s s Consultations: See the Notes below for All s 0109 Hospital follow-up visit 15 531.30 35.423 180.40 12.027 254.10 16.937 251.80 16.785 259.10 17.276 0129 Prolonged first/follow-up consultation : 15 min 15 531.30 35.423 251.60 16.773 254.10 16.937 251.80 16.785 259.10 17.276 0130 Telephone consultation (all hours) 12 425.10 35.423 201.40 16.783 203.30 16.945 201.40 16.785 207.30 17.276 0132 Repeat Script 5 177.10 35.423 83.80 16.760 84.80 16.960 83.90 16.785 86.40 17.276 0133 Writing of special motivations 9 318.80 35.423 150.80 16.756 152.40 16.932 151.10 16.785 155.50 17.276 0145 Consultation : Away from doctor's room 6 212.50 35.423 100.80 16.800 101.60 16.932 100.70 16.785 103.70 17.276 0146 Unscheduled consultation: Emergency (cons.room) 8 283.40 35.423 134.20 16.775 135.50 16.932 134.30 16.785 138.20 17.276 0147 Unscheduled consultation:emergency(not cons.room) 14 495.90 35.423 235.00 16.786 237.10 16.932 235.00 16.785 241.90 17.276 0151 Pre-anaesthetic assessment: 10 and 20 minutes 35.423 - - - - - 17.276 0173 Hospital Consultation 15 531.30 35.423 285.60 19.040 287.90 19.194 285.30 19.023 259.10 17.276 0174 Hospital Consultation 30 1,062.70 35.423 285.60 9.520 287.90 9.597 285.30 11.776 449.10 14.971 0175 Hospital Consultation 45 1,594.00 35.423 285.60 6.347 287.90 6.398 285.30 7.851 449.10 9.980 0190 Consultation 15 531.30 35.423 321.30 21.420 287.90 19.194 285.30 19.023 449.10 29.941 0191 Consultation 30 1,062.70 35.423 321.30 10.710 287.90 9.597 285.30 11.776 449.10 14.971 0192 Consultation 45 1,594.00 35.423 321.30 7.140 287.90 6.398 285.30 7.851 449.10 9.980 0199 Chronic Medicine Forms 21.43 759.10 35.423 359.60 16.780 362.90 16.933 359.70 16.785 370.20 17.276 Procedures 0257 Drainage of major hand/ foot infection: Drainage of major abscess with necrosis of tissue 87 3,081.80 35.423 903.80 10.389 912.60 10.489 927.70 10.663 930.80 10.699 0289 Large skin grafts, composite skin grafts, large full thickness free skin grafts 234 8,289.00 35.423 2,431.00 10.389 2,454.20 10.488 2,495.20 10.663 2,503.50 10.699 0302 Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage 64 2,267.10 35.423 664.90 10.389 671.10 10.486 682.40 10.663 684.70 10.699 0303 Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage 128 4,534.10 35.423 1,329.80 10.389 1,342.50 10.488 1,364.90 10.663 1,369.40 10.699 0304 Major debridement of wound, sloughectomy or secondary suture 50 1,771.20 35.423 519.50 10.389 524.40 10.489 533.20 10.663 534.90 10.699 0307 Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude 27 956.40 35.423 280.50 10.389 283.20 10.490 287.90 10.663 288.90 10.699 0308 Each additional small procedure done at the same time 14 495.90 35.423 145.40 10.389 146.90 10.494 149.30 10.663 149.80 10.699 0311 Excision of large benign tumour (more than 5 cm) 55 1,948.30 35.423 571.40 10.389 576.80 10.488 586.50 10.663 588.40 10.699 0313 Extensive resection for malignant soft tissue tumour including muscle 283.9 10,056.60 35.423 2,949.40 10.389 2,977.60 10.488 3,027.30 10.663 3,037.30 10.699 0314 Requiring repair by large skin graft or large local flap or other procedures of similar magnitude 104 3,684.00 35.423 1,080.50 10.389 1,090.80 10.488 1,109.00 10.663 1,112.70 10.699 0315 Requiring repair by small skin graft or small local flap or other procedures of similar magnitude 55 1,948.30 35.423 571.40 10.389 576.80 10.488 586.50 10.663 588.40 10.699 0321 Biopsy or excision of cyst, benign tumour, aberrant breast tissue, duct papilloma 94.2 3,336.80 35.423 978.60 10.389 988.00 10.488 1,004.50 10.663 1,007.80 10.699 0323 Sub-areolar cone excision of ducts of wedge excision of breast 90 3,188.10 35.423 935.00 10.389 943.80 10.487 959.70 10.663 962.90 10.699 0324 Wedge excision of breast and axillary dissection 225 7,970.20 35.423 2,337.50 10.389 2,501.40 11.117 2,399.20 10.663 2,407.20 10.699 0325 Total mastectomy 155 5,490.60 35.423 1,610.30 10.389 1,625.80 10.489 1,652.80 10.663 1,658.30 10.699 0329 Total mastectomy with axillary gland dissection 275 9,741.30 35.423 2,857.00 10.389 2,884.30 10.488 2,932.40 10.663 2,942.10 10.699 0939 Trans-abdominal anterior exposure of the spine for spinal fusion only if done by a second surgeon 160 5,667.70 35.423 1,662.20 10.389 1,678.10 10.488 1,706.10 10.663 1,711.80 10.699
