Hospital Outpatient & Ambulatory Surgery Visits (no ED visits) - Top Primary CPT Codes All Facilities October 1, 2014 through September 30, 2015

Transcription

1 All Facilities Code Description Patients 1 *G0463 *HOSP OP PT ASSESS/MGMT 706, ROUTINE VENIPUNCTURE 624, OFFICE/OUTPATIENT VISIT EST 535, OFFICE/OUTPATIENT VISIT EST 450, *G0202 *BI DIRECT SCRN MAMMO 321, COMPREHEN METABOLIC PANEL 166, OFFICE/OUTPATIENT VISIT EST 166, CHEST X-RAY 2VW FRONTAL&LATL 134, CATARACT SURG W/IOL 1 STAGE 108, COLONOSCOPY W/LESION REMOVAL 107, OFFICE/OUTPATIENT VISIT EST 107, THERAPEUTIC EXERCISES 104, PT EVALUATION 103, DIAGNOSTIC COLONOSCOPY 89, COLONOSCOPY AND BIOPSY 87, METABOLIC PANEL TOTAL CA 84, CT ABD & PELV W/CONTRAST 83, EGD BIOPSY SINGLE/MULTIPLE 69, TTE W/DOPPLER COMPLETE 69, CHEMO IV INFUSION 1 HR 64, ELECTROCARDIOGRAM TRACING 61, MAMMOGRAM SCREENING 54, MRI BRAIN STEM W/O & W/DYE 48, MRI LUMBAR SPINE W/O DYE 47, THER/PROPH/DIAG INJ SC/IM 47, FETAL NON-STRESS TEST 44, THER/PROPH/DIAG IV INF INIT 43, *G0206 *UNI DIR 2-D DXTIC MAMMO 42, DXA BONE DENSITY AXIAL 39, TISSUE EXAM BY PATHOLOGIST 37, ECHO EXAM OF ABDOMEN 37, CT THORAX W/O DYE 37, HT MUSCLE IMAGE SPECT MULT 37, COMP SCREEN MAMMOGRAM ADD-ON 36, EXTREMITY STUDY 34, DEB SUBQ TISSUE 20 SQ CM/< 34, *G0204 *BI DIR 2-D DXTIC MAMMO 33, PROTHROMBIN TIME 33, URINALYSIS AUTO W/SCOPE 33, X-RAY EXAM OF ABDOMEN 32, Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

2 Alamance Regional Medical Center Code Description Patients 1 *G0202 *BI DIRECT SCRN MAMMO 6, MAMMOGRAM SCREENING 5, ROUTINE VENIPUNCTURE 5, *G0463 *HOSP OP PT ASSESS/MGMT 2, CHEST X-RAY 2VW FRONTAL&LATL 2, *G0206 *UNI DIR 2-D DXTIC MAMMO 2, ELECTROCARDIOGRAM TRACING 1, *G0204 *BI DIR 2-D DXTIC MAMMO 1, OFFICE/OUTPATIENT VISIT EST 1, CATARACT SURG W/IOL 1 STAGE 1, COLONOSCOPY AND BIOPSY 1, FETAL NON-STRESS TEST 1, COLONOSCOPY W/LESION REMOVAL 1, MRI LUMBAR SPINE W/O DYE 1, DIAGNOSTIC COLONOSCOPY 1, CT ABD & PELV W/CONTRAST 1, US EXAM ABDOM COMPLETE MRI JNT OF LWR EXTRE W/O DYE CT THORAX W/O DYE X-RAY EXAM OF ABDOMEN ECHO EXAM OF ABDOMEN MRI BRAIN STEM W/O & W/DYE EXTREMITY STUDY EGD BIOPSY SINGLE/MULTIPLE INJECT SPINE LUMBAR/SACRAL URINALYSIS AUTO W/SCOPE PET IMAGE W/CT SKULL-THIGH POLYSOM 6/> YRS 4/> PARAM POLYSOM 6/>YRS CPAP 4/> PARM CT ABD & PELVIS W/O CONTRAST DENTAL SURGERY PROCEDURE CT HEAD/BRAIN W/O DYE US EXAM ABDO BACK WALL COMP DXA BONE DENSITY AXIAL MRI NECK SPINE W/O DYE US EXAM OF HEAD AND NECK METABOLIC PANEL TOTAL CA TRANSVAGINAL US NON-OB MRI JOINT UPR EXTREM W/O DYE CT THORAX W/DYE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

3 Alleghany Memorial Hospital Code Description Patients CATARACT SURG W/IOL 1 STAGE COLONOSCOPY W/ABLATION *G0121 *CA SCREEN-COLONOSCOPY UNKNOWN *G0105 *CA SCRN-COLONSCPY HR PT CARPAL TUNNEL SURGERY AFTER CATARACT LASER SURGERY EGD BIOPSY SINGLE/MULTIPLE DIAGNOSTIC COLONOSCOPY LAPAROSCOPIC CHOLECYSTECTOMY COLONOSCOPY AND BIOPSY BIOPSY OF PROSTATE ARTHROSCOP ROTATOR CUFF REPR ESOPH EGD DILATION <30 MM KNEE ARTHROSCOPY/SURGERY EGD DIAGNOSTIC BRUSH WASH PRP I/HERN INIT REDUC >5 YR CYSTOSCOPY REVISION OF IRIS REMOVE WRIST TENDON LESION COLONOSCOPY W/LESION REMOVAL PRP I/HERN INIT BLOCK >5 YR EXC H-F-NK-SP B9+MARG EXC TR-EXT MAL+MARG >4 CM EXC F/E/E/N/L MAL+MRG INCISION OF TENDON SHEATH REMOVE TENDON SHEATH LESION SHOULDER ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY/SURGERY REMOVAL TUNNELED CV CATH BIOPSY/REMOVAL LYMPH NODES RPR UMBIL HERN REDUC > 5 YR LAP ING HERNIA REPAIR INIT ANESTH UPPER GI VISUALIZE DRAINAGE OF HEMATOMA/FLUID EXC TR-EXT B9+MARG CM EXC H-F-NK-SP B9+MARG REMOVAL OF NAIL PLATE REMOVAL OF NAIL BED EXC NECK TUM DEEP 5 CM/> Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

