CPT Codes and Fees


TABLE OF CONTENTS

CPT Codes and Fees,
Effective January 1, 2015

Surgery, Part 1 (10000-29999)
Surgery, Part 2 (30000-49999)
Surgery, Part 3 (50000-69999)
Assistant Surgery Guide
Radiology
Pathology and Laboratory
Evaluation & Management, Medicine, Physical Therapy

Commission Assigned Codes

N.C. Industrial Commission Assigned Codes

Surgery, Part 2

Effective January 1, 2015

ABBREVIATIONS: BR = by report (i.e., report is needed to establish fee), CPT = Current Procedural Terminology, FAC = services were performed in a facility setting, FUD = follow-up days (i.e., number of days in global period), NA = no allowance, OFF = services were performed in physician office setting, PC (26) = professional component, PER AGM = per agreement, SC = special consideration (see Guides or contact Industrial Commission), TBA = to be assigned, TC (27) = technical component, Total = total fee, and Units = requires time or number of units.
 

CPT Code

Total

OFF

FAC

TC (27)

PC (26)

FUD

30000

$153.57

 

 

 

 

0

30020

$155.20

 

 

 

 

0

30100

$127.58

 

 

 

 

15

30110

$224.27

 

 

 

 

15

30115

$552.57

 

 

 

 

15

30117

$461.56

 

 

 

 

15

30118

$1,350.56

 

 

 

 

15

30120

$925.56

 

 

 

 

15

30124

$340.48

 

 

 

 

15

30125

$969.44

 

 

 

 

15

30130

$378.67

 

 

 

 

15

30140

$494.87

 

 

 

 

15

30150

$1,289.60

 

 

 

 

45

30160

$1,604.90

 

 

 

 

45

30200

$90.21

 

 

 

 

0

30210

$101.58

 

 

 

 

0

30220

$234.04

 

 

 

 

15

30300

$113.77

 

 

 

 

0

30310

$276.29

 

 

 

 

15

30320

$677.72

 

 

 

 

15

30400

$1,510.64

 

 

 

 

90

30410

$2,118.46

 

 

 

 

90

30420

$2,601.97

 

 

 

 

90

30430

$1,002.77

 

 

 

 

45

30435

$1,673.15

 

 

 

 

45

30450

$2,285.06

 

 

 

 

45

30460

$1,412.32

 

 

 

 

45

30462

$2,827.06

 

 

 

 

45

30465

$1,591.43

 

 

 

 

45

30520

$996.26

 

 

 

 

45

30540

$1,101.09

 

 

 

 

15

30545

$1,690.23

 

 

 

 

15

30560

$138.14

 

 

 

 

0

30580

$992.20

 

 

 

 

45

30600

$753.28

 

 

 

 

45

30620

$1,036.88

 

 

 

 

45

30630

$1,023.08

 

 

 

 

45

30801

$117.01

 

 

 

 

0

30802

$229.15

 

 

 

 

15

30901

$138.95

 

 

 

 

0

30903

$186.90

 

 

 

 

0

30905

$293.34

 

 

 

 

0

30906

$276.29

 

 

 

 

0

30915

$912.56

 

 

 

 

15

30920

$1,360.30

 

 

 

 

15

30930

$150.34

 

 

 

 

15

30999

BR

 

 

 

 

0

31000

$120.26

 

 

 

 

0

31002

$182.02

 

 

 

 

0

31020

$427.43

 

 

 

 

45

31030

$999.51

 

 

 

 

45

31032

$1,111.64

 

 

 

 

45

31040

$1,314.80

 

 

 

 

90

31050

$861.37

 

 

 

 

45

31051

$1,168.54

 

 

 

 

45

31070

$681.78

 

 

 

 

45

31075

$1,488.70

 

 

 

 

90

31080

$1,563.46

 

 

 

 

90

31081

$1,746.30

 

 

 

 

90

31084

$2,147.71

 

 

 

 

90

31085

$2,269.61

 

 

 

 

90

31086

$1,786.12

 

 

 

 

90

31087

$1,769.05

 

 

 

 

90

31090

$1,785.30

 

 

 

 

90

31200

$726.48

 

 

 

 

45

31201

$1,166.91

 

 

 

 

45

31205

$1,381.44

 

 

 

 

45

31225

$2,713.31

 

 

 

 

90

31230

$3,349.58

 

 

 

 

90

31231

$192.59

 

 

 

 

0

31233

$388.43

 

 

 

 

15

31235

$393.30

 

 

 

 

15

31237

$496.50

 

 

 

 

15

31238

$580.20

 

 

 

 

15

31239

$1,513.07

 

 

 

 

15

31240

$464.82

 

 

 

 

15

31254

$829.67

 

 

 

 

45

31255

$1,244.92

 

 

 

 

45

31256

$551.77

 

 

 

 

45

31267

$843.49

 

 

 

 

15

31276

$1,105.95

 

 

 

 

15

31287

$701.29

 

 

 

 

15

31288

$819.92

 

 

 

 

15

31290

$2,291.56

 

 

 

 

45

31291

$2,407.75

 

 

 

 

45

31292

$1,860.88

 

 

 

 

45

31293

$2,036.39

 

 

 

 

45

31294

$2,326.50

 

 

 

 

45

31295

 

$4,020.40

$347.01

 

 

0

31296

 

$7,527.32

$414.41

 

 

0

31297

 

$7,456.62

$339.67

 

 

0

31299

BR

 

 

 

 

0

31300

$1,945.38

 

 

 

 

90

31320

$659.84

 

 

 

 

45

31360

$2,701.11

 

 

 

 

90

31365

$3,829.83

 

 

 

 

90

31367

$2,831.12

 

 

 

 

90

31368

$3,949.27

 

 

 

 

90

31370

$2,790.50

 

 

 

 

90

31375

$2,606.85

 

 

 

 

90

31380

$2,797.01

 

 

 

 

90

31382

$2,704.37

 

 

 

 

90

31390

$3,872.08

 

 

 

 

90

31395

$4,688.75

 

 

 

 

90

31400

$1,321.30

 

 

 

 

90

31420

$1,339.19

 

 

 

 

90

31500

$238.88

 

 

 

 

0

31502

$96.70

 

 

 

 

0

31505

$81.27

 

 

 

 

0

31510

$194.22

 

 

 

 

15

31511

$244.60

 

 

 

 

0

31512

$302.28

 

 

 

 

0

31513

$383.55

 

 

 

 

0

31515

$229.98

 

 

 

 

0

31520

$329.11

 

 

 

 

0

31525

$377.87

 

 

 

 

0

31526

$458.31

 

 

 

 

0

31527

$488.38

 

 

 

 

15

31528

$393.30

 

 

 

 

0

31529

$401.43

 

 

 

 

0

31530

$548.52

 

 

 

 

0

31531

$667.15

 

 

 

 

0

31535

$560.69

 

 

 

 

15

31536

$592.39

 

 

 

 

15

31540

$737.03

 

 

 

 

15

31541

$693.15

 

 

 

 

15

31545

$760.90

 

 

 

 

0

31546

$1,157.49

 

 

 

 

0

31560

$815.86

 

 

 

 

45

31561

$975.12

 

 

 

 

45

31570

$690.72

 

 

 

 

15

31571

$667.15

 

 

 

 

15

31575

$208.02

 

 

 

 

0

31576

$352.67

 

 

 

 

15

31577

$440.43

 

 

 

 

0

31578

$515.19

 

 

 

 

0

31579

$359.18

 

 

 

 

0

31580

$1,963.26

 

 

 

 

90

31582

$2,940.84

 

 

 

 

90

31584

$2,442.71

 

 

 

 

90

31587

$1,188.04

 

 

 

 

90

31588

$1,760.93

 

 

 

 

90

31590

$947.50

 

 

 

 

90

31595

$1,127.89

 

 

 

 

90

31599

BR

 

 

 

 

0

31600

$605.39

 

 

 

 

15

31601

$744.34

 

 

 

 

15

31603

$661.47

 

 

 

 

15

31605

$608.65

 

 

 

 

15

31610

$1,144.14

 

 

 

 

15

31611

$965.38

 

 

 

 

15

31612

$162.51

 

 

 

 

0

31613

$507.07

 

 

 

 

45

31614

$1,004.37

 

 

 

 

45

31615

$316.11

 

 

 

 

0

31620

 

$522.08

$154.50

 

 

0

31622

$434.99

 

 

 

 

0

31623

$442.80

 

 

 

 

0

31624

$446.90

 

 

 

 

0

31625

$492.03

 

 

 

 

15

31626

 

$814.94

$411.32

 

 

0

31627

 

$2,224.84

$199.88

 

 

 

31628

$591.16

 

 

 

 

15

31629

$522.70

 

 

 

 

15

31630

$592.39

 

 

 

 

15

31631

$571.90

 

 

 

 

15

31632

 

$141.73

$110.21

 

 

0

31633

 

$174.77

$138.25

 

 

0

31634

 

$3,571.57

$412.89

 

 

0

31635

$642.78

 

 

 

 

0

31636

$478.29

 

 

 

 

0

31637

$170.27

 

 

 

 

0

31638

$534.21

 

 

 

 

0

31640

$782.53

 

 

 

 

15

31641

$793.68

 

 

 

 

15

31643

$380.75

 

 

 

 

0

31645

$462.08

 

 

 

 

0

31646

$394.35

 

 

 

 

0

31647

 

$444.65 $444.65

 

 

0

31648

 

 $463.27

 $463.27

 

 

0

31649

 

$147.37

$147.37

 

 

0

31651

  $156.37 $156.37

 

 

0

31660

 

$445.52

$445.52

 

 

0

31661

   $470.05

 $470.05

 

 

0

31717

$196.09

 

 

 

 

0

31720

$124.07

 

 

 

 

0

31725

$231.75

 

 

 

 

0

31730

$364.39

 

 

 

 

0

31750

$1,405.81

 

 

 

 

45

31755

$2,189.16

 

 

 

 

45

31760

$2,538.58

 

 

 

 

45

31766

$3,668.92

 

 

 

 

45

31770

$2,849.82

 

 

 

 

45

31775

$3,019.65

 

 

 

 

45

31780

$2,622.28

 

 

 

 

45

31781

$3,062.73

 

 

 

 

45

31785

$1,970.58

 

 

 

 

45

31786

$2,834.37

 

 

 

 

45

31800

$920.68

 

 

 

 

15

31805

$1,764.99

 

 

 

 

15

31820

$602.96

 

 

 

 

15

31825

$886.56

 

 

 

 

15

31830

$620.02

 

 

 

 

15

31899

BR

 

 

 

 

0

32035

$1,057.21

 

 

 

 

45

32036

$1,166.91

 

 

 

 

45

32096     $1,594.21    

90

32097     $1,594.21    

90

32098     $1,498.44    

90

32100

$1,694.29

 

 

 

 

90

32110

$1,844.63

 

 

 

 

90

32120

$1,513.89

 

 

 

 

90

32124

$1,743.05

 

 

 

 

90

32140

$1,951.89

 

 

 

 

90

32141

$2,033.14

 

 

 

 

90

32150

$1,809.67

 

 

 

 

90

32151

$1,700.80

 

 

 

 

90

32160

$1,287.17

 

 

 

 

90

32200

$1,572.40

 

 

 

 

45

32215

$1,399.32

 

 

 

 

45

32220

$2,657.24

 

 

 

 

45

32225

$1,904.76

 

 

 

 

45

32310

$1,879.56

 

 

 

 

90

32320

$2,960.32

 

 

 

 

90

32400

$221.06

 

 

 

 

0

32405

$275.96

 

 

 

 

0

32440

$2,999.34

 

 

 

 

90

32442

$3,387.77

 

 

 

 

90

32445

$3,482.84

 

 

 

 

90

32480

$2,701.92

 

 

 

 

90

32482

$2,836.00

 