s s 1204 Intensive care: Category 1: Cases requiring intensive monitoring : Per day 30 1,062.70 35.423 311.70 10.389 314.60 10.487 319.90 10.663 321.00 10.699 1205 Intensive care: Category 2: Cases requiring active system support: First day 100 3,542.30 35.423 1,038.90 10.389 1,048.90 10.489 1,066.30 10.663 1,069.90 10.699 1206 Intensive care: Category 2: Cases requiring active system support : Subsequent days, per day 50 1,771.20 35.423 519.50 10.389 524.40 10.489 533.20 10.663 534.90 10.699 1208 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients : First day 137 4,853.00 35.423 1,423.30 10.389 1,437.00 10.489 1,460.90 10.663 1,465.70 10.699 1209 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients: First day 58 2,054.50 35.423 602.60 10.389 608.20 10.487 618.50 10.663 620.50 10.699 1210 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients : Subsequent days 50 1,771.20 35.423 519.50 10.389 524.40 10.489 533.20 10.663 534.90 10.699 1213 Ventilation: Subsequent days, per day 50 1,771.20 35.423 519.50 10.389 524.40 10.489 533.20 10.663 534.90 10.699 1218 Insertion of central venous line via subclavian or jugular veins 25 885.60 35.423 259.70 10.389 262.20 10.489 266.60 10.663 267.50 10.699 1219 Hyperalimentation (daily tariff) 15 531.30 35.423 155.80 10.389 166.70 11.116 159.90 10.663 160.50 10.699 1372 Abdominal aorta and iliac artery: Unruptured 540 19,128.40 35.423 5,610.10 10.389 5,663.70 10.488 5,758.20 10.663 5,777.20 10.699 1376 Aorta bi-femoral graft, including proximal and distal endarterectomy and preparation for anastomosis 594 21,041.30 35.423 6,171.10 10.389 6,230.10 10.488 6,334.00 10.663 6,355.00 10.699 1385 Prosthetic grafting 255 9,032.90 35.423 2,649.20 10.389 2,674.40 10.488 2,719.10 10.663 2,728.10 10.699 1387 Vein grafting proximal to knee joint 300 10,626.90 35.423 3,116.70 10.389 3,146.50 10.488 3,199.00 10.663 3,209.60 10.699 1388 Vein grafting distal to knee joint 444 15,727.80 35.423 4,612.70 10.389 4,656.80 10.488 4,734.50 10.663 4,750.20 10.699 1389 Endarterectomy when not part of another specified procedure 264 9,351.70 35.423 2,742.70 10.389 2,769.00 10.489 2,815.10 10.663 2,824.40 10.699 1390 Carotid endarterectomy 321 11,370.80 35.423 3,334.90 10.389 3,366.80 10.488 3,422.90 10.663 3,434.20 10.699 1393 Embolectomy: Peripheral embolectomy transfemoral 168 5,951.10 35.423 1,745.40 10.389 1,762.00 10.488 1,791.40 10.663 1,797.40 10.699 1396 Suture major blood vessel (artery or vein) - trauma 264 9,351.70 35.423 2,742.70 10.389 2,769.00 10.489 2,815.10 10.663 2,824.40 10.699 1408 Placement of Hickman catheter or similar 91 3,223.50 35.423 945.40 10.389 954.30 10.487 970.40 10.663 973.60 10.699 1413 Combined procedure for varicose veins:, multiple ligation including perforating veins : Unilateral 141 4,994.60 35.423 1,464.80 10.389 1,478.90 10.489 1,503.50 10.663 1,508.50 10.699 1415 Combined procedure for varicose veins: Ligation of saphenous vein stripping: Bilateral 247 8,749.50 35.423 2,566.10 10.389 2,590.70 10.488 2,633.80 10.663 2,642.50 10.699 1435 Splenectomy (in all cases) 221.3 7,839.10 35.423 2,299.10 10.389 2,321.10 10.488 2,359.80 10.663 2,367.60 10.699 1439 Excision of lymph node for biopsy: Neck or axilla 65 2,302.50 35.423 675.30 10.389 681.70 10.488 693.10 10.663 695.40 10.699 1445 Radical excision of lymph nodes of neck: Total: Unilateral 315 11,158.20 35.423 3,272.50 10.389 3,303.90 10.489 3,358.90 10.663 3,370.10 10.699 1449 Radical excision of lymph nodes of axilla 160 5,667.70 35.423 1,662.20 10.389 1,678.10 10.488 1,706.10 10.663 1,711.80 10.699 1525 Partial parotidectomy 310 10,981.10 35.423 3,220.60 10.389 3,251.30 10.488 3,305.60 10.663 3,316.60 10.699 1563 Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure 300 10,626.90 35.423 3,116.70 10.389 3,146.50 10.488 3,199.00 10.663 3,209.60 10.699 1565 Hiatus hernia and diaphragmatic hernia repair: With Collis Nissen oesophageal lengthening procedure 350 12,398.10 35.423 3,636.20 10.389 3,670.90 10.488 3,732.10 10.663 3,744.50 10.699 1566 fee: Gastroplasty 325 11,512.50 35.423 3,376.40 10.389 3,408.80 10.489 3,465.60 10.663 3,477.00 10.699 1568 Hiatus hernia and diaphragmatic repair: Revision after previous repair 375 13,283.60 35.423 3,895.90 10.389 3,933.10 10.488 3,998.70 10.663 4,012.00 10.699 1578 Oesophageal motility (4 channel + pneumograph) 100 3,542.30 35.423 1,038.90 10.389 1,048.90 10.489 1,066.30 10.663 1,069.90 10.699 1580 Oesophageal motility (6 Channel + pneumograph + ph pull-through) 110 3,896.50 35.423 1,142.80 10.389 1,153.70 10.488 1,173.00 10.663 1,176.80 10.699 1584 24-hour oesophageal ph studies: Hire fee 55 1,948.30 35.423 571.40 10.389 576.80 10.488 586.50 10.663 588.40 10.699 1587 Upper gastro-intestinal endoscopy: Using hospital equipment 48.75 1,726.90 35.423 506.50 10.389 511.50 10.492 519.80 10.663 521.60 10.699 1597 Gastrostomy or Gastrotomy 147.5 5,224.90 35.423 1,532.40 10.389 1,547.20 10.489 1,572.80 10.663 1,578.00 10.699 1615 Suture of perforated gastric or duodenal ulcer, wound or injury 200 7,084.60 35.423 2,077.80 10.389 2,097.60 10.488 2,132.60 10.663 2,139.70 10.699 1617 Partial gastrectomy 328.3 11,629.40 35.423 3,410.70 10.389 3,443.40 10.489 3,500.70 10.663 3,512.30 10.699 1637 Operation for relief of intestinal obstruction 240 8,501.50 35.423 2,493.40 10.389 2,517.30 10.489 2,559.20 10.663 2,567.70 10.699