4 Angel Medical Center Code Description Patients ROUTINE VENIPUNCTURE 9, *G0202 *BI DIRECT SCRN MAMMO 2, OFFICE/OUTPATIENT VISIT EST CATARACT SURG W/IOL 1 STAGE CHEST X-RAY 2VW FRONTAL&LATL THERAPEUTIC EXERCISES COMPREHEN METABOLIC PANEL DXA BONE DENSITY AXIAL OFFICE/OUTPATIENT VISIT EST CARDIAC REHAB/MONITOR TTE W/DOPPLER COMPLETE FETAL NON-STRESS TEST CT ABD & PELV W/CONTRAST TRANSVAGINAL US NON-OB OB US FOLLOW-UP PER FETUS CHEMO IV INFUSION 1 HR PT EVALUATION OFFICE/OUTPATIENT VISIT EST X-RAY EXAM L-S SPINE 2/3 VWS IRRIG DRUG DELIVERY DEVICE OB US >/= 14 WKS SNGL FETUS MRI JNT OF LWR EXTRE W/O DYE *G0206 *UNI DIR 2-D DXTIC MAMMO URINALYSIS AUTO W/SCOPE MRI LUMBAR SPINE W/O DYE US EXAM ABDOM COMPLETE HT MUSCLE IMAGE SPECT MULT DRAW BLOOD OFF VENOUS DEVICE CHEMO ANTI-NEOPL SQ/IM MRI BRAIN STEM W/O & W/DYE TRANSVAGINAL US OBSTETRIC EVALUATION OF WHEEZING EXTREMITY STUDY THER/PROPH/DIAG INJ SC/IM ECHO EXAM OF ABDOMEN THER/PROPH/DIAG IV INF INIT CT THORAX W/DYE *G0204 *BI DIR 2-D DXTIC MAMMO CT THORAX W/O DYE X-RAY EXAM KNEE 4 OR MORE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

5 Annie Penn Hospital Code Description Patients 1 *G0202 *BI DIRECT SCRN MAMMO 3, COMPREHEN METABOLIC PANEL 1, CHEST X-RAY 2VW FRONTAL&LATL 1, TTE W/DOPPLER COMPLETE CT ABD & PELV W/CONTRAST DXA BONE DENSITY AXIAL ROUTINE VENIPUNCTURE THERAPEUTIC EXERCISES PT EVALUATION CATARACT SURG W/IOL 1 STAGE COLONOSCOPY W/LESION REMOVAL US EXAM ABDOM COMPLETE MRI LUMBAR SPINE W/O DYE DIAGNOSTIC COLONOSCOPY *G0206 *UNI DIR 2-D DXTIC MAMMO ELECTROCARDIOGRAM TRACING COLONOSCOPY AND BIOPSY X-RAY EXAM L-2 SPINE 4/>VWS HT MUSCLE IMAGE SPECT SING EXTREMITY STUDY ECHO EXAM OF ABDOMEN *G0204 *BI DIR 2-D DXTIC MAMMO ASSAY OF FERRITIN CARDIOVASCULAR STRESS TEST US EXAM OF HEAD AND NECK US EXAM ABDO BACK WALL COMP CT THORAX W/O DYE X-RAY EXAM KNEE 4 OR MORE CARDIAC REHAB/MONITOR MRI JNT OF LWR EXTRE W/O DYE EGD BIOPSY SINGLE/MULTIPLE EXTRACRANIAL BILAT STUDY *G0463 *HOSP OP PT ASSESS/MGMT EVALUATION OF WHEEZING OT EVALUATION CT HEAD/BRAIN W/O DYE X-RAY EXAM OF SHOULDER COMPLETE CBC W/AUTO DIFF WBC CT ABD & PELVIS W/O CONTRAST MRI NECK SPINE W/O DYE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

6 Anson County Hospital Code Description Patients OFFICE/OUTPATIENT VISIT EST 4, *G0463 *HOSP OP PT ASSESS/MGMT 3, OFFICE/OUTPATIENT VISIT EST 1, *G0202 *BI DIRECT SCRN MAMMO ROUTINE VENIPUNCTURE OFFICE/OUTPATIENT VISIT EST PROTHROMBIN TIME CHEST X-RAY 2VW FRONTAL&LATL THERAPEUTIC EXERCISES OFFICE/OUTPATIENT VISIT EST PT EVALUATION THER/PROPH/DIAG INJ SC/IM TTE W/DOPPLER COMPLETE COMPREHEN METABOLIC PANEL CT ABD & PELV W/CONTRAST US EXAM ABDOM COMPLETE X-RAY EXAM OF KNEE METABOLIC PANEL TOTAL CA EXTREMITY STUDY CT HEAD/BRAIN W/O DYE *G0121 *CA SCREEN-COLONOSCOPY DRAIN/INJ JOINT/BURSA W/O US ECHO EXAM OF ABDOMEN CT THORAX W/O DYE ELECTROCARDIOGRAM TRACING X-RAY EXAM L-S SPINE 2/3 VWS *G0378 *HOSP OBS SVC PER HOUR TRANSVAGINAL US NON-OB CT THORAX W/DYE X-RAY EXAM OF FOOT EVALUATION OF WHEEZING OB US >/= 14 WKS SNGL FETUS COMPLETE CBC W/AUTO DIFF WBC PREV VISIT EST AGE X-RAY EXAM OF SHOULDER URINALYSIS AUTO W/O SCOPE CT ABD & PELVIS W/O CONTRAST X-RAY EXAM OF ANKLE IMMUNOTHERAPY ONE INJECTION X-RAY EXAM OF HIP Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

