Blog

August 28, 2019

White Rock Facility Fee Schedule

PRACTICECHARGE CODEDESCRIPTIONCPT CODECURRENT FEE
FWF77079CT BONE MINERAL DENSITY STUDY 1+SITS APPND77079613
FWF763763D RNDR I&R CT MRI US/OTH76376964
FWF74176COMP TOMOG AB/PEL W/O CON741761696
FWF70480CT ORBIT SELLA/POST FOSSA704801750
FWF73200CT UPPR EXTR WO CNTRS732002193
FWF72191CTA PELVIS C-/C+ POST-PXE721912265
FWF70487CT MAXLFCL AREA C+ MATRL704872451
FWF74177COMP TOMO AB/PELV W/OCONT741772624
FWF72193TOMOGRAPHY PELVIS WCONTRS721932750
FWF70486CT MAXLFCL AREA C-MATRL704862881
FWF70496CTA HEAD C-/C+704962973
FWF70490CT NECK WO CONTRAST704903020
FWF70450COMPUTED TOMOGRAPHY HD/BR704503064
FWF74174CT ANGIO ABD PELVIS W CONTRAST MAT AND IMAGE POST PROC741743100
FWF71250CT CHEST W/O CONTRAST712503174
FWF75574CT CORONARY755743245
FWF74150COMPUTED TOMOGRAPHY ABD741503265
FWF72128CT THRC SPI C-MATRL721283346
FWF70491CT SOFT TISS NCK C+MATRL704913502
FWF70481CT ORBIT SELLA/POST FOSSA704813564
FWF72126CT CRV SPI C+MATRL721263564
FWF72129CT THRC SPI C+ MATRL721293564
FWF72125COMPUTED TOMOGRAPHY CERVI721253681
FWF74160TOMOGRAPHY ABD W/CONTRAST741603840
FWF71260CT THORAX W/CONTRAST712604158
FWF72192CT PELVIS WO CONTRAST721924168
FWF71270CT THORAX WO CONTRAST712704334
FWF72131CT L SPINE WO CONTRST721314382
FWF73702CT LXTR C-/C+737024403
FWF72127CT CRV SPI C-/C+721274502
FWF74170TOMOGRAPHY ABD W/OCONTRAS741704524
FWF70460TOMOGRAPHY HEAD/BRAIN WIT704604753
FWF73700CT LWR EXTR WO CONTRAST737004753
FWF74175CT ANGIO ABDOMEN W/CONTRA741754848
FWF71275CT ANGIOGRAPHY712754887
FWF74178CT ABD & PELVIS 1 PLUS SECTION/REGNS741785440
FWF70470COMPUTED TOMOGRAPHY HEAD/704707574
FWF72194CT PELVIS W OR WO CONTRST721947574
FWF73701CT LWR EXT W CONT737017574
FWF72132CT LMBR SPI C+ MATRL721328404
FWF93041RHYTHEM ECG 1-3 LDS93041146
FWF93224WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I93224149
FWF93010RTN ECG 12 LEADS INTRP/RP93010151
FWF93000EKG W/INTREP AND REPORT93000248
FWF93005EKG93005262
FWF93875N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD93875840
FWF93306ECHO TEST933061367
FWF93351ECHO TTHRC R-T 2D-+M-MODE REST&STRS CONT ECG933511560
FWF93313TEE R-T IMG 2D W/PROBE PLMT ONLY933132626
FWF99406SMOKING CESSATION 3-109940681
FWF99407SMOKING CESSATION 10 MIN9940794
FWF99281E/M VISIT LEVEL 1 TECH COMP99281255
FWF99282E/M VISIT LEVEL 2 TECH COMP99282510
FWF99283E/M VISIT LEVEL 3 TECH COMP992831019
FWF99284E/M VISIT LEVEL 4 TECH COMP992842218
FWF99292CRITICAL CARE ADD 30 MIN992922305
FWF99285E/M VISIT LEVEL 5 TECH COMP992852917
FWF99291CRITICAL CARE 30-74 MIN992913443
FWF84165PROTEIN ELECTROPHORESIS841651
FWF86256SMOOTH MUSCLE AB TITER862561
FWF86320IMMUNOELECTROPHORESIS863201
FWF87207SMR PRIM SRC SPEC STAIN872071
FWF88305PATH SURG LEVEL IV883051
FWF89060CRYSTAL INDENTIFICATION890601
FWF90471IMMUN ADM 1 VAC904716
FWF77777SHORTNESS OF BREATH PANEL7777712
FWF85044RETICULOCYTE COUNT8504421
FWF85347COAGJ TM ACTIVATED8534735
FWF82009KETONES-SERUM8200936
FWF87088CULTURE BCT ISOL&PRSMPTV8708840
FWF87807INF AGT DET IMNAS OPT RSV8780742
FWF86038ANTINUCLEAR AB8603846
FWF83735MAGNESIUM8373553
FWF87275IAADI INF B VIRUS8727555
FWF86039ANTINUCLEAR AB TITER8603958
FWF80178LITHIUM8017859
FWF82540CREATINE8254068
FWF82962GLUCOSE FINGER STICK8296269
FWF82607VITAMIN B-128260772
FWF86430RHEUMATOID FACTOR8643074
FWF84295SODIUM; SERUM8429576
FWF82948GLUCOSE BLOOD REAGET STR8294877
FWF82977GLUTAMYLTRANSFERASE-GTT8297777
FWF86592RPR8659277
FWF83690LIPASE8369078
FWF86593SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUANTITATIVE8659382
FWF82075ALCOHOL BREATH TEST8207584
FWF81001U/A DIP STICK8100185
FWF87106CUL FNGI DEFINITIVE ID EA ORGANISM YEAST8710685
FWF86140C REACTIVE PROTEIN8614086
FWF86901RH FACTOR-BLOOD8690186
FWF86906BLD TYPING RH PHEXYPING COMPL8690686
FWF86713LEGIONELLA PNEUMONPILA AB8671388
FWFP7001CULTURE BACTERIAL URINEP700189
FWF87210WET SMEAR8721091
FWF85652SED RATE ERYTHROCYTE NON8565292
FWF81025PREG.TST URINE VISUAL8102596
FWF83615LDH8361596
FWF89220SPTM OBTG SPEC AERSL INDUCED SPX8922098
FWF87086URINE CULTURE8708699
FWF83540IRON-TOTAL83540102
FWF85014HEMATOCRIT85014102
FWF85018HEMOGLOBIN85018102
FWF84480T3 TOTAL84480106
FWF86308MONO,HETEROPHILE ANTIBODI86308107
FWF82693ASSAY OF ETHYLENE GLYCOL82693110
