.03 47612 1,251.99 1,189.39 1,367.80 1,340.44 1,340.44 1,313.63 47620 1,357.04 1,289.19 1,482.57 1,452.92 1,452.92 1,423.86 47700 1,017.19 966.33 1,111.28 1,089.05 1,089.05 1,067.27 47701 1,670.63 1,587.10 1,825.17 1,788.66 1,788.66 1,752.89 47711 1,531.83 1,455.24 1,673.53 1,640.06 1,640.06 1,607.26 47712 1,963.02 1,864.87 2,144.60 2,101.71 2,101.71 2,059.67 47715 1,308.59 1,243.16 1,429.63 1,401.05 1,401.05 1,373.02 47720 1,128.13 1,071.72 1,232.48 1,207.83 1,207.83 1,183.67 47721 1,332.93 1,266.28 1,456.22 1,427.09 1,427.09 1,398.55 47740 1,278.90 1,214.96 1,397.20 1,369.26 1,369.26 1,341.88 47741 1,445.52 1,373.24 1,579.23 1,547.65 1,547.65 1,516.69 47760 2,230.76 2,119.22 2,437.10 2,388.37 2,388.37 2,340.60 47765 3,000.65 2,850.62 3,278.21 3,212.65 3,212.65 3,148.40 47780 2,443.08 2,320.93 2,669.07 2,615.69 2,615.69 2,563.37 47785 3,214.55 3,053.82 3,511.89 3,441.65 3,441.65 3,372.82 47800 1,551.22 1,473.66 1,694.71 1,660.82 1,660.82 1,627.61 47801 981.97 932.87 1,072.80 1,051.34 1,051.34 1,030.32 47802 1,485.39 1,411.12 1,622.79 1,590.34 1,590.34 1,558.53 47900 1,346.77 1,279.43 1,471.34 1,441.92 1,441.92 1,413.07 48000 1,847.56 1,755.18 2,018.46 1,978.09 1,978.09 1,938.53 48001 2,264.56 2,151.33 2,474.03 2,424.55 2,424.55 2,376.05 48020 1,151.12 1,093.56 1,257.59 1,232.44 1,232.44 1,207.80 48100 870.72 827.18 951.26 932.24 932.24 913.59 48102 489.16 464.70 534.41 523.72 523.72 513.25

# 48102 240.50 228.48 262.75 257.50 257.50 252.34














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

48105 2,820.80 2,679.76 3,081.72 3,020.08 3,020.08 2,959.69 48120 1,090.92 1,036.37 1,191.83 1,167.99 1,167.99 1,144.63 48140 1,541.79 1,464.70 1,684.41 1,650.72 1,650.72 1,617.71 48145 1,604.46 1,524.24 1,752.88 1,717.82 1,717.82 1,683.46 48146 1,845.43 1,753.16 2,016.13 1,975.82 1,975.82 1,936.30 48148 1,224.90 1,163.66 1,338.21 1,311.45 1,311.45 1,285.22 48150 3,074.77 2,921.03 3,359.18 3,292.00 3,292.00 3,226.16 48152 2,835.13 2,693.37 3,097.38 3,035.43 3,035.43 2,974.72 48153 3,059.16 2,906.20 3,342.13 3,275.29 3,275.29 3,209.79 48154 2,867.67 2,724.29 3,132.93 3,070.27 3,070.27 3,008.86 48155 1,787.33 1,697.96 1,952.65 1,913.60 1,913.60 1,875.33 48400 104.40 99.18 114.06 111.78 111.78 109.55 48500 1,103.31 1,048.14 1,205.36 1,181.26 1,181.26 1,157.64 48510 1,065.92 1,012.62 1,164.51 1,141.23 1,141.23 1,118.40 48520 1,076.58 1,022.75 1,176.16 1,152.65 1,152.65 1,129.59 48540 1,282.37 1,218.25 1,400.99 1,372.97 1,372.97 1,345.51 48545 1,313.36 1,247.69 1,434.84 1,406.15 1,406.15 1,378.03 48547 1,767.30 1,678.94 1,930.78 1,892.16 1,892.16 1,854.32 48548 1,641.48 1,559.41 1,793.32 1,757.45 1,757.45 1,722.31 48551 129.87 123.38 141.89 139.05 139.05 136.26 48552 233.61 221.93 255.22 250.11 250.11 245.11 48554 2,484.95 2,360.70 2,714.81 2,660.51 2,660.51 2,607.30 48556 1,238.55 1,176.62 1,353.11 1,326.05 1,326.05 1,299.53 49000 756.53 718.70 826.51 809.98 809.98 793.78 49002 1,030.97 979.42 1,126.33 1,103.80 1,103.80 1,081.72 49010 921.58 875.50 1,006.83 986.69 986.69 966.95 49020 1,567.31 1,488.94 1,712.28 1,678.03 1,678.03 1,644.48 49040 982.96 933.81 1,073.88 1,052.40 1,052.40 1,031.35 49060 1,083.48 1,029.31 1,183.71 1,160.03 1,160.03 1,136.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

49062 722.55 686.42 789.38 773.59 773.59 758.13 49082 173.09 164.44 189.11 185.32 185.32 181.62

# 49082 72.59 68.96 79.30 77.72 77.72 76.16 49083 265.34 252.07 289.88 284.08 284.08 278.40

# 49083 107.16 101.80 117.07 114.72 114.72 112.42 49084 108.03 102.63 118.02 115.67 115.67 113.36 49180 151.43 143.86 165.44 162.13 162.13 158.88

# 49180 85.24 80.98 93.13 91.26 91.26 89.44 49185 871.97 828.37 952.63 933.57 933.57 914.89

# 49185 122.02 115.92 133.31 130.64 130.64 128.03 49203 1,178.11 1,119.20 1,287.08 1,261.34 1,261.34 1,236.11 49204 1,509.60 1,434.12 1,649.24 1,616.26 1,616.26 1,583.93 49205 1,734.84 1,648.10 1,895.32 1,857.41 1,857.41 1,820.27 49215 2,186.85 2,077.51 2,389.14 2,341.35 2,341.35 2,294.53 49220 873.50 829.83 954.30 935.21 935.21 916.52 49250 572.11 543.50 625.03 612.52 612.52 600.28 49255 773.29 734.63 844.82 827.93 827.93 811.37 49320 317.36 301.49 346.71 339.78 339.78 332.98 49321 337.03 320.18 368.21 360.85 360.85 353.63 49322 359.49 341.52 392.75 384.89 384.89 377.20 49323 622.14 591.03 679.68 666.09 666.09 652.77 49324 382.84 363.70 418.26 409.89 409.89 401.70 49325 408.76 388.32 446.57 437.63 437.63 428.88 49326 189.26 179.80 206.77 202.63 202.63 198.58 49327 130.67 124.14 142.76 139.91 139.91 137.11 49400 129.11 122.65 141.05 138.23 138.23 135.47

# 49400 93.59 88.91 102.25 100.20 100.20 98.20 49402 841.71 799.62 919.56 901.17 901.17 883.15 49405 780.75 741.71 852.97 835.91 835.91 819.19














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 49405 210.85 200.31 230.36 225.75 225.75 221.23 49406 781.05 742.00 853.30 836.23 836.23 819.51

# 49406 210.85 200.31 230.36 225.75 225.75 221.23 49407 657.67 624.79 718.51 704.13 704.13 690.05

# 49407 226.23 214.92 247.16 242.21 242.21 237.37 49411 495.63 470.85 541.48 530.64 530.64 520.03

# 49411 195.96 186.16 214.08 209.81 209.81 205.61 49412 82.63 78.50 90.28 88.47 88.47 86.70 49418 1,266.26 1,202.95 1,383.39 1,355.72 1,355.72 1,328.61

# 49418 216.95 206.10 237.02 232.28 232.28 227.63 49419 434.27 412.56 474.44 464.96 464.96 455.65 49421 229.71 218.22 250.95 245.94 245.94 241.02 49422 374.11 355.40 408.71 400.53 400.53 392.52 49423 483.26 459.10 527.97 517.41 517.41 507.06

# 49423 71.86 68.27 78.51 76.94 76.94 75.39 49424 130.99 124.44 143.11 140.24 140.24 137.44

# 49424 38.08 36.18 41.61 40.78 40.78 39.96 49425 719.45 683.48 786.00 770.28 770.28 754.87 49426 602.80 572.66 658.56 645.39 645.39 632.49 49427 45.95 43.65 50.20 49.20 49.20 48.21 49428 423.04 401.89 462.17 452.93 452.93 443.87 49429 450.35 427.83 492.00 482.16 482.16 472.51 49435 120.41 114.39 131.55 128.92 128.92 126.34 49436 181.31 172.24 198.08 194.12 194.12 190.23 49440 923.48 877.31 1,008.91 988.72 988.72 968.94

# 49440 219.38 208.41 239.67 234.88 234.88 230.18 49441 1,042.16 990.05 1,138.56 1,115.79 1,115.79 1,093.48

# 49441 254.26 241.55 277.78 272.23 272.23 266.79 49442 859.51 816.53 939.01 920.23 920.23 901.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 49442 218.26 207.35 238.45 233.68 233.68 229.01 49446 884.38 840.16 966.18 946.86 946.86 927.92

# 49446 162.38 154.26 177.40 173.85 173.85 170.37 49450 585.34 556.07 639.48 626.69 626.69 614.16

# 49450 67.06 63.71 73.27 71.81 71.81 70.37 49451 640.66 608.63 699.92 685.93 685.93 672.21

# 49451 90.80 86.26 99.20 97.21 97.21 95.27 49452 795.23 755.47 868.79 851.41 851.41 834.38

# 49452 139.71 132.72 152.63 149.58 149.58 146.59 49460 640.75 608.71 700.02 686.02 686.02 672.30

# 49460 48.08 45.68 52.53 51.49 51.49 50.45 49465 144.43 137.21 157.79 154.64 154.64 151.55

# 49465 30.88 29.34 33.74 33.06 33.06 32.41 49491 777.52 738.64 849.44 832.45 832.45 815.80 49492 939.71 892.72 1,026.63 1,006.10 1,006.10 985.98 49495 372.39 353.77 406.84 398.69 398.69 390.72 49496 599.78 569.79 655.26 642.15 642.15 629.30 49500 349.77 332.28 382.12 374.47 374.47 366.99 49501 569.16 540.70 621.81 609.37 609.37 597.18 49505 507.47 482.10 554.42 543.33 543.33 532.46 49507 571.35 542.78 624.20 611.71 611.71 599.47 49520 618.31 587.39 675.50 661.99 661.99 648.75 49521 701.73 666.64 766.64 751.31 751.31 736.28 49525 559.37 531.40 611.11 598.89 598.89 586.90 49540 657.09 624.24 717.88 703.52 703.52 689.45 49550 561.89 533.80 613.87 601.59 601.59 589.56 49553 616.95 586.10 674.02 660.54 660.54 647.32 49555 584.49 555.27 638.56 625.78 625.78 613.27 49557 709.35 673.88 774.96 759.46 759.46 744.27














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

49560 723.16 687.00 790.05 774.25 774.25 758.76 49561 914.66 868.93 999.27 979.28 979.28 959.70 49565 752.64 715.01 822.26 805.82 805.82 789.71 49566 923.14 876.98 1,008.53 988.36 988.36 968.59 49568 266.47 253.15 291.12 285.30 285.30 279.60 49570 403.47 383.30 440.80 431.97 431.97 423.34 49572 502.66 477.53 549.16 538.18 538.18 527.41 49580 319.93 303.93 349.52 342.53 342.53 335.67 49582 469.37 445.90 512.79 502.53 502.53 492.48 49585 431.76 410.17 471.70 462.27 462.27 453.02 49587 462.21 439.10 504.97 494.87 494.87 484.97 49590 558.87 530.93 610.57 598.36 598.36 586.39 49600 688.05 653.65 751.70 736.67 736.67 721.94 49605 4,909.70 4,664.22 5,363.85 5,256.58 5,256.58 5,151.45 49606 1,101.33 1,046.26 1,203.20 1,179.13 1,179.13 1,155.54 49610 674.43 640.71 736.82 722.09 722.09 707.64 49611 591.68 562.10 646.42 633.49 633.49 620.82 49650 416.06 395.26 454.55 445.45 445.45 436.54 49651 541.38 514.31 591.46 579.62 579.62 568.03 49652 729.34 692.87 796.80 780.86 780.86 765.24 49653 910.13 864.62 994.31 974.43 974.43 954.94 49654 830.16 788.65 906.95 888.81 888.81 871.03 49655 1,014.05 963.35 1,107.85 1,085.69 1,085.69 1,063.98 49656 902.80 857.66 986.31 966.59 966.59 947.26 49657 1,300.23 1,235.22 1,420.50 1,392.10 1,392.10 1,364.26 49900 793.03 753.38 866.39 849.06 849.06 832.07 49904 1,390.90 1,321.36 1,519.56 1,489.17 1,489.17 1,459.38 49905 351.98 334.38 384.54 376.84 376.84 369.31 49906 1,796.34 1,706.52 1,962.50 1,923.25 1,923.25 1,884.78














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

50010 720.57 684.54 787.22 771.48 771.48 756.04 50020 993.85 944.16 1,085.78 1,064.07 1,064.07 1,042.79 50040 905.54 860.26 989.30 969.51 969.51 950.12 50045 940.31 893.29 1,027.28 1,006.73 1,006.73 986.60 50060 1,120.44 1,064.42 1,224.08 1,199.60 1,199.60 1,175.61 50065 1,185.25 1,125.99 1,294.89 1,268.99 1,268.99 1,243.61 50070 1,162.18 1,104.07 1,269.68 1,244.29 1,244.29 1,219.40 50075 1,430.16 1,358.65 1,562.45 1,531.20 1,531.20 1,500.58 50080 850.89 808.35 929.60 911.01 911.01 892.79 50081 1,251.37 1,188.80 1,367.12 1,339.77 1,339.77 1,312.98 50100 1,031.51 979.93 1,126.92 1,104.38 1,104.38 1,082.29 50120 928.98 882.53 1,014.91 994.61 994.61 974.72 50125 1,006.38 956.06 1,099.47 1,077.48 1,077.48 1,055.93 50130 1,010.90 960.36 1,104.41 1,082.32 1,082.32 1,060.68 50135 1,115.37 1,059.60 1,218.54 1,194.17 1,194.17 1,170.29 50200 546.26 518.95 596.79 584.86 584.86 573.16

# 50200 140.01 133.01 152.96 149.90 149.90 146.90 50205 738.32 701.40 806.61 790.48 790.48 774.66 50220 1,025.52 974.24 1,120.38 1,097.97 1,097.97 1,076.01 50225 1,180.34 1,121.32 1,289.52 1,263.72 1,263.72 1,238.45 50230 1,258.62 1,195.69 1,375.04 1,347.55 1,347.55 1,320.59 50234 1,276.22 1,212.41 1,394.27 1,366.38 1,366.38 1,339.06 50236 1,438.73 1,366.79 1,571.81 1,540.37 1,540.37 1,509.56 50240 1,297.36 1,232.49 1,417.36 1,389.02 1,389.02 1,361.23 50250 1,191.62 1,132.04 1,301.85 1,275.81 1,275.81 1,250.29 50280 933.10 886.45 1,019.42 999.03 999.03 979.05 50290 878.16 834.25 959.39 940.21 940.21 921.40 50320 1,411.93 1,341.33 1,542.53 1,511.68 1,511.68 1,481.44 50323 135.05 128.30 147.55 144.59 144.59 141.70














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

50325 135.05 128.30 147.55 144.59 144.59 141.70 50327 216.21 205.40 236.21 231.48 231.48 226.85 50328 189.72 180.23 207.26 203.12 203.12 199.07 50329 177.50 168.63 193.92 190.05 190.05 186.24 50340 909.95 864.45 994.12 974.23 974.23 954.75 50360 2,377.66 2,258.78 2,597.60 2,545.64 2,545.64 2,494.73 50365 2,774.70 2,635.97 3,031.37 2,970.74 2,970.74 2,911.33 50370 1,171.76 1,113.17 1,280.15 1,254.55 1,254.55 1,229.45 50380 1,935.67 1,838.89 2,114.72 2,072.43 2,072.43 2,030.98 50382 1,058.23 1,005.32 1,156.12 1,132.99 1,132.99 1,110.34

# 50382 269.73 256.24 294.68 288.79 288.79 283.02 50384 847.69 805.31 926.11 907.58 907.58 889.43

# 50384 245.00 232.75 267.66 262.32 262.32 257.07 50385 1,012.81 962.17 1,106.50 1,084.37 1,084.37 1,062.68

# 50385 229.47 218.00 250.70 245.69 245.69 240.78 50386 662.59 629.46 723.88 709.40 709.40 695.21

# 50386 174.07 165.37 190.18 186.37 186.37 182.64 50387 482.40 458.28 527.02 516.48 516.48 506.15

# 50387 97.10 92.25 106.09 103.97 103.97 101.89 50389 262.90 249.76 287.22 281.47 281.47 275.84

# 50389 54.01 51.31 59.01 57.82 57.82 56.66 50390 96.28 91.47 105.19 103.09 103.09 101.03 50391 117.03 111.18 127.86 125.30 125.30 122.80

# 50391 96.99 92.14 105.96 103.85 103.85 101.76 50395 176.43 167.61 192.75 188.90 188.90 185.12 50396 115.54 109.76 126.22 123.69 123.69 121.22 50400 1,136.09 1,079.29 1,241.18 1,216.36 1,216.36 1,192.03 50405 1,370.93 1,302.38 1,497.74 1,467.78 1,467.78 1,438.42 50430 468.09 444.69 511.39 501.17 501.17 491.14














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 50430 165.08 156.83 180.35 176.74 176.74 173.21 50431 146.31 138.99 159.84 156.64 156.64 153.51

# 50431 64.63 61.40 70.61 69.20 69.20 67.82 50432 754.03 716.33 823.78 807.30 807.30 791.15

# 50432 218.74 207.80 238.97 234.19 234.19 229.51 50433 1,012.40 961.78 1,106.05 1,083.92 1,083.92 1,062.24

# 50433 270.05 256.55 295.03 289.13 289.13 283.35 50434 800.00 760.00 874.00 856.52 856.52 839.39

# 50434 206.72 196.38 225.84 221.32 221.32 216.89 50435 418.23 397.32 456.92 447.78 447.78 438.82

# 50435 99.73 94.74 108.95 106.78 106.78 104.64 50500 1,252.47 1,189.85 1,368.33 1,340.96 1,340.96 1,314.14 50520 1,106.27 1,050.96 1,208.60 1,184.43 1,184.43 1,160.74 50525 1,399.69 1,329.71 1,529.17 1,498.59 1,498.59 1,468.62 50526 1,453.49 1,380.82 1,587.94 1,556.18 1,556.18 1,525.06 50540 1,130.48 1,073.96 1,235.05 1,210.35 1,210.35 1,186.14 50541 901.27 856.21 984.64 964.95 964.95 945.66 50542 1,143.35 1,086.18 1,249.11 1,224.13 1,224.13 1,199.65 50543 1,458.19 1,385.28 1,593.07 1,561.21 1,561.21 1,529.98 50544 1,223.23 1,162.07 1,336.38 1,309.65 1,309.65 1,283.46 50545 1,316.50 1,250.68 1,438.28 1,409.52 1,409.52 1,381.33 50546 1,179.19 1,120.23 1,288.26 1,262.50 1,262.50 1,237.25 50547 1,576.41 1,497.59 1,722.23 1,687.79 1,687.79 1,654.03 50548 1,324.92 1,258.67 1,447.47 1,418.53 1,418.53 1,390.15 50551 345.33 328.06 377.27 369.73 369.73 362.33

# 50551 290.37 275.85 317.23 310.88 310.88 304.66 50553 366.95 348.60 400.89 392.87 392.87 385.02

# 50553 307.14 291.78 335.55 328.83 328.83 322.25 50555 395.07 375.32 431.62 422.98 422.98 414.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 50555 335.56 318.78 366.60 359.26 359.26 352.07 50557 403.22 383.06 440.52 431.71 431.71 423.07

# 50557 341.58 324.50 373.18 365.71 365.71 358.40 50561 458.07 435.17 500.45 490.44 490.44 480.63

# 50561 390.06 370.56 426.14 417.62 417.62 409.27 50562 571.52 542.94 624.38 611.89 611.89 599.66 50570 485.81 461.52 530.75 520.13 520.13 509.73 50572 525.70 499.42 574.33 562.84 562.84 551.59 50574 559.05 531.10 610.77 598.55 598.55 586.58 50575 706.57 671.24 771.93 756.49 756.49 741.36 50576 558.69 530.76 610.37 598.16 598.16 586.20 50580 601.99 571.89 657.67 644.52 644.52 631.63 50590 680.33 646.31 743.26 728.39 728.39 713.82

# 50590 552.50 524.88 603.61 591.54 591.54 579.70 50592 2,235.23 2,123.47 2,441.99 2,393.15 2,393.15 2,345.29

# 50592 356.73 338.89 389.72 381.93 381.93 374.29 50593 4,055.80 3,853.01 4,430.96 4,342.34 4,342.34 4,255.49

# 50593 473.69 450.01 517.51 507.16 507.16 497.02 50600 924.60 878.37 1,010.13 989.92 989.92 970.12 50605 964.82 916.58 1,054.07 1,032.99 1,032.99 1,012.33 50606 474.46 450.74 518.35 507.99 507.99 497.84

# 50606 156.88 149.04 171.40 167.97 167.97 164.61 50610 955.59 907.81 1,043.98 1,023.10 1,023.10 1,002.64 50620 888.26 843.85 970.43 951.02 951.02 931.99 50630 872.55 828.92 953.26 934.19 934.19 915.50 50650 1,014.22 963.51 1,108.04 1,085.88 1,085.88 1,064.16 50660 1,126.63 1,070.30 1,230.85 1,206.22 1,206.22 1,182.10 50684 96.11 91.30 105.00 102.89 102.89 100.83

# 50684 48.44 46.02 52.92 51.87 51.87 50.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

50686 132.69 126.06 144.97 142.07 142.07 139.23 # 50686 85.93 81.63 93.87 92.00 92.00 90.16

50688 76.75 72.91 83.85 82.17 82.17 80.52 50690 92.02 87.42 100.53 98.52 98.52 96.55

# 50690 68.33 64.91 74.65 73.15 73.15 71.69 50693 938.11 891.20 1,024.88 1,004.39 1,004.39 984.30

# 50693 216.40 205.58 236.42 231.69 231.69 227.06 50694 1,038.15 986.24 1,134.18 1,111.50 1,111.50 1,089.27

# 50694 280.01 266.01 305.91 299.79 299.79 293.80 50695 1,267.78 1,204.39 1,385.05 1,357.35 1,357.35 1,330.19

# 50695 355.70 337.92 388.61 380.83 380.83 373.22 50700 910.91 865.36 995.16 975.26 975.26 955.75 50705 1,494.93 1,420.18 1,633.21 1,600.55 1,600.55 1,568.53

# 50705 200.90 190.86 219.49 215.10 215.10 210.80 50706 682.01 647.91 745.10 730.19 730.19 715.59

# 50706 186.81 177.47 204.09 200.01 200.01 196.01 50715 1,193.10 1,133.45 1,303.47 1,277.40 1,277.40 1,251.84 50722 996.59 946.76 1,088.77 1,066.99 1,066.99 1,045.65 50725 1,105.44 1,050.17 1,207.70 1,183.55 1,183.55 1,159.88 50727 490.98 466.43 536.39 525.67 525.67 515.15 50728 682.62 648.49 745.76 730.85 730.85 716.23 50740 1,203.33 1,143.16 1,314.63 1,288.35 1,288.35 1,262.57 50750 1,130.57 1,074.04 1,235.15 1,210.44 1,210.44 1,186.24 50760 1,107.66 1,052.28 1,210.12 1,185.91 1,185.91 1,162.20 50770 1,129.47 1,073.00 1,233.95 1,209.27 1,209.27 1,185.09 50780 1,086.05 1,031.75 1,186.51 1,162.79 1,162.79 1,139.54 50782 1,042.37 990.25 1,138.79 1,116.02 1,116.02 1,093.70 50783 1,110.21 1,054.70 1,212.91 1,188.65 1,188.65 1,164.88 50785 1,189.88 1,130.39 1,299.95 1,273.95 1,273.95 1,248.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

50800 902.87 857.73 986.39 966.67 966.67 947.34 50810 1,234.39 1,172.67 1,348.57 1,321.60 1,321.60 1,295.18 50815 1,199.10 1,139.15 1,310.02 1,283.83 1,283.83 1,258.15 50820 1,289.43 1,224.96 1,408.70 1,380.53 1,380.53 1,352.92 50825 1,627.03 1,545.68 1,777.53 1,741.99 1,741.99 1,707.14 50830 1,779.85 1,690.86 1,944.49 1,905.60 1,905.60 1,867.49 50840 1,206.26 1,145.95 1,317.84 1,291.48 1,291.48 1,265.66 50845 1,222.32 1,161.20 1,335.38 1,308.68 1,308.68 1,282.50 50860 924.56 878.33 1,010.08 989.87 989.87 970.07 50900 840.98 798.93 918.77 900.39 900.39 882.38 50920 862.49 819.37 942.28 923.43 923.43 904.96 50930 1,154.92 1,097.17 1,261.75 1,236.51 1,236.51 1,211.79 50940 866.62 823.29 946.78 927.84 927.84 909.28 50945 953.63 905.95 1,041.84 1,021.00 1,021.00 1,000.58 50947 1,364.67 1,296.44 1,490.91 1,461.09 1,461.09 1,431.87 50948 1,254.00 1,191.30 1,370.00 1,342.59 1,342.59 1,315.74 50951 360.40 342.38 393.74 385.86 385.86 378.14

# 50951 302.41 287.29 330.38 323.77 323.77 317.30 50953 380.90 361.86 416.14 407.81 407.81 399.66

# 50953 320.78 304.74 350.45 343.45 343.45 336.58 50955 408.82 388.38 446.64 437.70 437.70 428.95

# 50955 347.79 330.40 379.96 372.36 372.36 364.91 50957 412.38 391.76 450.52 441.51 441.51 432.68

# 50957 349.83 332.34 382.19 374.54 374.54 367.06 50961 371.33 352.76 405.67 397.56 397.56 389.61

# 50961 313.03 297.38 341.99 335.14 335.14 328.44 50970 367.36 348.99 401.34 393.31 393.31 385.45 50972 357.44 339.57 390.51 382.70 382.70 375.04 50974 467.57 444.19 510.82 500.61 500.61 490.59














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

50976 460.04 437.04 502.60 492.55 492.55 482.69 50980 349.85 332.36 382.21 374.57 374.57 367.08 51020 454.18 431.47 496.19 486.27 486.27 476.54 51030 460.43 437.41 503.02 492.96 492.96 483.10 51040 278.23 264.32 303.97 297.88 297.88 291.93 51045 475.32 451.55 519.28 508.90 508.90 498.72 51050 458.21 435.30 500.60 490.58 490.58 480.77 51060 566.84 538.50 619.28 606.89 606.89 594.76 51065 562.36 534.24 614.38 602.09 602.09 590.05 51080 396.62 376.79 433.31 424.64 424.64 416.15 51100 57.39 54.52 62.70 61.44 61.44 60.21

# 51100 38.87 36.93 42.47 41.62 41.62 40.79 51101 113.15 107.49 123.61 121.14 121.14 118.71

# 51101 51.52 48.94 56.28 55.15 55.15 54.05 51102 211.85 201.26 231.45 226.81 226.81 222.28

# 51102 142.32 135.20 155.48 152.38 152.38 149.33 51500 621.50 590.43 678.99 665.41 665.41 652.11 51520 581.84 552.75 635.66 622.96 622.96 610.50 51525 840.07 798.07 917.78 899.43 899.43 881.44 51530 776.85 738.01 848.71 831.74 831.74 815.11 51535 761.20 723.14 831.61 814.98 814.98 798.69 51550 943.91 896.71 1,031.22 1,010.60 1,010.60 990.38 51555 1,244.13 1,181.92 1,359.21 1,332.02 1,332.02 1,305.38 51565 1,274.59 1,210.86 1,392.49 1,364.64 1,364.64 1,337.35 51570 1,451.70 1,379.12 1,585.99 1,554.27 1,554.27 1,523.19 51575 1,791.78 1,702.19 1,957.52 1,918.37 1,918.37 1,880.01 51580 1,861.35 1,768.28 2,033.52 1,992.85 1,992.85 1,952.99 51585 2,072.84 1,969.20 2,264.58 2,219.29 2,219.29 2,174.90 51590 1,902.10 1,807.00 2,078.05 2,036.49 2,036.49 1,995.76














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

51595 2,152.78 2,045.14 2,351.91 2,304.88 2,304.88 2,258.78 51596 2,312.31 2,196.69 2,526.19 2,475.67 2,475.67 2,426.16 51597 2,258.49 2,145.57 2,467.41 2,418.06 2,418.06 2,369.70 51600 163.29 155.13 178.40 174.83 174.83 171.34

# 51600 43.97 41.77 48.04 47.07 47.07 46.13 51605 37.13 35.27 40.56 39.74 39.74 38.95 51610 98.06 93.16 107.13 105.00 105.00 102.89

# 51610 62.24 59.13 68.00 66.64 66.64 65.31 51700 76.79 72.95 83.89 82.21 82.21 80.57

# 51700 44.31 42.09 48.40 47.44 47.44 46.49 51701 49.99 47.49 54.61 53.52 53.52 52.45

# 51701 27.22 25.86 29.74 29.14 29.14 28.55 51702 63.35 60.18 69.21 67.83 67.83 66.47

# 51702 29.35 27.88 32.06 31.42 31.42 30.79 51703 120.29 114.28 131.42 128.79 128.79 126.21

# 51703 79.61 75.63 86.97 85.24 85.24 83.54 51705 83.58 79.40 91.31 89.48 89.48 87.69

# 51705 50.49 47.97 55.17 54.06 54.06 52.98 51710 118.69 112.76 129.67 127.08 127.08 124.53

# 51710 77.71 73.82 84.89 83.19 83.19 81.52 51715 272.87 259.23 298.11 292.16 292.16 286.32

# 51715 196.36 186.54 214.52 210.23 210.23 206.02 51720 102.85 97.71 112.37 110.12 110.12 107.92

# 51720 78.56 74.63 85.82 84.11 84.11 82.43 51725 169.63 161.15 185.32 181.62 181.62 177.99 51725 TC 94.46 89.74 103.20 101.14 101.14 99.12 51725 26 75.17 71.41 82.12 80.48 80.48 78.87 51726 235.76 223.97 257.57 252.41 252.41 247.37 51726 TC 151.58 144.00 165.60 162.29 162.29 159.05














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

51726 26 84.18 79.97 91.97 90.13 90.13 88.32 51727 279.67 265.69 305.54 299.44 299.44 293.45 51727 TC 174.35 165.63 190.47 186.67 186.67 182.93 51727 26 105.33 100.06 115.07 112.77 112.77 110.52 51728 282.07 267.97 308.17 302.00 302.00 295.96 51728 TC 178.90 169.96 195.45 191.54 191.54 187.71 51728 26 103.17 98.01 112.71 110.46 110.46 108.25 51729 306.25 290.94 334.58 327.89 327.89 321.33 51729 TC 181.64 172.56 198.44 194.48 194.48 190.59 51729 26 124.61 118.38 136.14 133.41 133.41 130.74 51736 14.35 13.63 15.67 15.36 15.36 15.05 51736 TC 6.11 5.80 6.67 6.53 6.53 6.41 51736 26 8.25 7.84 9.02 8.83 8.83 8.66 51741 14.66 13.93 16.02 15.70 15.70 15.39 51741 TC 6.41 6.09 7.00 6.87 6.87 6.73 51741 26 8.25 7.84 9.02 8.83 8.83 8.66 51784 174.02 165.32 190.12 186.31 186.31 182.59 51784 TC 98.44 93.52 107.55 105.40 105.40 103.29 51784 26 75.58 71.80 82.57 80.91 80.91 79.29 51785 236.80 224.96 258.70 253.53 253.53 248.46 51785 TC 150.36 142.84 164.27 160.98 160.98 157.76 51785 26 86.44 82.12 94.44 92.55 92.55 90.70 51792 187.97 178.57 205.36 201.25 201.25 197.23 51792 TC 133.36 126.69 145.69 142.78 142.78 139.93 51792 26 54.61 51.88 59.66 58.47 58.47 57.29 51797 100.54 95.51 109.84 107.64 107.64 105.49 51797 TC 61.03 57.98 66.68 65.34 65.34 64.03 51797 26 39.52 37.54 43.17 42.31 42.31 41.46 51798 16.47 15.65 18.00 17.64 17.64 17.28














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

51800 1,019.08 968.13 1,113.35 1,091.09 1,091.09 1,069.26 51820 1,086.95 1,032.60 1,187.49 1,163.74 1,163.74 1,140.47 51840 638.85 606.91 697.95 683.99 683.99 670.30 51841 759.81 721.82 830.09 813.49 813.49 797.21 51845 570.71 542.17 623.50 611.03 611.03 598.81 51860 726.40 690.08 793.59 777.72 777.72 762.16 51865 874.73 830.99 955.64 936.53 936.53 917.79 51880 455.39 432.62 497.51 487.57 487.57 477.81 51900 815.20 774.44 890.61 872.79 872.79 855.34 51920 841.68 799.60 919.54 901.15 901.15 883.13 51925 1,064.06 1,010.86 1,162.49 1,139.24 1,139.24 1,116.45 51940 1,625.58 1,544.30 1,775.95 1,740.42 1,740.42 1,705.61 51960 1,364.83 1,296.59 1,491.08 1,461.26 1,461.26 1,432.04 51980 695.10 660.35 759.40 744.21 744.21 729.33 51990 731.74 695.15 799.42 783.44 783.44 767.77 51992 820.38 779.36 896.26 878.34 878.34 860.76 52000 189.11 179.65 206.60 202.47 202.47 198.42

# 52000 123.23 117.07 134.63 131.94 131.94 129.31 52001 353.28 335.62 385.96 378.25 378.25 370.68

# 52001 283.14 268.98 309.33 303.14 303.14 297.08 52005 242.47 230.35 264.90 259.60 259.60 254.41

# 52005 130.13 123.62 142.16 139.32 139.32 136.54 52007 398.37 378.45 435.22 426.51 426.51 417.98

# 52007 162.46 154.34 177.49 173.94 173.94 170.46 52010 337.75 320.86 368.99 361.61 361.61 354.37

# 52010 163.78 155.59 178.93 175.35 175.35 171.84 52204 331.79 315.20 362.48 355.24 355.24 348.13

# 52204 138.99 132.04 151.85 148.81 148.81 145.83 52214 586.36 557.04 640.60 627.79 627.79 615.23














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 52214 174.66 165.93 190.82 187.00 187.00 183.26 52224 615.98 585.18 672.96 659.50 659.50 646.31

# 52224 201.85 191.76 220.52 216.11 216.11 211.78 52234 242.23 230.12 264.64 259.35 259.35 254.16 52235 284.36 270.14 310.66 304.45 304.45 298.37 52240 386.86 367.52 422.65 414.20 414.20 405.92 52250 236.03 224.23 257.86 252.71 252.71 247.66 52260 206.82 196.48 225.95 221.43 221.43 217.01 52265 331.74 315.15 362.42 355.18 355.18 348.07

# 52265 159.59 151.61 174.35 170.87 170.87 167.45 52270 325.33 309.06 355.42 348.31 348.31 341.34

# 52270 178.38 169.46 194.88 190.98 190.98 187.16 52275 439.67 417.69 480.34 470.74 470.74 461.32

# 52275 244.74 232.50 267.38 262.03 262.03 256.78 52276 260.78 247.74 284.90 279.21 279.21 273.62 52277 318.92 302.97 348.42 341.45 341.45 334.62 52281 250.45 237.93 273.62 268.15 268.15 262.79

# 52281 149.04 141.59 162.83 159.57 159.57 156.38 52282 331.85 315.26 362.55 355.29 355.29 348.19 52283 260.72 247.68 284.83 279.14 279.14 273.56

# 52283 197.87 187.98 216.18 211.85 211.85 207.62 52285 262.11 249.00 286.35 280.62 280.62 275.01

# 52285 192.27 182.66 210.06 205.86 205.86 201.74 52287 286.78 272.44 313.31 307.04 307.04 300.90

# 52287 166.54 158.21 181.94 178.31 178.31 174.74 52290 240.16 228.15 262.37 257.13 257.13 251.99 52300 276.54 262.71 302.12 296.08 296.08 290.16 52301 285.90 271.61 312.35 306.11 306.11 299.99 52305 275.06 261.31 300.51 294.49 294.49 288.60














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

52310 226.22 214.91 247.15 242.20 242.20 237.36 # 52310 149.10 141.65 162.90 159.64 159.64 156.45

52315 386.48 367.16 422.23 413.79 413.79 405.51 # 52315 270.50 256.98 295.53 289.62 289.62 283.82

52317 729.58 693.10 797.07 781.13 781.13 765.51 # 52317 343.38 326.21 375.14 367.64 367.64 360.30

52318 468.32 444.90 511.64 501.40 501.40 491.37 52320 243.22 231.06 265.72 260.41 260.41 255.20 52325 317.08 301.23 346.41 339.49 339.49 332.71 52327 259.46 246.49 283.46 277.79 277.79 272.24 52330 454.10 431.40 496.11 486.19 486.19 476.46

# 52330 260.09 247.09 284.15 278.47 278.47 272.91 52332 435.77 413.98 476.08 466.56 466.56 457.23

# 52332 152.49 144.87 166.60 163.27 163.27 160.00 52334 252.50 239.88 275.86 270.34 270.34 264.94 52341 279.89 265.90 305.79 299.67 299.67 293.68 52342 304.64 289.41 332.82 326.16 326.16 319.64 52343 339.40 322.43 370.79 363.38 363.38 356.11 52344 364.83 346.59 398.58 390.61 390.61 382.80 52345 389.59 370.11 425.63 417.12 417.12 408.78 52346 440.48 418.46 481.23 471.60 471.60 462.17 52351 298.60 283.67 326.22 319.70 319.70 313.31 52352 349.36 331.89 381.67 374.04 374.04 366.56 52353 386.86 367.52 422.65 414.20 414.20 405.92 52354 411.61 391.03 449.68 440.69 440.69 431.88 52355 461.47 438.40 504.16 494.07 494.07 484.20 52356 410.70 390.17 448.70 439.73 439.73 430.93 52400 468.17 444.76 511.47 501.24 501.24 491.21 52402 264.24 251.03 288.68 282.91 282.91 277.25














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

52441 1,093.34 1,038.67 1,194.47 1,170.59 1,170.59 1,147.17 # 52441 226.20 214.89 247.12 242.18 242.18 237.34

52442 822.85 781.71 898.97 880.99 880.99 863.37 # 52442 60.16 57.15 65.72 64.41 64.41 63.12

52450 455.28 432.52 497.40 487.45 487.45 477.70 52500 473.17 449.51 516.94 506.60 506.60 496.47 52601 827.15 785.79 903.66 885.58 885.58 867.87 52630 386.76 367.42 422.53 414.08 414.08 405.80 52640 302.40 287.28 330.37 323.76 323.76 317.29 52647 1,594.04 1,514.34 1,741.49 1,706.66 1,706.66 1,672.53

# 52647 630.65 599.12 688.99 675.21 675.21 661.71 52648 1,644.26 1,562.05 1,796.36 1,760.43 1,760.43 1,725.22

# 52648 673.28 639.62 735.56 720.85 720.85 706.43 52649 802.99 762.84 877.27 859.72 859.72 842.52 52700 428.06 406.66 467.66 458.31 458.31 449.14 53000 142.63 135.50 155.83 152.71 152.71 149.65 53010 283.44 269.27 309.66 303.46 303.46 297.39 53020 95.04 90.29 103.83 101.75 101.75 99.72 53025 69.53 66.05 75.96 74.44 74.44 72.96 53040 380.05 361.05 415.21 406.90 406.90 398.76 53060 174.47 165.75 190.61 186.81 186.81 183.07

# 53060 158.68 150.75 173.36 169.90 169.90 166.51 53080 406.53 386.20 444.13 435.25 435.25 426.55 53085 648.56 616.13 708.55 694.38 694.38 680.49 53200 150.90 143.36 164.86 161.56 161.56 158.33

# 53200 139.36 132.39 152.25 149.20 149.20 146.22 53210 751.95 714.35 821.50 805.07 805.07 788.97 53215 909.71 864.22 993.85 973.98 973.98 954.50 53220 441.51 419.43 482.34 472.70 472.70 463.24














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

53230 588.92 559.47 643.39 630.52 630.52 617.91 53235 615.77 584.98 672.73 659.27 659.27 646.08 53240 414.36 393.64 452.69 443.64 443.64 434.76 53250 399.42 379.45 436.37 427.64 427.64 419.08 53260 192.64 183.01 210.46 206.25 206.25 202.12

# 53260 175.03 166.28 191.22 187.39 187.39 183.64 53265 207.37 197.00 226.55 222.02 222.02 217.58

# 53265 180.65 171.62 197.36 193.42 193.42 189.55 53270 199.11 189.15 217.52 213.18 213.18 208.91

# 53270 180.59 171.56 197.29 193.35 193.35 189.49 53275 255.59 242.81 279.23 273.64 273.64 268.17 53400 781.79 742.70 854.11 837.03 837.03 820.28 53405 853.42 810.75 932.36 913.72 913.72 895.45 53410 956.61 908.78 1,045.10 1,024.19 1,024.19 1,003.71 53415 1,107.26 1,051.90 1,209.69 1,185.49 1,185.49 1,161.78 53420 833.71 792.02 910.82 892.61 892.61 874.76 53425 916.91 871.06 1,001.72 981.69 981.69 962.06 53430 942.60 895.47 1,029.79 1,009.19 1,009.19 989.01 53431 1,134.65 1,077.92 1,239.61 1,214.81 1,214.81 1,190.51 53440 734.33 697.61 802.25 786.21 786.21 770.49 53442 761.22 723.16 831.63 815.01 815.01 798.71 53444 774.04 735.34 845.64 828.72 828.72 812.15 53445 732.26 695.65 800.00 784.00 784.00 768.33 53446 624.50 593.28 682.27 668.62 668.62 655.25 53447 788.30 748.89 861.22 844.00 844.00 827.11 53448 1,259.70 1,196.72 1,376.23 1,348.71 1,348.71 1,321.73 53449 594.77 565.03 649.78 636.79 636.79 624.06 53450 396.30 376.49 432.96 424.30 424.30 415.82 53460 444.15 421.94 485.23 475.53 475.53 466.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

53500 728.49 692.07 795.88 779.96 779.96 764.37 53502 472.34 448.72 516.03 505.71 505.71 495.60 53505 473.62 449.94 517.43 507.08 507.08 496.94 53510 614.73 583.99 671.59 658.16 658.16 644.99 53515 776.71 737.87 848.55 831.58 831.58 814.95 53520 540.46 513.44 590.46 578.65 578.65 567.08 53600 79.00 75.05 86.31 84.58 84.58 82.89

# 53600 62.60 59.47 68.39 67.02 67.02 65.68 53601 75.55 71.77 82.54 80.88 80.88 79.26

# 53601 52.48 49.86 57.34 56.19 56.19 55.06 53605 63.97 60.77 69.89 68.48 68.48 67.11 53620 109.64 104.16 119.78 117.39 117.39 115.05

# 53620 85.66 81.38 93.59 91.71 91.71 89.88 53621 102.30 97.19 111.77 109.54 109.54 107.35

# 53621 71.03 67.48 77.60 76.05 76.05 74.53 53660 64.87 61.63 70.87 69.46 69.46 68.07

# 53660 40.58 38.55 44.33 43.45 43.45 42.57 53661 63.71 60.52 69.60 68.21 68.21 66.84

# 53661 39.42 37.45 43.07 42.21 42.21 41.37 53665 38.15 36.24 41.68 40.85 40.85 40.03 53850 1,836.52 1,744.69 2,006.39 1,966.27 1,966.27 1,926.94