7 Appalachian Gastroenterology Code Description Patients COLONOSCOPY AND BIOPSY DIAGNOSTIC COLONOSCOPY EGD BIOPSY SINGLE/MULTIPLE COLONOSCOPY W/LESION REMOVAL ANESTH LOW INTESTINE SCOPE ANESTH UPPER GI VISUALIZE SIGMOIDOSCOPY AND BIOPSY EGD REMOVE LESION SNARE DIAGNOSTIC SIGMOIDOSCOPY EGD DIAGNOSTIC BRUSH WASH COLONOSCOPY WITH BIOPSY SIGMOIDOSCOPY W/SUBMUC INJ SIGMOIDOSCOPY W/TUMR REMOVE DIAGNOSTIC ANOSCOPY SPX Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

8 Ashe Memorial Hospital Code Description Patients CATARACT SURG W/IOL 1 STAGE COLONOSCOPY AND BIOPSY COLONOSCOPY W/LESION REMOVAL DIAGNOSTIC COLONOSCOPY INJECT SPINE LUMBAR/SACRAL EGD BIOPSY SINGLE/MULTIPLE LAPARO CHOLECYSTECTOMY/GRAPH AFTER CATARACT LASER SURGERY ARTHROSCOP ROTATOR CUFF REPR ESOPH EGD DILATION <30 MM BX BREAST 1ST LESION STRTCTC *G0121 *CA SCREEN-COLONOSCOPY CARPAL TUNNEL SURGERY LAPAROSCOPY REMOVE ADNEXA LAPAROSCOPIC CHOLECYSTECTOMY PRP I/HERN INIT REDUC >5 YR LAP ING HERNIA REPAIR INIT DRAIN/INJ JOINT/BURSA W/O US SHOULDER ARTHROSCOPY/SURGERY INJECTION FOR SHOULDER X-RAY INCISE FINGER TENDON SHEATH RPR UMBIL HERN REDUC > 5 YR RPR VENTRAL HERN INIT REDUC KNEE ARTHROSCOPY/SURGERY DIAG LAPARO SEPARATE PROC LAPARO-VAG HYST INCL T/O PERQ VERTEBRAL AUGMENTATION KNEE ARTHROSCOPY/SURGERY LAPAROSCOPY TUBAL CAUTERY CREATE EARDRUM OPENING EGD DIAGNOSTIC BRUSH WASH LAPARO-ASST VAG HYSTERECTOMY INSERT TUNNELED CV CATH REMOVAL OF TONSILS CONIZATION OF CERVIX HYSTEROSCOPY ABLATION REMOVE PILONIDAL CYST SIMPLE INJECT SACROILIAC JOINT REMOVE TONSILS AND ADENOIDS VAGINAL HYSTERECTOMY Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

9 Asheville Eye Surgery Center Code Description Patients CATARACT SURG W/IOL 1 STAGE 3, AFTER CATARACT LASER SURGERY CATARACT SURGERY COMPLEX LASER SURGERY OF EYE REVISION OF UPPER EYELID REPAIR EYELID DEFECT REVISION OF IRIS REVISION OF EYELID REMOVAL OF EYE LESION CORNEAL TRNSPL ENDOTHELIAL REMOVAL OF EYE LESION AQUEOUS SHUNT EYE W/GRAFT REVISION OF LOWER EYELID REVISE/GRAFT EYELID LINING FOLLOW-UP SURGERY OF EYE REMOVAL OF ETHMOID SINUS TEMPORAL ARTERY PROCEDURE REPAIR EYELID DEFECT RECONSTRUCTION OF EYELID TIS TRNFR E/N/E/L 10 SQ CM/< SKIN FULL GRAFT EEN & LIPS CILIARY TRANSSLERAL THERAPY CORNEAL TRANSPLANT EXCHANGE LENS PROSTHESIS REMOVAL OF INNER EYE FLUID EXPLORE/BIOPSY EYE SOCKET EYE SURGERY PROCEDURE CORNEAL TRANSPLANT OCULAR RECONST TRANSPLANT REPAIR EYELID DEFECT REVISION OF UPPER EYELID REMOVAL OF EYE LESION INSERT LENS PROSTHESIS INCISION OF EYE REPAIR EYELID DEFECT REPAIR EYELID DEFECT PROBE NASOLACRIMAL DUCT WOUND PREP F/N/HF/G CURETTE/TREAT CORNEA REPOSITION INTRAOCULAR LENS Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

10 Asheville Gastroenterology Associates Code Description Patients COLONOSCOPY W/LESION REMOVAL 4, COLONOSCOPY AND BIOPSY 2, DIAGNOSTIC COLONOSCOPY 2, EGD BIOPSY SINGLE/MULTIPLE 1, *G0105 *CA SCRN-COLONSCPY HR PT *G0121 *CA SCREEN-COLONOSCOPY ESOPH EGD DILATION <30 MM EGD DIAGNOSTIC BRUSH WASH EGD GUIDE WIRE INSERTION COLONOSCOPY SUBMUCOUS NJX COLONOSCOPY W/CONTROL BLEED SIGMOIDOSCOPY AND BIOPSY DIAGNOSTIC SIGMOIDOSCOPY EGD DILATE STRICTURE EGD REMOVE LESION SNARE EGD REMOVE FOREIGN BODY COLONOSCOPY W/SNARE G-ESOPH REFLX TST W/ELECTROD SMALL BOWEL ENDOSCOPY BR/WA SMALL BOWEL ENDOSCOPY COLONOSCOPY THRU STOMA SPX SIGMOIDOSCOPY W/TUMR REMOVE COLONOSCOPY W/LESION REMOVAL *G8907 *PT DOC NO EVENTS DISCH COLONOSCOPY W/BALLOON DILAT COLONOSCOPY WITH BIOPSY SIGMOIDOSCOPY W/SUBMUC INJ EGD BALLOON DIL ESOPH30 MM/> UNLISTED PX SMALL INTESTINE SIGMOIDOSCOPY W/ABLATION COLONOSCOPY W/FB REMOVAL *G6024 *COLSCPY W ABL OF TUM/LES Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