s s 1639 Resection of small bowel with enterostomy or anastomosis 244.9 8,675.10 35.423 2,544.30 10.389 2,568.50 10.488 2,611.40 10.663 2,620.10 10.699 1641 Entero-enterostomy or entero-colostomy for bypass 213.1 7,548.60 35.423 2,213.90 10.389 2,235.00 10.488 2,272.30 10.663 2,279.90 10.699 1645 Suture of intestine (small or large): Perforated ulcer, wound or injury 185.2 6,560.30 35.423 1,924.00 10.389 1,942.40 10.488 1,974.80 10.663 1,981.40 10.699 1651 Excision of lesion of mesentery 171.6 6,078.60 35.423 1,782.80 10.389 1,799.80 10.488 1,829.80 10.663 1,835.90 10.699 1653 Total colonoscopy: With hospital equipment (including biopsy) 90 3,188.10 35.423 935.00 10.389 1,000.50 11.116 959.70 10.663 962.90 10.699 1654 Plus removal of polyps: ADD to colonoscopy (item 1653) 30 1,062.70 35.423 311.70 10.389 314.60 10.487 319.90 10.663 321.00 10.699 1656 Left-sided colonoscopy 60 2,125.40 35.423 623.30 10.389 629.30 10.489 639.80 10.663 641.90 10.699 1657 Right or left hemicolectomy or segmental colectomy 325.4 11,526.60 35.423 3,380.60 10.389 3,408.80 10.476 3,469.80 10.663 3,481.30 10.699 1658 Reconstruction of colon after Hartman s procedure 359.4 12,731.00 35.423 3,733.80 10.389 3,769.50 10.488 3,832.40 10.663 3,845.10 10.699 1663 Total colectomy 390 13,815.00 35.423 4,051.70 10.389 4,090.40 10.488 4,158.70 10.663 4,172.40 10.699 1665 Colostomy or ileostomy isolated procedure 196 6,942.90 35.423 2,036.20 10.389 2,452.20 12.511 2,090.00 10.663 2,096.90 10.699 1667 Colostomy: Closure 179.1 6,344.30 35.423 1,860.70 10.389 1,878.50 10.489 1,909.80 10.663 1,916.10 10.699 1675 Appendicectomy 160 5,667.70 35.423 1,662.20 10.389 1,678.10 10.488 1,706.10 10.663 1,711.80 10.699 1676 Flexible sigmoidoscopy (including rectum and anus): Using hospital equipment 48.75 1,726.90 35.423 506.50 10.389 511.50 10.492 519.80 10.663 521.60 10.699 Anterior resection of rectum performed for carcinoma of rectum incl excision of any part of 1687 proximal colon 381.3 13,506.80 35.423 3,961.30 10.389 3,999.30 10.489 4,065.90 10.663 4,079.40 10.699 Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or 1688 colostomy 445 15,763.20 35.423 4,623.10 10.389 4,667.30 10.488 4,745.10 10.663 4,760.90 10.699 1691 Abdomino-perineal resection of rectum: Abdominal surgeon 409.3 14,498.60 35.423 4,252.20 10.389 4,293.00 10.489 4,364.50 10.663 4,378.90 10.699 1697 Repair of prolapsed rectum: Abdominal: Roscoe Graham Moskovitz 300 10,626.90 35.423 3,116.70 10.389 3,146.50 10.488 3,199.00 10.663 3,209.60 10.699 1701 Repair of prolapsed rectum: Abdominal: Perineal 150 5,313.50 35.423 1,558.40 10.389 1,573.30 10.489 1,599.50 10.663 1,604.80 10.699 1709 Drainage of ischio-rectal abscess 87 3,081.80 35.423 903.80 10.389 967.30 11.119 927.70 10.663 930.80 10.699 1711 Excision of pelvi-rectal fistula 200 7,084.60 35.423 2,077.80 10.389 2,097.60 10.488 2,132.60 10.663 2,139.70 10.699 1713 Excision of fistula-in-ano 105 3,719.40 35.423 1,090.80 10.389 1,101.30 10.488 1,119.60 10.663 1,123.40 10.699 1715 Operation for fissure-in-ano 66.8 2,366.30 35.423 694.00 10.389 700.60 10.488 712.30 10.663 714.70 10.699 1723 Haemorrhoidectomy 120 4,250.80 35.423 1,246.70 10.389 1,258.60 10.488 1,279.60 10.663 1,283.80 10.699 1727 Multiple procedures (haemorrhoids, fissure, etc.) 90 3,188.10 35.423 935.00 10.389 943.80 10.487 959.70 10.663 962.90 10.699 1749 Hemi-hepatectomy: Right 564 19,978.60 35.423 5,859.40 10.389 5,915.30 10.488 6,014.10 10.663 6,034.00 10.699 1753 Partial or segmental hepatectomy 378 13,389.90 35.423 3,927.00 10.389 3,964.50 10.488 4,030.70 10.663 4,044.10 10.699 1755 Liver transplant 1400.8 49,620.50 35.423 14,552.90 10.389 14,692.20 10.488 14,937.10 10.663 14,986.60 10.699 1761 Cholecystectomy 225 7,970.20 35.423 2,337.50 10.389 2,359.80 10.488 2,399.20 10.663 2,407.20 10.699 1762 Cholecystectomy and operative cholangiogram 255 9,032.90 35.423 2,649.20 10.389 2,674.40 10.488 2,719.10 10.663 2,728.10 10.699 Endoscopic Retrograde Cholangiopancreatography (ERCP): Endoscopy + catheterisation of 1778 pancreas duct 105.9 3,751.30 35.423 1,100.20 10.389 1,110.60 10.488 1,129.20 10.663 1,133.00 10.699 1789 Pancreatico-duodenectomy 704.8 24,966.10 35.423 7,322.20 10.389 7,392.10 10.488 7,515.50 10.663 7,540.40 10.699 1807 ADD to open procedure where procedure was performed through a laparoscope 45 1,594.00 35.423 467.50 10.389 472.00 10.490 479.80 10.663 481.40 10.699 1809 Laparotomy 196 6,942.90 35.423 2,036.20 10.389 2,055.70 10.488 2,090.00 10.663 2,096.90 10.699 Radical removal of retro-peritoneal malignant tumours (including sacro-coccygeal and presacral) 1810 350 12,398.10 35.423 3,636.20 10.389 3,670.90 10.488 3,732.10 10.663 3,744.50 10.699
