MSP Fee-For-Service Payment Analysis

Transcription

1 Medical Services Plan MSP Fee-For-Service Payment Analysis 2012/ /2017 Health Sector Information, Analysis and Reporting Division

2 If you have any questions about the information presented, please contact the B.C. Ministry of Health. Integrated Analytics: Hospital, Diagnostics & Workforce Health Sector Information, Analysis and Reporting Division Ministry of Health How to Cite This Document B.C. Ministry of Health, Health Sector Information, Analysis & Reporting Division. MSP Fee-For-Service Payment Analysis 2012/ /2017. October 2017.

3 MSP Fee-For-Service Payment Analysis 2012/ /2017 Page i Table of Contents Preface... iii Introduction... 1 Methodology Top Fee Items for Current Fiscal Year Table 1-1 Top Fee Item by Expenditure: Medical... 5 Table 1-2 Top Fee Item by Services: Medical... 6 Table 1-3 Top Fee Item by Expenditure: Other Health Practitioners... 7 Table 1-4 Top Fee Item by Services: Other Health Practitioners All Fee Items for Five Fiscal Years Table 2-1 Fee-For-Service Payment Analysis 2012/ / GLOSSARY

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5 MSP Fee-For-Service Payment Analysis 2012/ /2017 Page iii Preface The Medical Services Plan (MSP) Fee-for-Service Payment Analysis 2012/ /2017 is produced by the Health Sector Information, Analysis and Reporting Division. It is a summary of services and expenditure by fee item for each fiscal year. Related publications on MSP data are the MSP Information Resource Manual 2016/2017 and the MSP Physician Resource Report 2007/ /2017. All three reports can be found online, at this address under Fee-for-Service Payment Statistics: Questions, comments or suggestions regarding this report may be directed to MOHanalytics@gov.bc.ca.

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7 MSP Fee-For-Service Payment Analysis 2012/ /2017 Page 1 Introduction Under the authority of the Medicare Protection Act, the Medical Services Commission administers MSP. MSP insures registrants for medically required services provided by general practitioners, specialists and other health practitioners. MSP pays practitioners on a fee-forservice and on an alternative payment basis. The MSP Fee-for-Service Payment Analysis summarizes services and expenditure by fee item for each fiscal year. These figures are based on fee-for-service payments made to British Columbia practitioners by MSP for services provided to MSP registrants. Short fee item descriptions are included. Please refer to the Medical Services Commission Payment Schedule for a more detailed description of fee items. The current payment schedule can be viewed online at: The Methodology section outlines general data inclusions and exclusions that apply throughout the manual. A glossary has been provided at the end of the manual to explain terms used in the publication. Readers are encouraged to refer to the glossary to ensure accurate interpretation of the statistics presented.

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9 MSP Fee-For-Service Payment Analysis 2012/ /2017 Page 3 Methodology The data used to generate statistics in this manual include MSP fee-for-service payments made to general practitioners, specialists and other health practitioners for insured services provided to MSP registrants. Only services performed in a given fiscal year (April 1st to March 31st) and paid on or before September 30th of the following fiscal year are included. General Data Inclusions Expenditures paid by MSP, including the adjudicated fee schedule amount, retroactive payments, rural retention program payments and tray fees Expenditures paid to physicians for services referred by registered midwives or nurse practitioners Changes under the three Renewed Laboratory Agreements dated in 2010, 2012, 2014 and a continuation of Laboratory Volume Discounting With the implementation of the Laboratory Services Act on October 1, 2015, fee item values are based on the new Fee-For-Service Outpatient Laboratory Services Payment Schedule, and are subject to change by the Minister of Health Fee increases paid up to and including September 30, 2017 for 2012/ /2017 medical services Expenditures for General Practice Services Committee and Specialist Services Committee Initiatives Services associated with the following service codes (i.e., the service counts in this publication will not match those in the MSP Information Resource Manual 2016/2017): o 09 - General Practice Visit Premiums o 19 - No Charge Referral o 49 - Procedural Premiums o 71 - Tray Fees General Data Exclusions Interest on late payment of claims Alternative payments made for contract, salaried, session and other services Payments for services performed out of province

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11 MSP Fee-For-Service Payment Analysis 2012/2013 to 2016/2017 Page 5 Top 50 Fee Items by Expenditure /2017 Medical Rank Expenditure % of Total Cumulative % VISIT IN OFFICE (AGE 2-49) $218,148, % 6.69% VISIT IN OFFICE (AGE 60-69) $101,138, % 9.79% VISIT IN OFFICE (AGE 50-59) $93,274, % 12.65% VISIT IN OFFICE (AGE 70-79) $82,476, % 15.18% VISIT IN OFFICE (AGE 80+) $60,225, % 17.03% ANNUAL COMPLEX CARE MANAGEMENT FEE $56,905, % 18.77% PRIMARY BASE FEE $46,596, % 20.20% CONSULTATION - OPHTHALMOLOGY $39,613, % 21.41% TOMOGRAPHY - BODY SCAN DOUBLE SCAN OR TWO REGIONS $33,780, % 22.45% PSYCHOTHERAPY INDIV. (OFF.,OUT-PATIENT) PER HOUR $31,328, % 23.41% HEMATOLOGY PROFILE $28,993, % 24.30% CONSULTATION - CARDIOLOGY $28,292, % 25.17% COMMUNITY BASED GP: HOSPITAL VISIT $26,213, % 25.97% CONSULTATION, OB&G $26,140, % 26.77% GP ANNUAL CHRONIC CARE INCENTIVE-(DIABETES MELLITU $26,122, % 27.57% CONSULTATION, PAEDIATRICS $25,201, % 28.35% COLONOSCOPY - REMOVAL OF POLYP $22,773, % 29.04% CONSULTATION- GENERAL SURGERY $21,174, % 29.69% PSYCHOTHERAPY INDIV.(HOSP OR INSTITUT) PER 1/2 HR $21,021, % 30.34% CATARACT LINEAR EXTRACTION, CONGENITAL, TRAUMATIC $21,007, % 30.98% PELVIC B SCAN - NON-OBSTETRICAL $20,900, % 31.62% CONSULTATION, INT. MED. $20,422, % 32.25% HOSPITAL VISIT $20,395, % 32.87% GIM - COMPLEX CONSULTATION - 3 MEDICAL CONDITIONS $20,231, % 33.49% PSYCHOTHERAPY INDIV. (OFF.,OUT-PATIENT) PER 1/2 HR $19,956, % 34.11% COMPUTERIZED RETINAL NERVE FIBRE LAYER $19,577, % 34.71% ANAES. INTENSITY/COMPLEXITY LEVEL 5 - PER 15 MINS $18,779, % 35.28% ABDOMINAL B-SCAN $18,493, % 35.85% ECHOCARDIOGRAM-2-D/M MODE $17,821, % 36.40% CONSULTATION, NEUROLOGY $17,716, % 36.94% ORAL OPIOID AGONIST TREATMENT $17,508, % 37.48% INTRAVITREAL INJECTION OF VITREOUS PARACENTESIS $17,101, % 38.00% CONSULTATION - ORTHOPAEDICS $16,953, % 38.52% CONSULTATION - GASTROENTEROLOGY $15,787, % 39.00% PSYCHOTHERAPY INDIV.(HOSP OR INSTITUT) PER 1 HR $15,551, % 39.48% VISIT IN OFFICE (AGE 0-1) $15,432, % 39.95% ANAES. INTENSITY/COMPLEXITY LEVEL 2 - PER 15 MINS $15,317, % 40.42% SURGICAL ASSISTANCE - OPERATIONS OVER $ $14,785, % 40.88% GP ANNUAL CHRONIC CARE INCENTIVE-HYPERTENSION $14,638, % 41.33% CONSULTATION, ANAESTHESIA: $13,291, % 41.73% THYROID STIMULATING HORMONE (TSH) $13,219, % 42.14% CONSULTATION, UROLOGY $12,867, % 42.53% LEVEL II EMERGENCY CARE - NIGHT $12,840, % 42.93% GP UNATTACHED COMPLEX/HIGH NEEDS PATIENT $12,755, % 43.32% ANAES. INTENSITY/COMPLEXITY LEVEL 4 - PER 15 MINS $12,500, % 43.70% CHEST X-RAYS - THORACIC VISCERA $12,410, % 44.08% DELIVERY AND POST-NATAL CARE (1-14 DAYS IN-HOSP) $12,101, % 44.45% URINE COLONY COUNT CULTURE $12,083, % 44.82% CONSULTATION, PSYCHIATRY $11,605, % 45.18% MAJOR TRAY $11,602, % 45.53%