 

 

 

90

32484

$2,913.19

 

 

 

 

90

32486

$3,122.86

 

 

 

 

90

32488

$3,350.38

 

 

 

 

90

32491

BR

 

 

 

 

0

32501

$740.86

 

 

 

 

0

32503

$3,645.66

 

 

 

 

90

32504

$4,171.01

 

 

 

 

90

32505     $1,839.91    

0

32506     $310.61    

0

32507     $310.61    

0

32540

$1,979.52

 

 

 

 

90

32550

 

$1,573.90

$423.19

 

 

0

32551

 

 

$332.85

 

 

0

32552

 

$344.25

$305.04

 

 

10

32553

 

$1,107.15

$393.42

 

 

0

32554

 

$1,088.32

$178.07

 

 

0

32555

 

$1,255.32

$222.27

 

 

0

32556

 

$1,148.97

$243.92

 

 

0

32557

 

$1,855.77

$321.79

 

 

0

32560

 

$579.95

$209.17

 

 

0

32561

 

$180.41

$138.47

 

 

0

32562

 

$160.39

$123.95

 

 

0

32601

$706.15

 

 

 

 

0

32604

$999.51

 

 

 

 

15

32606 $969.44         15
32607     $611.16     0
32608     $750.62     0
32609     $518.23     0

32650

$1,399.32

 

 

 

 

15

32651

$1,904.76

 

 

 

 

15

32652

$2,657.24

 

 

 

 

15

32653

$1,809.67

 

 

 

 

15

32654

$1,844.63

 

 

 

 

15

32655

$2,055.08

 

 

 

 

15

32656

$2,019.34

 

 

 

 

15

32658

$1,937.27

 

 

 

 

15

32659

$1,978.69

 

 

 

 

15

32661

$1,733.28

 

 

 

 

15

32662

$2,408.57

 

 

 

 

15

32663

$2,748.25

 

 

 

 

15

32664

$1,923.44

 

 

 

 

15

32665

$2,307.80

 

 

 

 

15

32666     $1,719.44     90
32667     $310.61     0
32668     $312.23     0
32669     $2,650.75     90
32670     $3,164.74    

90

32671     $3,511.02    

90

32672      $3,003.23    

90

32673     $2,374.11    

90

32674     $426.01    

90

32701   $429.88 $429.88    

0

32800

$1,617.90

 

 

 

 

45

32810

$1,433.45

 

 

 

 

45

32815

$2,895.33

 

 

 

 

45

32820

$3,071.67

 

 

 

 

45

32850

BR

 

 

 

 

90

32851

$4,823.63

 

 

 

 

90

32852

$5,231.58

 

 

 

 

90

32853

$6,030.36

 

 

 

 

90

32854

$6,438.30

 

 

 

 

90

32855

BR

 

 

 

 

0

32856

BR

 

 

 

 

0

32900

$2,110.35

 

 

 

 

90

32905

$2,536.97

 

 

 

 

90

32906

$3,220.36

 

 

 

 

90

32940

$2,328.13

 

 

 

 

90

32960

$191.11

 

 

 

 

0

32997

$619.61

 

 

 

 

0

32998   $5,357.32 $544.05     0

32999

BR

 

 

 

 

0

33010

$258.86

 

 

 

 

0

33011

$230.33

 

 

 

 

0

33015

$780.10

 

 

 

 

15

33020

$1,937.27

 

 

 

 

90

33025

$1,978.69

 

 

 

 

90

33030

$2,993.65

 

 

 

 

90

33031

$2,610.10

 

 

 

 

90

33050

$1,733.28

 

 

 

 

90

33120

$4,085.80

 

 

 

 

90

33130

$2,610.91

 

 

 

 

90

33140

$2,475.65

 

 

 

 

90

33141

$539.74

 

 

 

 

0

33202 $1,455.37        

90

33203 $1,498.55        

90

33206

$1,092.15

 

 

 

 

45

33207

$1,283.92

 

 

 

 

45

33208

$1,164.48

 

 

 

 

45

33210

$449.97

 

 

 

 

15

33211

$457.09

 

 

 

 

15

33212

$837.80

 

 

 

 

15

33213

$800.08

 

 

 

 

15

33214

$894.93

 

 

 

 

15

33215

$588.36

 

 

 

 

90

33216

$692.41

 

 

 

 

15

33217

$717.37

 

 

 

 

15

33218

$755.73

 

 

 

 

15

33220

$668.88

 

 

 

 

15

33221     $692.49     90

33222

$816.67

 

 

 

 

15

33223

$938.56

 

 

 

 

15

33224

$958.00

 

 

 

 

0

33225

$848.68

 

 

 

 

0

33226

$922.37

 

 

 

 

0

33227     $660.72    

90

33228     $689.09    

90

33229     $717.44    

90

33230     $745.21    

90

33231     $773.55    

90

33233

$377.93

 

 

 

 

15

33234

$1,048.27

 

 

 

 

15

33235

$1,041.10

 

 

 

 

15

33236

$1,237.61

 

 

 

 

45

33237

$1,747.11

 

 

 

 

45

33238

$1,942.95

 

 

 

 

45

33240

$994.63

 

 

 

 

15

33241

 

 

 $441.44

 

 

90

33243

$2,410.20

 

 

 

 

45

33244

$1,374.93

 

 

 

 

45

33249

$2,359.81

 

 

 

 

45

33250

$2,423.20

 

 

 

 

45

33251

$3,098.47

 

 

 

 

90

33254 $2,536.09        

90

33255 $3,056.38         90
33256 $3,647.04         90

33257

 

 

$1,105.58

 

 

 

33258

 

 

$1,248.09

 

 

 

33259

 

 

$1,629.93

 

 

 

33261

$2,901.02

 

 

 

 

90

33262     $718.20     90
33263     $746.54     90
33264     $774.91     0
33265 $2,536.09        

90

33266 $3,468.26        

90

33270

 

$1,190.68

 

 

 

90

33271

 

$1,001.22

$1,001.22

 

 

90

33272

 

$736.37

$736.37

 

 

90

33273

 

$811.68

$811.68

 

 

90

33282

$742.40

 

 

 

 

90

33284

$575.79

 

 

 

 

90

33300

$2,424.00

 

 

 

 

90

33305

$2,902.64

 

 

 

 

90

33310

$2,246.86

 

 

 

 

90

33315

$2,744.19

 

 

 

 

90

33320

$2,341.13

 

 

 

 

90

33321

$3,204.93

 

 

 

 

90

33322

$3,178.11

 

 

 

 

90

33330

$2,510.15

 

 

 

 

90

33335

$3,373.13

 

 

 

 

90

33361

 

$2,619.95 $2,619.95

 

 

0

33362

  $2,866.55 $2,866.55

 

 

0

33363

 

$2,968.05 $2,968.05

 

 

0

33364

  $3,157.30 $3,157.30

 

 

0

33365

  $3,454.08 $3,454.08

 

 

0

33366

  $3,886.50 $3,886.50

 

 

0

33367

  $1,213.32 $1,213.32

 

 

0

33368

  $1,470.28 $1,470.28

 

 

0

33369

  $1,941.18 $1,941.18

 

 

0

33400

$3,857.45

 

 

 

 

90

33401

$3,801.38

 

 

 

 

90

33403

$3,878.59

 

 

 

 

90

33404

$4,593.68

 

 

 

 

90

33405

$4,674.12

 

 

 

 

90

33406

$5,565.56

 

 

 

 

90

33410

$4,154.36

 

 

 

 

90

33411

$5,498.10

 

 

 

 

90

33412

$5,646.81

 

 

 

 

90

33413

$5,970.23

 

 

 

 

90

33414

$5,411.97

 

 

 

 

90

33415

$4,401.89

 

 

 

 

90

33416

$4,468.53

 

 

 

 

90

33417

$4,925.21

 

 

 

 

90

33418

 

$3,780.86

$3,780.86

 

 

90

33419

 

$889.49

$889.49

 

 

90

33420

$3,177.30

 

 

 

 

90

33422

$4,327.13

 

 

 

 

90

33425

$4,506.72

 

 

 

 

90

33426

$4,609.93

 

 

 

 

90

33427

$5,302.28

 

 

 

 

90

33430

$5,097.49

 

 

 

 

90

33460

$3,786.75

 

 

 

 

90

33463

$4,516.47

 

 

 

 

90

33464

$4,651.38

 

 

 

 

90

33465

$4,706.63

 

 

 

 

90

33468

$4,997.54

 

 

 

 

90

33470

$3,085.47

 

 

 

 

90

33471

$3,697.37

 

 

 

 

90

33474

$4,006.97

 

 

 

 

90

33475

$4,933.35

 

 

 

 

90

33476

$4,169.50

 

 

 

 

90

33478

$4,491.29

 

 

 

 

90

33496

$4,108.22

 

 

 

 

90

33500

$4,241.00

 

 

 

 

90

33501

$2,400.44

 

 

 

 

90

33502

$2,688.92

 

 

 

 

90

33503

$3,945.21

 

 

 

 

90

33504

$4,182.50

 

 

 

 

90

33505

$4,731.82

 

 

 

 

90

33506

$4,731.82

 

 

 

 

90

33507

$3,526.97

 

 

 

 

90

33508

$31.91

 

 

 

 

0

33510

$4,192.24

 

 

 

 

90

33511

$4,602.62

 

 

 

 

90

33512

$5,012.17

 

 

 

 

90

33513

$5,421.71

 

 

 

 

90

33514

$5,830.46

 

 

 

 

90

33516

$6,239.20

 

 

 

 

90

33517

$408.75

 

 

 

 

0

33518

$819.12

 

 

 

 

0

33519

$1,227.04

 

 

 

 

0

33521

$1,637.41

 

 

 

 

0

33522

$2,046.96

 

 

 

 

0

33523

$2,457.33

 

 

 

 

0

33530

$1,189.65

 

 

 

 

0

33533

$4,320.64

 

 

 

 

90

33534

$4,858.59

 

 

 

 

90

33535

$5,396.54

 

 

 

 

90

33536

$5,933.67

 

 

 

 

90

33542

$4,548.97

 

 

 

 

90

33545

$5,466.42

 

 

 

 

90

33548

$4,629.36

 

 

 

 

90

33572

$610.28

 

 

 

 

0

33600

$5,009.73

 

 

 

 

90

33602

$4,584.74

 

 

 

 

90

33606

$5,411.97

 

 

 

 

90

33608

$5,470.47

 

 

 

 

90

33610

$5,411.97

 

 

 

 

90

33611

$5,565.56

 

 

 

 

90

33612

$5,630.56

 

 

 

 

90

33615

$5,507.86

 

 

 

 

90

33617

$5,642.75

 

 

 

 

90

33619

$6,331.04

 

 

 

 

90

33620

 

 

$3,348.67

 

 

90

33621

 

 

$1,803.76

 

 

90

33622

 

 

$7,070.44

 

 

90

33641

$3,617.73

 

 

 

 

90

33645

$3,998.03

 

 

 

 

90

33647

$4,952.03

 

 

 

 

90

33660

$4,414.91

 

 

 

 

90

33665

$4,646.49

 

 

 

 

90

33670

$5,565.56

 

 

 

 

90

33675 $4,044.62        

90

33676 $4,164.19        

90

33677 $4,328.16        

90

33681

$4,867.53

 

 

 

 

90

33684

$5,021.11

 

 

 

 

90

33688

$5,097.49

 

 

 

 

90

33690

$3,218.75

 

 

 

 

90

33692

$5,411.97

 

 

 

 

90

33694

$5,489.16

 

 

 

 

90

33697

$5,642.75

 

 

 

 

90

33702

$4,430.34

 

 

 

 

90

33710

$5,024.36

 

 

 

 

90

33720

$4,430.34

 

 

 

 

90

33722

$4,584.74

 

 

 

 

