| Proc Code | M1 | M2 | PA1 | PA2 | PA3 | P1 | Eff Date | Rel Val | Spec Fee | Qty |
|---|---|---|---|---|---|---|---|---|---|---|
| 93018 | 0 | 0 | 0 | 9 | 1985-04-01 | $0.00 | $0.00 | 1 | ||
| 93024 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $71.83 | 1 | ||
| 93025 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $169.86 | 1 | ||
| 93040 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $8.30 | 99 | ||
| 93041 | 0 | 0 | 0 | 9 | 2003-10-16 | $0.00 | $0.00 | 99 | ||
| 93042 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93224 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $96.80 | 1 | ||
| 93230 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $96.80 | 1 | ||
| 93231 | 0 | 0 | 0 | 9 | 1990-09-10 | $0.00 | $0.00 | 1 | ||
| 93232 | 0 | 0 | 0 | 9 | 1990-09-10 | $0.00 | $0.00 | 1 | ||
| 93233 | 0 | 0 | 0 | 9 | 1990-09-10 | $0.00 | $0.00 | 1 | ||
| 93235 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $96.80 | 1 | ||
| 93236 | 0 | 0 | 0 | 9 | 1990-09-10 | $0.00 | $0.00 | 1 | ||
| 93237 | 0 | 0 | 0 | 9 | 1990-09-10 | $0.00 | $0.00 | 1 | ||
| 93262 | 0 | 0 | 0 | 9 | 2003-10-16 | $0.00 | $0.00 | 1 | ||
| 93268 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $166.00 | 1 | ||
| 93270 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93271 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93272 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93278 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $44.83 | 1 | ||
| 93279 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $33.74 | 1 | ||
| 93280 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $39.76 | 1 | ||
| 93281 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $46.51 | 1 | ||
| 93282 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $43.10 | 1 | ||
| 93283 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $52.47 | 1 | ||
| 93284 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $61.39 | 1 | ||
| 93285 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $29.13 | 1 | ||
| 93286 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $16.54 | 2 | ||
| 93287 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $21.85 | 2 | ||
| 93288 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $26.01 | 1 | ||
| 93289 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $39.99 | 1 | ||
| 93290 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $19.54 | 1 | ||
| 93291 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $24.96 | 1 | ||
| 93292 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $22.66 | 1 | ||
| 93293 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $35.76 | 1 | ||
| 93294 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $22.51 | 1 | ||
| 93295 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $40.56 | 1 | ||
| 93296 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $21.23 | 1 | ||
| 93303 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $132.56 | 1 | ||
| 93304 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $79.22 | 1 | ||
| 93306 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $158.94 | 1 | ||
| 93307 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $121.00 | 1 | ||
| 93308 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $105.33 | 99 | ||
| 93312 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $189.23 | 1 | ||
| 93313 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $27.50 | 1 | ||
| 93314 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $162.68 | 1 | ||
| 93315 | 0 | 0 | 0 | 3 | 1997-07-01 | $0.00 | $131.00 | 1 | ||
| 93316 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $29.70 | 1 | ||
| 93317 | 0 | 0 | 0 | 3 | 1997-07-01 | $0.00 | $105.00 | 1 | ||
| 93318 | 0 | 0 | 0 | 6 | 2001-06-01 | $0.00 | $0.00 | 1 | ||
| 93320 | 0 | 0 | 0 | 3 | 1990-09-10 | $0.00 | $165.00 | 1 | ||
| 93321 | 0 | 0 | 0 | 3 | 1990-09-10 | $0.00 | $100.00 | 1 | ||
| 93325 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $95.50 | 1 | ||
| 93350 | 0 | 0 | 0 | 3 | 1993-01-01 | $0.00 | $200.00 | 1 | ||
| 93351 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $164.97 | 1 | ||
| 93352 | 0 | 0 | 0 | 3 | 2009-01-01 | $0.00 | $22.88 | 1 | ||
| 93501 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $507.96 | 1 | ||
| 93503 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $82.50 | 1 | ||
| 93505 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $378.49 | 1 | ||
| 93508 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $598.11 | 1 | ||
| 93510 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $922.33 | 99 | ||
| 93511 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,053.19 | 1 | ||
| 93514 | 0 | 0 | 0 | 3 | 1981-11-01 | $5.00 | $165.00 | 1 | ||
| 93524 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,385.96 | 1 | ||
| 93526 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $1,212.67 | 99 | ||
