No office rate
Choose 30220 for placement of a prosthetic button; 30630 describes surgical repair of a septal perforation.
On this page
CMS RVU26D · Effective 2026-10-01
30220 in El Centro
Office / nonfacility
$319.83
Base rate per service
Facility setting
$118.86
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Otolaryngology
About 30220: Nasal septal button placement
Report nasal septal button placement when an otolaryngologist inserts a prosthetic obturator to manage a symptomatic septal perforation.
An otolaryngologist places a removable prosthetic obturator across a nasal septal perforation. The button can help reduce airflow through the opening and related symptoms such as whistling, dryness, crusting, or bleeding. Placement may be performed in an office or a facility after the clinician assesses the perforation and selects a suitable button. This service is prosthetic management of the opening, rather than surgical repair of the septum.
Report the insertion when the record supports a septal perforation and documents placement of the button. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 30220
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.55 · 17%
- Practice expense (office) RVU7.19 · 80%
- Malpractice RVU0.22 · 2%
526
Medicare services in 2024 · #3512 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
30220 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
This code describes intranasal dermatoplasty, a surgical approach, whereas 30220 is for inserting a prosthetic obturator.
No office rate
30520 addresses septal deviation through septoplasty or submucous resection; it does not describe placement of a perforation button.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 30220 is $320.44—$0.61 higher than the $319.83 rate in El Centro. Both use the same code, release and participation basis.
30220 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$319.83
$320.44
$0.61 higher than El Centro
$319.80
$0.03 lower than El Centro
$319.80
$0.03 lower than El Centro
$319.80
$0.03 lower than El Centro
$23.04 higher than El Centro
$319.80
$0.03 lower than El Centro
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 30220 ranges from $261.85 in Arkansas to $407.70 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Modesto
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Napa
California · 30220
Office
$375.29
Facility
$133.60
$55.46 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 30220
Office
$341.66
Facility
$124.91
$21.83 higher than El Centro for the office setting.
Redding
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Rest Of California
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 30220
Office
$322.18
Facility
$121.20
$2.35 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 30220
Office
$336.87
Facility
$123.61
$17.04 higher than El Centro for the office setting.
Salinas
California · 30220
Office
$335.65
Facility
$123.12
$15.82 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 30220
Office
$344.53
Facility
$125.22
$24.70 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 30220
Office
$398.68
Facility
$140.12
$78.85 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 30220
Office
$398.43
Facility
$139.87
$78.60 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 30220
Office
$407.70
Facility
$143.28
$87.87 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 30220
Office
$406.68
Facility
$142.26
$86.85 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 30220
Office
$330.12
Facility
$121.26
$10.29 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 30220
Office
$348.58
Facility
$125.79
$28.75 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 30220
Office
$337.18
Facility
$123.37
$17.35 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 30220
Office
$352.17
Facility
$126.99
$32.34 higher than El Centro for the office setting.
Stockton
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Vallejo
California · 30220
Office
$374.93
Facility
$133.24
$55.10 higher than El Centro for the office setting.
Visalia
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Yuba City
California · 30220
Office
$319.80
Facility
$118.82
$0.03 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 30220
Office
$345.65
Facility
$129.63
$25.82 higher than El Centro for the office setting.
Miami
Florida · 30220
Office
$320.35
Facility
$129.46
$0.52 higher than El Centro for the office setting.
Chicago
Illinois · 30220
Office
$310.35
Facility
$126.06
$9.48 lower than El Centro for the office setting.
Manhattan
New York · 30220
Office
$345.80
Facility
$132.72
$25.97 higher than El Centro for the office setting.
Alaska*
Alaska · 30220
Office
$337.47
Facility
$142.18
$17.64 higher than El Centro for the office setting.
Alabama
Alabama · 30220
Office
$266.06
Facility
$105.61
$53.77 lower than El Centro for the office setting.
Arkansas
Arkansas · 30220
Office
$261.85
Facility
$104.33
$57.98 lower than El Centro for the office setting.
Arizona
Arizona · 30220
Office
$290.77
Facility
$113.08
$29.06 lower than El Centro for the office setting.