FWF82947GLUCOSE82947110
FWF80196SALICYLATE80196112
FWF87661INF AGENT DETECTED NUCLEIC ACID; TRICHMONAS VAGINALIS AMP PROBE87661112
FWF80320DRUG SCREEN80320117
FWF82272BLD OCLT PEROXIDASE ACTV82272117
FWF82541COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE82541121
FWF84520BUN84520127
FWF81000U/A DIPSTICK81000128
FWF81002URNLS DIP STICK/TABLET RG81002128
FWF81003U/A W/O MICRO DIPSTICK81003128
FWF82800GASES BLD PH ONLY82800130
FWF86631ANTB CHLAMYDIA86631130
FWF87850NEISSERIA GONORRHOEAE DET87850130
FWF86664EPSTEIN-BARR VIRUS EBNA86664133
FWF86403MONO SPOT86403134
FWF84450AST84450136
FWF84560URIC ACID OTH SRC84560138
FWF82040ALBUMIN; SERUM82040141
FWF84075ALK PHOS/PROFILE OR PANEL84075141
FWF80305DRUG TEST, PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PRO80305143
FWF86756ANTB RSV86756143
FWF87880RAPID STREP-BETA STREP87880143
FWF83520IMMUNOASSAY ANALYTE QUANTITIATIVE NOS83520144
FWF86701HIV SERUM86701145
FWF82565CREATININE82565146
FWF85651SEDIMENTATION RATE NONAUT85651146
FWF85027CBC W/O DIFF85027149
FWF84550URIC ACID84550151
FWF85378FIBRIN DEGRADATION PROD85378151
FWF82270OCCULT BLOOD82270152
FWF85032BLD# MNL C-CNT RBC/PLTLT EA85032152
FWF82253MB FRACTION82253154
FWF84512TROPONIN QUAL84512154
FWF86787VARICELLA86787155
FWF84460ALT-TRANSFERASE;ALANINE84460156
FWF82310CALCIUM82310158
FWF84155PROTEIN,TOTAL,EXCEPT REFR84155158
FWF85730THROMBOPLASTIN TIME PART85730162
FWF82247BILIRUBIN TOTAL82247164
FWF86702ANTB HIV-286702164
FWF82784IGC IMMUNOGLOBULIN82784165
FWF87425ROTAVIRUS AG EIA87425165
FWF87804INFLUENZA IMMUNOASSAY OPT87804168
FWF80104DRUG SCREEN80104172
FWF83874MYOGLOBIN83874172
FWF85610PROTHROMBIN TIME85610172
FWF87389HIV-1 AG W/HIV-1 & HIV-S AB87389172
FWF87400INFLUENZA A&B87400174
FWF82550CREATINE CK-TOTAL82550176
FWF82785GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE82785182
FWF84439THYROXINE-FREE84439187
FWF86705HEPATITIS B CORE IGM86705187
FWF86850ANTB SCR RBC EA SERUM TQ86850189
FWF87070CULTURE BODY FLUID87070190
FWF84436THYRIXINE TOTAL84436193
FWF87493INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE87493197
FWF80329DRUG SCREEN80329198
FWF82055ALCOHOL-BLOOD82055201
FWF87081CULTURE, BACTERIAL-SCREEN87081201
FWF85025CBC85025204
FWF84702HCG QUANTATIVE84702209
FWF82150AMYLASE82150210
FWF80304DRUG SCREEN80304211
FWF84703PREGNANCY TEST BLOOD84703212
FWF86689ANTB HTLV/HIV ANTB CONFIRMATION TST86689216
FWF84479THYROID HORMONE84479218
FWF80300DRUG SCREEN80300221
FWF80202VANCOMYCIN PEAK80202229
FWF82003ACETAMINOPHEN82003229
FWF80100DRUG ABUSE PANEL II80100230
FWFG0434DRUG ABUSE PANEL IIG0434230
FWF87430INF AGT IMMUNO STREP A87430234
FWF80047BASIC METABOLIC PANEL CALCIUM IONIZED80047255
FWF87110CHLAMYDIA CULTURE87110260
FWF82553CREATINE CKMB82553263
FWF84443TSH84443263
FWF84484TROPONIN I84484263
FWF87040BLOOD CULTURE87040263
FWF80048METABOLIC PANEL BASIC80048270
FWF80051ELECTROLYTE PANEL80051277
FWF80061LIPID PROFILE III80061277
FWF80076HEPATIC FUNCTION PANEL80076285
FWF87075CULTURE ANAEROBIC87075286
FWF87798O&P SMEAR W/AMPLIFIC87798295
FWF85379D-DIMER85379315
FWF83880B-TYPE NATRIURETIC83880320
FWF80074HEPATITIS PANEL80074342
FWF80197TACROLIMUS80197350
FWF87847NO DESCRIPTION87847409
FWF87529INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA &RNA)87529430
FWF80053METABOLIC COMPRE PANEL80053543
FWF86360T CELLS; ABSOLUTE CD4 AND CD8 COUNT, INCLUDING RATIO86360627
FWF72141MRI SPI CANAL&CNTS CRV C-MATRL721411867
FWF71550MRI CH C-MATRL715502771
FWF70547MRA NECK C-MATRL705472772
FWF70551MRI BRN BRN STEM C-MATRL705512772
FWF72146MRI SPI CANAL&CNTS THRC C-MATRL721462772
FWF72148MRI SPI CANAL&CNTS LMBR C-MATRL721482772
FWF72157MRI SPI CANAL&CNTS C-/C+721572772
FWF72195MRI PELVIS C-MATRL721952772
FWF73221MRI ANY JT UXTR C-MATRL732212772
FWF73721MRI ANY JT LXTR C-MATRL737212772
FWF74181MRI ABD C-MATRL741812772
FWF72158MRI SPI CANAL&CNTS C-/C+ LMBR721582801
FWF73722MRI ANY JT LXTR C+ MATRL737223076
FWF70544MRA HEAD C-MATRL705443150
FWF70553MRI BRN BRN STEM C-/C+705533268
FWF72156MRI SPI CANAL&CNTS C-/C+ CRV721563268
FWF73220MRI UXTR OTH/THN JT C-/C+732203268
FWF74183MRI ABD C-/C+741833268
FWF72196MRI PELVIS C+ MATRL721963735
FWF73725MRA LXTR C+-MATRL737253735
FWF73723MRI ANY JT LXTR C-/C+737235049