# 53850 588.03 558.63 642.42 629.58 629.58 616.99 53852 1,701.82 1,616.73 1,859.24 1,822.06 1,822.06 1,785.62

# 53852 606.06 575.76 662.12 648.88 648.88 635.90 53855 674.18 640.47 736.54 721.81 721.81 707.38

# 53855 81.82 77.73 89.39 87.61 87.61 85.86 53860 1,348.18 1,280.77 1,472.89 1,443.42 1,443.42 1,414.56

# 53860 220.84 209.80 241.27 236.44 236.44 231.71 54000 137.11 130.25 149.79 146.80 146.80 143.87














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 54000 103.41 98.24 112.98 110.72 110.72 108.50 54001 172.47 163.85 188.43 184.66 184.66 180.96

# 54001 133.61 126.93 145.97 143.05 143.05 140.19 54015 301.94 286.84 329.87 323.27 323.27 316.80 54050 121.47 115.40 132.71 130.05 130.05 127.45

# 54050 99.01 94.06 108.17 106.01 106.01 103.89 54055 109.68 104.20 119.83 117.44 117.44 115.09

# 54055 87.82 83.43 95.94 94.02 94.02 92.14 54056 130.31 123.79 142.36 139.51 139.51 136.71

# 54056 104.20 98.99 113.84 111.56 111.56 109.33 54057 124.44 118.22 135.95 133.24 133.24 130.57

# 54057 90.13 85.62 98.46 96.50 96.50 94.56 54060 166.43 158.11 181.83 178.19 178.19 174.63

# 54060 125.14 118.88 136.71 133.98 133.98 131.30 54065 203.76 193.57 222.61 218.16 218.16 213.80

# 54065 165.50 157.23 180.81 177.20 177.20 173.66 54100 182.49 173.37 199.38 195.39 195.39 191.48

# 54100 121.16 115.10 132.37 129.72 129.72 127.12 54105 249.30 236.84 272.37 266.92 266.92 261.58

# 54105 206.48 196.16 225.58 221.08 221.08 216.66 54110 615.37 584.60 672.29 658.85 658.85 645.67 54111 782.42 743.30 854.80 837.69 837.69 820.94 54112 919.30 873.34 1,004.34 984.25 984.25 964.56 54115 433.78 412.09 473.90 464.43 464.43 455.14

# 54115 411.01 390.46 449.03 440.05 440.05 431.25 54120 615.31 584.54 672.22 658.78 658.78 645.60 54125 793.78 754.09 867.20 849.86 849.86 832.86 54130 1,166.43 1,108.11 1,274.33 1,248.84 1,248.84 1,223.86 54135 1,472.95 1,399.30 1,609.20 1,577.01 1,577.01 1,545.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

54150 144.13 136.92 157.46 154.31 154.31 151.23 # 54150 96.46 91.64 105.39 103.28 103.28 101.21

54160 207.32 196.95 226.49 221.96 221.96 217.52 # 54160 142.04 134.94 155.18 152.08 152.08 149.04

54161 190.95 181.40 208.61 204.44 204.44 200.34 54162 241.96 229.86 264.34 259.05 259.05 253.86

# 54162 193.07 183.42 210.93 206.71 206.71 202.58 54163 210.08 199.58 229.52 224.93 224.93 220.43 54164 184.68 175.45 201.77 197.73 197.73 193.78 54200 98.76 93.82 107.89 105.73 105.73 103.62

# 54200 79.33 75.36 86.66 84.93 84.93 83.23 54205 516.56 490.73 564.34 553.06 553.06 542.00 54220 190.63 181.10 208.27 204.10 204.10 200.02

# 54220 131.42 124.85 143.58 140.70 140.70 137.89 54230 91.62 87.04 100.10 98.10 98.10 96.13

# 54230 77.35 73.48 84.50 82.81 82.81 81.16 54231 133.36 126.69 145.69 142.78 142.78 139.93

# 54231 113.32 107.65 123.80 121.33 121.33 118.90 54235 84.96 80.71 92.82 90.97 90.97 89.15

# 54235 71.00 67.45 77.57 76.02 76.02 74.50 54240 96.11 91.30 105.00 102.89 102.89 100.83 54240 TC 30.09 28.59 32.88 32.22 32.22 31.58 54240 26 66.02 62.72 72.13 70.69 70.69 69.28 54250 117.80 111.91 128.70 126.12 126.12 123.60 54250 TC 9.45 8.98 10.33 10.12 10.12 9.91 54250 26 108.35 102.93 118.37 116.00 116.00 113.68 54300 624.27 593.06 682.02 668.38 668.38 655.02 54304 731.77 695.18 799.46 783.47 783.47 767.80 54308 697.53 662.65 762.05 746.81 746.81 731.87














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

54312 836.46 794.64 913.84 895.56 895.56 877.66 54316 1,022.01 970.91 1,116.55 1,094.21 1,094.21 1,072.33 54318 726.09 689.79 793.26 777.39 777.39 761.84 54322 751.49 713.92 821.01 804.59 804.59 788.50 54324 973.37 924.70 1,063.41 1,042.14 1,042.14 1,021.30 54326 924.50 878.28 1,010.02 989.82 989.82 970.03 54328 918.60 872.67 1,003.57 983.50 983.50 963.84 54332 1,042.27 990.16 1,138.68 1,115.91 1,115.91 1,093.59 54336 1,218.96 1,158.01 1,331.71 1,305.08 1,305.08 1,278.97 54340 553.66 525.98 604.88 592.78 592.78 580.92 54344 1,013.75 963.06 1,107.52 1,085.37 1,085.37 1,063.66 54348 991.61 942.03 1,083.33 1,061.67 1,061.67 1,040.44 54352 1,389.06 1,319.61 1,517.55 1,487.20 1,487.20 1,457.46 54360 703.03 667.88 768.06 752.70 752.70 737.64 54380 780.13 741.12 852.29 835.25 835.25 818.54 54385 949.44 901.97 1,037.27 1,016.52 1,016.52 996.19 54390 1,272.19 1,208.58 1,389.87 1,362.07 1,362.07 1,334.83 54400 515.63 489.85 563.33 552.06 552.06 541.02 54401 633.28 601.62 691.86 678.03 678.03 664.47 54405 789.98 750.48 863.05 845.79 845.79 828.87 54406 712.50 676.88 778.41 762.84 762.84 747.58 54408 770.36 731.84 841.62 824.78 824.78 808.29 54410 838.18 796.27 915.71 897.39 897.39 879.44 54411 1,001.45 951.38 1,094.09 1,072.20 1,072.20 1,050.76 54415 512.43 486.81 559.83 548.63 548.63 537.66 54416 689.53 655.05 753.31 738.24 738.24 723.48 54417 877.48 833.61 958.65 939.48 939.48 920.69 54420 687.10 652.75 750.66 735.66 735.66 720.95 54430 622.87 591.73 680.49 666.89 666.89 653.55














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

54435 402.22 382.11 439.43 430.64 430.64 422.03 54437 662.09 628.99 723.34 708.87 708.87 694.69 54438 1,343.48 1,276.31 1,467.76 1,438.40 1,438.40 1,409.62 54440 528.19 501.78 577.05 565.50 565.50 554.20 54450 67.28 63.92 73.51 72.04 72.04 70.60

# 54450 56.95 54.10 62.22 60.97 60.97 59.75 54500 72.60 68.97 79.32 77.73 77.73 76.18 54505 203.80 193.61 222.65 218.20 218.20 213.84 54512 525.52 499.24 574.13 562.65 562.65 551.39 54520 315.65 299.87 344.85 337.95 337.95 331.19 54522 603.03 572.88 658.81 645.63 645.63 632.72 54530 490.34 465.82 535.69 524.98 524.98 514.48 54535 725.71 689.42 792.83 776.97 776.97 761.44 54550 479.71 455.72 524.08 513.60 513.60 503.33 54560 669.93 636.43 731.89 717.26 717.26 702.91 54600 442.04 419.94 482.93 473.27 473.27 463.81 54620 293.66 278.98 320.83 314.41 314.41 308.12 54640 463.90 440.71 506.82 496.69 496.69 486.75 54650 691.18 656.62 755.11 740.01 740.01 725.21 54660 345.00 327.75 376.91 369.38 369.38 362.00 54670 391.52 371.94 427.73 419.18 419.18 410.79 54680 773.03 734.38 844.54 827.64 827.64 811.10 54690 720.61 684.58 787.27 771.52 771.52 756.09 54692 835.26 793.50 912.53 894.27 894.27 876.39 54700 207.49 197.12 226.69 222.16 222.16 217.72 54800 125.06 118.81 136.63 133.89 133.89 131.22 54830 360.34 342.32 393.67 385.79 385.79 378.07 54840 311.03 295.48 339.80 333.01 333.01 326.35 54860 405.82 385.53 443.36 434.49 434.49 425.80














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

54861 550.57 523.04 601.50 589.47 589.47 577.68 54865 346.38 329.06 378.42 370.85 370.85 363.43 54900 818.55 777.62 894.26 876.38 876.38 858.85 54901 1,081.65 1,027.57 1,181.71 1,158.07 1,158.07 1,134.91 55000 109.79 104.30 119.95 117.54 117.54 115.20

# 55000 82.77 78.63 90.42 88.62 88.62 86.85 55040 327.10 310.75 357.36 350.22 350.22 343.22 55041 494.45 469.73 540.19 529.39 529.39 518.80 55060 368.19 349.78 402.25 394.20 394.20 386.31 55100 201.49 191.42 220.13 215.73 215.73 211.42

# 55100 159.59 151.61 174.35 170.87 170.87 167.45 55110 375.35 356.58 410.07 401.87 401.87 393.83 55120 344.73 327.49 376.61 369.08 369.08 361.70 55150 476.79 452.95 520.89 510.47 510.47 500.26 55175 350.33 332.81 382.73 375.07 375.07 367.57 55180 673.23 639.57 735.51 720.80 720.80 706.38 55200 402.74 382.60 439.99 431.19 431.19 422.57

# 55200 269.45 255.98 294.38 288.49 288.49 282.72 55250 350.92 333.37 383.38 375.71 375.71 368.20

# 55250 217.63 206.75 237.76 233.01 233.01 228.36 55300 184.07 174.87 201.10 197.08 197.08 193.13 55400 496.14 471.33 542.03 531.19 531.19 520.56 55450 335.82 319.03 366.88 359.55 359.55 352.36

# 55450 250.20 237.69 273.34 267.88 267.88 262.52 55500 383.58 364.40 419.06 410.68 410.68 402.47 55520 438.64 416.71 479.22 469.64 469.64 460.24 55530 340.30 323.29 371.78 364.34 364.34 357.05 55535 417.21 396.35 455.80 446.68 446.68 437.75 55540 526.49 500.17 575.20 563.70 563.70 552.43














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

55550 416.69 395.86 455.24 446.13 446.13 437.21 55600 408.57 388.14 446.36 437.44 437.44 428.69 55605 530.69 504.16 579.78 568.19 568.19 556.83 55650 700.84 665.80 765.67 750.35 750.35 735.34 55680 343.31 326.14 375.06 367.56 367.56 360.21 55700 203.00 192.85 221.78 217.34 217.34 212.99

# 55700 136.81 129.97 149.47 146.48 146.48 143.54 55705 259.18 246.22 283.15 277.50 277.50 271.94 55706 362.45 344.33 395.98 388.06 388.06 380.29 55720 440.40 418.38 481.14 471.51 471.51 462.08 55725 575.99 547.19 629.27 616.69 616.69 604.36 55801 1,076.80 1,022.96 1,176.40 1,152.88 1,152.88 1,129.82 55810 1,294.64 1,229.91 1,414.40 1,386.11 1,386.11 1,358.38 55812 1,579.51 1,500.53 1,725.61 1,691.10 1,691.10 1,657.28 55815 1,739.44 1,652.47 1,900.34 1,862.33 1,862.33 1,825.08 55821 854.68 811.95 933.74 915.07 915.07 896.77 55831 925.53 879.25 1,011.14 990.92 990.92 971.11 55840 1,147.90 1,090.51 1,254.09 1,229.01 1,229.01 1,204.43 55842 1,147.23 1,089.87 1,253.35 1,228.28 1,228.28 1,203.72 55845 1,338.37 1,271.45 1,462.17 1,432.92 1,432.92 1,404.27 55860 856.63 813.80 935.87 917.15 917.15 898.81 55862 1,124.27 1,068.06 1,228.27 1,203.71 1,203.71 1,179.64 55865 1,307.98 1,242.58 1,428.97 1,400.39 1,400.39 1,372.39 55866 1,348.15 1,280.74 1,472.85 1,443.40 1,443.40 1,414.53 55870 167.17 158.81 182.63 178.97 178.97 175.40

# 55870 139.54 132.56 152.44 149.40 149.40 146.41 55873 6,168.70 5,860.27 6,739.31 6,604.52 6,604.52 6,472.43

# 55873 749.68 712.20 819.03 802.65 802.65 786.60 55875 743.81 706.62 812.61 796.36 796.36 780.44














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

55876 127.24 120.88 139.01 136.23 136.23 133.50 # 55876 97.79 92.90 106.84 104.70 104.70 102.60

55920 439.40 417.43 480.04 470.44 470.44 461.04 56405 102.59 97.46 112.08 109.84 109.84 107.64

# 56405 101.99 96.89 111.42 109.19 109.19 107.01 56420 112.91 107.26 123.35 120.88 120.88 118.46

# 56420 87.11 82.75 95.16 93.27 93.27 91.40 56440 173.96 165.26 190.05 186.24 186.24 182.52 56441 135.71 128.92 148.26 145.29 145.29 142.38

# 56441 131.16 124.60 143.29 140.43 140.43 137.62 56442 45.27 43.01 49.46 48.47 48.47 47.51 56501 121.64 115.56 132.89 130.24 130.24 127.64

# 56501 108.28 102.87 118.30 115.93 115.93 113.61 56515 213.23 202.57 232.96 228.30 228.30 223.73

# 56515 192.28 182.67 210.07 205.87 205.87 201.76 56605 77.22 73.36 84.36 82.67 82.67 81.02

# 56605 58.70 55.77 64.14 62.85 62.85 61.59 56606 35.76 33.97 39.07 38.28 38.28 37.51

# 56606 29.08 27.63 31.77 31.14 31.14 30.52 56620 497.31 472.44 543.31 532.44 532.44 521.79 56625 605.83 575.54 661.87 648.63 648.63 635.66 56630 899.52 854.54 982.72 963.07 963.07 943.81 56631 1,150.48 1,092.96 1,256.90 1,231.77 1,231.77 1,207.13 56632 1,333.86 1,267.17 1,457.25 1,428.10 1,428.10 1,399.54 56633 1,179.46 1,120.49 1,288.56 1,262.79 1,262.79 1,237.54 56634 1,273.56 1,209.88 1,391.36 1,363.53 1,363.53 1,336.27 56637 1,470.09 1,396.59 1,606.08 1,573.96 1,573.96 1,542.48 56640 1,481.27 1,407.21 1,618.29 1,585.93 1,585.93 1,554.21 56700 176.93 168.08 193.29 189.43 189.43 185.64














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

56740 288.95 274.50 315.68 309.36 309.36 303.17 56800 230.82 219.28 252.17 247.12 247.12 242.18 56805 1,123.22 1,067.06 1,227.12 1,202.58 1,202.58 1,178.53 56810 249.62 237.14 272.71 267.26 267.26 261.91 56820 105.86 100.57 115.66 113.34 113.34 111.08

# 56820 84.30 80.09 92.10 90.26 90.26 88.46 56821 139.73 132.74 152.65 149.60 149.60 146.61

# 56821 112.40 106.78 122.80 120.34 120.34 117.93 57000 179.80 170.81 196.43 192.50 192.50 188.65 57010 413.29 392.63 451.52 442.50 442.50 433.64 57020 88.65 84.22 96.85 94.92 94.92 93.02

# 57020 78.63 74.70 85.91 84.19 84.19 82.51 57022 162.40 154.28 177.42 173.87 173.87 170.40 57023 297.21 282.35 324.70 318.21 318.21 311.85 57061 105.44 100.17 115.20 112.90 112.90 110.64

# 57061 92.38 87.76 100.92 98.90 98.90 96.92 57065 183.82 174.63 200.82 196.81 196.81 192.88

# 57065 166.81 158.47 182.24 178.60 178.60 175.02 57100 83.98 79.78 91.75 89.91 89.91 88.11

# 57100 65.15 61.89 71.17 69.75 69.75 68.36 57105 127.88 121.49 139.71 136.92 136.92 134.18

# 57105 119.38 113.41 130.42 127.81 127.81 125.26 57106 473.31 449.64 517.09 506.75 506.75 496.62 57107 1,413.90 1,343.21 1,544.69 1,513.80 1,513.80 1,483.52 57109 1,691.23 1,606.67 1,847.67 1,810.72 1,810.72 1,774.51 57110 859.81 816.82 939.34 920.55 920.55 902.14 57111 1,557.38 1,479.51 1,701.44 1,667.41 1,667.41 1,634.06 57112 1,806.14 1,715.83 1,973.20 1,933.74 1,933.74 1,895.06 57120 486.96 462.61 532.00 521.36 521.36 510.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

57130 166.22 157.91 181.60 177.96 177.96 174.41 # 57130 151.03 143.48 165.00 161.70 161.70 158.47

57135 181.13 172.07 197.88 193.92 193.92 190.05 # 57135 165.34 157.07 180.63 177.02 177.02 173.48

57150 41.76 39.67 45.62 44.71 44.71 43.82 # 57150 28.10 26.70 30.71 30.10 30.10 29.50

57155 403.01 382.86 440.29 431.48 431.48 422.86 # 57155 283.68 269.50 309.93 303.73 303.73 297.65

57156 185.98 176.68 203.18 199.12 199.12 195.14 # 57156 142.56 135.43 155.74 152.63 152.63 149.58

57160 70.47 66.95 76.99 75.45 75.45 73.95 # 57160 45.58 43.30 49.80 48.79 48.79 47.82

57170 57.56 54.68 62.88 61.63 61.63 60.40 # 57170 47.24 44.88 51.61 50.58 50.58 49.57

57180 130.11 123.60 142.14 139.30 139.30 136.52 # 57180 100.36 95.34 109.64 107.44 107.44 105.29

57200 287.11 272.75 313.66 307.40 307.40 301.24 57210 350.01 332.51 382.39 374.74 374.74 367.24 57220 302.90 287.76 330.92 324.30 324.30 317.81 57230 376.70 357.87 411.55 403.32 403.32 395.26 57240 645.72 613.43 705.44 691.33 691.33 677.51 57250 649.13 616.67 709.17 694.99 694.99 681.09 57260 801.47 761.40 875.61 858.10 858.10 840.94 57265 878.24 834.33 959.48 940.29 940.29 921.48 57267 249.90 237.41 273.02 267.56 267.56 262.21 57268 461.44 438.37 504.13 494.04 494.04 484.16 57270 770.54 732.01 841.81 824.98 824.98 808.47 57280 920.05 874.05 1,005.16 985.06 985.06 965.36 57282 477.81 453.92 522.01 511.57 511.57 501.33














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

57283 661.37 628.30 722.55 708.09 708.09 693.93 57284 786.80 747.46 859.58 842.39 842.39 825.54 57285 647.21 614.85 707.08 692.93 692.93 679.08 57287 652.37 619.75 712.71 698.46 698.46 684.49 57288 688.49 654.07 752.18 737.14 737.14 722.40 57289 709.71 674.22 775.35 759.85 759.85 744.66 57291 581.58 552.50 635.38 622.67 622.67 610.21 57292 791.00 751.45 864.17 846.88 846.88 829.94 57295 457.19 434.33 499.48 489.49 489.49 479.70 57296 913.31 867.64 997.79 977.83 977.83 958.27 57300 539.43 512.46 589.33 577.54 577.54 566.00 57305 906.58 861.25 990.44 970.63 970.63 951.22 57307 1,049.16 996.70 1,146.21 1,123.29 1,123.29 1,100.81 57308 632.90 601.26 691.45 677.61 677.61 664.07 57310 445.70 423.42 486.93 477.19 477.19 467.65 57311 510.57 485.04 557.80 546.64 546.64 535.70 57320 515.44 489.67 563.12 551.86 551.86 540.82 57330 720.62 684.59 787.28 771.54 771.54 756.10 57335 1,097.95 1,043.05 1,199.51 1,175.52 1,175.52 1,152.01 57400 130.14 123.63 142.17 139.33 139.33 136.55 57410 103.58 98.40 113.16 110.89 110.89 108.68 57415 152.75 145.11 166.88 163.54 163.54 160.28 57420 110.99 105.44 121.26 118.83 118.83 116.45

# 57420 89.13 84.67 97.37 95.43 95.43 93.52 57421 149.19 141.73 162.99 159.74 159.74 156.54

# 57421 121.25 115.19 132.47 129.82 129.82 127.22 57423 879.78 835.79 961.16 941.93 941.93 923.09 57425 935.10 888.35 1,021.60 1,001.17 1,001.17 981.15 57426 810.39 769.87 885.35 867.64 867.64 850.29














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

57452 102.68 97.55 112.18 109.94 109.94 107.74 # 57452 88.72 84.28 96.92 94.98 94.98 93.08

57454 145.13 137.87 158.55 155.38 155.38 152.27 # 57454 130.86 124.32 142.97 140.10 140.10 137.30

57455 134.37 127.65 146.80 143.87 143.87 140.99 # 57455 107.35 101.98 117.28 114.93 114.93 112.63

57456 126.55 120.22 138.25 135.49 135.49 132.78 # 57456 99.84 94.85 109.08 106.89 106.89 104.75

57460 259.22 246.26 283.20 277.53 277.53 271.98 # 57460 157.21 149.35 171.75 168.31 168.31 164.94

57461 294.35 279.63 321.57 315.15 315.15 308.84 # 57461 182.31 173.19 199.17 195.19 195.19 191.29

57500 116.66 110.83 127.45 124.90 124.90 122.41 # 57500 72.64 69.01 79.36 77.77 77.77 76.22

57505 94.78 90.04 103.55 101.48 101.48 99.45 # 57505 86.59 82.26 94.60 92.70 92.70 90.85

57510 123.79 117.60 135.24 132.54 132.54 129.89 # 57510 110.73 105.19 120.97 118.55 118.55 116.18

57511 135.90 129.11 148.48 145.51 145.51 142.60 # 57511 124.97 118.72 136.53 133.80 133.80 131.12

57513 136.38 129.56 148.99 146.02 146.02 143.09 # 57513 127.27 120.91 139.05 136.26 136.26 133.54

57520 288.89 274.45 315.62 309.30 309.30 303.12 # 57520 262.17 249.06 286.42 280.69 280.69 275.08

57522 247.82 235.43 270.74 265.33 265.33 260.03 # 57522 231.42 219.85 252.83 247.77 247.77 242.81

57530 330.95 314.40 361.56 354.33 354.33 347.24 57531 1,781.03 1,691.98 1,945.78 1,906.86 1,906.86 1,868.73 57540 752.47 714.85 822.08 805.63 805.63 789.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

57545 814.23 773.52 889.55 871.76 871.76 854.32 57550 386.84 367.50 422.63 414.17 414.17 405.89 57555 573.75 545.06 626.82 614.28 614.28 602.00 57556 543.09 515.94 593.33 581.46 581.46 569.84 57558 116.94 111.09 127.75 125.20 125.20 122.69

# 57558 107.52 102.14 117.46 115.12 115.12 112.82 57700 299.86 284.87 327.60 321.05 321.05 314.63 57720 290.83 276.29 317.73 311.37 311.37 305.14 57800 56.46 53.64 61.69 60.46 60.46 59.25

# 57800 46.44 44.12 50.74 49.73 49.73 48.74 58100 102.81 97.67 112.32 110.08 110.08 107.88

# 58100 84.59 80.36 92.41 90.56 90.56 88.76 58110 45.80 43.51 50.04 49.04 49.04 48.06

# 58110 39.73 37.74 43.40 42.54 42.54 41.69 58120 243.47 231.30 266.00 260.67 260.67 255.46

# 58120 210.07 199.57 229.51 224.92 224.92 220.42 58140 889.55 845.07 971.83 952.40 952.40 933.35 58145 525.47 499.20 574.08 562.60 562.60 551.36 58146 1,107.97 1,052.57 1,210.46 1,186.25 1,186.25 1,162.52 58150 979.72 930.73 1,070.34 1,048.94 1,048.94 1,027.96 58152 1,204.96 1,144.71 1,316.42 1,290.09 1,290.09 1,264.29 58180 929.32 882.85 1,015.28 994.97 994.97 975.07 58200 1,331.76 1,265.17 1,454.95 1,425.85 1,425.85 1,397.33 58210 1,798.55 1,708.62 1,964.91 1,925.62 1,925.62 1,887.10 58240 2,840.27 2,698.26 3,103.00 3,040.93 3,040.93 2,980.11 58260 793.14 753.48 866.50 849.17 849.17 832.19 58262 886.65 842.32 968.67 949.29 949.29 930.30 58263 951.47 903.90 1,039.49 1,018.69 1,018.69 998.32 58267 1,014.46 963.74 1,108.30 1,086.14 1,086.14 1,064.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

58270 847.63 805.25 926.04 907.52 907.52 889.38 58275 946.95 899.60 1,034.54 1,013.85 1,013.85 993.58 58280 1,008.75 958.31 1,102.06 1,080.01 1,080.01 1,058.41 58285 1,295.36 1,230.59 1,415.18 1,386.88 1,386.88 1,359.14 58290 1,108.25 1,052.84 1,210.77 1,186.55 1,186.55 1,162.81 58291 1,196.67 1,136.84 1,307.37 1,281.22 1,281.22 1,255.59 58292 1,264.10 1,200.90 1,381.04 1,353.41 1,353.41 1,326.34 58293 1,313.78 1,248.09 1,435.30 1,406.60 1,406.60 1,378.47 58294 1,174.84 1,116.10 1,283.52 1,257.85 1,257.85 1,232.69 58301 88.81 84.37 97.03 95.08 95.08 93.18

# 58301 65.73 62.44 71.81 70.37 70.37 68.97 58321 71.28 67.72 77.88 76.33 76.33 74.80

# 58321 47.60 45.22 52.00 50.97 50.97 49.94 58322 79.92 75.92 87.31 85.56 85.56 83.85

# 58322 56.84 54.00 62.10 60.86 60.86 59.64 58323 14.38 13.66 15.71 15.40 15.40 15.09

# 58323 11.64 11.06 12.72 12.47 12.47 12.21 58340 107.16 101.80 117.07 114.72 114.72 112.42

# 58340 55.54 52.76 60.67 59.46 59.46 58.27 58345 261.53 248.45 285.72 280.00 280.00 274.40 58346 429.24 407.78 468.95 459.56 459.56 450.37 58350 88.47 84.05 96.66 94.73 94.73 92.83

# 58350 73.59 69.91 80.40 78.79 78.79 77.21 58353 881.86 837.77 963.44 944.16 944.16 925.28

# 58353 209.35 198.88 228.71 224.14 224.14 219.65 58356 1,648.02 1,565.62 1,800.46 1,764.46 1,764.46 1,729.16

# 58356 335.17 318.41 366.17 358.85 358.85 351.67 58400 421.13 400.07 460.08 450.88 450.88 441.86 58410 786.89 747.55 859.68 842.49 842.49 825.64














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

58520 820.73 779.69 896.64 878.72 878.72 861.14 58540 871.04 827.49 951.61 932.58 932.58 913.93 58541 688.32 653.90 751.99 736.94 736.94 722.20 58542 788.17 748.76 861.07 843.85 843.85 826.97 58543 797.21 757.35 870.95 853.53 853.53 836.46 58544 870.34 826.82 950.84 931.82 931.82 913.18 58545 871.13 827.57 951.71 932.67 932.67 914.02 58546 1,081.33 1,027.26 1,181.35 1,157.72 1,157.72 1,134.57 58548 1,852.90 1,760.26 2,024.30 1,983.81 1,983.81 1,944.13 58550 847.04 804.69 925.39 906.89 906.89 888.75 58552 952.23 904.62 1,040.31 1,019.51 1,019.51 999.12 58553 1,096.42 1,041.60 1,197.84 1,173.89 1,173.89 1,150.40 58554 1,283.86 1,219.67 1,402.62 1,374.57 1,374.57 1,347.08 58555 286.71 272.37 313.23 306.96 306.96 300.82

# 58555 182.57 173.44 199.46 195.47 195.47 191.56 58558 375.21 356.45 409.92 401.72 401.72 393.68

# 58558 257.40 244.53 281.21 275.59 275.59 270.08 58559 330.06 313.56 360.59 353.38 353.38 346.31 58560 372.47 353.85 406.93 398.79 398.79 390.80 58561 528.58 502.15 577.47 565.93 565.93 554.61 58562 389.69 370.21 425.74 417.23 417.23 408.88

# 58562 279.78 265.79 305.66 299.54 299.54 293.55 58563 1,463.41 1,390.24 1,598.78 1,566.81 1,566.81 1,535.47

# 58563 329.69 313.21 360.19 352.99 352.99 345.93 58565 1,638.44 1,556.52 1,790.00 1,754.20 1,754.20 1,719.11

# 58565 413.63 392.95 451.89 442.85 442.85 434.00 58570 749.00 711.55 818.28 801.92 801.92 785.88 58571 867.35 823.98 947.58 928.63 928.63 910.05 58572 984.16 934.95 1,075.19 1,053.69 1,053.69 1,032.62














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

58573 1,176.49 1,117.67 1,285.32 1,259.62 1,259.62 1,234.42 58600 346.98 329.63 379.07 371.50 371.50 364.07 58605 313.81 298.12 342.84 335.98 335.98 329.27 58611 74.98 71.23 81.91 80.28 80.28 78.67 58615 231.95 220.35 253.40 248.33 248.33 243.36 58660 649.48 617.01 709.56 695.37 695.37 681.47 58661 628.28 596.87 686.40 672.67 672.67 659.21 58662 683.44 649.27 746.66 731.72 731.72 717.08 58670 348.63 331.20 380.88 373.27 373.27 365.80 58671 347.99 330.59 380.18 372.58 372.58 365.13 58672 705.87 670.58 771.17 755.75 755.75 740.63 58673 767.54 729.16 838.53 821.77 821.77 805.33 58700 753.10 715.45 822.77 806.31 806.31 790.19 58720 710.60 675.07 776.33 760.81 760.81 745.59 58740 851.68 809.10 930.47 911.86 911.86 893.62 58750 941.94 894.84 1,029.07 1,008.48 1,008.48 988.31 58752 892.38 847.76 974.92 955.42 955.42 936.31 58760 790.26 750.75 863.36 846.10 846.10 829.18 58770 892.45 847.83 975.00 955.50 955.50 936.39 58800 299.39 284.42 327.08 320.54 320.54 314.13

# 58800 282.99 268.84 309.17 302.98 302.98 296.92 58805 384.31 365.09 419.85 411.46 411.46 403.22 58820 295.30 280.54 322.62 316.17 316.17 309.84 58822 724.23 688.02 791.22 775.40 775.40 759.89 58825 668.54 635.11 730.38 715.77 715.77 701.45 58900 436.03 414.23 476.36 466.84 466.84 457.50 58920 737.16 700.30 805.35 789.23 789.23 773.44 58925 719.58 683.60 786.14 770.42 770.42 755.01 58940 505.25 479.99 551.99 540.95 540.95 530.13














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

58943 1,143.94 1,086.74 1,249.75 1,224.76 1,224.76 1,200.27 58950 1,096.73 1,041.89 1,198.17 1,174.21 1,174.21 1,150.72 58951 1,414.92 1,344.17 1,545.80 1,514.88 1,514.88 1,484.58 58952 1,600.02 1,520.02 1,748.02 1,713.06 1,713.06 1,678.80 58953 1,981.53 1,882.45 2,164.82 2,121.52 2,121.52 2,079.09 58954 2,154.25 2,046.54 2,353.52 2,306.45 2,306.45 2,260.33 58956 1,342.15 1,275.04 1,466.30 1,436.97 1,436.97 1,408.23 58957 1,546.45 1,469.13 1,689.50 1,655.71 1,655.71 1,622.60 58958 1,700.43 1,615.41 1,857.72 1,820.57 1,820.57 1,784.16 58960 945.29 898.03 1,032.73 1,012.08 1,012.08 991.84 58970 211.91 201.31 231.51 226.87 226.87 222.33

# 58970 193.09 183.44 210.96 206.74 206.74 202.60 58974 136.83 129.99 149.49 146.50 146.50 143.57 58976 240.92 228.87 263.20 257.93 257.93 252.77

# 58976 211.47 200.90 231.04 226.41 226.41 221.88 59000 117.54 111.66 128.41 125.84 125.84 123.33

# 59000 79.28 75.32 86.62 84.88 84.88 83.18 59001 177.25 168.39 193.65 189.77 189.77 185.98 59012 200.37 190.35 218.90 214.52 214.52 210.23 59015 149.96 142.46 163.83 160.55 160.55 157.34

# 59015 129.92 123.42 141.93 139.09 139.09 136.31 59020 65.79 62.50 71.88 70.44 70.44 69.03 59020 TC 29.18 27.72 31.88 31.25 31.25 30.62 59020 26 36.61 34.78 40.00 39.19 39.19 38.41 59025 45.24 42.98 49.43 48.44 48.44 47.47 59025 TC 15.82 15.03 17.28 16.94 16.94 16.61 59025 26 29.42 27.95 32.14 31.50 31.50 30.87 59030 99.41 94.44 108.61 106.43 106.43 104.31 59050 50.28 47.77 54.94 53.83 53.83 52.75














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

59051 41.74 39.65 45.60 44.69 44.69 43.79 59070 379.95 360.95 415.09 406.79 406.79 398.66

# 59070 297.67 282.79 325.21 318.70 318.70 312.33 59072 461.43 438.36 504.11 494.03 494.03 484.15 59074 365.10 346.85 398.88 390.90 390.90 383.08

# 59074 294.96 280.21 322.24 315.80 315.80 309.49 59076 461.43 438.36 504.11 494.03 494.03 484.15 59100 776.00 737.20 847.78 830.83 830.83 814.21 59120 775.58 736.80 847.32 830.37 830.37 813.76 59121 778.29 739.38 850.29 833.28 833.28 816.62 59130 910.67 865.14 994.91 975.02 975.02 955.51 59135 810.37 769.85 885.33 867.62 867.62 850.26 59136 828.53 787.10 905.17 887.06 887.06 869.32 59140 385.00 365.75 420.61 412.21 412.21 403.96 59150 753.30 715.64 822.99 806.53 806.53 790.40 59151 731.55 694.97 799.22 783.23 783.23 767.57 59160 195.43 185.66 213.51 209.24 209.24 205.06

# 59160 169.32 160.85 184.98 181.27 181.27 177.65 59200 67.21 63.85 73.43 71.96 71.96 70.52

# 59200 44.13 41.92 48.21 47.24 47.24 46.30 59300 183.80 174.61 200.80 196.79 196.79 192.86

# 59300 145.85 138.56 159.34 156.16 156.16 153.03 59320 149.60 142.12 163.44 160.17 160.17 156.96 59325 239.22 227.26 261.35 256.12 256.12 251.00 59350 262.88 249.74 287.20 281.46 281.46 275.84 59400 2,029.21 1,927.75 2,216.91 2,172.58 2,172.58 2,129.13 59409 805.30 765.04 879.80 862.20 862.20 844.96 59410 1,025.35 974.08 1,120.19 1,097.79 1,097.79 1,075.84 59412 101.94 96.84 111.37 109.14 109.14 106.95














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

59414 91.00 86.45 99.42 97.43 97.43 95.48 59425 435.76 413.97 476.07 466.54 466.54 457.22

# 59425 351.66 334.08 384.19 376.51 376.51 368.98 59426 778.03 739.13 850.00 833.00 833.00 816.34

# 59426 620.15 589.14 677.51 663.96 663.96 650.68 59430 176.06 167.26 192.35 188.50 188.50 184.72

# 59430 137.50 130.63 150.22 147.22 147.22 144.28 59510 2,253.88 2,141.19 2,462.37 2,413.13 2,413.13 2,364.86 59514 907.66 862.28 991.62 971.78 971.78 952.35 59515 1,244.18 1,181.97 1,359.27 1,332.08 1,332.08 1,305.43 59525 478.59 454.66 522.86 512.41 512.41 502.16 59610 2,137.18 2,030.32 2,334.87 2,288.17 2,288.17 2,242.41 59612 908.88 863.44 992.96 973.10 973.10 953.64 59614 1,128.43 1,072.01 1,232.81 1,208.16 1,208.16 1,183.99 59618 2,285.14 2,170.88 2,496.51 2,446.58 2,446.58 2,397.65 59620 931.23 884.67 1,017.37 997.03 997.03 977.09 59622 1,278.58 1,214.65 1,396.85 1,368.91 1,368.91 1,341.53 59812 305.94 290.64 334.24 327.55 327.55 321.00

# 59812 286.81 272.47 313.34 307.07 307.07 300.93 59820 361.33 343.26 394.75 386.85 386.85 379.11

# 59820 341.90 324.81 373.53 366.06 366.06 358.73 59821 365.94 347.64 399.79 391.79 391.79 383.96

# 59821 344.69 327.46 376.58 369.05 369.05 361.66 59830 424.09 402.89 463.32 454.05 454.05 444.97 59840 208.88 198.44 228.21 223.64 223.64 219.17

# 59840 201.29 191.23 219.91 215.52 215.52 211.21 59841 370.46 351.94 404.73 396.64 396.64 388.70

# 59841 352.24 334.63 384.82 377.13 377.13 369.59 59850 337.54 320.66 368.76 361.39 361.39 354.17














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

59851 356.17 338.36 389.11 381.33 381.33 373.70 59852 486.54 462.21 531.54 520.92 520.92 510.50 59855 404.56 384.33 441.98 433.14 433.14 424.48 59856 477.25 453.39 521.40 510.97 510.97 500.74 59857 504.95 479.70 551.66 540.63 540.63 529.82 59866 211.89 201.30 231.50 226.86 226.86 222.32 59870 454.64 431.91 496.70 486.76 486.76 477.02 59871 130.68 124.15 142.77 139.92 139.92 137.13 60000 159.88 151.89 174.67 171.18 171.18 167.75

# 60000 145.00 137.75 158.41 155.25 155.25 152.15 60100 106.78 101.44 116.66 114.32 114.32 112.03

# 60100 78.24 74.33 85.48 83.77 83.77 82.09 60200 640.06 608.06 699.27 685.29 685.29 671.58 60210 690.11 655.60 753.94 738.86 738.86 724.09 60212 984.55 935.32 1,075.62 1,054.10 1,054.10 1,033.02 60220 689.44 654.97 753.22 738.15 738.15 723.38 60225 909.19 863.73 993.29 973.43 973.43 953.96 60240 900.21 855.20 983.48 963.82 963.82 944.54 60252 1,296.29 1,231.48 1,416.20 1,387.88 1,387.88 1,360.12 60254 1,644.49 1,562.27 1,796.61 1,760.67 1,760.67 1,725.46 60260 1,072.33 1,018.71 1,171.52 1,148.09 1,148.09 1,125.13 60270 1,344.54 1,277.31 1,468.91 1,439.52 1,439.52 1,410.73 60271 1,037.30 985.44 1,133.26 1,110.59 1,110.59 1,088.38 60280 425.83 404.54 465.22 455.92 455.92 446.80 60281 568.07 539.67 620.62 608.21 608.21 596.05 60300 108.29 102.88 118.31 115.94 115.94 113.62

# 60300 49.39 46.92 53.96 52.88 52.88 51.82 60500 943.98 896.78 1,031.30 1,010.67 1,010.67 990.45 60502 1,261.47 1,198.40 1,378.16 1,350.59 1,350.59 1,323.58














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

60505 1,358.57 1,290.64 1,484.24 1,454.55 1,454.55 1,425.46 60512 242.05 229.95 264.44 259.15 259.15 253.97 60520 1,024.38 973.16 1,119.13 1,096.76 1,096.76 1,074.82 60521 1,108.95 1,053.50 1,211.53 1,187.29 1,187.29 1,163.55 60522 1,343.12 1,275.96 1,467.35 1,438.01 1,438.01 1,409.24 60540 1,040.43 988.41 1,136.67 1,113.94 1,113.94 1,091.66 60545 1,195.20 1,135.44 1,305.76 1,279.64 1,279.64 1,254.05 60600 1,384.12 1,314.91 1,512.15 1,481.90 1,481.90 1,452.27 60605 1,716.87 1,631.03 1,875.68 1,838.17 1,838.17 1,801.41 60650 1,175.51 1,116.73 1,284.24 1,258.56 1,258.56 1,233.39 61000 113.23 107.57 123.71 121.23 121.23 118.81 61001 83.20 79.04 90.90 89.08 89.08 87.30 61020 98.99 94.04 108.15 105.98 105.98 103.87 61026 100.59 95.56 109.89 107.70 107.70 105.55 61050 83.77 79.58 91.52 89.69 89.69 87.89 61055 118.62 112.69 129.59 127.01 127.01 124.46 61070 56.11 53.30 61.30 60.06 60.06 58.87 61105 441.93 419.83 482.80 473.14 473.14 463.68 61107 317.15 301.29 346.48 339.55 339.55 332.75 61108 886.85 842.51 968.89 949.51 949.51 930.52 61120 729.45 692.98 796.93 780.99 780.99 765.37 61140 1,246.07 1,183.77 1,361.34 1,334.10 1,334.10 1,307.42 61150 1,323.62 1,257.44 1,446.06 1,417.13 1,417.13 1,388.79 61151 983.65 934.47 1,074.64 1,053.15 1,053.15 1,032.08 61154 1,249.14 1,186.68 1,364.68 1,337.39 1,337.39 1,310.64 61156 1,230.69 1,169.16 1,344.53 1,317.65 1,317.65 1,291.29 61210 371.63 353.05 406.01 397.89 397.89 389.93 61215 490.53 466.00 535.90 525.18 525.18 514.68 61250 793.98 754.28 867.42 850.07 850.07 833.07














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

61253 799.23 759.27 873.16 855.69 855.69 838.58 61304 1,628.41 1,546.99 1,779.04 1,743.46 1,743.46 1,708.59 61305 1,986.52 1,887.19 2,170.27 2,126.87 2,126.87 2,084.33 61312 2,065.55 1,962.27 2,256.61 2,211.47 2,211.47 2,167.24 61313 1,965.09 1,866.84 2,146.87 2,103.93 2,103.93 2,061.85 61314 1,804.02 1,713.82 1,970.89 1,931.47 1,931.47 1,892.84 61315 2,050.59 1,948.06 2,240.27 2,195.47 2,195.47 2,151.56 61316 88.51 84.08 96.69 94.76 94.76 92.86 61320 1,885.96 1,791.66 2,060.41 2,019.20 2,019.20 1,978.82 61321 2,083.11 1,978.95 2,275.79 2,230.28 2,230.28 2,185.67 61322 2,359.89 2,241.90 2,578.19 2,526.62 2,526.62 2,476.09 61323 2,392.94 2,273.29 2,614.28 2,561.99 2,561.99 2,510.75 61330 1,567.58 1,489.20 1,712.58 1,678.33 1,678.33 1,644.76 61332 1,723.29 1,637.13 1,882.70 1,845.05 1,845.05 1,808.15 61333 1,779.27 1,690.31 1,943.86 1,904.98 1,904.98 1,866.88 61340 1,407.87 1,337.48 1,538.10 1,507.34 1,507.34 1,477.20 61343 2,178.29 2,069.38 2,379.79 2,332.19 2,332.19 2,285.54 61345 2,017.21 1,916.35 2,203.80 2,159.72 2,159.72 2,116.53 61450 1,908.43 1,813.01 2,084.96 2,043.26 2,043.26 2,002.40 61458 1,989.55 1,890.07 2,173.58 2,130.11 2,130.11 2,087.50 61460 2,097.91 1,993.01 2,291.96 2,246.12 2,246.12 2,201.20 61480 1,585.86 1,506.57 1,732.56 1,697.91 1,697.91 1,663.95 61500 1,297.80 1,232.91 1,417.85 1,389.49 1,389.49 1,361.70 61501 1,129.13 1,072.67 1,233.57 1,208.90 1,208.90 1,184.73 61510 2,161.04 2,052.99 2,360.94 2,313.72 2,313.72 2,267.44 61512 2,529.49 2,403.02 2,763.47 2,708.20 2,708.20 2,654.04 61514 1,880.69 1,786.66 2,054.66 2,013.57 2,013.57 1,973.30 61516 1,835.72 1,743.93 2,005.52 1,965.41 1,965.41 1,926.10 61517 88.45 84.03 96.63 94.70 94.70 92.81