Colorado
Colorado · 30220
Office
$313.65
Facility
$118.55
$6.18 lower than El Centro for the office setting.
Connecticut
Connecticut · 30220
Office
$320.34
Facility
$122.85
$0.51 higher than El Centro for the office setting.
Delaware
Delaware · 30220
Office
$295.91
Facility
$114.74
$23.92 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 30220
Office
$308.33
Facility
$122.58
$11.50 lower than El Centro for the office setting.
Rest Of Florida
Florida · 30220
Office
$292.40
Facility
$117.10
$27.43 lower than El Centro for the office setting.
Atlanta
Georgia · 30220
Office
$304.75
Facility
$118.44
$15.08 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 30220
Office
$274.75
Facility
$111.18
$45.08 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 30220
Office
$329.08
Facility
$120.59
$9.25 higher than El Centro for the office setting.
Iowa
Iowa · 30220
Office
$274.43
Facility
$106.64
$45.40 lower than El Centro for the office setting.
Idaho
Idaho · 30220
Office
$276.19
Facility
$107.49
$43.64 lower than El Centro for the office setting.
East St. Louis
Illinois · 30220
Office
$287.51
Facility
$118.81
$32.32 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 30220
Office
$282.52
Facility
$115.10
$37.31 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 30220
Office
$311.79
Facility
$123.47
$8.04 lower than El Centro for the office setting.
Indiana
Indiana · 30220
Office
$277.96
Facility
$107.98
$41.87 lower than El Centro for the office setting.
Kansas
Kansas · 30220
Office
$272.57
Facility
$106.81
$47.26 lower than El Centro for the office setting.
Kentucky
Kentucky · 30220
Office
$271.99
Facility
$108.97
$47.84 lower than El Centro for the office setting.
New Orleans
Louisiana · 30220
Office
$286.10
Facility
$113.55
$33.73 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 30220
Office
$271.35
Facility
$109.06
$48.48 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 30220
Office
$347.18
Facility
$128.23
$27.35 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 30220
Office
$311.34
Facility
$118.25
$8.49 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 30220
Office
$319.37
Facility
$122.62
$0.46 lower than El Centro for the office setting.
Rest Of Maryland
Maryland · 30220
Office
$302.07
Facility
$116.50
$17.76 lower than El Centro for the office setting.
Rest Of Maine
Maine · 30220
Office
$277.28
Facility
$108.58
$42.55 lower than El Centro for the office setting.
Southern Maine
Maine · 30220
Office
$294.40
Facility
$112.68
$25.43 lower than El Centro for the office setting.
Detroit
Michigan · 30220
Office
$295.91
Facility
$118.95
$23.92 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 30220
Office
$279.33
Facility
$111.91
$40.50 lower than El Centro for the office setting.
Minnesota
Minnesota · 30220
Office
$301.06
Facility
$112.37
$18.77 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 30220
Office
$284.45
Facility
$112.27
$35.38 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 30220
Office
$287.76
Facility
$113.19
$32.07 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 30220
Office
$265.94
Facility
$107.87
$53.89 lower than El Centro for the office setting.
Mississippi
Mississippi · 30220
Office
$263.97
Facility
$106.09
$55.86 lower than El Centro for the office setting.
Montana**
Montana · 30220
Office
$299.26
Facility
$115.89
$20.57 lower than El Centro for the office setting.
North Carolina
North Carolina · 30220
Office
$280.53
Facility
$109.44
$39.30 lower than El Centro for the office setting.
North Dakota**
North Dakota · 30220
Office
$294.91
Facility
$111.54
$24.92 lower than El Centro for the office setting.
Nebraska
Nebraska · 30220
Office
$276.21
Facility
$106.96
$43.62 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 30220
Office
$308.20
Facility
$117.31
$11.63 lower than El Centro for the office setting.
Northern Nj
New Jersey · 30220
Office
$341.46
Facility
$128.75
$21.63 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 30220
Office
$324.15
Facility
$123.91
$4.32 higher than El Centro for the office setting.