90

33724 $2,891.37        

90

33726 $3,816.71        

90

33730

$5,459.91

 

 

 

 

90

33732

$4,626.18

 

 

 

 

90

33735

$3,634.79

 

 

 

 

90

33736

$3,829.83

 

 

 

 

90

33737

$3,676.23

 

 

 

 

90

33750

$3,364.21

 

 

 

 

90

33755

$3,391.83

 

 

 

 

90

33762

$3,391.83

 

 

 

 

90

33764

$3,391.83

 

 

 

 

90

33766

$3,468.22

 

 

 

 

90

33767

$3,907.02

 

 

 

 

90

33768

$875.77

 

 

 

 

0

33770

$5,623.24

 

 

 

 

90

33771

$5,719.94

 

 

 

 

90

33774

$4,799.26

 

 

 

 

90

33775

$4,895.16

 

 

 

 

90

33776

$5,328.27

 

 

 

 

90

33777

$4,991.85

 

 

 

 

90

33778

$6,028.73

 

 

 

 

90

33779

$6,048.24

 

 

 

 

90

33780

$6,105.12

 

 

 

 

90

33781

$6,066.93

 

 

 

 

90

33782

 

 

$6,234.94

 

 

90

33783

 

 

$6,739.62

 

 

90

33786

$5,719.94

 

 

 

 

90

33788

$4,357.21

 

 

 

 

90

33800

$2,324.87

 

 

 

 

90

33802

$3,083.84

 

 

 

 

90

33803

$3,237.43

 

 

 

 

90

33813

$3,314.62

 

 

 

 

90

33814

$4,353.95

 

 

 

 

90

33820

$3,006.65

 

 

 

 

90

33822

$3,083.84

 

 

 

 

90

33824

$3,237.43

 

 

 

 

90

33840

$4,033.79

 

 

 

 

90

33845

$4,149.99

 

 

 

 

90

33851

$4,072.78

 

 

 

 

90

33852

$4,264.57

 

 

 

 

90

33853

$5,489.16

 

 

 

 

90

33860

$5,232.38

 

 

 

 

90

33863

$5,540.37

 

 

 

 

90

33864

 

 

$5,935.83

 

 

90

33870

$6,516.30

 

 

 

 

90

33875

$4,618.87

 

 

 

 

90

33877

$6,713.77

 

 

 

 

90

33880

$3,683.51

 

 

 

 

90

33881

$3,163.01

 

 

 

 

90

33883

$2,327.80

 

 

 

 

90

33884

$868.43

 

 

 

 

0

33886

$2,009.14

 

 

 

 

90

33889

$1,724.03

 

 

 

 

0

33891

$2,198.60

 

 

 

 

0

33910

$2,897.76

 

 

 

 

90

33915

$2,446.77

 

 

 

 

90

33916

$3,317.88

 

 

 

 

90

33917

$4,621.30

 

 

 

 

90

33920

$5,527.35

 

 

 

 

90

33922

$3,801.38

 

 

 

 

90

33924

$705.98

 

 

 

 

0

33925

$3,588.66

 

 

 

 

90

33926

$4,862.09

 

 

 

 

90

33930

BR

 

 

 

 

0

33933

BR

 

 

 

 

0

33935

$9,639.15

 

 

 

 

90

33940

BR

 

 

 

 

0

33944

BR

 

 

 

 

0

33945

$8,274.79

 

 

 

 

90

33946

 

$633.26

$633.26

 

 

0

33947

 

$699.45

$699.45

 

 

0

33948

 

$500.70

$500.70

 

 

0

33951

 

$902.26

$902.26

 

 

0

33952

 

$878.45

$878.45

 

 

0

33953

 

$1,006.78

$1,006.78

 

 

0

33954

 

$981.34

$981.34

 

 

0

33955

 

$1,816.76

$1,816.76

 

 

0

33956

 

$1,720.86

$1,720.86

 

 

0

33957

 

$403.43

$403.43

 

 

0

33958

 

$390.41

$390.41

 

 

0

33959

 

$512.49

$512.49

 

 

0

33962

 

$481.67

$481.67

 

 

0

33963

 

$1,023.82

$1,023.82

 

 

0

33964

 

$1,048.68

$1,048.68

 

 

0

33965

 

$403.43

$403.43

 

 

0

33966

 

$485.13

$485.13

 

 

0

33967

 

$502.33

$498.87

 

 

15

33968

$74.37

 

 

 

 

0

33969

 

$594.95

$594.95

 

 

0

33970

$1,225.41

 

 

 

 

15

33971

$729.71

 

 

 

 

15

33973

$1,359.50

 

 

 

 

15

33974

$1,441.57

 

 

 

 

15

33975

$2,679.17

 

 

 

 

15

33976

$3,651.04

 

 

 

 

15

33977

$2,344.38

 

 

 

 

15

33978

$2,679.17

 

 

 

 

15

33979

BR

 

 

 

 

15

33980

BR

 

 

 

 

15

33981

BR

 

 

 

 

 

33982

BR

 

 

 

 

 

33983

BR

 

 

 

 

 

33984

 

$584.53

$584.53

 

 

0

33985

 

$1,120.45

$1,120.45

 

 

0

33986

 

$1,065.86

$1,065.86

 

 

0

33987

 

$427.57

$427.57

 

 

0

33988

 

$1,590.20

$1,590.20

 

 

0

33989

 

$1,010.97

$1,010.97

 

 

0

33990

  $852.18 $852.18

 

 

0

33991

  $1,241.75 $1,241.75

 

 

0

33992

 

$405.57 $405.57

 

 

0

33993

 

$356.11 $356.11

 

 

0

33999

BR

 

 

 

 

0

34001

$1,691.86

 

 

 

 

45

34051

$1,777.18

 

 

 

 

45

34101

$1,361.12

 

 

 

 

45

34111

$1,179.91

 

 

 

 

45

34151

$2,163.97

 

 

 

 

45

34201

$1,350.56

 

 

 

 

45

34203

$1,566.71

 

 

 

 

45

34401

$1,560.20

 

 

 

 

90

34421

$1,301.80

 

 

 

 

90

34451

$1,895.82

 

 

 

 

90

34471

$996.26

 

 

 

 

90

34490

$1,101.89

 

 

 

 

90

34501

$1,337.56

 

 

 

 

45

34502

$3,521.03

 

 

 

 

90

34510

$1,617.90

 

 

 

 

45

34520

$1,697.54

 

 

 

 

45

34530

$2,247.67

 

 

 

 

45

34800

$2,360.53

 

 

 

 

90

34802

$2,605.18

 

 

 

 

90

34803

$2,710.38

 

 

 

 

90

34804

$2,605.18

 

 

 

 

90

34805

$2,452.59

 

 

 

 

90

34806

$193.83

 

 

 

 

 

34808

$448.75

 

 

 

 

90

34812

$734.37

 

 

 

 

90

34813

$521.86

 

 

 

 

90

34820

$1,060.41

 

 

 

 

90

34825

$1,409.53

 

 

 

 

90

34826

$448.75

 

 

 

 

90

34830

$3,674.11

 

 

 

 

90

34831

$3,972.15

 

 

 

 

90

34832

$3,972.15

 

 

 

 

90

34833

$1,264.96

 

 

 

 

0

34834

$590.31

 

 

 

 

0

34839

BR

 

 

 

 

 

34841

BR

 

 

 

 

0

34842

BR

 

 

 

 

0

34843

BR

 

 

 

 

0

34844

BR

 

 

 

 

0

34845

BR

 

 

 

 

0

34846

BR

 

 

 

 

0

34847

BR

 

 

 

 

0

34848

BR

 

 

 

 

0

34900

$1,852.52

 

 

 

 

90

35001

$2,710.86

 

 

 

 

90

35002

$2,545.89

 

 

 

 

90

35005

$2,142.85

 

 

 

 

90

35011

$1,900.70

 

 

 

 

90

35013

$2,445.14

 

 

 

 

90

35021

$2,830.32

 

 

 

 

90

35022

$2,852.26

 

 

 

 

90

35045

$1,782.04

 

 

 

 

90

35081

$3,469.84

 

 

 

 

90

35082

$4,117.49

 

 

 

 

90

35091

$4,031.36

 

 

 

 

90

35092

$4,956.92

 

 

 

 

90

35102

$3,628.30

 

 

 

 

90

35103

$4,574.17

 

 

 

 

90

35111

$2,614.96

 

 

 

 

90

35112

$2,215.98

 

 

 

 

90

35121

$3,479.59

 

 

 

 

90

35122

$3,984.23

 

 

 

 

90

35131

$2,618.22

 

 

 

 

90

35132

$3,107.41

 

 

 

 

90

35141

$2,228.98

 

 

 

 

90

35142

$2,450.02

 

 

 

 

90

35151

$2,475.21

 

 

 

 

90

35152

$1,968.14

 

 

 

 

90

35180

$1,552.09

 

 

 

 

90

35182

$2,111.15

 

 

 

 

90

35184

$1,634.96

 

 

 

 

90

35188

$1,684.54

 

 

 

 

90

35189

$2,259.86

 

 

 

 

90

35190

$1,764.16

 

 

 

 

90

35201

$1,509.84

 

 

 

 

45

35206

$1,487.07

 

 

 

 

45

35207

$1,576.46

 

 

 

 

45

35211

$2,662.92

 

 

 

 

90

35216

$2,207.85

 

 

 

 

90

35221

$2,083.53

 

 

 

 

90

35226

$1,468.39

 

 

 

 

90

35231

$1,963.26

 

 

 

 

90

35236

$1,713.80

 

 

 

 

90

35241

$2,750.68

 

 

 

 

90

35246

$2,753.93

 

 

 

 

90

35251

$2,042.08

 

 

 

 

90

35256

$1,795.04

 

 

 

 

90

35261

$1,879.56

 

 

 

 

90

35266

$1,650.41

 

 

 

 

90

35271

$2,599.53

 

 

 

 

90

35276

$2,226.55

 

 

 

 

90

35281

$2,580.03

 

 

 

 

90

35286

$1,792.61

 

 

 

 

90

35301

$2,419.14

 

 

 

 

45

35302 $2,153.96        

90

35303 $2,367.17        

90

35304 $2,462.81        

90

35305 $2,367.17        

90

35306 $886.75         0

35311

$3,565.72

 

 

 

 

90

35321

$1,920.19

 

 

 

 

45

35331

$2,819.75

 

 

 

 

90

35341

$3,266.69

 

 

 

 

90

35351

$2,713.31

 

 

 

 

90

35355

$2,429.71

 

 

 

 

90

35361

$3,306.51

 

 

 

 

90

35363

$3,654.30

 

 

 

 

90

35371

$1,834.06

 

 

 

 

90

35372

$1,871.43

 

 

 

 

90

35390

$387.61

 

 

 

 

0

35400

$369.40

 

 

 

 

0

35450

$1,573.08

 

 

 

 

45

35452

$886.56

 

 

 

 

45

35458

$1,557.77

 

 

 

 

15

35460

$733.79

 

 

 

 

15

35471

$1,573.08

 

 

 

 

15

35472

$736.61

 

 

 

 

45

35475

$1,367.00

 

 

 

 

15

35476

$643.91

 

 

 

 

15

35500

BR

 

 

 

 

90

35501

$2,983.09

 

 

 

 

90

35506

$2,974.95

 

 

 

 

90

35508

$2,809.18

 

 

 

 

90

35509

$2,843.32

 

 

 

 

90

35510

$2,594.82

 

 

 

 

90

35511

$2,045.33

 

 

 

 

90

35512

$2,544.18

 

 

 

 

90

35515

$2,254.98

 

 

 

 

90

35516

$2,574.34

 

 

 

 

90

35518

$2,510.95

 

 

 

 

90

35521

$2,572.71

 

 

 

 

90

35522

$2,468.64

 

 

 

 