12 MSP Fee-For-Service Payment Analysis 2012/2013 to 2016/2017 Page 6 Top 50 Fee Items by Services /2017 Medical Rank Services % of Total Cumulative % VISIT IN OFFICE (AGE 2-49) 7,012, % 6.91% PRIMARY BASE FEE 3,907, % 10.76% HEMATOLOGY PROFILE 3,436, % 14.15% CREATININE - SERUM/PLASMA 3,053, % 17.16% VISIT IN OFFICE (AGE 60-69) 2,800, % 19.92% VISIT IN OFFICE (AGE 50-59) 2,707, % 22.59% POTASSIUM - SERUM/PLASMA 2,327, % 24.88% SODIUM - SERUM/PLASMA 2,274, % 27.12% VISIT IN OFFICE (AGE 70-79) 2,020, % 29.11% ALANINE AMINOTRANSFERASE (ALT) 1,889, % 30.97% THYROID STIMULATING HORMONE (TSH) 1,736, % 32.69% HEMOGLOBIN, A1C 1,520, % 34.18% GLUCOSE QUANTITATIVE - SERUM/PLASMA 1,456, % 35.62% VISIT IN OFFICE (AGE 80+) 1,283, % 36.88% CHOLESTEROL, TOTAL 1,228, % 38.09% HDL CHOLESTEROL 1,225, % 39.30% TRIGLYCERIDES - SERUM/PLASMA 1,188, % 40.47% FERRITIN, SERUM 1,137, % 41.59% ALKALINE PHOSPHATASE 1,050, % 42.63% GLUTAMYL TRANSPEPTIDASE (GTP) 1,049, % 43.66% URINALYSIS - MACROSCOPIC 1,004, % 44.65% PROTHROMBIN TIME/INR 982, % 45.62% ASPARTATE AMINOTRANSFERASE 902, % 46.51% BILIRUBIN, TOTAL - SERUM/PLASMA 849, % 47.35% ALBUMIN CREATININE RATIO (ACR) 764, % 48.10% ORAL OPIOID AGONIST TREATMENT 753, % 48.85% ALBUMIN, SERUM/PLASMA 750, % 49.59% UREA - SERUM/PLASMA 719, % 50.29% ANESTHESIA FOR CATARACT SURGERY-PER 1 MIN 671, % 50.96% URINALYSIS - SCREENING 668, % 51.61% HOSPITAL VISIT 647, % 52.25% URINE COLONY COUNT CULTURE 616, % 52.86% CALCIUM - TOTAL, SERUM/PLASMA 613, % 53.46% C - REACTIVE PROTEIN 547, % 54.00% E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) 516, % 54.51% MINI TRAY FEE 510, % 55.02% URINALYSIS - MICROSCOPIC 508, % 55.52% GP ATTACHMENT TELEPHONE MANAGEMENT FEE 497, % 56.01% ANAES. INTENSITY/COMPLEXITY LEVEL 5 - PER 15 MINS 487, % 56.49% ANTICOAGULATION THERAPY BY TELEPHONE 474, % 56.96% COMMUNITY BASED GP: HOSPITAL VISIT 474, % 57.42% ECG INTERPRETATION ONLY-(CARDIOLOGY) 469, % 57.89% ANAES. INTENSITY/COMPLEXITY LEVEL 2 - PER 15 MINS 455, % 58.33% VISIT IN OFFICE (AGE 0-1) 449, % 58.78% FECAL IMMUNOCHEMICAL TEST(FIT)-COLLECTION ONLY 432, % 59.20% VITAMIN B12 421, % 59.62% CONSULTATION - OPHTHALMOLOGY 414, % 60.03% FECAL IMMUNOCHEMICAL TEST (FIT)-ANALYSIS ONLY 402, % 60.42% CHLORIDE - SERUM/PLASMA 394, % 60.81% CREATINE KINASE (PHOSPHOKINASE) 392, % 61.20%

13 MSP Fee-For-Service Payment Analysis 2012/2013 to 2016/2017 Page 7 Top 20 Fee Items by Expenditure /2017 Other Health Practitioners Rank Expenditure % of Total Cumulative % FULL OPTOMETRIC DIAGNOSTIC EXAMINATION OF THE EYES $37,396, % 33.02% MIDWIFE PHASE 5 (POST PARTUM CARE) - TOTAL CARE $10,516, % 42.30% MIDWIFE PHASE 4 (L & D) - FIRST CONTACT PRIOR 34 W $9,939, % 51.08% CHIROPRACTIC SERVICE $7,153, % 57.39% RE-EXAMINATION OR MINOR EXAMINATION $6,293, % 62.95% MIDWIFE PHASE 3 (3RD TRIMESTER) - TOTAL CARE $5,166, % 67.51% ACUPUNCTURE SERVICE $5,093, % 72.00% PHYSIOTHERAPY SERVICE $4,061, % 75.59% COMPUTER-ASSISTED QUANTITATIVE VISUAL FIELDS $3,261, % 78.47% MIDWIFE PHASE 1 (1ST TRIMESTER) - TOTAL CARE $2,625, % 80.79% MIDWIFE PHASE 2 (2ND TRIMESTER) - TOTAL CARE $2,586, % 83.07% PODIATRY VISIT $1,592, % 84.48% RE-EXAMINATION OR MINOR EXAMINATION WITH THERAPUET $1,385, % 85.70% FULL OPTOMETRIC EXAMINATION WITH TPA $1,228, % 86.78% MASSAGE THERAPY SERVICE $1,133, % 87.79% OPTOMETRY-EXTENDED DIAGNOSTIC TESTING $1,034, % 88.70% ERUPTED TEETH - EACH ADDITIONAL SURGICAL REMOVAL $997, % 89.58% ERUPTED TEETH - SURGICAL REMOVAL WITH FLAP $572, % 90.09% MANDIBULAR OSTEOTOMIES - BILATERAL - INTRAORAL $560, % 90.58% MIDWIFE PHASE 4 HOME BIRTH: SECOND ATTENDANCE $535, % 91.05%

14 MSP Fee-For-Service Payment Analysis 2012/2013 to 2016/2017 Page 8 Top 20 Fee Items by Services /2017 Other Health Practitioners Rank Services % of Total Cumulative % FULL OPTOMETRIC DIAGNOSTIC EXAMINATION OF THE EYES 805, % 35.22% CHIROPRACTIC SERVICE 311, % 48.82% ACUPUNCTURE SERVICE 221, % 58.50% RE-EXAMINATION OR MINOR EXAMINATION 213, % 67.82% PHYSIOTHERAPY SERVICE 176, % 75.54% COMPUTER-ASSISTED QUANTITATIVE VISUAL FIELDS 102, % 80.01% PODIATRY VISIT 69, % 83.03% MASSAGE THERAPY SERVICE 49, % 85.19% RE-EXAMINATION OR MINOR EXAMINATION WITH THERAPUET 46, % 87.24% OPTOMETRY-EXTENDED DIAGNOSTIC TESTING 44, % 89.20% FULL OPTOMETRIC EXAMINATION WITH TPA 26, % 90.35% REPEAT TONOMETRY 15, % 91.05% MIDWIFE PHASE 5 (POST PARTUM CARE) - TOTAL CARE 10, % 91.49% MIDWIFE PHASE 1 (1ST TRIMESTER) - TOTAL CARE 10, % 91.94% MIDWIFE PHASE 2 (2ND TRIMESTER) - TOTAL CARE 10, % 92.38% MIDWIFE PHASE 3 (3RD TRIMESTER) - TOTAL CARE 10, % 92.82% ERUPTED TEETH - EACH ADDITIONAL SURGICAL REMOVAL 9, % 93.25% MIDWIFE PHASE 4 (L & D) - FIRST CONTACT PRIOR 34 W 9, % 93.68% NATUROPATHY SERVICE 9, % 94.08% PODIATRY - EXCISION GRANULOMA 7, % 94.41%