New Mexico
New Mexico · 30220
Office
$280.82
Facility
$112.67
$39.01 lower than El Centro for the office setting.
Nevada**
Nevada · 30220
Office
$298.29
Facility
$114.73
$21.54 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 30220
Office
$354.27
Facility
$136.24
$34.44 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 30220
Office
$325.96
Facility
$125.17
$6.13 higher than El Centro for the office setting.
Queens
New York · 30220
Office
$349.54
Facility
$132.80
$29.71 higher than El Centro for the office setting.
Rest Of New York
New York · 30220
Office
$285.08
Facility
$110.88
$34.75 lower than El Centro for the office setting.
Ohio
Ohio · 30220
Office
$278.44
Facility
$111.02
$41.39 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 30220
Office
$271.94
Facility
$108.19
$47.89 lower than El Centro for the office setting.
Portland
Oregon · 30220
Office
$324.88
Facility
$121.15
$5.05 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 30220
Office
$296.13
Facility
$113.49
$23.70 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 30220
Office
$311.47
Facility
$120.58
$8.36 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 30220
Office
$279.18
Facility
$110.84
$40.65 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 30220
Office
$301.80
Facility
$116.42
$18.03 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 30220
Office
$307.39
Facility
$117.96
$12.44 lower than El Centro for the office setting.
South Carolina
South Carolina · 30220
Office
$279.92
Facility
$110.48
$39.91 lower than El Centro for the office setting.
South Dakota**
South Dakota · 30220
Office
$294.39
Facility
$111.02
$25.44 lower than El Centro for the office setting.
Tennessee
Tennessee · 30220
Office
$274.02
Facility
$107.33
$45.81 lower than El Centro for the office setting.
Austin
Texas · 30220
Office
$312.47
Facility
$118.46
$7.36 lower than El Centro for the office setting.
Beaumont
Texas · 30220
Office
$277.14
Facility
$110.27
$42.69 lower than El Centro for the office setting.
Brazoria
Texas · 30220
Office
$295.91
Facility
$114.19
$23.92 lower than El Centro for the office setting.
Dallas
Texas · 30220
Office
$297.73
Facility
$115.10
$22.10 lower than El Centro for the office setting.
Fort Worth
Texas · 30220
Office
$295.43
Facility
$114.62
$24.40 lower than El Centro for the office setting.
Galveston
Texas · 30220
Office
$296.74
Facility
$114.65
$23.09 lower than El Centro for the office setting.
Houston
Texas · 30220
Office
$300.77
Facility
$118.68
$19.06 lower than El Centro for the office setting.
Rest Of Texas
Texas · 30220
Office
$286.31
Facility
$112.29
$33.52 lower than El Centro for the office setting.
Utah
Utah · 30220
Office
$284.11
Facility
$111.74
$35.72 lower than El Centro for the office setting.
Virginia
Virginia · 30220
Office
$293.03
Facility
$112.78
$26.80 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 30220
Office
$301.80
Facility
$116.42
$18.03 lower than El Centro for the office setting.
Vermont
Vermont · 30220
Office
$293.24
Facility
$111.70
$26.59 lower than El Centro for the office setting.
Rest Of Washington
Washington · 30220
Office
$310.92
Facility
$117.83
$8.91 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 30220
Office
$355.03
Facility
$130.03
$35.20 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 30220
Office
$284.10
Facility
$108.43
$35.73 lower than El Centro for the office setting.
West Virginia
West Virginia · 30220
Office
$270.98
Facility
$111.63
$48.85 lower than El Centro for the office setting.
Wyoming**
Wyoming · 30220
Office
$297.36
Facility
$113.99
$22.47 lower than El Centro for the office setting.