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

61518 2,733.53 2,596.85 2,986.38 2,926.65 2,926.65 2,868.11 61519 2,911.77 2,766.18 3,181.11 3,117.49 3,117.49 3,055.14 61520 3,746.12 3,558.81 4,092.63 4,010.77 4,010.77 3,930.56 61521 3,134.75 2,978.01 3,424.71 3,356.22 3,356.22 3,289.09 61522 2,152.07 2,044.47 2,351.14 2,304.12 2,304.12 2,258.04 61524 2,053.84 1,951.15 2,243.82 2,198.95 2,198.95 2,154.97 61526 3,654.03 3,471.33 3,992.03 3,912.19 3,912.19 3,833.94 61530 3,079.62 2,925.64 3,364.49 3,297.20 3,297.20 3,231.26 61531 1,197.92 1,138.02 1,308.72 1,282.55 1,282.55 1,256.89 61533 1,504.16 1,428.95 1,643.29 1,610.43 1,610.43 1,578.21 61534 1,605.00 1,524.75 1,753.46 1,718.40 1,718.40 1,684.03 61535 977.00 928.15 1,067.37 1,046.03 1,046.03 1,025.11 61536 2,577.37 2,448.50 2,815.78 2,759.46 2,759.46 2,704.27 61537 2,448.79 2,326.35 2,675.30 2,621.79 2,621.79 2,569.35 61538 2,665.17 2,531.91 2,911.70 2,853.46 2,853.46 2,796.39 61539 2,330.46 2,213.94 2,546.03 2,495.11 2,495.11 2,445.21 61540 2,176.89 2,068.05 2,378.26 2,330.69 2,330.69 2,284.08 61541 2,142.51 2,035.38 2,340.69 2,293.87 2,293.87 2,248.00 61543 2,097.21 1,992.35 2,291.20 2,245.38 2,245.38 2,200.47 61544 1,896.46 1,801.64 2,071.89 2,030.45 2,030.45 1,989.85 61545 3,180.65 3,021.62 3,474.86 3,405.37 3,405.37 3,337.27 61546 2,302.77 2,187.63 2,515.77 2,465.46 2,465.46 2,416.15 61548 1,553.91 1,476.21 1,697.64 1,663.69 1,663.69 1,630.42 61550 940.14 893.13 1,027.10 1,006.56 1,006.56 986.42 61552 1,139.76 1,082.77 1,245.19 1,220.28 1,220.28 1,195.87 61556 1,557.27 1,479.41 1,701.32 1,667.29 1,667.29 1,633.94 61557 1,579.67 1,500.69 1,725.79 1,691.28 1,691.28 1,657.46 61558 1,867.44 1,774.07 2,040.18 1,999.38 1,999.38 1,959.39 61559 2,072.93 1,969.28 2,264.67 2,219.37 2,219.37 2,174.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

61563 1,893.69 1,799.01 2,068.86 2,027.48 2,027.48 1,986.94 61564 2,283.64 2,169.46 2,494.88 2,444.98 2,444.98 2,396.08 61566 2,230.05 2,118.55 2,436.33 2,387.61 2,387.61 2,339.86 61567 2,556.31 2,428.49 2,792.76 2,736.91 2,736.91 2,682.17 61570 1,847.89 1,755.50 2,018.83 1,978.45 1,978.45 1,938.88 61571 1,970.91 1,872.36 2,153.21 2,110.15 2,110.15 2,067.94 61575 2,111.96 2,006.36 2,307.31 2,261.16 2,261.16 2,215.95 61576 3,539.68 3,362.70 3,867.11 3,789.77 3,789.77 3,713.97 61580 2,430.05 2,308.55 2,654.83 2,601.74 2,601.74 2,549.70 61581 2,573.87 2,445.18 2,811.96 2,755.72 2,755.72 2,700.60 61582 2,806.77 2,666.43 3,066.39 3,005.07 3,005.07 2,944.97 61583 2,835.86 2,694.07 3,098.18 3,036.22 3,036.22 2,975.50 61584 2,796.91 2,657.06 3,055.62 2,994.51 2,994.51 2,934.62 61585 3,171.33 3,012.76 3,464.67 3,395.38 3,395.38 3,327.47 61586 2,327.79 2,211.40 2,543.11 2,492.25 2,492.25 2,442.40 61590 2,974.70 2,825.97 3,249.87 3,184.87 3,184.87 3,121.17 61591 3,034.84 2,883.10 3,315.57 3,249.26 3,249.26 3,184.27 61592 3,116.51 2,960.68 3,404.78 3,336.69 3,336.69 3,269.96 61595 2,299.68 2,184.70 2,512.41 2,462.16 2,462.16 2,412.92 61596 2,378.67 2,259.74 2,598.70 2,546.73 2,546.73 2,495.80 61597 2,776.93 2,638.08 3,033.79 2,973.12 2,973.12 2,913.65 61598 2,778.49 2,639.57 3,035.51 2,974.80 2,974.80 2,915.30 61600 2,074.43 1,970.71 2,266.32 2,221.00 2,221.00 2,176.57 61601 2,360.96 2,242.91 2,579.35 2,527.76 2,527.76 2,477.20 61605 2,112.20 2,006.59 2,307.58 2,261.43 2,261.43 2,216.20 61606 2,933.29 2,786.63 3,204.62 3,140.54 3,140.54 3,077.72 61607 2,666.26 2,532.95 2,912.89 2,854.63 2,854.63 2,797.54 61608 3,202.81 3,042.67 3,499.07 3,429.09 3,429.09 3,360.51 61610 1,541.45 1,464.38 1,684.04 1,650.35 1,650.35 1,617.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

61611 385.44 366.17 421.10 412.68 412.68 404.42 61612 1,448.59 1,376.16 1,582.58 1,550.94 1,550.94 1,519.92 61613 3,174.39 3,015.67 3,468.02 3,398.66 3,398.66 3,330.69 61615 2,218.51 2,107.58 2,423.72 2,375.24 2,375.24 2,327.74 61616 3,277.37 3,113.50 3,580.53 3,508.91 3,508.91 3,438.74 61618 1,277.08 1,213.23 1,395.21 1,367.32 1,367.32 1,339.97 61619 1,421.47 1,350.40 1,552.96 1,521.90 1,521.90 1,491.46 61623 565.72 537.43 618.04 605.68 605.68 593.57 61624 1,137.71 1,080.82 1,242.94 1,218.08 1,218.08 1,193.72 61626 858.23 815.32 937.62 918.86 918.86 900.48 61630 1,315.90 1,250.11 1,437.63 1,408.88 1,408.88 1,380.70 61635 1,414.13 1,343.42 1,544.93 1,514.03 1,514.03 1,483.75 61645 778.18 739.27 850.16 833.15 833.15 816.49 61650 518.33 492.41 566.27 554.94 554.94 543.85 61651 220.15 209.14 240.51 235.70 235.70 230.99 61680 2,223.29 2,112.13 2,428.95 2,380.37 2,380.37 2,332.76 61682 4,152.89 3,945.25 4,537.04 4,446.30 4,446.30 4,357.37 61684 2,842.76 2,700.62 3,105.71 3,043.60 3,043.60 2,982.73 61686 4,475.59 4,251.81 4,889.58 4,791.79 4,791.79 4,695.94 61690 2,149.35 2,041.88 2,348.16 2,301.20 2,301.20 2,255.17 61692 3,634.13 3,452.42 3,970.28 3,890.88 3,890.88 3,813.06 61697 4,214.33 4,003.61 4,604.15 4,512.07 4,512.07 4,421.83 61698 4,625.07 4,393.82 5,052.89 4,951.83 4,951.83 4,852.79 61700 3,385.29 3,216.03 3,698.43 3,624.47 3,624.47 3,551.98 61702 4,002.95 3,802.80 4,373.22 4,285.75 4,285.75 4,200.04 61703 1,347.95 1,280.55 1,472.63 1,443.18 1,443.18 1,414.32 61705 2,548.78 2,421.34 2,784.54 2,728.85 2,728.85 2,674.27 61708 2,084.78 1,980.54 2,277.62 2,232.07 2,232.07 2,187.43 61710 2,148.28 2,040.87 2,347.00 2,300.06 2,300.06 2,254.06














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

61711 2,578.68 2,449.75 2,817.21 2,760.87 2,760.87 2,705.65 61720 1,260.22 1,197.21 1,376.79 1,349.26 1,349.26 1,322.27 61735 1,561.08 1,483.03 1,705.48 1,671.38 1,671.38 1,637.95 61750 1,392.83 1,323.19 1,521.67 1,491.24 1,491.24 1,461.42 61751 1,364.15 1,295.94 1,490.33 1,460.52 1,460.52 1,431.31 61760 1,572.50 1,493.88 1,717.96 1,683.60 1,683.60 1,649.93 61770 1,606.97 1,526.62 1,755.61 1,720.50 1,720.50 1,686.10 61781 236.89 225.05 258.81 253.63 253.63 248.56 61782 174.18 165.47 190.29 186.48 186.48 182.76 61783 233.06 221.41 254.62 249.53 249.53 244.54 61790 866.31 822.99 946.44 927.51 927.51 908.96 61791 1,056.21 1,003.40 1,153.91 1,130.83 1,130.83 1,108.21 61796 1,002.73 952.59 1,095.48 1,073.57 1,073.57 1,052.10 61797 222.56 211.43 243.14 238.28 238.28 233.52 61798 1,373.32 1,304.65 1,500.35 1,470.34 1,470.34 1,440.94 61799 306.65 291.32 335.02 328.31 328.31 321.75 61800 153.92 146.22 168.15 164.80 164.80 161.49 61850 971.05 922.50 1,060.88 1,039.66 1,039.66 1,018.87 61860 1,557.65 1,479.77 1,701.74 1,667.70 1,667.70 1,634.35 61863 1,483.01 1,408.86 1,620.19 1,587.78 1,587.78 1,556.03 61864 286.84 272.50 313.38 307.11 307.11 300.97 61867 2,262.84 2,149.70 2,472.16 2,422.72 2,422.72 2,374.27 61868 502.99 477.84 549.52 538.52 538.52 527.75 61870 1,129.34 1,072.87 1,233.80 1,209.12 1,209.12 1,184.94 61880 555.20 527.44 606.56 594.42 594.42 582.53 61885 498.14 473.23 544.21 533.34 533.34 522.66 61886 818.11 777.20 893.78 875.91 875.91 858.39 61888 388.19 368.78 424.10 415.61 415.61 407.30 62000 1,018.56 967.63 1,112.77 1,090.52 1,090.52 1,068.71














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

62005 1,227.10 1,165.75 1,340.61 1,313.81 1,313.81 1,287.53 62010 1,512.06 1,436.46 1,651.93 1,618.89 1,618.89 1,586.52 62100 1,577.61 1,498.73 1,723.54 1,689.07 1,689.07 1,655.29 62115 1,284.26 1,220.05 1,403.06 1,375.00 1,375.00 1,347.50 62117 1,603.42 1,523.25 1,751.74 1,716.71 1,716.71 1,682.37 62120 1,614.35 1,533.63 1,763.67 1,728.40 1,728.40 1,693.84 62121 1,558.30 1,480.39 1,702.45 1,668.40 1,668.40 1,635.02 62140 1,015.88 965.09 1,109.85 1,087.66 1,087.66 1,065.90 62141 1,119.44 1,063.47 1,222.99 1,198.53 1,198.53 1,174.56 62142 869.46 825.99 949.89 930.89 930.89 912.27 62143 1,021.01 969.96 1,115.45 1,093.14 1,093.14 1,071.28 62145 1,393.68 1,324.00 1,522.60 1,492.15 1,492.15 1,462.31 62146 1,226.95 1,165.60 1,340.44 1,313.63 1,313.63 1,287.36 62147 1,398.85 1,328.91 1,528.25 1,497.68 1,497.68 1,467.72 62148 128.26 121.85 140.13 137.32 137.32 134.57 62160 191.92 182.32 209.67 205.47 205.47 201.37 62161 1,503.61 1,428.43 1,642.69 1,609.84 1,609.84 1,577.64 62162 1,871.81 1,778.22 2,044.95 2,004.06 2,004.06 1,963.98 62163 1,093.63 1,038.95 1,194.79 1,170.90 1,170.90 1,147.48 62164 2,057.37 1,954.50 2,247.68 2,202.72 2,202.72 2,158.67 62165 1,523.91 1,447.71 1,664.87 1,631.57 1,631.57 1,598.94 62180 1,580.24 1,501.23 1,726.41 1,691.89 1,691.89 1,658.06 62190 866.49 823.17 946.65 927.72 927.72 909.17 62192 959.83 911.84 1,048.62 1,027.64 1,027.64 1,007.09 62194 450.38 427.86 492.04 482.20 482.20 472.55 62200 1,362.47 1,294.35 1,488.50 1,458.73 1,458.73 1,429.55 62201 1,187.87 1,128.48 1,297.75 1,271.80 1,271.80 1,246.36 62220 1,013.07 962.42 1,106.78 1,084.65 1,084.65 1,062.96 62223 1,028.33 976.91 1,123.45 1,100.98 1,100.98 1,078.95














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

62225 508.93 483.48 556.00 544.88 544.88 533.98 62230 828.07 786.67 904.67 886.58 886.58 868.85 62252 80.04 76.04 87.45 85.70 85.70 83.98 62252 TC 33.43 31.76 36.52 35.79 35.79 35.08 62252 26 46.61 44.28 50.92 49.90 49.90 48.90 62256 582.19 553.08 636.04 623.32 623.32 610.86 62258 1,109.58 1,054.10 1,212.22 1,187.97 1,187.97 1,164.21 62263 593.65 563.97 648.57 635.59 635.59 622.89

# 62263 325.56 309.28 355.67 348.55 348.55 341.58 62264 391.55 371.97 427.77 419.21 419.21 410.83

# 62264 234.28 222.57 255.96 250.84 250.84 245.82 62267 233.15 221.49 254.71 249.62 249.62 244.63

# 62267 157.24 149.38 171.79 168.35 168.35 164.98 62268 254.46 241.74 278.00 272.45 272.45 267.00 62269 266.73 253.39 291.40 285.57 285.57 279.85 62270 145.97 138.67 159.47 156.29 156.29 153.16

# 62270 76.44 72.62 83.51 81.85 81.85 80.21 62272 183.29 174.13 200.25 196.25 196.25 192.33

# 62272 81.88 77.79 89.46 87.66 87.66 85.92 62273 162.66 154.53 177.71 174.16 174.16 170.67

# 62273 111.96 106.36 122.31 119.86 119.86 117.47 62280 280.53 266.50 306.48 300.35 300.35 294.34

# 62280 156.65 148.82 171.14 167.72 167.72 164.36 62281 224.56 213.33 245.33 240.42 240.42 235.61

# 62281 153.21 145.55 167.38 164.04 164.04 160.76 62282 267.52 254.14 292.26 286.42 286.42 280.69

# 62282 140.91 133.86 153.94 150.86 150.86 147.84 62284 166.83 158.49 182.26 178.62 178.62 175.04

# 62284 84.24 80.03 92.03 90.19 90.19 88.39














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

62287 549.71 522.22 600.55 588.55 588.55 576.77 62290 306.69 291.36 335.06 328.36 328.36 321.79

# 62290 168.55 160.12 184.14 180.46 180.46 176.85 62291 303.33 288.16 331.38 324.76 324.76 318.26

# 62291 166.40 158.08 181.79 178.16 178.16 174.59 62292 562.05 533.95 614.04 601.76 601.76 589.72 62294 761.29 723.23 831.71 815.09 815.09 798.78 62302 222.09 210.99 242.64 237.79 237.79 233.02

# 62302 120.68 114.65 131.85 129.21 129.21 126.63 62303 230.29 218.78 251.60 246.56 246.56 241.63

# 62303 122.50 116.38 133.84 131.16 131.16 128.54 62304 219.75 208.76 240.07 235.27 235.27 230.56

# 62304 118.95 113.00 129.95 127.35 127.35 124.81 62305 238.81 226.87 260.90 255.68 255.68 250.56

# 62305 124.04 117.84 135.52 132.80 132.80 130.15 62310 218.94 207.99 239.19 234.40 234.40 229.71

# 62310 105.99 100.69 115.79 113.48 113.48 111.22 62311 200.76 190.72 219.33 214.95 214.95 210.65

# 62311 87.21 82.85 95.28 93.37 93.37 91.51 62318 210.84 200.30 230.35 225.73 225.73 221.21

# 62318 98.50 93.58 107.62 105.47 105.47 103.36 62319 156.17 148.36 170.61 167.20 167.20 163.85

# 62319 94.54 89.81 103.28 101.21 101.21 99.19 62350 389.73 370.24 425.78 417.27 417.27 408.92 62351 844.28 802.07 922.38 903.93 903.93 885.86 62355 258.78 245.84 282.72 277.06 277.06 271.52 62360 301.41 286.34 329.29 322.70 322.70 316.25 62361 347.82 330.43 379.99 372.39 372.39 364.94 62362 375.45 356.68 410.18 401.98 401.98 393.94














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

62365 286.07 271.77 312.54 306.28 306.28 300.15 62367 38.61 36.68 42.18 41.34 41.34 40.51

# 62367 24.95 23.70 27.26 26.71 26.71 26.19 62368 53.08 50.43 57.99 56.83 56.83 55.69

# 62368 34.86 33.12 38.09 37.33 37.33 36.58 62369 108.03 102.63 118.02 115.67 115.67 113.36

# 62369 35.16 33.40 38.41 37.64 37.64 36.89 62370 114.82 109.08 125.44 122.94 122.94 120.47

# 62370 46.20 43.89 50.47 49.46 49.46 48.47 63001 1,221.62 1,160.54 1,334.62 1,307.93 1,307.93 1,281.77 63003 1,215.20 1,154.44 1,327.61 1,301.05 1,301.05 1,275.03 63005 1,156.22 1,098.41 1,263.17 1,237.91 1,237.91 1,213.15 63011 1,068.20 1,014.79 1,167.01 1,143.66 1,143.66 1,120.79 63012 1,165.81 1,107.52 1,273.65 1,248.18 1,248.18 1,223.21 63015 1,460.09 1,387.09 1,595.15 1,563.25 1,563.25 1,531.98 63016 1,494.28 1,419.57 1,632.51 1,599.86 1,599.86 1,567.86 63017 1,228.23 1,166.82 1,341.84 1,315.00 1,315.00 1,288.70 63020 1,133.97 1,077.27 1,238.86 1,214.08 1,214.08 1,189.80 63030 941.95 894.85 1,029.08 1,008.49 1,008.49 988.32 63035 190.77 181.23 208.41 204.25 204.25 200.17 63040 1,365.48 1,297.21 1,491.79 1,461.96 1,461.96 1,432.72 63042 1,266.03 1,202.73 1,383.14 1,355.48 1,355.48 1,328.38 63043 250.68 238.15 273.87 268.40 268.40 263.03 63044 268.57 255.14 293.41 287.55 287.55 281.80 63045 1,263.53 1,200.35 1,380.40 1,352.79 1,352.79 1,325.73 63046 1,193.82 1,134.13 1,304.25 1,278.17 1,278.17 1,252.60 63047 1,075.92 1,022.12 1,175.44 1,151.93 1,151.93 1,128.90 63048 210.85 200.31 230.36 225.75 225.75 221.23 63050 1,461.69 1,388.61 1,596.90 1,564.97 1,564.97 1,533.66














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

63051 1,680.10 1,596.10 1,835.52 1,798.81 1,798.81 1,762.84 63055 1,604.87 1,524.63 1,753.32 1,718.26 1,718.26 1,683.90 63056 1,455.51 1,382.73 1,590.14 1,558.34 1,558.34 1,527.18 63057 318.98 303.03 348.48 341.52 341.52 334.68 63064 1,742.32 1,655.20 1,903.48 1,865.42 1,865.42 1,828.11 63066 208.94 198.49 228.26 223.70 223.70 219.22 63075 1,329.72 1,263.23 1,452.71 1,423.67 1,423.67 1,395.19 63076 246.33 234.01 269.11 263.73 263.73 258.45 63077 1,474.52 1,400.79 1,610.91 1,578.69 1,578.69 1,547.11 63078 192.54 182.91 210.35 206.14 206.14 202.02 63081 1,728.59 1,642.16 1,888.48 1,850.72 1,850.72 1,813.70 63082 265.63 252.35 290.20 284.40 284.40 278.70 63085 1,883.41 1,789.24 2,057.63 2,016.48 2,016.48 1,976.15 63086 189.78 180.29 207.33 203.18 203.18 199.12 63087 2,373.44 2,254.77 2,592.99 2,541.12 2,541.12 2,490.30 63088 258.27 245.36 282.16 276.52 276.52 270.99 63090 1,918.86 1,822.92 2,096.36 2,054.43 2,054.43 2,013.34 63091 175.61 166.83 191.85 188.01 188.01 184.25 63101 2,279.85 2,165.86 2,490.74 2,440.92 2,440.92 2,392.10 63102 2,232.24 2,120.63 2,438.72 2,389.95 2,389.95 2,342.16 63103 292.13 277.52 319.15 312.77 312.77 306.51 63170 1,581.59 1,502.51 1,727.89 1,693.33 1,693.33 1,659.46 63172 1,367.32 1,298.95 1,493.79 1,463.92 1,463.92 1,434.64 63173 1,695.24 1,610.48 1,852.05 1,815.01 1,815.01 1,778.71 63180 1,473.75 1,400.06 1,610.07 1,577.87 1,577.87 1,546.31 63182 1,375.04 1,306.29 1,502.23 1,472.18 1,472.18 1,442.74 63185 1,107.34 1,051.97 1,209.77 1,185.57 1,185.57 1,161.86 63190 1,230.53 1,169.00 1,344.35 1,317.46 1,317.46 1,291.12 63191 1,334.25 1,267.54 1,457.67 1,428.52 1,428.52 1,399.95














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

63194 1,584.77 1,505.53 1,731.36 1,696.73 1,696.73 1,662.80 63195 1,528.16 1,451.75 1,669.51 1,636.13 1,636.13 1,603.41 63196 1,390.26 1,320.75 1,518.86 1,488.49 1,488.49 1,458.72 63197 1,701.38 1,616.31 1,858.76 1,821.58 1,821.58 1,785.15 63198 1,638.10 1,556.20 1,789.63 1,753.84 1,753.84 1,718.77 63199 1,719.64 1,633.66 1,878.71 1,841.14 1,841.14 1,804.32 63200 1,512.52 1,436.89 1,652.42 1,619.37 1,619.37 1,586.99 63250 2,790.74 2,651.20 3,048.88 2,987.91 2,987.91 2,928.15 63251 3,025.20 2,873.94 3,305.03 3,238.93 3,238.93 3,174.15 63252 3,021.56 2,870.48 3,301.05 3,235.03 3,235.03 3,170.33 63265 1,647.23 1,564.87 1,799.60 1,763.61 1,763.61 1,728.34 63266 1,694.20 1,609.49 1,850.91 1,813.90 1,813.90 1,777.61 63267 1,344.17 1,276.96 1,468.50 1,439.13 1,439.13 1,410.35 63268 1,413.83 1,343.14 1,544.61 1,513.72 1,513.72 1,483.44 63270 2,064.94 1,961.69 2,255.94 2,210.83 2,210.83 2,166.61 63271 2,045.78 1,943.49 2,235.01 2,190.31 2,190.31 2,146.51 63272 1,864.00 1,770.80 2,036.42 1,995.69 1,995.69 1,955.77 63273 1,845.51 1,753.23 2,016.21 1,975.90 1,975.90 1,936.38 63275 1,775.63 1,686.85 1,939.88 1,901.08 1,901.08 1,863.06 63276 1,761.66 1,673.58 1,924.62 1,886.13 1,886.13 1,848.41 63277 1,524.56 1,448.33 1,665.58 1,632.26 1,632.26 1,599.62 63278 1,577.32 1,498.45 1,723.22 1,688.75 1,688.75 1,654.98 63280 2,091.19 1,986.63 2,284.62 2,238.94 2,238.94 2,194.15 63281 2,064.78 1,961.54 2,255.77 2,210.66 2,210.66 2,166.44 63282 1,942.07 1,844.97 2,121.72 2,079.28 2,079.28 2,037.70 63283 1,867.51 1,774.13 2,040.25 1,999.45 1,999.45 1,959.46 63285 2,605.26 2,475.00 2,846.25 2,789.33 2,789.33 2,733.54 63286 2,564.86 2,436.62 2,802.11 2,746.07 2,746.07 2,691.15 63287 2,743.03 2,605.88 2,996.76 2,936.82 2,936.82 2,878.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

63290 2,738.84 2,601.90 2,992.19 2,932.34 2,932.34 2,873.69 63295 335.18 318.42 366.18 358.86 358.86 351.68 63300 1,812.98 1,722.33 1,980.68 1,941.06 1,941.06 1,902.24 63301 2,187.62 2,078.24 2,389.98 2,342.18 2,342.18 2,295.34 63302 2,153.23 2,045.57 2,352.41 2,305.36 2,305.36 2,259.26 63303 2,294.47 2,179.75 2,506.71 2,456.58 2,456.58 2,407.46 63304 2,313.10 2,197.45 2,527.07 2,476.53 2,476.53 2,426.99 63305 2,405.34 2,285.07 2,627.83 2,575.28 2,575.28 2,523.77 63306 2,274.67 2,160.94 2,485.08 2,435.38 2,435.38 2,386.68 63307 2,280.58 2,166.55 2,491.53 2,441.70 2,441.70 2,392.87 63308 324.32 308.10 354.32 347.23 347.23 340.29 63600 882.59 838.46 964.23 944.94 944.94 926.05 63610 424.51 403.28 463.77 454.49 454.49 445.41 63615 959.39 911.42 1,048.13 1,027.17 1,027.17 1,006.63 63620 1,105.34 1,050.07 1,207.58 1,183.43 1,183.43 1,159.76 63621 255.88 243.09 279.55 273.96 273.96 268.49 63650 1,191.38 1,131.81 1,301.58 1,275.55 1,275.55 1,250.04

# 63650 403.48 383.31 440.81 431.99 431.99 423.35 63655 803.35 763.18 877.66 860.11 860.11 842.90 63661 533.65 506.97 583.02 571.35 571.35 559.92

# 63661 312.31 296.69 341.19 334.37 334.37 327.68 63662 810.24 769.73 885.19 867.49 867.49 850.14 63663 732.94 696.29 800.73 784.71 784.71 769.02

# 63663 442.99 420.84 483.97 474.28 474.28 464.80 63664 835.89 794.10 913.22 894.95 894.95 877.06 63685 355.30 337.54 388.17 380.41 380.41 372.80 63688 358.29 340.38 391.44 383.61 383.61 375.94 63700 1,134.19 1,077.48 1,239.10 1,214.32 1,214.32 1,190.03 63702 1,238.28 1,176.37 1,352.83 1,325.77 1,325.77 1,299.25














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

63704 1,632.29 1,550.68 1,783.28 1,747.62 1,747.62 1,712.67 63706 1,659.95 1,576.95 1,813.49 1,777.22 1,777.22 1,741.68 63707 895.50 850.73 978.34 958.78 958.78 939.61 63709 1,076.06 1,022.26 1,175.60 1,152.08 1,152.08 1,129.04 63710 1,058.55 1,005.62 1,156.46 1,133.34 1,133.34 1,110.67 63740 922.85 876.71 1,008.22 988.06 988.06 968.30 63741 659.86 626.87 720.90 706.48 706.48 692.35 63744 656.67 623.84 717.42 703.06 703.06 689.00 63746 586.18 556.87 640.40 627.59 627.59 615.04 64400 117.03 111.18 127.86 125.30 125.30 122.80

# 64400 68.75 65.31 75.11 73.60 73.60 72.13 64402 120.36 114.34 131.49 128.86 128.86 126.28

# 64402 76.33 72.51 83.39 81.72 81.72 80.09 64405 93.23 88.57 101.86 99.82 99.82 97.82

# 64405 61.04 57.99 66.69 65.35 65.35 64.04 64408 96.45 91.63 105.37 103.27 103.27 101.20

# 64408 73.07 69.42 79.83 78.23 78.23 76.67 64410 113.83 108.14 124.36 121.88 121.88 119.44

# 64410 68.89 65.45 75.27 73.76 73.76 72.29 64413 117.89 112.00 128.80 126.22 126.22 123.69

# 64413 79.03 75.08 86.34 84.62 84.62 82.93 64415 110.49 104.97 120.72 118.30 118.30 115.93

# 64415 65.25 61.99 71.29 69.86 69.86 68.47 64416 78.96 75.01 86.26 84.54 84.54 82.85 64417 120.03 114.03 131.13 128.51 128.51 125.95

# 64417 70.23 66.72 76.73 75.20 75.20 73.69 64418 133.37 126.70 145.71 142.80 142.80 139.94

# 64418 74.17 70.46 81.03 79.41 79.41 77.82 64420 103.97 98.77 113.59 111.31 111.31 109.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 64420 66.32 63.00 72.45 71.00 71.00 69.59 64421 139.89 132.90 152.84 149.78 149.78 146.79

# 64421 89.79 85.30 98.10 96.13 96.13 94.21 64425 124.32 118.10 135.82 133.10 133.10 130.44

# 64425 91.53 86.95 99.99 97.99 97.99 96.04 64430 128.10 121.70 139.96 137.16 137.16 134.41

# 64430 80.13 76.12 87.54 85.79 85.79 84.08 64435 125.99 119.69 137.64 134.90 134.90 132.19

# 64435 81.05 77.00 88.55 86.78 86.78 85.04 64445 126.12 119.81 137.78 135.02 135.02 132.32

# 64445 71.77 68.18 78.41 76.84 76.84 75.30 64446 79.26 75.30 86.60 84.86 84.86 83.16 64447 112.12 106.51 122.49 120.04 120.04 117.63

# 64447 66.27 62.96 72.40 70.96 70.96 69.54 64448 71.27 67.71 77.87 76.31 76.31 74.78 64449 83.62 79.44 91.36 89.53 89.53 87.73 64450 73.25 69.59 80.03 78.43 78.43 76.87

# 64450 44.10 41.90 48.19 47.22 47.22 46.28 64455 45.58 43.30 49.80 48.79 48.79 47.82

# 64455 34.65 32.92 37.86 37.10 37.10 36.35 64461 138.21 131.30 151.00 147.97 147.97 145.02

# 64461 85.69 81.41 93.62 91.75 91.75 89.91 64462 78.90 74.96 86.20 84.48 84.48 82.79

# 64462 54.01 51.31 59.01 57.82 57.82 56.66 64463 149.70 142.22 163.55 160.29 160.29 157.08

# 64463 83.51 79.33 91.23 89.40 89.40 87.62 64479 217.20 206.34 237.29 232.54 232.54 227.90

# 64479 128.84 122.40 140.76 137.94 137.94 135.18 64480 104.68 99.45 114.37 112.08 112.08 109.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 64480 62.18 59.07 67.93 66.57 66.57 65.24 64483 200.97 190.92 219.56 215.17 215.17 210.86

# 64483 109.58 104.10 119.72 117.32 117.32 114.98 64484 81.63 77.55 89.18 87.40 87.40 85.65

# 64484 51.27 48.71 56.02 54.90 54.90 53.81 64486 114.81 109.07 125.43 122.92 122.92 120.46

# 64486 62.59 59.46 68.38 67.01 67.01 65.67 64487 140.96 133.91 154.00 150.91 150.91 147.90

# 64487 73.25 69.59 80.03 78.43 78.43 76.87 64488 141.95 134.85 155.08 151.97 151.97 148.94

# 64488 79.10 75.15 86.42 84.70 84.70 83.01 64489 195.03 185.28 213.07 208.81 208.81 204.63

# 64489 89.07 84.62 97.31 95.37 95.37 93.46 64490 175.33 166.56 191.54 187.71 187.71 183.97

# 64490 103.68 98.50 113.28 111.01 111.01 108.79 64491 88.03 83.63 96.17 94.25 94.25 92.37

# 64491 59.49 56.52 65.00 63.70 63.70 62.42 64492 88.34 83.92 96.51 94.58 94.58 92.69

# 64492 60.10 57.10 65.67 64.35 64.35 63.07 64493 158.45 150.53 173.11 169.65 169.65 166.26

# 64493 88.62 84.19 96.82 94.89 94.89 92.99 64494 80.75 76.71 88.22 86.46 86.46 84.73

# 64494 51.30 48.74 56.05 54.94 54.94 53.83 64495 81.06 77.01 88.56 86.79 86.79 85.05

# 64495 51.91 49.31 56.71 55.57 55.57 54.45 64505 98.41 93.49 107.51 105.36 105.36 103.26

# 64505 83.83 79.64 91.59 89.76 89.76 87.96 64508 60.63 57.60 66.24 64.92 64.92 63.62

# 64508 70.65 67.12 77.19 75.65 75.65 74.13














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

64510 116.90 111.06 127.72 125.17 125.17 122.66 # 64510 71.36 67.79 77.96 76.39 76.39 74.87

64517 170.15 161.64 185.89 182.17 182.17 178.53 # 64517 119.44 113.47 130.49 127.88 127.88 125.33

64520 168.69 160.26 184.30 180.61 180.61 177.00 # 64520 78.51 74.58 85.77 84.05 84.05 82.37

64530 173.92 165.22 190.00 186.21 186.21 182.48 # 64530 89.51 85.03 97.78 95.83 95.83 93.91

64550 14.68 13.95 16.04 15.72 15.72 15.41 # 64550 8.61 8.18 9.41 9.22 9.22 9.04

64553 194.23 184.52 212.20 207.95 207.95 203.79 # 64553 149.60 142.12 163.44 160.17 160.17 156.96

64555 195.94 186.14 214.06 209.78 209.78 205.59 # 64555 147.06 139.71 160.67 157.46 157.46 154.31

64561 736.79 699.95 804.94 788.84 788.84 773.06 # 64561 295.63 280.85 322.98 316.51 316.51 310.19

64565 174.31 165.59 190.43 186.62 186.62 182.88 # 64565 125.43 119.16 137.03 134.30 134.30 131.61

64566 112.81 107.17 123.25 120.78 120.78 118.37 # 64566 30.23 28.72 33.03 32.37 32.37 31.73

64568 638.93 606.98 698.03 684.07 684.07 670.38 64569 764.91 726.66 835.66 818.95 818.95 802.57 64570 633.36 601.69 691.94 678.11 678.11 664.55 64575 306.10 290.80 334.42 327.73 327.73 321.17 64580 291.07 276.52 318.00 311.64 311.64 305.41 64581 649.81 617.32 709.92 695.72 695.72 681.80 64585 223.72 212.53 244.41 239.52 239.52 234.73

# 64585 137.18 130.32 149.87 146.87 146.87 143.93 64590 243.05 230.90 265.54 260.22 260.22 255.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 64590 154.39 146.67 168.67 165.30 165.30 162.00 64595 222.42 211.30 243.00 238.13 238.13 233.37

# 64595 120.71 114.67 131.87 129.24 129.24 126.65 64600 359.44 341.47 392.69 384.84 384.84 377.14

# 64600 213.09 202.44 232.81 228.15 228.15 223.58 64605 689.33 654.86 753.09 738.02 738.02 723.26

# 64605 400.89 380.85 437.98 429.21 429.21 420.64 64610 695.94 661.14 760.31 745.11 745.11 730.20

# 64610 479.76 455.77 524.14 513.65 513.65 503.38 64611 108.69 103.26 118.75 116.37 116.37 114.05

# 64611 96.24 91.43 105.14 103.04 103.04 100.98 64612 123.23 117.07 134.63 131.94 131.94 129.31

# 64612 111.08 105.53 121.36 118.93 118.93 116.55 64615 137.94 131.04 150.70 147.68 147.68 144.73

# 64615 121.55 115.47 132.79 130.13 130.13 127.54 64616 120.03 114.03 131.13 128.51 128.51 125.95

# 64616 105.76 100.47 115.54 113.23 113.23 110.96 64617 182.74 173.60 199.64 195.65 195.65 191.74

# 64617 121.41 115.34 132.64 129.98 129.98 127.39 64620 193.28 183.62 211.16 206.94 206.94 202.80

# 64620 166.26 157.95 181.64 178.01 178.01 174.44 64630 219.82 208.83 240.15 235.35 235.35 230.64

# 64630 186.72 177.38 203.99 199.90 199.90 195.90 64632 80.75 76.71 88.22 86.46 86.46 84.73

# 64632 66.79 63.45 72.97 71.51 71.51 70.08 64633 388.15 368.74 424.05 415.58 415.58 407.26

# 64633 220.55 209.52 240.95 236.13 236.13 231.40 64634 172.13 163.52 188.05 184.29 184.29 180.61

# 64634 67.69 64.31 73.96 72.47 72.47 71.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

64635 383.54 364.36 419.01 410.63 410.63 402.42 # 64635 217.46 206.59 237.58 232.83 232.83 228.17

64636 156.31 148.49 170.76 167.35 167.35 164.00 # 64636 59.16 56.20 64.63 63.34 63.34 62.08

64640 122.12 116.01 133.41 130.74 130.74 128.13 # 64640 88.11 83.70 96.26 94.33 94.33 92.45

64642 133.28 126.62 145.61 142.70 142.70 139.85 # 64642 105.35 100.08 115.09 112.79 112.79 110.54

64643 88.31 83.89 96.47 94.54 94.54 92.66 # 64643 71.31 67.74 77.90 76.35 76.35 74.82

64644 152.53 144.90 166.64 163.30 163.30 160.03 # 64644 115.49 109.72 126.18 123.66 123.66 121.19

64645 107.97 102.57 117.96 115.60 115.60 113.29 # 64645 81.86 77.77 89.44 87.64 87.64 85.89

64646 141.86 134.77 154.99 151.88 151.88 148.84 # 64646 113.93 108.23 124.46 121.98 121.98 119.54

64647 167.51 159.13 183.00 179.34 179.34 175.75 # 64647 133.20 126.54 145.52 142.61 142.61 139.76

64650 71.06 67.51 77.64 76.08 76.08 74.57 # 64650 41.00 38.95 44.79 43.90 43.90 43.02

64653 89.47 85.00 97.75 95.80 95.80 93.87 # 64653 53.33 50.66 58.26 57.10 57.10 55.96

64680 283.24 269.08 309.44 303.26 303.26 297.19 # 64680 160.57 152.54 175.42 171.91 171.91 168.48

64681 317.96 302.06 347.37 340.42 340.42 333.62 # 64681 187.70 178.32 205.07 200.96 200.96 196.95

64702 472.34 448.72 516.03 505.71 505.71 495.60 64704 304.18 288.97 332.32 325.67 325.67 319.16 64708 472.12 448.51 515.79 505.47 505.47 495.36














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

64712 550.60 523.07 601.53 589.50 589.50 577.71 64713 703.74 668.55 768.83 753.46 753.46 738.39 64714 621.77 590.68 679.28 665.70 665.70 652.38 64716 511.58 486.00 558.90 547.72 547.72 536.76 64718 560.22 532.21 612.04 599.81 599.81 587.81 64719 379.04 360.09 414.10 405.82 405.82 397.70 64721 404.38 384.16 441.78 432.95 432.95 424.29

# 64721 401.95 381.85 439.13 430.34 430.34 421.74 64722 352.01 334.41 384.57 376.88 376.88 369.35 64726 263.52 250.34 287.89 282.13 282.13 276.48 64727 180.98 171.93 197.72 193.76 193.76 189.89 64732 356.73 338.89 389.72 381.93 381.93 374.29 64734 393.82 374.13 430.25 421.65 421.65 413.22 64736 378.52 359.59 413.53 405.26 405.26 397.15 64738 407.58 387.20 445.28 436.38 436.38 427.65 64740 436.88 415.04 477.30 467.75 467.75 458.40 64742 462.63 439.50 505.43 495.32 495.32 485.42 64744 472.84 449.20 516.58 506.25 506.25 496.13 64746 435.77 413.98 476.08 466.56 466.56 457.23 64755 904.84 859.60 988.54 968.77 968.77 949.39 64760 489.44 464.97 534.72 524.02 524.02 513.54 64763 490.11 465.60 535.44 524.73 524.73 514.23 64766 581.95 552.85 635.78 623.06 623.06 610.59 64771 571.94 543.34 624.84 612.34 612.34 600.09 64772 538.39 511.47 588.19 576.43 576.43 564.90 64774 399.09 379.14 436.01 427.29 427.29 418.75 64776 374.96 356.21 409.64 401.45 401.45 393.43 64778 143.16 136.00 156.40 153.27 153.27 150.20 64782 435.23 413.47 475.49 465.98 465.98 456.67














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

64783 215.97 205.17 235.95 231.23 231.23 226.61 64784 702.74 667.60 767.74 752.39 752.39 737.35 64786 1,039.45 987.48 1,135.60 1,112.89 1,112.89 1,090.64 64787 238.84 226.90 260.94 255.71 255.71 250.60 64788 381.41 362.34 416.69 408.35 408.35 400.19 64790 813.01 772.36 888.21 870.45 870.45 853.04 64792 1,171.13 1,112.57 1,279.46 1,253.87 1,253.87 1,228.79 64795 188.57 179.14 206.01 201.89 201.89 197.86 64802 643.50 611.33 703.03 688.97 688.97 675.19 64804 983.43 934.26 1,074.40 1,052.91 1,052.91 1,031.85 64809 994.19 944.48 1,086.15 1,064.43 1,064.43 1,043.14 64818 604.74 574.50 660.68 647.46 647.46 634.51 64820 696.55 661.72 760.98 745.76 745.76 730.85 64821 655.99 623.19 716.67 702.34 702.34 688.30 64822 655.99 623.19 716.67 702.34 702.34 688.30 64823 748.59 711.16 817.83 801.48 801.48 785.45 64831 653.50 620.83 713.95 699.67 699.67 685.68 64832 330.63 314.10 361.22 353.99 353.99 346.91 64834 712.55 676.92 778.46 762.89 762.89 747.63 64835 777.93 739.03 849.88 832.89 832.89 816.24 64836 780.43 741.41 852.62 835.57 835.57 818.86 64837 363.91 345.71 397.57 389.62 389.62 381.82 64840 980.83 931.79 1,071.56 1,050.12 1,050.12 1,029.12 64856 980.36 931.34 1,071.04 1,049.62 1,049.62 1,028.63 64857 1,019.11 968.15 1,113.37 1,091.11 1,091.11 1,069.28 64858 1,099.55 1,044.57 1,201.26 1,177.23 1,177.23 1,153.69 64859 247.46 235.09 270.35 264.95 264.95 259.65 64861 1,290.67 1,226.14 1,410.06 1,381.86 1,381.86 1,354.23 64862 1,508.88 1,433.44 1,648.46 1,615.49 1,615.49 1,583.17