15 10 - INJECTION, INTRAMUSCULAR $3,024, ,842 $2,999, ,989 $2,685, ,189 $2,534, ,840 $2,648, , INJECTION, INTRAVENOUS $20,394 1,680 $23,037 1,876 $26,110 2,131 $24,670 2,007 $42,604 3, INJECTION, VENEPUNCTURE $218,102 36,929 $226,772 38,267 $205,223 34,510 $189,557 31,577 $200,510 33, INJECTION, INTRA-ARTERIAL $ $1, $1, $ $1, INJECTION, INTRA-ARTICULAR - HIP $49,530 2,028 $49,384 1,996 $46,545 1,881 $43,965 1,757 $43,134 1, INJECTION, INTRA-ARTICULAR - ALL OTHER JOINTS $527,940 32,081 $538,399 32,479 $561,406 33,808 $607,588 36,537 $647,694 38, INJECTION, INTRATHECAL $1, $2, $2, $1, $1, INSERTION OF CENTRAL VENOUS PRESSURE CATHETER $4, $3, $4, $4, $5, BLOOD TRANSFUSION, AUTOLOGOUS ASCITIC INFUSION $195 4 $ $ $235 5 $ VENESECTION FOR POLYCYTHAEMIA OR PHLEBOTOMY $12, $9, $9, $10, $10, BLOOD TRANSFUSION ADMINISTERED OUTSIDE HOSPITAL $120 2 $241 4 $338 9 $ BLOOD TRANSFUSION IN HOSPITAL $330 9 $73 2 $ SERUM TRANSFUSION $ BLOOD TRANSFUSION WITH VEIN DISSECTION $ VEIN DISSECTION FOR I.V. THERAPY $1, $1, $1, $1, $ HYPERBARIC CHAMBER-PHYS IN CHAMBER-1ST 1/2 HR $3, $1, $1, $1, $ HYPERBARIC CHAMBER-PHYS IN CHAMBER- ADDTNL 15 MIN $13, $4, $7, $3, $1, HYPERBARIC CHAMBER-PHYS OUTSIDE CHAMBER-1ST 1/2 HR $167,214 3,152 $185,096 3,467 $181,636 3,389 $192,315 3,579 $180,980 3, HYPERBARIC CHAMBER-PHYS OUTSIDE CHAMBER-ADD 15 MIN $617,354 21,923 $683,012 24,103 $674,511 23,709 $711,629 24,950 $670,427 23, SKIN TESTS-DIAGNOSTIC $3, $3, $4, $5, $4, SMALLPOX-VACCINATION $78 9 $ $ $ $ INJECTION SUBCUTANEOUS $1,371, ,645 $1,346, ,573 $1,379, ,348 $1,420, ,726 $1,589, , ORAL OPIOID AGONIST TREATMENT $12,886, ,441 $13,755, ,090 $14,754, ,054 $15,770, ,128 $17,508, , GAVAGE STOMACH $2, $2, $1, $1, $2, ULTRASOUND, TREATMENT $ $ $ $ $ MILEAGE $ $ $11 4 $ $ ANTICOAGULATION THERAPY BY TELEPHONE $4,108, ,519 $4,018, ,282 $3,762, ,678 $3,593, ,128 $3,310, , MINI TRAY FEE $2,684, ,266 $2,716, ,256 $2,756, ,919 $2,803, ,809 $2,631, , HYPERBARIC CHAMBER - ADDITIONAL CHARGE PER HOUR $1, $ $ $230 8 $ EYE BANK SERVICES $84, $79, $73, $71, $65, CORNEAL TISSUE PROCESSING $204, $194, $219, $186, $205, ADOPTION-EXAMINATION $75, $78,831 1,006 $85,881 1,088 $81,072 1,021 $62, ADOPTION-SUBSEQUENT EXAM $ $1, $1, $ $1, MENTAL ILL-HEALTH-INVESTIGATION $26, $34, $33, $34, $69, MENTAL ILL-HEALTH-DOCUMENTATION $611,307 20,501 $724,860 24,158 $799,795 26,548 $963,892 31,898 $1,606,535 35, MENTAL ILL-HEALTH - VOLUNTARY COMMITTAL $57,988 1,958 $89,220 2,994 $113,916 3,805 $178,460 5,938 $330,784 7, MINOR TRAY $921,740 91,837 $970,289 96,171 $1,018, ,567 $1,048, ,289 $1,087, , EMERGENCY BEDSIDE CARE $635,424 5,962 $668,277 6,200 $722,206 6,700 $779,109 7,250 $820,091 7, CRITICAL CARE MONITORING $367,122 5,704 $390,879 5,999 $429,131 6,568 $432,556 6,584 $449,815 6, CRISIS INTERVENTION $98, $104, $152,492 1,446 $166,809 1,570 $150,287 1, ACCOMPANYING PATIENTS $201, $165, $197, $139, $158, MAJOR TRAY $9,640, ,575 $10,098, ,942 $10,743, ,646 $11,238, ,240 $11,603, , YAG LASER TRAY SERVICE FEE $1,034,986 16,466 $1,210,286 19,162 $1,193,424 18,827 $1,322,244 20,803 $1,500,587 23, GENERAL SERVICES: NON INVASIVE TEST, PROCEDURES $464 4 $ $966 9 $52 1 $ VISIT IN OFFICE (AGE 2-49) $226,608,059 7,454,522 $223,805,737 7,315,637 $217,641,707 7,088,941 $217,018,010 7,054,811 $218,318,631 7,017, COMPLETE EXAMINATION IN OFFICE (AGE 2-49) $13,051, ,042 $12,274, ,421 $11,802, ,765 $10,857, ,935 $9,727, , HOME VISIT(SERVICE RENDERED BETWEEN HRS) $4,130,489 36,366 $4,352,279 38,144 $4,356,516 38,066 $4,651,391 40,619 $5,199,977 44, ON CALL, ON SITE HOSPITAL VISIT - NIGHT $771,063 9,838 $746,451 9,514 $788,443 10,014 $728,793 9,265 $670,828 8,580-9-