90

35523

 

 

$2,431.64

 

 

90

35525

$2,353.80

 

 

 

 

90

35526

$2,506.90

 

 

 

 

90

35531

$3,531.60

 

 

 

 

90

35533

$3,211.44

 

 

 

 

90

35535

 

 

$4,002.93

 

 

90

35536

$3,424.34

 

 

 

 

90

35537 $4,164.39        

90

35538 $4,652.65        

90

35539 $4,,372.76        

90

35540 $4873.92        

90

35556

$2,725.48

 

 

 

 

90

35558

$2,330.56

 

 

 

 

90

35560

$3,368.26

 

 

 

 

90

35563

$1,761.73

 

 

 

 

90

35565

$2,514.21

 

 

 

 

90

35566

$3,252.06

 

 

 

 

90

35570

 

 

$3,091.34

 

 

90

35571

$2,872.57

 

 

 

 

90

35572

$711.03

 

 

 

 

0

35583

$2,906.70

 

 

 

 

90

35585

$3,351.19

 

 

 

 

90

35587

$3,072.47

 

 

 

 

90

35600

$546.31

 

 

 

 

90

35601

$2,778.30

 

 

 

 

90

35606

$2,784.81

 

 

 

 

90

35612

$2,481.70

 

 

 

 

90

35616

$2,489.02

 

 

 

 

90

35621

$2,420.77

 

 

 

 

90

35623

$1,873.88

 

 

 

 

90

35626

$3,405.63

 

 

 

 

90

35631

$3,265.06

 

 

 

 

90

35633

 

 

$4,103.89

 

 

90

35634

 

 

$3,719.06

 

 

90

35636

$2,746.62

 

 

 

 

90

35637 $3,316.00        

90

35638 $3,368.26        

90

35642

$2,152.60

 

 

 

 

90

35645

$2,168.05

 

 

 

 

90

35646

$3,806.26

 

 

 

 

90

35647

$2,988.57

 

 

 

 

90

35650

$2,381.75

 

 

 

 

90

35654

$3,169.17

 

 

 

 

90

35656

$2,522.33

 

 

 

 

90

35661

$2,157.48

 

 

 

 

90

35663

$2,349.24

 

 

 

 

90

35665

$2,541.03

 

 

 

 

90

35666

$2,874.19

 

 

 

 

90

35671

$2,323.25

 

 

 

 

90

35681

$1,696.72

 

 

 

 

0

35682

$783.23

 

 

 

 

0

35683

$907.18

 

 

 

 

0

35685

$415.28

 

 

 

 

90

35686

$343.48

 

 

 

 

90

35691

$2,892.88

 

 

 

 

90

35693

$1,862.51

 

 

 

 

90

35694

$2,165.60

 

 

 

 

90

35695

$2,165.60

 

 

 

 

90

35697

$324.00

 

 

 

 

0

35700

$374.61

 

 

 

 

0

35701

$829.67

 

 

 

 

90

35721

$805.30

 

 

 

 

90

35741

$819.92

 

 

 

 

90

35761

$824.80

 

 

 

 

90

35800

$898.74

 

 

 

 

45

35820

$1,550.46

 

 

 

 

45

35840

$1,262.80

 

 

 

 

45

35860

$825.61

 

 

 

 

45

35870

$2,471.96

 

 

 

 

45

35875

$1,376.55

 

 

 

 

45

35876

$1,678.86

 

 

 

 

45

35879

$1,834.02

 

 

 

 

90

35881

$2,010.95

 

 

 

 

90

35883 $2,421.76        

90

35884 $2,571.81        

90

35901

$1,150.65

 

 

 

 

90

35903

$1,259.55

 

 

 

 

90

35905

$1,910.44

 

 

 

 

90

35907

$1,973.01

 

 

 

 

90

36000

$34.24

 

 

 

 

0

36002

 

$350.12

$216.84

 

 

0

36005

$97.69

 

 

 

 

0

36010

$313.76

 

 

 

 

0

36011

$346.55

 

 

 

 

0

36012

$425.72

 

 

 

 

0

36013

$320.19

 

 

 

 

0

36014

$364.39

 

 

 

 

0

36015

$425.72

 

 

 

 

0

36100

$386.50

 

 

 

 

0

36120

$298.06

 

 

 

 

0

36140

$237.46

 

 

 

 

0

36147

 

$1,468.00

$368.27

 

 

 

36148

 

$462.02

$98.28

 

 

 

36160

$381.92

 

 

 

 

0

36200

$394.35

 

 

 

 

0

36215

$496.32

 

 

 

 

0

36216

$586.87

 

 

 

 

0

36217

$699.53

 

 

 

 

0

36218

$111.24

 

 

 

 

0

36221

 

$2,234.40

$423.00

 

 

0

36222

 

$2,769.73

$573.71

 

 

0

36223

 

$3,030.07

$620.29

 

 

0

36224

  $3,291.86

$676.13

 

 

0

36225

 

$3,008.14

$617.86

 

 

0

36226

  $3,355.53

$677.43

 

 

0

36227

 

$486.12

$214.53

 

 

0

36228

  $2,303.68

$437.07

 

 

0

36245

$562.63

 

 

 

 

0

36246

$586.87

 

 

 

 

0

36247

$699.53

 

 

 

 

0

36248

$111.24

 

 

 

 

0

36251   $2,819.07 $550.62    

0

36252   $3,096.88 $717.27    

0

36253   $4,311.48 $766.44    

0

36254   $4,486.31 $826.88    

0

36260

$1,275.80

 

 

 

 

45

36261

$576.14

 

 

 

 

45

36262

$447.74

 

 

 

 

45

36299

BR

 

 

 

 

0

36400

$18.54

 

 

 

 

0

36405

$42.79

 

 

 

 

0

36406

$26.00

 

 

 

 

0

36410

$27.09

 

 

 

 

0

36415

$8.12

 

 

 

 

0

36416

BR

 

 

 

 

0

36420

$104.11

 

 

 

 

0

36425

$57.76

 

 

 

 

0

36430

$64.17

 

 

 

 

0

36440

$152.77

 

 

 

 

0

36450

$281.66

 

 

 

 

0

36455

$321.61

 

 

 

 

0

36460

$792.96

 

 

 

 

0

36468

BR

 

 

 

 

0

36470

$101.58

 

 

 

 

0

36471

$147.89

 

 

 

 

0

36475

 

$4,254.16

$725.79

 

 

0

36476

 

$841.90

$355.18

 

 

0

36478

 

$3,920.55

$725.79

 

 

0

36479

 

$849.85

$355.18

 

 

0

36481

$962.95

 

 

 

 

0

36488

$160.45

 

 

 

 

0

36489

$161.87

 

 

 

 

0

36490

$211.07

 

 

 

 

0

36491

$218.92

 

 

 

 

0

36493

$129.06

 

 

 

 

0

36500

$248.87

 

 

 

 

0

36510

$97.69

 

 

 

 

0

36511

$179.98

 

 

 

 

0

36512

$179.98

 

 

 

 

0

36513

$179.98

 

 

 

 

0

36514

$179.98

 

 

 

 

0

36515

$179.98

 

 

 

 

0

36516

$179.98

 

 

 

 

0

36522

$388.43

 

 

 

 

0

36530

$771.16

 

 

 

 

15

36531

$710.23

 

 

 

 

15

36532

$397.37

 

 

 

 

15

36533

$646.02

 

 

 

 

15

36534

$561.51

 

 

 

 

15

36535

$320.99

 

 

 

 

15

36536

 

$2,641.23

$378.69

 

 

0

36537

 

$599.46

$91.51

 

 

0

36555

 

$645.77

$274.82

 

 

0

36556

 

$615.94

$250.02

 

 

0

36557

 

$1,384.36

$604.30

 

 

10

36558

 

$1,359.60

$719.95

 

 

10

36560

 

$2,598.24

$719.95

 

 

10

36561

 

$2,573.27

$694.28

 

 

10

36563

 

$3,235.97

$721.82

 

 

10

36565

 

$2,074.87

$694.28

 

 

10

36566

 

$2,170.62

$744.92

 

 

10

36568

 

$744.13

$199.90

 

 

0

36569

 

$676.77

$188.41

 

 

0

36570

 

$3,320.12

$625.50

 

 

10

36571

 

$2,987.04

$623.25

 

 

10

36575

 

$319.46

$98.20

 

 

0

36576

 

$825.50

$399.43

 

 

10

36578

 

$1,051.22

$454.02

 

 

10

36580

 

$592.44

$137.73

 

 

0

36581

 

$1,242.10

$423.62

 

 

10

36582

 

$2,334.14

$624.88

 

 

10

36583

 

$1,371.30

$629.43

 

 

10

36584

 

$617.63

$138.58

 

 

0

36585

 

$2,935.69

$584.07

 

 

10

36589

 

$344.02

$287.45

 

 

10

36590

 

$732.31

$390.74

 

 

10

36591

 

$39.59

 

 

 

 

36592

 

$49.01

 

 

 

 

36593

 

$61.80

 

 

 

 

36595

 

$1,700.82

$393.98

 

 

0

36596

 

$374.43

$95.15

 

 

0

36597

 

$324.10

$127.18

 

 

0

36598

$250.60

 

 

 

 

0

36600

$40.64

 

 

 

 

0

36620

$126.22

 

 

 

 

0

36625

$206.80

 

 

 

 

0

36640

$307.33

 

 

 

 

0

36660

$129.78

 

 

 

 

0

36680

$166.16

 

 

 

 

0

36800

$320.19

 

 

 

 

15

36810

$695.60

 

 

 

 

15

36815

$476.99

 

 

 

 

15

36818

$1,428.73

 

 

 

 

90

36819

$1,545.82

 

 

 

 

90

36820

$1,535.98

 

 

 

 

45

36821

$1,244.92

 

 

 

 

15

36823

BR

 

 

 

 

15

36825

$1,639.04

 

 

 

 

45

36830

$1,427.74

 

 

 

 

45

36831

$758.41

 

 

 

 

45

36832

$1,165.28

 

 

 

 

45

36833

$1,174.01

 

 

 

 

45

36835

$794.73

 

 

 

 

45

36838

$2,396.83

 

 

 

 

90

36860

$318.04

 

 

 

 

45

36861

$506.25

 

 

 

 

45

36870

 

$2,652.37

$595.05

 

 

15

37140

$3,061.10

 

 

 

 

90

37145

$3,148.85

 

 

 

 

90

37160

$3,025.34

 

 

 

 

90

37180

$2,966.03

 

 

 

 

90

37181

$3,313.82

 

 

 

 

90

37182

$1,766.16

 

 

 

 

0

37183

$827.54

 

 

 

 

0

37184

 

$5,864.66

$944.88

 

 

0

37185

 

$1,914.91

$346.29

 

 

0

37186

 

$3,957.51

$519.31

 

 

0

37187

 

$5,707.29

$878.61

 

 

0

37188

 

$4,928.08

$634.48

 

 

0

37191   $5,117.25 $473.08    

0

37192   $3,443.54 $732.43    

0

37193   $3,287.55 $731.79    

0

37195

$553.58

 

 

 

 

90

37197

 

$3,048.61

$608.96

 

 

0

37200

$422.16

 

 

 

 

15

37202

$686.70

 

 

 

 

15

37211   $794.73 $794.73     0
37212   $701.57 $701.57     0
37213   $490.28 $490.28     0
37214   $287.53 $287.53     0

37215

$2,171.54

 

 

 

 

90

37216

$2,091.84

 

 

 

 

90

37217

 

$2,274.51

$2,274.51

 

 

90

37218

 

$1,688.19

$1,688.19

 

 

90

37220

 

$6,260.57

$850.97

 

 

0

37221

 

$9,256.59

$1,038.38

 

 

0

37222

 

$1,803.49

$386.44

 

 

0

37223

 