11 Atlantic Gastroenterology Endoscopy Center Code Description Patients COLONOSCOPY W/LESION REMOVAL EGD BIOPSY SINGLE/MULTIPLE DIAGNOSTIC COLONOSCOPY COLONOSCOPY AND BIOPSY EGD DIAGNOSTIC BRUSH WASH ESOPH EGD DILATION <30 MM *G0121 *CA SCREEN-COLONOSCOPY *G0105 *CA SCRN-COLONSCPY HR PT DIAGNOSTIC SIGMOIDOSCOPY SIGMOIDOSCOPY AND BIOPSY EGD LESION ABLATION SIGMOIDOSCOPY W/TUMR REMOVE COLONOSCOPY SUBMUCOUS NJX EGD REMOVE FOREIGN BODY COLONOSCOPY W/CONTROL BLEED EGD DILATE STRICTURE EGD REMOVE LESION SNARE EGD CONTROL BLEEDING ANY SIGMOIDOSCOPY W/SUBMUC INJ Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

12 Bethany Medical Endoscopy Center Code Description Patients EGD BIOPSY SINGLE/MULTIPLE 1, COLONOSCOPY W/LESION REMOVAL DIAGNOSTIC COLONOSCOPY COLONOSCOPY W/LESION REMOVAL DIAGNOSTIC SIGMOIDOSCOPY COLONOSCOPY AND BIOPSY LIGATION OF HEMORRHOID(S) SIGMOIDOSCOPY AND BIOPSY EGD DIAGNOSTIC BRUSH WASH EGD REMOVE LESION SNARE SIGMOIDOSCOPY W/TUMR REMOVE SIGMOIDOSCOPY & POLYPECTOMY *G0121 *CA SCREEN-COLONOSCOPY ESOPHAGOSCOPY FLEX BIOPSY *G0105 *CA SCRN-COLONSCPY HR PT *G8907 *PT DOC NO EVENTS DISCH Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

13 Betsy Johnson Hospital Code Description Patients ROUTINE VENIPUNCTURE 3, *G0202 *BI DIRECT SCRN MAMMO 2, COMPREHEN METABOLIC PANEL 1, CHEST X-RAY 2VW FRONTAL&LATL 1, CATARACT SURG W/IOL 1 STAGE OFFICE/OUTPATIENT VISIT EST MATERNITY CARE PROCEDURE X-RAY EXAM L-2 SPINE 4/>VWS *G0206 *UNI DIR 2-D DXTIC MAMMO OFFICE/OUTPATIENT VISIT EST DEB SUBQ TISSUE 20 SQ CM/< X-RAY EXAM OF ABDOMEN OB US >/= 14 WKS SNGL FETUS MRI LUMBAR SPINE W/O DYE METABOLIC PANEL TOTAL CA URINALYSIS NONAUTO W/SCOPE *G0204 *BI DIR 2-D DXTIC MAMMO APPLY MULTLAY COMPRS LWR LEG URINE CULTURE/COLONY COUNT DXA BONE DENSITY AXIAL US EXAM ABDOM COMPLETE FETAL NON-STRESS TEST US EXAM ABDO BACK WALL COMP ECHO EXAM OF ABDOMEN X-RAY EXAM KNEE 4 OR MORE CT ABD & PELV W/CONTRAST CT HEAD/BRAIN W/O DYE PT EVALUATION PROTHROMBIN TIME MRI JNT OF LWR EXTRE W/O DYE US EXAM OF HEAD AND NECK US EXAM PELVIC COMPLETE OFFICE/OUTPATIENT VISIT EST X-RAY EXAM NECK SPINE 4/5VWS EXTREMITY STUDY MRI NECK SPINE W/O DYE TTE W/DOPPLER COMPLETE RMVL DEVITAL TIS 20 CM/< X-RAY EXAM OF SHOULDER BILIRUBIN TOTAL Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

14 Blue Ridge HealthCare Hospitals Inc Code Description Patients ROUTINE VENIPUNCTURE 6, *G0202 *BI DIRECT SCRN MAMMO 5, OFFICE/OUTPATIENT VISIT EST 5, *G0463 *HOSP OP PT ASSESS/MGMT 4, OFFICE/OUTPATIENT VISIT EST 2, CHEST X-RAY 2VW FRONTAL&LATL 1, *G0206 *UNI DIR 2-D DXTIC MAMMO 1, X-RAY EXAM OF ABDOMEN 1, PT EVALUATION CT ABD & PELV W/CONTRAST INJECT SPINE LUMBAR/SACRAL TTE W/DOPPLER COMPLETE DRAIN/INJ JOINT/BURSA W/O US *G0204 *BI DIR 2-D DXTIC MAMMO THERAPEUTIC EXERCISES ECHO EXAM OF ABDOMEN MRI BRAIN STEM W/O DYE COLONOSCOPY AND BIOPSY DEB SUBQ TISSUE 20 SQ CM/< HT MUSCLE IMAGE SPECT MULT CT THORAX W/DYE DXA BONE DENSITY AXIAL US EXAM ABDOM COMPLETE MRI LUMBAR SPINE W/O DYE EXTREMITY STUDY US EXAM ABDO BACK WALL COMP CT ABD & PELVIS W/O CONTRAST COMPREHEN METABOLIC PANEL X-RAY EXAM L-S SPINE 2/3 VWS CT HEAD/BRAIN W/O DYE CT THORAX W/O DYE HEPATOBIL SYST IMAGE W/DRUG EGD BIOPSY SINGLE/MULTIPLE URINALYSIS AUTO W/O SCOPE MASSAGE THERAPY OFFICE/OUTPATIENT VISIT EST X-RAY EXAM OF KNEE INJ FORAMEN EPIDURAL L/S COMPLETE CBC W/AUTO DIFF WBC OFFICE/OUTPATIENT VISIT EST Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