s s 1815 Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal 248.4 8,799.10 35.423 2,580.60 10.389 2,605.40 10.489 2,648.80 10.663 2,657.50 10.699 1819 Inguinal or femoral hernia: Adult 125 4,427.90 35.423 1,298.60 10.389 1,311.10 10.489 1,332.90 10.663 1,337.30 10.699 1821 Inguinal or femoral hernia: Child under 14 years old 90 3,188.10 35.423 935.00 10.389 943.80 10.487 959.70 10.663 962.90 10.699 1823 Inguinal hernia: Infant under 1 year 100 3,542.30 35.423 1,038.90 10.389 1,048.90 10.489 1,066.30 10.663 1,069.90 10.699 1825 Recurrent inguinal or femoral hernia 155 5,490.60 35.423 1,610.30 10.389 1,625.80 10.489 1,652.80 10.663 1,658.30 10.699 1827 Strangulated hernia or femoral hernia 238 8,430.70 35.423 2,472.60 10.389 2,496.20 10.488 2,537.90 10.663 2,546.30 10.699 1829 Epigastric hernia 93.3 3,305.00 35.423 969.30 10.389 978.60 10.489 994.90 10.663 998.20 10.699 1831 Umbilical hernia: Adult 140 4,959.20 35.423 1,454.50 10.389 1,468.30 10.488 1,492.90 10.663 1,497.80 10.699 1835 Incisional hernia 166.8 5,908.60 35.423 1,732.90 10.389 1,749.40 10.488 1,778.60 10.663 1,784.50 10.699 1836 Implantation of mesh or other prosthesis for incisional or ventral hernia repair 77 2,727.60 35.423 800.00 10.389 807.70 10.489 821.10 10.663 823.80 10.699 1895 Allo-transplantation of kidney 420 14,877.70 35.423 4,363.40 10.389 3,524.00 8.390 4,478.60 10.663 4,493.40 10.699 2137 Circumcision: Surgical excision other than by clamp or dorsal slit, any age 60 2,125.40 35.423 623.30 10.389 629.30 10.489 639.80 10.663 641.90 10.699 2493 Diagnostic laparoscopy (excluding after-care) 94.4 3,343.90 35.423 980.70 10.389 990.00 10.487 1,006.60 10.663 1,009.90 10.699 2527 Removal of ovarian tumour or cyst 187 6,624.10 35.423 1,942.70 10.389 1,961.30 10.488 1,994.00 10.663 2,000.60 10.699 2848 Cervical sympathectomy: Bilateral 268 9,493.40 35.423 2,784.30 10.389 2,810.90 10.488 2,857.80 10.663 2,867.20 10.699 2985 Lobectomy: Total 200 7,084.60 35.423 2,077.80 10.389 2,097.60 10.488 2,132.60 10.663 2,139.70 10.699 2987 Thyroidectomy: Subtotal 266 9,422.50 35.423 2,763.50 10.389 2,790.00 10.489 2,836.40 10.663 2,845.80 10.699 2989 Thyroidectomy: Total 279 9,883.00 35.423 2,898.50 10.389 3,101.70 11.117 2,975.00 10.663 2,984.90 10.699 2993 Exploration of parathyroid glands for hyperparathyroidism including removal 275 9,741.30 35.423 2,857.00 10.389 2,884.30 10.488 2,932.40 10.663 2,942.10 10.699 3559 Selective first order catheterisation, arterial or venous, with angiogram/venogram 95 3,365.20 35.423 1,398.10 14.717 846.90 8.914 1,013.00 10.663 1,016.40 10.699 3562 Selective third order catheterisation, arterial or venous, with angiogram/venogram 122 4,321.60 35.423 1,795.50 14.717 1,087.40 8.913 1,300.90 10.663 1,305.20 10.699 3627* Ultrasound examination includes whole abdomen and pelvic organs 60 6,198.00 10.164 594.20 9.904 600.00 9.999 609.80 10.164 611.90 10.198 4821 Routine HBO table (2-2,5 ATA x 90-120 min): Technical component 131.26 4,649.60 35.423 1,363.70 10.389 1,376.70 10.488 1,399.70 10.663 1,404.30 10.699 5008 Percutaneous transluminal angioplasty: Sub-popliteal sub-brachial 232 8,218.10 35.423 3,414.30 14.717 2,068.10 8.914 2,473.90 10.663 2,482.10 10.699 Stent insertion: Iliac/subclavian/AV fistula including percutaneous transluminal angioplasty 5060 (PTA) 232 8,218.10 35.423 3,414.30 14.717 2,068.10 8.914 2,473.90 10.663 2,482.10 10.699 Carotid ultrasound vascular study:b mode, pulsed & colour Doppler; bilateral, internal, external 5110* & common carotid flow & anatomy 128 1,364.90 10.663 1,267.70 9.904 1,279.70 9.998 1,364.90 10.663 1,369.40 10.699 Full ultrasonic and colour Doppler evaluation of entire extracranial vascular tree: Carotids, 5111 vertebral and subclavian vessels 206 7,297.10 35.423 2,040.20 9.904 2,059.50 9.998 2,196.60 10.663 2,203.90 10.699 5112 Peripheral arterial ultrasound vascular study: B mode, pulsed and colour Doppler; per limb 117 4,144.50 35.423 1,158.80 9.904 1,169.80 9.998 1,247.60 10.663 1,251.70 10.699 Peripheral venous ultrasound vascular study; B mode, pulsed and colour Doppler; to evaluate 5113 deep vein thrombosis 117 4,144.50 35.423 1,158.80 9.904 1,169.80 9.998 1,247.60 10.663 1,251.70 10.699 Peripheral venous ultrasound vascular study; B mode, pulsed and colour Doppler; in erect and 5114 supine position, bilaterally 178 6,305.30 35.423 1,762.90 9.904 1,779.50 9.997 1,898.10 10.663 1,904.30 10.699
s s Note: 1. s, Descriptors and Unit Values have been extracted from the SAMA Electronic Medical Doctors Coding Manual (emdcm) previously known as the SAMA Doctors Billing Manual (DBM). 2. s may differ due to rounding 3. Above codes are the most frequently used codes and is not all inclusive of all the codes 4. Increases from 2013 are as follow: a. = 2013 Scheme +3.34% for consultations and +6% for procedures b. Health = 2013 +6% c. = 2013 +6% d. Fedhealth = 2013 +5.4% e. The has been fixed at a maximum of R35.423. This is based on updated costing studies for Paediatricians in 2011/12. Also note this is 13.65% higher than the Executive rate for procedures. 6. Premier A Procedure Rates have NOT been split between In-Hospital & Out-Hospital. Use as appropriate. 7. The Healthman tariff for codes that relate to equipment have been retained at rate* 8. All s are inlcusive of VAT Disclaimer: The above schedule is based on information avaiable to and will NOT be held responsible for any losses incurred by practitioners resulting from the use of this schedule. Legend: = Health = Direct Payment Arrangement Prem = Premier R = Rand = Rand Conversion Factor (Rand Value per Unit) VAT = Value Added Tax