$5,098.38

$439.30

 

 

0

37224

 

$7,523.24

$937.79

 

 

0

37225

 

$21,254.96

$1,261.40

 

 

0

37226

 

$17,809.13

$1,056.88

 

 

0

37227

 

$28,737.47

$1,523.49

 

 

0

37228

 

$10,710.46

$1,145.05

 

 

0

37229

 

$21,069.76

$1,476.65

 

 

0

37230

 

$16,556.06

$1,430.53

 

 

0

37231

 

$26,572.27

$1,554.76

 

 

0

37232

 

$2,403.71

$414.16

 

 

0

37233

 

$2,934.82

$679.88

 

 

0

37234

 

$7,664.09

$567.98

 

 

0

37235

 

$8,185.78

$806.10

 

 

0

37236

 

$5,501.87

$946.36

 

 

0

37237

 

$2,390.20

$441.85

 

 

0

37238

 

$8,027.24

$663.01

 

 

0

37239

 

$3,989.13

$308.38

 

 

0

37241

 

$8,900.23

$919.69

 

 

0

37242

 

$14,973.07

$1,026.81

 

 

0

37243

 

$18,899.20

$1,224.22

 

 

0

37244

 

$13,252.62

$1,428.16

 

 

0

37250

$170.65

 

 

 

 

0

37251

$130.11

 

 

 

 

0

37500

$1,440.37

 

 

 

 

90

37501

BR

 

 

 

 

0

37565

$611.90

 

 

 

 

45

37600

$711.03

 

 

 

 

45

37605

$810.18

 

 

 

 

45

37606

$826.43

 

 

 

 

45

37607

$710.23

 

 

 

 

45

37609

$355.93

 

 

 

 

45

37615

$799.61

 

 

 

 

45

37616

$1,496.82

 

 

 

 

45

37617

$1,760.93

 

 

 

 

45

37618

$711.03

 

 

 

 

45

37619

    $3,212.78     90

37650

$660.64

 

 

 

 

45

37660

$1,221.35

 

 

 

 

90

37700

$570.46

 

 

 

 

45

37718

$827.07

 

 

 

 

90

37722

$968.59

 

 

 

 

90

37735

$1,452.14

 

 

 

 

45

37760

$1,383.87

 

 

 

 

90

37761

 

 

$1,094.89

 

 

90

37765

$913.20

 

 

 

 

90

37766

$1,114.01

 

 

 

 

90

37780

$429.06

 

 

 

 

45

37785

$359.18

 

 

 

 

45

37788

$2,849.82

 

 

 

 

90

37790

$1,071.84

 

 

 

 

90

37799

BR

 

 

 

 

0

38100

$1,637.41

 

 

 

 

45

38101

$1,559.40

 

 

 

 

45

38102

$583.45

 

 

 

 

0

38115

$1,606.53

 

 

 

 

45

38120

BR

 

 

 

 

0

38129

BR

 

 

 

 

90

38200

$339.67

 

 

 

 

0

38204

BR

 

 

 

 

0

38205

$155.55

 

 

 

 

0

38206

$155.55

 

 

 

 

0

38207

BR

 

 

 

 

0

38208

BR

 

 

 

 

0

38209

BR

 

 

 

 

0

38210

BR

 

 

 

 

0

38211

BR

 

 

 

 

0

38212

BR

 

 

 

 

0

38213

BR

 

 

 

 

0

38214

BR

 

 

 

 

0

38215

BR

 

 

 

 

0

38220

 

$408.09

$111.08

 

 

0

38221

 

$429.94

$139.75

 

 

0

38230

$405.04

 

 

 

 

0

38232     $358.67     0

38240

$293.80

 

 

 

 

0

38241

$290.93

 

 

 

 

45

38242

$177.32

 

 

 

 

0

38243

 

$231.15

$231.15

 

 

0

38300

$162.51

 

 

 

 

0

38305

$490.82

 

 

 

 

15

38308

$622.45

 

 

 

 

15

38380

$867.86

 

 

 

 

45

38381

$1,562.65

 

 

 

 

45

38382

$1,123.83

 

 

 

 

45

38500

$351.04

 

 

 

 

15

38505

$177.96

 

 

 

 

0

38510

$510.32

 

 

 

 

15

38520

$622.45

 

 

 

 

15

38525

$553.38

 

 

 

 

15

38530

$714.28

 

 

 

 

15

38542

$760.59

 

 

 

 

45

38550

$765.48

 

 

 

 

45

38555

$1,611.39

 

 

 

 

45

38562

$1,309.11

 

 

 

 

45

38564

$1,384.69

 

 

 

 

45

38570

$1,107.15

 

 

 

 

10

38571

$1,445.81

 

 

 

 

10

38572

$1,678.34

 

 

 

 

10

38589

BR

 

 

 

 

10

38700

$1,352.18

 

 

 

 

90

38720

$2,198.93

 

 

 

 

90

38724

$2,169.65

 

 

 

 

90

38740

$876.80

 

 

 

 

45

38745

$1,307.48

 

 

 

 

45

38746

$533.07

 

 

 

 

0

38747

$594.02

 

 

 

 

0

38760

$1,180.71

 

 

 

 

45

38765

$2,197.30

 

 

 

 

45

38770

$2,149.34

 

 

 

 

45

38780

$2,486.58

 

 

 

 

90

38790

$212.51

 

 

 

 

0

38792

BR

 

 

 

 

0

38794

$542.01

 

 

 

 

0

38900

 

$267.47

$267.47

 

 

0

38999

BR

 

 

 

 

0

39000

$879.25

 

 

 

 

15

39010

$1,765.79

 

 

 

 

45

39200

$1,903.93

 

 

 

 

45

39220

$2,471.96

 

 

 

 

45

39400

$812.61

 

 

 

 

15

39499

BR

 

 

 

 

0

39501

$1,811.30

 

 

 

 

90

39503

$4,577.42

 

 

 

 

90

39540

$1,922.64

 

 

 

 

90

39541

$2,009.57

 

 

 

 

90

39545

$1,581.34

 

 

 

 

90

39560

$1,536.27

 

 

 

 

90

39561

$2,106.37

 

 

 

 

90

39599

BR

 

 

 

 

0

40490

$153.57

 

 

 

 

15

40500

$759.79

 

 

 

 

45

40510

$819.12

 

 

 

 

45

40520

$712.66

 

 

 

 

45

40525

$1,307.48

 

 

 

 

45

40527

$1,565.89

 

 

 

 

90

40530

$806.92

 

 

 

 

45

40650

$627.33

 

 

 

 

45

40652

$734.60

 

 

 

 

45

40654

$923.13

 

 

 

 

45

40700

$1,617.10

 

 

 

 

90

40701

$2,673.49

 

 

 

 

90

40702

$1,701.60

 

 

 

 

90

40720

$1,786.12

 

 

 

 

90

40761

$1,962.46

 

 

 

 

90

40799

BR

 

 

 

 

0

40800

$145.46

 

 

 

 

0

40801

$326.67

 

 

 

 

15

40804

$138.95

 

 

 

 

0

40805

$403.06

 

 

 

 

15

40806

$52.02

 

 

 

 

15

40808

$130.83

 

 

 

 

15

40810

$190.16

 

 

 

 

0

40812

$293.34

 

 

 

 

15

40814

$507.07

 

 

 

 

15

40816

$526.58

 

 

 

 

45

40818

$351.04

 

 

 

 

45

40819

$273.86

 

 

 

 

15

40820

$138.14

 

 

 

 

15

40830

$186.90

 

 

 

 

15

40831

$340.48

 

 

 

 

15

40840

$1,143.34

 

 

 

 

45

40842

$1,143.34

 

 

 

 

45

40843

$1,601.65

 

 

 

 

45

40844

$2,116.03

 

 

 

 

90

40845

$3,252.06

 

 

 

 

90

40899

BR

 

 

 

 

0

41000

$157.65

 

 

 

 

0

41005

$143.83

 

 

 

 

0

41006

$316.91

 

 

 

 

15

41007

$451.82

 

 

 

 

15

41008

$330.73

 

 

 

 

15

41009

$520.07

 

 

 

 

15

41010

$122.69

 

 

 

 

15

41015

$360.79

 

 

 

 

15

41016

$578.57

 

 

 

 

15

41017

$401.43

 

 

 

 

15

41018

$677.72

 

 

 

 

15

41019

 

 

$877.19

 

 

0

41100

$186.08

 

 

 

 

15

41105

$187.71

 

 

 

 

15

41108

$144.65

 

 

 

 

15

41110

$216.16

 

 

 

 

15

41112

$391.67

 

 

 

 

15

41113

$507.87

 

 

 

 

15

41114

$1,117.34

 

 

 

 

0

41115

$270.60

 

 

 

 

15

41116

$378.67

 

 

 

 

15

41120

$1,263.60

 

 

 

 

90

41130

$1,517.15

 

 

 

 

90

41135

$2,567.03

 

 

 

 

90

41140

$3,326.82

 

 

 

 

90

41145

$3,956.58

 

 

 

 

90

41150

$3,009.08

 

 

 

 

90

41153

$3,617.73

 

 

 

 

90

41155

$4,183.30

 

 

 

 

90

41250

$229.15

 

 

 

 

0

41251

$334.79

 

 

 

 

0

41252

$412.80

 

 

 

 

0

41500

$527.38

 

 

 

 

15

41510

$463.99

 

 

 

 

15

41512

 

 

$1,104.12

 

 

90

41520

$429.86

 

 

 

 

45

41530

 

$5,365.19

$722.81

 

 

10

41599

BR

 

 

 

 

0

41800

$141.40

 

 

 

 

0

41805

$158.46

 

 

 

 

15

41806

$333.99

 

 

 

 

15

41820

$405.49

 

 

 

 

15

41821

$91.01

 

 

 

 

15

41822

$410.37

 

 

 

 

15

41823

$570.46

 

 

 

 

15

41825

$213.73

 

 

 

 

15

41826

$337.24

 

 

 

 

15

41827

$550.14

 

 

 

 

15

41828

$228.35

 

 

 

 

15

41830

$202.33

 

 

 

 

15

41850

$202.33

 

 

 

 

15

41870

$506.25

 

 

 

 

45

41872

$442.06

 

 

 

 

45

41874

$533.07

 

 

 

 

45

41899

BR

 

 

 

 

0

42000

$140.57

 

 

 

 

0

42100

$160.08

 

 

 

 

15

42104

$251.09

 

 

 

 

0

42106

$378.67

 

 

 

 

15

42107

$711.03

 

 

 

 

45

42120

$970.26

 

 

 

 

45

42140

$225.90

 

 

 

 

15

42145

$1,366.81

 

 

 

 

90

42160

$255.98

 

 

 

 

15

42180

$367.30

 

 

 

 

15

42182

$567.20

 

 

 

 

15

42200

$1,306.68

 

 

 

 

90

42205

$1,532.58

 

 

 

 

90

42210

$1,746.30

 

 

 

 

90

42215

$1,260.35

 

 

 

 

90

42220

$949.95

 

 

 

 

90

42225

$1,261.98

 

 

 

 

90

42226

$1,354.61

 

 

 

 

90

42227

$1,261.17

 

 

 

 

90

42235

$1,017.39

 

 

 

 

90

42260

$637.90

 

 

 

 

90

42280

$270.60

 

 

 

 

0

42281

$253.52

 

 

 

 

15

42299

BR

 

 

 

 

0

42300

$223.47

 

 

 

 

0

42305

$611.08

 

 

 

 

15

42310

$199.10

 

 

 

 

0

42320

$324.22

 

 

 

 

0

42330

$255.15

 

 

 

 

15

42335

$444.51

 

 

 

 

15

42340

$681.78

 

 

 

 

15

42400

$123.52

 

 

 

 

0

42405

$375.44

 

 

 

 

15

42408

$599.71

 

 