FWFG0378HOSPITAL OBSERVATION SERVICES PER HOURG03781750
FWFA4616TUBING (OXYGEN) PER FOOTA46161
FWFA4927GLOVES NON STERILEA49271
FWFJ0461INJ ATROPINE SULFATE 0.01J04611
FWFJ2765METOCLOPRAMIDE HCL 10MGJ27651
FWFJ3010INJ FENTANYL CITRATE .1MGJ30101
FWFJ3480POTASSIUM CHLORIDE 2 MGJ34801
FWFS5000PRESCRIPTION DRUG GENERICS50001
FWFS50115% DEXTROSE 1000 MLS50111
FWFA6453BANDAGE SELF ADHER BAND W LESS THAN 3A64532
FWFJ0641LEVOLEUCOVORIN INJECTIONJ06412
FWFJ1020INJ METHYLPREDNISOLONE ACJ10202
FWFQ9967LOW OSMOLAR CNTRS MATQ99672
FWFA4216STERILE WATER/SALINE, FLUSH 10MLA42163
FWFA4327URIN CUP FEMALE COLLECT DEV CUPA43273
FWFA4335INCONTINENCE SUPPLY MISCA43353
FWFA4930GLOVES STERILE PER PAIRA49303
FWFA4224ALOCHOL OR PEROXIDE PER PINTA42244
FWFQ0179ONDANESTRONG HCL 8MG ORLQ01794
FWFA4252GLUCOSE TEST STRIP-BLOOD KETONE TEST OR STRIPA42526
FWFA4615CANNULA NASALA46156
FWFA5120SWAB OR WIPE SKIN BARRIERA51206
FWFA6410STERILE EYE PAD OR STRIPA64106
FWFA6413ADHESIVE BANDAGE FIRST AIA64136
FWFJ1030DEPO MEDROL 40 MG/MLJ10306
FWFJ2650PRELONE – INJECTION PREDNISOLONE ACTATE UP TO 1 MLJ26506
FWFA421320+ CC SYRINGE ONLYA42137
FWFA4332LUBE STERILE PACKETA43327
FWFA4657SYRINGE W OR WO NEEDLEA46577
FWFA6212FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ IN OR LESS, EACH DRESSINGA62127
FWFA6402GAUZE NON-IMPREG STERL 16A64027
FWFE0325URINAL MALE JUG-TYPEE03257
FWFJ3030IMITREX 6MG VIALJ30307
FWFA6222GAUZE IMPREGNATED WITH MEA62228
FWFJ0153ADENOSINE INJ 1MGJ01538
FWFJ0170EPINEPHRINE 3 1/2 NDL 10MJ01708
FWFJ0735CLONIDINE 1MGJ07358
FWFJ7506PREDNISONE ORAL 5 MGJ75068
FWFJ7510PREDNISOLONE ORAL 5 MGJ75108
FWFJ7512PREDNISONE 5 MG8
FWFJ7699NOC DRUGS INHAL SOL ADMINJ76998
FWFS0119ZOFRAN, 4MG, ORALS01198
FWFS5001PRESCRIPTION DRUG BAND NMS50018
FWFA4320IRR TRAY W/BULB/PISTON SYA43209
FWFA4450TAPE NO WATERPROOFA445010
FWFA4452TAPE WATERPROOF 18 SQ INA445210
FWFJ1040METHYLPREDNISOLONE 80MGJ104010
FWFJ2920SOLU-MEDROL 40MGJ292010
FWFJ3360VALIUM INJ 5 MGJ336010
FWFA6213FOAM DRG 16-48 SQ IN W/BRDRA621311
FWFA6220GAUZE, NON IMP, STERILE, PAD SIZE >16 SQ < OR = 48SQ INA622011
FWFA6448LT COMP BANDAGE LESS THAN 3INA644811
FWFA6449LIGHT COMP BANDAGEA644911
FWFE0275BED PAN STANDARDE027511
FWFJ2250MIDAZOLAM HCI PER 1 MGJ225011
FWFJ3411INJ THIAMINE 100 MGJ341111
FWFA4215NEEDLE STERILE, ANY SIZE, EACHA421512
FWFA4314INSRT TRAY W/DRAINAGE BAGA431412
FWFA4344INDWELLING CATH FOLEY TYPA434412
FWFA7011NONDISPOS CORRUGATED TUBINGA701112
FWFE0230ICE CAP OR COLLARE023012
FWFJ0780COMPAZINE 10 MGJ078012
FWFA4653PD CATHERTER ANCHOR BELTA465313
FWFA4673SALINE BLADE #11A467313
FWFA6216GAUZE NONIMPREG 16 SQ INA621613
FWFA6217GAUZE NON STERILEA621713
FWFA6218GAUZE, NON STERILEA621813
FWFA6219GAUZE- STERILEA621913
FWFA6454SELF ADHER BANDAGEA645413
FWFA6455SELF ADHER BANDAGEA645513
FWFJ0282INJ AMIODARONE HYDROCHLORJ028213
FWFJ0595STADOLJ059513
FWFJ1642HEPARIN SODIUM PER 10 UNIJ164213
FWFJ7607LEVALBUTEROL COMP CONJ760713
FWFJ7610ALBUTEROL, THRU DME 1MGJ761013
FWFJ7611ALBUTEROL 1MG CONC INHALAJ761113
FWFJ7613ALBUT INHAL NON-CP 1MGJ761313
FWFJ7620ALBUTEROL 2.5 MG ATROVENTJ762013
FWFA4358URINARY DRAINAGE BAGA435814
FWFA4322IRRIGATION SYRINGE, BULBA432215
FWFA9579GAD-BASE MR CONTRAST NOS,1MLA957915
FWFJ2930SOLU-MEDROL 125 MGJ293015
FWFQ4007CAST SUPPLIES LONG ARM CAQ400715
FWFA6021COLLAGEN DRESSING STERILA602117
FWFA6450LT COMPRS BANDAGE ELASTA645017
FWFCASHXRAY DISCCASH17
FWFJ8499NONCHEMOTHERAPEUTIC ORALJ849917
FWFA6446CONFORMING BANDAGE NON-ELA644619
FWFJ0295INJ AMPCLLN SODIUM/SULBAJ029520
FWFJ7614ALBUTEROL ALL FOMULATIONSJ761420
FWFJ7615LEVALBTERAL INHALATION SOJ761520
FWFJ8540DEXAMETHASONE, ORAL .25MGJ854020
FWFJ1335ERTAPENEM INJECTIONJ133521
FWFA6205COMPOSITE DRSG LESS THAN 48 SQ INA620522
FWFJ0290AMPICILLIN 500 MG INJJ029022
FWFJ0500DICYCLOMINE HCL 20MGJ050022
FWFJ0690KEFZOL 1 GR VIALJ069022
FWFJ0708J0708J070822
FWFJ1094DECADRON DEXAMETHASONE ACETATE 1MGJ109422
FWFJ1100DECADRON 4 MG VIALJ110022
FWFJ1200BENADRYL 50MGJ120022
FWFJ1817INSULIN FOR INSULIN PUMP USEJ181722
FWFJ1885TORADOL INJ 15 MGJ188522
FWFJ1940LASIX 40 MG IV VIALJ194022
FWFJ2270INJ MORPHINE SULFATE 10 MJ227022
FWFJ2405ONDANSETRON HCI, PER MGJ240522
FWFJ2550PHENERGAN 50 MGJ255022
FWFJ2690PRONESTYL 10 MLJ269022
FWFJ2730PRALIDOXINE CHLORIDEJ273022