16 108 - HOSPITAL VISIT $18,496, ,665 $18,528, ,941 $18,814, ,671 $19,637, ,876 $20,395, , ACUTE CARE HOSPITAL ADMISSION VISIT $6,177,349 74,813 $6,569,100 79,054 $6,676,312 80,134 $6,857,427 82,665 $6,942,563 83, CONSULTATION IN OFFICE: AGE 2-49 $2,931,336 39,180 $3,108,601 41,328 $3,103,098 41,161 $3,304,541 43,919 $3,507,833 46, VISIT, EMERGENCY HOME $17, $13, $10, $11, $12, VISIT, EMERGENCY $4,717,573 38,419 $4,849,418 39,085 $4,532,590 36,505 $4,237,348 34,127 $4,246,528 33, ON CALL, ON SITE HOSPITAL VISIT - EVENING $1,229,874 21,753 $1,195,985 21,090 $1,133,184 19,971 $1,064,553 18,861 $916,820 16, VISIT NURSING HOME ONE OR MULTIPLE PATIENTS $6,659, ,084 $7,309, ,179 $8,189, ,077 $8,893, ,804 $9,374, , NURSING HOME VISIT - 1 PATIENT WHEN SPECIALLY CALL $3,388,169 29,972 $3,451,365 30,319 $3,465,998 30,313 $3,249,331 28,372 $3,344,732 28, CONSULTATION, SPECIAL IN-HOSPITAL $2,207,842 14,196 $2,093,232 13,364 $2,522,318 16,058 $2,810,487 17,847 $3,190,953 20, ECG INTERPRETATION ONLY G.P. $325,533 31,202 $344,928 32,211 $353,440 32,664 $313,637 28,682 $296,635 26, CAESAREAN SECTION-ATTENDANCE $158,942 1,695 $115,816 1,187 $96, $80, $79, NEWBORN CARE, ROUTINE, IN HOSPITAL $1,853,151 20,369 $1,758,439 19,177 $1,755,394 19,098 $1,781,329 19,381 $1,776,993 19, INDIVIDUAL COUNSELLING IN OFFICE (AGE 2-49) $16,891, ,640 $16,686, ,404 $15,353, ,429 $13,001, ,008 $11,480, , GROUP COUNSELLING-FIRST FULL HOUR $139,181 1,588 $134,456 1,533 $127,782 1,442 $119,585 1,361 $138,571 1, GROUP COUNSELLING-2ND HOUR/PER HALF OR MAJOR PART $18, $16, $8, $14, $23, ON CALL, ON SITE HOSPITAL VISIT - SAT, SUN OR HOLS $1,373,092 24,583 $1,238,642 22,065 $1,132,949 20,099 $1,083,339 19,281 $933,766 16, TERMINAL CARE FACILITY VISIT $2,545,753 61,902 $3,729,372 71,625 $3,857,608 73,865 $4,472,206 85,760 $5,347, , SUPPORTIVE CARE HOSPITAL VISIT $908,244 33,812 $853,978 31,986 $918,150 34,330 $915,197 34,363 $950,561 35, CHIROPRACTIC SERVICE $7,754, ,148 $7,531, ,470 $7,350, ,588 $7,147, ,756 $7,153, , ACUPUNCTURE SERVICE $5,343, ,315 $5,499, ,141 $5,516, ,847 $5,596, ,341 $5,093, , NATUROPATHY SERVICE $232,573 10,112 $224,733 9,775 $231,769 10,083 $210,354 9,146 $214,536 9, PODIATRISTS' SERVICE - SURGICAL CONSULTATION $78,349 2,125 $67,509 1,831 $68,615 1,861 $62,642 1,699 $64,541 1, PODIATRY NON REFERRED PRE-OPERATIVE ASSESSMENT $168,299 6,208 $171,308 6,319 $156,614 5,777 $147,750 5,450 $152,928 5, PODIATRY - DISLOCATIONS - TOES $3, $3, $4, $4, $4, PODIATRY - DISLOCATIONS -M.P. JOINTS $1, $1, $ $ $ PODIATRY - FRACTURES - TOES $3, $2, $2, $3, $3, PODIATRY - FRACTURES- METATARSAL $7, $6, $6, $7, $7, PODIATRY - EXCISION GRANULOMA $377,542 6,660 $398,404 7,007 $441,444 7,843 $442,698 7,956 $416,544 7, PODIATRY - CLAVUS (HELOMATA) SURGICAL $116,099 1,197 $78, $89, $82, $88, PODIATRY - NAILS - PERM. PARTIAL PLATE AND MATRIX $282,649 2,976 $300,836 3,187 $318,912 3,359 $331,669 3,496 $332,202 3, PODIATRY - NAILS-COMPLETE NAIL AND MATRIX REMOVAL $116,287 1,002 $111, $110, $90, $97, PODIATRY - VERRUCA - SURGICAL EXCISION $63, $81, $76, $88, $81, PODIATRY - REMOVAL OF FOREIGN BODY UNDER LOCAL $3, $3, $4, $3, $2, PODIATRY - REM OF FOREIGN BODY-OPEN EXPLORATION $7, $8, $5, $7, $5, NAILS - PERMANENT PARTIAL MATRIXECTOMY $231,687 1,898 $247,173 2,039 $245,651 2,026 $221,877 1,801 $249,795 2, PODIATRY VISIT $1,936,574 84,210 $1,862,103 80,973 $1,738,881 75,617 $1,644,121 71,499 $1,592,831 69, ELECTROSURG./CRYOTHERAPY FOR REMOVAL OF WARTS ETC. $5,798, ,653 $5,803, ,108 $5,808, ,502 $5,787, ,766 $5,767, , NON-CVT CERT. SURGICAL OPEN HEART SURGERY $2,730,781 97,730 $2,685,205 95,466 $2,894, ,551 $3,037, ,894 $2,834,530 98, SURGICAL ASSIST-LESS THAN $ INCLUSIVE $1,415,871 10,539 $1,503,374 11,137 $1,634,421 12,101 $1,621,781 12,064 $1,655,274 12, SURGICAL ASSIST $ TO INCLUSIVE $7,356,976 38,963 $7,658,506 40,371 $7,863,772 41,308 $8,066,450 42,565 $8,429,135 44, SURGICAL ASSISTANCE - OPERATIONS OVER $ $12,583,965 51,239 $12,700,890 51,408 $13,133,364 52,964 $13,544,910 54,293 $14,785,884 58, SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $1,010,956 36,336 $1,159,039 41,409 $1,120,699 39,800 $1,187,238 42,324 $1,304,009 46, GENERAL PRACTICE - MISC. AND OTHER VISITS $436,129 3,655 $517,091 4,161 $501,262 4,122 $489,880 4,322 $626,943 4, DIRECTIVE CARE - DERMATOLOGY $81 3 $81 3 $27 1 $109 4 $ EMERGENCY VISIT - DERMATOLOGY $5, $4, $5, $2, $4, EXAMINATION SYSTEMIC DISEASES DERMATOLOGICAL $15, $27, $35, $32, $25, VISIT, OFFICE, DERMATOLOGY $2,607,323 96,406 $2,508,312 92,698 $2,439,912 90,086 $2,414,211 89,233 $2,383,173 87, VISIT, HOSPITAL, DERMATOLOGY $4, $5, $5, $5, $2,