 

 

15

42409

$431.49

 

 

 

 

15

42410

$1,169.34

 

 

 

 

45

42415

$2,263.92

 

 

 

 

45

42420

$2,626.36

 

 

 

 

45

42425

$1,842.18

 

 

 

 

45

42426

$3,456.84

 

 

 

 

90

42440

$1,144.14

 

 

 

 

45

42450

$609.45

 

 

 

 

45

42500

$677.72

 

 

 

 

45

42505

$1,037.70

 

 

 

 

45

42507

$835.37

 

 

 

 

45

42509

$1,454.57

 

 

 

 

45

42510

$1,201.04

 

 

 

 

45

42550

$116.23

 

 

 

 

0

42600

$663.90

 

 

 

 

45

42650

$91.01

 

 

 

 

0

42660

$128.40

 

 

 

 

0

42665

$351.04

 

 

 

 

15

42699

BR

 

 

 

 

0

42700

$190.16

 

 

 

 

0

42720

$352.67

 

 

 

 

15

42725

$945.87

 

 

 

 

15

42800

$163.34

 

 

 

 

15

42804

$178.77

 

 

 

 

15

42806

$229.15

 

 

 

 

15

42808

$372.98

 

 

 

 

15

42809

$202.33

 

 

 

 

0

42810

$499.76

 

 

 

 

15

42815

$1,195.36

 

 

 

 

45

42820

$526.58

 

 

 

 

15

42821

$628.96

 

 

 

 

15

42825

$459.13

 

 

 

 

15

42826

$550.95

 

 

 

 

15

42830

$342.93

 

 

 

 

15

42831

$388.43

 

 

 

 

15

42835

$316.11

 

 

 

 

15

42836

$460.74

 

 

 

 

15

42842

$1,159.59

 

 

 

 

45

42844

$1,847.86

 

 

 

 

45

42845

$3,174.85

 

 

 

 

45

42860

$315.28

 

 

 

 

15

42870

$586.71

 

 

 

 

15

42890

$1,618.71

 

 

 

 

45

42892

$1,947.81

 

 

 

 

45

42894

$2,878.25

 

 

 

 

45

42900

$723.22

 

 

 

 

15

42950

$1,372.50

 

 

 

 

45

42953

$1,146.60

 

 

 

 

45

42955

$771.99

 

 

 

 

45

42960

$263.29

 

 

 

 

15

42961

$543.63

 

 

 

 

15

42962

$988.14

 

 

 

 

15

42970

$400.05

 

 

 

 

0

42971

$663.90

 

 

 

 

15

42972

$876.80

 

 

 

 

15

42999

BR

 

 

 

 

0

43020

$1,118.15

 

 

 

 

45

43030

$1,279.86

 

 

 

 

45

43045

$2,482.53

 

 

 

 

45

43100

$1,156.34

 

 

 

 

45

43101

$1,954.32

 

 

 

 

45

43107

$3,953.35

 

 

 

 

90

43108

$4,598.56

 

 

 

 

90

43112

$4,078.47

 

 

 

 

90

43113

$4,676.55

 

 

 

 

90

43116

$4,364.52

 

 

 

 

90

43117

$4,270.26

 

 

 

 

90

43118

$4,520.55

 

 

 

 

90

43121

$3,900.53

 

 

 

 

90

43122

$3,900.53

 

 

 

 

90

43123

$4,520.55

 

 

 

 

90

43124

$3,759.13

 

 

 

 

90

43130

$1,671.53

 

 

 

 

90

43135

$2,129.03

 

 

 

 

90

43180

 

$1,136.25

$1,136.25

 

 

90

43191

 

$256.96

$256.96

 

 

0

43192

 

$306.59

$306.59

 

 

0

43193

 

$365.51

$365.51

 

 

0

43194

 

$332.59

$332.59

 

 

0

43195

 

$366.19

$366.19

 

 

0

43196

 

$400.59

$400.59

 

 

0

43197

 

$364.81

$163.93

 

 

0

43198

 

$407.76

$195.25

 

 

0

43200

$291.72

 

 

 

 

0

43201

 

$472.28

$248.64

 

 

0

43202

$306.63

 

 

 

 

15

43204

$584.73

 

 

 

 

0

43205

$442.84

 

 

 

 

0

43206

BR

 

 

 

 

 

43211

 

$497.78

$497.78

 

 

0

43212

 

$391.56

$391.56

 

 

0

43213

 

$2,412.42

$553.21

 

 

0

43214

 

$400.13

$400.13

 

 

0

43215

$418.59

 

 

 

 

0

43216

$412.89

 

 

 

 

15

43217

$447.82

 

 

 

 

15

43220

$327.31

 

 

 

 

0

43226

$369.38

 

 

 

 

0

43227

$558.34

 

 

 

 

15

43229

 

$1,424.30

$422.03

 

 

0

43231

$457.42

 

 

 

 

0

43232

$531.38

 

 

 

 

0

43233

 

$474.99

$474.99

 

 

0

43235

$372.94

 

 

 

 

0

43236

 

$552.53

$309.84

 

 

0

43237

$434.25

 

 

 

 

0

43238

$540.01

 

 

 

 

0

43239

$419.29

 

 

 

 

15

43240

$807.13

 

 

 

 

0

43241

$424.30

 

 

 

 

0

43242

$580.51

 

 

 

 

0

43243

$692.41

 

 

 

 

0

43244

$554.78

 

 

 

 

0

43245

$527.69

 

 

 

 

0

43246

$674.59

 

 

 

 

0

43247

$526.97

 

 

 

 

0

43248

$489.19

 

 

 

 

0

43249

$451.39

 

 

 

 

0

43250

$531.97

 

 

 

 

15

43251

$566.91

 

 

 

 

15

43252

BR

 

 

 

 

 

43253

 

$551.03

$551.03

 

 

0

43254

 

$571.92

$571.92

 

 

0

43255

$680.99

 

 

 

 

0

43256

$457.71

 

 

 

 

0

43257

$606.23

 

 

 

 

0

43258

$676.73

 

 

 

 

15

43259

$608.98

 

 

 

 

0

43260

$811.50

 

 

 

 

0

43261

$832.88

 

 

 

 

15

43262

$1,111.70

 

 

 

 

0

43263

$817.20

 

 

 

 

0

43264

$1,212.25

 

 

 

 

15

43265

$1,072.48

 

 

 

 

15

43266

 

$473.18

$473.18

 

 

0

43270

 

$1,422.84

$497.35

 

 

0

43273

 

$248.19

$248.19

 

 

 

43274

 

$980.60

$980.60

 

 

0

43275

 

$808.41

$808.41

 

 

0

43276

 

$1,020.30

$1,020.30

 

 

0

43277

 

$813.41

$813.41

 

 

0

43278

 

$924.88

$924.88

 

 

0

43279

 

 

$2,312.56

 

 

90

43280

$2,086.16

 

 

 

 

90

43281

 

 

$2,939.50

 

 

90

43282

 

 

$3,306.05

 

 

90

43283

 

 

$320.37

 

 

0

43289

BR

 

 

 

 

90

43300

$1,569.14

 

 

 

 

90

43305

$2,344.38

 

 

 

 

90

43310

$3,270.74

 

 

 

 

90

43312

$3,239.06

 

 

 

 

90

43313

$5,044.22

 

 

 

 

90

43314

$5,552.61

 

 

 

 

90

43320

$2,073.78

 

 

 

 

90

43325

$2,087.58

 

 

 

 

90

43327

 

 

$1,611.97

 

 

90

43328

 

 

$2,351.98

 

 

90

43330

$2,043.71

 

 

 

 

90

43331

$2,307.80

 

 

 

 

90

43332

 

 

$2,307.94

 

 

90

43333

 

 

$2,506.34

 

 

90

43334

 

 

$2,532.42

 

 

90

43335

 

 

$2,728.82

 

 

90

43336

 

 

$2,982.76

 

 

90

43337

 

 

$3,256.70

 

 

90

43338

 

 

$265.27

 

 

0

43340

$2,119.29

 

 

 

 

90

43341

$1,986.00

 

 

 

 

90

43351

$1,756.85

 

 

 

 

90

43352

$1,564.26

 

 

 

 

90

43360

$3,772.13

 

 

 

 

90

43361

$4,364.52

 

 

 

 

90

43400

$2,079.47

 

 

 

 

45

43401

$2,054.27

 

 

 

 

45

43405

$2,316.74

 

 

 

 

45

43410

$1,466.76

 

 

 

 

45

43415

$2,275.31

 

 

 

 

45

43420

$1,263.60

 

 

 

 

45

43425

$2,019.34

 

 

 

 

45

43450

$141.19

 

 

 

 

0

43453

$205.36

 

 

 

 

0

43460

$375.81

 

 

 

 

0

43496

BR

 

 

 

 

0

43499

BR

 

 

 

 

0

43500

$1,092.15

 

 

 

 

45

43501

$1,786.93

 

 

 

 

45

43502

$1,942.13

 

 

 

 

45

43510

$1,206.54

 

 

 

 

45

43520

$911.76

 

 

 

 

45

43605

$1,127.89

 

 

 

 

45

43610

$1,457.82

 

 

 

 

45

43611

$1,640.65

 

 

 

 

90

43620

$2,900.19

 

 

 

 

90

43621

$2,935.15

 

 

 

 

90

43622

$3,041.59

 

 

 

 

90

43631

$2,432.94

 

 

 

 

90

43632

$2,432.94

 

 

 

 

90

43633

$2,467.90

 

 

 

 

90

43634

$3,258.55

 

 

 

 

90

43635

$251.09

 

 

 

 

0

43640

$1,883.62

 

 

 

 

90

43641

$1,883.62

 

 

 

 

90

43644

$3,138.55

 

 

 

 

90

43645

$3,381.59

 

 

 

 

90

43647 BR        

0

43648 BR        

0

43651

$1,136.58

 

 

 

 

90

43652

$1,364.48

 

 

 

 

90

43653

$980.77

 

 

 

 

90

43659

BR

 

 

 

 

90

43752

BR

 

 

 

 

0

43753

 

 

$41.63

 

 

0

43754

 

$156.31

$62.91

 

 

0

43755

 

$238.84

$115.20

 

 

0

43757

 

$556.88

$150.36

 

 

0

43760

$123.37

 

 

 

 

0

43761

$215.35

 

 

 

 

0

43770

$1,968.64

 

 

 

 

90

43771

$2,267.65

 

 

 

 

90

43772

$1,729.54

 

 

 

 

90

43773

$2,268.14

 

 

 

 

90

43774

$1,735.57

 

 

 

 

90

43775

 

 

$2,467.55

 

 

90

43800

$1,296.91

 

 

 

 

45

43810

$1,409.88

 

 

 

 

45

43820

$1,492.76

 

 

 

 

45

43825

$1,942.13

 

 

 

 

45

43830

$878.43

 

 

 

 

45

43831

$920.68

 

 

 

 

45

43832

$1,474.88

 

 

 

 

45

43840

$1,457.82

 

 

 

 

45

43842

$2,195.67

 

 

 

 

90

43843

$2,195.67

 

 

 

 

90

43845

BR

 

 

 

 

90

43846

$2,609.28

 

 

 

 

45

43847

$2,769.36

 

 

 

 

45

43848

$2,944.89

 

 

 

 

45

43850

$2,364.69

 

 

 

 

45

43855

$2,356.56

 

 

 

 

45

43860

$2,359.81

 

 

 

 

90

43865

$2,597.91

 

 

 

 

90

43870

$981.63

 

 

 

 

45

43880

$2,098.15

 

 

 

 

45

43881 BR         0
43882 BR         0

43886

$550.29

 

 

 

 

90

43887

$533.52

 

 

 

 

90

43888

$758.55

 

 

 

 

90

43999

BR

 

 

 

 

0

44005

$1,656.90

 

 