| 93527 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,397.68 | 99 | ||
| 93528 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,457.45 | 99 | ||
| 93529 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,310.97 | 1 | ||
| 93530 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $559.90 | 1 | ||
| 93531 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $1,462.19 | 1 | ||
| 93532 | 0 | 0 | 0 | 3 | 1998-01-01 | $0.00 | $1,152.00 | 1 | ||
| 93533 | 0 | 0 | 0 | 3 | 1998-01-01 | $0.00 | $1,017.00 | 1 | ||
| 93536 | 0 | 0 | 0 | H | 2002-09-01 | $0.00 | $0.00 | 1 | ||
| 93539 | 0 | 0 | 0 | 3 | 1994-07-01 | $0.00 | $42.00 | 1 | ||
| 93540 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $107.83 | 1 | ||
| 93541 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $28.00 | 1 | ||
| 93542 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $125.00 | 1 | ||
| 93543 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $125.00 | 1 | ||
| 93544 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $63.00 | 1 | ||
| 93545 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $76.14 | 1 | ||
| 93555 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $227.70 | 1 | ||
| 93556 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $410.92 | 1 | ||
| 93561 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $35.00 | 99 | ||
| 93562 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $13.34 | 99 | ||
| 93571 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $168.91 | 1 | ||
| 93572 | 0 | 0 | 0 | 3 | 1999-01-01 | $0.00 | $115.00 | 1 | ||
| 93580 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $594.93 | 1 | ||
| 93581 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $787.55 | 1 | ||
| 93600 | 0 | 0 | 0 | 3 | 1978-08-01 | $0.00 | $234.00 | 99 | ||
| 93602 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $101.20 | 99 | ||
| 93603 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $113.56 | 1 | ||
| 93607 | 0 | 0 | 0 | H | 2002-09-01 | $0.00 | $0.00 | 1 | ||
| 93609 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $237.05 | 1 | ||
| 93610 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $213.40 | 99 | ||
| 93612 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $142.93 | 99 | ||
| 93613 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $259.22 | 1 | ||
| 93615 | 0 | 0 | 0 | 3 | 1990-09-10 | $0.00 | $84.00 | 1 | ||
| 93616 | 0 | 0 | 0 | 3 | 1992-01-01 | $0.00 | $194.00 | 1 | ||
| 93618 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $241.48 | 99 | ||
| 93619 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $561.55 | 1 | ||
| 93620 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $592.82 | 1 | ||
| 93621 | 0 | 0 | 0 | 3 | 1991-06-01 | $0.00 | $454.69 | 1 | ||
| 93622 | 0 | 0 | 0 | 3 | 1991-06-01 | $0.00 | $323.50 | 1 | ||
| 93623 | 0 | 0 | 0 | 3 | 1991-06-01 | $0.00 | $13.00 | 1 | ||
| 93624 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $219.82 | 1 | ||
| 93631 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $350.35 | 1 | ||
| 93640 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $292.71 | 1 | ||
| 93641 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $378.40 | 1 | ||
| 93642 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $365.20 | 1 | ||
| 93650 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $558.34 | 1 | ||
| 93651 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $641.30 | 1 | ||
| 93652 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $667.70 | 1 | ||
| 93660 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $102.26 | 1 | ||
| 93662 | 0 | 0 | 0 | 3 | 2001-06-01 | $0.00 | $150.80 | 1 | ||
| 93668 | 0 | 0 | 0 | 6 | 2001-06-01 | $0.00 | $0.00 | 1 | ||
| 93701 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $22.91 | 1 | ||
| 93720 | 0 | 0 | 0 | 3 | 1985-01-01 | $0.00 | $40.00 | 1 | ||
| 93721 | 0 | 0 | 0 | 9 | 2003-10-16 | $0.00 | $0.00 | 1 | ||
| 93722 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93724 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $213.79 | 1 | ||
| 93727 | 0 | 0 | 0 | 9 | 2003-03-01 | $0.00 | $0.00 | 1 | ||
| 93731 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93732 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93733 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93734 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93735 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93736 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93740 | 0 | 0 | 0 | 3 | 1994-01-01 | $0.00 | $11.00 | 1 | ||
| 93741 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93742 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93743 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93744 | 0 | 0 | 0 | H | 2009-01-01 | $0.00 | $0.00 | 1 | ||
| 93745 | 0 | 0 | 0 | 3 | 2005-01-01 | $0.00 | $50.00 | 1 | ||
| 93760 | 0 | 0 | 0 | 9 | 1993-01-01 | $0.00 | $0.00 | 99 | ||