17 209 - VISIT, HOME DERMATOLOGY $ $206 4 $362 7 $ CONSULTATION, DERMATOLOGY $8,561, ,820 $8,508, ,016 $8,546, ,420 $8,350, ,022 $8,826, , CONSULTATION, DERMATOLOGY - REPEAT/LIMITED $396,938 9,329 $348,430 8,189 $336,315 7,882 $326,703 7,579 $343,578 7, SKIN DISORDERS/LESIONS - SPECIAL THERAPY $897,367 74,483 $895,743 74,317 $935,378 77,451 $896,219 74,461 $930,707 77, CURETTAGE AND ELECTROSURGERY OF SKIN CARCINOMA $234,177 4,032 $222,833 3,843 $207,997 3,609 $188,137 3,261 $183,963 3, CURETTAGE SKIN CARCINOMA, ADDITIONAL LESION $24, $22, $21, $20, $17, PSORALEN ULTRA VIOLET A TREATMENT - WHOLE BODY $8, $7, $6, $4, $1, PSORALEN ULTRA VIOLET A TREATMENT - PARTIAL BODY $27,856 1,397 $32,001 1,604 $30,114 1,504 $32,421 1,624 $28,525 1, ULTRA VIOLET B TREATMENT, WHOLE OR PARTIAL BODY $2,201, ,322 $2,316, ,790 $2,402, ,551 $2,721, ,888 $3,049, , MOH'S TECHNIQUE-INITIAL CUT $594,314 1,740 $599,462 1,755 $663,796 1,935 $692,504 2,027 $744,324 2, MOH'S TECHNIQUE-ADDITIONAL CUTS $507,087 1,714 $513,321 1,735 $562,397 1,893 $584,432 1,974 $626,957 2, MOH'S TECHNIQUE-TECHNICAL COMPONENT $554,173 1,740 $558,654 1,754 $617,902 1,932 $646,684 2,029 $693,092 2, PHOTO EPILATION OF FACIAL HAIR - PER 1/4 HR $84 3 $ PULSED LASER- FACE/NECK: < 50CM2 $16, $17, $16, $13, $14, PULSED LASER - FACE/NECK > 50CM2 OR EYE SHIELDS $26, $24, $33, $32, $30, ADDITIONAL FEE FOR PULSED LASER - UNDER GA $3, $6, $5, $5, $4, BIOPSY SKIN - PODIATRY $ $ $ $ $ PODIATRY - PRIMARY REPAIR OF SOFT-TISSUE WOUND $1, $3, $3, $3, $4, PODIATRY - OSTEOTOMY-CUTTING A TRANSECTION OF BONE $5, $7, $6, $6, $7, PODIATRY - REMODELING - METATARSAL HEAD $16, $19, $22, $21, $15, PODIATRY - REMODELING - PHALANGEAL HEAD $50, $49, $46, $41, $35, PODIATRY - PRIMARY FIXATION (INTERNAL) $1, $3, $1, $2, $1, PODIATRY-INCISION AND DRAINAGE SUPERFICIAL ABSCESS $48,459 2,881 $56,197 3,388 $72,537 4,332 $67,289 4,087 $64,854 4, PODIATRY - EXCISION, REMOVAL OF BENIGN TUMOR $11, $14, $15, $14, $13, PODIATRY - TENODESIS $3, $3, $4, $4, $4, PODIATRY - TENDON LENGTHENING $5, $5, $6, $7, $8, PODIATRY - SOFT TISSUE ONLY $1, $2, $3, $2, $2, PODIATRY - ARTHROPLASTY (METATARSO-PHALANGEAL) $4, $2, $3, $2, $1, PODIATRY - ARTHRODESIS $4, $4, $6, $5, $5, PODIATRISTS' SERVICE - HALLUX VALGUS - SIMPLE $27, $22, $27, $25, $19, PODIATRISTS' SERVICE - HALLUX VALGUS - OSTEOTOMY $54, $44, $45, $45, $45, PODIATRY - HALLUX VALGUS - EXCISION OF NEUROMA $6, $6, $6, $6, $6, PODIATRY -HALLUX VALGUS -SURG OR PLANTAR KERATOSIS $ $301 4 $688 9 $ $ PODIATRY - HALLUX VALGUS - SESMOIDECTOMY $1, $1, $1, $1, $ PODIATRISTS' SERVICE - HALLUX VALGUS - EXOSTOSIS $ $275 5 $ $ $ PODIATRY - SURGICAL ASSISTANT FEE $17, $13, $11, $7, $10, OSTEOPATHY-FOR AN INITIAL OFFICE VISIT (AGE 0-69) $75,570 1,798 $73,582 1,742 $64,163 1,519 $65,993 1,540 $57,218 1, OSTEOPATHY - SUBSEQUENT OFFICE VISIT, MANIPULATION $142,550 4,321 $167,076 5,040 $177,485 5,354 $158,674 4,718 $137,368 4, OSTEOPATHIC CONSULTATION, IN OR OUT OF OFFICE $22, $105,834 1,152 $146,992 1,600 $112,937 1,212 $71, OSTEO-INITIAL OFFICE VISIT PATIENT AGE 70+ $17, $15, $14, $17, $17, OSTEO-SUBSEQUENT OFFICE VISIT PATIENT AGE 70+ $32, $41,533 1,002 $42,279 1,020 $38, $38, OSTEOPATHIC CONSULTATION (IN OR OUT) 70+ $3, $7, $17, $16, $13, OSTEO PROLONGD VISIT/OR COUNSELING CMPLX CASE 0-69 $9, $9, $14, $30, $90,384 1, OSTEO PROLONGD VIST/OR COUNSELING COMPLEX CASE 70+ $1, $2, $1, $4, $12, OSTEOPATHIC COMPLEX CARE MANAGEMENT FEE $2, $8, $14, $41, $154,093 1, PODIATRY, MISCELLANEOUS SURGICAL FEE $6, $3, $4, $3, $2, DERMATOLOGY MISC. $ EMERGENCY VISIT - GENERAL INTERNAL MEDICINE $189,864 1,663 $204,508 1,798 $220,012 1,913 $255,884 2,254 $236,006 2,