FWFJ3410VISTERIL INJ 50 MGJ341022
FWFQ9966LOCM 200-299MG ML IODINE, 1MLQ996622
FWFA4649SURGICAL SUPPLY MISCA464923
FWFA9150NON PERSCRIPTION DRUGA915023
FWFJ0171ADRENALIN EPINEPHRINE INJECTJ017123
FWFJ0760COLCHICINE INJECTIONJ076023
FWFQ9963HI OSM CONTRST MATL 350-3Q996323
FWFA4270DISPOSABLE ENDO CODE SHEATHA427024
FWFA4353INTERMIT URINARY CATHETERA435324
FWFJ3130TESTOSTERONE ENANTHATE INJJ313024
FWFL1830KNEE IMMOBOLIZERL183024
FWFQ4038CAST SUP SHRT LEG FIBERGLASSQ403824
FWFA4246BETADINE/PHISOHEX SOLUTIONA424625
FWFA4247BETADINE/IODINE SWABS/WIPESA424725
FWFJ3475MAGNESIUM SULFATE 2CC AMPJ347525
FWFQ9965LOW OSMOLAR CON MAT PER MQ996525
FWFA4217STERILE SALINE WATER PER 500 MLA421726
FWFA4218STERILE SALINE OR WATERA421826
FWFJ2150MANNITOL INJECTIONJ215026
FWFJ7040INFUS NORM SALINE 500MLJ704026
FWFJ70425% DEXTROSEJ704226
FWFJ7050INFS NORM SALINE 250CCJ705026
FWFS5550INSULIN RAPID 5 US555026
FWFJ2175DEMEROL 50 MG SYRINGEJ217528
FWFJ7060INFUSION D5W 250MLJ706028
FWFA6407PACK STRIPS NON-IMPREGNTDA640729
FWFA4554DISPOSABLE UNDERPADSA455430
FWFA6412OCCLUSIVE EYE PATCHA641230
FWFJ2310INJ NALOXONE HCL 1MGJ231030
FWFA6211FOAM DRG LESS THAN 16 LESS THAN 48 SQ IN WO BORDERA621131
FWFJ1815INJ INSULIN PER 5 UNITSJ181531
FWFJ2001LIDOCAINE HCI 10MGJ200131
FWFJ7644IPRATROPIUM BROMIDE INHALJ764431
FWFJ8498ENEMA SUPPOSITORY, ANTIEMETIC RECTALJ849831
FWFA42083 CC STERILE SYRINGE & NEEDLEA420832
FWFA9273HOT/COLD H2OBOT/CAP/COL/WRAPA927332
FWFJ2704INJECTION PROPOFOL 10 MGJ270432
FWFS0077CLANDAMYCIN PHOSPHATE 300S007732
FWFA4364DERMABOND- ADHESIVE, LIQUID OR EQUAL PER OZA436433
FWFJ1240ANTIVERT – DIMENHYDRINATE INJECTION 50MGJ124033
FWFA6250SKIN SEAL PROTECT MOISTURIZER OINTMENTA625034
FWFA42095+ CC STERILE SYRINGE & NEEDLEA420935
FWFA4311CATHETER W/O BAG 2 WAY LATEXA431135
FWFE0220HOT WATER BOTTLEE022035
FWFJ3486GEODON – ZIPRASIDONE MESYLATE 10MGJ348635
FWFA4670AUTOMATIC BP MONITOR #11A467036
FWFJ3260TOBRAMYCIN SULFATE INJECTIONJ326036
FWFJ3490UNCLASSIFIED DRUGSJ349036
FWFA7520TRACH LARYN TUBE NON CUFFEDA752037
FWFJ1650ENOXAPARIN SODIUM 10MGJ165037
FWFJ2780INJ RANITIDINE 25 MGJ278037
FWFQ4020LNG ARM SPLNT 0-10 YRSQ402039
FWFQ4008CAST SUPPLIES LONG ARMQ400840
FWFA6457TUBULAR DRESSINGA645741
FWFE04114E04114E0411441
FWFJ1165DILANTIN 100 MG VIALJ116541
FWFJ1170DILAUDID 4 MGJ117041
FWFJ1670TETANUS INJECTIONJ167041
FWFJ2760PHENTOLAINE MESYLATE INJJ276041
FWFL0172CLAVICAL COLLAR 2 PCL017241
FWFL1630ABDUCT CONTROL HIP SEMI FLEXL163041
FWFA4595TENS SUPPL 2 LEAD PER MONTHA459546
FWFJ0692INJ CEFEPIME HCI 500MGJ069246
FWFS0020INJ, BUPIVICAINE, 30MLS002046
FWFA4614HAND HELD PEFR METER50
FWFJ0560BICILLIN 600,000J056050
FWFJ1580GARAMYCIN,GENTAMICIN 80MGJ158050
FWFJ2300NUBAIN 10MG AMPJ230050
FWFJ0696ROCEPHIN 250 MGJ069652
FWFS8100SPACER WITHOUT MASKS810052
FWFA4338INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATINGA433853
FWFJ7030INFUS NORM SALINE 1000CCJ703053
FWFA4617MOUTHPIECE FOR RESPIRATORY OXYGEN EQUIPMENTA461755
FWFJ0561INJECTION PENICILLIN G BENZATHINE 100,000 UNITSJ056155
FWFQ4010SHORT ARM CAST ADULTQ401055
FWFA7003ADMN SET SM VOL NONFILTERA700357
FWFA7015NEBULIZER MASK USED W NEBULIZERA701557
FWFA7017NEBULIZER MASK NOT USED W/ OXYGENA701757
FWFE0114CRUTCHES UNDERARME011459
FWFE0116CRTCH UNDARM NOT WOOD ADJE011659
FWFJ2543ZOSYN – PIPERACILLIN/TAZOBACTAMJ254359
FWFS8101MASK NEBULIZER MASK SPACER WITH MASKS810159
FWFJ0698CLAFORAN 1 GR VIALJ069863
FWFJ0150ADENOSINE INJ 6MG VIALJ015065
FWFJ0550BICILLIN – PENICILLIN G BENZATHINE INJJ055065
FWFJ0559BICILLIN – PENICILLIN G BENZATHINE INJ 2500 UNITSJ055965
FWFJ1610GLUCOGAN 1 MG VIALJ161068
FWFA6231GAUZE, 16<SQ IN, EACHA623170
FWFJ1110INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MGJ111070
FWFS0028INJECT FAMOTIDINE 20 MGS002870
FWFJ7130HYPERTONIC SALINE SOLUTIONJ713076
FWFJ0456INJ AZITHROMYCIN 500MGJ045681
FWFJ2370NEO-SYNEPHRINE UP TO 1 MLJ237081
FWFJ1631HALOPERIDOL DECANOATE INJ PER 50 MGJ163183
FWFA45903 ORTHO GLASS 4 SPECIAL CASTING MATERIALA459084
FWFS8450SPLINTS845084
FWFJ7070INFUSION D5W 1000MLJ707086
FWFJ1644INJ HEPARIN SOD PER 1000J164487
FWFL3260SURGICAL BOOT/SHOEL326087
FWFL3908WRIST EXTN CONTROL COCKUPL390887
FWFQ4012CAST SUPPLIES SHORT ARMQ401287
FWFS0622PHYS EXAM FOR COLLEGES062287