15 Blue Ridge Regional Hospital Code Description Patients ROUTINE VENIPUNCTURE 11, *G0202 *BI DIRECT SCRN MAMMO 1, CHEST X-RAY 2VW FRONTAL&LATL 1, THERAPEUTIC EXERCISES OFFICE/OUTPATIENT VISIT EST PT EVALUATION TTE W/DOPPLER COMPLETE X-RAY EXAM L-S SPINE 2/3 VWS X-RAY EXAM OF SHOULDER ECHO EXAM OF ABDOMEN DXA BONE DENSITY AXIAL CT ABD & PELV W/CONTRAST X-RAY EXAM OF ANKLE X-RAY EXAM OF WRIST X-RAY EXAM KNEE 4 OR MORE X-RAY EXAM OF KNEE 1 OR CARDIAC REHAB/MONITOR MRI LUMBAR SPINE W/O DYE US EXAM ABDOM COMPLETE INJECT SPINE LUMBAR/SACRAL HT MUSCLE IMAGE SPECT MULT EXTREMITY STUDY X-RAY EXAM OF FOOT X-RAY EXAM OF HAND MRI JNT OF LWR EXTRE W/O DYE X-RAY EXAM NECK SPINE 4/5VWS OB US >/= 14 WKS SNGL FETUS AQUATIC THERAPY/EXERCISES X-RAY EXAM OF PELVIS *G0206 *UNI DIR 2-D DXTIC MAMMO ECG MONIT/REPRT UP TO 48 HRS US EXAM ABDO BACK WALL COMP THER/PROPH/DIAG INJ SC/IM MRI BRAIN STEM W/O & W/DYE POLYSOM 6/> YRS 4/> PARAM POLYSOM 6/>YRS CPAP 4/> PARM CT THORAX W/O DYE EVALUATION OF WHEEZING THER/PROPH/DIAG IV INF INIT CT HEAD/BRAIN W/O DYE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

16 Blue Ridge Surgery Center Code Description Patients CATARACT SURG W/IOL 1 STAGE 1, CREATE EARDRUM OPENING REMOVE TONSILS AND ADENOIDS KNEE ARTHROSCOPY/SURGERY REMOVAL OF ADENOIDS REMOVAL OF TONSILS REPAIR OF NASAL SEPTUM ARTHROSCOP ROTATOR CUFF REPR INJ FORAMEN EPIDURAL L/S VIT FOR MACULAR HOLE KNEE ARTHROSCOPY/SURGERY RESECT INFERIOR TURBINATE KNEE ARTHROSCOPY/SURGERY CORRECTION OF BUNION REMOVE TONSILS AND ADENOIDS SHOULDER ARTHROSCOPY/SURGERY INJECT SPINE CERV/THORACIC REMOVAL OF ETHMOID SINUS CIRCUM 28 DAYS OR OLDER SINUS ENDOSCOPY SURGICAL LASER TREATMENT OF RETINA INJECT SPINE LUMBAR/SACRAL ENDOSCOPY MAXILLARY SINUS REPAIR OF EARDRUM KNEE ARTHROSCOPY/SURGERY REPAIR RETINAL DETACH CPLX REPAIR DETACHED RETINA NASAL/SINUS ENDOSCOPY SURG TIS TRNFR E/N/E/L 10 SQ CM/< CARPAL TUNNEL SURGERY HYSTEROSCOPY BIOPSY REPAIR BICEPS TENDON SINUS ENDO W/BALLOON DIL REMOVAL OF TONSILS REMOVAL OF SUPPORT IMPLANT REPAIR EARDRUM STRUCTURES REMOVAL OF BREAST LESION BIOPSY/REMOVAL LYMPH NODES REPAIR ROTATOR CUFF CHRONIC INCISE FINGER TENDON SHEATH Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

17 Boice-Willis Endoscopy Center Code Description Patients DIAGNOSTIC COLONOSCOPY 1, COLONOSCOPY W/LESION REMOVAL 1, COLONOSCOPY AND BIOPSY EGD DIAGNOSTIC BRUSH WASH EGD BIOPSY SINGLE/MULTIPLE EGD GUIDE WIRE INSERTION DILATE ESOPHAGUS 1/MULT PASS EGD REMOVE LESION SNARE COLONOSCOPY SUBMUCOUS NJX DIAGNOSTIC SIGMOIDOSCOPY SIGMOIDOSCOPY AND BIOPSY SMALL BOWEL ENDOSCOPY/BIOPSY SIGMOIDOSCOPY W/TUMR REMOVE COLONOSCOPY W/CONTROL BLEED EGD CONTROL BLEEDING ANY COLONOSCOPY THRU STOMA SPX UPPR GI SCOPE W/SUBMUC INJ SMALL BOWEL ENDOSCOPY SMALL BOWEL ENDOSCOPY COLONOSCOPY W/SNARE TISSUE EXAM BY PATHOLOGIST OFFICE/OUTPATIENT VISIT NEW Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

18 CCHC Endoscopy Center Code Description Patients COLONOSCOPY W/LESION REMOVAL 1, EGD BIOPSY SINGLE/MULTIPLE 1, DIAGNOSTIC COLONOSCOPY COLONOSCOPY AND BIOPSY EGD GUIDE WIRE INSERTION *G0105 *CA SCRN-COLONSCPY HR PT *G0121 *CA SCREEN-COLONOSCOPY EGD DIAGNOSTIC BRUSH WASH ESOPH EGD DILATION <30 MM COLONOSCOPY SUBMUCOUS NJX EGD REMOVE LESION SNARE UNKNOWN COLONOSCOPY W/CONTROL BLEED DIAGNOSTIC SIGMOIDOSCOPY SIGMOIDOSCOPY AND BIOPSY COLONOSCOPY W/BALLOON DILAT Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