See how rates vary across the country
30220 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$261.85
$363.75
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $337.47 | 1 |
| AL | $266.06 | 1 |
| AR | $261.85 | 1 |
| AZ | $290.77 | 1 |
| CA | $319.80–$407.70 | 29 |
| CO | $313.65 | 1 |
| CT | $320.34 | 1 |
| DC | $345.65 | 1 |
| DE | $295.91 | 1 |
| FL | $292.40–$320.35 | 3 |
| GA | $274.75–$304.75 | 2 |
| GU | $329.08 | 1 |
| HI | $329.08 | 1 |
| IA | $274.43 | 1 |
| ID | $276.19 | 1 |
| IL | $282.52–$311.79 | 4 |
| IN | $277.96 | 1 |
| KS | $272.57 | 1 |
| KY | $271.99 | 1 |
| LA | $271.35–$286.10 | 2 |
| MA | $311.34–$347.18 | 2 |
| MD | $302.07–$345.65 | 3 |
| ME | $277.28–$294.40 | 2 |
| MI | $279.33–$295.91 | 2 |
| MN | $301.06 | 1 |
| MO | $265.94–$287.76 | 3 |
| MS | $263.97 | 1 |
| MT | $299.26 | 1 |
| NC | $280.53 | 1 |
| ND | $294.91 | 1 |
| NE | $276.21 | 1 |
| NH | $308.20 | 1 |
| NJ | $324.15–$341.46 | 2 |
| NM | $280.82 | 1 |
| NV | $298.29 | 1 |
| NY | $285.08–$354.27 | 5 |
| OH | $278.44 | 1 |
| OK | $271.94 | 1 |
| OR | $296.13–$324.88 | 2 |
| PA | $279.18–$311.47 | 2 |
| PR | $301.80 | 1 |
| RI | $307.39 | 1 |
| SC | $279.92 | 1 |
| SD | $294.39 | 1 |
| TN | $274.02 | 1 |
| TX | $277.14–$312.47 | 8 |
| UT | $284.11 | 1 |
| VA | $293.03–$345.65 | 2 |
| VI | $301.80 | 1 |
| VT | $293.24 | 1 |
| WA | $310.92–$355.03 | 2 |
| WI | $284.10 | 1 |
| WV | $270.98 | 1 |
| WY | $297.36 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 30220 in El Centro, the physician’s office rate is $319.83 and the facility-setting rate is $118.86: a difference of $200.97.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 30220 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$351.81
$319.83 × 110% = $351.81
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 30220 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
3,417
- Code
- 30220
- Physician work
- 1.55
- Practice expense
- 7.19
- Malpractice
- 0.22
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.55 | × 1.017 | 1.5763 |
| Practice expense | 7.19 | × 1.096 | 7.8802 |
| Malpractice | 0.22 | × 0.541 | 0.1190 |
| Total RVUs | 9.5756 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$319.83
Open 30220 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.55 | 1.017 |
| Practice expense | 7.19 | 1.096 |
| Malpractice | 0.22 | 0.541 |
(1.55 × 1.017 + 7.19 × 1.096 + 0.22 × 0.541) × $33.4009 = $319.83
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.55 | 1.017 |
| Practice expense | 1.7 | 1.096 |
| Malpractice | 0.22 | 0.541 |
(1.55 × 1.017 + 1.7 × 1.096 + 0.22 × 0.541) × $33.4009 = $118.86
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
30220 · Office / nonfacility
$319.83
Effective 2026-10-01
The base rate is $12.60 higher than on 2025-10-01, moving from $307.23 to $319.83 (4.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$307.23changed to$319.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.59 changed to 1.55
- Practice expense RVU 7.10 changed to 7.19
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $307.23
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
30220 billing questions
When should this code be chosen instead of a septal perforation repair code?
Use this code for placement of a prosthetic button. A surgical procedure that closes or reconstructs the perforation is reported with the code that describes that repair.
Are visits during the 10-day global period separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be appended for a perforation involving both sides of the septum?
No. Modifier 50 is inappropriate for this code based on its descriptor and anatomy.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,4143020F,,Lvf assess,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,41530210,,Nasal sinus therapy,A,,1.10,3.41,,1.64,,0.15,4.66,2.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4163021F,,Lvef mod/sever deprs syst,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,41730220,,Insert nasal septal button,A,,1.55,7.19,,1.70,,0.22,8.96,3.47,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4183022F,,Lvef >=40% systolic,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4193023F,,Spirom doc rev,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4203025F,,Spirom fev/fvc <70% w/copd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664