FWFA4316CATH W DRAINAGE 3 WAYA431690
FWFG0009ADM PNEUMOCOCCAL VACCINEG000990
FWFJ7120RINGER’S LACTATE INFUSJ712090
FWFQ4006LONG ARM CAST ADULTQ400692
FWFA7002SUCTION TUBING USED W PUMPA700294
FWFA6210FOAM DRSG LESS THAN 16=48 SQ IN W/ BORDERA621098
FWFA6260WOUND CLEANSERA6260100
FWFA6261WOUND FILLERA6261100
FWFJ2060ATIVAN 2ML SYRUPJ2060100
FWFJ0570BICILLIN 1,200,000J0570110
FWFL3670SO ACROMIO/CLAVICULARL3670113
FWFA5200PERCUTANEOUS CATHETER ANCHORA5200117
FWFL4360WALK BOOT PNEUMATICL4360117
FWFQ4042LNG ARM SPLNT 11 YRS +Q4042117
FWFJ1956LEVOFLOXACIN 250 MGJ1956120
FWFJ2360ORPHENADRINE CITRATE 60MGJ2360122
FWFA4570SPECIAL CASTING MATERIALA4570125
FWFL4380PNEUMATIC KNEE SPLINTL4380125
FWFQ4051SPLINT SUPPLIES MISCQ4051125
FWFA4606OXYGEN PROBE USED W OXIMETERA4606127
FWFL1906ANKLE SUPPORTL1906133
FWFQ4009CAST SUPPLIES SHORT ARMQ4009140
FWFJ9027CLOFARALINE INJECTIONJ9027141
FWFA4565SLINGA4565146
FWFQ4037CAST SUPPLIES SHORT LEGQ4037146
FWFQ4039CAST SUPPLIES SHORT LEG CQ4039146
FWFG0168WND CLS TISSUE ADHESIVEG0168152
FWFA7016DOME/MOUTHPEICE NEBA7016161
FWFQ0144AZITH DIHY ORAL CAP/POWDQ0144161
FWFL4386WALKING BOOT NON PNEUMATICL4386168
FWFJ0330SUCCINYLCHOLINE CHLO 20MGJ0330173
FWFJ0360HYDRALAZINE HCL INJ UP TO 20MGJ0360173
FWFA4222EXT UNFU PMP PER CASS/BAGA4222176
FWFJ0744CIPRO 200MGJ0744176
FWFL3999UPPER LIMB ORTHOSIS NOSL3999176
FWFQ4034CAST SUP LNG LEG CYLINDER FBQ4034176
FWFE0352DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM)E0352177
FWFP9612CATHETERIZE FOR URINEP9612177
FWFS0030METRONIDAZOLE 500 MG INJS0030188
FWFS0164PROTONIX PANTROPRAZOLE 40MGS0164194
FWFJ2790RHOGAM INJECTIONJ2790199
FWFQ4049FINGER SPLNT STATICQ4049206
FWFJ3370VANCOMYCIN HCI INJ 500MGJ3370229
FWFS5010STERILE SALINE 5% DEXTROSE AND 0.45% SALINES5010232
FWFQ4046SHRT LG SPLNT 11 YRS +Q4046249
FWFL3650SO FIGURE EIGHT ABDUCTIONL3650251
FWFA9284NON-ELECTRONIC SPIROMETERA9284254
FWFE0580NEBULIZER FOR USE W/ REGULATE0580293
FWFL0120CERVICAL FLEX NONADJ COLLL0120320
FWFJ3230THOROZINE 50 MGJ3230330
FWFA4550LACERATION- SURGICAL KITA4550409
FWFQ9954ORAL MR CONTRAST, 100MLQ9954416
FWFL4350AIR SPLINTL4350453
FWFE0445OXIMETER NON-INVASIVEE0445578
FWFE0570NEBULIZER WITH COMPRESSIONE0570677
FWFQ4022SHRT ARM SPLNT 11 YRS +Q4022805
FWFC9399ORBACTIV 1200 MG IVC939910153
FWFA0394ALS IV DRUG THERAPY SUPPLIESA03941
FWFA0396ALS ESPOHAGEAL INTUB SUPPLIESA039630
FWF92002OPH MEDICAL XM&EVAL INTRM920021
FWF92081VIS FLD XM UNI/BI I&R LMT920811
FWF92552PURE TONE AUDIOMTRY AIR O925521
FWF94664DEMO&/EVAL OF PT UTILIZ946641
FWFJ0131INJECTION, ACETAMINOPHEN, 10MGJ01313
FWFS3000BILAT DIL RETINAL EXAMS300011
FWF99000SPECIMEN HANDLING9900018
FWF36415VENIPUNCTURE3641528
FWF36416COLL CAPILLARY BLG SPEC3641641
FWF99001COC COLLECITON ONLY9900141
FWF99080MEDICAL RECORDS9908046
FWFS0630RMV SUTURES; PHYS NOT PHYS063065
FWF36410VENIPUNCTURE, 3 YRS OR OLDER3641068
FWF94640NEBULIZER TREATMENT9464069
FWF99050BLUE CROSS RQRD LVL39905087
FWF51700BLDR IRR SMPL LVG&/INSTLJ5170097
FWF27840CLOSED TX ANKLE DISLOCATI27840100
FWF56420I & D BARTHOLIN ABSCESS56420100
FWF28430CLTX TALUS FX W/O MNPJ28430106
FWF94760EAR OR PULSE OXIMETRY94760111
FWF29700RMVL/BIVALV GAUNTLET BOOT29700127
FWF43753GASTRIC INTUBATION AND ASPIRATION THERAPUETIC, NECESSATING PHYSICIANS SKILL43753128
FWF30901NASAL PACKING30901131
FWF36591COLLECT BLOOD FROM IMPLAN36591146
FWF99053SERVICES PROVIDED BETWEEN 10P AND 8A AT A 24 HOUR FACILITY99053146
FWF94010SPIROMETRY W/RECORD94010150
FWF20605ARTHROCENTESIS, MED JOINT20605154
FWF94644INHALATION TREATMENT – CONTINUOUS 1ST HR94644157
FWF96372THERAPEUTIC PROPHYLACTIC/96372165
FWF99145M-SEDAJ BY SM PHY 15 MIN99145168
FWF20552TRIGGER POINT INJ 1-2 MUS20552176
FWF29085CAST HAND/LOWER FOREARM GAUNTLET29085176
FWF29105LONG ARM SPLINT29105176
FWF29125SHORT ARM SPLINT29125176
FWF29126SHORT ARM SPLINT DYNAMIC29126176
FWF29130APPLICATION FINGER SPLINT29130176
FWF29505LONG LEG SPLINT29505176
FWF29515SHORT LEG SPLINT29515176
FWF29550STRAPPING TOES29550176
FWF69210RMVL IMPACTED CERUMEN69210196
FWF31525LARGSC +-TRACHEOSCOPY DX31525198
FWF10120I & RMVL SUB-CUT SIMPLE10120200
FWF96375THER PROPH/DX NJX EA SEQL96375202
FWF11040DBRDMT, SKIN, PARTIAL THICK11040205
FWF90765IV NFS THER PROPH/DX 1ST90765210
FWF96379INJECTION- UNLISTED THERAPEUTIC PROPH/DX/IVA NJX/NFS96379213