Payment Arrangments Consultations: Units R R Prem A In Hosp. Prem A Out Hosp. Prem B Classic Rate Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R See the Notes below for All s 0109 Hospital follow-up visit 15 531.30 35.423 0129 Prolonged first/follow-up consultation : 15 min 15 531.30 35.423 0130 Telephone consultation (all hours) 12 425.10 35.423 0132 Repeat Script 5 177.10 35.423 0133 Writing of special motivations 9 318.80 35.423 0145 Consultation : Away from doctor's room 6 212.50 35.423 0146 Unscheduled consultation: Emergency (cons.room) 8 283.40 35.423 0147 Unscheduled consultation:emergency(not cons.room) 14 495.90 35.423 0151 Pre-anaesthetic assessment: 10 and 20 minutes 35.423 0173 Hospital Consultation 15 531.30 35.423 0174 Hospital Consultation 30 1,062.70 35.423 0175 Hospital Consultation 45 1,594.00 35.423 0190 Consultation 15 531.30 35.423 0191 Consultation 30 1,062.70 35.423 0192 Consultation 45 1,594.00 35.423 0199 Chronic Medicine Forms 21.43 759.10 35.423 247.10 292.20 265.20 391.50 541.20 419.30 533.60 344.70 407.60 369.90 546.00 754.80 419.30 533.60 275.90 326.30 296.10 437.00 604.20 335.40 426.90 114.80 135.80 123.20 181.80 251.40 139.90 178.10 206.60 244.30 221.70 327.20 452.40 251.50 320.00 138.10 163.30 148.20 218.70 302.40 167.60 213.40-217.40 197.30 291.20 402.60 223.60 284.60 322.00 380.70 345.50 510.00 705.00 391.20 497.90 - - 391.30-419.80 619.80 856.80 475.00 604.60 391.30-419.80 619.80 856.80 475.00 604.60 391.30-419.80 619.80 856.80 475.00 604.60-520.50 472.30 697.20-475.00 604.60-520.50 472.30 697.20-475.00 604.60-520.50 472.30 697.20-475.00 604.60 492.70 582.60 528.60 780.30 1,078.80 598.80 762.10 Procedures 0257 Drainage of major hand/ foot infection: Drainage of major abscess with necrosis of tissue 87 3,081.80 35.423 0289 Large skin grafts, composite skin grafts, large full thickness free skin grafts 234 8,289.00 35.423 0302 Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage 64 2,267.10 35.423 0303 Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage 128 4,534.10 35.423 0304 Major debridement of wound, sloughectomy or secondary suture 50 1,771.20 35.423 0307 Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude 27 956.40 35.423 0308 Each additional small procedure done at the same time 14 495.90 35.423 0311 Excision of large benign tumour (more than 5 cm) 55 1,948.30 35.423 0313 Extensive resection for malignant soft tissue tumour including muscle 283.9 10,056.60 35.423 0314 Requiring repair by large skin graft or large local flap or other procedures of similar magnitude 104 3,684.00 35.423 0315 Requiring repair by small skin graft or small local flap or other procedures of similar magnitude 55 1,948.30 35.423 0321 Biopsy or excision of cyst, benign tumour, aberrant breast tissue, duct papilloma 94.2 3,336.80 35.423 0323 Sub-areolar cone excision of ducts of wedge excision of breast 90 3,188.10 35.423 0324 Wedge excision of breast and axillary dissection 225 7,970.20 35.423 0325 Total mastectomy 155 5,490.60 35.423 0329 Total mastectomy with axillary gland dissection 275 9,741.30 35.423 0939 Trans-abdominal anterior exposure of the spine for spinal fusion only if done by a second surgeon 160 5,667.70 35.423 1,238.30 1,464.20 1,328.60 1,961.30 2,711.50 1,505.80 1,916.50 3,330.50 3,938.30 3,573.60 5,275.30 7,293.10 4,049.40 5,153.80 910.90 1,077.10 977.40 1,442.80 1,994.70 1,107.30 1,409.30 1,821.80 2,154.30 1,954.80 2,885.60 3,989.40 2,215.10 2,819.30 711.60 841.50 763.60 1,127.20 1,558.40 865.30 1,101.20 384.30 454.40 412.30 608.70 841.50 467.30 594.70 199.30 235.60 213.80 315.60 436.30 242.40 308.50 782.80 925.70 840.00 1,239.90 1,714.20 951.70 1,211.30 4,040.70 4,778.10 4,335.70 6,400.30 8,848.30 4,913.00 6,253.00 1,480.20 1,750.30 1,588.30 2,344.60 3,241.40 1,799.80 2,290.70 782.80 925.70 840.00 1,239.90 1,714.20 951.70 1,211.30 1,340.70 1,585.40 1,438.60 2,123.70 2,935.90 1,630.20 2,074.80 1,281.00 1,514.70 1,374.50 2,029.00 2,805.00 1,557.30 1,982.00 3,202.40 3,786.80 3,436.20 5,072.40 7,012.60 4,127.30 5,252.90 2,206.10 2,608.70 2,367.10 3,494.30 4,830.90 2,682.60 3,414.20 3,914.10 4,628.30 4,199.80 6,199.60 8,570.90 4,759.10 6,057.00 2,277.30 2,692.80 2,443.50 3,607.10 4,986.70 2,768.90 3,524.00