18 306 - DIRECTIVE CARE, INTERNAL MEDICINE $1,265,019 27,009 $1,259,700 26,893 $1,129,967 23,972 $1,121,907 23,871 $923,310 19, VISIT, OFFICE, INT. MED. $5,802, ,304 $6,513, ,198 $6,855, ,396 $5,814, ,741 $4,896,264 96, VISIT, HOSPITAL, INT. MED. $3,199, ,512 $3,214, ,098 $2,993, ,811 $2,749,562 95,654 $2,681,999 92, VISIT, HOME, INT. MED. $4, $6, $2, $ $ CONSULTATION, INT. MED. $18,993, ,459 $20,639, ,878 $20,945, ,054 $21,277, ,496 $20,422, , GIM - COMPLEX CONSULTATION - 3 MEDICAL CONDITIONS $13,581,183 42,020 $15,670,404 50,285 $17,707,662 58,007 $17,233,012 67,120 $20,231,954 76, CONSULTATION, LIMITED, INT. MED. $2,610,465 32,230 $2,448,158 30,234 $2,554,099 31,336 $2,508,224 30,915 $2,472,867 30, COUNSELLING GROUP - INTERNAL MED - 1ST FULL HOUR $775 7 $2, $3, $5, $6, INTERNAL MEDICINE PROLONGED VISIT FOR COUNSELLING $533,435 9,731 $526,665 9,673 $539,019 9,846 $475,726 8,721 $450,892 8, COUNSELLING GROUP -INTERNAL MED -2ND HR PER 1/2 HR $166 3 $56 1 $166 3 $352 6 $ CENTRAL CATHETER INSERTION - TPN $16, $13, $12, $11, $12, CARDIOANGIOGRAM INTERNIST PART $ CARDIAC SCREENING $18 4 $9 2 $9 2 $ $1, CARDIAC SCREENING- PROFESSIONAL FEE $0 0 $ CARDIAC SCREENING-TECHNICAL FEE $12 5 $9 4 $2 1 $7 3 $ INTERNAL MEDICINE - MISCELLANEOUS FEE ITEM. $10, $10, $8, $12, $19, EMERGENCY VISIT - NEUROLOGY $7, $6, $7, $7, $6, DIRECTIVE CARE, NEUROLOGY $133,410 3,456 $176,136 4,537 $173,932 4,448 $181,748 4,086 $285,971 4, VISIT, OFFICE, NEUROLOGY $1,038,643 24,296 $1,043,039 24,263 $1,088,466 25,228 $1,185,533 27,594 $1,587,567 29, VISIT, HOSPITAL, NEUROLOGY $314,695 8,076 $343,014 8,746 $331,000 8,425 $380,063 8,513 $498,951 7, VISIT, HOME, NEUROLOGY $200 5 $121 3 $242 6 $121 3 $ CONSULTATION, NEUROLOGY $16,861,879 88,172 $17,901,724 93,133 $17,911,336 93,652 $17,244,160 98,685 $17,716, , CONSULTATION, LIMITED, NEUROLOGY $997,799 11,694 $1,072,969 12,512 $1,044,521 12,130 $1,081,355 12,596 $1,064,051 12, ELECTROENCEPHALOGRAM - TECHNICAL FEE $90,736 1,183 $125,527 1,627 $120,469 1,556 $131,193 1,700 $128,424 1, ELECTROENCEPHALOGRAM AND INTERPRETATION $1,179,374 9,351 $1,180,736 9,310 $1,154,473 9,599 $1,250,587 9,904 $1,402,347 11, ELECTROENCEPHALOGRAM INTERPRETATION NEUROLOGIST $57,338 1,181 $79,415 1,627 $65,506 1,553 $82,106 1,701 $79,891 1, ELECTROCORTICOGRAPHY $1,128 5 $450 2 $2, ELECTROCLINICAL DETAILED INTERPRETATION OF SEIZURE $1,589 4 $18, $28, $42, $43, SHORT STUDY OF ELECTROCLINICAL INTERP. OF SEIZURES $1,227 6 $8, $7, $9, $12, ELECTROCORTICOGRAPHY IN AWAKE CRANIOTOMY $485 1 $485 1 $1,457 3 $3, BOTULINUM TOXIN INJECTIONS $830,093 7,382 $916,663 8,104 $985,899 8,678 $1,029,875 9,085 $1,028,607 9, ELECTROENCEPHALOGRAM - SLEEP ONLY $245,193 1,569 $290,188 1,843 $257,328 1,636 $237,301 1,511 $290,622 1, ELECTROENCEPHALOGRAM - SLEEP ONLY - INTERPRETATION $24, $31, $31, $45,262 1,084 $36, ELECTROENCEPHALOGRAM - SLEEP ONLY - TECHNICAL FEE $71, $87, $84, $122,422 1,082 $98, FACE TO FACE ACVS CONSULTATION - NEUROLOGY $895,891 4,559 $1,028,871 5,207 $1,141,204 5,753 $1,275,015 6,451 $1,233,617 6, FACE TO FACE F/U NEUROLOGICAL CLIN (WITHOUT TPA) $321,246 3,283 $402,072 4,088 $479,585 4,859 $577,582 5,873 $596,476 6, FACE TO FACE F/U NEUROLOGICAL CLINICAL (WITH TPA) $78, $57, $76, $80, $107,635 1, FACE TO FACE FOLLOW UP ACVS RELAPSE INTERVENTION $162,516 2,079 $173,633 2,208 $200,811 2,545 $212,869 2,707 $147,540 1, NEUROLOGY COMPLEX CARE-EXTEND CONSULT-PER 15 MIN $850,521 14,899 $936,102 16,326 $1,052,864 18,285 $1,224,275 21,314 $1,252,592 21, NEUROLOGY COMPLEX CARE - EXT VISIT - PER 15 MIN $170,209 4,735 $204,901 5,671 $302,001 8,328 $426,902 11,794 $461,808 12, NEUROLOGY EXT CONSULT - TRANSFER OF CARE FROM PEDS $37, $173, $417,777 1,087 $261, $37, NEUROLOGICLA INTERP + WRITTEN REPORT OF X-RAY SUB $8, $13, $14, $19, $21, ACUTE STROKE INTRA-ARTERIAL THROMBOLYSIS $1,048 1 $7,336 7 $8,421 8 $2, NEURLOLGY OUTPATIENT TRANSCRANIAL DOPPLER ULTRA SO $2, $1, $2, $1, $1, NEUROLOGY OUTPAT TRANS DOPPLER ULTRA SOUND -PROLON $117 4 $147 5 $88 3 $ TELEHEALTH CONSULTATION, NEUROLOGY $379 2 $13, $37, $44, $48, TELEHEALTH REPEAT / LIMITED CONSULTATION NEUROLOGY $85 1 $1, $3, $6, $6, TELEHEALTH DIRECTIVE CARE, NEUROLOGY $39 1 $116 3 $ $ $

19 477 - TELEHEALTH SUBSEQUENT OFFICE VISIT, NERUOLOGY $299 7 $343 8 $1, $2, TELEHEALTH SUBSEQUENT HOSPITAL VISIT, NEUROLOGY $78 2 $ DMT (DISEASE MODIFYING TREATMENT) MANAGEMENT $203,275 1,341 $318,095 2,104 $322,865 2, FACE TO FACE ASSESSMENT FOR MS-1ST FULL HALF HOUR $12, $64, $57, FACE TO FACE ASSESSMENT FOR MS-EACH ADD'L 1/2 HOUR $5, $18, $16, DETAILED COGNITIVE ASSESSMENT BY BEHAVIORAL NEUROL $3, $41, $47, DETAILED COGNITIVE ASSESSMENT $9, $145,899 2,905 $162,726 3, NEUROLOGY MISC. FEE $ EMERGENCY VISIT - PEDIATRICS $100, $94, $97, $130,496 1,058 $124, DIRECTIVE CARE, PAEDIATRICS $263,208 3,801 $282,830 4,054 $291,316 4,164 $341,498 4,341 $339,582 3, VISIT, OFFICE, PAEDIATRICS $5,264,502 75,013 $5,269,616 74,663 $4,532,431 65,656 $3,687,674 55,505 $3,057,501 45, VISIT, HOSPITAL, PAEDIATRICS $4,239,577 60,863 $3,992,300 57,014 $3,827,276 54,437 $4,121,348 52,135 $5,231,736 54, VISIT, HOME, PAEDIATRICS $1, $ $1, $2, $4, CONSULTATION, PAEDIATRICS $24,753, ,591 $25,583, ,792 $25,452, ,679 $25,096, ,682 $25,201, , CONSULTATION FOR COMPLEX CONDITION - CHILD $4,518,024 9,911 $5,032,626 10,996 $4,912,179 10,951 $5,116,973 12,227 $5,454,028 12, CONSULTATION, LIMITED, PAEDIATRICS $753,023 6,825 $720,544 6,498 $604,751 5,578 $507,888 5,020 $481,836 4, GROUP COUNSELLING- PAEDIATRICS $733 6 $613 5 $603 5 $2, $2, VISIT, PROLONGED, PAEDIATRICS COUNSELLING $521,902 6,146 $528,094 6,209 $368,401 4,432 $397,288 4,538 $513,237 5, GROUP COUNSELLING - PAEDIATRICS $239 4 $126 2 $60 1 $1, $ EXCHANGE TRANSFUSION - PROCEDURAL FEE $894 2 $1,928 4 $940 2 $1,770 4 $ INSERTION OF INTRA-ARTERIAL INFUSION LINE, INFANTS $3, $3, $3, $3, $7, INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $48, $40, $32, $31, $33, ECG AND INTERPRETATION OFFICE (PAED.) $2, $3, $2, $3, $1, ECG AND INTERPRETATION HOME (PAED.) $93 2 $ ECG, INTERPRETATION ONLY, (PAED.) $98,689 8,421 $114,432 9,711 $112,327 9,501 $125,394 10,563 $127,451 10, GRADED EXERCISE TEST, PAED. - TECHNICAL FEE $15, $18, $17, $22, $23, GRADED EXERCISE TEST, PAED. - TOTAL FEE $1, $1, $1, $2, $3, ECG AND INTERPRETATION CHILDREN (UNDER 2 YEARS) $6, $5, $5, $7, $6, ECG - PROFESSIONAL FEE (UNDER 2 YEARS) $19,032 1,485 $19,173 1,487 $15,579 1,204 $19,171 1,479 $18,258 1, ECG - TECHNICAL FEE (UNDER 2 YEARS) $62,427 1,492 $66,514 1,581 $59,064 1,399 $69,899 1,651 $64,890 1, GRADED EXERCISE TEST, PAED - PROFESSIONAL FEE $21, $25, $22, $30, $31, RECTAL SUCTION BIOPSY $609 6 $612 6 $307 3 $769 8 $ HOUR INTRA-ESOPHAGEAL PH STUDY IN CHILDREN $234 1 $1,413 6 $3, $711 3 $ PEDIATRIC URETHRAL 0-4 YEARS - ISOLATED PROCEDURE $1, $ $ $ $ PEDIATRIC CASE CONFERENCE $76,783 1,635 $77,284 1,636 $69,969 1,472 $107,507 1,791 $149,088 2, CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 52 MINUTES $2,849,549 9,579 $3,236,502 10,837 $3,486,212 11,882 $3,808,973 13,272 $3,890,420 13, CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 68 MINUTES $1,502,791 4,075 $1,669,211 4,501 $1,772,608 4,897 $1,872,803 5,330 $2,212,842 6, PEDIATRIC COMPLEX SUBSEQUENT OFFICE VISIT >12 MINS $641,145 7,911 $1,248,260 15,387 $1,481,943 18, VISIT, OFFICE-PEDIATRICS-EXTENDED-> 23 MINUTES $3,642,383 28,663 $4,413,417 34,558 $5,253,583 39,054 $5,785,657 41,001 $6,303,280 44, VISIT, OFFICE-PEDIATRICS-EXTENDED-> 38 MINUTES $1,871,906 10,138 $2,179,477 11,706 $3,597,184 18,397 $4,450,019 22,110 $5,374,000 26, LUMBAR PUNCTURE IN A PATIENT 12 YEARS AND YOUNGER $19, $22, $23, $22, $28, PEDIATRIC ESOPHAGOGASTRODUODENOSCOPY YEARS $68, $58, $94, $102, $52, PEDIATRIC COLONOSCOPY-FLEX COLONOSCOPE 0-16 YEARS $60, $46, $69, $63, $51, CANCER CHEMOTHERAPY-HIGH INTENSITY PATIENTS 0-16YR $35, $44, $51, $54, $54, CANCER CHEMOTHERAPY-MAJOR INTENSITY PATIENTS 0-16 $139, $154, $145, $155, $155, CANCER CHEMOTHERAPY-LIMITED INTENSITY 0-16 YEARS $77, $76, $69, $89, $92, DIABETIC KETOACIDOSIS(DKA)-1ST DAY MANAGEMENT $11, $44, $59, ANTENATAL CONSULTATION-PEDIATRICS $10, $39, $38,