FWF29540STRAPPING ANKLE/FOOT29540220
FWF29580STRAPPING UNNA BOOT29580220
FWF96376SUB INFU EA ADD IV PUSH96376221
FWF96373INJECTION, INTRA-ARTERIAL96373228
FWF51701INSR NONDWELLING BLDR CAT51701231
FWF96366IV INFUS THER PROPH/DX EA96366232
FWF96361IV INFUS HYDR EA ADD’T HR96361233
FWF94761N-INVAS EAR/PLS OXIMTRY F94761238
FWF29280STRAPPING HAND/FINGER29280239
FWF36000INTRODUCTION OF NEEDLE/IN36000244
FWF65205REMOVAL FB EYE-SUPERFCL65205244
FWF96360IV INFUS INIT 31 MIN 1 HR96360251
FWF56405INC/DRAIN VULVA/PERINEAL56405259
FWF29240STRPG SHO29240260
FWF11011DBRDMT W RMVL FM FX & DISLC SKN SUBQ T/M/F/ MUSC11011263
FWF96367IV NFS THER PROPH/DX ADDL96367263
FWF96368IV NFS TX PROPHYLAXIS/DX96368263
FWF16020BURN, DRESSING/DBRDMNT-SM16020270
FWF16000BURN, INITIAL TREATMENT16000274
FWF11730AVULSION/1-NAIL PLATE11730290
FWF99173SCREENING TEST OF VISION99173293
FWF11200RMVL SKIN TAGS11200294
FWF11771EXCISION PILONIDAL CYST SINUS EXTENSIVE11771297
FWF26010I & D FINGER ABSCESS,SIMP26010298
FWF96374THER PROPH/DX NJX IV PUSH96374300
FWF11740EVAC SUBUNGUAL HEMATOMA11740303
FWF38300DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL38300303
FWF12035REPAIR INTERM S/A/T/E 12.12035318
FWF12020TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE12020320
FWF10160PUNCTURE ASP OF ABSCESS10160328
FWF69209REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL69209340
FWF11765WEDGE EXC SKIN/NAIL BED11765341
FWF27372REMOVAL FOREIGN BODY DEEP THIGH/KNEE27372350
FWF20610ARTHROCENTESIS, LG JOINT20610361
FWF51702INSERTION BLADDER CATH51702361
FWF69005DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED69005363
FWF96365IV INFUSION THERAPY/PROPH96365363
FWF99149MOD SEDATION99149363
FWF24500CLTX HUMRL SHFT FX W/O MN24500378
FWF25530CLSD TX ULNAR SHFT FX NO25530378
FWF25560CLTX RDL&UR SHFT FXS W/O25560378
FWF65220RMVL FB EYE W/O SLIT LAMP65220380
FWF23600CLTX PROX HUMRL FX WO MAN23600381
FWF24576CLTX HUMRL CNDLYR FX MEDI24576381
FWF26700CLS TX MCP DISLOCATION26700381
FWF27508CLTX FEM FX DSTAL END MED27508381
FWF27560CLTX PATELLAR DISLC W/O A27560381
FWF69200RMVL FOREIGN BODY EAR69200381
FWF94060BRNCDILAT RSPSE SPMTRY PR94060385
FWF69205RMVL FB XTRNL AUD CANAL A69205409
FWF90997HEMOPERFUSION90997409
FWF99152MOD SEDATION99152422
FWF12001LACERATION REPAIR12001425
FWF21800CLTX RIB FX UNCOMP EA21800425
FWF12002REPAIR LAC SCALP 2.6-7.512002430
FWF99144MOD SEDATION SERV UNDER 599144433
FWF99143MOD SEDATION &#60;5YRS 3099143439
FWF30903CTRL NSL HEMRRG ANT CPLX30903443
FWF10061INS/DRAIN ABSCESS COMPL10061444
FWF65222RMVL FB EYE65222449
FWF21480CLDS TX TEMP DISLOCATION21480452
FWF93931DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD93931466
FWF41800DRNG ABSC DENTOALVEOLAR S41800480
FWF46083INCISION THROM HEMORRHOID46083491
FWF76942ULTRASONIC GUIDANCE FOR NEEDLE PLCMNT, IMGNG SUPERVSN AND INTERP76942495
FWF12004REPAIR LAC SCALP 7.6-12.512004496
FWF30300RMVL FOREIGN BODY NASAL30300496
FWF21310CLTX NSL B1 FX W/O MNPJ21310498
FWF12031LYR CLSR S/A/T/E 2.5CM12031504
FWF27530CLTX TIBL FX PROX W/O MNPJ27530507
FWF27808CLOSED TX BIMALLEOLAR ANK27808507
FWF24640RADIAL HEAD SUBLUX. CHILD24640519
FWF28510CLSD TX FX PLALANX/PHALAN28510523
FWF12041LAYER CLSR NECK/HAND 2.612041524
FWF99153MOD SEDATION99153525
FWF12013REPAIR LAC FACE 2.6-5.0CM12013526
FWF11760REPAIR NAIL BED11760531
FWF13122CMPLX RPR ADD 5 CM OR LES13122531
FWF62270SPINAL PUNCTURE,LUMBAR62270554
FWF64450INJ ANESTHETIC AGENT64450559
FWF26770TREAT FINGER DISLOC FINGE26770560
FWF51703INSERT BLADDER CATH COMPL51703569
FWF31500INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE31500571
FWF10121I & RMVL FB, SUB-CUT,COMP10121583
FWF10081I&D PILONIDAL CST COMP10081590
FWF12051LAYER CLSR OF WND NCK/HND12051594
FWF28490CLTX FX GRT TOE W/O MNLJ28490594
FWF91105GASTRIC INTUBATION/ASPER91105596
FWF59025FTL NON-STRS TST59025600
FWF46320ENULEATION EXCC OF EXT HE46320612
FWF26750CLS TX FX FINGER/THUMB26750618
FWF11750EXC NAIL PART/COMP11750619
FWF28515FX CARE PHALANX NOT GREAT28515622
FWF28660CLSD TX PIP JNT DISLOCATI28660622
FWF26720CLSD TX PHALANGEAL SHFTFX26720628
FWF27220CLTX ACETABULUM HIP/SOCKT FX W/O MNP27220635
FWF28450TX TARSAL B1 FX XCP TALUS28450635
FWF20600ARTHROCENTESIS, SML JOINT20600640