19 CMC - Pineville Code Description Patients OFFICE/OUTPATIENT VISIT EST 3, *G0463 *HOSP OP PT ASSESS/MGMT 2, CT ABD & PELV W/CONTRAST 2, FETAL NON-STRESS TEST 1, CHEST X-RAY 2VW FRONTAL&LATL 1, TTE W/DOPPLER COMPLETE 1, X-RAY EXAM OF ABDOMEN 1, POLYSOM 6/> YRS 4/> PARAM OFFICE/OUTPATIENT VISIT EST HT MUSCLE IMAGE SPECT MULT SLEEP STUDY UNATT&RESP EFFT CT THORAX W/O DYE ECHO EXAM OF ABDOMEN MRI BRAIN STEM W/O & W/DYE POLYSOM 6/>YRS CPAP 4/> PARM EXTREMITY STUDY CARDIAC REHAB/MONITOR CARDIAC REHAB US EXAM ABDOM COMPLETE CT THORAX W/DYE US EXAM ABDO BACK WALL COMP INJECT SPINE LUMBAR/SACRAL CT HEAD/BRAIN W/O DYE US EXAM OF HEAD AND NECK MRI BRAIN STEM W/O DYE ELECTROCARDIOGRAM TRACING INJ FORAMEN EPIDURAL L/S *G0378 *HOSP OBS SVC PER HOUR MRI LUMBAR SPINE W/O DYE COLONOSCOPY W/LESION REMOVAL BLOOD TRANSFUSION SERVICE CONTRAST X-RAY ESOPHAGUS CT ABD & PELVIS W/O CONTRAST L HRT ARTERY/VENTRICLE ANGIO ROUTINE VENIPUNCTURE STRESS TTE ONLY DEB SUBQ TISSUE 20 SQ CM/< COLONOSCOPY AND BIOPSY CT ANGIOGRAPHY CHEST PROTHROMBIN TIME Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

20 Caldwell Memorial Hospital Code Description Patients ROUTINE VENIPUNCTURE 4, COMP SCREEN MAMMOGRAM ADD-ON 3, COMPREHEN METABOLIC PANEL 1, OFFICE/OUTPATIENT VISIT EST 1, OFFICE/OUTPATIENT VISIT EST CHEST X-RAY 2VW FRONTAL&LATL URINALYSIS AUTO W/SCOPE METABOLIC PANEL TOTAL CA CHYLMD TRACH DNA AMP PROBE PT EVALUATION DXA BONE DENSITY AXIAL CT ABD & PELV W/CONTRAST ECHO EXAM OF ABDOMEN INJECT SPINE LUMBAR/SACRAL TISSUE EXAM BY PATHOLOGIST THER/PROPH/DIAG IV INF INIT REPAIR VENOUS BLOCKAGE ULTRASOUND BREAST LIMITED DIAGNOSTIC COLONOSCOPY COMPLETE CBC W/AUTO DIFF WBC THERAPEUTIC EXERCISES EXTREMITY STUDY OFFICE/OUTPATIENT VISIT EST RMVL DEVITAL TIS 20 CM/< PROTHROMBIN TIME THER/PROPH/DIAG INJ SC/IM TTE W/DOPPLER COMPLETE CT THORAX W/DYE MRI LUMBAR SPINE W/O DYE HPV HIGH-RISK TYPES DEB SUBQ TISSUE 20 SQ CM/< EXTRACRANIAL BILAT STUDY CULTURE OTHR SPECIMN AEROBIC CT HEAD/BRAIN W/O DYE COLONOSCOPY W/LESION REMOVAL US EXAM OF HEAD AND NECK L HRT ARTERY/VENTRICLE ANGIO UPR/LXTR ART STDY 3+ LVLS MRI BRAIN STEM W/O DYE CT THORAX W/O DYE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

21 Cape Fear Valley Health System Code Description Patients ROUTINE VENIPUNCTURE 18, OFFICE/OUTPATIENT VISIT EST 6, *G0378 *HOSP OBS SVC PER HOUR 4, *G0202 *BI DIRECT SCRN MAMMO 4, OFFICE/OUTPATIENT VISIT EST 2, PM/ICD REMOTE TECH SERV 1, THERAPEUTIC EXERCISES 1, CHEST X-RAY 2VW FRONTAL&LATL 1, PT EVALUATION 1, CHEMO IV INFUSION 1 HR 1, POLYSOM 6/> YRS 4/> PARAM 1, TISSUE EXAM BY PATHOLOGIST 1, OFFICE/OUTPATIENT VISIT EST 1, PREVENTIVE COUNSELING INDIV 1, CARDIAC REHAB 1, PREVENTIVE COUNSELING INDIV 1, OFFICE/OUTPATIENT VISIT NEW 1, OFFICE/OUTPATIENT VISIT EST 1, L HRT ARTERY/VENTRICLE ANGIO *G0206 *UNI DIR 2-D DXTIC MAMMO PET IMAGE W/CT SKULL-THIGH THER/PROPH/DIAG INJ SC/IM *G0204 *BI DIR 2-D DXTIC MAMMO ELECTROCARDIOGRAM TRACING OFFICE/OUTPATIENT VISIT EST POLYSOM 6/>YRS CPAP 4/> PARM COMPREHEN METABOLIC PANEL URINE BACTERIA CULTURE PULMONARY SERVICE/PROCEDURE CT ABD & PELV W/CONTRAST IRRIG DRUG DELIVERY DEVICE THER/PROPH/DIAG IV INF INIT TTE W/DOPPLER COMPLETE PT RE-EVALUATION SPEECH/HEARING THERAPY TISSUE EXAM BY PATHOLOGIST PM DEVICE PROGR EVAL DUAL X-RAY EXAM OF ABDOMEN *J3490 *INJECT UNCLASSIFIED DRUG DXA BONE DENSITY AXIAL Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