20 597 - ANTENATAL FOLLOW-UP VISIT-PEDIATRICS $185 5 $109 3 $ PAEDIATRICS - MISC. $12, $10, $9, $11, $4, EMERGENCY VISIT - PSYCHIATRY $26, $88, $112, $109, $95, VISIT, OFFICE, PSYCHIATRY $794,645 16,609 $885,851 18,289 $748,952 15,517 $691,199 14,404 $766,484 14, VISIT, HOSPITAL, PSYCHIATRY $3,423,067 61,659 $3,474,561 62,571 $3,294,036 61,305 $3,247,464 61,302 $3,240,260 60, VISIT, HOME, PSYCHIATRY $123,327 1,679 $132,782 1,809 $109,889 1,526 $65, $72,404 1, CONSULTATION, PSYCHIATRY $10,802,890 47,762 $11,524,459 50,483 $11,350,820 50,688 $11,590,856 51,384 $11,605,839 48, CONSULTATION, EXTENDED ADULT CONSULT > 68 MINS $250, $2,506,644 8, GERIATRIC CONSULTATION (AGE 75 YEARS OR OLDER) $3,777,127 12,182 $3,897,634 12,435 $4,442,133 13,108 $4,748,889 13,777 $4,782,453 13, REPEAT GERIATRIC CONSULTATION $98, $112, $114, $125, $122, HOSPITAL/INSTITUTION INPATIENT OR HOME VISIT $11,173,031 45,897 $10,450,107 42,910 $10,661,483 44,607 $10,929,876 46,274 $10,242,033 43, EMOTIONALLY DISTURBED CHILD - CONSULTATION $3,294,070 8,502 $3,187,333 8,159 $3,130,983 8,168 $3,549,169 9,025 $5,328,365 12, EMOTIONALLY DISTURBED FAMILY - CONSULTATION $104, $115, $114, $72, $72, CLINICAL EVALUATION/INTERVIEW OF FAMILY-PER 15 MIN $1,796,873 20,651 $2,053,694 23,639 $1,921,235 37,853 $2,297,712 54,420 $2,749,578 64, REPEAT CONSULTATION - PSYCHIATRY $456,469 4,066 $431,326 3,856 $418,689 3,813 $411,648 3,800 $500,793 3, EMOTIONALLY DISTURBED CHILD - REPEAT CONSULTATION $60, $59, $58, $74, $124, EMOTIONALLY DISTURBED FAMILY - REPEAT CONSULTATION $4, $5, $4, $4, $5, PSYCHOTHERAPY INDIV. (OFF.,OUT-PATIENT) PER 1/2 HR $16,549, ,652 $17,566, ,119 $18,315, ,558 $18,672, ,510 $19,956, , PSYCHOTHERAPY INDIV. (OFF.,OUT-PATIENT) PER 3/4 HR $6,921,051 51,672 $7,328,261 53,944 $7,414,289 55,160 $7,531,003 56,423 $8,493,228 58, PSYCHOTHERAPY INDIV. (OFF.,OUT-PATIENT) PER HOUR $33,221, ,208 $33,504, ,991 $33,102, ,609 $32,022, ,068 $31,328, , PSYCHOTHERAPY FAMILY PER 1/2 HR $911,280 9,079 $986,472 9,822 $1,069,498 10,863 $1,233,382 12,685 $1,385,172 13, PSYCHOTHERAPY FAMILY PER 3/4 HR $743,394 5,303 $781,303 5,568 $775,158 5,633 $696,236 5,132 $726,624 5, PSYCHOTHERAPY FAMILY PER HOUR $4,373,119 24,281 $4,291,457 23,877 $4,214,288 23,905 $4,003,940 23,001 $3,831,759 21, PSYCHOTHERAPY FAMILY PER 1 1/4 HR $52, $51, $67, $55, $88, PSYCOTHERAPY FAMILY PER 1 1/2 HR $150, $172, $206, $217, $215, ELECTROCONVULSIVE THERAPY $937,530 11,178 $930,182 11,089 $990,513 12,030 $1,037,763 12,765 $1,133,097 13, PATIENT MANGMNT CONFER. - 3RD PARTIES, PER 1/4 HR $1,564,310 32,749 $1,742,495 36,457 $2,062,925 44,109 $2,465,547 53,513 $2,813,247 60, PSYCHOTHERAPY INDIV.(HOSP OR INSTITUT) PER 1/2 HR $17,189, ,546 $19,512, ,405 $20,069, ,391 $20,455, ,979 $21,021, , PSYCHOTHERAPY INDIV.(HOSP OR INSTITUT) PER 3/4 HR $4,402,925 28,399 $4,863,166 31,395 $5,531,593 37,070 $5,508,567 37,665 $6,013,808 41, PSYCHOTHERAPY INDIV.(HOSP OR INSTITUT) PER 1 HR $11,524,802 58,000 $13,197,894 66,570 $13,929,948 72,806 $14,524,836 77,275 $15,551,898 83, GROUP PSYCHOTHERAPY - THREE PATIENTS - PER PATIENT $147,508 4,555 $166,723 5,100 $155,595 4,834 $175,157 5,517 $156,236 4, GROUP PSYCHOTHERAPY - FOUR PATIENTS - PER PATIENT $176,460 6,742 $173,988 6,572 $208,704 8,037 $192,756 7,527 $152,671 5, GROUP PSYCHOTHERAPY - FIVE PATIENTS - PER PATIENT $185,988 8,273 $178,241 7,849 $212,043 9,524 $211,510 9,601 $175,675 7, GROUP PSYCHOTHERAPY - SIX PATIENTS - PER PATIENT $179,091 8,946 $182,757 9,019 $201,705 10,150 $228,729 11,642 $169,704 8, GROUP PSYCHOTHERAPY - SEVEN PATIENTS - PER PATIENT $180,106 9,873 $179,161 9,605 $225,219 12,356 $227,368 12,633 $163,749 9, GROUP PSYCHOTHERAPY - EIGHT PATIENTS - PER PATIENT $132,882 7,856 $153,990 8,991 $142,852 8,486 $172,410 10,351 $140,323 8, GROUP PSYCHOTHERAPY - NINE PATIENTS - PER PATIENT $93,625 5,892 $97,707 6,067 $92,678 5,875 $115,058 7,362 $119,628 7, GROUP PSYCHOTHERAPY - TEN PATIENTS - PER PATIENT $82,481 5,491 $76,088 5,010 $79,783 5,333 $73,533 4,983 $92,493 6, GROUP PHYCHOTHERAPY-11 PATIENTS-PER PATIENT $54,073 4,110 $51,201 3,850 $47,403 3,624 $37,048 2,858 $38,246 2, GROUP PSHCHOTHERAPY-12 PATIENTS-PER PATIENT $33,919 2,742 $30,420 2,436 $34,478 2,796 $25,222 2,070 $16,895 1, GROUP PSYCHOTHERAPY-13 PATIENTS-PER PATIENT $11, $29,786 2,576 $22,132 1,950 $14,445 1,289 $5, GROUP PSYCHOTHERAPY-14 PATIENTS-PER PATIENT $10, $15,165 1,326 $19,120 1,711 $11,270 1,024 $2, GROUP PSYCHOTHERAPY-15 PATIENTS-PER PATIENT $7, $16,622 1,516 $12,270 1,147 $3, $2, GROUP PSYCHOTHERAPY-16 PATIENTS-PER PATIENT $3, $9, $11,859 1,143 $3, $ GROUP PSYCHOTHERAPY-17 PATIENTS-PER PATIENT $1, $8, $4, $2, $ GROUP PSYCHOTHERAPY-18 PATIENTS-PER PATIENT $1, $5, $3, $3, GROUP PSYCHOTHERAPY-19 PATIENTS-PER PATIENT $2, $2, $3, GROUP PSYCHOTHERAPY-20 PATIENTS-PER PATIENT $9 1 $2, $8, $9 1 $