FWF64402INJ ANESTHETIC FACIAL NRV64402640
FWF24600CLSD TX ELBOW DISLOCAT24600650
FWF25500CLTX RDL SHFT FX WO MANP25500650
FWF25622CLSD TX NAVICULAR FX WO M25622650
FWF28400CLSD TX CLAVICLE FX WO MA28400650
FWF15850SUTURE RMVL W/ANESTHESIA15850653
FWF12005REPAIR LAC,SCALP 12.6-20C12005658
FWF13153REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM<13153669
FWF31515LARYNGOSCOPY +- TRACHEOSCOPY ASPIRATION31515670
FWF12034INTERM RPR SCLP/TRNK/EXTR12034707
FWF12052LYR CLSR WOUND 2.6-5.0FAC12052708
FWF25535CLOSED TREATMENT OF ULNAR SHAFT FRACTURE, WITH MANIPULATION25535715
FWF12014REPAIR LAC FACE 5.1-7.5CM12014729
FWF28190RMVL FB BODY FOOT SUBQ28190745
FWF10060INCISION/DRAINAGE ABSCESS10060759
FWF12011REPAIR LAC FACE LESS THAN 2.5 CM12011759
FWF12045REPAIR INTERMEDIATE N/H/F/XTRNAL GEN 12.6 -20 CM12045760
FWF12032REPAIR-INT SCALP 2.6-7.512032761
FWF12036REPAIR INTERM S/A/T/E 20.1-30.0 CM12036762
FWF12044LYR CLSR N/H/F/ETRNL GENT12044762
FWF67700I&D ABSCESS EYELID67700773
FWF26755CLTX DSTL PHLNGL FX FNGR/26755792
FWF23500CLTX CLAVICULAR FX WO MNP23500814
FWF11404EXC BGN LSN TRUNK 3.1-4.011404833
FWF23570CLSD TX SCAPULAR FX WO MA23570839
FWF28470CLTX METAR FX WO MNP28470840
FWF42700I&D ABSC PRITONSILLAR42700857
FWF12054REPAIR INTERMEDIATE F/E/E/N/L/M&MUC 7.6-12.5CM12054865
FWF93926DOPPLER-DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD93926878
FWF12042REPAIR LAC HAND/FOOT 2.6-12042883
FWF31502TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT31502891
FWF93880DUP-SCAN XTRC ART COMPL B93880903
FWF93882DUP-SCAN XTRC ART UNI/LMTD STD93882903
FWF26600CLSD TX METACARPAL FX26600909
FWF23650SHOULDER DISLOCATION TRMT23650934
FWF24670CLTX ULNR FX PROX END WO24670942
FWF12053LYR CLSR F/E/E/N/L/M&/MUC12053957
FWF24650CLTX RDL HEAD FX WO MANP24650959
FWF33415RESCJ/INC SUBVALVULAR TISSUE33415980
FWF27786CLSD TX DISTAL FIBULAR FX27786993
FWF26725CLTX PHLNGL FX PROX/MIDDL267251027
FWF94621PULM STRS TSTG CPLX946211029
FWF25600CLSD TX DISTAL RAD FX WO256001045
FWF26605CLSD TX MEDICARPAL FX266051053
FWF13151CMPX RPR EYE NOSE 1.1-2.5131511055
FWF27780CLTX PROX FIVULA/SHFT FX277801055
FWF25635CLTTX CARPL B1 FX W/MNPJ EA B1256351085
FWF92960CARDIOVERSION ELECTIVE ARRHYT XTRNL929601089
FWF25650CLTX UR SYLOID FX256501097
FWF11042DBRD SKN SUBQ TISSUE110421098
FWF46050INC/DRAIN PERIANAL ABS SU460501111
FWF27760CLTX MEDIAL MALLS FX W/O277601153
FWF23620CLOSED TREATMENT OF A GREATER HUMERAL TUBEROSITY FRACTURE; W/O MANIPULATION236201155
FWF27520CLTX PATELLAR FX W/O MNPJ275201205
FWF64640DSTRJ NULYT OTH PRPH NVR/BRANCH646401220
FWF13121RPR CMPX SCALP ARM2.6-7.5131211236
FWF32551TUBE THORACOSTOMY INCLUDES WATER SEAL325511342
FWF27550CLOSED TX KNEE DISLOCATION W/O ANESTHESIA275501366
FWF28192RMVL FB FOOT DEEP281921373
FWF24530CLTX SPRCNDYLR/TRANSCNDYL245301392
FWF13132RPR CMPX FOREHEAD/CHECK/C131321462
FWF26607CLTX MTCRPL FX W/MNP W/XT266071670
FWF27810CLTX BIMAL ANKLE FX W/POT278101704
FWF93965QUANT VENOUS FLOW ST939651806
FWF13152RPR CPLX E/N/E/L 2.6-7.5131521830
FWF46040I&D ISCHIOR/PRIRC ABSC SP460401957
FWF27752CLTX TIBL SFT FX W/MANP277521968
FWF25605CLSD TX DISTAL RAD FX256051992
FWF36558INSERT TUNNELED CV CATH – INSJ TUN CTR CVC W/O SUBQ POR365582156
FWF25505CLSD TX RAD SHAFT W/MANIP255052213
FWF40650RPR LIP FULL THICKNESS406502990
FWF59409VAG DLVR ONLY594093960
FWF76815ULTRASND PG UTER76815356
FWF76857PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C9776857438
FWF76882ULTRASOUND, EXTREMITY, NON VASCULAR76882441
FWF93976DUPLEX SCAN- LIMITED93976466
FWF93975DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABD, PELVIC, SCROTAL93975514
FWF76817UT PG UTER R-T IMG TRVG76817602
FWF93971DPLX SCN EXTRM VEINS93971645
FWF76645US BREAST R-T W/IMAGE DOCUMENTATION76645719
FWF76830TRANSVAGINAL ULTRASOUND76830723
FWF76801ULTRASOUND 14 WK TABDL 1/1ST GESTATION76801726
FWF76775US RPR B-SCAN&/R-T IMG LMTD76775750
FWF76870US SCROTUM&CNTS76870762
FWF76805US PG UTER F&MAT AFTER 1S76805793
FWF76770US RETROPERITONEAL R-T W/76770834
FWF76856US PELVIC NONOB REAL-TIME76856839
FWF76880US EXTREMITY76880913
FWF76536ULTRASOUND, SOFT TISSUES OF HEAD AND NECK76536998
FWF76705US ABDOMINAL767051027
FWF76700US ABDOMINAL R-T W/IMAGE767001156
FWF93970DUP-SCAN XTR VEINS COMPL939701250