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

64864 851.14 808.58 929.87 911.27 911.27 893.04 64865 1,085.85 1,031.56 1,186.29 1,162.57 1,162.57 1,139.32 64866 1,110.26 1,054.75 1,212.96 1,188.71 1,188.71 1,164.94 64868 979.61 930.63 1,070.22 1,048.82 1,048.82 1,027.85 64872 118.29 112.38 129.24 126.65 126.65 124.12 64874 169.01 160.56 184.64 180.95 180.95 177.33 64876 175.41 166.64 191.64 187.81 187.81 184.05 64885 1,113.94 1,058.24 1,216.98 1,192.64 1,192.64 1,168.79 64886 1,268.06 1,204.66 1,385.36 1,357.66 1,357.66 1,330.50 64890 1,052.10 999.50 1,149.43 1,126.44 1,126.44 1,103.91 64891 1,125.01 1,068.76 1,229.07 1,204.49 1,204.49 1,180.39 64892 1,007.97 957.57 1,101.21 1,079.18 1,079.18 1,057.60 64893 1,094.65 1,039.92 1,195.91 1,171.99 1,171.99 1,148.55 64895 1,296.51 1,231.68 1,416.43 1,388.11 1,388.11 1,360.35 64896 1,389.12 1,319.66 1,517.61 1,487.26 1,487.26 1,457.51 64897 1,203.58 1,143.40 1,314.91 1,288.61 1,288.61 1,262.84 64898 1,326.26 1,259.95 1,448.94 1,419.96 1,419.96 1,391.57 64901 552.16 524.55 603.23 591.17 591.17 579.35 64902 649.52 617.04 709.60 695.41 695.41 681.50 64905 991.33 941.76 1,083.02 1,061.36 1,061.36 1,040.13 64907 1,339.62 1,272.64 1,463.54 1,434.27 1,434.27 1,405.59 64910 789.37 749.90 862.39 845.14 845.14 828.23 64911 971.11 922.55 1,060.93 1,039.72 1,039.72 1,018.92 65091 586.37 557.05 640.61 627.80 627.80 615.24 65093 579.10 550.15 632.67 620.02 620.02 607.63 65101 680.36 646.34 743.29 728.42 728.42 713.85 65103 711.34 675.77 777.14 761.59 761.59 746.36 65105 785.29 746.03 857.93 840.78 840.78 823.96 65110 1,140.36 1,083.34 1,245.84 1,220.92 1,220.92 1,196.51














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

65112 1,327.48 1,261.11 1,450.28 1,421.27 1,421.27 1,392.85 65114 1,395.29 1,325.53 1,524.36 1,493.87 1,493.87 1,464.00 65125 410.72 390.18 448.71 439.74 439.74 430.94

# 65125 270.14 256.63 295.12 289.23 289.23 283.44 65130 675.85 642.06 738.37 723.60 723.60 709.14 65135 686.31 651.99 749.79 734.79 734.79 720.10 65140 746.77 709.43 815.84 799.53 799.53 783.54 65150 527.83 501.44 576.66 565.12 565.12 553.82 65155 783.52 744.34 855.99 838.87 838.87 822.09 65175 606.33 576.01 662.41 649.16 649.16 636.18 65205 51.98 49.38 56.79 55.65 55.65 54.53

# 65205 41.96 39.86 45.84 44.92 44.92 44.02 65210 63.65 60.47 69.54 68.15 68.15 66.78

# 65210 50.59 48.06 55.27 54.17 54.17 53.08 65220 53.94 51.24 58.93 57.75 57.75 56.60

# 65220 40.58 38.55 44.33 43.45 43.45 42.57 65222 61.83 58.74 67.55 66.21 66.21 64.88

# 65222 49.68 47.20 54.28 53.20 53.20 52.13 65235 662.84 629.70 724.16 709.68 709.68 695.49 65260 896.98 852.13 979.95 960.35 960.35 941.15 65265 1,012.02 961.42 1,105.63 1,083.52 1,083.52 1,061.85 65270 239.76 227.77 261.94 256.69 256.69 251.56

# 65270 131.98 125.38 144.19 141.30 141.30 138.47 65272 457.17 434.31 499.46 489.46 489.46 479.68

# 65272 328.44 312.02 358.82 351.65 351.65 344.61 65273 357.33 339.46 390.38 382.57 382.57 374.92 65275 531.96 505.36 581.16 569.54 569.54 558.15

# 65275 433.59 411.91 473.70 464.22 464.22 454.94 65280 629.33 597.86 687.54 673.79 673.79 660.31














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

65285 1,041.19 989.13 1,137.50 1,114.75 1,114.75 1,092.45 65286 641.67 609.59 701.03 687.01 687.01 673.27

# 65286 464.35 441.13 507.30 497.16 497.16 487.21 65290 457.77 434.88 500.11 490.11 490.11 480.31 65400 626.31 594.99 684.24 670.55 670.55 657.14

# 65400 561.63 533.55 613.58 601.31 601.31 589.28 65410 131.05 124.50 143.18 140.31 140.31 137.51

# 65410 98.26 93.35 107.35 105.20 105.20 103.10 65420 467.53 444.15 510.77 500.56 500.56 490.54

# 65420 349.72 332.23 382.06 374.43 374.43 366.94 65426 593.74 564.05 648.66 635.69 635.69 622.97

# 65426 446.18 423.87 487.45 477.70 477.70 468.14 65430 106.42 101.10 116.27 113.94 113.94 111.67

# 65430 97.31 92.44 106.31 104.18 104.18 102.10 65435 73.53 69.85 80.33 78.72 78.72 77.14

# 65435 65.03 61.78 71.05 69.62 69.62 68.23 65436 360.53 342.50 393.88 386.00 386.00 378.28

# 65436 347.48 330.11 379.63 372.04 372.04 364.60 65450 298.82 283.88 326.46 319.93 319.93 313.54

# 65450 296.40 281.58 323.82 317.34 317.34 310.99 65600 362.45 344.33 395.98 388.06 388.06 380.29

# 65600 319.94 303.94 349.53 342.54 342.54 335.69 65710 1,033.57 981.89 1,129.17 1,106.59 1,106.59 1,084.46 65730 1,148.24 1,090.83 1,254.45 1,229.36 1,229.36 1,204.77 65750 1,157.14 1,099.28 1,264.17 1,238.88 1,238.88 1,214.10 65755 1,150.74 1,093.20 1,257.18 1,232.04 1,232.04 1,207.40 65756 1,115.22 1,059.46 1,218.38 1,194.01 1,194.01 1,170.13 65757 61.59 58.51 67.29 65.94 65.94 64.62 65770 1,320.25 1,254.24 1,442.38 1,413.53 1,413.53 1,385.27














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

65772 416.42 395.60 454.94 445.84 445.84 436.93 # 65772 378.77 359.83 413.80 405.52 405.52 397.42

65775 513.62 487.94 561.13 549.91 549.91 538.91 65778 1,236.57 1,174.74 1,350.95 1,323.94 1,323.94 1,297.46

# 65778 56.09 53.29 61.28 60.05 60.05 58.86 65779 1,045.94 993.64 1,142.69 1,119.84 1,119.84 1,097.43

# 65779 145.40 138.13 158.85 155.68 155.68 152.56 65780 662.68 629.55 723.98 709.50 709.50 695.31 65781 1,250.13 1,187.62 1,365.76 1,338.45 1,338.45 1,311.68 65782 1,077.13 1,023.27 1,176.76 1,153.22 1,153.22 1,130.15 65785 1,849.71 1,757.22 2,020.80 1,980.39 1,980.39 1,940.79

# 65785 366.82 348.48 400.75 392.74 392.74 384.88 65800 111.03 105.48 121.30 118.88 118.88 116.50

# 65800 87.65 83.27 95.76 93.84 93.84 91.97 65810 433.35 411.68 473.43 463.97 463.97 454.69 65815 581.32 552.25 635.09 622.39 622.39 609.95

# 65815 445.00 422.75 486.16 476.45 476.45 466.91 65820 694.45 659.73 758.69 743.52 743.52 728.65 65850 786.91 747.56 859.69 842.50 842.50 825.65 65855 249.84 237.35 272.95 267.49 267.49 262.14

# 65855 221.91 210.81 242.43 237.58 237.58 232.83 65860 285.51 271.23 311.91 305.68 305.68 299.56

# 65860 238.45 226.53 260.51 255.30 255.30 250.19 65865 439.42 417.45 480.07 470.47 470.47 461.06 65870 550.07 522.57 600.96 588.94 588.94 577.16 65875 586.16 556.85 640.38 627.57 627.57 615.02 65880 616.05 585.25 673.04 659.58 659.58 646.39 65900 896.48 851.66 979.41 959.82 959.82 940.63 65920 734.91 698.16 802.88 786.83 786.83 771.10














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

65930 595.84 566.05 650.96 637.94 637.94 625.19 66020 169.35 160.88 185.01 181.31 181.31 177.69

# 66020 122.60 116.47 133.94 131.26 131.26 128.64 66030 149.52 142.04 163.35 160.08 160.08 156.88

# 66030 102.76 97.62 112.26 110.02 110.02 107.82 66130 641.57 609.49 700.91 686.90 686.90 673.15

# 66130 533.78 507.09 583.15 571.49 571.49 560.06 66150 813.29 772.63 888.52 870.76 870.76 853.35 66155 812.63 772.00 887.80 870.04 870.04 852.64 66160 919.51 873.53 1,004.56 984.47 984.47 964.78 66170 898.56 853.63 981.67 962.04 962.04 942.80 66172 1,123.99 1,067.79 1,227.96 1,203.39 1,203.39 1,179.33 66174 887.84 843.45 969.97 950.57 950.57 931.56 66175 930.97 884.42 1,017.08 996.74 996.74 976.81 66179 1,006.12 955.81 1,099.18 1,077.19 1,077.19 1,055.65 66180 1,063.42 1,010.25 1,161.79 1,138.56 1,138.56 1,115.79 66183 960.87 912.83 1,049.75 1,028.76 1,028.76 1,008.18 66184 729.24 692.78 796.70 780.76 780.76 765.14 66185 786.84 747.50 859.63 842.43 842.43 825.59 66220 694.02 659.32 758.22 743.05 743.05 728.19 66225 872.68 829.05 953.41 934.34 934.34 915.65 66250 682.93 648.78 746.10 731.17 731.17 716.54

# 66250 519.88 493.89 567.97 556.61 556.61 545.48 66500 325.75 309.46 355.88 348.76 348.76 341.78 66505 357.43 339.56 390.49 382.69 382.69 375.03 66600 772.43 733.81 843.88 827.00 827.00 810.46 66605 989.47 940.00 1,081.00 1,059.38 1,059.38 1,038.20 66625 399.41 379.44 436.36 427.63 427.63 419.07 66630 530.92 504.37 580.03 568.42 568.42 557.05














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

66635 536.30 509.49 585.91 574.20 574.20 562.71 66680 481.53 457.45 526.07 515.55 515.55 505.23 66682 589.52 560.04 644.05 631.17 631.17 618.54 66700 415.78 394.99 454.24 445.15 445.15 436.25

# 66700 367.50 349.13 401.50 393.47 393.47 385.61 66710 406.98 386.63 444.62 435.74 435.74 427.02

# 66710 367.20 348.84 401.17 393.14 393.14 385.27 66711 597.14 567.28 652.37 639.32 639.32 626.53 66720 435.70 413.92 476.01 466.49 466.49 457.16

# 66720 392.89 373.25 429.24 420.66 420.66 412.24 66740 404.85 384.61 442.30 433.46 433.46 424.79

# 66740 367.50 349.13 401.50 393.47 393.47 385.61 66761 271.53 257.95 296.64 290.71 290.71 284.89

# 66761 220.22 209.21 240.59 235.78 235.78 231.07 66762 438.41 416.49 478.96 469.38 469.38 460.00

# 66762 397.42 377.55 434.18 425.50 425.50 416.99 66770 487.94 463.54 533.07 522.41 522.41 511.96

# 66770 450.90 428.36 492.61 482.76 482.76 473.10 66820 360.47 342.45 393.82 385.94 385.94 378.22 66821 302.77 287.63 330.77 324.16 324.16 317.68

# 66821 286.98 272.63 313.52 307.26 307.26 301.12 66825 704.44 669.22 769.60 754.22 754.22 739.13 66830 666.02 632.72 727.63 713.08 713.08 698.82 66840 651.35 618.78 711.60 697.36 697.36 683.41 66850 741.75 704.66 810.36 794.16 794.16 778.27 66852 791.27 751.71 864.47 847.18 847.18 830.24 66920 706.26 670.95 771.59 756.16 756.16 741.04 66930 803.05 762.90 877.34 859.79 859.79 842.59 66940 731.93 695.33 799.63 783.63 783.63 767.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

66982 746.86 709.52 815.95 799.63 799.63 783.63 66983 694.42 659.70 758.66 743.49 743.49 728.62 66984 598.37 568.45 653.72 640.64 640.64 627.83 66985 719.04 683.09 785.55 769.84 769.84 754.45 66986 851.06 808.51 929.79 911.19 911.19 892.96 66990 86.63 82.30 94.65 92.75 92.75 90.90 67005 440.11 418.10 480.82 471.20 471.20 461.78 67010 506.91 481.56 553.79 542.72 542.72 531.86 67015 539.23 512.27 589.11 577.32 577.32 565.78 67025 669.54 636.06 731.47 716.84 716.84 702.50

# 67025 590.29 560.78 644.90 631.99 631.99 619.36 67027 799.46 759.49 873.41 855.95 855.95 838.82 67028 95.97 91.17 104.85 102.75 102.75 100.69

# 67028 94.45 89.73 103.19 101.13 101.13 99.11 67030 492.08 467.48 537.60 526.85 526.85 516.32 67031 359.16 341.20 392.38 384.54 384.54 376.84

# 67031 332.45 315.83 363.20 355.94 355.94 348.82 67036 844.58 802.35 922.70 904.25 904.25 886.16 67039 905.61 860.33 989.38 969.59 969.59 950.20 67040 980.13 931.12 1,070.79 1,049.38 1,049.38 1,028.39 67041 1,084.67 1,030.44 1,185.01 1,161.30 1,161.30 1,138.07 67042 1,084.98 1,030.73 1,185.34 1,161.64 1,161.64 1,138.41 67043 1,146.34 1,089.02 1,252.37 1,227.33 1,227.33 1,202.79 67101 722.96 686.81 789.83 774.03 774.03 758.55

# 67101 629.75 598.26 688.00 674.23 674.23 660.74 67105 666.16 632.85 727.78 713.22 713.22 698.96

# 67105 602.40 572.28 658.12 644.95 644.95 632.05 67107 955.17 907.41 1,043.52 1,022.65 1,022.65 1,002.19 67108 1,202.37 1,142.25 1,313.59 1,287.32 1,287.32 1,261.57














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

67110 700.45 665.43 765.24 749.94 749.94 734.94 # 67110 646.41 614.09 706.20 692.08 692.08 678.24

67113 1,321.24 1,255.18 1,443.46 1,414.59 1,414.59 1,386.30 67115 464.45 441.23 507.41 497.27 497.27 487.32 67120 604.29 574.08 660.19 646.99 646.99 634.05

# 67120 520.49 494.47 568.64 557.27 557.27 546.12 67121 851.01 808.46 929.73 911.13 911.13 892.91 67141 485.01 460.76 529.87 519.27 519.27 508.89

# 67141 454.65 431.92 496.71 486.77 486.77 477.03 67145 488.71 464.27 533.91 523.23 523.23 512.76

# 67145 464.42 441.20 507.38 497.24 497.24 487.29 67208 558.54 530.61 610.20 598.00 598.00 586.04

# 67208 541.23 514.17 591.30 579.47 579.47 567.88 67210 481.33 457.26 525.85 515.33 515.33 505.02

# 67210 466.46 443.14 509.61 499.42 499.42 489.43 67218 1,306.49 1,241.17 1,427.35 1,398.80 1,398.80 1,370.82 67220 495.00 470.25 540.79 529.98 529.98 519.37

# 67220 466.46 443.14 509.61 499.42 499.42 489.43 67221 265.89 252.60 290.49 284.68 284.68 278.99

# 67221 203.65 193.47 222.49 218.04 218.04 213.68 67225 28.17 26.76 30.77 30.15 30.15 29.56

# 67225 26.65 25.32 29.12 28.53 28.53 27.96 67227 268.59 255.16 293.43 287.57 287.57 281.82

# 67227 240.96 228.91 263.25 257.98 257.98 252.82 67228 317.70 301.82 347.09 340.15 340.15 333.34

# 67228 289.47 275.00 316.25 309.93 309.93 303.73 67229 1,055.52 1,002.74 1,153.15 1,130.09 1,130.09 1,107.50 67250 725.76 689.47 792.89 777.03 777.03 761.50 67255 634.95 603.20 693.68 679.81 679.81 666.22














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

67311 558.62 530.69 610.29 598.09 598.09 586.13 67312 667.47 634.10 729.22 714.63 714.63 700.34 67314 629.09 597.64 687.29 673.54 673.54 660.08 67316 751.51 713.93 821.02 804.60 804.60 788.51 67318 657.37 624.50 718.18 703.81 703.81 689.74 67320 309.21 293.75 337.81 331.06 331.06 324.44 67331 293.40 278.73 320.54 314.13 314.13 307.86 67332 318.32 302.40 347.76 340.80 340.80 333.98 67334 289.29 274.83 316.05 309.73 309.73 303.53 67335 142.31 135.19 155.47 152.36 152.36 149.32 67340 343.89 326.70 375.71 368.20 368.20 360.84 67343 610.61 580.08 667.09 653.75 653.75 640.68 67345 227.05 215.70 248.06 243.10 243.10 238.23

# 67345 206.40 196.08 225.49 220.98 220.98 216.57 67346 183.45 174.28 200.42 196.41 196.41 192.48 67400 862.76 819.62 942.56 923.71 923.71 905.25 67405 735.65 698.87 803.70 787.62 787.62 771.87 67412 789.95 750.45 863.02 845.76 845.76 828.84 67413 794.04 754.34 867.49 850.14 850.14 833.14 67414 1,242.07 1,179.97 1,356.97 1,329.83 1,329.83 1,303.23 67415 100.21 95.20 109.48 107.30 107.30 105.14 67420 1,517.45 1,441.58 1,657.82 1,624.66 1,624.66 1,592.18 67430 1,152.90 1,095.26 1,259.55 1,234.35 1,234.35 1,209.66 67440 1,119.69 1,063.71 1,223.27 1,198.81 1,198.81 1,174.83 67445 1,314.83 1,249.09 1,436.45 1,407.73 1,407.73 1,379.57 67450 1,166.99 1,108.64 1,274.94 1,249.44 1,249.44 1,224.45 67500 75.63 71.85 82.63 80.97 80.97 79.35

# 67500 70.47 66.95 76.99 75.45 75.45 73.95 67505 83.74 79.55 91.48 89.65 89.65 87.86














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 67505 77.36 73.49 84.51 82.82 82.82 81.17 67515 91.16 86.60 99.59 97.60 97.60 95.65

# 67515 84.79 80.55 92.63 90.78 90.78 88.96 67550 895.83 851.04 978.70 959.12 959.12 939.94 67560 918.88 872.94 1,003.88 983.80 983.80 964.13 67570 1,084.88 1,030.64 1,185.24 1,161.53 1,161.53 1,138.30 67700 237.54 225.66 259.51 254.32 254.32 249.24

# 67700 108.20 102.79 118.21 115.84 115.84 113.53 67710 197.38 187.51 215.64 211.32 211.32 207.09

# 67710 89.90 85.41 98.22 96.26 96.26 94.33 67715 211.37 200.80 230.92 226.30 226.30 221.77

# 67715 100.85 95.81 110.18 107.97 107.97 105.81 67800 117.02 111.17 127.85 125.29 125.29 122.79

# 67800 96.99 92.14 105.96 103.85 103.85 101.76 67801 149.94 142.44 163.81 160.53 160.53 157.32

# 67801 125.96 119.66 137.61 134.86 134.86 132.16 67805 186.01 176.71 203.22 199.16 199.16 195.18

# 67805 154.74 147.00 169.05 165.67 165.67 162.36 67808 343.88 326.69 375.69 368.18 368.18 360.82 67810 154.51 146.78 168.80 165.42 165.42 162.10

# 67810 69.19 65.73 75.59 74.08 74.08 72.60 67820 46.81 44.47 51.14 50.12 50.12 49.12

# 67820 49.85 47.36 54.46 53.37 53.37 52.30 67825 118.35 112.43 129.29 126.71 126.71 124.18

# 67825 112.58 106.95 122.99 120.53 120.53 118.12 67830 238.03 226.13 260.05 254.85 254.85 249.76

# 67830 129.03 122.58 140.97 138.15 138.15 135.39 67835 409.29 388.83 447.15 438.21 438.21 429.44 67840 247.55 235.17 270.45 265.04 265.04 259.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 67840 148.26 140.85 161.98 158.73 158.73 155.56 67850 194.13 184.42 212.08 207.84 207.84 203.69

# 67850 127.64 121.26 139.45 136.65 136.65 133.92 67875 154.69 146.96 169.00 165.62 165.62 162.31

# 67875 91.53 86.95 99.99 97.99 97.99 96.04 67880 419.45 398.48 458.25 449.09 449.09 440.11

# 67880 343.24 326.08 374.99 367.49 367.49 360.15 67882 517.71 491.82 565.59 554.28 554.28 543.19

# 67882 440.59 418.56 481.34 471.72 471.72 462.29 67900 588.47 559.05 642.91 630.05 630.05 617.45

# 67900 477.95 454.05 522.16 511.72 511.72 501.48 67901 691.95 657.35 755.95 740.83 740.83 726.02

# 67901 539.83 512.84 589.77 577.97 577.97 566.41 67902 678.71 644.77 741.49 726.65 726.65 712.11 67903 546.12 518.81 596.63 584.69 584.69 573.00

# 67903 453.52 430.84 495.47 485.55 485.55 475.85 67904 673.47 639.80 735.77 721.05 721.05 706.63

# 67904 559.61 531.63 611.37 599.15 599.15 587.17 67906 475.88 452.09 519.90 509.51 509.51 499.32 67908 453.46 430.79 495.41 485.50 485.50 475.79

# 67908 395.47 375.70 432.06 423.42 423.42 414.95 67909 491.27 466.71 536.72 525.99 525.99 515.46

# 67909 409.29 388.83 447.15 438.21 438.21 429.44 67911 526.82 500.48 575.55 564.04 564.04 552.76 67912 793.14 753.48 866.50 849.17 849.17 832.19

# 67912 459.77 436.78 502.30 492.25 492.25 482.40 67914 423.42 402.25 462.59 453.34 453.34 444.28

# 67914 303.19 288.03 331.23 324.61 324.61 318.11 67915 262.06 248.96 286.30 280.58 280.58 274.97














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 67915 181.91 172.81 198.73 194.75 194.75 190.85 67916 538.72 511.78 588.55 576.77 576.77 565.24

# 67916 402.39 382.27 439.61 430.81 430.81 422.20 67917 550.35 522.83 601.25 589.23 589.23 577.44

# 67917 428.29 406.88 467.91 458.55 458.55 449.39 67921 413.90 393.21 452.19 443.15 443.15 434.29

# 67921 286.98 272.63 313.52 307.26 307.26 301.12 67922 259.94 246.94 283.98 278.30 278.30 272.73

# 67922 181.60 172.52 198.40 194.43 194.43 190.54 67923 538.00 511.10 587.77 576.01 576.01 564.49

# 67923 401.98 381.88 439.16 430.38 430.38 421.77 67924 573.99 545.29 627.08 614.54 614.54 602.24

# 67924 428.25 406.84 467.87 458.51 458.51 449.34 67930 332.66 316.03 363.43 356.17 356.17 349.05

# 67930 227.61 216.23 248.66 243.70 243.70 238.82 67935 546.09 518.79 596.61 584.67 584.67 572.98

# 67935 417.96 397.06 456.62 447.49 447.49 438.54 67938 214.90 204.16 234.78 230.09 230.09 225.49

# 67938 107.41 102.04 117.35 115.00 115.00 112.70 67950 525.31 499.04 573.90 562.42 562.42 551.17

# 67950 433.31 411.64 473.39 463.92 463.92 454.64 67961 525.94 499.64 574.59 563.10 563.10 551.84

# 67961 424.84 403.60 464.14 454.86 454.86 445.76 67966 710.77 675.23 776.51 760.99 760.99 745.78

# 67966 617.26 586.40 674.36 660.87 660.87 647.66 67971 679.90 645.91 742.80 727.94 727.94 713.38 67973 875.92 832.12 956.94 937.80 937.80 919.05 67974 874.24 830.53 955.11 936.01 936.01 917.29 67975 642.47 610.35 701.90 687.86 687.86 674.11














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

68020 110.70 105.17 120.95 118.53 118.53 116.16 # 68020 103.11 97.95 112.64 110.39 110.39 108.18

68040 58.54 55.61 63.95 62.68 62.68 61.42 # 68040 48.52 46.09 53.00 51.95 51.95 50.91

68100 153.13 145.47 167.29 163.94 163.94 160.67 # 68100 91.50 86.93 99.97 97.97 97.97 96.01

68110 203.46 193.29 222.28 217.83 217.83 213.47 # 68110 138.19 131.28 150.97 147.95 147.95 144.99

68115 280.63 266.60 306.59 300.46 300.46 294.45 # 68115 172.24 163.63 188.17 184.41 184.41 180.72

68130 490.56 466.03 535.93 525.22 525.22 514.72 # 68130 383.68 364.50 419.18 410.79 410.79 402.58

68135 145.28 138.02 158.72 155.55 155.55 152.43 # 68135 140.73 133.69 153.74 150.67 150.67 147.66

68200 38.33 36.41 41.87 41.03 41.03 40.22 # 68200 32.87 31.23 35.91 35.20 35.20 34.50

68320 658.79 625.85 719.73 705.33 705.33 691.22 # 68320 501.82 476.73 548.24 537.28 537.28 526.54

68325 616.21 585.40 673.21 659.74 659.74 646.55 68326 603.66 573.48 659.50 646.31 646.31 633.39 68328 663.36 630.19 724.72 710.23 710.23 696.03 68330 550.94 523.39 601.90 589.86 589.86 578.06

# 68330 429.80 408.31 469.56 460.16 460.16 450.96 68335 605.36 575.09 661.35 648.13 648.13 635.17 68340 495.31 470.54 541.12 530.30 530.30 519.70

# 68340 372.04 353.44 406.46 398.33 398.33 390.36 68360 485.61 461.33 530.53 519.92 519.92 509.52

# 68360 384.51 365.28 420.07 411.67 411.67 403.43 68362 613.80 583.11 670.58 657.17 657.17 644.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

68371 384.24 365.03 419.78 411.39 411.39 403.17 68400 252.82 240.18 276.21 270.69 270.69 265.27

# 68400 123.48 117.31 134.91 132.20 132.20 129.56 68420 288.84 274.40 315.56 309.25 309.25 303.06

# 68420 158.59 150.66 173.26 169.80 169.80 166.41 68440 93.38 88.71 102.02 99.98 99.98 97.98

# 68440 90.95 86.40 99.36 97.37 97.37 95.43 68500 911.36 865.79 995.66 975.74 975.74 956.23 68505 905.80 860.51 989.59 969.80 969.80 950.39 68510 408.22 387.81 445.98 437.06 437.06 428.32

# 68510 278.27 264.36 304.01 297.93 297.93 291.97 68520 642.07 609.97 701.47 687.44 687.44 673.68 68525 252.69 240.06 276.07 270.55 270.55 265.13 68530 387.59 368.21 423.44 414.98 414.98 406.67

# 68530 243.07 230.92 265.56 260.25 260.25 255.04 68540 869.89 826.40 950.36 931.35 931.35 912.72 68550 1,041.34 989.27 1,137.66 1,114.90 1,114.90 1,092.60 68700 564.40 536.18 616.61 604.28 604.28 592.19 68705 214.56 203.83 234.40 229.71 229.71 225.12

# 68705 155.35 147.58 169.72 166.32 166.32 163.00 68720 707.53 672.15 772.97 757.52 757.52 742.37 68745 709.80 674.31 775.46 759.94 759.94 744.74 68750 734.17 697.46 802.08 786.04 786.04 770.32 68760 182.60 173.47 199.49 195.50 195.50 191.59

# 68760 135.84 129.05 148.41 145.44 145.44 142.53 68761 134.60 127.87 147.05 144.11 144.11 141.22

# 68761 110.31 104.79 120.51 118.09 118.09 115.74 68770 587.97 558.57 642.36 629.51 629.51 616.92 68801 90.87 86.33 99.28 97.29 97.29 95.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 68801 79.33 75.36 86.66 84.93 84.93 83.23 68810 176.06 167.26 192.35 188.50 188.50 184.72

# 68810 139.32 132.35 152.20 149.16 149.16 146.18 68811 153.23 145.57 167.41 164.06 164.06 160.78 68815 355.79 338.00 388.70 380.93 380.93 373.31

# 68815 206.41 196.09 225.50 221.00 221.00 216.58 68816 564.28 536.07 616.48 604.15 604.15 592.07

# 68816 185.96 176.66 203.16 199.10 199.10 195.12 68840 117.00 111.15 127.82 125.27 125.27 122.76

# 68840 107.89 102.50 117.88 115.52 115.52 113.21 68850 57.13 54.27 62.41 61.16 61.16 59.94

# 68850 52.88 50.24 57.78 56.63 56.63 55.50 69000 171.27 162.71 187.12 183.38 183.38 179.71

# 69000 112.67 107.04 123.10 120.64 120.64 118.22 69005 199.87 189.88 218.36 213.99 213.99 209.71

# 69005 150.38 142.86 164.29 161.00 161.00 157.78 69020 211.61 201.03 231.18 226.56 226.56 222.03

# 69020 133.58 126.90 145.94 143.01 143.01 140.15 69100 91.33 86.76 99.77 97.77 97.77 95.82

# 69100 47.60 45.22 52.00 50.97 50.97 49.94 69105 127.10 120.75 138.86 136.09 136.09 133.37

# 69105 60.91 57.86 66.54 65.21 65.21 63.91 69110 419.22 398.26 458.00 448.83 448.83 439.85

# 69110 304.45 289.23 332.61 325.97 325.97 319.45 69120 379.16 360.20 414.23 405.95 405.95 397.83 69140 816.57 775.74 892.10 874.26 874.26 856.78 69145 362.19 344.08 395.69 387.78 387.78 380.03

# 69145 234.97 223.22 256.70 251.57 251.57 246.54 69150 998.87 948.93 1,091.27 1,069.44 1,069.44 1,048.05














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

69155 1,602.22 1,522.11 1,750.43 1,715.42 1,715.42 1,681.12 69200 90.47 85.95 98.84 96.86 96.86 94.93

# 69200 45.83 43.54 50.07 49.07 49.07 48.09 69205 96.14 91.33 105.03 102.93 102.93 100.87 69209 10.97 10.42 11.98 11.74 11.74 11.51 69210 46.07 43.77 50.34 49.32 49.32 48.33

# 69210 32.11 30.50 35.08 34.37 34.37 33.68 69220 101.19 96.13 110.55 108.34 108.34 106.18

# 69220 50.48 47.96 55.15 54.05 54.05 52.97 69222 199.91 189.91 218.40 214.03 214.03 209.75

# 69222 128.56 122.13 140.45 137.64 137.64 134.90 69300 680.58 646.55 743.53 728.66 728.66 714.09

# 69300 458.03 435.13 500.40 490.39 490.39 480.59 69310 1,022.50 971.38 1,117.09 1,094.74 1,094.74 1,072.85 69320 1,458.23 1,385.32 1,593.12 1,561.25 1,561.25 1,530.03 69420 175.20 166.44 191.41 187.58 187.58 183.83

# 69420 113.87 108.18 124.41 121.92 121.92 119.49 69421 141.16 134.10 154.22 151.13 151.13 148.11 69424 116.17 110.36 126.91 124.37 124.37 121.89

# 69424 59.70 56.72 65.23 63.93 63.93 62.65 69433 185.75 176.46 202.93 198.87 198.87 194.89

# 69433 125.64 119.36 137.26 134.52 134.52 131.82 69436 152.53 144.90 166.64 163.30 163.30 160.03 69440 650.70 618.17 710.90 696.68 696.68 682.74 69450 511.78 486.19 559.12 547.94 547.94 536.98 69501 698.54 663.61 763.15 747.89 747.89 732.93 69502 928.02 881.62 1,013.86 993.59 993.59 973.72 69505 1,133.46 1,076.79 1,238.31 1,213.54 1,213.54 1,189.27 69511 1,159.29 1,101.33 1,266.53 1,241.20 1,241.20 1,216.37














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

69530 1,574.16 1,495.45 1,719.77 1,685.37 1,685.37 1,651.66 69535 2,580.82 2,451.78 2,819.55 2,763.15 2,763.15 2,707.89 69540 189.61 180.13 207.15 203.01 203.01 198.95

# 69540 118.86 112.92 129.86 127.26 127.26 124.72 69550 979.89 930.90 1,070.54 1,049.12 1,049.12 1,028.13 69552 1,489.91 1,415.41 1,627.72 1,595.17 1,595.17 1,563.26 69554 2,350.91 2,233.36 2,568.36 2,516.99 2,516.99 2,466.66 69601 998.15 948.24 1,090.48 1,068.67 1,068.67 1,047.29 69602 1,036.75 984.91 1,132.65 1,109.99 1,109.99 1,087.80 69603 1,201.98 1,141.88 1,313.16 1,286.90 1,286.90 1,261.16 69604 1,060.61 1,007.58 1,158.72 1,135.54 1,135.54 1,112.83 69605 1,480.82 1,406.78 1,617.80 1,585.44 1,585.44 1,553.73 69610 362.07 343.97 395.57 387.65 387.65 379.90

# 69610 281.92 267.82 307.99 301.83 301.83 295.79 69620 642.54 610.41 701.97 687.93 687.93 674.18

# 69620 465.22 441.96 508.25 498.09 498.09 488.13 69631 835.57 793.79 912.86 894.60 894.60 876.70 69632 1,021.66 970.58 1,116.17 1,093.85 1,093.85 1,071.97 69633 990.31 940.79 1,081.91 1,060.27 1,060.27 1,039.06 69635 1,165.62 1,107.34 1,273.44 1,247.97 1,247.97 1,223.01 69636 1,304.73 1,239.49 1,425.41 1,396.91 1,396.91 1,368.97 69637 1,297.41 1,232.54 1,417.42 1,389.07 1,389.07 1,361.29 69641 990.57 941.04 1,082.20 1,060.55 1,060.55 1,039.35 69642 1,273.79 1,210.10 1,391.62 1,363.79 1,363.79 1,336.51 69643 1,167.36 1,108.99 1,275.34 1,249.83 1,249.83 1,224.83 69644 1,399.54 1,329.56 1,528.99 1,498.42 1,498.42 1,468.45 69645 1,375.35 1,306.58 1,502.57 1,472.52 1,472.52 1,443.07 69646 1,464.67 1,391.44 1,600.16 1,568.15 1,568.15 1,536.79 69650 765.38 727.11 836.18 819.46 819.46 803.07














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

69660 885.62 841.34 967.54 948.19 948.19 929.22 69661 1,155.97 1,098.17 1,262.90 1,237.64 1,237.64 1,212.89 69662 1,110.44 1,054.92 1,213.16 1,188.89 1,188.89 1,165.11 69666 768.40 729.98 839.48 822.69 822.69 806.23 69667 768.76 730.32 839.87 823.07 823.07 806.61 69670 901.56 856.48 984.95 965.25 965.25 945.94 69676 786.64 747.31 859.41 842.21 842.21 825.37 69700 651.27 618.71 711.52 697.29 697.29 683.34 69711 821.54 780.46 897.53 879.58 879.58 861.98 69714 1,032.50 980.88 1,128.01 1,105.45 1,105.45 1,083.33 69715 1,279.92 1,215.92 1,398.31 1,370.34 1,370.34 1,342.94 69717 1,085.58 1,031.30 1,186.00 1,162.27 1,162.27 1,139.03 69718 1,293.22 1,228.56 1,412.84 1,384.59 1,384.59 1,356.90 69720 1,157.92 1,100.02 1,265.02 1,239.72 1,239.72 1,214.93 69725 1,816.12 1,725.31 1,984.11 1,944.42 1,944.42 1,905.53 69740 1,121.81 1,065.72 1,225.58 1,201.07 1,201.07 1,177.05 69745 1,334.83 1,268.09 1,458.30 1,429.14 1,429.14 1,400.56 69801 183.20 174.04 200.15 196.14 196.14 192.22

# 69801 122.78 116.64 134.14 131.46 131.46 128.82 69805 1,013.23 962.57 1,106.96 1,084.82 1,084.82 1,063.12 69806 905.22 859.96 988.95 969.17 969.17 949.79 69820 814.65 773.92 890.01 872.21 872.21 854.76 69840 853.19 810.53 932.11 913.47 913.47 895.19 69905 872.20 828.59 952.88 933.82 933.82 915.15 69910 976.01 927.21 1,066.29 1,044.97 1,044.97 1,024.08 69915 1,487.18 1,412.82 1,624.74 1,592.24 1,592.24 1,560.40 69930 1,181.24 1,122.18 1,290.51 1,264.70 1,264.70 1,239.41 69950 1,730.75 1,644.21 1,890.84 1,853.03 1,853.03 1,815.97 69955 1,927.77 1,831.38 2,106.09 2,063.96 2,063.96 2,022.69














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

69960 1,860.06 1,767.06 2,032.12 1,991.48 1,991.48 1,951.65 69970 2,077.56 1,973.68 2,269.73 2,224.34 2,224.34 2,179.86 69990 219.47 208.50 239.78 234.98 234.98 230.28 70010 59.96 56.96 65.50 64.19 64.19 62.91 70015 138.13 131.22 150.90 147.89 147.89 144.93 70015 TC 77.46 73.59 84.63 82.94 82.94 81.28 70015 26 60.67 57.64 66.29 64.96 64.96 63.66 70030 24.68 23.45 26.97 26.43 26.43 25.90 70030 TC 16.43 15.61 17.95 17.60 17.60 17.24 70030 26 8.25 7.84 9.02 8.83 8.83 8.66 70100 28.98 27.53 31.66 31.03 31.03 30.41 70100 TC 20.07 19.07 21.93 21.49 21.49 21.07 70100 26 8.91 8.46 9.73 9.53 9.53 9.34 70110 33.61 31.93 36.72 35.98 35.98 35.26 70110 TC 21.29 20.23 23.26 22.80 22.80 22.34 70110 26 12.33 11.71 13.47 13.20 13.20 12.94 70120 29.89 28.40 32.66 32.00 32.00 31.36 70120 TC 20.98 19.93 22.92 22.46 22.46 22.01 70120 26 8.91 8.46 9.73 9.53 9.53 9.34 70130 48.41 45.99 52.89 51.83 51.83 50.80 70130 TC 31.61 30.03 34.53 33.84 33.84 33.17 70130 26 16.80 15.96 18.35 17.99 17.99 17.63 70134 45.64 43.36 49.86 48.86 48.86 47.89 70134 TC 28.58 27.15 31.22 30.60 30.60 29.99 70134 26 17.07 16.22 18.65 18.29 18.29 17.92 70140 26.30 24.99 28.74 28.16 28.16 27.60 70140 TC 16.13 15.32 17.62 17.26 17.26 16.92 70140 26 10.18 9.67 11.12 10.90 10.90 10.68 70150 36.71 34.87 40.10 39.30 39.30 38.51














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70150 TC 23.72 22.53 25.91 25.39 25.39 24.89 70150 26 12.99 12.34 14.19 13.90 13.90 13.63 70160 28.62 27.19 31.27 30.65 30.65 30.04 70160 TC 20.07 19.07 21.93 21.49 21.49 21.07 70160 26 8.55 8.12 9.34 9.15 9.15 8.97 70170 44.93 42.68 49.08 48.10 48.10 47.14 70170 TC 29.97 28.47 32.74 32.09 32.09 31.44 70170 26 14.76 14.02 16.12 15.80 15.80 15.49 70190 31.58 30.00 34.50 33.81 33.81 33.13 70190 TC 20.68 19.65 22.60 22.15 22.15 21.70 70190 26 10.89 10.35 11.90 11.66 11.66 11.43 70200 37.42 35.55 40.88 40.07 40.07 39.26 70200 TC 23.72 22.53 25.91 25.39 25.39 24.89 70200 26 13.70 13.02 14.97 14.67 14.67 14.38 70210 26.20 24.89 28.62 28.05 28.05 27.49 70210 TC 17.65 16.77 19.29 18.89 18.89 18.52 70210 26 8.55 8.12 9.34 9.15 9.15 8.97 70220 33.31 31.64 36.39 35.66 35.66 34.95 70220 TC 20.98 19.93 22.92 22.46 22.46 22.01 70220 26 12.33 11.71 13.47 13.20 13.20 12.94 70240 26.61 25.28 29.07 28.49 28.49 27.91 70240 TC 17.04 16.19 18.62 18.25 18.25 17.88 70240 26 9.57 9.09 10.45 10.25 10.25 10.04 70250 32.04 30.44 35.01 34.30 34.30 33.61 70250 TC 19.77 18.78 21.60 21.16 21.16 20.73 70250 26 12.27 11.66 13.41 13.14 13.14 12.88 70260 40.82 38.78 44.60 43.70 43.70 42.83 70260 TC 23.72 22.53 25.91 25.39 25.39 24.89 70260 26 17.10 16.25 18.69 18.32 18.32 17.95














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70300 13.37 12.70 14.61 14.32 14.32 14.03 70300 TC 7.63 7.25 8.34 8.18 8.18 8.02 70300 26 5.74 5.45 6.27 6.14 6.14 6.01 70310 32.21 30.60 35.19 34.49 34.49 33.80 70310 TC 24.32 23.10 26.57 26.04 26.04 25.52 70310 26 7.89 7.50 8.63 8.45 8.45 8.28 70320 45.90 43.61 50.15 49.15 49.15 48.17 70320 TC 34.34 32.62 37.51 36.77 36.77 36.03 70320 26 11.56 10.98 12.63 12.37 12.37 12.12 70328 27.16 25.80 29.67 29.07 29.07 28.49 70328 TC 18.25 17.34 19.94 19.54 19.54 19.15 70328 26 8.91 8.46 9.73 9.53 9.53 9.34 70330 41.45 39.38 45.29 44.38 44.38 43.49 70330 TC 29.18 27.72 31.88 31.25 31.25 30.62 70330 26 12.27 11.66 13.41 13.14 13.14 12.88 70332 72.34 68.72 79.03 77.45 77.45 75.90 70332 TC 42.24 40.13 46.15 45.23 45.23 44.32 70332 26 30.10 28.60 32.89 32.23 32.23 31.59 70336 282.27 268.16 308.38 302.22 302.22 296.17 70336 TC 210.18 199.67 229.62 225.03 225.03 220.54 70336 26 72.10 68.50 78.78 77.20 77.20 75.66 70350 18.03 17.13 19.70 19.31 19.31 18.92 70350 TC 8.23 7.82 8.99 8.81 8.81 8.64 70350 26 9.80 9.31 10.71 10.49 10.49 10.28 70355 18.80 17.86 20.54 20.13 20.13 19.72 70355 TC 7.93 7.53 8.66 8.49 8.49 8.31 70355 26 10.87 10.33 11.88 11.64 11.64 11.41 70360 24.98 23.73 27.29 26.75 26.75 26.21 70360 TC 16.73 15.89 18.27 17.91 17.91 17.55














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70360 26 8.25 7.84 9.02 8.83 8.83 8.66 C 70370 67.13 63.77 73.34 71.86 71.86 70.43 C 70370 TC 51.35 48.78 56.10 54.97 54.97 53.87

70370 26 15.78 14.99 17.24 16.89 16.89 16.56 70371 82.81 78.67 90.47 88.67 88.67 86.89 70371 TC 41.02 38.97 44.82 43.92 43.92 43.04 70371 26 41.79 39.70 45.66 44.75 44.75 43.85 70380 31.66 30.08 34.59 33.90 33.90 33.22 70380 TC 22.81 21.67 24.92 24.43 24.43 23.94 70380 26 8.85 8.41 9.67 9.48 9.48 9.29 70390 82.33 78.21 89.94 88.15 88.15 86.39 70390 TC 63.80 60.61 69.70 68.31 68.31 66.94 70390 26 18.53 17.60 20.24 19.84 19.84 19.45 70450 104.12 98.91 113.75 111.47 111.47 109.24 70450 TC 62.28 59.17 68.05 66.69 66.69 65.35 70450 26 41.84 39.75 45.71 44.80 44.80 43.91 70460 144.54 137.31 157.91 154.74 154.74 151.65 70460 TC 89.30 84.84 97.57 95.61 95.61 93.70 70460 26 55.24 52.48 60.35 59.14 59.14 57.96 70470 171.15 162.59 186.98 183.24 183.24 179.57 70470 TC 108.73 103.29 118.78 116.40 116.40 114.08 70470 26 62.42 59.30 68.20 66.83 66.83 65.49

C 70480 158.15 150.24 172.78 169.33 169.33 165.95 C 70480 TC 95.37 90.60 104.19 102.11 102.11 100.06

70480 26 62.77 59.63 68.57 67.21 67.21 65.86 70481 243.74 231.55 266.28 260.96 260.96 255.74 70481 TC 176.13 167.32 192.42 188.57 188.57 184.79 70481 26 67.60 64.22 73.85 72.38 72.38 70.93 70482 265.71 252.42 290.28 284.48 284.48 278.78