22 Cape Fear Valley Hoke Hospital Code Description Patients THERAPEUTIC EXERCISES DENTAL SURGERY PROCEDURE PT EVALUATION PT RE-EVALUATION *J1100 *INJECT DEXAMETH NA PO TRANSVAGINAL US NON-OB CHEST X-RAY 2VW FRONTAL&LATL COMPREHEN METABOLIC PANEL US EXAM ABDOM COMPLETE ROUTINE VENIPUNCTURE BREATHING CAPACITY TEST CT ABD & PELVIS W/O CONTRAST ECHO EXAM OF ABDOMEN METABOLIC PANEL TOTAL CA EVALUATION OF WHEEZING MANUAL THERAPY 1/> REGIONS OB US >/= 14 WKS SNGL FETUS *G0378 *HOSP OBS SVC PER HOUR X-RAY EXAM L-S SPINE 2/3 VWS OT EVALUATION CT ABD & PELV W/CONTRAST OB US < 14 WKS SINGLE FETUS EXTREMITY STUDY X-RAY EXAM OF KNEE FETAL BIOPHYS PROFILE W/NST ASSAY OF CREATININE US EXAM ABDO BACK WALL COMP US EXAM OF HEAD AND NECK LAPAROSCOPY TUBAL CAUTERY X-RAY EXAM NECK SPINE 2-3 VW X-RAY EXAM SCLOIOSIS ERECT X-RAY EXAM OF ANKLE X-RAY EXAM OF ABDOMEN US EXAM PELVIC COMPLETE BL SMEAR W/DIFF WBC COUNT TTE W/DOPPLER COMPLETE PULM FUNCT TST PLETHYSMOGRAP X-RAY EXAM OF SHOULDER CHORIONIC GONADOTROPIN TEST ELECTROCARDIOGRAM TRACING Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

23 Cape Fear Valley-Bladen County Hospital Code Description Patients ROUTINE VENIPUNCTURE 9, THERAPEUTIC EXERCISES 3, *G0202 *BI DIRECT SCRN MAMMO 1, COMPREHEN METABOLIC PANEL 1, CHEST X-RAY 2VW FRONTAL&LATL CARDIAC REHAB/MONITOR PT EVALUATION URINE BACTERIA CULTURE PT RE-EVALUATION METABOLIC PANEL TOTAL CA SPECIAL SUPPLIES PHYS/QHP CHYLMD TRACH DNA AMP PROBE CATARACT SURG W/IOL 1 STAGE CULTURE OTHR SPECIMN AEROBIC URINALYSIS AUTO W/SCOPE PROTHROMBIN TIME X-RAY EXAM L-S SPINE 2/3 VWS ECHO EXAM OF ABDOMEN *G0239 *THER PX IMPROVE RESP FETAL NON-STRESS TEST COMPLETE CBC W/AUTO DIFF WBC X-RAY EXAM OF KNEE EXTREMITY STUDY *G0206 *UNI DIR 2-D DXTIC MAMMO SMEAR WET MOUNT SALINE/INK CT ABD & PELVIS W/O CONTRAST CT HEAD/BRAIN W/O DYE DRUG SCREEN CLASS LIST A THER/PROPH/DIAG IV INF INIT SPEECH/HEARING THERAPY X-RAY EXAM OF ANKLE *G0204 *BI DIR 2-D DXTIC MAMMO US EXAM ABDOM COMPLETE DXA BONE DENSITY AXIAL RBC ANTIBODY SCREEN X-RAY EXAM OF FOOT CT ABD & PELV 1/> REGNS CT ABD & PELV W/CONTRAST X-RAY EXAM OF SHOULDER X-RAY EXAM OF HAND Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

24 Capital City Surgery Center Code Description Patients CATARACT SURG W/IOL 1 STAGE INCISE FINGER TENDON SHEATH CREATE EARDRUM OPENING CARPAL TUNNEL SURGERY KNEE ARTHROSCOPY/SURGERY WRIST ENDOSCOPY/SURGERY ARTHROSCOP ROTATOR CUFF REPR KNEE ARTHROSCOPY/SURGERY REMOVE TONSILS AND ADENOIDS LOW BACK DISK SURGERY CYSTO/URETERO W/LITHOTRIPSY REMOVAL OF FINGER LESION REPAIR WRIST JOINTS KNEE ARTHROSCOPY/SURGERY REMOVE TENDON SHEATH LESION CYSTOSCOPY AND TREATMENT KNEE ARTHROSCOPY/SURGERY REPAIR OF NASAL SEPTUM REMOVAL OF SUPPORT IMPLANT REMOVE WRIST TENDON LESION REVISE ULNAR NERVE AT ELBOW SHOULDER ARTHROSCOPY/SURGERY REMOVAL OF ADENOIDS REVISE EYE MUSCLE REMOVAL OF TONSILS INCISION OF TENDON SHEATH SHOULDER ARTHROSCOPY/SURGERY SINUS ENDOSCOPY SURGICAL INSRT/REDO SPINE N GENERATOR KNEE ARTHROSCOPY/SURGERY WRIST ARTHROSCOPY/SURGERY TREAT FX RADIAL 3+ FRAG PRP I/HERN INIT REDUC >5 YR NECK SPINE FUSE&REMOV BEL C REMOVAL OF SUPPORT IMPLANT RELEASE PALM CONTRACTURE LAPAROSCOPIC CHOLECYSTECTOMY TREAT METACARPAL FRACTURE TREAT CLAVICLE FRACTURE TREAT FX RAD INTRA-ARTICUL Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

25 CarePartners Rehabilitation Hospital Code Description Patients PT EVALUATION 3, AQUATIC THERAPY/EXERCISES OT EVALUATION MOTION FLUOROSCOPY/SWALLOW THERAPEUTIC EXERCISES WHEELCHAIR MNGMENT TRAINING THERAPEUTIC ACTIVITIES COGNITIVE TEST BY HC PRO BEHAVRAL QUALIT ANALYS VOICE SPEECH SOUND LANG COMPREHEN CINE/VID X-RAY THROAT/ESOPH EVALUATE SWALLOWING FUNCTION ORTHOTIC MGMT AND TRAINING ORAL FUNCTION THERAPY ASSESSMENT OF APHASIA ENDOSCOPY SWALLOW TST (FEES) WORK HARDENING STRAPPING OF ANKLE AND/OR FT PHYSICAL PERFORMANCE TEST EVALUATE SPEECH PRODUCTION NEUROMUSCULAR REEDUCATION PHYSICAL MEDICINE PROCEDURE *G8978 *MOB FUNC LIMIT, CUR STAT DIAGNOSTIC LARYNGOSCOPY MANUAL THERAPY 1/> REGIONS SELF CARE MNGMENT TRAINING SPEECH/HEARING THERAPY NEUROBEHAVIORAL STATUS EXAM PT RE-EVALUATION X-RAY EXAM OF PELVIS EX FOR SPEECH DEVICE RX 1HR PHYSICAL THERAPY TREATMENT COGNITIVE SKILLS DEVELOPMENT *G8996 *SWALL FUNCT LIMIT, CUR Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