Payment Arrangments Units R R 1204 Intensive care: Category 1: Cases requiring intensive monitoring : Per day 30 1,062.70 35.423 1205 Intensive care: Category 2: Cases requiring active system support: First day 100 3,542.30 35.423 1206 Intensive care: Category 2: Cases requiring active system support : Subsequent days, per day 50 1,771.20 35.423 1208 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients : First day 137 4,853.00 35.423 1209 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients: First day 58 2,054.50 35.423 1210 Intensive care: Category 3: Cases with multiple organ failure or Category 2 patients : Subsequent days 50 1,771.20 35.423 1213 Ventilation: Subsequent days, per day 50 1,771.20 35.423 1218 Insertion of central venous line via subclavian or jugular veins 25 885.60 35.423 1219 Hyperalimentation (daily tariff) 15 531.30 35.423 1372 Abdominal aorta and iliac artery: Unruptured 540 19,128.40 35.423 1376 Aorta bi-femoral graft, including proximal and distal endarterectomy and preparation for anastomosis 594 21,041.30 35.423 1385 Prosthetic grafting 255 9,032.90 35.423 1387 Vein grafting proximal to knee joint 300 10,626.90 35.423 1388 Vein grafting distal to knee joint 444 15,727.80 35.423 1389 Endarterectomy when not part of another specified procedure 264 9,351.70 35.423 1390 Carotid endarterectomy 321 11,370.80 35.423 1393 Embolectomy: Peripheral embolectomy transfemoral 168 5,951.10 35.423 1396 Suture major blood vessel (artery or vein) - trauma 264 9,351.70 35.423 1408 Placement of Hickman catheter or similar 91 3,223.50 35.423 1413 Combined procedure for varicose veins:, multiple ligation including perforating veins : Unilateral 141 4,994.60 35.423 1415 Combined procedure for varicose veins: Ligation of saphenous vein stripping: Bilateral 247 8,749.50 35.423 1435 Splenectomy (in all cases) 221.3 7,839.10 35.423 1439 Excision of lymph node for biopsy: Neck or axilla 65 2,302.50 35.423 1445 Radical excision of lymph nodes of neck: Total: Unilateral 315 11,158.20 35.423 1449 Radical excision of lymph nodes of axilla 160 5,667.70 35.423 1525 Partial parotidectomy 310 10,981.10 35.423 1563 Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure 300 10,626.90 35.423 1565 Hiatus hernia and diaphragmatic hernia repair: With Collis Nissen oesophageal lengthening procedure 350 12,398.10 35.423 1566 fee: Gastroplasty 325 11,512.50 35.423 1568 Hiatus hernia and diaphragmatic repair: Revision after previous repair 375 13,283.60 35.423 1578 Oesophageal motility (4 channel + pneumograph) 100 3,542.30 35.423 1580 Oesophageal motility (6 Channel + pneumograph + ph pull-through) 110 3,896.50 35.423 1584 24-hour oesophageal ph studies: Hire fee 55 1,948.30 35.423 1587 Upper gastro-intestinal endoscopy: Using hospital equipment 48.75 1,726.90 35.423 1597 Gastrostomy or Gastrotomy 147.5 5,224.90 35.423 1615 Suture of perforated gastric or duodenal ulcer, wound or injury 200 7,084.60 35.423 1617 Partial gastrectomy 328.3 11,629.40 35.423 1637 Operation for relief of intestinal obstruction 240 8,501.50 35.423 Prem A In Hosp. Prem A Out Hosp. Prem B Classic Rate Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R 427.00 504.90 458.20 676.30 935.00 519.10 660.70 1,423.30 1,683.00 1,527.20 2,254.40 3,116.70 1,730.70 2,202.70 711.60 841.50 763.60 1,127.20 1,558.40 865.30 1,101.20 1,949.90 2,305.70 2,092.20 3,088.50 4,269.90 2,371.10 3,017.70 825.50 976.20 885.80 1,307.60 1,807.70 1,003.50 1,277.20 711.60 841.50 763.60 1,127.20 1,558.40 865.30 1,101.20 711.60 841.50 763.60 1,127.20 1,558.40 865.30 1,101.20 355.80 420.80 381.80 563.60 779.20 432.60 550.60 213.50 252.50 229.10 338.20 467.50 275.10 350.10 7,685.80 9,088.30 8,246.80 12,173.80 16,830.20 9,345.10 11,893.80 8,454.40 9,997.10 9,071.50 13,391.20 18,513.20 10,279.70 13,083.20 3,629.40 4,291.70 3,894.30 5,748.80 7,947.60 4,412.80 5,616.20 4,269.90 5,049.10 4,581.50 6,763.20 9,350.10 5,191.70 6,607.70 6,319.40 7,472.60 6,780.70 10,009.60 13,838.10 7,683.70 9,779.30 3,757.50 4,443.20 4,031.80 5,951.70 8,228.10 4,568.90 5,814.90 4,568.80 5,402.50 4,902.30 7,236.70 10,004.60 5,555.20 7,070.30 2,391.10 2,827.50 2,565.70 3,787.40 5,236.10 2,907.30 3,700.20 3,757.50 4,443.20 4,031.80 5,951.70 8,228.10 4,568.90 5,814.90 1,295.20 1,531.50 1,389.70 2,051.50 2,836.20 1,574.60 2,004.00 2,006.80 2,373.10 2,153.30 3,178.70 4,394.50 2,440.20 3,105.70 3,515.50 4,157.10 3,772.10 5,568.40 7,698.20 4,274.70 5,440.50 3,149.70 3,724.50 3,379.70 4,989.00 6,897.30 3,829.80 4,874.30 925.10 1,094.00 992.70 1,465.40 2,025.90 1,124.80 1,431.60 4,483.40 5,301.50 4,810.60 7,101.40 9,817.60 5,451.40 6,938.20 2,277.30 2,692.80 2,443.50 3,607.10 4,986.70 2,768.90 3,524.00 4,412.20 5,217.40 4,734.30 6,988.70 9,661.80 5,364.60 6,827.70 4,269.90 5,049.10 4,581.50 6,763.20 9,350.10 5,191.70 6,607.70 4,981.50 5,890.60 5,345.10 7,890.40 10,908.50 6,057.00 7,708.90 4,625.70 5,469.80 4,963.30 7,326.80 10,129.30 5,624.50 7,158.50 5,337.30 6,311.30 5,726.90 8,454.00 11,687.60 6,489.60 8,259.50 1,423.30 1,683.00 1,527.20 2,254.40 3,116.70 1,730.70 2,202.70 1,565.60 1,851.30 1,679.90 2,479.90 3,428.40 1,903.60 2,422.80 782.80 925.70 840.00 1,239.90 1,714.20 951.70 1,211.30 693.90 820.50 744.50 1,099.00 1,519.40 844.00 1,074.20 2,099.40 2,482.50 2,252.60 3,325.30 4,597.10 2,552.90 3,249.10 2,846.60 3,366.00 3,054.40 4,508.80 6,233.40 3,461.00 4,405.00 4,672.70 5,525.30 5,013.70 7,401.20 10,232.10 5,681.60 7,231.10 3,415.90 4,039.20 3,665.20 5,410.60 7,480.10 4,153.50 5,286.30