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70482 TC 194.99 185.24 213.03 208.77 208.77 204.60 70482 26 70.72 67.18 77.26 75.72 75.72 74.20 70486 124.46 118.24 135.98 133.26 133.26 130.59 70486 TC 82.62 78.49 90.26 88.46 88.46 86.69 70486 26 41.84 39.75 45.71 44.80 44.80 43.91 70487 150.31 142.79 164.21 160.92 160.92 157.70 70487 TC 95.07 90.32 103.87 101.79 101.79 99.75 70487 26 55.24 52.48 60.35 59.14 59.14 57.96 70488 182.38 173.26 199.25 195.26 195.26 191.35 70488 TC 120.27 114.26 131.40 128.77 128.77 126.19 70488 26 62.11 59.00 67.85 66.49 66.49 65.16

C 70490 158.15 150.24 172.78 169.33 169.33 165.95 C 70490 TC 95.37 90.60 104.19 102.11 102.11 100.06

70490 26 62.77 59.63 68.57 67.21 67.21 65.86 70491 209.13 198.67 228.47 223.91 223.91 219.43 70491 TC 141.22 134.16 154.28 151.20 151.20 148.18 70491 26 67.91 64.51 74.19 72.70 72.70 71.25 70492 245.64 233.36 268.36 262.99 262.99 257.74 70492 TC 174.62 165.89 190.77 186.96 186.96 183.22 70492 26 71.02 67.47 77.59 76.04 76.04 74.52 70496 261.34 248.27 285.51 279.80 279.80 274.19 70496 TC 175.87 167.08 192.14 188.30 188.30 184.54 70496 26 85.48 81.21 93.39 91.53 91.53 89.70 70498 260.43 247.41 284.52 278.83 278.83 273.25 70498 TC 174.96 166.21 191.14 187.32 187.32 183.57 70498 26 85.48 81.21 93.39 91.53 91.53 89.70

C 70540 297.35 282.48 324.85 318.35 318.35 311.98 C 70540 TC 231.43 219.86 252.84 247.78 247.78 242.82

70540 26 65.92 62.62 72.01 70.58 70.58 69.16














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70542 352.29 334.68 384.88 377.19 377.19 369.64 70542 TC 273.02 259.37 298.28 292.31 292.31 286.47 70542 26 79.27 75.31 86.61 84.87 84.87 83.17 70543 432.10 410.50 472.08 462.63 462.63 453.38 70543 TC 327.07 310.72 357.33 350.19 350.19 343.18 70543 26 105.03 99.78 114.75 112.45 112.45 110.19

C 70544 290.43 275.91 317.30 310.95 310.95 304.73 C 70544 TC 231.43 219.86 252.84 247.78 247.78 242.82

70544 26 59.00 56.05 64.46 63.17 63.17 61.90 70545 337.19 320.33 368.38 361.01 361.01 353.79 70545 TC 278.49 264.57 304.26 298.17 298.17 292.20 70545 26 58.70 55.77 64.14 62.85 62.85 61.59

C 70546 472.33 448.71 516.02 505.70 505.70 495.59 C 70546 TC 384.15 364.94 419.68 411.29 411.29 403.06

70546 26 88.18 83.77 96.34 94.40 94.40 92.52 C 70547 290.43 275.91 317.30 310.95 310.95 304.73 C 70547 TC 231.43 219.86 252.84 247.78 247.78 242.82

70547 26 59.00 56.05 64.46 63.17 63.17 61.90 70548 359.35 341.38 392.59 384.73 384.73 377.04 70548 TC 300.35 285.33 328.13 321.56 321.56 315.13 70548 26 59.00 56.05 64.46 63.17 63.17 61.90

C 70549 472.33 448.71 516.02 505.70 505.70 495.59 C 70549 TC 384.15 364.94 419.68 411.29 411.29 403.06

70549 26 88.18 83.77 96.34 94.40 94.40 92.52 70551 205.12 194.86 224.09 219.60 219.60 215.21 70551 TC 132.72 126.08 144.99 142.09 142.09 139.25 70551 26 72.40 68.78 79.10 77.51 77.51 75.96 70552 283.06 268.91 309.25 303.06 303.06 297.00 70552 TC 195.91 186.11 214.03 209.75 209.75 205.55














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

70552 26 87.16 82.80 95.22 93.31 93.31 91.45 70553 335.43 318.66 366.46 359.13 359.13 351.95 70553 TC 223.23 212.07 243.88 239.00 239.00 234.22 70553 26 112.20 106.59 122.58 120.13 120.13 117.73 70554 397.04 377.19 433.77 425.10 425.10 416.60 70554 TC 293.10 278.45 320.22 313.81 313.81 307.53 70554 26 103.94 98.74 113.55 111.29 111.29 109.05 70555 499.60 474.62 545.81 534.90 534.90 524.20 70555 TC 425.02 403.77 464.34 455.04 455.04 445.95 70555 26 123.62 117.44 135.06 132.35 132.35 129.71

C 70557 374.08 355.38 408.69 400.51 400.51 392.50 C 70557 TC 231.39 219.82 252.79 247.73 247.73 242.78

70557 26 142.69 135.56 155.89 152.78 152.78 149.72 70558 26 157.10 149.25 171.64 168.21 168.21 164.84 70559 26 158.42 150.50 173.08 169.61 169.61 166.22 71010 20.18 19.17 22.05 21.61 21.61 21.17 71010 TC 11.27 10.71 12.32 12.08 12.08 11.83 71010 26 8.91 8.46 9.73 9.53 9.53 9.34 71015 24.90 23.66 27.21 26.67 26.67 26.14 71015 TC 14.31 13.59 15.63 15.32 15.32 15.01 71015 26 10.59 10.06 11.57 11.34 11.34 11.11 71020 24.95 23.70 27.26 26.71 26.71 26.19 71020 TC 14.31 13.59 15.63 15.32 15.32 15.01 71020 26 10.64 10.11 11.63 11.40 11.40 11.17 71021 30.38 28.86 33.19 32.52 32.52 31.87 71021 TC 17.04 16.19 18.62 18.25 18.25 17.88 71021 26 13.35 12.68 14.58 14.29 14.29 14.01 71022 37.28 35.42 40.73 39.92 39.92 39.12 71022 TC 21.29 20.23 23.26 22.80 22.80 22.34














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

71130 TC 20.98 19.93 22.92 22.46 22.46 22.01 71130 26 10.95 10.40 11.96 11.72 11.72 11.49

C 71250 145.46 138.19 158.92 155.74 155.74 152.63 C 71250 TC 95.37 90.60 104.19 102.11 102.11 100.06

71250 26 50.09 47.59 54.73 53.64 53.64 52.57 71260 202.86 192.72 221.63 217.20 217.20 212.85 71260 TC 141.83 134.74 154.95 151.86 151.86 148.82 71260 26 61.04 57.99 66.69 65.35 65.35 64.04 71270 242.83 230.69 265.29 259.99 259.99 254.79 71270 TC 175.22 166.46 191.43 187.60 187.60 183.85 71270 26 67.60 64.22 73.85 72.38 72.38 70.93 71275 266.28 252.97 290.92 285.10 285.10 279.39 71275 TC 177.38 168.51 193.79 189.91 189.91 186.12 71275 26 88.89 84.45 97.12 95.17 95.17 93.27

C 71550 302.81 287.67 330.82 324.21 324.21 317.72 C 71550 TC 231.43 219.86 252.84 247.78 247.78 242.82

71550 26 71.38 67.81 77.98 76.42 76.42 74.89 71551 400.90 380.86 437.99 429.23 429.23 420.65 71551 TC 316.44 300.62 345.71 338.80 338.80 332.03 71551 26 84.46 80.24 92.28 90.44 90.44 88.63

C 71552 495.01 470.26 540.80 529.98 529.98 519.37 C 71552 TC 384.19 364.98 419.73 411.33 411.33 403.11

71552 26 110.83 105.29 121.08 118.66 118.66 116.29 71555 349.38 331.91 381.70 374.06 374.06 366.57 71555 TC 261.79 248.70 286.01 280.29 280.29 274.69 71555 26 87.59 83.21 95.69 93.78 93.78 91.91 72020 19.71 18.72 21.53 21.10 21.10 20.68 72020 TC 12.18 11.57 13.31 13.04 13.04 12.78 72020 26 7.53 7.15 8.22 8.06 8.06 7.90














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

72083 26 17.16 16.30 18.75 18.37 18.37 18.00 72084 71.26 67.70 77.86 76.30 76.30 74.77 72084 TC 51.35 48.78 56.10 54.97 54.97 53.87 72084 26 19.91 18.91 21.75 21.31 21.31 20.88 72100 31.02 29.47 33.89 33.21 33.21 32.55 72100 TC 20.07 19.07 21.93 21.49 21.49 21.07 72100 26 10.95 10.40 11.96 11.72 11.72 11.49 72110 43.39 41.22 47.40 46.46 46.46 45.53 72110 TC 27.97 26.57 30.56 29.95 29.95 29.35 72110 26 15.42 14.65 16.85 16.51 16.51 16.18 72114 54.98 52.23 60.06 58.87 58.87 57.70 72114 TC 38.90 36.96 42.50 41.65 41.65 40.83 72114 26 16.08 15.28 17.57 17.22 17.22 16.87 72120 35.58 33.80 38.87 38.09 38.09 37.33 72120 TC 24.63 23.40 26.91 26.37 26.37 25.84 72120 26 10.95 10.40 11.96 11.72 11.72 11.49

C 72125 147.86 140.47 161.54 158.31 158.31 155.15 C 72125 TC 95.37 90.60 104.19 102.11 102.11 100.06

72125 26 52.49 49.87 57.35 56.20 56.20 55.07 72126 202.45 192.33 221.18 216.75 216.75 212.42 72126 TC 142.74 135.60 155.94 152.82 152.82 149.76 72126 26 59.72 56.73 65.24 63.94 63.94 62.66 72127 238.55 226.62 260.61 255.40 255.40 250.30 72127 TC 176.44 167.62 192.76 188.91 188.91 185.13 72127 26 62.11 59.00 67.85 66.49 66.49 65.16

C 72128 144.44 137.22 157.80 154.65 154.65 151.56 C 72128 TC 95.37 90.60 104.19 102.11 102.11 100.06

72128 26 49.07 46.62 53.61 52.54 52.54 51.50 72129 202.76 192.62 221.51 217.09 217.09 212.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

72129 TC 143.04 135.89 156.27 153.15 153.15 150.09 72129 26 59.72 56.73 65.24 63.94 63.94 62.66 72130 240.07 228.07 262.28 257.04 257.04 251.90 72130 TC 177.96 169.06 194.42 190.53 190.53 186.73 72130 26 62.11 59.00 67.85 66.49 66.49 65.16

C 72131 144.44 137.22 157.80 154.65 154.65 151.56 C 72131 TC 95.37 90.60 104.19 102.11 102.11 100.06

72131 26 49.07 46.62 53.61 52.54 52.54 51.50 72132 202.15 192.04 220.85 216.43 216.43 212.11 72132 TC 142.43 135.31 155.61 152.49 152.49 149.44 72132 26 59.72 56.73 65.24 63.94 63.94 62.66 72133 238.28 226.37 260.33 255.12 255.12 250.01 72133 TC 176.13 167.32 192.42 188.57 188.57 184.79 72133 26 62.15 59.04 67.90 66.54 66.54 65.21 72141 199.69 189.71 218.17 213.81 213.81 209.53 72141 TC 126.95 120.60 138.69 135.92 135.92 133.20 72141 26 72.74 69.10 79.47 77.88 77.88 76.33 72142 287.65 273.27 314.26 307.97 307.97 301.81 72142 TC 199.85 189.86 218.34 213.97 213.97 209.69 72142 26 87.80 83.41 95.92 94.00 94.00 92.13 72146 199.69 189.71 218.17 213.81 213.81 209.53 72146 TC 126.95 120.60 138.69 135.92 135.92 133.20 72146 26 72.74 69.10 79.47 77.88 77.88 76.33 72147 284.58 270.35 310.90 304.68 304.68 298.59 72147 TC 197.42 187.55 215.68 211.37 211.37 207.14 72147 26 87.16 82.80 95.22 93.31 93.31 91.45 72148 198.78 188.84 217.17 212.82 212.82 208.56 72148 TC 126.04 119.74 137.70 134.95 134.95 132.25 72148 26 72.74 69.10 79.47 77.88 77.88 76.33














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

72193 26 56.96 54.11 62.23 60.98 60.98 59.77 72194 229.47 218.00 250.70 245.69 245.69 240.78 72194 TC 169.76 161.27 185.46 181.75 181.75 178.11 72194 26 59.72 56.73 65.24 63.94 63.94 62.66

C 72195 303.11 287.95 331.14 324.52 324.52 318.03 C 72195 TC 231.43 219.86 252.84 247.78 247.78 242.82

72195 26 71.68 68.10 78.32 76.75 76.75 75.22 72196 361.13 343.07 394.53 386.64 386.64 378.91 72196 TC 276.06 262.26 301.60 295.56 295.56 289.65 72196 26 85.06 80.81 92.93 91.07 91.07 89.25 72197 444.57 422.34 485.69 475.97 475.97 466.45 72197 TC 333.75 317.06 364.62 357.33 357.33 350.19 72197 26 110.83 105.29 121.08 118.66 118.66 116.29 72198 352.40 334.78 385.00 377.29 377.29 369.75 72198 TC 264.83 251.59 289.33 283.54 283.54 277.87 72198 26 87.57 83.19 95.67 93.76 93.76 91.89 72200 25.28 24.02 27.62 27.07 27.07 26.53 72200 TC 16.73 15.89 18.27 17.91 17.91 17.55 72200 26 8.55 8.12 9.34 9.15 9.15 8.97 72202 29.04 27.59 31.73 31.10 31.10 30.48 72202 TC 19.77 18.78 21.60 21.16 21.16 20.73 72202 26 9.27 8.81 10.13 9.92 9.92 9.73 72220 24.98 23.73 27.29 26.75 26.75 26.21 72220 TC 16.43 15.61 17.95 17.60 17.60 17.24 72220 26 8.55 8.12 9.34 9.15 9.15 8.97 72240 88.66 84.23 96.86 94.93 94.93 93.04 72240 TC 44.06 41.86 48.14 47.17 47.17 46.23 72240 26 44.60 42.37 48.73 47.75 47.75 46.79 72255 88.39 83.97 96.57 94.63 94.63 92.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

73110 26 8.55 8.12 9.34 9.15 9.15 8.97 73115 94.20 89.49 102.91 100.86 100.86 98.84 73115 TC 66.53 63.20 72.68 71.23 71.23 69.81 73115 26 27.67 26.29 30.23 29.62 29.62 29.03 73120 23.11 21.95 25.24 24.74 24.74 24.24 73120 TC 14.91 14.16 16.28 15.96 15.96 15.64 73120 26 8.19 7.78 8.95 8.76 8.76 8.59 73130 27.11 25.75 29.61 29.03 29.03 28.45 73130 TC 18.56 17.63 20.27 19.87 19.87 19.47 73130 26 8.55 8.12 9.34 9.15 9.15 8.97 73140 27.50 26.13 30.05 29.45 29.45 28.87 73140 TC 20.68 19.65 22.60 22.15 22.15 21.70 73140 26 6.81 6.47 7.44 7.29 7.29 7.14

C 73200 144.44 137.22 157.80 154.65 154.65 151.56 C 73200 TC 95.37 90.60 104.19 102.11 102.11 100.06

73200 26 49.07 46.62 53.61 52.54 52.54 51.50 73201 196.96 187.11 215.18 210.88 210.88 206.66 73201 TC 140.00 133.00 152.95 149.89 149.89 146.89 73201 26 56.96 54.11 62.23 60.98 60.98 59.77 73202 244.05 231.85 266.63 261.29 261.29 256.07 73202 TC 184.33 175.11 201.38 197.35 197.35 193.41 73202 26 59.72 56.73 65.24 63.94 63.94 62.66

C 73206 288.39 273.97 315.07 308.76 308.76 302.59 C 73206 TC 200.46 190.44 219.01 214.62 214.62 210.34

73206 26 87.93 83.53 96.06 94.14 94.14 92.25 C 73218 297.66 282.78 325.20 318.69 318.69 312.32 C 73218 TC 231.43 219.86 252.84 247.78 247.78 242.82

73218 26 66.23 62.92 72.36 70.91 70.91 69.49 73219 354.42 336.70 387.21 379.47 379.47 371.88














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

73580 26 27.67 26.29 30.23 29.62 29.62 29.03 73590 25.23 23.97 27.57 27.01 27.01 26.47 73590 TC 17.04 16.19 18.62 18.25 18.25 17.88 73590 26 8.19 7.78 8.95 8.76 8.76 8.59 73592 24.62 23.39 26.90 26.36 26.36 25.83 73592 TC 16.73 15.89 18.27 17.91 17.91 17.55 73592 26 7.89 7.50 8.63 8.45 8.45 8.28 73600 26.45 25.13 28.90 28.32 28.32 27.76 73600 TC 18.25 17.34 19.94 19.54 19.54 19.15 73600 26 8.19 7.78 8.95 8.76 8.76 8.59 73610 27.41 26.04 29.95 29.35 29.35 28.76 73610 TC 18.86 17.92 20.61 20.19 20.19 19.79 73610 26 8.55 8.12 9.34 9.15 9.15 8.97 73615 92.34 87.72 100.88 98.87 98.87 96.89 73615 TC 64.40 61.18 70.36 68.95 68.95 67.57 73615 26 27.94 26.54 30.52 29.91 29.91 29.31 73620 23.11 21.95 25.24 24.74 24.74 24.24 73620 TC 15.52 14.74 16.95 16.62 16.62 16.28 73620 26 7.59 7.21 8.29 8.13 8.13 7.97 73630 25.59 24.31 27.96 27.39 27.39 26.84 73630 TC 17.34 16.47 18.94 18.56 18.56 18.19 73630 26 8.25 7.84 9.02 8.83 8.83 8.66 73650 24.02 22.82 26.24 25.71 25.71 25.20 73650 TC 16.13 15.32 17.62 17.26 17.26 16.92 73650 26 7.89 7.50 8.63 8.45 8.45 8.28 73660 24.76 23.52 27.05 26.51 26.51 25.98 73660 TC 18.25 17.34 19.94 19.54 19.54 19.15 73660 26 6.51 6.18 7.11 6.97 6.97 6.83

C 73700 144.44 137.22 157.80 154.65 154.65 151.56














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

C 73700 TC 95.37 90.60 104.19 102.11 102.11 100.06 73700 26 49.07 46.62 53.61 52.54 52.54 51.50 73701 199.70 189.72 218.18 213.82 213.82 209.54 73701 TC 142.74 135.60 155.94 152.82 152.82 149.76 73701 26 56.96 54.11 62.23 60.98 60.98 59.77 73702 241.32 229.25 263.64 258.37 258.37 253.21 73702 TC 181.90 172.81 198.73 194.75 194.75 190.85 73702 26 59.41 56.44 64.91 63.61 63.61 62.33

C 73706 293.20 278.54 320.32 313.92 313.92 307.64 C 73706 TC 200.49 190.47 219.04 214.66 214.66 210.37

73706 26 92.70 88.07 101.28 99.26 99.26 97.27 C 73718 297.66 282.78 325.20 318.69 318.69 312.32 C 73718 TC 231.43 219.86 252.84 247.78 247.78 242.82

73718 26 66.23 62.92 72.36 70.91 70.91 69.49 73719 354.12 336.41 386.87 379.13 379.13 371.55 73719 TC 274.85 261.11 300.28 294.27 294.27 288.39 73719 26 79.27 75.31 86.61 84.87 84.87 83.17 73720 441.21 419.15 482.02 472.39 472.39 462.93 73720 TC 335.87 319.08 366.94 359.61 359.61 352.42 73720 26 105.33 100.06 115.07 112.77 112.77 110.52 73721 209.61 199.13 229.00 224.42 224.42 219.94 73721 TC 143.08 135.93 156.32 153.19 153.19 150.13 73721 26 66.53 63.20 72.68 71.23 71.23 69.81 73722 334.99 318.24 365.98 358.66 358.66 351.49 73722 TC 255.41 242.64 279.04 273.46 273.46 267.98 73722 26 79.57 75.59 86.93 85.19 85.19 83.49 73723 413.88 393.19 452.17 443.13 443.13 434.26 73723 TC 308.55 293.12 337.09 330.35 330.35 323.74 73723 26 105.33 100.06 115.07 112.77 112.77 110.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

74220 TC 55.60 52.82 60.74 59.52 59.52 58.33 74220 26 22.65 21.52 24.75 24.25 24.25 23.77

C 74230 111.11 105.55 121.38 118.96 118.96 116.58 C 74230 TC 85.05 80.80 92.92 91.06 91.06 89.24

74230 26 26.06 24.76 28.47 27.90 27.90 27.34 74235 117.30 111.44 128.16 125.59 125.59 123.08 74235 TC 89.24 84.78 97.50 95.54 95.54 93.63 74235 26 61.06 58.01 66.71 65.38 65.38 64.07 74240 100.48 95.46 109.78 107.58 107.58 105.43 74240 TC 66.53 63.20 72.68 71.23 71.23 69.81 74240 26 33.95 32.25 37.09 36.35 36.35 35.63 74241 104.43 99.21 114.09 111.81 111.81 109.58 74241 TC 70.48 66.96 77.00 75.46 75.46 73.96 74241 26 33.95 32.25 37.09 36.35 36.35 35.63 74245 151.51 143.93 165.52 162.21 162.21 158.96 74245 TC 106.91 101.56 116.79 114.46 114.46 112.17 74245 26 44.60 42.37 48.73 47.75 47.75 46.79 74246 112.63 107.00 123.05 120.59 120.59 118.17 74246 TC 78.67 74.74 85.95 84.24 84.24 82.56 74246 26 33.95 32.25 37.09 36.35 36.35 35.63

C 74247 119.31 113.34 130.34 127.73 127.73 125.18 C 74247 TC 85.35 81.08 93.24 91.38 91.38 89.55

74247 26 33.95 32.25 37.09 36.35 36.35 35.63 74249 162.13 154.02 177.12 173.58 173.58 170.11 74249 TC 117.54 111.66 128.41 125.84 125.84 123.33 74249 26 44.60 42.37 48.73 47.75 47.75 46.79 74250 91.36 86.79 99.81 97.81 97.81 95.85 74250 TC 68.35 64.93 74.67 73.17 73.17 71.71 74250 26 23.01 21.86 25.14 24.63 24.63 24.14














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

C 74251 196.43 186.61 214.60 210.31 210.31 206.10 C 74251 TC 162.47 154.35 177.50 173.95 173.95 170.46

74251 26 33.95 32.25 37.09 36.35 36.35 35.63 C 74260 187.16 177.80 204.47 200.38 200.38 196.37 C 74260 TC 162.47 154.35 177.50 173.95 173.95 170.46

74260 26 24.69 23.46 26.98 26.44 26.44 25.91 C 74261 213.37 202.70 233.11 228.45 228.45 223.88 C 74261 TC 95.37 90.60 104.19 102.11 102.11 100.06

74261 26 118.00 112.10 128.92 126.34 126.34 123.81 C 74262 322.61 306.48 352.45 345.40 345.40 338.49 C 74262 TC 200.12 190.11 218.63 214.26 214.26 209.97

74262 26 122.49 116.37 133.83 131.15 131.15 128.52 C 74270 119.31 113.34 130.34 127.73 127.73 125.18 C 74270 TC 85.35 81.08 93.24 91.38 91.38 89.55

74270 26 33.95 32.25 37.09 36.35 36.35 35.63 74280 187.20 177.84 204.52 200.42 200.42 196.41 74280 TC 138.49 131.57 151.31 148.28 148.28 145.31 74280 26 48.71 46.27 53.21 52.14 52.14 51.09 74283 186.94 177.59 204.23 200.15 200.15 196.14 74283 TC 87.17 82.81 95.23 93.32 93.32 91.46 74283 26 99.77 94.78 109.00 106.81 106.81 104.67 74290 61.66 58.58 67.37 66.02 66.02 64.70 74290 TC 45.88 43.59 50.13 49.13 49.13 48.15 74290 26 15.78 14.99 17.24 16.89 16.89 16.56 74300 48.09 45.69 52.54 51.50 51.50 50.46 74300 TC 29.90 28.41 32.67 32.02 32.02 31.37 74300 26 17.85 16.96 19.50 19.11 19.11 18.73 74301 48.09 45.69 52.54 51.50 51.50 50.46 74301 TC 37.35 35.48 40.80 39.99 39.99 39.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

74710 33.23 31.57 36.31 35.58 35.58 34.87 74710 TC 16.43 15.61 17.95 17.60 17.60 17.24 74710 26 16.80 15.96 18.35 17.99 17.99 17.63

C 74712 378.61 359.68 413.63 405.36 405.36 397.26 C 74712 TC 231.43 219.86 252.84 247.78 247.78 242.82

74712 26 147.18 139.82 160.79 157.57 157.57 154.42 74713 208.03 197.63 227.27 222.73 222.73 218.28 74713 TC 120.57 114.54 131.72 129.09 129.09 126.51 74713 26 87.46 83.09 95.55 93.64 93.64 91.77 74740 65.93 62.63 72.02 70.59 70.59 69.17 74740 TC 47.40 45.03 51.78 50.75 50.75 49.74 74740 26 18.53 17.60 20.24 19.84 19.84 19.45 74742 68.87 65.43 75.24 73.74 73.74 72.27 74742 TC 49.61 47.13 54.20 53.12 53.12 52.06 74742 26 28.96 27.51 31.64 31.00 31.00 30.38 74775 89.42 84.95 97.69 95.74 95.74 93.83 74775 TC 53.73 51.04 58.70 57.52 57.52 56.37 74775 26 30.54 29.01 33.36 32.69 32.69 32.04 75557 284.95 270.70 311.31 305.08 305.08 298.98 75557 TC 171.88 163.29 187.78 184.02 184.02 180.34 75557 26 113.07 107.42 123.53 121.06 121.06 118.63 75559 388.71 369.27 424.66 416.16 416.16 407.84 75559 TC 248.70 236.27 271.71 266.27 266.27 260.95 75559 26 140.01 133.01 152.96 149.90 149.90 146.90 75561 375.95 357.15 410.72 402.51 402.51 394.46 75561 TC 250.86 238.32 274.07 268.58 268.58 263.21 75561 26 125.09 118.84 136.67 133.93 133.93 131.25 75563 445.23 422.97 486.42 476.69 476.69 467.15 75563 TC 301.87 286.78 329.80 323.20 323.20 316.73














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

75563 26 143.36 136.19 156.62 153.49 153.49 150.42 75565 48.15 45.74 52.60 51.55 51.55 50.52 75565 TC 36.13 34.32 39.47 38.67 38.67 37.90 75565 26 12.02 11.42 13.13 12.87 12.87 12.62

C 75571 39.12 37.16 42.73 41.88 41.88 41.04 C 75571 TC 10.97 10.42 11.98 11.74 11.74 11.51

75571 26 28.16 26.75 30.76 30.15 30.15 29.56 75572 252.50 239.88 275.86 270.34 270.34 264.94 75572 TC 167.67 159.29 183.18 179.52 179.52 175.93 75572 26 84.83 80.59 92.68 90.83 90.83 89.01

C 75573 323.79 307.60 353.74 346.67 346.67 339.73 C 75573 TC 200.46 190.44 219.01 214.62 214.62 210.34

75573 26 123.33 117.16 134.73 132.04 132.04 129.40 C 75574 315.96 300.16 345.18 338.28 338.28 331.52 C 75574 TC 200.16 190.15 218.67 214.30 214.30 210.01

75574 26 115.80 110.01 126.51 123.98 123.98 121.50 75600 171.99 163.39 187.90 184.14 184.14 180.46 75600 TC 148.20 140.79 161.91 158.67 158.67 155.49 75600 26 23.79 22.60 25.99 25.47 25.47 24.97 75605 125.61 119.33 137.23 134.48 134.48 131.79 75605 TC 70.78 67.24 77.33 75.79 75.79 74.27 75605 26 54.83 52.09 59.90 58.71 58.71 57.53 75625 125.41 119.14 137.01 134.27 134.27 131.58 75625 TC 70.48 66.96 77.00 75.46 75.46 73.96 75625 26 54.94 52.19 60.02 58.82 58.82 57.65 75630 157.06 149.21 171.59 168.16 168.16 164.81 75630 TC 70.48 66.96 77.00 75.46 75.46 73.96 75630 26 86.58 82.25 94.59 92.70 92.70 90.85

C 75635 317.28 301.42 346.63 339.70 339.70 332.90














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

C 75635 TC 200.49 190.47 219.04 214.66 214.66 210.37 75635 26 116.78 110.94 127.58 125.03 125.03 122.53 75658 151.34 143.77 165.34 162.02 162.02 158.78 75658 TC 88.42 84.00 96.60 94.67 94.67 92.77 75658 26 62.91 59.76 68.72 67.34 67.34 66.00 75705 222.45 211.33 243.03 238.17 238.17 233.40 75705 TC 110.59 105.06 120.82 118.40 118.40 116.04 75705 26 111.86 106.27 122.21 119.76 119.76 117.37 75710 147.31 139.94 160.93 157.71 157.71 154.56 75710 TC 91.76 87.17 100.25 98.24 98.24 96.28 75710 26 55.54 52.76 60.67 59.46 59.46 58.27 75716 168.95 160.50 184.58 180.88 180.88 177.26 75716 TC 105.46 100.19 115.22 112.92 112.92 110.66 75716 26 63.49 60.32 69.37 67.98 67.98 66.62 75726 134.95 128.20 147.43 144.49 144.49 141.60 75726 TC 80.49 76.47 87.94 86.18 86.18 84.46 75726 26 54.46 51.74 59.50 58.32 58.32 57.16 75731 154.35 146.63 168.62 165.26 165.26 161.95 75731 TC 98.44 93.52 107.55 105.40 105.40 103.29 75731 26 55.90 53.11 61.08 59.86 59.86 58.66 75733 165.29 157.03 180.58 176.97 176.97 173.43 75733 TC 103.03 97.88 112.56 110.31 110.31 108.10 75733 26 62.26 59.15 68.02 66.67 66.67 65.33 75736 144.77 137.53 158.16 155.00 155.00 151.89 75736 TC 90.25 85.74 98.60 96.63 96.63 94.70 75736 26 54.53 51.80 59.57 58.37 58.37 57.20 75741 137.39 130.52 150.10 147.10 147.10 144.15 75741 TC 75.03 71.28 81.97 80.33 80.33 78.72 75741 26 62.37 59.25 68.14 66.78 66.78 65.45














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

75743 155.19 147.43 169.54 166.15 166.15 162.83 75743 TC 75.94 72.14 82.96 81.31 81.31 79.68 75743 26 79.25 75.29 86.58 84.85 84.85 83.15 75746 137.08 130.23 149.76 146.77 146.77 143.84 75746 TC 82.05 77.95 89.64 87.85 87.85 86.09 75746 26 55.03 52.28 60.12 58.91 58.91 57.74 75756 150.38 142.86 164.29 161.00 161.00 157.78 75756 TC 95.10 90.35 103.90 101.82 101.82 99.79 75756 26 55.27 52.51 60.39 59.18 59.18 57.99 75774 77.40 73.53 84.56 82.87 82.87 81.21 75774 TC 60.15 57.14 65.71 64.40 64.40 63.11 75774 26 17.25 16.39 18.85 18.47 18.47 18.10 75791 288.91 274.46 315.63 309.32 309.32 303.13 75791 TC 204.07 193.87 222.95 218.49 218.49 214.12 75791 26 84.84 80.60 92.69 90.84 90.84 89.02

C 75801 205.73 195.44 224.76 220.26 220.26 215.86 C 75801 TC 162.17 154.06 177.17 173.63 173.63 170.15

75801 26 43.56 41.38 47.59 46.63 46.63 45.70 75803 265.30 252.04 289.85 284.05 284.05 278.37 75803 TC 199.51 189.53 217.96 213.60 213.60 209.33 75803 26 57.28 54.42 62.58 61.33 61.33 60.10 75805 271.32 257.75 296.41 290.49 290.49 284.68 75805 TC 225.00 213.75 245.81 240.90 240.90 236.08 75805 26 39.80 37.81 43.48 42.61 42.61 41.76 75807 406.97 386.62 444.61 435.72 435.72 427.01 75807 TC 337.51 320.63 368.72 361.35 361.35 354.13 75807 26 57.62 54.74 62.95 61.70 61.70 60.47 75809 87.71 83.32 95.82 93.90 93.90 92.02 75809 TC 64.40 61.18 70.36 68.95 68.95 67.57














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

75860 TC 74.73 70.99 81.64 80.01 80.01 78.41 75860 26 54.80 52.06 59.87 58.67 58.67 57.50 75870 133.36 126.69 145.69 142.78 142.78 139.93 75870 TC 77.46 73.59 84.63 82.94 82.94 81.28 75870 26 55.90 53.11 61.08 59.86 59.86 58.66 75872 127.06 120.71 138.82 136.05 136.05 133.32 75872 TC 74.42 70.70 81.31 79.68 79.68 78.09 75872 26 52.64 50.01 57.51 56.36 56.36 55.23 75880 126.34 120.02 138.02 135.26 135.26 132.56 75880 TC 91.12 86.56 99.54 97.55 97.55 95.60 75880 26 35.22 33.46 38.48 37.71 37.71 36.95 75885 144.21 137.00 157.55 154.40 154.40 151.31 75885 TC 75.94 72.14 82.96 81.31 81.31 79.68 75885 26 68.27 64.86 74.59 73.09 73.09 71.63 75887 145.09 137.84 158.52 155.34 155.34 152.24 75887 TC 76.55 72.72 83.63 81.96 81.96 80.32 75887 26 68.54 65.11 74.88 73.38 73.38 71.91 75889 130.36 123.84 142.42 139.56 139.56 136.77 75889 TC 76.24 72.43 83.29 81.63 81.63 79.99 75889 26 54.12 51.41 59.12 57.94 57.94 56.78 75891 131.27 124.71 143.42 140.55 140.55 137.75 75891 TC 76.55 72.72 83.63 81.96 81.96 80.32 75891 26 54.73 51.99 59.79 58.59 58.59 57.42 75893 104.79 99.55 114.48 112.19 112.19 109.95 75893 TC 78.37 74.45 85.62 83.90 83.90 82.23 75893 26 26.42 25.10 28.87 28.29 28.29 27.73 75894 962.99 914.84 1,052.07 1,031.02 1,031.02 1,010.40 75894 TC 888.35 843.93 970.52 951.11 951.11 932.09 75894 26 65.00 61.75 71.01 69.60 69.60 68.21














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

75898 131.88 125.29 144.08 141.20 141.20 138.37 75898 TC 38.72 36.78 42.30 41.45 41.45 40.62 75898 26 82.48 78.36 90.11 88.31 88.31 86.54 75901 154.62 146.89 168.92 165.54 165.54 162.23 75901 TC 131.20 124.64 143.34 140.47 140.47 137.67 75901 26 23.42 22.25 25.59 25.08 25.08 24.58 75902 63.90 60.71 69.82 68.43 68.43 67.06 75902 TC 45.27 43.01 49.46 48.47 48.47 47.51 75902 26 18.62 17.69 20.34 19.94 19.94 19.54 75952 26 221.45 210.38 241.94 237.10 237.10 232.36 75953 26 67.15 63.79 73.36 71.89 71.89 70.45 75954 26 112.09 106.49 122.46 120.01 120.01 117.61 75956 26 345.80 328.51 377.79 370.23 370.23 362.83 75957 26 296.98 282.13 324.45 317.96 317.96 311.60 75958 26 197.36 187.49 215.61 211.30 211.30 207.08 75959 26 172.50 163.88 188.46 184.69 184.69 181.00 75962 123.76 117.57 135.21 132.50 132.50 129.86 75962 TC 97.53 92.65 106.55 104.42 104.42 102.33 75962 26 26.22 24.91 28.65 28.07 28.07 27.51 75964 78.07 74.17 85.30 83.59 83.59 81.93 75964 TC 60.46 57.44 66.06 64.73 64.73 63.43 75964 26 17.62 16.74 19.25 18.87 18.87 18.49 75966 154.61 146.88 168.91 165.53 165.53 162.22 75966 TC 91.46 86.89 99.92 97.92 97.92 95.97 75966 26 63.15 59.99 68.99 67.61 67.61 66.25 75968 77.09 73.24 84.23 82.55 82.55 80.89 75968 TC 59.54 56.56 65.04 63.74 63.74 62.47 75968 26 17.55 16.67 19.17 18.79 18.79 18.41 75970 471.59 448.01 515.21 504.91 504.91 494.81














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

76101 115.64 109.86 126.34 123.81 123.81 121.34 76101 TC 83.23 79.07 90.93 89.11 89.11 87.33 76101 26 32.41 30.79 35.41 34.70 34.70 34.01 76102 152.14 144.53 166.21 162.89 162.89 159.63 76102 TC 119.39 113.42 130.43 127.82 127.82 125.27 76102 26 32.75 31.11 35.78 35.06 35.06 34.36 76120 73.52 69.84 80.32 78.71 78.71 77.13 76120 TC 54.69 51.96 59.75 58.56 58.56 57.39 76120 26 18.84 17.90 20.59 20.17 20.17 19.77 76125 44.17 41.96 48.25 47.29 47.29 46.35 76125 TC 28.97 27.52 31.65 31.02 31.02 30.39 76125 26 14.02 13.32 15.32 15.01 15.01 14.71 76376 20.89 19.85 22.83 22.37 22.37 21.92 76376 TC 11.27 10.71 12.32 12.08 12.08 11.83 76376 26 9.62 9.14 10.51 10.30 10.30 10.10 76377 65.54 62.26 71.60 70.16 70.16 68.76 76377 TC 26.75 25.41 29.22 28.64 28.64 28.06 76377 26 38.78 36.84 42.37 41.52 41.52 40.69

C 76380 99.70 94.72 108.93 106.75 106.75 104.62 C 76380 TC 51.65 49.07 56.43 55.30 55.30 54.20

76380 26 48.05 45.65 52.50 51.45 51.45 50.43 76506 105.66 100.38 115.44 113.13 113.13 110.86 76506 TC 74.12 70.41 80.97 79.35 79.35 77.76 76506 26 31.54 29.96 34.45 33.76 33.76 33.09 76510 154.58 146.85 168.88 165.50 165.50 162.18 76510 TC 69.56 66.08 75.99 74.47 74.47 72.98 76510 26 85.02 80.77 92.89 91.02 91.02 89.21 76511 92.02 87.42 100.53 98.52 98.52 96.55 76511 TC 41.33 39.26 45.15 44.24 44.24 43.36














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

76857 TC 19.47 18.50 21.28 20.85 20.85 20.44 76857 26 24.38 23.16 26.63 26.11 26.11 25.59 76870 61.65 58.57 67.36 66.01 66.01 64.69 76870 TC 30.40 28.88 33.21 32.55 32.55 31.89 76870 26 31.25 29.69 34.14 33.47 33.47 32.80 76872 84.62 80.39 92.45 90.60 90.60 88.78 76872 TC 51.95 49.35 56.75 55.61 55.61 54.50 76872 26 32.67 31.04 35.70 34.98 34.98 34.28 76873 152.90 145.26 167.05 163.70 163.70 160.43 76873 TC 77.15 73.29 84.28 82.59 82.59 80.94 76873 26 75.75 71.96 82.75 81.10 81.10 79.48 76881 101.94 96.84 111.37 109.14 109.14 106.95 76881 TC 71.39 67.82 77.99 76.43 76.43 74.90 76881 26 30.56 29.03 33.38 32.72 32.72 32.06 76882 33.78 32.09 36.90 36.17 36.17 35.44 76882 TC 9.75 9.26 10.65 10.43 10.43 10.22 76882 26 24.03 22.83 26.25 25.73 25.73 25.21

C 76885 114.42 108.70 125.01 122.51 122.51 120.06 C 76885 TC 78.07 74.17 85.30 83.59 83.59 81.93

76885 26 36.35 34.53 39.71 38.92 38.92 38.13 76886 94.60 89.87 103.35 101.28 101.28 99.26 76886 TC 64.71 61.47 70.69 69.28 69.28 67.90 76886 26 29.89 28.40 32.66 32.00 32.00 31.36 76930 26 31.99 30.39 34.95 34.25 34.25 33.56 76932 94.98 90.23 103.76 101.69 101.69 99.66 76932 TC 56.58 53.75 61.81 60.58 60.58 59.37 76932 26 31.99 30.39 34.95 34.25 34.25 33.56 76936 245.90 233.61 268.65 263.28 263.28 258.01 76936 TC 148.84 141.40 162.61 159.36 159.36 156.17














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77021 353.12 335.46 385.78 378.06 378.06 370.51 77021 TC 279.67 265.69 305.54 299.44 299.44 293.45 77021 26 73.45 69.78 80.25 78.64 78.64 77.06 77022 395.78 375.99 432.39 423.74 423.74 415.27 77022 TC 319.10 303.15 348.62 341.65 341.65 334.82 77022 26 207.37 197.00 226.55 222.02 222.02 217.58 77051 7.31 6.94 7.98 7.82 7.82 7.66 77051 TC 4.55 4.32 4.97 4.86 4.86 4.77 77051 26 2.76 2.62 3.01 2.96 2.96 2.90 77052 7.31 6.94 7.98 7.82 7.82 7.66 77052 TC 4.55 4.32 4.97 4.86 4.86 4.77 77052 26 2.76 2.62 3.01 2.96 2.96 2.90 77053 51.86 49.27 56.66 55.52 55.52 54.41 77053 TC 34.34 32.62 37.51 36.77 36.77 36.03 77053 26 17.51 16.63 19.12 18.75 18.75 18.37 77054 68.17 64.76 74.47 72.98 72.98 71.52 77054 TC 45.88 43.59 50.13 49.13 49.13 48.15 77054 26 22.29 21.18 24.36 23.87 23.87 23.39 77055 80.50 76.48 87.95 86.19 86.19 84.47 77055 TC 46.19 43.88 50.46 49.45 49.45 48.46 77055 26 34.31 32.59 37.48 36.73 36.73 36.00 77056 103.32 98.15 112.87 110.62 110.62 108.41 77056 TC 60.76 57.72 66.38 65.06 65.06 63.76 77056 26 42.56 40.43 46.49 45.56 45.56 44.65 77057 74.12 70.41 80.97 79.35 79.35 77.76 77057 TC 39.81 37.82 43.49 42.62 42.62 41.77 77057 26 34.31 32.59 37.48 36.73 36.73 36.00

C 77058 463.81 440.62 506.71 496.58 496.58 486.65 C 77058 TC 384.19 364.98 419.73 411.33 411.33 403.11














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77058 26 79.63 75.65 87.00 85.26 85.26 83.56 C 77059 463.81 440.62 506.71 496.58 496.58 486.65 C 77059 TC 384.19 364.98 419.73 411.33 411.33 403.11

77059 26 79.63 75.65 87.00 85.26 85.26 83.56 77063 50.74 48.20 55.43 54.33 54.33 53.25 77063 TC 21.56 20.48 23.55 23.08 23.08 22.62 77063 26 29.18 27.72 31.88 31.25 31.25 30.62 77071 43.77 41.58 47.82 46.86 46.86 45.93 77072 20.84 19.80 22.77 22.31 22.31 21.86 77072 TC 11.57 10.99 12.64 12.39 12.39 12.13 77072 26 9.27 8.81 10.13 9.92 9.92 9.73 77073 32.24 30.63 35.22 34.52 34.52 33.83 77073 TC 18.25 17.34 19.94 19.54 19.54 19.15 77073 26 13.99 13.29 15.28 14.97 14.97 14.67 77074 57.54 54.66 62.86 61.61 61.61 60.38 77074 TC 35.26 33.50 38.53 37.75 37.75 37.00 77074 26 22.29 21.18 24.36 23.87 23.87 23.39 77075 77.77 73.88 84.96 83.26 83.26 81.59 77075 TC 51.35 48.78 56.10 54.97 54.97 53.87 77075 26 26.42 25.10 28.87 28.29 28.29 27.73 77076 85.96 81.66 93.91 92.03 92.03 90.19 77076 TC 51.65 49.07 56.43 55.30 55.30 54.20 77076 26 34.31 32.59 37.48 36.73 36.73 36.00 77077 33.67 31.99 36.79 36.05 36.05 35.33 77077 TC 17.95 17.05 19.61 19.22 19.22 18.84 77077 26 15.72 14.93 17.17 16.82 16.82 16.49