26 CaroMont Regional Medical Center Code Description Patients ROUTINE VENIPUNCTURE 24, COMP SCREEN MAMMOGRAM ADD-ON 14, CAPILLARY BLOOD DRAW 9, CHEST X-RAY 2VW FRONTAL&LATL 4, OFFICE/OUTPATIENT VISIT EST 3, OFFICE/OUTPATIENT VISIT EST 2, X-RAY EXAM L-2 SPINE 4/>VWS 2, COMPUTER DX MAMMOGRAM ADD-ON 2, ULTRASOUND BREAST LIMITED 2, MRI LUMBAR SPINE W/O DYE 1, US EXAM ABDOM COMPLETE 1, DXA BONE DENSITY AXIAL 1, MRI BRAIN STEM W/O & W/DYE 1, CT ABD & PELV W/CONTRAST 1, EXTREMITY STUDY 1, DEB SUBQ TISSUE 20 SQ CM/< 1, INJECT SPINE LUMBAR/SACRAL 1, MRI JNT OF LWR EXTRE W/O DYE COLONOSCOPY W/LESION REMOVAL X-RAY EXAM NECK SPINE 4/5VWS X-RAY EXAM OF ABDOMEN X-RAY EXAM L-S SPINE 2/3 VWS CT HEAD/BRAIN W/O DYE CT ABD & PELVIS W/O CONTRAST X-RAY EXAM OF KNEE 1 OR MRI JOINT UPR EXTREM W/O DYE POLYSOM 6/> YRS 4/> PARAM MRI LUMBAR SPINE W/O & W/DYE US EXAM OF HEAD AND NECK THERAPEUTIC EXERCISES DIAGNOSTIC COLONOSCOPY MRI NECK SPINE W/O DYE ELECTROCARDIOGRAM TRACING COLONOSCOPY AND BIOPSY ECHO EXAM OF ABDOMEN X-RAY EXAM OF SHOULDER CT THORAX W/O DYE PT EVALUATION PET IMAGE W/CT SKULL-THIGH EGD BIOPSY SINGLE/MULTIPLE Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

27 CaroMont Specialty Surgery Code Description Patients CATARACT SURG W/IOL 1 STAGE 2, CREATE EARDRUM OPENING REMOVE TONSILS AND ADENOIDS REMOVAL OF ADENOIDS COLONOSCOPY AND BIOPSY DIAGNOSTIC COLONOSCOPY COLONOSCOPY W/LESION REMOVAL CATARACT SURGERY COMPLEX SINUS ENDOSCOPY SURGICAL CARPAL TUNNEL SURGERY EGD BIOPSY SINGLE/MULTIPLE REMOVAL OF TONSILS REPAIR OF NASAL SEPTUM INCISE FINGER TENDON SHEATH RELEASE PALM CONTRACTURE REMOVE TONSILS AND ADENOIDS EGD DIAGNOSTIC BRUSH WASH REVISE ULNAR NERVE AT ELBOW INSERT ANT DRAINAGE DEVICE LARYNGOSCOPY W/BIOPSY REMOVAL OF TONSILS REVISE EYE MUSCLE *G0121 *CA SCREEN-COLONOSCOPY REMOVAL OF ETHMOID SINUS REMOVAL OF SUPPORT IMPLANT BIOPSY/REMOVAL LYMPH NODES INCISION OF TENDON SHEATH RELEASE PALM CONTRACTURE REMOVE TENDON SHEATH LESION REPAIR WRIST JOINTS REPAIR OF EARDRUM LARYNGOSCOPY W/BX & OP SCOPE CLOSED TX SEPTAL&NOSE FX CLEAR OUTER EAR CANAL REVISE MIDDLE EAR & MASTOID TREAT FINGER FRACTURE EACH ENDOSCOPY MAXILLARY SINUS LARYNGOSCOPY W/EXC OF TUMOR LARYNSCOP W/TUMR EXC + SCOPE REPAIR EARDRUM STRUCTURES Beginning in 2012, data collection was expanded to include all Outpatient -4 codes

28 Carolina Center for Specialty Surgery Code Description Patients LOW BACK DISK SURGERY NECK SPINE FUSE&REMOV BEL C REMOVE SPINE LAMINA 1 LMBR INJ FORAMEN EPIDURAL L/S REMOVE SPINE LAMINA 1 CRVL SPINAL FLUID TAP DIAGNOSTIC KNEE ARTHROSCOPY/SURGERY CARPAL TUNNEL SURGERY DESTROY LUMB/SAC FACET JNT ARTHROSCOP ROTATOR CUFF REPR LAMINOTOMY SINGLE LUMBAR INSERT SPINE FIXATION DEVICE DECOMPRESS SPINAL CORD LMBR WRIST ENDOSCOPY/SURGERY NECK SPINE DISK SURGERY TREAT TRIGEMINAL NERVE EXCISE INTRSPINL LESION LMBR INJ FORAMEN EPIDURAL C/T KNEE ARTHROSCOPY/SURGERY DESTROY CERV/THOR FACET JNT REVISE ULNAR NERVE AT ELBOW KNEE ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY/SURGERY INJECT SPINE CERV/THORACIC X-RAY OF LOWER SPINE DISK CERV ARTIFIC DISKECTOMY KNEE ARTHROSCOPY/SURGERY INJ PARAVERT F JNT L/S 1 LEV REPAIR ELBOW PERC KNEE ARTHROSCOPY/SURGERY INJECT EPIDURAL PATCH INJECT SACROILIAC JOINT *G0260 *INJECT SI JT PROV ANES INCISE FINGER TENDON SHEATH CORRECTION OF BUNION KNEE ARTHROSCOPY/SURGERY HYSTEROSCOPY ABLATION REMOVAL OF SUPPORT IMPLANT Beginning in 2012, data collection was expanded to include all Outpatient -4 codes