Payment Arrangments Units R R 1639 Resection of small bowel with enterostomy or anastomosis 244.9 8,675.10 35.423 1641 Entero-enterostomy or entero-colostomy for bypass 213.1 7,548.60 35.423 1645 Suture of intestine (small or large): Perforated ulcer, wound or injury 185.2 6,560.30 35.423 1651 Excision of lesion of mesentery 171.6 6,078.60 35.423 1653 Total colonoscopy: With hospital equipment (including biopsy) 90 3,188.10 35.423 1654 Plus removal of polyps: ADD to colonoscopy (item 1653) 30 1,062.70 35.423 1656 Left-sided colonoscopy 60 2,125.40 35.423 1657 Right or left hemicolectomy or segmental colectomy 325.4 11,526.60 35.423 1658 Reconstruction of colon after Hartman s procedure 359.4 12,731.00 35.423 1663 Total colectomy 390 13,815.00 35.423 1665 Colostomy or ileostomy isolated procedure 196 6,942.90 35.423 1667 Colostomy: Closure 179.1 6,344.30 35.423 1675 Appendicectomy 160 5,667.70 35.423 1676 Flexible sigmoidoscopy (including rectum and anus): Using hospital equipment 48.75 1,726.90 35.423 Anterior resection of rectum performed for carcinoma of rectum incl excision of any part of 1687 proximal colon 381.3 13,506.80 35.423 1688 Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy 445 15,763.20 35.423 1691 Abdomino-perineal resection of rectum: Abdominal surgeon 409.3 14,498.60 35.423 1697 Repair of prolapsed rectum: Abdominal: Roscoe Graham Moskovitz 300 10,626.90 35.423 1701 Repair of prolapsed rectum: Abdominal: Perineal 150 5,313.50 35.423 1709 Drainage of ischio-rectal abscess 87 3,081.80 35.423 1711 Excision of pelvi-rectal fistula 200 7,084.60 35.423 1713 Excision of fistula-in-ano 105 3,719.40 35.423 1715 Operation for fissure-in-ano 66.8 2,366.30 35.423 1723 Haemorrhoidectomy 120 4,250.80 35.423 1727 Multiple procedures (haemorrhoids, fissure, etc.) 90 3,188.10 35.423 1749 Hemi-hepatectomy: Right 564 19,978.60 35.423 1753 Partial or segmental hepatectomy 378 13,389.90 35.423 1755 Liver transplant 1400.8 49,620.50 35.423 1761 Cholecystectomy 225 7,970.20 35.423 1762 Cholecystectomy and operative cholangiogram 255 9,032.90 35.423 1778 Endoscopic Retrograde Cholangiopancreatography (ERCP): Endoscopy + catheterisation of pancreas duct 105.9 3,751.30 35.423 1789 Pancreatico-duodenectomy 704.8 24,966.10 35.423 1807 ADD to open procedure where procedure was performed through a laparoscope 45 1,594.00 35.423 1809 Laparotomy 196 6,942.90 35.423 Radical removal of retro-peritoneal malignant tumours (including sacro-coccygeal and presacral) 1810 350 12,398.10 35.423 Prem A In Hosp. Prem A Out Hosp. Prem B Classic Rate Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R 3,485.60 4,121.70 3,740.10 5,521.10 7,632.80 4,238.00 5,393.90 3,033.00 3,586.50 3,254.40 4,804.20 6,641.70 3,687.80 4,693.50 2,635.90 3,116.90 2,828.30 4,175.20 5,772.10 3,205.00 4,079.00 2,442.40 2,888.10 2,620.60 3,868.60 5,348.30 2,969.70 3,779.60 1,281.00 1,514.70 1,374.50 2,029.00 2,805.00 1,650.80 2,101.10 427.00 504.90 458.20 676.30 935.00 519.10 660.70 854.00 1,009.80 916.30 1,352.60 1,870.00 1,038.30 1,321.50 4,631.40 5,476.50 4,969.50 7,335.90 10,141.70 5,624.50 7,158.50 5,115.30 6,048.80 5,488.70 8,102.40 11,201.40 6,219.70 7,916.00 5,550.80 6,563.80 5,956.00 8,792.20 12,155.10 6,749.20 8,589.80 2,789.70 3,298.70 2,993.30 4,418.60 6,108.70 4,046.10 5,149.60 2,549.10 3,014.30 2,735.20 4,037.70 5,582.00 3,099.50 3,944.90 2,277.30 2,692.80 2,443.50 3,607.10 4,986.70 2,768.90 3,524.00 693.90 820.50 744.50 1,099.00 1,519.40 844.00 1,074.20 5,427.00 6,417.30 5,823.10 8,596.10 11,884.00 6,598.80 8,398.50 6,333.70 7,489.40 6,796.00 10,032.10 13,869.30 7,701.00 9,801.30 5,825.50 6,888.60 6,250.80 9,227.30 12,756.70 7,083.50 9,015.30 4,269.90 5,049.10 4,581.50 6,763.20 9,350.10 5,191.70 6,607.70 2,134.90 2,524.50 2,290.80 3,381.60 4,675.10 2,595.90 3,303.90 1,238.30 1,464.20 1,328.60 1,961.30 2,711.50 1,596.00 2,031.30 2,846.60 3,366.00 3,054.40 4,508.80 6,233.40 3,461.00 4,405.00 1,494.50 1,767.20 1,603.50 2,367.10 3,272.50 1,817.10 2,312.70 950.80 1,124.30 1,020.20 1,505.90 2,082.00 1,156.00 1,471.30 1,708.00 2,019.60 1,832.60 2,705.30 3,740.00 2,076.70 2,643.10 1,281.00 1,514.70 1,374.50 2,029.00 2,805.00 1,557.30 1,982.00 8,027.40 9,492.20 8,613.30 12,714.90 17,578.20 9,760.20 12,422.10 5,380.00 6,361.80 5,772.80 8,521.70 11,781.10 6,541.40 8,325.50 19,937.50 23,575.70 21,392.80 31,579.80 43,658.70 24,242.10 30,853.60 3,202.40 3,786.80 3,436.20 5,072.40 7,012.60 3,893.70 4,955.60 3,629.40 4,291.70 3,894.30 5,748.80 7,947.60 4,412.80 5,616.20 1,507.30 1,782.30 1,617.30 2,387.40 3,300.60 1,832.50 2,332.30 10,031.40 11,861.90 10,763.60 15,889.10 21,966.50 12,197.00 15,523.40 640.50 757.40 687.20 1,014.50 1,402.50 778.80 991.20 2,789.70 3,298.70 2,993.30 4,418.60 6,108.70 3,391.90 4,317.00 4,981.50 5,890.60 5,345.10 7,890.40 10,908.50 6,057.00 7,708.90