C 77078 63.67 60.49 69.56 68.17 68.17 66.80 C 77078 TC 51.65 49.07 56.43 55.30 55.30 54.20

77078 26 12.02 11.42 13.13 12.87 12.87 12.62














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77080 36.38 34.56 39.74 38.95 38.95 38.17 77080 TC 26.45 25.13 28.90 28.32 28.32 27.76 77080 26 9.93 9.43 10.84 10.63 10.63 10.42 77081 25.25 23.99 27.59 27.04 27.04 26.50 77081 TC 14.61 13.88 15.96 15.64 15.64 15.33 77081 26 10.64 10.11 11.63 11.40 11.40 11.17

C 77084 309.98 294.48 338.65 331.88 331.88 325.24 C 77084 TC 231.43 219.86 252.84 247.78 247.78 242.82

77084 26 78.55 74.62 85.81 84.10 84.10 82.42 77085 50.01 47.51 54.64 53.54 53.54 52.47 77085 TC 34.95 33.20 38.18 37.42 37.42 36.67 77085 26 15.06 14.31 16.46 16.12 16.12 15.80 77086 31.36 29.79 34.26 33.57 33.57 32.90 77086 TC 22.81 21.67 24.92 24.43 24.43 23.94 77086 26 8.55 8.12 9.34 9.15 9.15 8.97 77261 72.86 69.22 79.60 78.02 78.02 76.45 77262 109.17 103.71 119.27 116.89 116.89 114.55 77263 159.99 151.99 174.79 171.29 171.29 167.87 77280 238.04 226.14 260.06 254.86 254.86 249.77 77280 TC 203.16 193.00 221.95 217.51 217.51 213.16 77280 26 34.88 33.14 38.11 37.35 37.35 36.60 77285 375.13 356.37 409.83 401.63 401.63 393.60 77285 TC 322.48 306.36 352.31 345.26 345.26 338.36 77285 26 52.65 50.02 57.52 56.37 56.37 55.25 77290 450.23 427.72 491.88 482.05 482.05 472.41 77290 TC 371.97 353.37 406.38 398.25 398.25 390.28 77290 26 78.26 74.35 85.50 83.79 83.79 82.11 77293 410.84 390.30 448.85 439.86 439.86 431.07 77293 TC 310.67 295.14 339.41 332.63 332.63 325.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77293 26 100.16 95.15 109.42 107.24 107.24 105.10 77295 444.67 422.44 485.81 476.09 476.09 466.57 77295 TC 230.62 219.09 251.95 246.92 246.92 241.98 77295 26 214.05 203.35 233.85 229.17 229.17 224.58 77300 60.60 57.57 66.21 64.88 64.88 63.58 77300 TC 29.49 28.02 32.22 31.58 31.58 30.95 77300 26 31.11 29.55 33.98 33.30 33.30 32.64 77301 1,720.32 1,634.30 1,879.45 1,841.85 1,841.85 1,805.02 77301 TC 1,321.32 1,255.25 1,443.54 1,414.67 1,414.67 1,386.38 77301 26 399.00 379.05 435.91 427.19 427.19 418.65 77306 136.03 129.23 148.61 145.65 145.65 142.74 77306 TC 65.96 62.66 72.06 70.62 70.62 69.21 77306 26 70.07 66.57 76.56 75.03 75.03 73.53 77307 263.76 250.57 288.16 282.39 282.39 276.75 77307 TC 119.12 113.16 130.13 127.54 127.54 124.98 77307 26 144.64 137.41 158.02 154.86 154.86 151.77 77316 169.76 161.27 185.46 181.75 181.75 178.11 77316 TC 99.69 94.71 108.92 106.74 106.74 104.60 77316 26 70.07 66.57 76.56 75.03 75.03 73.53 77317 221.09 210.04 241.55 236.72 236.72 231.98 77317 TC 129.48 123.01 141.46 138.63 138.63 135.86 77317 26 91.61 87.03 100.08 98.08 98.08 96.12 77318 320.34 304.32 349.97 342.96 342.96 336.11 77318 TC 175.70 166.92 191.96 188.12 188.12 184.36 77318 26 144.64 137.41 158.02 154.86 154.86 151.77 77321 84.89 80.65 92.75 90.90 90.90 89.08 77321 TC 37.38 35.51 40.84 40.02 40.02 39.22 77321 26 47.51 45.13 51.90 50.86 50.86 49.85 77331 59.56 56.58 65.07 63.77 63.77 62.49














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77331 TC 16.13 15.32 17.62 17.26 17.26 16.92 77331 26 43.43 41.26 47.45 46.49 46.49 45.56 77332 74.09 70.39 80.95 79.33 79.33 77.74 77332 TC 46.79 44.45 51.12 50.09 50.09 49.09 77332 26 27.30 25.94 29.83 29.23 29.23 28.65 77333 50.29 47.78 54.95 53.84 53.84 52.76 77333 TC 8.23 7.82 8.99 8.81 8.81 8.64 77333 26 42.06 39.96 45.95 45.03 45.03 44.14 77334 137.82 130.93 150.57 147.56 147.56 144.60 77334 TC 75.94 72.14 82.96 81.31 81.31 79.68 77334 26 61.88 58.79 67.61 66.25 66.25 64.93 77336 68.26 64.85 74.58 73.08 73.08 71.62 77338 459.58 436.60 502.09 492.05 492.05 482.21 77338 TC 245.54 233.26 268.25 262.88 262.88 257.62 77338 26 214.05 203.35 233.85 229.17 229.17 224.58 77370 104.87 99.63 114.57 112.29 112.29 110.04 77372 919.62 873.64 1,004.69 984.60 984.60 964.91 77373 1,169.03 1,110.58 1,277.17 1,251.63 1,251.63 1,226.59 77401 20.68 19.65 22.60 22.15 22.15 21.70 77417 9.45 8.98 10.33 10.12 10.12 9.91 77427 178.28 169.37 194.78 190.88 190.88 187.06 77431 97.75 92.86 106.79 104.65 104.65 102.56 77432 403.71 383.52 441.05 432.23 432.23 423.58 77435 608.37 577.95 664.64 651.35 651.35 638.32 77469 308.92 293.47 337.49 330.74 330.74 324.13 77470 145.66 138.38 159.14 155.95 155.95 152.84 77470 TC 41.36 39.29 45.18 44.28 44.28 43.39 77470 26 104.29 99.08 113.94 111.67 111.67 109.43 77520 619.86 588.87 677.20 663.65 663.65 650.38














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77522 636.56 604.73 695.44 681.54 681.54 667.91 77523 755.28 717.52 825.15 808.65 808.65 792.48 77525 804.16 763.95 878.54 860.97 860.97 843.76 77600 369.61 351.13 403.80 395.73 395.73 387.81 77600 TC 290.40 275.88 317.26 310.91 310.91 304.69 77600 26 79.21 75.25 86.54 84.81 84.81 83.12 77605 697.48 662.61 762.00 746.76 746.76 731.83 77605 TC 584.91 555.66 639.01 626.23 626.23 613.71 77605 26 112.56 106.93 122.97 120.51 120.51 118.09 77610 860.77 817.73 940.39 921.59 921.59 903.15 77610 TC 777.11 738.25 848.99 832.01 832.01 815.37 77610 26 83.66 79.48 91.40 89.57 89.57 87.78 77615 922.87 876.73 1,008.24 988.08 988.08 968.32 77615 TC 818.88 777.94 894.63 876.74 876.74 859.20 77615 26 103.99 98.79 113.61 111.33 111.33 109.10 77620 338.00 321.10 369.27 361.88 361.88 354.65 77620 TC 260.04 247.04 284.10 278.42 278.42 272.85 77620 26 77.96 74.06 85.17 83.47 83.47 81.80 77750 346.59 329.26 378.65 371.07 371.07 363.65 77750 TC 97.30 92.44 106.31 104.18 104.18 102.10 77750 26 249.29 236.83 272.35 266.90 266.90 261.57 77761 355.78 337.99 388.69 380.91 380.91 373.30 77761 TC 165.34 157.07 180.63 177.02 177.02 173.48 77761 26 190.43 180.91 208.05 203.88 203.88 199.80 77762 476.94 453.09 521.05 510.63 510.63 500.42 77762 TC 189.67 180.19 207.22 203.08 203.08 199.02 77762 26 287.27 272.91 313.85 307.57 307.57 301.42 77763 678.15 644.24 740.88 726.06 726.06 711.54 77763 TC 245.64 233.36 268.36 262.99 262.99 257.74














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

77763 26 432.51 410.88 472.51 463.06 463.06 453.80 77767 198.79 188.85 217.18 212.83 212.83 208.58 77767 TC 146.15 138.84 159.67 156.47 156.47 153.34 77767 26 52.65 50.02 57.52 56.37 56.37 55.25 77768 310.11 294.60 338.79 332.02 332.02 325.38 77768 TC 240.34 228.32 262.57 257.31 257.31 252.17 77768 26 69.77 66.28 76.22 74.69 74.69 73.20 77770 286.11 271.80 312.57 306.31 306.31 300.18 77770 TC 188.69 179.26 206.15 202.02 202.02 197.98 77770 26 97.42 92.55 106.43 104.31 104.31 102.22 77771 533.39 506.72 582.73 571.08 571.08 559.66 77771 TC 343.64 326.46 375.43 367.92 367.92 360.56 77771 26 189.75 180.26 207.30 203.15 203.15 199.09 77772 812.74 772.10 887.92 870.16 870.16 852.76 77772 TC 543.29 516.13 593.55 581.68 581.68 570.04 77772 26 269.45 255.98 294.38 288.49 288.49 282.72 77778 714.33 678.61 780.40 764.80 764.80 749.50 77778 TC 315.88 300.09 345.10 338.20 338.20 331.44 77778 26 398.45 378.53 435.31 426.60 426.60 418.07 77789 109.04 103.59 119.13 116.75 116.75 114.41 77789 TC 51.65 49.07 56.43 55.30 55.30 54.20 77789 26 57.39 54.52 62.70 61.44 61.44 60.21 77790 12.79 12.15 13.97 13.70 13.70 13.42 78012 70.97 67.42 77.53 75.98 75.98 74.46 78012 TC 61.71 58.62 67.41 66.07 66.07 64.75 78012 26 9.27 8.81 10.13 9.92 9.92 9.73 78013 171.00 162.45 186.82 183.08 183.08 179.42 78013 TC 153.13 145.47 167.29 163.94 163.94 160.67 78013 26 17.87 16.98 19.53 19.14 19.14 18.76














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78102 26 26.17 24.86 28.59 28.01 28.01 27.45 78103 201.07 191.02 219.67 215.28 215.28 210.98 78103 TC 165.58 157.30 180.90 177.27 177.27 173.73 78103 26 35.49 33.72 38.78 38.01 38.01 37.25 78104 221.38 210.31 241.86 237.02 237.02 232.28 78104 TC 183.80 174.61 200.80 196.79 196.79 192.86 78104 26 37.59 35.71 41.07 40.25 40.25 39.45 78110 84.06 79.86 91.84 90.00 90.00 88.19 78110 TC 74.80 71.06 81.72 80.09 80.09 78.49 78110 26 9.27 8.81 10.13 9.92 9.92 9.73 78111 86.35 82.03 94.33 92.45 92.45 90.60 78111 TC 75.71 71.92 82.71 81.05 81.05 79.43 78111 26 10.64 10.11 11.63 11.40 11.40 11.17 78120 84.28 80.07 92.08 90.24 90.24 88.44 78120 TC 72.97 69.32 79.72 78.12 78.12 76.56 78120 26 11.31 10.74 12.35 12.11 12.11 11.87 78121 92.09 87.49 100.61 98.60 98.60 96.63 78121 TC 76.31 72.49 83.36 81.70 81.70 80.06 78121 26 15.78 14.99 17.24 16.89 16.89 16.56 78122 88.85 84.41 97.07 95.13 95.13 93.23 78122 TC 67.81 64.42 74.08 72.60 72.60 71.15 78122 26 21.04 19.99 22.99 22.53 22.53 22.08 78130 152.00 144.40 166.06 162.74 162.74 159.48 78130 TC 122.50 116.38 133.84 131.16 131.16 128.54 78130 26 29.50 28.03 32.23 31.59 31.59 30.96

C 78135 312.51 296.88 341.41 334.58 334.58 327.89 C 78135 TC 281.29 267.23 307.31 301.17 301.17 295.15

78135 26 31.22 29.66 34.11 33.43 33.43 32.76 78140 124.07 117.87 135.55 132.84 132.84 130.18














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78216 114.44 108.72 125.03 122.53 122.53 120.08 78216 TC 87.55 83.17 95.65 93.74 93.74 91.86 78216 26 26.89 25.55 29.38 28.80 28.80 28.22 78226 297.91 283.01 325.46 318.95 318.95 312.57 78226 TC 262.16 249.05 286.41 280.68 280.68 275.07 78226 26 35.74 33.95 39.04 38.26 38.26 37.49

C 78227 324.93 308.68 354.98 347.89 347.89 340.93 C 78227 TC 281.29 267.23 307.31 301.17 301.17 295.15

78227 26 43.63 41.45 47.67 46.71 46.71 45.78 78230 127.38 121.01 139.16 136.38 136.38 133.65 78230 TC 108.50 103.08 118.54 116.17 116.17 113.85 78230 26 18.88 17.94 20.63 20.22 20.22 19.81 78231 118.11 112.20 129.03 126.45 126.45 123.92 78231 TC 92.41 87.79 100.96 98.93 98.93 96.96 78231 26 25.71 24.42 28.08 27.52 27.52 26.97 78232 89.84 85.35 98.15 96.19 96.19 94.27 78232 TC 70.24 66.73 76.74 75.21 75.21 73.70 78232 26 19.60 18.62 21.41 20.99 20.99 20.57 78258 200.41 190.39 218.95 214.57 214.57 210.28 78258 TC 164.67 156.44 179.91 176.31 176.31 172.78 78258 26 35.74 33.95 39.04 38.26 38.26 37.49 78261 223.82 212.63 244.52 239.64 239.64 234.84 78261 TC 190.48 180.96 208.10 203.94 203.94 199.86 78261 26 33.35 31.68 36.43 35.71 35.71 34.99 78262 220.09 209.09 240.45 235.65 235.65 230.93 78262 TC 187.74 178.35 205.10 201.00 201.00 196.97 78262 26 32.35 30.73 35.34 34.64 34.64 33.95 78264 300.34 285.32 328.12 321.55 321.55 315.12 78264 TC 264.59 251.36 289.06 283.28 283.28 277.61














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78264 26 35.74 33.95 39.04 38.26 38.26 37.49 C 78265 328.74 312.30 359.15 351.96 351.96 344.92 C 78265 TC 281.63 267.55 307.68 301.53 301.53 295.50

78265 26 47.10 44.75 51.46 50.44 50.44 49.43 78266 425.26 404.00 464.60 455.31 455.31 446.20 78266 TC 373.02 354.37 407.53 399.37 399.37 391.38 78266 26 52.24 49.63 57.07 55.94 55.94 54.82 78270 90.49 85.97 98.87 96.89 96.89 94.96 78270 TC 80.26 76.25 87.69 85.94 85.94 84.23 78270 26 10.23 9.72 11.18 10.96 10.96 10.74 78271 80.78 76.74 88.25 86.49 86.49 84.77 78271 TC 70.85 67.31 77.41 75.85 75.85 74.34 78271 26 9.93 9.43 10.84 10.63 10.63 10.42 78272 86.93 82.58 94.97 93.07 93.07 91.21 78272 TC 73.89 70.20 80.73 79.12 79.12 77.53 78272 26 13.04 12.39 14.25 13.96 13.96 13.69 78278 314.49 298.77 343.59 336.71 336.71 329.97 78278 TC 266.72 253.38 291.39 285.56 285.56 279.84 78278 26 47.77 45.38 52.19 51.14 51.14 50.12 78282 216.70 205.87 236.75 232.01 232.01 227.38 78282 TC 197.08 187.23 215.31 211.01 211.01 206.79 78282 26 18.53 17.60 20.24 19.84 19.84 19.45 78290 299.40 284.43 327.09 320.55 320.55 314.15 78290 TC 266.42 253.10 291.07 285.25 285.25 279.54 78290 26 32.99 31.34 36.04 35.32 35.32 34.62 78291 227.89 216.50 248.98 244.00 244.00 239.12 78291 TC 186.53 177.20 203.78 199.71 199.71 195.72 78291 26 41.36 39.29 45.18 44.28 44.28 43.39 78300 163.63 155.45 178.77 175.19 175.19 171.68














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78453 274.77 261.03 300.18 294.18 294.18 288.29 78453 TC 226.64 215.31 247.61 242.65 242.65 237.80 78453 26 48.12 45.71 52.57 51.52 51.52 50.49 78454 394.53 374.80 431.02 422.40 422.40 413.94 78454 TC 329.30 312.84 359.77 352.57 352.57 345.52 78454 26 65.23 61.97 71.27 69.84 69.84 68.45 78456 285.05 270.80 311.42 305.19 305.19 299.08 78456 TC 237.57 225.69 259.54 254.36 254.36 249.27 78456 26 47.48 45.11 51.88 50.84 50.84 49.83 78457 170.93 162.38 186.74 183.00 183.00 179.34 78457 TC 133.39 126.72 145.73 142.82 142.82 139.97 78457 26 37.53 35.65 41.00 40.18 40.18 39.38 78458 152.94 145.29 167.08 163.74 163.74 160.46 78458 TC 115.18 109.42 125.83 123.31 123.31 120.85 78458 26 37.76 35.87 41.25 40.42 40.42 39.62

C 78459 1,156.09 1,098.29 1,263.03 1,237.77 1,237.77 1,213.01 C 78459 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78459 26 69.40 65.93 75.82 74.30 74.30 72.82 78466 172.48 163.86 188.44 184.67 184.67 180.98 78466 TC 138.56 131.63 151.37 148.35 148.35 145.38 78466 26 33.92 32.22 37.05 36.32 36.32 35.59 78468 179.45 170.48 196.05 192.13 192.13 188.29 78468 TC 141.29 134.23 154.36 151.28 151.28 148.26 78468 26 38.16 36.25 41.69 40.86 40.86 40.04 78469 205.34 195.07 224.33 219.85 219.85 215.45 78469 TC 161.02 152.97 175.92 172.40 172.40 168.95 78469 26 44.31 42.09 48.40 47.44 47.44 46.49 78472 208.43 198.01 227.71 223.16 223.16 218.70 78472 TC 161.63 153.55 176.58 173.05 173.05 169.59














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78582 TC 251.23 238.67 274.47 268.99 268.99 263.60 78582 26 51.58 49.00 56.35 55.22 55.22 54.12 78597 183.12 173.96 200.05 196.05 196.05 192.13 78597 TC 148.27 140.86 161.99 158.75 158.75 155.57 78597 26 34.85 33.11 38.08 37.32 37.32 36.57 78598 276.65 262.82 302.24 296.19 296.19 290.27 78598 TC 236.05 224.25 257.89 252.74 252.74 247.68 78598 26 40.59 38.56 44.34 43.46 43.46 42.58 78600 166.56 158.23 181.96 178.33 178.33 174.77 78600 TC 144.63 137.40 158.01 154.85 154.85 151.75 78600 26 21.93 20.83 23.95 23.47 23.47 23.00 78601 192.14 182.53 209.91 205.71 205.71 201.60 78601 TC 167.70 159.32 183.22 179.55 179.55 175.96 78601 26 24.44 23.22 26.70 26.17 26.17 25.65 78605 179.19 170.23 195.76 191.85 191.85 188.01 78605 TC 153.13 145.47 167.29 163.94 163.94 160.67 78605 26 26.06 24.76 28.47 27.90 27.90 27.34 78606 296.72 281.88 324.16 317.68 317.68 311.33 78606 TC 266.11 252.80 290.72 284.90 284.90 279.21 78606 26 30.61 29.08 33.44 32.78 32.78 32.12 78607 317.34 301.47 346.69 339.76 339.76 332.96 78607 TC 259.43 246.46 283.43 277.76 277.76 272.21 78607 26 57.91 55.01 63.26 62.00 62.00 60.75

C 78608 1,157.04 1,099.19 1,264.07 1,238.79 1,238.79 1,214.02 C 78608 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78608 26 70.35 66.83 76.85 75.31 75.31 73.81 78610 156.65 148.82 171.14 167.72 167.72 164.36 78610 TC 141.90 134.81 155.03 151.93 151.93 148.89 78610 26 14.76 14.02 16.12 15.80 15.80 15.49














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78803 TC 256.09 243.29 279.78 274.18 274.18 268.70 78803 26 51.04 48.49 55.76 54.65 54.65 53.56 78804 508.13 482.72 555.13 544.03 544.03 533.15 78804 TC 457.19 434.33 499.48 489.49 489.49 479.70 78804 26 50.93 48.38 55.64 54.52 54.52 53.43 78805 165.44 157.17 180.75 177.13 177.13 173.59 78805 TC 130.36 123.84 142.42 139.56 139.56 136.77 78805 26 35.08 33.33 38.33 37.56 37.56 36.81 78806 299.78 284.79 327.51 320.95 320.95 314.54 78806 TC 258.82 245.88 282.76 277.10 277.10 271.56 78806 26 40.95 38.90 44.74 43.84 43.84 42.96 78807 307.14 291.78 335.55 328.83 328.83 322.25 78807 TC 256.40 243.58 280.12 274.52 274.52 269.03 78807 26 50.74 48.20 55.43 54.33 54.33 53.25 78808 40.86 38.82 44.64 43.75 43.75 42.87

C 78811 1,162.19 1,104.08 1,269.69 1,244.30 1,244.30 1,219.41 C 78811 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78811 26 75.49 71.72 82.48 80.83 80.83 79.21 C 78812 1,178.58 1,119.65 1,287.60 1,261.85 1,261.85 1,236.61 C 78812 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78812 26 91.89 87.30 100.40 98.38 98.38 96.42 C 78813 1,182.64 1,123.51 1,292.04 1,266.20 1,266.20 1,240.87 C 78813 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78813 26 95.95 91.15 104.82 102.73 102.73 100.67 C 78814 1,192.57 1,132.94 1,302.88 1,276.82 1,276.82 1,251.28 C 78814 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78814 26 105.87 100.58 115.67 113.36 113.36 111.09 C 78815 1,203.62 1,143.44 1,314.96 1,288.66 1,288.66 1,262.88 C 78815 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

78815 26 116.93 111.08 127.74 125.19 125.19 122.68 C 78816 1,204.86 1,144.62 1,316.31 1,289.99 1,289.99 1,264.20 C 78816 TC 1,086.69 1,032.36 1,187.21 1,163.47 1,163.47 1,140.20

78816 26 118.17 112.26 129.10 126.51 126.51 123.98 79005 128.26 121.85 140.13 137.32 137.32 134.57 79005 TC 42.27 40.16 46.18 45.26 45.26 44.36 79005 26 85.98 81.68 93.93 92.06 92.06 90.22 79101 134.25 127.54 146.67 143.74 143.74 140.86 79101 TC 41.02 38.97 44.82 43.92 43.92 43.04 79101 26 93.23 88.57 101.86 99.82 99.82 97.82 79200 149.02 141.57 162.81 159.55 159.55 156.37 79200 TC 50.17 47.66 54.81 53.72 53.72 52.65 79200 26 98.86 93.92 108.01 105.85 105.85 103.73 79300 238.70 226.77 260.79 255.56 255.56 250.46 79300 TC 156.58 148.75 171.06 167.65 167.65 164.29 79300 26 77.50 73.63 84.67 82.98 82.98 81.33 79403 179.09 170.14 195.66 191.75 191.75 187.92 79403 TC 70.85 67.31 77.41 75.85 75.85 74.34 79403 26 108.24 102.83 118.25 115.89 115.89 113.56 79440 136.20 129.39 148.80 145.82 145.82 142.90 79440 TC 43.15 40.99 47.14 46.20 46.20 45.28 79440 26 93.05 88.40 101.66 99.62 99.62 97.64 79445 152.71 145.07 166.83 163.50 163.50 160.23 79445 TC 52.23 49.62 57.06 55.92 55.92 54.81 79445 26 113.07 107.42 123.53 121.06 121.06 118.63 80500 20.91 19.86 22.84 22.38 22.38 21.93

# 80500 18.78 17.84 20.52 20.10 20.10 19.70 80502 68.78 65.34 75.14 73.63 73.63 72.16

# 80502 66.65 63.32 72.82 71.36 71.36 69.93














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

83020 26 17.84 16.95 19.49 19.10 19.10 18.72 84165 26 17.84 16.95 19.49 19.10 19.10 18.72 84166 26 17.84 16.95 19.49 19.10 19.10 18.72 84181 26 17.84 16.95 19.49 19.10 19.10 18.72 84182 26 17.84 16.95 19.49 19.10 19.10 18.72 85060 24.08 22.88 26.31 25.78 25.78 25.27 85097 82.41 78.29 90.03 88.23 88.23 86.47

# 85097 48.41 45.99 52.89 51.83 51.83 50.80 85390 26 17.84 16.95 19.49 19.10 19.10 18.72 85396 20.00 19.00 21.85 21.41 21.41 20.99 85576 26 17.84 16.95 19.49 19.10 19.10 18.72 86077 53.87 51.18 58.86 57.68 57.68 56.53

# 86077 50.23 47.72 54.88 53.79 53.79 52.70 86078 53.57 50.89 58.52 57.35 57.35 56.20

# 86078 50.23 47.72 54.88 53.79 53.79 52.70 86079 52.96 50.31 57.86 56.70 56.70 55.56

# 86079 49.62 47.14 54.21 53.13 53.13 52.07 86153 26 33.28 31.62 36.36 35.64 35.64 34.93 86255 26 17.84 16.95 19.49 19.10 19.10 18.72 86256 26 17.84 16.95 19.49 19.10 19.10 18.72 86320 26 17.84 16.95 19.49 19.10 19.10 18.72 86325 26 17.84 16.95 19.49 19.10 19.10 18.72 86327 26 20.23 19.22 22.10 21.67 21.67 21.23 86334 26 17.84 16.95 19.49 19.10 19.10 18.72 86335 26 17.84 16.95 19.49 19.10 19.10 18.72 86485 24.16 22.95 26.39 25.86 25.86 25.35 86486 4.29 4.08 4.69 4.60 4.60 4.51 86490 59.85 56.86 65.39 64.08 64.08 62.80 86510 5.20 4.94 5.68 5.57 5.57 5.45














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

86580 6.71 6.37 7.33 7.18 7.18 7.04 87164 26 17.84 16.95 19.49 19.10 19.10 18.72 87207 26 17.84 16.95 19.49 19.10 19.10 18.72 88104 68.09 64.69 74.39 72.91 72.91 71.45 88104 TC 39.51 37.53 43.16 42.30 42.30 41.45 88104 26 28.59 27.16 31.23 30.61 30.61 30.00 88106 66.15 62.84 72.27 70.82 70.82 69.40 88106 TC 46.79 44.45 51.12 50.09 50.09 49.09 88106 26 19.36 18.39 21.15 20.72 20.72 20.31 88108 64.40 61.18 70.36 68.95 68.95 67.57 88108 TC 41.93 39.83 45.80 44.88 44.88 43.99 88108 26 22.47 21.35 24.55 24.06 24.06 23.58 88112 64.45 61.23 70.41 69.01 69.01 67.63 88112 TC 36.77 34.93 40.17 39.36 39.36 38.58 88112 26 27.68 26.30 30.25 29.64 29.64 29.04 88120 549.28 521.82 600.09 588.09 588.09 576.32 88120 TC 491.63 467.05 537.11 526.37 526.37 515.84 88120 26 57.64 54.76 62.97 61.71 61.71 60.48 88121 479.20 455.24 523.53 513.06 513.06 502.80 88121 TC 429.66 408.18 469.41 460.02 460.02 450.82 88121 26 49.54 47.06 54.12 53.04 53.04 51.98 88125 21.56 20.48 23.55 23.08 23.08 22.62 88125 TC 8.23 7.82 8.99 8.81 8.81 8.64 88125 26 13.33 12.66 14.56 14.27 14.27 13.98 88141 30.29 28.78 33.10 32.43 32.43 31.79 88160 64.73 61.49 70.71 69.30 69.30 67.91 88160 TC 38.90 36.96 42.50 41.65 41.65 40.83 88160 26 25.83 24.54 28.22 27.66 27.66 27.11 88161 58.35 55.43 63.74 62.47 62.47 61.21














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88161 TC 33.43 31.76 36.52 35.79 35.79 35.08 88161 26 24.92 23.67 27.22 26.68 26.68 26.15 88162 93.84 89.15 102.52 100.48 100.48 98.46 88162 TC 54.72 51.98 59.78 58.58 58.58 57.41 88162 26 39.12 37.16 42.73 41.88 41.88 41.04 88172 53.05 50.40 57.96 56.80 56.80 55.66 88172 TC 17.04 16.19 18.62 18.25 18.25 17.88 88172 26 36.01 34.21 39.34 38.56 38.56 37.79 88173 139.51 132.53 152.41 149.36 149.36 146.37 88173 TC 68.99 65.54 75.37 73.86 73.86 72.39 88173 26 70.52 66.99 77.04 75.50 75.50 73.99 88177 28.43 27.01 31.06 30.44 30.44 29.83 88177 TC 6.38 6.06 6.97 6.83 6.83 6.69 88177 26 22.06 20.96 24.10 23.62 23.62 23.15 88182 100.27 95.26 109.55 107.35 107.35 105.20 88182 TC 64.17 60.96 70.10 68.70 68.70 67.33 88182 26 36.11 34.30 39.45 38.65 38.65 37.88 88184 64.71 61.47 70.69 69.28 69.28 67.90 88185 39.47 37.50 43.13 42.26 42.26 41.42 88187 69.59 66.11 76.03 74.51 74.51 73.01 88188 88.45 84.03 96.63 94.70 94.70 92.81 88189 109.34 103.87 119.45 117.06 117.06 114.71 88291 30.23 28.72 33.03 32.37 32.37 31.73 88300 13.56 12.88 14.81 14.51 14.51 14.23 88300 TC 9.14 8.68 9.98 9.79 9.79 9.59 88300 26 4.42 4.20 4.83 4.74 4.74 4.65 88302 28.71 27.27 31.36 30.73 30.73 30.12 88302 TC 21.59 20.51 23.59 23.12 23.12 22.66 88302 26 7.12 6.76 7.77 7.61 7.61 7.46














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88304 40.43 38.41 44.17 43.29 43.29 42.42 88304 TC 29.18 27.72 31.88 31.25 31.25 30.62 88304 26 11.25 10.69 12.29 12.05 12.05 11.81 88305 67.04 63.69 73.24 71.78 71.78 70.35 88305 TC 29.18 27.72 31.88 31.25 31.25 30.62 88305 26 37.85 35.96 41.35 40.53 40.53 39.72 88307 273.62 259.94 298.93 292.95 292.95 287.10 88307 TC 190.74 181.20 208.38 204.22 204.22 200.13 88307 26 82.88 78.74 90.55 88.75 88.75 86.97 88309 417.58 396.70 456.21 447.09 447.09 438.14 88309 TC 270.93 257.38 295.99 290.06 290.06 284.27 88309 26 146.65 139.32 160.22 157.01 157.01 153.87 88311 19.90 18.91 21.75 21.31 21.31 20.88 88311 TC 7.32 6.95 7.99 7.83 7.83 7.67 88311 26 12.58 11.95 13.74 13.47 13.47 13.20 88312 86.81 82.47 94.84 92.94 92.94 91.08 88312 TC 59.85 56.86 65.39 64.08 64.08 62.80 88312 26 26.96 25.61 29.45 28.87 28.87 28.29 88313 59.98 56.98 65.53 64.22 64.22 62.93 88313 TC 48.01 45.61 52.45 51.41 51.41 50.38 88313 26 11.97 11.37 13.08 12.81 12.81 12.56 88314 68.40 64.98 74.73 73.23 73.23 71.77 88314 TC 46.19 43.88 50.46 49.45 49.45 48.46 88314 26 22.22 21.11 24.28 23.79 23.79 23.32 88319 79.16 75.20 86.48 84.76 84.76 83.06 88319 TC 52.26 49.65 57.10 55.96 55.96 54.84 88319 26 26.91 25.56 29.39 28.81 28.81 28.23 88321 96.90 92.06 105.87 103.75 103.75 101.68

# 88321 83.54 79.36 91.26 89.44 89.44 87.64














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88323 129.42 122.95 141.39 138.56 138.56 135.79 88323 TC 43.15 40.99 47.14 46.20 46.20 45.28 88323 26 86.27 81.96 94.25 92.37 92.37 90.52 88325 162.19 154.08 177.19 173.65 173.65 170.18

# 88325 131.22 124.66 143.36 140.50 140.50 137.69 88329 47.20 44.84 51.57 50.53 50.53 49.52

# 88329 35.97 34.17 39.30 38.51 38.51 37.74 88331 88.90 84.46 97.13 95.19 95.19 93.28 88331 TC 26.75 25.41 29.22 28.64 28.64 28.06 88331 26 62.14 59.03 67.88 66.53 66.53 65.19 88332 46.70 44.37 51.03 50.00 50.00 49.00 88332 TC 16.13 15.32 17.62 17.26 17.26 16.92 88332 26 30.57 29.04 33.40 32.73 32.73 32.07 88333 92.90 88.26 101.50 99.46 99.46 97.47 88333 TC 30.40 28.88 33.21 32.55 32.55 31.89 88333 26 62.50 59.38 68.29 66.92 66.92 65.58 88334 57.21 54.35 62.50 61.25 61.25 60.02 88334 TC 18.86 17.92 20.61 20.19 20.19 19.79 88334 26 38.35 36.43 41.89 41.06 41.06 40.24 88341 79.43 75.46 86.78 85.04 85.04 83.34 88341 TC 52.83 50.19 57.72 56.57 56.57 55.44 88341 26 26.60 25.27 29.06 28.47 28.47 27.90 88342 95.00 90.25 103.79 101.72 101.72 99.68 88342 TC 59.54 56.56 65.04 63.74 63.74 62.47 88342 26 35.46 33.69 38.74 37.97 37.97 37.21 88344 151.86 144.27 165.91 162.59 162.59 159.33 88344 TC 112.98 107.33 123.43 120.96 120.96 118.54 88344 26 38.87 36.93 42.47 41.62 41.62 40.79 88346 83.68 79.50 91.43 89.60 89.60 87.80














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88346 TC 47.10 44.75 51.46 50.44 50.44 49.43 88346 26 36.58 34.75 39.96 39.17 39.17 38.39 88348 304.22 289.01 332.36 325.71 325.71 319.21 88348 TC 228.80 217.36 249.96 244.96 244.96 240.06 88348 26 75.42 71.65 82.40 80.75 80.75 79.14 88350 64.41 61.19 70.37 68.97 68.97 67.59 88350 TC 37.04 35.19 40.47 39.66 39.66 38.87 88350 26 27.37 26.00 29.90 29.30 29.30 28.72 88355 144.34 137.12 157.69 154.54 154.54 151.44 88355 TC 62.88 59.74 68.70 67.33 67.33 65.99 88355 26 81.45 77.38 88.99 87.20 87.20 85.46 88356 190.98 181.43 208.64 204.47 204.47 200.38 88356 TC 70.85 67.31 77.41 75.85 75.85 74.34 88356 26 120.13 114.12 131.24 128.62 128.62 126.04 88358 78.14 74.23 85.36 83.66 83.66 82.00 88358 TC 33.74 32.05 36.86 36.12 36.12 35.40 88358 26 44.41 42.19 48.52 47.55 47.55 46.60 88360 109.32 103.85 119.43 117.04 117.04 114.69 88360 TC 55.29 52.53 60.41 59.20 59.20 58.02 88360 26 54.03 51.33 59.03 57.85 57.85 56.68 88361 133.48 126.81 145.83 142.91 142.91 140.05 88361 TC 75.33 71.56 82.29 80.65 80.65 79.04 88361 26 58.14 55.23 63.51 62.25 62.25 61.01 88362 233.73 222.04 255.35 250.24 250.24 245.24 88362 TC 126.07 119.77 137.74 134.98 134.98 132.27 88362 26 107.66 102.28 117.62 115.26 115.26 112.96 88363 21.82 20.73 23.84 23.37 23.37 22.90

# 88363 19.09 18.14 20.86 20.45 20.45 20.03 88364 118.52 112.59 129.48 126.89 126.89 124.35














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88364 TC 85.05 80.80 92.92 91.06 91.06 89.24 88364 26 33.47 31.80 36.57 35.83 35.83 35.12 88365 156.10 148.30 170.55 167.13 167.13 163.78 88365 TC 112.37 106.75 122.76 120.31 120.31 117.91 88365 26 43.72 41.53 47.76 46.81 46.81 45.87 88366 230.05 218.55 251.33 246.31 246.31 241.39 88366 TC 168.24 159.83 183.80 180.12 180.12 176.53 88366 26 61.81 58.72 67.53 66.18 66.18 64.86 88367 94.83 90.09 103.60 101.53 101.53 99.50 88367 TC 60.46 57.44 66.06 64.73 64.73 63.43 88367 26 34.37 32.65 37.55 36.80 36.80 36.06 88368 102.02 96.92 111.46 109.23 109.23 107.04 88368 TC 62.28 59.17 68.05 66.69 66.69 65.35 88368 26 39.74 37.75 43.41 42.55 42.55 41.70 88369 95.71 90.92 104.56 102.47 102.47 100.42 88369 TC 65.01 61.76 71.02 69.60 69.60 68.21 88369 26 30.70 29.17 33.55 32.88 32.88 32.22 88371 26 17.84 16.95 19.49 19.10 19.10 18.72 88372 26 17.84 16.95 19.49 19.10 19.10 18.72 88373 66.14 62.83 72.25 70.81 70.81 69.39 88373 TC 45.54 43.26 49.75 48.75 48.75 47.77 88373 26 20.59 19.56 22.49 22.05 22.05 21.61 88374 298.46 283.54 326.07 319.55 319.55 313.16 88374 TC 254.17 241.46 277.68 272.12 272.12 266.69 88374 26 44.30 42.09 48.40 47.44 47.44 46.49 88375 47.63 45.25 52.04 51.00 51.00 49.98 88377 357.23 339.37 390.28 382.47 382.47 374.82 88377 TC 293.06 278.41 320.17 313.77 313.77 307.49 88377 26 64.16 60.95 70.09 68.69 68.69 67.32














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

88380 129.95 123.45 141.97 139.13 139.13 136.34 88380 TC 73.85 70.16 80.68 79.07 79.07 77.49 88380 26 56.10 53.30 61.30 60.06 60.06 58.87 88381 103.18 98.02 112.72 110.47 110.47 108.26 88381 TC 78.40 74.48 85.65 83.94 83.94 82.26 88381 26 24.78 23.54 27.07 26.53 26.53 26.00 88387 39.61 37.63 43.27 42.41 42.41 41.56 88387 TC 7.93 7.53 8.66 8.49 8.49 8.31 88387 26 31.68 30.10 34.62 33.93 33.93 33.25 88388 32.27 30.66 35.26 34.56 34.56 33.87 88388 TC 8.54 8.11 9.33 9.14 9.14 8.96 88388 26 23.74 22.55 25.93 25.42 25.42 24.91 89049 231.77 220.18 253.21 248.15 248.15 243.18

# 89049 64.48 61.26 70.45 69.03 69.03 67.65 89060 26 17.84 16.95 19.49 19.10 19.10 18.72 89220 14.00 13.30 15.30 14.98 14.98 14.69 89230 4.59 4.36 5.01 4.91 4.91 4.81 90460 22.52 21.39 24.60 24.10 24.10 23.62 90461 11.48 10.91 12.55 12.29 12.29 12.05 90471 22.52 21.39 24.60 24.10 24.10 23.62 90472 11.48 10.91 12.55 12.29 12.29 12.05 90473 22.52 21.39 24.60 24.10 24.10 23.62 90474 11.48 10.91 12.55 12.29 12.29 12.05 90785 13.67 12.99 14.94 14.64 14.64 14.35 90791 129.05 122.60 140.99 138.17 138.17 135.41

# 90791 125.41 119.14 137.01 134.27 134.27 131.58 90792 142.36 135.24 155.53 152.42 152.42 149.37

# 90792 138.72 131.78 151.55 148.51 148.51 145.54 90832 62.69 59.56 68.49 67.13 67.13 65.78














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 90832 62.38 59.26 68.15 66.78 66.78 65.45 90833 64.54 61.31 70.51 69.09 69.09 67.71

# 90833 63.94 60.74 69.85 68.46 68.46 67.09 90834 83.39 79.22 91.10 89.29 89.29 87.50

# 90834 83.09 78.94 90.78 88.96 88.96 87.18 90836 81.97 77.87 89.55 87.76 87.76 86.00

# 90836 81.36 77.29 88.88 87.10 87.10 85.36 90837 125.41 119.14 137.01 134.27 134.27 131.58

# 90837 124.50 118.28 136.02 133.30 133.30 130.63 90838 108.11 102.70 118.11 115.75 115.75 113.44

# 90838 107.51 102.13 117.45 115.10 115.10 112.80 90839 130.67 124.14 142.76 139.91 139.91 137.11

# 90839 130.06 123.56 142.09 139.25 139.25 136.47 90840 62.38 59.26 68.15 66.78 66.78 65.45

# 90840 62.08 58.98 67.83 66.47 66.47 65.14 90845 89.74 85.25 98.04 96.08 96.08 94.16

# 90845 89.44 84.97 97.72 95.76 95.76 93.84 90846 101.12 96.06 110.47 108.26 108.26 106.10

# 90846 100.52 95.49 109.81 107.62 107.62 105.47 90847 104.70 99.47 114.39 112.10 112.10 109.86

# 90847 104.10 98.90 113.74 111.46 111.46 109.23 90849 32.46 30.84 35.47 34.75 34.75 34.06

# 90849 29.43 27.96 32.15 31.51 31.51 30.88 90853 25.14 23.88 27.46 26.91 26.91 26.37

# 90853 24.84 23.60 27.14 26.60 26.60 26.07 90865 158.24 150.33 172.88 169.42 169.42 166.03

# 90865 126.06 119.76 137.72 134.96 134.96 132.26 90867 166.85 158.51 182.29 178.64 178.64 175.06

# 90867 109.28 103.82 119.39 117.00 117.00 114.67














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

90868 50.06 47.56 54.69 53.60 53.60 52.53 # 90868 32.78 31.14 35.81 35.10 35.10 34.40

90869 133.48 126.81 145.83 142.91 142.91 140.05 # 90869 87.42 83.05 95.51 93.60 93.60 91.72

90870 165.77 157.48 181.10 177.48 177.48 173.93 # 90870 108.69 103.26 118.75 116.37 116.37 114.05

90880 98.73 93.79 107.86 105.70 105.70 103.58 # 90880 92.36 87.74 100.90 98.89 98.89 96.91

90901 34.79 33.05 38.01 37.25 37.25 36.50 # 90901 19.30 18.34 21.09 20.67 20.67 20.25

90911 77.01 73.16 84.13 82.46 82.46 80.81 # 90911 43.31 41.14 47.31 46.37 46.37 45.44