| 93762 | 0 | 0 | 0 | 9 | 1993-01-01 | $0.00 | $0.00 | 99 | ||
| 93770 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $5.00 | 99 | ||
| 93784 | 0 | 0 | 0 | 3 | 2009-08-01 | $0.00 | $41.57 | 1 | ||
| 93784 | EP | 0 | 0 | 0 | 3 | 2009-08-01 | $0.00 | $41.57 | 1 | |
| 93786 | 0 | 0 | 0 | 9 | 1983-06-01 | $0.00 | $0.00 | 1 | ||
| 93788 | 0 | 0 | 0 | 9 | 1983-06-01 | $0.00 | $0.00 | 1 | ||
| 93790 | 0 | 0 | 0 | 9 | 1983-06-01 | $0.00 | $0.00 | 1 | ||
| 93797 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $17.05 | 1 | ||
| 93798 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $26.35 | 1 | ||
| 93799 | 0 | 0 | 0 | 6 | 1978-08-01 | $0.00 | $0.00 | 99 | ||
| 93875 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $62.16 | 1 | ||
| 93880 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $174.19 | 1 | ||
| 93882 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $100.28 | 1 | ||
| 93886 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $161.30 | 1 | ||
| 93888 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $104.73 | 1 | ||
| 93890 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $131.07 | 1 | ||
| 93892 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $140.15 | 1 | ||
| 93893 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $136.56 | 1 | ||
| 93922 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $73.91 | 1 | ||
| 93923 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $114.90 | 1 | ||
| 93924 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $137.94 | 1 | ||
| 93925 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $158.85 | 1 | ||
| 93926 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $98.39 | 1 | ||
| 93930 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $126.85 | 1 | ||
| 93931 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $83.58 | 1 | ||
| 93965 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $75.81 | 1 | ||
| 93970 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $129.99 | 1 | ||
| 93971 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $87.26 | 1 | ||
| 93975 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $199.61 | 1 | ||
| 93976 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $125.59 | 1 | ||
| 93978 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $117.03 | 1 | ||
| 93979 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $82.49 | 1 | ||
| 93980 | 0 | 0 | 0 | 9 | 1993-07-01 | $0.00 | $0.00 | 1 | ||
| 93981 | 0 | 0 | 0 | 9 | 1993-07-01 | $0.00 | $0.00 | 1 | ||
| 93982 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $24.39 | 1 | ||
| 93990 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $94.89 | 1 | ||
| 94002 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $72.60 | 1 | ||
| 94003 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $37.42 | 99 | ||
| 94004 | 0 | 0 | 0 | 3 | 2007-01-01 | $0.00 | $66.00 | 99 | ||
| 94005 | 0 | 0 | 0 | 9 | 2007-01-01 | $0.00 | $0.00 | 1 | ||
| 94010 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $20.23 | 99 | ||
| 94014 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $29.18 | 1 | ||
| 94060 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $34.81 | 99 | ||
| 94070 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $35.92 | 99 | ||
| 94150 | 0 | 0 | 0 | 3 | 1981-11-01 | $0.00 | $3.00 | 99 | ||
| 94200 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $13.64 | 99 | ||
| 94240 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $33.00 | 99 | ||
| 94250 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $26.59 | 99 | ||
| 94260 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $27.50 | 99 | ||
| 94350 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $33.00 | 99 | ||
| 94360 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $34.10 | 1 | ||
| 94370 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $23.10 | 99 | ||
| 94375 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $23.10 | 99 | ||
| 94400 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $31.58 | 1 | ||
| 94450 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $29.94 | 1 | ||
| 94452 | 0 | 0 | 0 | 9 | 2005-01-01 | $0.00 | $0.00 | 1 | ||
| 94453 | 0 | 0 | 0 | 9 | 2005-01-01 | $0.00 | $0.00 | 1 | ||
| 94610 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $38.11 | 1 | ||
| 94620 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $55.65 | 99 | ||
| 94621 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $93.95 | 1 | ||
| 94640 | 0 | 0 | 0 | 3 | 2007-07-01 | $0.00 | $12.10 | 99 | ||
| 94642 | 0 | 0 | 0 | 9 | 1992-01-01 | $0.00 | $0.00 | 1 | ||
| 94644 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $22.03 | 1 | ||
| 94645 | 0 | 0 | 0 | 3 | 2008-07-01 | $0.00 | $8.33 | 10 | ||
| 94650 | 0 | 0 | 0 | 9 | 2003-10-01 | $0.00 | $0.00 | 12 | ||
| 94651 | 0 | 0 | 0 | 9 | 2003-10-01 | $0.00 | $0.00 | 99 |