Payment Arrangments Units R R 1815 Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal 248.4 8,799.10 35.423 1819 Inguinal or femoral hernia: Adult 125 4,427.90 35.423 1821 Inguinal or femoral hernia: Child under 14 years old 90 3,188.10 35.423 1823 Inguinal hernia: Infant under 1 year 100 3,542.30 35.423 1825 Recurrent inguinal or femoral hernia 155 5,490.60 35.423 1827 Strangulated hernia or femoral hernia 238 8,430.70 35.423 1829 Epigastric hernia 93.3 3,305.00 35.423 1831 Umbilical hernia: Adult 140 4,959.20 35.423 1835 Incisional hernia 166.8 5,908.60 35.423 1836 Implantation of mesh or other prosthesis for incisional or ventral hernia repair 77 2,727.60 35.423 1895 Allo-transplantation of kidney 420 14,877.70 35.423 2137 Circumcision: Surgical excision other than by clamp or dorsal slit, any age 60 2,125.40 35.423 2493 Diagnostic laparoscopy (excluding after-care) 94.4 3,343.90 35.423 2527 Removal of ovarian tumour or cyst 187 6,624.10 35.423 2848 Cervical sympathectomy: Bilateral 268 9,493.40 35.423 2985 Lobectomy: Total 200 7,084.60 35.423 2987 Thyroidectomy: Subtotal 266 9,422.50 35.423 2989 Thyroidectomy: Total 279 9,883.00 35.423 2993 Exploration of parathyroid glands for hyperparathyroidism including removal 275 9,741.30 35.423 3559 Selective first order catheterisation, arterial or venous, with angiogram/venogram 95 3,365.20 35.423 3562 Selective third order catheterisation, arterial or venous, with angiogram/venogram 122 4,321.60 35.423 3627* Ultrasound examination includes whole abdomen and pelvic organs 60 6,198.00 10.164 4821 Routine HBO table (2-2,5 ATA x 90-120 min): Technical component 131.26 4,649.60 35.423 5008 Percutaneous transluminal angioplasty: Sub-popliteal sub-brachial 232 8,218.10 35.423 5060 Stent insertion: Iliac/subclavian/AV fistula including percutaneous transluminal angioplasty (PTA) 232 8,218.10 35.423 Carotid ultrasound vascular study:b mode, pulsed & colour Doppler; bilateral, internal, external 5110* & common carotid flow & anatomy 128 1,364.90 10.663 Full ultrasonic and colour Doppler evaluation of entire extracranial vascular tree: Carotids, 5111 vertebral and subclavian vessels 206 7,297.10 35.423 5112 Peripheral arterial ultrasound vascular study: B mode, pulsed and colour Doppler; per limb 117 4,144.50 35.423 5113 Peripheral venous ultrasound vascular study; B mode, pulsed and colour Doppler; to evaluate deep vein thrombosis 117 4,144.50 35.423 5114 Peripheral venous ultrasound vascular study; B mode, pulsed and colour Doppler; in erect and supine position, bilaterally 178 6,305.30 35.423 Prem A In Hosp. Prem A Out Hosp. Prem B Classic Rate Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R 3,535.50 4,180.60 3,793.50 5,600.00 7,741.90 4,298.90 5,471.30 1,779.10 2,103.80 1,909.00 2,818.00 3,895.90 2,163.30 2,753.30 1,281.00 1,514.70 1,374.50 2,029.00 2,805.00 1,557.30 1,982.00 1,423.30 1,683.00 1,527.20 2,254.40 3,116.70 1,730.70 2,202.70 2,206.10 2,608.70 2,367.10 3,494.30 4,830.90 2,682.60 3,414.20 3,387.40 4,005.60 3,634.70 5,365.50 7,417.70 4,118.70 5,242.00 1,327.90 1,570.30 1,424.90 2,103.40 2,907.90 1,614.70 2,055.10 1,992.60 2,356.20 2,138.10 3,156.20 4,363.40 2,422.70 3,083.40 2,374.10 2,807.30 2,547.30 3,760.40 5,198.70 2,886.50 3,673.70 1,095.90 1,295.90 1,175.90 1,735.90 2,399.90 1,332.70 1,696.20 5,977.80 7,068.70 6,414.20 9,468.50 13,090.10 5,814.60 7,400.40 854.00 1,009.80 916.30 1,352.60 1,870.00 1,038.30 1,321.50 1,343.60 1,588.80 1,441.70 2,128.20 2,942.20 1,633.50 2,079.00 2,661.60 3,147.20 2,855.80 4,215.80 5,828.20 3,236.10 4,118.70 3,814.40 4,510.50 4,092.90 6,041.80 8,352.80 4,638.00 5,902.90 2,846.60 3,366.00 3,054.40 4,508.80 6,233.40 3,461.00 4,405.00 3,786.00 4,476.80 4,062.30 5,996.70 8,290.40 4,603.50 5,859.00 3,971.00 4,695.60 4,260.80 6,289.80 8,695.60 5,117.80 6,513.60 3,914.10 4,628.30 4,199.80 6,199.60 8,570.90 4,759.10 6,057.00 1,915.40 2,264.90 2,055.20 3,033.90 4,194.30 1,397.40 1,778.50 2,459.80 2,908.70 2,639.30 3,896.20 5,386.40 1,794.20 2,283.50 814.10 962.70 873.50 1,289.50 1,782.70 990.00 1,260.00 1,868.20 2,209.10 2,004.60 2,959.10 4,091.00 2,271.60 2,891.10 4,677.70 5,531.20 5,019.10 7,409.10 10,243.00 3,412.40 4,343.00 4,677.70 5,531.20 5,019.10 7,409.10 10,243.00 3,412.40 4,343.00 1,736.80 2,053.70 1,863.50 2,750.90 3,803.10 2,111.50 2,687.40 2,795.10 3,305.20 2,999.10 4,427.30 6,120.70 3,398.20 4,325.00 1,587.50 1,877.20 1,703.40 2,514.50 3,476.30 1,930.20 2,456.60 1,587.50 1,877.20 1,703.40 2,514.50 3,476.30 1,930.20 2,456.60 2,415.20 2,855.90 2,591.50 3,825.50 5,288.70 2,936.20 3,737.00