90935 70.58 67.05 77.11 75.57 75.57 74.06 90937 101.17 96.11 110.53 108.32 108.32 106.16 90945 82.59 78.46 90.23 88.42 88.42 86.65 90947 120.81 114.77 131.99 129.34 129.34 126.75 90951 913.64 867.96 998.15 978.19 978.19 958.63 90954 789.71 750.22 862.75 845.50 845.50 828.60 90955 441.64 419.56 482.49 472.85 472.85 463.39 90956 306.87 291.53 335.26 328.56 328.56 321.99 90957 624.00 592.80 681.72 668.08 668.08 654.72 90958 421.17 400.11 460.13 450.93 450.93 441.91 90959 285.19 270.93 311.57 305.34 305.34 299.23 90960 272.75 259.11 297.98 292.02 292.02 286.18 90961 228.70 217.27 249.86 244.86 244.86 239.96 90962 175.66 166.88 191.91 188.07 188.07 184.31 90963 526.35 500.03 575.03 563.53 563.53 552.26 90964 459.77 436.78 502.30 492.25 492.25 482.40 90965 437.45 415.58 477.92 468.36 468.36 458.99














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

90966 228.06 216.66 249.16 244.18 244.18 239.29 90967 17.46 16.59 19.08 18.70 18.70 18.32 90968 15.06 14.31 16.46 16.12 16.12 15.80 90969 14.70 13.97 16.07 15.74 15.74 15.43 90970 7.48 7.11 8.18 8.02 8.02 7.85 90997 90.56 86.03 98.93 96.96 96.96 95.01 91010 158.18 150.27 172.81 169.35 169.35 165.96 91010 TC 92.94 88.29 101.53 99.50 99.50 97.51 91010 26 65.24 61.98 71.28 69.85 69.85 68.46 91013 20.75 19.71 22.67 22.22 22.22 21.77 91013 TC 11.54 10.96 12.60 12.35 12.35 12.11 91013 26 9.21 8.75 10.06 9.87 9.87 9.67 91020 208.54 198.11 227.83 223.27 223.27 218.81 91020 TC 135.48 128.71 148.02 145.06 145.06 142.16 91020 26 73.06 69.41 79.82 78.22 78.22 76.66 91022 151.39 143.82 165.39 162.08 162.08 158.84 91022 TC 78.67 74.74 85.95 84.24 84.24 82.56 91022 26 72.72 69.08 79.44 77.86 77.86 76.30 91030 121.72 115.63 132.97 130.32 130.32 127.71 91030 TC 75.94 72.14 82.96 81.31 81.31 79.68 91030 26 45.78 43.49 50.01 49.01 49.01 48.04 91034 168.00 159.60 183.54 179.87 179.87 176.27 91034 TC 118.14 112.23 129.06 126.49 126.49 123.96 91034 26 49.85 47.36 54.46 53.37 53.37 52.30 91035 420.21 399.20 459.08 449.90 449.90 440.91 91035 TC 338.57 321.64 369.89 362.49 362.49 355.25 91035 26 81.64 77.56 89.19 87.41 87.41 85.66 91037 142.73 135.59 155.93 152.81 152.81 149.75 91037 TC 93.55 88.87 102.20 100.15 100.15 98.15














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

91037 26 49.18 46.72 53.73 52.66 52.66 51.60 91038 390.62 371.09 426.75 418.22 418.22 409.86 91038 TC 334.93 318.18 365.91 358.59 358.59 351.42 91038 26 55.69 52.91 60.85 59.63 59.63 58.43 91040 377.35 358.48 412.25 404.01 404.01 395.92 91040 TC 328.86 312.42 359.28 352.10 352.10 345.06 91040 26 48.50 46.08 52.99 51.93 51.93 50.90 91065 67.96 64.56 74.24 72.76 72.76 71.30 91065 TC 58.03 55.13 63.40 62.13 62.13 60.89 91065 26 9.93 9.43 10.84 10.63 10.63 10.42 91110 775.51 736.73 847.24 830.30 830.30 813.69 91110 TC 591.18 561.62 645.86 632.95 632.95 620.29 91110 26 184.33 175.11 201.38 197.35 197.35 193.41 91111 625.34 594.07 683.18 669.52 669.52 656.13 91111 TC 574.49 545.77 627.64 615.08 615.08 602.77 91111 26 50.86 48.32 55.57 54.45 54.45 53.36 91112 936.37 889.55 1,022.98 1,002.52 1,002.52 982.47 91112 TC 829.83 788.34 906.59 888.46 888.46 870.69 91112 26 106.54 101.21 116.39 114.07 114.07 111.79 91117 133.22 126.56 145.54 142.63 142.63 139.78 91120 369.30 350.84 403.47 395.39 395.39 387.48 91120 TC 320.35 304.33 349.98 342.98 342.98 336.12 91120 26 48.94 46.49 53.46 52.39 52.39 51.35 91122 204.78 194.54 223.72 219.25 219.25 214.87 91122 TC 116.66 110.83 127.45 124.90 124.90 122.41 91122 26 88.12 83.71 96.27 94.35 94.35 92.46 91132 135.49 128.72 148.03 145.07 145.07 142.17 91132 TC 108.12 102.71 118.12 115.76 115.76 113.45 91132 26 27.37 26.00 29.90 29.30 29.30 28.72














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

91133 150.99 143.44 164.96 161.66 161.66 158.42 91133 TC 117.54 111.66 128.41 125.84 125.84 123.33 91133 26 33.45 31.78 36.55 35.81 35.81 35.10 91200 28.56 27.13 31.20 30.58 30.58 29.97 91200 TC 15.82 15.03 17.28 16.94 16.94 16.61 91200 26 12.74 12.10 13.92 13.64 13.64 13.36 92002 74.12 70.41 80.97 79.35 79.35 77.76

# 92002 45.88 43.59 50.13 49.13 49.13 48.15 92004 137.06 130.21 149.74 146.75 146.75 143.82

# 92004 95.77 90.98 104.63 102.53 102.53 100.49 92012 78.02 74.12 85.24 83.54 83.54 81.87

# 92012 50.39 47.87 55.05 53.95 53.95 52.87 92014 113.60 107.92 124.11 121.62 121.62 119.19

# 92014 76.56 72.73 83.64 81.97 81.97 80.33 92018 138.74 131.80 151.57 148.53 148.53 145.57 92019 68.94 65.49 75.31 73.81 73.81 72.34 92020 24.82 23.58 27.12 26.58 26.58 26.05

# 92020 19.96 18.96 21.80 21.37 21.37 20.94 92025 34.46 32.74 37.65 36.90 36.90 36.17 92025 TC 15.22 14.46 16.63 16.30 16.30 15.97 92025 26 19.25 18.29 21.03 20.61 20.61 20.19 92060 59.39 56.42 64.88 63.58 63.58 62.31 92060 TC 22.81 21.67 24.92 24.43 24.43 23.94 92060 26 36.58 34.75 39.96 39.17 39.17 38.39 92065 47.63 45.25 52.04 51.00 51.00 49.98 92065 TC 30.09 28.59 32.88 32.22 32.22 31.58 92065 26 17.53 16.65 19.15 18.77 18.77 18.39 92071 35.88 34.09 39.20 38.42 38.42 37.65

# 92071 32.23 30.62 35.21 34.51 34.51 33.82














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92072 126.65 120.32 138.37 135.60 135.60 132.88 # 92072 99.62 94.64 108.84 106.66 106.66 104.54

92081 30.55 29.02 33.37 32.71 32.71 32.05 92081 TC 14.91 14.16 16.28 15.96 15.96 15.64 92081 26 15.63 14.85 17.08 16.73 16.73 16.40 92082 43.24 41.08 47.24 46.30 46.30 45.37 92082 TC 22.50 21.38 24.59 24.09 24.09 23.61 92082 26 20.73 19.69 22.64 22.20 22.20 21.75 92083 57.75 54.86 63.09 61.82 61.82 60.58 92083 TC 31.00 29.45 33.87 33.19 33.19 32.52 92083 26 26.74 25.40 29.21 28.62 28.62 28.05 92100 71.70 68.12 78.34 76.77 76.77 75.23

# 92100 32.54 30.91 35.55 34.83 34.83 34.13 92132 31.73 30.14 34.66 33.97 33.97 33.29 92132 TC 13.39 12.72 14.63 14.34 14.34 14.05 92132 26 18.34 17.42 20.03 19.63 19.63 19.24 92133 40.44 38.42 44.18 43.30 43.30 42.44 92133 TC 13.70 13.02 14.97 14.67 14.67 14.38 92133 26 26.74 25.40 29.21 28.62 28.62 28.05 92134 41.35 39.28 45.17 44.26 44.26 43.38 92134 TC 14.00 13.30 15.30 14.98 14.98 14.69 92134 26 27.35 25.98 29.88 29.28 29.28 28.69 92136 80.13 76.12 87.54 85.79 85.79 84.08 92136 TC 50.44 47.92 55.11 54.00 54.00 52.92 92136 26 29.69 28.21 32.44 31.80 31.80 31.17 92140 56.87 54.03 62.13 60.89 60.89 59.67

# 92140 25.90 24.61 28.30 27.74 27.74 27.19 92145 14.05 13.35 15.35 15.04 15.04 14.74 92145 TC 5.80 5.51 6.34 6.21 6.21 6.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92145 26 8.25 7.84 9.02 8.83 8.83 8.66 92225 25.18 23.92 27.51 26.96 26.96 26.42

# 92225 20.32 19.30 22.20 21.75 21.75 21.31 92226 23.08 21.93 25.22 24.71 24.71 24.22

# 92226 18.23 17.32 19.92 19.52 19.52 19.12 92227 12.48 11.86 13.64 13.36 13.36 13.10 92228 31.53 29.95 34.44 33.75 33.75 33.07 92228 TC 11.57 10.99 12.64 12.39 12.39 12.13 92228 26 19.96 18.96 21.80 21.37 21.37 20.94 92230 53.16 50.50 58.08 56.91 56.91 55.78

# 92230 32.21 30.60 35.19 34.49 34.49 33.80 92235 98.30 93.39 107.40 105.25 105.25 103.14 92235 TC 53.47 50.80 58.42 57.25 57.25 56.10 92235 26 44.82 42.58 48.97 47.99 47.99 47.04 92240 224.39 213.17 245.15 240.25 240.25 235.44 92240 TC 163.38 155.21 178.49 174.93 174.93 171.43 92240 26 61.01 57.96 66.65 65.32 65.32 64.01 92250 69.87 66.38 76.34 74.81 74.81 73.31 92250 TC 46.79 44.45 51.12 50.09 50.09 49.09 92250 26 23.08 21.93 25.22 24.71 24.71 24.22 92260 16.91 16.06 18.47 18.10 18.10 17.74

# 92260 10.54 10.01 11.51 11.28 11.28 11.05 92265 72.26 68.65 78.95 77.37 77.37 75.82 92265 TC 30.70 29.17 33.55 32.88 32.88 32.22 92265 26 41.56 39.48 45.40 44.49 44.49 43.61 92270 82.88 78.74 90.55 88.75 88.75 86.97 92270 TC 42.85 40.71 46.82 45.89 45.89 44.97 92270 26 40.04 38.04 43.75 42.87 42.87 42.01 92275 132.52 125.89 144.77 141.88 141.88 139.04














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92275 TC 80.53 76.50 87.98 86.22 86.22 84.49 92275 26 51.99 49.39 56.80 55.66 55.66 54.54 92283 48.36 45.94 52.83 51.77 51.77 50.74 92283 TC 39.51 37.53 43.16 42.30 42.30 41.45 92283 26 8.85 8.41 9.67 9.48 9.48 9.29 92284 53.90 51.21 58.89 57.72 57.72 56.57 92284 TC 41.93 39.83 45.80 44.88 44.88 43.99 92284 26 11.97 11.37 13.08 12.81 12.81 12.56 92285 17.95 17.05 19.61 19.22 19.22 18.84 92285 TC 14.91 14.16 16.28 15.96 15.96 15.64 92285 26 3.04 2.89 3.32 3.25 3.25 3.19 92286 35.04 33.29 38.28 37.51 37.51 36.77 92286 TC 13.70 13.02 14.97 14.67 14.67 14.38 92286 26 21.34 20.27 23.31 22.84 22.84 22.38

C 92287 121.71 115.62 132.96 130.31 130.31 127.70 C 92287 TC 77.19 73.33 84.33 82.64 82.64 80.98

92287 26 44.52 42.29 48.63 47.66 47.66 46.70 92311 92.55 87.92 101.11 99.08 99.08 97.11

# 92311 53.99 51.29 58.98 57.80 57.80 56.64 92312 106.59 101.26 116.45 114.11 114.11 111.84

# 92312 61.65 58.57 67.36 66.01 66.01 64.69 92313 88.00 83.60 96.14 94.22 94.22 92.33

# 92313 45.80 43.51 50.04 49.04 49.04 48.06 92315 64.76 61.52 70.75 69.33 69.33 67.94

# 92315 21.34 20.27 23.31 22.84 22.84 22.38 92316 82.10 78.00 89.70 87.91 87.91 86.15

# 92316 32.01 30.41 34.97 34.27 34.27 33.58 92317 67.49 64.12 73.74 72.27 72.27 70.82

# 92317 21.65 20.57 23.66 23.18 23.18 22.72














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92325 35.86 34.07 39.18 38.40 38.40 37.63 92326 30.09 28.59 32.88 32.22 32.22 31.58 92502 92.71 88.07 101.28 99.26 99.26 97.27 92504 26.82 25.48 29.30 28.72 28.72 28.14

# 92504 9.21 8.75 10.06 9.87 9.87 9.67 92507 74.96 71.21 81.89 80.26 80.26 78.65 92508 21.87 20.78 23.90 23.41 23.41 22.94 92511 100.01 95.01 109.26 107.08 107.08 104.94

# 92511 37.47 35.60 40.94 40.12 40.12 39.32 92512 55.36 52.59 60.48 59.27 59.27 58.09

# 92512 28.03 26.63 30.62 30.02 30.02 29.42 92516 62.87 59.73 68.69 67.32 67.32 65.98

# 92516 22.48 21.36 24.56 24.07 24.07 23.59 92520 69.27 65.81 75.68 74.16 74.16 72.68

# 92520 40.12 38.11 43.83 42.95 42.95 42.09 92521 104.84 99.60 114.54 112.25 112.25 110.01 92522 87.65 83.27 95.76 93.84 93.84 91.97 92523 182.86 173.72 199.78 195.79 195.79 191.88 92524 85.22 80.96 93.10 91.24 91.24 89.41 92526 81.25 77.19 88.77 87.00 87.00 85.26 92537 37.98 36.08 41.49 40.66 40.66 39.85 92537 TC 7.32 6.95 7.99 7.83 7.83 7.67 92537 26 30.66 29.13 33.50 32.83 32.83 32.18 92538 19.31 18.34 21.09 20.67 20.67 20.25 92538 TC 3.98 3.78 4.35 4.26 4.26 4.17 92538 26 15.33 14.56 16.74 16.41 16.41 16.08 92540 95.51 90.73 104.34 102.26 102.26 100.21 92540 TC 18.86 17.92 20.61 20.19 20.19 19.79 92540 26 76.65 72.82 83.74 82.06 82.06 80.42














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92541 22.89 21.75 25.01 24.52 24.52 24.02 92541 TC 2.77 2.63 3.02 2.97 2.97 2.91 92541 26 20.13 19.12 21.99 21.55 21.55 21.13 92542 26.70 25.37 29.18 28.59 28.59 28.01 92542 TC 2.46 2.34 2.69 2.63 2.63 2.58 92542 26 24.24 23.03 26.48 25.96 25.96 25.44 92544 15.81 15.02 17.27 16.93 16.93 16.59 92544 TC 2.16 2.05 2.36 2.31 2.31 2.27 92544 26 13.65 12.97 14.92 14.62 14.62 14.33 92545 14.49 13.77 15.84 15.51 15.51 15.20 92545 TC 1.86 1.77 2.04 1.99 1.99 1.96 92545 26 12.63 12.00 13.80 13.52 13.52 13.25 92546 90.04 85.54 98.37 96.40 96.40 94.47 92546 TC 75.67 71.89 82.67 81.02 81.02 79.40 92546 26 14.37 13.65 15.70 15.39 15.39 15.08 92547 5.16 4.90 5.64 5.52 5.52 5.41 92548 90.57 86.04 98.95 96.97 96.97 95.02 92548 TC 65.31 62.04 71.35 69.92 69.92 68.52 92548 26 25.26 24.00 27.60 27.05 27.05 26.51 92550 20.19 19.18 22.06 21.62 21.62 21.18 92552 26.75 25.41 29.22 28.64 28.64 28.06 92553 31.92 30.32 34.87 34.17 34.17 33.49 92555 20.07 19.07 21.93 21.49 21.49 21.07 92556 31.92 30.32 34.87 34.17 34.17 33.49 92557 35.55 33.77 38.84 38.05 38.05 37.29

# 92557 31.61 30.03 34.53 33.84 33.84 33.17 92561 32.56 30.93 35.57 34.86 34.86 34.16 92562 39.81 37.82 43.49 42.62 42.62 41.77 92563 26.45 25.13 28.90 28.32 28.32 27.76














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92564 24.02 22.82 26.24 25.71 25.71 25.20 92565 13.70 13.02 14.97 14.67 14.67 14.38 92567 13.57 12.89 14.82 14.52 14.52 14.24

# 92567 10.54 10.01 11.51 11.28 11.28 11.05 92568 15.31 14.54 16.72 16.39 16.39 16.07

# 92568 15.01 14.26 16.40 16.07 16.07 15.74 92570 30.73 29.19 33.57 32.90 32.90 32.25

# 92570 28.91 27.46 31.58 30.95 30.95 30.33 92571 23.41 22.24 25.58 25.07 25.07 24.56 92572 30.70 29.17 33.55 32.88 32.88 32.22 92575 62.01 58.91 67.75 66.39 66.39 65.07 92576 30.70 29.17 33.55 32.88 32.88 32.22 92577 14.31 13.59 15.63 15.32 15.32 15.01 92579 40.12 38.11 43.83 42.95 42.95 42.09

# 92579 36.17 34.36 39.51 38.72 38.72 37.95 92582 58.06 55.16 63.43 62.17 62.17 60.93 92583 44.97 42.72 49.13 48.15 48.15 47.18 92584 62.92 59.77 68.74 67.36 67.36 66.01 92585 119.15 113.19 130.17 127.57 127.57 125.02 92585 TC 93.28 88.62 101.91 99.88 99.88 97.88 92585 26 25.87 24.58 28.27 27.70 27.70 27.15 92586 73.24 69.58 80.02 78.42 78.42 76.85 92587 20.50 19.48 22.40 21.95 21.95 21.52 92587 TC 2.77 2.63 3.02 2.97 2.97 2.91 92587 26 17.73 16.84 19.37 18.98 18.98 18.60 92588 31.30 29.74 34.20 33.52 33.52 32.86 92588 TC 3.37 3.20 3.68 3.61 3.61 3.54 92588 26 27.93 26.53 30.51 29.90 29.90 29.30 92596 36.20 34.39 39.55 38.76 38.76 37.98














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92597 69.04 65.59 75.43 73.92 73.92 72.44 92601 134.46 127.74 146.90 143.97 143.97 141.09

# 92601 116.24 110.43 126.99 124.45 124.45 121.97 92602 84.14 79.93 91.92 90.08 90.08 88.27

# 92602 66.83 63.49 73.01 71.55 71.55 70.13 92603 142.55 135.42 155.73 152.62 152.62 149.57

# 92603 117.95 112.05 128.86 126.28 126.28 123.75 92604 83.79 79.60 91.54 89.71 89.71 87.92

# 92604 65.27 62.01 71.31 69.89 69.89 68.48 92607 118.74 112.80 129.72 127.12 127.12 124.58 92608 49.15 46.69 53.69 52.62 52.62 51.57 92609 103.07 97.92 112.61 110.35 110.35 108.15 92610 80.46 76.44 87.91 86.15 86.15 84.42

# 92610 69.83 66.34 76.29 74.76 74.76 73.27 92611 82.30 78.19 89.92 88.12 88.12 86.37 92612 167.20 158.84 182.67 179.01 179.01 175.43

# 92612 66.09 62.79 72.21 70.76 70.76 69.35 92613 37.17 35.31 40.61 39.79 39.79 39.00 92614 132.59 125.96 144.85 141.96 141.96 139.12

# 92614 65.79 62.50 71.88 70.44 70.44 69.03 92615 32.72 31.08 35.74 35.03 35.03 34.33

# 92615 32.41 30.79 35.41 34.70 34.70 34.01 92616 189.79 180.30 207.35 203.19 203.19 199.13

# 92616 98.10 93.20 107.18 105.04 105.04 102.94 92617 40.61 38.58 44.37 43.48 43.48 42.61 92620 89.14 84.68 97.38 95.44 95.44 93.53

# 92620 79.42 75.45 86.77 85.03 85.03 83.33 92621 21.07 20.02 23.02 22.56 22.56 22.11

# 92621 18.34 17.42 20.03 19.63 19.63 19.24














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92625 66.55 63.22 72.70 71.25 71.25 69.83 # 92625 60.17 57.16 65.73 64.42 64.42 63.14

92626 84.61 80.38 92.44 90.59 90.59 88.77 # 92626 73.38 69.71 80.17 78.57 78.57 76.99

92627 20.96 19.91 22.90 22.44 22.44 21.99 # 92627 17.32 16.45 18.92 18.54 18.54 18.17

92640 106.98 101.63 116.87 114.54 114.54 112.25 # 92640 92.41 87.79 100.96 98.93 98.93 96.96

92920 544.95 517.70 595.36 583.45 583.45 571.78 92924 647.26 614.90 707.14 692.99 692.99 679.13 92928 605.07 574.82 661.04 647.82 647.82 634.86 92933 676.86 643.02 739.47 724.68 724.68 710.19 92937 604.72 574.48 660.65 647.44 647.44 634.49 92941 678.22 644.31 740.96 726.13 726.13 711.61 92943 677.88 643.99 740.59 725.78 725.78 711.26 92950 284.45 270.23 310.76 304.55 304.55 298.46

# 92950 184.86 175.62 201.96 197.93 197.93 193.97 92953 11.04 10.49 12.06 11.82 11.82 11.58 92960 189.78 180.29 207.33 203.18 203.18 199.12

# 92960 118.43 112.51 129.39 126.80 126.80 124.26 92961 257.35 244.48 281.15 275.53 275.53 270.02 92970 185.40 176.13 202.55 198.50 198.50 194.53 92971 100.03 95.03 109.28 107.10 107.10 104.96 92973 176.85 168.01 193.21 189.35 189.35 185.56 92974 161.41 153.34 176.34 172.81 172.81 169.35 92975 389.80 370.31 425.86 417.34 417.34 408.99 92977 53.59 50.91 58.55 57.37 57.37 56.22 92978 272.55 258.92 297.76 291.80 291.80 285.97 92978 TC 167.76 159.37 183.28 179.61 179.61 176.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

92978 26 95.47 90.70 104.31 102.22 102.22 100.18 92979 168.80 160.36 184.41 180.72 180.72 177.11 92979 TC 84.79 80.55 92.63 90.78 90.78 88.96 92979 26 76.26 72.45 83.32 81.65 81.65 80.02 92986 1,318.13 1,252.22 1,440.05 1,411.26 1,411.26 1,383.04 92987 1,359.39 1,291.42 1,485.13 1,455.43 1,455.43 1,426.32 92990 1,070.71 1,017.17 1,169.75 1,146.35 1,146.35 1,123.42 92992 980.86 931.82 1,071.59 1,050.16 1,050.16 1,029.16 92993 1,198.35 1,138.43 1,309.19 1,283.01 1,283.01 1,257.35 92997 653.79 621.10 714.27 699.98 699.98 685.99 92998 322.44 306.32 352.27 345.22 345.22 338.32 93000 15.57 14.79 17.01 16.66 16.66 16.33 93005 7.32 6.95 7.99 7.83 7.83 7.67 93010 8.25 7.84 9.02 8.83 8.83 8.66 93015 69.50 66.03 75.93 74.42 74.42 72.93 93016 21.65 20.57 23.66 23.18 23.18 22.72 93017 33.74 32.05 36.86 36.12 36.12 35.40 93018 14.12 13.41 15.42 15.11 15.11 14.81 93024 102.52 97.39 112.00 109.76 109.76 107.56 93024 TC 46.83 44.49 51.16 50.14 50.14 49.14 93024 26 55.69 52.91 60.85 59.63 59.63 58.43 93025 140.85 133.81 153.88 150.80 150.80 147.79 93025 TC 105.09 99.84 114.82 112.52 112.52 110.26 93025 26 35.76 33.97 39.07 38.28 38.28 37.51 93040 11.82 11.23 12.91 12.66 12.66 12.41 93041 4.89 4.65 5.35 5.24 5.24 5.14 93042 6.92 6.57 7.56 7.41 7.41 7.26 93050 15.87 15.08 17.34 17.00 17.00 16.65 93050 TC 7.63 7.25 8.34 8.18 8.18 8.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93050 26 8.25 7.84 9.02 8.83 8.83 8.66 93224 81.00 76.95 88.49 86.72 86.72 84.99 93225 22.81 21.67 24.92 24.43 24.43 23.94 93226 32.52 30.89 35.52 34.81 34.81 34.11 93227 25.67 24.39 28.05 27.49 27.49 26.93 93228 25.40 24.13 27.75 27.20 27.20 26.66 93229 622.63 591.50 680.23 666.62 666.62 653.29 93260 62.15 59.04 67.90 66.54 66.54 65.21 93260 TC 18.86 17.92 20.61 20.19 20.19 19.79 93260 26 43.29 41.13 47.30 46.36 46.36 45.43 93261 56.05 53.25 61.24 60.02 60.02 58.82 93261 TC 18.86 17.92 20.61 20.19 20.19 19.79 93261 26 37.19 35.33 40.63 39.81 39.81 39.02 93268 178.77 169.83 195.30 191.39 191.39 187.57 93270 7.93 7.53 8.66 8.49 8.49 8.31 93271 146.08 138.78 159.60 156.40 156.40 153.27 93272 24.76 23.52 27.05 26.51 26.51 25.98 93278 27.24 25.88 29.76 29.16 29.16 28.58 93278 TC 15.22 14.46 16.63 16.30 16.30 15.97 93278 26 12.02 11.42 13.13 12.87 12.87 12.62 93279 46.15 43.84 50.42 49.40 49.40 48.42 93279 TC 14.91 14.16 16.28 15.96 15.96 15.64 93279 26 31.24 29.68 34.13 33.45 33.45 32.79 93280 54.12 51.41 59.12 57.94 57.94 56.78 93280 TC 16.73 15.89 18.27 17.91 17.91 17.55 93280 26 37.39 35.52 40.85 40.03 40.03 39.23 93281 63.33 60.16 69.18 67.80 67.80 66.45 93281 TC 19.77 18.78 21.60 21.16 21.16 20.73 93281 26 43.56 41.38 47.59 46.63 46.63 45.70














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93291 26 20.93 19.88 22.86 22.40 22.40 21.95 93292 30.38 28.86 33.19 32.52 32.52 31.87 93292 TC 9.45 8.98 10.33 10.12 10.12 9.91 93292 26 20.93 19.88 22.86 22.40 22.40 21.95 93293 47.35 44.98 51.73 50.69 50.69 49.68 93293 TC 32.22 30.61 35.20 34.50 34.50 33.81 93293 26 15.14 14.38 16.54 16.20 16.20 15.88 93294 32.83 31.19 35.87 35.16 35.16 34.45 93295 65.33 62.06 71.37 69.94 69.94 68.54 93296 22.20 21.09 24.25 23.77 23.77 23.30 93297 25.71 24.42 28.08 27.52 27.52 26.97 93298 25.71 24.42 28.08 27.52 27.52 26.97 93299 117.06 111.21 127.89 125.34 125.34 122.83 93303 211.66 201.08 231.24 226.62 226.62 222.09 93303 TC 149.45 141.98 163.28 160.01 160.01 156.81 93303 26 62.21 59.10 67.97 66.61 66.61 65.27 93304 137.82 130.93 150.57 147.56 147.56 144.60 93304 TC 102.05 96.95 111.49 109.26 109.26 107.08 93304 26 35.76 33.97 39.07 38.28 38.28 37.51 93306 202.55 192.42 221.28 216.86 216.86 212.52 93306 TC 140.65 133.62 153.66 150.59 150.59 147.58 93306 26 61.90 58.81 67.63 66.27 66.27 64.95 93307 116.88 111.04 127.70 125.14 125.14 122.64 93307 TC 72.90 69.26 79.65 78.05 78.05 76.49 93307 26 43.98 41.78 48.05 47.08 47.08 46.14 93308 109.86 104.37 120.03 117.62 117.62 115.26 93308 TC 84.75 80.51 92.59 90.74 90.74 88.92 93308 26 25.12 23.86 27.44 26.89 26.89 26.35 93312 276.66 262.83 302.25 296.21 296.21 290.28














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93312 TC 157.99 150.09 172.60 169.15 169.15 165.77 93312 26 118.67 112.74 129.65 127.06 127.06 124.52 93313 22.35 21.23 24.41 23.93 23.93 23.45 93314 269.33 255.86 294.24 288.35 288.35 282.59 93314 TC 167.70 159.32 183.22 179.55 179.55 175.96 93314 26 101.63 96.55 111.03 108.81 108.81 106.64 93315 270.71 257.17 295.75 289.83 289.83 284.04 93315 TC 125.95 119.65 137.60 134.85 134.85 132.15 93315 26 138.51 131.58 151.32 148.29 148.29 145.33 93316 37.97 36.07 41.48 40.65 40.65 39.84 93317 249.23 236.77 272.29 266.83 266.83 261.50 93317 TC 184.68 175.45 201.77 197.73 197.73 193.78 93317 26 103.16 98.00 112.70 110.45 110.45 108.24 93318 441.85 419.76 482.72 473.06 473.06 463.60 93318 TC 270.58 257.05 295.61 289.70 289.70 283.90 93318 26 114.16 108.45 124.72 122.22 122.22 119.77 93320 48.56 46.13 53.05 51.99 51.99 50.96 93320 TC 30.67 29.14 33.51 32.84 32.84 32.19 93320 26 17.89 17.00 19.55 19.16 19.16 18.78 93321 24.23 23.02 26.47 25.94 25.94 25.43 93321 TC 17.00 16.15 18.57 18.20 18.20 17.84 93321 26 7.23 6.87 7.90 7.74 7.74 7.59 93325 22.24 21.13 24.30 23.82 23.82 23.35 93325 TC 19.13 18.17 20.90 20.48 20.48 20.07 93325 26 3.11 2.95 3.39 3.32 3.32 3.25 93350 214.65 203.92 234.51 229.82 229.82 225.22 93350 TC 145.20 137.94 158.63 155.46 155.46 152.35 93350 26 69.45 65.98 75.88 74.36 74.36 72.88 93351 242.11 230.00 264.50 259.21 259.21 254.02














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93351 TC 159.20 151.24 173.93 170.45 170.45 167.05 93351 26 82.91 78.76 90.57 88.76 88.76 86.99 93352 30.25 28.74 33.05 32.40 32.40 31.75 93355 221.71 210.62 242.21 237.37 237.37 232.62 93451 691.07 656.52 755.00 739.90 739.90 725.10 93451 TC 547.84 520.45 598.52 586.55 586.55 574.82 93451 26 143.24 136.08 156.49 153.36 153.36 150.29 93452 789.11 749.65 862.10 844.86 844.86 827.97 93452 TC 538.76 511.82 588.59 576.82 576.82 565.28 93452 26 250.35 237.83 273.50 268.03 268.03 262.67 93453 1,019.22 968.26 1,113.50 1,091.22 1,091.22 1,069.40 93453 TC 688.18 653.77 751.84 736.79 736.79 722.06 93453 26 331.04 314.49 361.66 354.43 354.43 347.35 93454 801.08 761.03 875.18 857.68 857.68 840.52 93454 TC 547.26 519.90 597.89 585.93 585.93 574.21 93454 26 253.81 241.12 277.29 271.75 271.75 266.31 93455 932.33 885.71 1,018.57 998.20 998.20 978.24 93455 TC 638.99 607.04 698.10 684.14 684.14 670.45 93455 26 293.34 278.67 320.47 314.07 314.07 307.79 93456 1,004.69 954.46 1,097.63 1,075.68 1,075.68 1,054.16 93456 TC 679.07 645.12 741.89 727.05 727.05 712.52 93456 26 325.62 309.34 355.74 348.62 348.62 341.65 93457 1,135.28 1,078.52 1,240.30 1,215.49 1,215.49 1,191.18 93457 TC 770.16 731.65 841.40 824.57 824.57 808.08 93457 26 365.12 346.86 398.89 390.91 390.91 383.09 93458 961.89 913.80 1,050.87 1,029.85 1,029.85 1,009.25 93458 TC 651.74 619.15 712.02 697.79 697.79 683.82 93458 26 310.15 294.64 338.84 332.06 332.06 325.43 93459 1,063.66 1,010.48 1,162.05 1,138.81 1,138.81 1,116.03














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93459 TC 713.99 678.29 780.03 764.43 764.43 749.14 93459 26 349.67 332.19 382.02 374.38 374.38 366.90 93460 1,142.65 1,085.52 1,248.35 1,223.38 1,223.38 1,198.91 93460 TC 753.15 715.49 822.81 806.36 806.36 790.23 93460 26 389.50 370.03 425.53 417.02 417.02 408.69 93461 1,304.91 1,239.66 1,425.61 1,397.10 1,397.10 1,369.16 93461 TC 875.24 831.48 956.20 937.08 937.08 918.33 93461 26 429.67 408.19 469.42 460.03 460.03 450.83 93462 207.61 197.23 226.81 222.28 222.28 217.83 93463 96.66 91.83 105.60 103.49 103.49 101.42 93464 245.72 233.43 268.44 263.07 263.07 257.81 93464 TC 160.38 152.36 175.21 171.71 171.71 168.27 93464 26 85.34 81.07 93.23 91.37 91.37 89.54 93503 129.05 122.60 140.99 138.17 138.17 135.41 93505 684.28 650.07 747.58 732.63 732.63 717.98 93505 TC 453.11 430.45 495.02 485.12 485.12 475.41 93505 26 231.17 219.61 252.55 247.50 247.50 242.56 93530 889.36 844.89 971.62 952.19 952.19 933.14 93530 TC 628.41 596.99 686.54 672.81 672.81 659.35 93530 26 218.83 207.89 239.07 234.29 234.29 229.61 93531 2,304.57 2,189.34 2,517.74 2,467.38 2,467.38 2,418.04 93531 TC 1,797.01 1,707.16 1,963.23 1,923.97 1,923.97 1,885.49 93531 26 427.85 406.46 467.43 458.08 458.08 448.91 93532 2,880.71 2,736.67 3,147.17 3,084.23 3,084.23 3,022.55 93532 TC 2,246.26 2,133.95 2,454.04 2,404.96 2,404.96 2,356.86 93532 26 530.42 503.90 579.49 567.89 567.89 556.53 93533 2,304.57 2,189.34 2,517.74 2,467.38 2,467.38 2,418.04 93533 TC 1,797.01 1,707.16 1,963.23 1,923.97 1,923.97 1,885.49 93533 26 353.91 336.21 386.64 378.91 378.91 371.34














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93561 48.29 45.88 52.76 51.70 51.70 50.67 93561 TC 20.34 19.32 22.22 21.77 21.77 21.33 93561 26 25.06 23.81 27.38 26.83 26.83 26.29 93562 21.69 20.61 23.70 23.23 23.23 22.77 93562 TC 12.64 12.01 13.81 13.54 13.54 13.26 93562 26 7.89 7.50 8.63 8.45 8.45 8.28 93563 58.39 55.47 63.79 62.51 62.51 61.26 93564 61.11 58.05 66.76 65.42 65.42 64.11 93565 45.66 43.38 49.89 48.89 48.89 47.91 93566 152.91 145.26 167.05 163.70 163.70 160.43

# 93566 46.03 43.73 50.29 49.29 49.29 48.30 93567 127.80 121.41 139.62 136.83 136.83 134.09

# 93567 52.20 49.59 57.03 55.89 55.89 54.77 93568 137.83 130.94 150.58 147.57 147.57 144.61

# 93568 47.05 44.70 51.41 50.38 50.38 49.37 93571 272.86 259.22 298.10 292.15 292.15 286.30 93571 TC 167.76 159.37 183.28 179.61 179.61 176.02 93571 26 95.16 90.40 103.96 101.88 101.88 99.84 93572 136.17 129.36 148.76 145.79 145.79 142.86 93572 TC 88.71 84.27 96.91 94.97 94.97 93.07 93572 26 76.26 72.45 83.32 81.65 81.65 80.02 93580 973.94 925.24 1,064.03 1,042.75 1,042.75 1,021.90 93581 1,329.55 1,263.07 1,452.53 1,423.48 1,423.48 1,395.01 93582 667.60 634.22 729.35 714.77 714.77 700.48 93583 752.80 715.16 822.43 805.99 805.99 789.87 93600 199.62 189.64 218.09 213.73 213.73 209.45 93600 TC 73.00 69.35 79.75 78.15 78.15 76.59 93600 26 116.88 111.04 127.70 125.14 125.14 122.64 93602 167.89 159.50 183.43 179.76 179.76 176.16














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93602 TC 41.18 39.12 44.99 44.09 44.09 43.21 93602 26 114.72 108.98 125.33 122.82 122.82 120.36 93603 189.23 179.77 206.74 202.60 202.60 198.55 93603 TC 62.52 59.39 68.30 66.93 66.93 65.60 93603 26 114.72 108.98 125.33 122.82 122.82 120.36 93609 398.51 378.58 435.37 426.66 426.66 418.13 93609 TC 101.24 96.18 110.61 108.40 108.40 106.23 93609 26 273.90 260.21 299.24 293.26 293.26 287.40 93610 230.77 219.23 252.11 247.08 247.08 242.13 93610 TC 50.67 48.14 55.36 54.26 54.26 53.18 93610 26 163.06 154.91 178.15 174.58 174.58 171.09 93612 240.56 228.53 262.81 257.55 257.55 252.40 93612 TC 60.09 57.09 65.65 64.34 64.34 63.05 93612 26 161.81 153.72 176.78 173.25 173.25 169.79 93613 393.80 374.11 430.23 421.62 421.62 413.20 93615 65.19 61.93 71.22 69.79 69.79 68.40 93615 TC 11.87 11.28 12.97 12.71 12.71 12.45 93615 26 50.77 48.23 55.46 54.36 54.36 53.27 93616 400.24 380.23 437.26 428.52 428.52 419.96 93616 TC 146.96 139.61 160.55 157.34 157.34 154.19 93616 26 63.92 60.72 69.83 68.44 68.44 67.07 93618 400.24 380.23 437.26 428.52 428.52 419.96 93618 TC 146.96 139.61 160.55 157.34 157.34 154.19 93618 26 233.82 222.13 255.45 250.34 250.34 245.34 93619 732.35 695.73 800.09 784.09 784.09 768.41 93619 TC 285.89 271.60 312.34 306.10 306.10 299.98 93619 26 399.60 379.62 436.56 427.83 427.83 419.28 93620 805.58 765.30 880.10 862.49 862.49 845.24 93620 TC 314.48 298.76 343.57 336.70 336.70 329.96














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93620 26 633.79 602.10 692.42 678.57 678.57 665.00 93621 120.84 114.80 132.02 129.38 129.38 126.79 93621 TC 47.16 44.80 51.52 50.49 50.49 49.47 93621 26 115.56 109.78 126.25 123.72 123.72 121.24 93622 120.84 114.80 132.02 129.38 129.38 126.79 93622 TC 47.16 44.80 51.52 50.49 50.49 49.47 93622 26 169.07 160.62 184.71 181.02 181.02 177.40 93623 360.82 342.78 394.20 386.31 386.31 378.58 93623 TC 211.13 200.57 230.66 226.04 226.04 221.52 93623 26 156.91 149.06 171.42 167.99 167.99 164.63 93624 370.65 352.12 404.94 396.84 396.84 388.91 93624 TC 74.04 70.34 80.89 79.27 79.27 77.68 93624 26 260.01 247.01 284.06 278.38 278.38 272.81 93631 1,823.04 1,731.89 1,991.67 1,951.84 1,951.84 1,912.81 93631 TC 1,418.10 1,347.20 1,549.28 1,518.30 1,518.30 1,487.93 93631 26 396.93 377.08 433.64 424.97 424.97 416.47 93640 473.81 450.12 517.64 507.29 507.29 497.15 93640 TC 265.57 252.29 290.13 284.33 284.33 278.65 93640 26 190.44 180.92 208.06 203.90 203.90 199.81 93641 617.88 586.99 675.04 661.54 661.54 648.31 93641 TC 265.57 252.29 290.13 284.33 284.33 278.65 93641 26 323.35 307.18 353.26 346.20 346.20 339.27 93642 398.80 378.86 435.69 426.97 426.97 418.43 93642 TC 130.70 124.17 142.80 139.94 139.94 137.15 93642 26 268.11 254.70 292.91 287.05 287.05 281.31 93644 257.58 244.70 281.41 275.78 275.78 270.26 93644 TC 90.25 85.74 98.60 96.63 96.63 94.70 93644 26 167.33 158.96 182.80 179.15 179.15 175.56 93650 596.95 567.10 652.17 639.12 639.12 626.34














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93653 841.36 799.29 919.18 900.80 900.80 882.77 93654 1,121.04 1,064.99 1,224.74 1,200.24 1,200.24 1,176.24 93655 420.68 399.65 459.60 450.41 450.41 441.40 93656 1,121.75 1,065.66 1,225.51 1,201.00 1,201.00 1,176.98 93657 420.71 399.67 459.62 450.43 450.43 441.43 93660 146.02 138.72 159.53 156.34 156.34 153.21 93660 TC 54.42 51.70 59.46 58.27 58.27 57.11 93660 26 91.60 87.02 100.07 98.07 98.07 96.11 93662 364.64 346.41 398.37 390.40 390.40 382.59 93662 TC 217.69 206.81 237.83 233.07 233.07 228.41 93662 26 138.56 131.63 151.37 148.35 148.35 145.38 93701 20.68 19.65 22.60 22.15 22.15 21.70 93702 92.64 88.01 101.21 99.19 99.19 97.21 93724 259.80 246.81 283.83 278.15 278.15 272.58 93724 TC 24.02 22.82 26.24 25.71 25.71 25.20 93724 26 235.78 223.99 257.59 252.44 252.44 247.39 93745 93.58 88.90 102.24 100.19 100.19 98.19 93745 TC 36.18 34.37 39.53 38.73 38.73 37.96 93745 26 57.41 54.54 62.72 61.47 61.47 60.24 93750 53.33 50.66 58.26 57.10 57.10 55.96

# 93750 45.44 43.17 49.65 48.66 48.66 47.68 93784 48.32 45.90 52.79 51.73 51.73 50.69 93786 25.54 24.26 27.90 27.34 27.34 26.78 93788 4.59 4.36 5.01 4.91 4.91 4.81 93790 18.20 17.29 19.88 19.48 19.48 19.09 93797 14.98 14.23 16.36 16.04 16.04 15.72

# 93797 8.61 8.18 9.41 9.22 9.22 9.04 93798 23.15 21.99 25.29 24.78 24.78 24.29

# 93798 13.74 13.05 15.01 14.71 14.71 14.41














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

C 93880 169.23 160.77 184.89 181.18 181.18 177.56 C 93880 TC 130.02 123.52 142.05 139.21 139.21 136.42

93880 26 39.21 37.25 42.84 41.99 41.99 41.15 93882 114.73 108.99 125.34 122.83 122.83 120.37 93882 TC 89.91 85.41 98.22 96.26 96.26 94.33 93882 26 24.83 23.59 27.13 26.59 26.59 26.06

C 93886 175.87 167.08 192.14 188.30 188.30 184.54 C 93886 TC 129.68 123.20 141.68 138.85 138.85 136.08

93886 26 46.19 43.88 50.46 49.45 49.45 48.46 93888 130.42 123.90 142.49 139.63 139.63 136.84 93888 TC 105.39 100.12 115.14 112.84 112.84 110.58 93888 26 25.03 23.78 27.35 26.80 26.80 26.25

C 93890 180.27 171.26 196.95 193.00 193.00 189.14 C 93890 TC 129.98 123.48 142.00 139.16 139.16 136.38

93890 26 50.28 47.77 54.94 53.83 53.83 52.75 C 93892 137.54 130.66 150.26 147.26 147.26 144.31 C 93892 TC 78.07 74.17 85.30 83.59 83.59 81.93