FWFJ3430INJECTION, (PHYTONADIONE) VITAMIN K, PER 1 MGJ343012
FWFJ3105INJECTION, TREBUTALINE SULFATE, UP TO 1 MGJ310535
FWF90660INFLUENZA VIRUS INTRANASA9066070
FWF90746HEPATITIS B VACCINE/ADULT9074679
FWF90715TDAP VACCINE90715116
FWF90703TETANUS TOXID90703152
FWF90714TETANUS DIPHTHERIA TOXOID90714152
FWF90718TETANUS & DIPTHERIA90718152
FWF90675RABIES VAC IM90675475
FWF74018XRAY ABDOMEN 1 VIEW7401897
FWF73552FEMUR; MIN 2 VIEWS73552102
FWF74019XRAY ABDOMEN, 2 VIEWS74019118
FWF74021XRAY ABDOMEN, 3 OR MORE VIEWS74021138
FWF71110RIBS BILATERAL 3 VIEWS71110144
FWF70120RADEX MASTOIDS LESS THAN 3 VIEWS PR SIDE71020157
FWF73090XRAY FOREARM AP & LAT73090176
FWF71045CHEST X RAY 1 VIEW71045205
FWF73020RADEX SHO 1 VIEW73020231
FWF73660XRAY TOES, MIN 2 VIEWS73660233
FWF70160NASAL BONE X-RAY70160234
FWF73070XRAY ELBOW 2 VIEWS73070234
FWF73600XRAY ANKLE 2 VIEWS73600234
FWF71120CHEST 2 VIEWS71120255
FWF70350CEPHALOGRAM ORTHODONTIC70350257
FWF73562XRAY KNEE MIN 3 VIEWS73562261
FWF70030RADEX EYE DETCJ FB70030263
FWF71111RIBS BILATERAL W/CHEST71111263
FWF71100RIBS UNILATERAL 2 VIEWS71100264
FWF72070SPINE THORACIC 2 VIEWS72070271
FWF77076RADIOLOGIC EXAMINATION, OSSEOUS SURVEY, INFANT77076275
FWF73000XRAY CLAVICLE 2 VIEWS73000278
FWF72220XRAY COCCYX/SACRUM72220284
FWF71010XRAY CHEST AP71010299
FWF73550XRAY FEMUR AP & LAT VIEW73550311
FWF73560XRAY KNEE, SUNRISE VIEW73560312
FWF72020SPINE SINGLE VIEW72020314
FWF73650RAD EXAN HEEL MIN 2 VIEWS73650320
FWF73120XRAY HAND AP & LAT73120322
FWF73080XRAY ELBOW GREATER THAN 3 VIEWS-COMP73080338
FWF70100XRAY MANDIBLE LESS THAN 4 VIEWS70100351
FWF70110XRAY MANDIBLE MIN 4 VIEWS70110351
FWF70328RADEX TMPRMAND JT OPN&CLSD MOUTH UNI70328351
FWF73010SCAPULA COMPLETE73010354
FWF73140XRAY FINGER MIN 2 VIEWS73140355
FWF73060XRAY HUMERUS MIN 2 VIEWS73060367
FWF73110XRAY WRIST/COMP MIN 3 VIE73110367
FWF73050XRAY AC JOINTS-BILAT73050372
FWF72069RADEX SPI THORACOLMBR STANDING SCOLIOSIS72069374
FWF70140XRAY FACIAL BONES LESS THAN 3 VIEW70140377
FWF70250SKULL LESS THAN 4 VIEWS70250378
FWF73100XRAY WRIST AP & LAT VIEW73100378
FWF72170RAD EXAM PELVIS 1/2 VEIW72170380
FWF73500RADIOLOGIC EXAM HIP UNILAT 1 VIEW73500380
FWF73590XRAY TIBIA/FIBULA AP/LAT73590381
FWF73620XRAY FOOT MIN 2 VIEWS73620382
FWF71046CHEST XRAY 2 VIEWS71046387
FWF73030SHOULDR COMPLETE 2 VIEWS73030389
FWF73564RAD EXAM KNEE 4 OR MORE73564393
FWF72040SPINE, CERVICAL 2/3 VIEWS72040411
FWF73130XRAY HAND MIN 3 VIEWS73130416
FWF73501RADIOLOGIC EXAM, HIP, UNIL W/PELVIS 1 VIEW73501425
FWF74010RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS74010426
FWF72190RADEX PELVIS COMPL MIN 372190433
FWF74020RAD EXAM ABDOMEN COMPL74020454
FWF71020XRAY CHEST PA & LATERAL71020464
FWF72114RAD EXAM SPINE LUMBO COMP72114466
FWF70200RAD EXAM ORBIT COMP.70200468
FWF73510XRAY HIP MIN 2 VIEWS73510476
FWF71101RIB UNILATERAL W CHEST71101484
FWF73610XRAY ANKLE 3 VIEWS/COMPLE73610485
FWF72050SPINE, CERVICAL MIN 4VIEW72050491
FWF70220RAD EXAM SINUS COMPLETE70220493
FWF70150XRAY FACIAL BONES GREATER THAN 3 VIEW70150499
FWF70260RAD EXAM SKULL COMPLETE70260501
FWF73520HIPS BILAT MIN 2 VIEW INC73520507
FWF71030RADEX CH COMPL MIN 4 VIEW71030524
FWF72074RAD EXAN SPINE THROAC 4 V72074535
FWF71060BRONCHOGRAPHY BI RS&I71060537
FWF73630XRAY FOOT MIN 3 VIEWS73630537
FWF72072SPINE THORACIC 3 VIEWS72072554
FWF72120SPINE LUMBAR AP & LAT W F72120554
FWF74022RAD EXAM COMPLETE ABD74022570
FWF72100SPINE LUMBO. MIN 4 VIEWS72100583
FWF70360RAD EXAM NECK,SOFT TISSUE70360682
FWF73502RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED;2-3 VIEWS701
FWF74000RAD EXAM ABD SINGL ANTER74000759
FWF72110LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS72110793
FWF72052SPINE CERV. COMP FLEX/EXT72052840
FWF78320B1&/JT IMG TOMOG SPECT78320923
FWF74241RADEX GI TRC UPR +-DLYD FLMS W/KUB74241998
FWF74247RADEX GI UPR C+ +-GLUC +-DYLD FLMS W/KUB742471010
FWFS8037MRCP MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHYS80371284
FWF78306B1&/JT IMG WHBDY783061440
FWF78315B1&/JT IMG 3 PHASE STD783151440
FWF78472CARD BPI GTD=BRM PLNR 1 STD REST/STRS784722039
FWF78223HIDA SCAN-HEPATBL DUX SYS IMG GLBLDR782232509
FWF78075ADRNL IMG CORTEX&/MEDULLA780753618
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