21 681 - GROUP PSYCHOTHERAPY->20 PATIENTS-PER PATIENT $10,368 1,152 $5, $ $ PSYCHIATRY MISC. $ $148 1 $ BRONCHOSCOPY OR BRONCHOFIBROSCOPY $228,883 2,629 $243,265 2,776 $248,417 2,822 $256,991 2,931 $262,979 2, DIRECT LARYNGOSCOPY $86,208 2,893 $64,059 2,260 $66,051 3,158 $70,657 3,537 $113,270 5, BRONCHOSCOPY WITH BIOPSY $311,806 2,074 $297,258 1,971 $285,768 1,894 $306,754 2,039 $310,779 2, CYSTOSCOPY TO INCLUDE DILATION & PANENDOSCOPY $5,139,749 54,495 $5,404,547 57,148 $5,286,685 55,661 $5,408,022 57,125 $5,637,110 59, CYSTOSCOPY WITH CATHETERIZATION OF URETERS $103,641 1,001 $93, $89, $68, $61, MEDIASTINOSCOPY OR ANTERIOR MEDIASTINOTOMY $2, $3, $3, $3, $6, SIGMOIDOSCOPY WITH BIOPSY $4, $4, $4, $4, $5, SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC $352,853 5,751 $352,049 5,749 $350,905 5,713 $350,424 5,760 $334,368 5, MICRO-LARYNGOSCOPY $3, $5, $5, $7, $6, SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY $237,325 3,211 $241,624 3,271 $258,199 3,477 $251,060 3,394 $260,298 3, THORACOSCOPY $2, $1, $2, $4, $7, MYELOGRAM DIAGNOSTIC $1, $1, $1, $1, $1, ARTERIOGRAPHY, OPERATIVE $9, $6, $5, $6, $5, SIALOGRAM OR GALACTOGRAMS INJECTION $10, $7, $6, $5, $5, AIR INSUFFLATION - PRESACRAL $1, $1, $ $1, $1, SALPINGOGRAM DIAGNOSTIC $295,718 4,093 $311,130 4,289 $305,102 4,183 $344,434 4,718 $341,170 4, ORTHODIAGRAM DIAGNOSTIC $86 8 $ $ $81 7 $ CHEST FLUOROSCOPY BY INTERNIST OR PEADIATRICIAN $8,814 1,533 $ $ $ $ CATHETERIZATION OF BRONCHI FOR BRONCHOGRAM $31 1 $80 3 $86 3 $121 5 $ CYSTO-URETHROGRAM, VOIDING $8, $7, $6, $6, $6, INTRA-OSSEOUS VENOGRAM $37, $38, $37, $38, $24, LYMPHANGIOGRAPHY OR LYMPHOGRAPHY - SURGICAL $3, $4, $33, $41, $42, BRONCHIAL BRUSHING - EXTRA TO BRONCHOSCOPY $222,620 3,448 $219,494 3,463 $215,739 3,465 $215,275 3,579 $230,034 3, BILIARY CALCULI - REMOVAL BY BURHENNE TECHNIQUE $4, $2, $397 2 $1,791 9 $1, PERCUTANEOUS LUNG OR MEDIASTINAL BIOPSY $130,668 1,449 $134,421 1,494 $129,478 1,438 $131,303 1,448 $155,130 1, LIVER BIOPSY $194,610 2,195 $187,949 2,119 $182,274 2,044 $171,730 1,929 $216,003 2, SPLENIC BIOPSY $4, $4, $4, $6, $12, RENAL BIOPSY $112,811 1,261 $126,478 1,404 $117,682 1,307 $127,060 1,407 $160,250 1, BREAST LESION, NON-PALPABLE LOCALIZING $223,887 2,247 $234,790 2,309 $239,534 2,363 $245,156 2,443 $291,940 2, THYROID BIOPSY $423,110 6,474 $438,187 6,703 $450,768 6,883 $443,393 6,751 $471,959 6, PERIPHERAL OR SUBCUTANEOUS LYMPH NODE BIOPSY $53,267 1,232 $60,951 1,293 $71,291 1,505 $79,524 1,679 $86,297 1, REDUCTION OF INTUSSUSCEPTION USING HYDROSTATIC $1, $2, $1, $1, $2, PROSTATE BIOPSY $166,603 5,987 $148,404 5,293 $132,517 4,679 $131,244 4,648 $148,812 5, BONE BIOPSY, UNDER LOCAL/REGIONAL ANAESTHETIC $117,791 2,573 $124,923 2,665 $127,132 2,667 $131,540 2,791 $166,543 3, PARIETAL PLEURAL INCLUDING THORACENTESIS $22, $18, $17, $17, $50, LUMBAR PUNCTURE - PATIENTS 13 + YEARS OF AGE $106,814 2,025 $110,369 2,067 $108,064 2,022 $118,506 2,216 $123,341 2, PERICARDIAL PUNCTURE $20, $18, $19, $21, $25, CISTERNAL PUNCTURE $37 1 $41 1 $37 1 $74 2 $ MARROW ASPIRATION $76,599 2,133 $80,615 2,285 $76,472 2,210 $78,253 2,263 $68,247 2, ARTERY PUNCTURE $5,683 1,345 $5,023 1,212 $4,458 1,101 $4, $4,564 1, ASPIRATION OTHER JOINTS $9, $9, $7, $7, $7, PARACENTESIS (THORACIC)OR TRANSTRACHEAL ASPIRATION $21, $22,167 1,015 $18, $19, $46, PARACENTESIS ABDOMINAL $33,572 1,337 $33,761 1,346 $32,689 1,295 $32,642 1,293 $36,307 1, BURSA OR CYST - PUNCTURE PROCEDURE $12, $12, $12, $12, $11, SCRATCH TEST, PER ANTIGEN $71,248 67,315 $93,764 88,752 $71,931 67,759 $99,824 94,535 $98,807 93, SCRATCH TEST - CHILDREN UNDER 5 YEARS $31,942 14,039 $36,764 16,236 $40,465 17,723 $37,647 16,530 $38,639 16,