 

 

45

44010

$1,286.37

 

 

 

 

45

44015

$459.13

 

 

 

 

0

44020

$1,474.88

 

 

 

 

45

44021

$1,420.43

 

 

 

 

45

44025

$1,497.64

 

 

 

 

45

44050

$1,421.26

 

 

 

 

90

44055

$1,558.58

 

 

 

 

45

44100

$232.47

 

 

 

 

15

44110

$1,329.42

 

 

 

 

45

44111

$1,656.90

 

 

 

 

45

44120

$1,802.36

 

 

 

 

45

44121

$540.38

 

 

 

 

0

44125

$1,906.39

 

 

 

 

45

44126

$3,835.53

 

 

 

 

90

44127

$4,411.22

 

 

 

 

90

44128

$465.42

 

 

 

 

90

44130

$1,576.46

 

 

 

 

45

44132

BR

 

 

 

 

0

44133

BR

 

 

 

 

90

44135

BR

 

 

 

 

0

44136

BR

 

 

 

 

90

44137

BR

 

 

 

 

0

44139

$271.41

 

 

 

 

0

44140

$2,257.43

 

 

 

 

90

44141

$2,329.76

 

 

 

 

90

44143

$2,175.36

 

 

 

 

90

44144

$2,157.48

 

 

 

 

90

44145

$2,749.87

 

 

 

 

90

44146

$2,962.77

 

 

 

 

90

44147

$2,522.33

 

 

 

 

90

44150

$2,702.74

 

 

 

 

90

44151

$2,242.80

 

 

 

 

90

44155

$3,087.92

 

 

 

 

90

44156

$2,540.21

 

 

 

 

90

44157 $3,813.16        

90

44158 $3,911.43        

90

44160

$2,119.29

 

 

 

 

90

44180

$1,667.08

 

 

 

 

90

44186

$1,170.95

 

 

 

 

90

44187

$1,936.48

 

 

 

 

90

44188

$2,123.28

 

 

 

 

90

44202

$2,546.16

 

 

 

 

90

44203

$452.93

 

 

 

 

90

44204

$2,621.49

 

 

 

 

90

44205

$2,323.08

 

 

 

 

90

44206

$2,867.27

 

 

 

 

90

44207

$3,139.15

 

 

 

 

90

44208

$3,398.13

 

 

 

 

90

44210

$3,004.92

 

 

 

 

90

44211

$3,737.38

 

 

 

 

90

44212

$3,489.78

 

 

 

 

90

44213

$382.85

 

 

 

 

0

44227

$3,002.12

 

 

 

 

90

44238

BR

 

 

 

 

0

44300

$1,101.09

 

 

 

 

45

44310

$1,431.00

 

 

 

 

45

44312

$663.90

 

 

 

 

45

44314

$1,304.23

 

 

 

 

45

44316

$1,831.63

 

 

 

 

45

44320

$1,500.90

 

 

 

 

45

44322

$1,545.58

 

 

 

 

45

44340

$523.32

 

 

 

 

45

44345

$1,183.96

 

 

 

 

45

44346

$1,414.75

 

 

 

 

45

44360

$454.23

 

 

 

 

0

44361

$502.02

 

 

 

 

15

44363

$477.05

 

 

 

 

0

44364

$619.67

 

 

 

 

15

44365

$585.45

 

 

 

 

15

44366

$737.34

 

 

 

 

0

44369

$789.39

 

 

 

 

15

44370

$456.17

 

 

 

 

0

44372

$741.62

 

 

 

 

0

44373

$613.26

 

 

 

 

0

44376

$663.88

 

 

 

 

0

44377

$698.11

 

 

 

 

15

44378

$885.66

 

 

 

 

0

44379

$743.95

 

 

 

 

0

44380

$238.88

 

 

 

 

0

44381

BR

 

 

 

 

 

44382

$298.78

 

 

 

 

15

44384

BR

 

 

 

 

 

44385

$334.79

 

 

 

 

0

44386

$251.01

 

 

 

 

15

44388

$505.44

 

 

 

 

0

44389

$489.19

 

 

 

 

15

44390

$443.54

 

 

 

 

0

44391

$655.33

 

 

 

 

0

44392

$619.67

 

 

 

 

15

44394

$661.75

 

 

 

 

15

44401

BR

 

 

 

 

 

44402

BR

 

 

 

 

 

44403

BR

 

 

 

 

 

44404

BR

 

 

 

 

 

44405

BR

 

 

 

 

 

44406

BR

 

 

 

 

 

44407

BR

 

 

 

 

 

44408

BR

 

 

 

 

 

44500

$57.76

 

 

 

 

0

44602

$1,385.49

 

 

 

 

45

44603

$1,756.85

 

 

 

 

45

44604

$1,656.90

 

 

 

 

45

44605 $1,856.00

45

44615 $1,565.89        

45

44620 $1,243.29        

45

44625 $1,729.23        

45

44626 $2396.09        

45

44640

$1,579.71

 

 

 

 

45

44650

$1,674.78

 

 

 

 

45

44660

$1,692.66

 

 

 

 

45

44661

$2,331.36

 

 

 

 

45

44680

$1,766.61

 

 

 

 

45

44700

$1,841.60

 

 

 

 

45

44701

$312.83

 

 

 

 

0

44705

BR

 

 

 

 

 

44715

BR

 

 

 

 

0

44720

$532.32

 

 

 

 

0

44721

$767.53

 

 

 

 

0

44799

BR

 

 

 

 

0

44800

$1,220.53

 

 

 

 

45

44820

$1,202.67

 

 

 

 

45

44850

$1,134.40

 

 

 

 

45

44899

BR

 

 

 

 

0

44900

$965.38

 

 

 

 

45

44950

$872.74

 

 

 

 

45

44955

$307.17

 

 

 

 

45

44960

$1,247.35

 

 

 

 

45

44970

$1,002.56

 

 

 

 

90

44979

BR

 

 

 

 

90

45000

$463.19

 

 

 

 

15

45005

$256.78

 

 

 

 

15

45020

$556.63

 

 

 

 

15

45100

$416.86

 

 

 

 

15

45108

$551.77

 

 

 

 

45

45110

$3,028.59

 

 

 

 

90

45111

$2,132.29

 

 

 

 

90

45112

$3,191.93

 

 

 

 

90

45113

$3,244.75

 

 

 

 

90

45114

$2,915.64

 

 

 

 

90

45116

$2,378.50

 

 

 

 

90

45119

$2,999.96

 

 

 

 

90

45120

$3,124.48

 

 

 

 

90

45121

$2,831.94

 

 

 

 

90

45123

$1,998.20

 

 

 

 

90

45126

$3,754.25

 

 

 

 

90

45130

$1,745.48

 

 

 

 

90

45135

$2,505.27

 

 

 

 

90

45136

$2,950.79

 

 

 

 

90

45150

$685.03

 

 

 

 

90

45160

$1,575.65

 

 

 

 

90

45171

 

 

$1,111.80

 

 

90

45172

 

 

$1,526.87

 

 

90

45190

$1,034.45

 

 

 

 

45

45300

$98.32

 

 

 

 

0

45303

$91.83

 

 

 

 

0

45305

$146.26

 

 

 

 

15

45307

$234.84

 

 

 

 

0

45308

$208.84

 

 

 

 

15

45309

$248.66

 

 

 

 

15

45315

$294.17

 

 

 

 

15

45317

$314.48

 

 

 

 

0

45320

$376.24

 

 

 

 

15

45321

$284.40

 

 

 

 

0

45327

$177.41

 

 

 

 

0

45330

$149.74

 

 

 

 

0

45331

$196.09

 

 

 

 

15

45332

$254.57

 

 

 

 

0

45333

$288.79

 

 

 

 

15

45334

$389.34

 

 

 

 

0

45335

 

$278.08

$148.98

 

 

0

45337

$370.80

 

 

 

 

0

45338

$330.88

 

 

 

 

15

45340

 

$632.42

$178.79

 

 

0

45341

$396.12

 

 

 

 

0

45342

$456.62

 

 

 

 

0

45346

BR

 

 

 

 

 

45347

BR

 

 

 

 

 

45349

BR

 

 

 

 

 

45350

BR

 

 

 

 

 

45378

$535.54

 

 

 

 

0

45379

$685.28

 

 

 

 

0

45380

$599.71

 

 

 

 

15

45381

 

$752.06

$438.12

 

 

0

45382

$789.39

 

 

 

 

0

45384

$773.69

 

 

 

 

15

45385

$815.78

 

 

 

 

15

45386

 

$1,424.82

$475.94

 

 

0

45388

BR

 

 

 

 

 

45389

BR

 

 

 

 

 

45390

BR

 

 

 

 

 

45391

$560.60

 

 

 

 

0

45392

$710.63

 

 

 

 

0

45393

BR

 

 

 

 

 

45395

$3,546.66

 

 

 

 

90

45397

$3,864.29

 

 

 

 

90

45398

BR

 

 

 

 

 

45399

BR

 

 

 

 

 

45400

$2,074.67

 

 

 

 

90

45402

$2,814.19

 

 

 

 

90

45499

BR

 

 

 

 

0

45500

$999.51

 

 

 

 

45

45505

$942.64

 

 

 

 

45

45520

$80.59

 

 

 

 

0

45540

$1,744.68

 

 

 

 

90

45541

$1,591.08

 

 

 

 

90

45550

$1,982.77

 

 

 

 

90

45560

$975.95

 

 

 

 

45

45562

$1,527.70

 

 

 

 

45

45563

$2,410.20

 

 

 

 

45

45800

$1,778.79

 

 

 

 

45

45805

$2,178.59

 

 

 

 

45

45820

$1,753.62

 

 

 

 

45

45825

$2,002.26

 

 

 

 

45

45900

$178.77

 

 

 

 

0

45905

$175.53

 

 

 

 

0

45910

$215.33

 

 

 

 

15

45915

$197.53

 

 

 

 

0

45990

$205.75

 

 

 

 

0

45999

BR

 

 

 

 

0

46020

 

$434.04

$383.37

 

 

90

46030

$126.77

 

 

 

 

0

46040

$522.50

 

 

 

 

15

46045

$457.51

 

 

 

 

15

46050

$138.14

 

 

 

 

0

46060

$828.86

 

 

 

 

90

46070

$319.36

 

 

 

 

15

46080

$356.73

 

 

 

 

0

46083

$136.91

 

 

 

 

15

46200

$503.01

 

 

 

 

45

46220

$169.83

 

 

 

 

15

46221

$162.51

 

 

 

 

15

46230

$264.09

 

 

 

 

15

46250

$565.57

 

 

 

 

45

46255

$767.10

 

 

 

 

45

46257

$884.93

 

 

 

 

45

46258

$967.81

 

 

 

 

45

46260

$1,018.20

 

 

 

 

45

46261

$1,049.08

 

 

 

 

45

46262

$1,076.70

 

 

 

 

45

46270

$427.43

 

 

 

 

45

46275

$786.61

 

 

 

 

45

46280

$934.50

 

 

 

 

90

46285

$488.38

 

 

 

 

45

46288

$829.67

 

 

 

 

45

46320

$179.59

 

 

 

 

0

46500

$146.26

 

 

 

 

0

46505

 

$449.33

$371.77

 

 

10

46600

$53.48

 

 

 

 

0

46601

BR

 

 

 

 

 

46604

$133.26

 

 

 

 

0

46606

$92.64

 

 

 

 

15

46607

BR

 

 

 

 

 

46608

$177.55

 

 

 

 

0

46610

$171.45

 

 

 

 

15

46611

$210.47

 

 

 

 

15

46612

$294.17

 

 

 

 

15

46614

$281.17

 

 

 

 

0

46615

$333.99

 

 

 

 

15

46700

$999.51

 

 

 

 

45

46705

$794.73

 

 

 

 

45

46706

$270.83

 