93892 26 59.47 56.50 64.98 63.68 63.68 62.40 C 93893 136.22 129.41 148.82 145.84 145.84 142.92 C 93893 TC 78.07 74.17 85.30 83.59 83.59 81.93

93893 26 58.15 55.24 63.53 62.26 62.26 61.02 93922 78.32 74.40 85.56 83.85 83.85 82.17 93922 TC 65.92 62.62 72.01 70.58 70.58 69.16 93922 26 12.40 11.78 13.55 13.27 13.27 13.01 93923 122.32 116.20 133.63 130.96 130.96 128.34 93923 TC 100.26 95.25 109.54 107.35 107.35 105.20 93923 26 22.06 20.96 24.10 23.62 23.62 23.15 93924 152.96 145.31 167.11 163.76 163.76 160.48 93924 TC 128.50 122.08 140.39 137.59 137.59 134.84














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

93924 26 24.45 23.23 26.71 26.19 26.19 25.66 C 93925 168.25 159.84 183.82 180.14 180.14 176.54 C 93925 TC 129.68 123.20 141.68 138.85 138.85 136.08

93925 26 38.57 36.64 42.14 41.30 41.30 40.47 93926 135.35 128.58 147.87 144.91 144.91 142.01 93926 TC 111.50 105.93 121.82 119.38 119.38 116.99 93926 26 23.85 22.66 26.06 25.54 25.54 25.04

C 93930 169.27 160.81 184.93 181.23 181.23 177.61 C 93930 TC 130.02 123.52 142.05 139.21 139.21 136.42

93930 26 39.25 37.29 42.88 42.02 42.02 41.18 93931 114.66 108.93 125.27 122.76 122.76 120.31 93931 TC 90.21 85.70 98.56 96.59 96.59 94.66 93931 26 24.45 23.23 26.71 26.19 26.19 25.66 93965 105.58 100.30 115.35 113.03 113.03 110.77 93965 TC 88.39 83.97 96.57 94.63 94.63 92.74 93965 26 17.19 16.33 18.78 18.40 18.40 18.03

C 93970 164.10 155.90 179.29 175.70 175.70 172.18 C 93970 TC 130.02 123.52 142.05 139.21 139.21 136.42

93970 26 34.08 32.38 37.24 36.49 36.49 35.77 93971 106.77 101.43 116.64 114.31 114.31 112.02 93971 TC 84.75 80.51 92.59 90.74 90.74 88.92 93971 26 22.02 20.92 24.06 23.58 23.58 23.10

C 93975 186.44 177.12 203.69 199.62 199.62 195.63 C 93975 TC 129.68 123.20 141.68 138.85 138.85 136.08

93975 26 56.76 53.92 62.01 60.77 60.77 59.55 93976 145.44 138.17 158.90 155.72 155.72 152.61 93976 TC 106.30 100.99 116.14 113.82 113.82 111.54 93976 26 39.14 37.18 42.76 41.91 41.91 41.07

C 93978 169.30 160.84 184.97 181.26 181.26 177.64














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

C 93978 TC 130.02 123.52 142.05 139.21 139.21 136.42 93978 26 39.28 37.32 42.92 42.06 42.06 41.22 93979 106.80 101.46 116.68 114.34 114.34 112.06 93979 TC 82.32 78.20 89.93 88.14 88.14 86.38 93979 26 24.49 23.27 26.76 26.22 26.22 25.69 93980 110.85 105.31 121.11 118.68 118.68 116.31 93980 TC 51.04 48.49 55.76 54.65 54.65 53.56 93980 26 59.81 56.82 65.34 64.03 64.03 62.76 93981 65.76 62.47 71.84 70.40 70.40 69.00 93981 TC 44.06 41.86 48.14 47.17 47.17 46.23 93981 26 21.70 20.62 23.71 23.24 23.24 22.78 93982 38.81 36.87 42.40 41.55 41.55 40.72

C 93990 102.32 97.20 111.78 109.55 109.55 107.35 C 93990 TC 77.76 73.87 84.95 83.25 83.25 81.58

93990 26 24.56 23.33 26.83 26.29 26.29 25.76 94002 91.55 86.97 100.02 98.01 98.01 96.06 94003 65.53 62.25 71.59 70.16 70.16 68.76 94004 47.89 45.50 52.33 51.28 51.28 50.26 94010 31.96 30.36 34.91 34.21 34.21 33.53 94010 TC 23.72 22.53 25.91 25.39 25.39 24.89 94010 26 8.25 7.84 9.02 8.83 8.83 8.66 94011 99.69 94.71 108.92 106.74 106.74 104.60 94012 152.54 144.91 166.65 163.31 163.31 160.05 94013 33.73 32.04 36.85 36.11 36.11 35.39 94014 51.21 48.65 55.95 54.83 54.83 53.74 94015 26.45 25.13 28.90 28.32 28.32 27.76 94016 24.76 23.52 27.05 26.51 26.51 25.98 94060 53.76 51.07 58.73 57.56 57.56 56.41 94060 TC 41.02 38.97 44.82 43.92 43.92 43.04














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

94060 26 12.74 12.10 13.92 13.64 13.64 13.36 94070 54.72 51.98 59.78 58.58 58.58 57.41 94070 TC 26.45 25.13 28.90 28.32 28.32 27.76 94070 26 28.27 26.86 30.89 30.27 30.27 29.66 94200 22.23 21.12 24.29 23.81 23.81 23.33 94200 TC 16.73 15.89 18.27 17.91 17.91 17.55 94200 26 5.49 5.22 6.00 5.89 5.89 5.77 94250 23.14 21.98 25.28 24.77 24.77 24.28 94250 TC 17.95 17.05 19.61 19.22 19.22 18.84 94250 26 5.19 4.93 5.67 5.55 5.55 5.44 94375 35.46 33.69 38.74 37.97 37.97 37.21 94375 TC 20.98 19.93 22.92 22.46 22.46 22.01 94375 26 14.47 13.75 15.81 15.50 15.50 15.19 94400 50.25 47.74 54.90 53.81 53.81 52.73 94400 TC 31.00 29.45 33.87 33.19 33.19 32.52 94400 26 19.25 18.29 21.03 20.61 20.61 20.19 94450 60.88 57.84 66.52 65.18 65.18 63.88 94450 TC 41.33 39.26 45.15 44.24 44.24 43.36 94450 26 19.55 18.57 21.36 20.93 20.93 20.52 94452 51.25 48.69 55.99 54.88 54.88 53.79 94452 TC 37.08 35.23 40.51 39.71 39.71 38.92 94452 26 14.17 13.46 15.48 15.17 15.17 14.87 94453 70.90 67.36 77.46 75.91 75.91 74.39 94453 TC 52.26 49.65 57.10 55.96 55.96 54.84 94453 26 18.64 17.71 20.37 19.96 19.96 19.56 94610 57.87 54.98 63.23 61.96 61.96 60.72 94620 51.90 49.31 56.71 55.57 55.57 54.45 94620 TC 21.90 20.81 23.93 23.45 23.45 22.98 94620 26 30.00 28.50 32.78 32.12 32.12 31.48














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

94621 148.28 140.87 162.00 158.76 158.76 155.58 94621 TC 80.83 76.79 88.31 86.54 86.54 84.81 94621 26 67.45 64.08 73.69 72.22 72.22 70.77 94640 15.82 15.03 17.28 16.94 16.94 16.61 94642 11.50 10.93 12.57 12.32 12.32 12.08 94644 37.68 35.80 41.17 40.34 40.34 39.54 94645 12.18 11.57 13.31 13.04 13.04 12.78 94660 58.69 55.76 64.12 62.84 62.84 61.58

# 94660 37.14 35.28 40.57 39.76 39.76 38.96 94662 36.57 34.74 39.95 39.16 39.16 38.38 94664 14.91 14.16 16.28 15.96 15.96 15.64 94667 22.54 21.41 24.62 24.13 24.13 23.64 94668 24.97 23.72 27.28 26.74 26.74 26.21 94669 28.31 26.89 30.92 30.30 30.30 29.69 94680 50.67 48.14 55.36 54.26 54.26 53.18 94680 TC 38.29 36.38 41.84 41.00 41.00 40.18 94680 26 12.38 11.76 13.52 13.25 13.25 12.98 94681 46.40 44.08 50.69 49.68 49.68 48.69 94681 TC 36.77 34.93 40.17 39.36 39.36 38.58 94681 26 9.62 9.14 10.51 10.30 10.30 10.10 94690 43.26 41.10 47.27 46.32 46.32 45.39 94690 TC 39.51 37.53 43.16 42.30 42.30 41.45 94690 26 3.76 3.57 4.11 4.03 4.03 3.94 94726 46.72 44.38 51.04 50.01 50.01 49.01 94726 TC 34.65 32.92 37.86 37.10 37.10 36.35 94726 26 12.08 11.48 13.20 12.94 12.94 12.68 94727 37.62 35.74 41.10 40.28 40.28 39.48 94727 TC 25.54 24.26 27.90 27.34 27.34 26.78 94727 26 12.08 11.48 13.20 12.94 12.94 12.68














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

94728 36.10 34.30 39.45 38.65 38.65 37.88 94728 TC 23.72 22.53 25.91 25.39 25.39 24.89 94728 26 12.38 11.76 13.52 13.25 13.25 12.98 94729 47.86 45.47 52.29 51.24 51.24 50.22 94729 TC 38.90 36.96 42.50 41.65 41.65 40.83 94729 26 8.96 8.51 9.79 9.59 9.59 9.40 94750 70.55 67.02 77.07 75.53 75.53 74.03 94750 TC 59.54 56.56 65.04 63.74 63.74 62.47 94750 26 11.00 10.45 12.02 11.78 11.78 11.55 94760 2.77 2.63 3.02 2.97 2.97 2.91 94761 4.29 4.08 4.69 4.60 4.60 4.51 94762 20.98 19.93 22.92 22.46 22.46 22.01 94770 7.23 6.87 7.90 7.74 7.74 7.59 94780 51.03 48.48 55.75 54.64 54.64 53.54

# 94780 22.49 21.37 24.58 24.08 24.08 23.60 94781 20.70 19.67 22.62 22.17 22.17 21.72

# 94781 8.25 7.84 9.02 8.83 8.83 8.66 95004 5.86 5.57 6.41 6.28 6.28 6.15 95012 16.43 15.61 17.95 17.60 17.60 17.24 95017 7.10 6.75 7.76 7.61 7.61 7.46

# 95017 3.45 3.28 3.77 3.69 3.69 3.62 95018 18.41 17.49 20.11 19.71 19.71 19.32

# 95018 6.87 6.53 7.51 7.36 7.36 7.21 95024 6.77 6.43 7.39 7.25 7.25 7.10

# 95024 1.00 0.95 1.09 1.07 1.07 1.05 95027 4.04 3.84 4.42 4.32 4.32 4.23 95028 11.57 10.99 12.64 12.39 12.39 12.13 95044 4.89 4.65 5.35 5.24 5.24 5.14 95052 5.80 5.51 6.34 6.21 6.21 6.08














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95056 38.02 36.12 41.54 40.71 40.71 39.89 95060 30.09 28.59 32.88 32.22 32.22 31.58 95065 21.90 20.81 23.93 23.45 23.45 22.98 95070 26.18 24.87 28.60 28.03 28.03 27.46 95071 30.13 28.62 32.91 32.26 32.26 31.61 95076 108.27 102.86 118.29 115.92 115.92 113.60

# 95076 71.53 67.95 78.14 76.58 76.58 75.05 95079 78.73 74.79 86.01 84.28 84.28 82.59

# 95079 65.37 62.10 71.42 69.99 69.99 68.59 95115 7.63 7.25 8.34 8.18 8.18 8.02 95117 8.84 8.40 9.66 9.46 9.46 9.28 95144 10.99 10.44 12.01 11.76 11.76 11.53

# 95144 3.09 2.94 3.38 3.31 3.31 3.24 95145 18.88 17.94 20.63 20.22 20.22 19.81

# 95145 3.09 2.94 3.38 3.31 3.31 3.24 95146 33.76 32.07 36.88 36.14 36.14 35.42

# 95146 3.09 2.94 3.38 3.31 3.31 3.24 95147 30.42 28.90 33.24 32.57 32.57 31.91

# 95147 3.09 2.94 3.38 3.31 3.31 3.24 95148 44.99 42.74 49.15 48.17 48.17 47.21

# 95148 3.09 2.94 3.38 3.31 3.31 3.24 95149 60.48 57.46 66.08 64.76 64.76 63.46

# 95149 3.09 2.94 3.38 3.31 3.31 3.24 95165 11.29 10.73 12.34 12.10 12.10 11.86

# 95165 3.09 2.94 3.38 3.31 3.31 3.24 95170 8.56 8.13 9.35 9.17 9.17 8.98

# 95170 3.09 2.94 3.38 3.31 3.31 3.24 95180 125.99 119.69 137.64 134.90 134.90 132.19

# 95180 98.36 93.44 107.46 105.31 105.31 103.20














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95250 135.56 128.78 148.10 145.13 145.13 142.23 95251 42.15 40.04 46.05 45.13 45.13 44.23 95782 896.88 852.04 979.85 960.25 960.25 941.05 95782 TC 773.01 734.36 844.51 827.62 827.62 811.07 95782 26 123.87 117.68 135.33 132.63 132.63 129.97 95783 940.57 893.54 1,027.57 1,007.02 1,007.02 986.88 95783 TC 804.31 764.09 878.70 861.13 861.13 843.90 95783 26 136.25 129.44 148.86 145.88 145.88 142.96 95800 158.91 150.96 173.60 170.13 170.13 166.73 95800 TC 108.43 103.01 118.46 116.09 116.09 113.77 95800 26 50.49 47.97 55.17 54.06 54.06 52.98 95801 83.38 79.21 91.09 89.27 89.27 87.49 95801 TC 35.26 33.50 38.53 37.75 37.75 37.00 95801 26 48.12 45.71 52.57 51.52 51.52 50.49 95803 126.52 120.19 138.22 135.46 135.46 132.74 95803 TC 83.83 79.64 91.59 89.76 89.76 87.96 95803 26 42.69 40.56 46.64 45.71 45.71 44.80 95805 374.03 355.33 408.63 400.45 400.45 392.45 95805 TC 316.31 300.49 345.56 338.65 338.65 331.88 95805 26 57.71 54.82 63.04 61.78 61.78 60.55 95806 151.54 143.96 165.55 162.24 162.24 159.00 95806 TC 92.03 87.43 100.54 98.53 98.53 96.57 95806 26 59.50 56.53 65.01 63.71 63.71 62.43 95807 418.22 397.31 456.91 447.76 447.76 438.81 95807 TC 357.30 339.44 390.36 382.55 382.55 374.90 95807 26 60.92 57.87 66.55 65.22 65.22 63.92 95808 551.69 524.11 602.73 590.67 590.67 578.86 95808 TC 466.03 442.73 509.14 498.96 498.96 488.98 95808 26 85.66 81.38 93.59 91.71 91.71 89.88














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95810 549.59 522.11 600.43 588.42 588.42 576.66 95810 TC 430.55 409.02 470.37 460.97 460.97 451.74 95810 26 119.04 113.09 130.05 127.45 127.45 124.90 95811 577.53 548.65 630.95 618.33 618.33 605.97 95811 TC 453.66 430.98 495.63 485.71 485.71 476.00 95811 26 123.87 117.68 135.33 132.63 132.63 129.97 95812 305.56 290.28 333.82 327.14 327.14 320.60 95812 TC 249.68 237.20 272.78 267.33 267.33 261.98 95812 26 55.88 53.09 61.05 59.83 59.83 58.64 95813 372.66 354.03 407.13 398.99 398.99 391.01 95813 TC 283.38 269.21 309.59 303.40 303.40 297.33 95813 26 89.28 84.82 97.54 95.59 95.59 93.68 95816 317.10 301.25 346.44 339.51 339.51 332.73 95816 TC 261.22 248.16 285.38 279.68 279.68 274.09 95816 26 55.88 53.09 61.05 59.83 59.83 58.64 95819 361.77 343.68 395.23 387.33 387.33 379.58 95819 TC 305.89 290.60 334.19 327.51 327.51 320.95 95819 26 55.88 53.09 61.05 59.83 59.83 58.64 95822 326.51 310.18 356.71 349.58 349.58 342.59 95822 TC 270.63 257.10 295.67 289.75 289.75 283.96 95822 26 55.88 53.09 61.05 59.83 59.83 58.64 95824 94.45 89.73 103.19 101.13 101.13 99.11 95824 TC 53.82 51.13 58.80 57.63 57.63 56.48 95824 26 38.17 36.26 41.70 40.86 40.86 40.04 95827 605.52 575.24 661.53 648.30 648.30 635.34 95827 TC 549.94 522.44 600.81 588.79 588.79 577.01 95827 26 55.58 52.80 60.72 59.50 59.50 58.32 95829 1,652.56 1,569.93 1,805.42 1,769.31 1,769.31 1,733.92 95829 TC 1,325.82 1,259.53 1,448.46 1,419.49 1,419.49 1,391.10














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95829 26 326.74 310.40 356.96 349.82 349.82 342.83 95830 220.76 209.72 241.18 236.36 236.36 231.63

# 95830 89.29 84.83 97.55 95.60 95.60 93.69 95831 27.74 26.35 30.30 29.69 29.69 29.10

# 95831 14.68 13.95 16.04 15.72 15.72 15.41 95832 26.92 25.57 29.41 28.82 28.82 28.24

# 95832 15.38 14.61 16.80 16.47 16.47 16.13 95833 34.51 32.78 37.70 36.94 36.94 36.20

# 95833 21.15 20.09 23.10 22.64 22.64 22.20 95834 47.43 45.06 51.82 50.78 50.78 49.77

# 95834 30.43 28.91 33.25 32.58 32.58 31.92 95851 16.69 15.86 18.24 17.87 17.87 17.51

# 95851 7.59 7.21 8.29 8.13 8.13 7.97 95852 14.60 13.87 15.95 15.63 15.63 15.32

# 95852 5.80 5.51 6.34 6.21 6.21 6.08 95857 49.48 47.01 54.06 52.98 52.98 51.92

# 95857 28.53 27.10 31.17 30.54 30.54 29.93 95860 110.15 104.64 120.34 117.93 117.93 115.58 95860 TC 60.15 57.14 65.71 64.40 64.40 63.11 95860 26 50.00 47.50 54.63 53.53 53.53 52.46 95861 155.99 148.19 170.42 167.01 167.01 163.68 95861 TC 75.64 71.86 82.64 80.98 80.98 79.36 95861 26 80.35 76.33 87.78 86.02 86.02 84.30 95863 193.31 183.64 211.19 206.97 206.97 202.83 95863 TC 96.59 91.76 105.52 103.41 103.41 101.34 95863 26 96.72 91.88 105.66 103.55 103.55 101.48 95864 217.82 206.93 237.97 233.21 233.21 228.54 95864 TC 112.98 107.33 123.43 120.96 120.96 118.54 95864 26 104.84 99.60 114.54 112.25 112.25 110.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****















LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95929 202.87 192.73 221.64 217.21 217.21 212.87 95929 TC 124.52 118.29 136.03 133.31 133.31 130.64 95929 26 78.35 74.43 85.59 83.88 83.88 82.20 95930 113.14 107.48 123.60 121.13 121.13 118.70 95930 TC 95.10 90.35 103.90 101.82 101.82 99.79 95930 26 18.03 17.13 19.70 19.31 19.31 18.92 95933 67.72 64.33 73.98 72.50 72.50 71.05 95933 TC 37.38 35.51 40.84 40.02 40.02 39.22 95933 26 30.34 28.82 33.14 32.48 32.48 31.83 95937 73.51 69.83 80.30 78.69 78.69 77.12 95937 TC 40.11 38.10 43.82 42.94 42.94 42.08 95937 26 33.40 31.73 36.49 35.77 35.77 35.05 95938 298.26 283.35 325.85 319.33 319.33 312.95 95938 TC 253.63 240.95 277.09 271.55 271.55 266.12 95938 26 44.63 42.40 48.76 47.78 47.78 46.83 95939 442.73 420.59 483.68 474.01 474.01 464.53 95939 TC 326.53 310.20 356.73 349.60 349.60 342.61 95939 26 116.20 110.39 126.95 124.41 124.41 121.92 95940 31.68 30.10 34.62 33.93 33.93 33.25 95950 292.79 278.15 319.87 313.48 313.48 307.21 95950 TC 215.07 204.32 234.97 230.26 230.26 225.66 95950 26 77.72 73.83 84.90 83.20 83.20 81.54 95951 1,554.11 1,476.40 1,697.86 1,663.90 1,663.90 1,630.62 95951 TC 1,231.40 1,169.83 1,345.30 1,318.39 1,318.39 1,292.03 95951 26 310.05 294.55 338.73 331.96 331.96 325.32 95953 380.02 361.02 415.17 406.87 406.87 398.73 95953 TC 220.84 209.80 241.27 236.44 236.44 231.71 95953 26 159.18 151.22 173.90 170.43 170.43 167.03 95954 401.08 381.03 438.18 429.42 429.42 420.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95954 TC 279.51 265.53 305.36 299.25 299.25 293.27 95954 26 121.57 115.49 132.81 130.16 130.16 127.56 95955 191.56 181.98 209.28 205.09 205.09 200.99 95955 TC 139.09 132.14 151.96 148.93 148.93 145.95 95955 26 52.46 49.84 57.32 56.17 56.17 55.04 95956 1,431.33 1,359.76 1,563.72 1,532.44 1,532.44 1,501.80 95956 TC 1,245.51 1,183.23 1,360.71 1,333.51 1,333.51 1,306.84 95956 26 185.82 176.53 203.01 198.95 198.95 194.97 95957 281.76 267.67 307.82 301.67 301.67 295.63 95957 TC 179.81 170.82 196.44 192.51 192.51 188.66 95957 26 101.94 96.84 111.37 109.14 109.14 106.95 95958 516.20 490.39 563.95 552.67 552.67 541.62 95958 TC 296.54 281.71 323.97 317.49 317.49 311.14 95958 26 219.66 208.68 239.98 235.19 235.19 230.48 95961 270.13 256.62 295.11 289.21 289.21 283.43 95961 TC 112.68 107.05 123.11 120.65 120.65 118.23 95961 26 157.45 149.58 172.02 168.58 168.58 165.21 95962 243.60 231.42 266.13 260.81 260.81 255.59 95962 TC 75.33 71.56 82.29 80.65 80.65 79.04 95962 26 168.27 159.86 183.84 180.16 180.16 176.56 95965 2,019.83 1,918.84 2,206.67 2,162.53 2,162.53 2,119.28 95965 TC 1,615.87 1,535.08 1,765.34 1,730.04 1,730.04 1,695.43 95965 26 408.09 387.69 445.84 436.93 436.93 428.19 95966 1,003.07 952.92 1,095.86 1,073.94 1,073.94 1,052.46 95966 TC 802.45 762.33 876.68 859.14 859.14 841.96 95966 26 206.48 196.16 225.58 221.08 221.08 216.66 95967 501.54 476.46 547.93 536.97 536.97 526.23 95967 TC 401.24 381.18 438.36 429.59 429.59 421.00 95967 26 179.97 170.97 196.62 192.68 192.68 188.83














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

95970 60.88 57.84 66.52 65.18 65.18 63.88 # 95970 23.24 22.08 25.39 24.89 24.89 24.39

95971 47.60 45.22 52.00 50.97 50.97 49.94 # 95971 39.71 37.72 43.38 42.52 42.52 41.66

95972 54.73 51.99 59.79 58.59 58.59 57.42 # 95972 40.77 38.73 44.54 43.65 43.65 42.78

95974 196.18 186.37 214.33 210.04 210.04 205.84 # 95974 158.83 150.89 173.52 170.05 170.05 166.65

95975 106.03 100.73 115.84 113.53 113.53 111.26 # 95975 89.93 85.43 98.24 96.28 96.28 94.36

95978 234.97 223.22 256.70 251.57 251.57 246.54 # 95978 187.00 177.65 204.30 200.22 200.22 196.21

95979 102.66 97.53 112.16 109.92 109.92 107.72 # 95979 86.87 82.53 94.91 93.01 93.01 91.15

95980 45.03 42.78 49.20 48.21 48.21 47.24 95981 29.10 27.65 31.80 31.17 31.17 30.54

# 95981 17.26 16.40 18.86 18.48 18.48 18.11 95982 49.09 46.64 53.64 52.57 52.57 51.52

# 95982 35.43 33.66 38.71 37.94 37.94 37.18 95990 78.74 74.80 86.02 84.30 84.30 82.60 95991 108.54 103.11 118.58 116.21 116.21 113.88

# 95991 38.71 36.77 42.29 41.43 41.43 40.61 95992 41.26 39.20 45.08 44.18 44.18 43.30

# 95992 36.41 34.59 39.78 38.99 38.99 38.20 96000 92.19 87.58 100.72 98.70 98.70 96.73 96001 104.77 99.53 114.46 112.17 112.17 109.93 96002 21.16 20.10 23.12 22.66 22.66 22.21 96003 16.93 16.08 18.49 18.12 18.12 17.76 96004 113.01 107.36 123.46 120.99 120.99 118.58














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

96020 242.72 230.58 265.17 259.87 259.87 254.67 96020 TC 85.89 81.60 93.84 91.97 91.97 90.13 96020 26 160.41 152.39 175.25 171.74 171.74 168.30 96101 78.68 74.75 85.96 84.25 84.25 82.56

# 96101 78.38 74.46 85.63 83.92 83.92 82.24 96102 57.17 54.31 62.46 61.20 61.20 59.98

# 96102 22.87 21.73 24.99 24.50 24.50 24.00 96103 26.60 25.27 29.06 28.47 28.47 27.90

# 96103 25.99 24.69 28.39 27.83 27.83 27.28 96105 101.80 96.71 111.22 109.00 109.00 106.81 96111 125.43 119.16 137.03 134.30 134.30 131.61

# 96111 119.96 113.96 131.05 128.43 128.43 125.87 96116 90.02 85.52 98.35 96.38 96.38 94.45

# 96116 85.16 80.90 93.04 91.17 91.17 89.34 96118 94.17 89.46 102.88 100.82 100.82 98.81

# 96118 77.77 73.88 84.96 83.26 83.26 81.59 96119 71.68 68.10 78.32 76.75 76.75 75.22

# 96119 23.41 22.24 25.58 25.07 25.07 24.56 96120 44.21 42.00 48.30 47.33 47.33 46.39

# 96120 25.38 24.11 27.73 27.17 27.17 26.63 96125 110.00 104.50 120.18 117.77 117.77 115.41 96127 4.59 4.36 5.01 4.91 4.91 4.81 96150 21.31 20.24 23.28 22.82 22.82 22.36

# 96150 21.01 19.96 22.95 22.49 22.49 22.05 96151 20.29 19.28 22.17 21.72 21.72 21.29

# 96151 19.99 18.99 21.84 21.40 21.40 20.98 96152 19.58 18.60 21.39 20.96 20.96 20.55

# 96152 19.27 18.31 21.06 20.63 20.63 20.22 96153 4.53 4.30 4.95 4.84 4.84 4.75














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

96154 19.22 18.26 21.00 20.57 20.57 20.16 # 96154 18.91 17.96 20.65 20.24 20.24 19.84

96360 49.91 47.41 54.52 53.43 53.43 52.36 96361 13.58 12.90 14.84 14.54 14.54 14.25 96365 60.49 57.47 66.09 64.77 64.77 63.47 96366 17.11 16.25 18.69 18.32 18.32 17.95 96367 27.22 25.86 29.74 29.14 29.14 28.55 96368 18.57 17.64 20.29 19.88 19.88 19.48 96369 165.81 157.52 181.15 177.53 177.53 173.97 96370 13.77 13.08 15.04 14.74 14.74 14.44 96371 62.24 59.13 68.00 66.64 66.64 65.31 96372 22.52 21.39 24.60 24.10 24.10 23.62 96373 17.66 16.78 19.30 18.91 18.91 18.53 96374 49.70 47.22 54.30 53.22 53.22 52.15 96375 19.71 18.72 21.53 21.10 21.10 20.68 96401 65.08 61.83 71.10 69.68 69.68 68.29 96402 28.73 27.29 31.38 30.75 30.75 30.14 96405 73.07 69.42 79.83 78.23 78.23 76.67

# 96405 28.74 27.30 31.40 30.76 30.76 30.15 96406 104.42 99.20 114.08 111.80 111.80 109.57

# 96406 44.61 42.38 48.74 47.76 47.76 46.81 96409 96.28 91.47 105.19 103.09 103.09 101.03 96411 54.36 51.64 59.39 58.20 58.20 57.04 96413 117.48 111.61 128.35 125.79 125.79 123.27 96415 25.39 24.12 27.74 27.19 27.19 26.65 96416 121.66 115.58 132.92 130.26 130.26 127.65 96417 54.72 51.98 59.78 58.58 58.58 57.41 96420 91.35 86.78 99.80 97.80 97.80 95.84 96422 146.41 139.09 159.95 156.76 156.76 153.62














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

96423 68.20 64.79 74.51 73.01 73.01 71.55 96425 156.50 148.68 170.98 167.57 167.57 164.22 96440 739.91 702.91 808.35 792.18 792.18 776.33

# 96440 136.61 129.78 149.25 146.26 146.26 143.34 96446 174.81 166.07 190.98 187.16 187.16 183.43

# 96446 27.86 26.47 30.44 29.83 29.83 29.23 96450 164.81 156.57 180.06 176.46 176.46 172.93

# 96450 78.58 74.65 85.85 84.13 84.13 82.46 96521 119.50 113.53 130.56 127.95 127.95 125.38 96522 98.28 93.37 107.38 105.23 105.23 103.12 96523 21.51 20.43 23.49 23.02 23.02 22.56 96542 108.13 102.72 118.13 115.77 115.77 113.46

# 96542 40.73 38.69 44.49 43.61 43.61 42.73 96567 115.75 109.96 126.45 123.92 123.92 121.44 96570 56.79 53.95 62.04 60.80 60.80 59.58 96571 26.55 25.22 29.00 28.43 28.43 27.86 96900 17.65 16.77 19.29 18.89 18.89 18.52 96904 53.81 51.12 58.79 57.62 57.62 56.47 96910 61.06 58.01 66.71 65.38 65.38 64.07 96912 78.07 74.17 85.30 83.59 83.59 81.93 96913 112.14 106.53 122.51 120.06 120.06 117.66 96920 139.76 132.77 152.69 149.63 149.63 146.64

# 96920 64.16 60.95 70.09 68.69 68.69 67.32 96921 153.93 146.23 168.16 164.81 164.81 161.51

# 96921 72.56 68.93 79.27 77.68 77.68 76.13 96922 215.24 204.48 235.15 230.45 230.45 225.84

# 96922 117.17 111.31 128.01 125.44 125.44 122.94 97001 71.07 67.52 77.65 76.10 76.10 74.58 97002 39.16 37.20 42.78 41.93 41.93 41.09














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

97003 79.27 75.31 86.61 84.87 84.87 83.17 97004 48.27 45.86 52.74 51.68 51.68 50.65 97012 15.06 14.31 16.46 16.12 16.12 15.80 97016 17.41 16.54 19.02 18.64 18.64 18.27 97018 9.77 9.28 10.67 10.45 10.45 10.25 97022 21.00 19.95 22.94 22.48 22.48 22.03 97024 5.83 5.54 6.37 6.24 6.24 6.12 97026 5.52 5.24 6.03 5.91 5.91 5.80 97028 6.85 6.51 7.49 7.34 7.34 7.19 97032 17.79 16.90 19.44 19.04 19.04 18.66 97033 23.92 22.72 26.13 25.61 25.61 25.09 97034 16.66 15.83 18.20 17.84 17.84 17.48 97035 12.11 11.50 13.23 12.96 12.96 12.70 97036 29.80 28.31 32.56 31.90 31.90 31.27 97110 30.15 28.64 32.94 32.28 32.28 31.64 97112 31.36 29.79 34.26 33.57 33.57 32.90 97113 39.17 37.21 42.79 41.94 41.94 41.10 97116 26.50 25.18 28.96 28.38 28.38 27.82 97124 24.41 23.19 26.67 26.14 26.14 25.62 97140 27.88 26.49 30.46 29.85 29.85 29.26 97150 16.49 15.67 18.02 17.66 17.66 17.31 97530 32.18 30.57 35.16 34.45 34.45 33.76 97532 25.20 23.94 27.53 26.98 26.98 26.44 97533 27.33 25.96 29.85 29.26 29.26 28.67 97535 32.58 30.95 35.59 34.88 34.88 34.18 97537 28.33 26.91 30.95 30.33 30.33 29.72 97542 28.93 27.48 31.60 30.97 30.97 30.35 97597 67.21 63.85 73.43 71.96 71.96 70.52

# 97597 22.88 21.74 25.00 24.51 24.51 24.01














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

97598 22.29 21.18 24.36 23.87 23.87 23.39 # 97598 10.75 10.21 11.74 11.51 11.51 11.28

97605 38.28 36.37 41.83 40.99 40.99 40.17 # 97605 24.62 23.39 26.90 26.36 26.36 25.83

97606 44.93 42.68 49.08 48.10 48.10 47.14 # 97606 26.71 25.37 29.18 28.59 28.59 28.01

97610 104.26 99.05 113.91 111.63 111.63 109.40 # 97610 15.60 14.82 17.04 16.70 16.70 16.36

97750 30.76 29.22 33.60 32.94 32.94 32.28 97755 34.11 32.40 37.26 36.51 36.51 35.79 97760 35.01 33.26 38.25 37.48 37.48 36.73 97761 30.76 29.22 33.60 32.94 32.94 32.28 97762 42.08 39.98 45.98 45.06 45.06 44.16 97802 32.71 31.07 35.73 35.02 35.02 34.32

# 97802 30.89 29.35 33.75 33.07 33.07 32.41 97803 28.33 26.91 30.95 30.33 30.33 29.72

# 97803 26.20 24.89 28.62 28.05 28.05 27.49 97804 15.06 14.31 16.46 16.12 16.12 15.80

# 97804 14.45 13.73 15.79 15.48 15.48 15.17 98925 29.63 28.15 32.37 31.73 31.73 31.10

# 98925 22.95 21.80 25.07 24.56 24.56 24.07 98926 43.17 41.01 47.16 46.22 46.22 45.30

# 98926 34.97 33.22 38.20 37.44 37.44 36.70 98927 56.10 53.30 61.30 60.06 60.06 58.87

# 98927 46.09 43.79 50.36 49.35 49.35 48.36 98928 69.04 65.59 75.43 73.92 73.92 72.44

# 98928 58.11 55.20 63.48 62.22 62.22 60.97 98929 82.58 78.45 90.22 88.41 88.41 86.64

# 98929 69.83 66.34 76.29 74.76 74.76 73.27














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

98940 26.86 25.52 29.35 28.76 28.76 28.19 # 98940 22.01 20.91 24.05 23.56 23.56 23.09

98941 38.85 36.91 42.45 41.60 41.60 40.77 # 98941 33.69 32.01 36.81 36.08 36.08 35.35

98942 50.87 48.33 55.58 54.46 54.46 53.37 # 98942 45.41 43.14 49.61 48.62 48.62 47.64

99143 59.82 56.83 65.35 64.04 64.04 62.77 # 99143 40.90 38.86 44.69 43.79 43.79 42.92

99144 59.82 56.83 65.35 64.04 64.04 62.77 # 99144 40.90 38.86 44.69 43.79 43.79 42.92

99145 21.88 20.79 23.91 23.43 23.43 22.95 # 99145 10.59 10.06 11.57 11.34 11.34 11.11

99148 65.71 62.42 71.78 70.35 70.35 68.94 # 99148 40.90 38.86 44.69 43.79 43.79 42.92

99149 65.71 62.42 71.78 70.35 70.35 68.94 # 99149 40.90 38.86 44.69 43.79 43.79 42.92

99150 24.71 23.47 26.99 26.45 26.45 25.92 # 99150 10.59 10.06 11.57 11.34 11.34 11.11

99170 158.68 150.75 173.36 169.90 169.90 166.51 # 99170 86.73 82.39 94.75 92.85 92.85 91.00

99175 14.61 13.88 15.96 15.64 15.64 15.33 99183 107.39 102.02 117.32 114.98 114.98 112.68 99184 222.49 211.37 243.08 238.21 238.21 233.45 99195 85.83 81.54 93.77 91.90 91.90 90.06 99201 40.13 38.12 43.84 42.96 42.96 42.10

# 99201 25.56 24.28 27.92 27.36 27.36 26.81 99202 69.10 65.65 75.50 73.99 73.99 72.51

# 99202 48.46 46.04 52.95 51.89 51.89 50.85 99203 100.55 95.52 109.85 107.65 107.65 105.50














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

# 99203 74.14 70.43 80.99 79.37 79.37 77.79 99204 154.88 147.14 169.21 165.83 165.83 162.52

# 99204 125.43 119.16 137.03 134.30 134.30 131.61 99205 194.98 185.23 213.01 208.76 208.76 204.59

# 99205 163.10 154.95 178.19 174.63 174.63 171.13 99211 18.02 17.12 19.69 19.30 19.30 18.91

# 99211 8.91 8.46 9.73 9.53 9.53 9.34 99212 39.79 37.80 43.47 42.60 42.60 41.75

# 99212 24.31 23.09 26.55 26.02 26.02 25.51 99213 67.77 64.38 74.04 72.55 72.55 71.10

# 99213 49.25 46.79 53.81 52.73 52.73 51.67 99214 100.21 95.20 109.48 107.30 107.30 105.14

# 99214 75.61 71.83 82.60 80.95 80.95 79.33 99215 135.58 128.80 148.12 145.15 145.15 142.26

# 99215 107.04 101.69 116.94 114.61 114.61 112.32 99217 69.52 66.04 75.95 74.43 74.43 72.94 99218 96.29 91.48 105.20 103.10 103.10 101.04 99219 130.76 124.22 142.85 140.00 140.00 137.21 99220 178.71 169.77 195.24 191.33 191.33 187.50 99221 97.95 93.05 107.01 104.87 104.87 102.78 99222 132.14 125.53 144.36 141.47 141.47 138.64 99223 195.39 185.62 213.46 209.20 209.20 205.01 99224 38.35 36.43 41.89 41.06 41.06 40.24 99225 70.12 66.61 76.60 75.07 75.07 73.57 99226 101.21 96.15 110.57 108.36 108.36 106.20 99231 38.05 36.15 41.57 40.74 40.74 39.93 99232 69.52 66.04 75.95 74.43 74.43 72.94 99233 100.34 95.32 109.62 107.42 107.42 105.27 99234 129.10 122.65 141.05 138.23 138.23 135.47














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

99235 162.96 154.81 178.03 174.47 174.47 170.98 99236 209.99 199.49 229.41 224.83 224.83 220.33 99238 69.19 65.73 75.59 74.08 74.08 72.60 99239 102.45 97.33 111.93 109.69 109.69 107.49 99281 20.81 19.77 22.74 22.28 22.28 21.83 99282 40.59 38.56 44.34 43.46 43.46 42.58 99283 60.85 57.81 66.48 65.15 65.15 63.85 99284 115.54 109.76 126.22 123.69 123.69 121.22 99285 170.68 162.15 186.47 182.75 182.75 179.09 99291 261.16 248.10 285.32 279.61 279.61 274.02

# 99291 217.44 206.57 237.56 232.81 232.81 228.15 99292 117.96 112.06 128.87 126.29 126.29 123.76

# 99292 108.86 103.42 118.93 116.55 116.55 114.22 99304 87.65 83.27 95.76 93.84 93.84 91.97 99305 124.74 118.50 136.28 133.55 133.55 130.88 99306 159.41 151.44 174.16 170.67 170.67 167.26 99307 42.57 40.44 46.51 45.57 45.57 44.67 99308 65.80 62.51 71.89 70.45 70.45 69.03 99309 86.82 82.48 94.85 92.95 92.95 91.09 99310 129.33 122.86 141.29 138.46 138.46 135.69 99315 69.79 66.30 76.25 74.72 74.72 73.22 99316 101.28 96.22 110.65 108.45 108.45 106.27 99318 91.67 87.09 100.15 98.15 98.15 96.19 99324 53.11 50.45 58.02 56.86 56.86 55.72 99325 77.54 73.66 84.71 83.02 83.02 81.36 99326 133.93 127.23 146.31 143.39 143.39 140.53 99327 178.40 169.48 194.90 191.00 191.00 187.19 99328 208.68 198.25 227.99 223.43 223.43 218.96 99334 57.68 54.80 63.02 61.76 61.76 60.52














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

99335 91.12 86.56 99.54 97.55 97.55 95.60 99336 129.02 122.57 140.96 138.14 138.14 135.38 99337 185.19 175.93 202.32 198.27 198.27 194.30 99341 52.80 50.16 57.68 56.53 56.53 55.41 99342 76.33 72.51 83.39 81.72 81.72 80.09 99343 125.49 119.22 137.10 134.37 134.37 131.68 99344 174.96 166.21 191.14 187.32 187.32 183.57 99345 212.13 201.52 231.75 227.11 227.11 222.57 99347 53.05 50.40 57.96 56.80 56.80 55.66 99348 80.83 76.79 88.31 86.54 86.54 84.81 99349 122.85 116.71 134.22 131.54 131.54 128.90 99350 170.77 162.23 186.56 182.84 182.84 179.18 99354 95.71 90.92 104.56 102.47 102.47 100.42

# 99354 89.64 85.16 97.93 95.98 95.98 94.06 99355 93.25 88.59 101.88 99.84 99.84 97.84

# 99355 87.17 82.81 95.23 93.32 93.32 91.46 99356 88.33 83.91 96.50 94.56 94.56 92.68 99357 87.72 83.33 95.83 93.91 93.91 92.03 99406 13.52 12.84 14.77 14.47 14.47 14.18

# 99406 12.00 11.40 13.11 12.85 12.85 12.59 99407 26.54 25.21 28.99 28.42 28.42 27.85

# 99407 25.03 23.78 27.35 26.80 26.80 26.25 99415 7.63 7.25 8.34 8.18 8.18 8.02 99416 4.29 4.08 4.69 4.60 4.60 4.51 99460 93.45 88.78 102.10 100.05 100.05 98.05 99461 85.47 81.20 93.38 91.52 91.52 89.69

# 99461 61.18 58.12 66.84 65.50 65.50 64.19 99462 40.57 38.54 44.32 43.44 43.44 42.56 99463 114.10 108.40 124.66 122.16 122.16 119.73














LIMITING CHARGE

EHR LIMITING

CHARGE**

PQRS LIMITING

CHARGE***

EHR + PQRS LIMITING

CHARGE****

99464 69.88 66.39 76.35 74.82 74.82 73.32 99465 147.47 140.10 161.12 157.90 157.90 154.73 99466 224.61 213.38 245.39 240.48 240.48 235.67 99467 113.41 107.74 123.90 121.43 121.43 119.00 99468 912.22 866.61 996.60 976.67 976.67 957.13 99469 386.54 367.21 422.29 413.85 413.85 405.57 99471 844.29 802.08 922.39 903.95 903.95 885.87 99472 396.61 376.78 433.30 424.63 424.63 416.14 99475 558.23 530.32 609.87 597.67 597.67 585.72 99476 335.84 319.05 366.91 359.57 359.57 352.38 99477 345.89 328.60 377.89 370.33 370.33 362.93 99478 132.80 126.16 145.08 142.19 142.19 139.35 99479 121.04 114.99 132.24 129.59 129.59 127.01 99480 115.91 110.11 126.63 124.10 124.10 121.61 99490 38.07 36.17 41.60 40.77 40.77 39.95

# 99490 30.18 28.67 32.97 32.32 32.32 31.67 99495 152.21 144.60 166.29 162.97 162.97 159.71

# 99495 106.37 101.05 116.21 113.88 113.88 111.61 99496 214.92 204.17 234.80 230.10 230.10 225.50

# 99496 153.89 146.20 168.13 164.77 164.77 161.47 99497 81.38 77.31 88.91 87.12 87.12 85.38

# 99497 75.92 72.12 82.94 81.28 81.28 79.66 99498 71.43 67.86 78.04 76.48 76.48 74.95

# 99498 71.12 67.56 77.69 76.14 76.14 74.62


mdicare fee 2016 01-16-mo99

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