 

 

 

10

46707

 

 

$854.22

 

 

90

46710

$1,876.12

 

 

 

 

90

46712

$3,920.30

 

 

 

 

90

46715

$817.49

 

 

 

 

45

46716

$1,406.63

 

 

 

 

45

46730

$2,495.53

 

 

 

 

90

46735

$3,027.79

 

 

 

 

90

46740

$2,683.23

 

 

 

 

90

46742

$3,716.88

 

 

 

 

90

46744

$4,172.74

 

 

 

 

90

46746

$4,565.23

 

 

 

 

90

46748

$5,086.92

 

 

 

 

90

46750

$1,062.90

 

 

 

 

45

46751

$945.87

 

 

 

 

45

46753

$871.11

 

 

 

 

45

46754

$238.09

 

 

 

 

15

46760

$1,385.49

 

 

 

 

45

46761

$1,350.56

 

 

 

 

45

46762

$1,192.90

 

 

 

 

45

46900

$173.08

 

 

 

 

0

46910

$192.59

 

 

 

 

0

46916

$194.22

 

 

 

 

15

46917

$296.60

 

 

 

 

15

46922

$244.60

 

 

 

 

15

46924

$418.49

 

 

 

 

15

46930

 

$366.72

$267.08

 

 

90

46940

$221.04

 

 

 

 

15

46942

$195.02

 

 

 

 

15

46945

$291.72

 

 

 

 

15

46946

$393.30

 

 

 

 

15

46947

$639.13

 

 

 

 

90

46999

BR

 

 

 

 

0

47000

$226.04

 

 

 

 

0

47001

$257.60

 

 

 

 

0

47010

$1,226.24

 

 

 

 

45

47015

$1,228.67

 

 

 

 

45

47100

$797.18

 

 

 

 

45

47120

$2,545.09

 

 

 

 

45

47122

$3,983.40

 

 

 

 

45

47125

$3,668.92

 

 

 

 

45

47130

$4,035.42

 

 

 

 

45

47133

BR

 

 

 

 

0

47134

$4,757.82

 

 

 

 

90

47135 $10,426.57        

90

47136 $7,782.35        

90

47140 $6,080.71        

90

47141 $7,373.58        

90

47142 $8,134.43        

90

47143

BR

 

 

 

 

0

47144

BR

 

 

 

 

90

47145

BR

 

 

 

 

90

47146

$657.92

 

 

 

 

0

47147

$767.53

 

 

 

 

0

47300

$1,309.11

 

 

 

 

45

47350

$1,490.33

 

 

 

 

45

47360

$2,089.21

 

 

 

 

45

47361

$3,539.21

 

 

 

 

90

47362

$1,264.21

 

 

 

 

90

47370

$1,838.88

 

 

 

 

90

47371

$1,732.36

 

 

 

 

90

47379

BR

 

 

 

 

90

47380

$2,163.52

 

 

 

 

90

47381

$2,138.49

 

 

 

 

90

47382

$1,278.52

 

 

 

 

90

47383

 

$14,798.28

$986.18

 

 

10

47399

BR

 

 

 

 

0

47400

$2,165.60

 

 

 

 

45

47420

$1,973.83

 

 

 

 

45

47425

$2,112.78

 

 

 

 

45

47460

$2,057.98

 

 

 

 

45

47480

$1,248.98

 

 

 

 

45

47490

$660.31

 

 

 

 

45

47500

$237.46

 

 

 

 

45

47505

$130.50

 

 

 

 

0

47510

$704.54

 

 

 

 

0

47511

$879.25

 

 

 

 

15

47525

$482.04

 

 

 

 

0

47530

$477.78

 

 

 

 

0

47550

$364.87

 

 

 

 

0

47552

$583.45

 

 

 

 

0

47553

$703.82

 

 

 

 

15

47554

$1,027.14

 

 

 

 

0

47555

$702.40

 

 

 

 

0

47556

$771.57

 

 

 

 

0

47560

$547.84

 

 

 

 

90

47561

$616.83

 

 

 

 

90

47562

$1,328.91

 

 

 

 

90

47563

$1,429.64

 

 

 

 

90

47564

$1,698.06

 

 

 

 

90

47570

$1,525.51

 

 

 

 

90

47579

BR

 

 

 

 

90

47600

$1,450.51

 

 

 

 

45

47605

$1,568.34

 

 

 

 

45

47610

$1,851.12

 

 

 

 

45

47612

$2,315.93

 

 

 

 

45

47620

$2,152.60

 

 

 

 

45

47630

$830.04

 

 

 

 

45

47700

$1,699.97

 

 

 

 

45

47701

$2,764.50

 

 

 

 

45

47711

$2,404.51

 

 

 

 

45

47712

$2,844.14

 

 

 

 

45

47715

$1,807.24

 

 

 

 

45

47720

$1,678.86

 

 

 

 

45

47721

$2,061.59

 

 

 

 

45

47740

$1,923.44

 

 

 

 

45

47741

$2,440.26

 

 

 

 

45

47760

$2,512.58

 

 

 

 

45

47765

$2,679.17

 

 

 

 

45

47780

$2,664.55

 

 

 

 

45

47785

$2,980.66

 

 

 

 

45

47800

$2,454.08

 

 

 

 

45

47801

$1,321.30

 

 

 

 

15

47802

$2,079.47

 

 

 

 

45

47900

$2,289.94

 

 

 

 

45

47999

BR

 

 

 

 

0

48000

$1,600.02

 

 

 

 

45

48001

$1,888.51

 

 

 

 

45

48020

$1,576.46

 

 

 

 

45

48100

$1,140.91

 

 

 

 

45

48102

$469.93

 

 

 

 

0

48105 $4,899.03         90

48120

$1,795.04

 

 

 

 

45

48140

$2,515.84

 

 

 

 

45

48145

$2,770.99

 

 

 

 

45

48146

$2,995.28

 

 

 

 

45

48148

$1,799.93

 

 

 

 

45

48150

$4,995.91

 

 

 

 

45

48152

$4,700.12

 

 

 

 

45

48153

$4,995.91

 

 

 

 

45

48154

$4,700.12

 

 

 

 

45

48155

$3,180.56

 

 

 

 

45

48160

$4,153.25

 

 

 

 

45

48400

$208.93

 

 

 

 

0

48500

$1,634.96

 

 

 

 

45

48510

$1,489.50

 

 

 

 

45

48520

$1,938.07

 

 

 

 

45

48540

$2,266.37

 

 

 

 

45

48545

$1,780.42

 

 

 

 

45

48547

$2,573.54

 

 

 

 

45

48548 $2,851.02         90

48550

BR

 

 

 

 

0

48551

BR

 

 

 

 

0

48552

$456.61

 

 

 

 

0

48554

$4,152.42

 

 

 

 

0

48556

$1,687.78

 

 

 

 

90

48999

BR

 

 

 

 

0

49000

$1,257.12

 

 

 

 

45

49002

$1,227.84

 

 

 

 

45

49010

$1,439.14

 

 

 

 

45

49020

$1,100.27

 

 

 

 

45

49040

$1,214.04

 

 

 

 

45

49060

$1,274.17

 

 

 

 

45

49062

$1,354.00

 

 

 

 

45

49082   $317.86 $137.81    

0

49083     $212.72    

0

49084     $195.16    

0

49180

$226.76

 

 

 

 

0

49203

 

 

$2,048.96

 

 

90

49204

 

 

$2,613.81

 

 

90

49205

 

 

$2,991.02

 

 

90

49215

$2,340.30

 

 

 

 

45

49220

$2,069.72

 

 

 

 

90

49250

$950.75

 

 

 

 

45

49255

$737.85

 

 

 

 

45

49320

$660.46

 

 

 

 

10

49321

$704.05

 

 

 

 

10

49322

$732.27

 

 

 

 

10

49323

$1,131.52

 

 

 

 

90

49324 $677.76         10
49325 $728.64         10
49326 $333.78         0

49327

 

 

$258.10

 

 

0

49329

BR

 

 

 

 

90

49400

$236.47

 

 

 

 

0

49402 $1,459.94         90
49405   $1,712.95 $438.51     0
49406   $1,712.27 $439.19     0
49407   $1,450.57 $467.50     0

49411

 

$969.19

$385.43

 

 

0

49412

 

 

$161.26

 

 

0

49418

 

$3,002.88

$463.03

 

 

0

49419

$782.41

 

 

 

 

90

49421

$718.34

 

 

 

 

0

49422

$793.92

 

 

 

 

15

49423

$179.38

 

 

 

 

15

49424

$93.28

 

 

 

 

15

49425

$1,491.13

 

 

 

 

45

49426

$1,109.21

 

 

 

 

45

49427

$94.12

 

 

 

 

0

49428

$240.53

 

 

 

 

15

49429

$771.16

 

 

 

 

15

49435 $214.65         0
49436 $320.02         10

49440

 

$2,127.82

$444.09

 

 

90

49441

 

$2,525.87

$489.48

 

 

90

49442

 

$2,059.42

$406.11

 

 

10

49446

 

$2,104.17

$320.52

 

 

0

49450

 

$1,471.89

$129.99

 

 

0

49451

 

$1,559.91

$178.91

 

 

0

49452

 

$1,909.19

$279.07

 

 

0

49460

 

$1,560.24

$91.63

 

 

0

49465

 

$326.35

$60.56

 

 

0

49491

$1,241.69

 

 

 

 

45

49492

$1,522.15

 

 

 

 

45

49495

$855.68

 

 

 

 

45

49496

$1,067.76

 

 

 

 

45

49500

$747.59

 

 

 

 

45

49501

$980.83

 

 

 

 

45

49505

$850.80

 

 

 

 

45

49507

$991.38

 

 

 

 

45

49520

$1,042.59

 

 

 

 

45

49521

$1,151.46

 

 

 

 

45

49525

$997.88

 

 

 

 

45

49540

$1,045.02

 

 

 

 

45

49550

$922.30

 

 

 

 

45

49553

$956.44

 

 

 

 

45

49555

$1,065.33

 

 

 

 

45

49557

$1,178.28

 

 

 

 

45

49560

$1,204.28

 

 

 

 

45

49561

$1,353.81

 

 

 

 

45

49565

$1,266.03

 

 

 

 

45

49566

$1,415.57

 

 

 

 

45

49568

$594.02

 

 

 

 

0

49570

$705.34

 

 

 

 

45

49572

$874.37

 

 

 

 

45

49580

$593.20

 

 

 

 

45

49582

$776.04

 

 

 

 

45

49585

$745.97

 

 

 

 

45

49587

$823.18

 

 

 

 

45

49590

$972.69

 

 

 

 

45

49600

$1,161.22

 

 

 

 

45

49605

$2,419.94

 

 

 

 

45

49606

$2,059.16

 

 

 

 

45

49610

$1,222.16

 

 

 

 

45

49611

$1,335.11

 

 

 

 

45

49650

$769.10

 

 

 

 

90

49651

$986.23

 

 

 

 

90

49652

 

 

$1,401.44

 

 

90

49653

 

 

$1,751.06

 

 

90

49654

 

 

$1,610.67

 

 

90

49655

 

 

$1,938.81

 

 

90

49656

 

 

$1,616.48

 

 

90

49657

 

 

$2,334.93

 

 

90

49659

BR

 

 

 

 

90

49900

$653.33

 

 

 

 

45

49904

$2,683.60

 

 

 

 

90

49905

$795.55

 

 

 

 

0

49906

BR

 

 

 

 

0

49999

BR

 

 

 

 

0

 

©Current Procedural Terminology (CPT) Codes and Descriptors
Are Copyrighted by the American Medical Association.


N.C. Industrial Commission ·  Medical Fees Section
4337 Mail Service Center ·  Raleigh, NC 27699-4337
Telephone: (919) 807-2503 ·  Fax: (919) 715-0280
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