Department of Veterans' Affairs Fee Schedules for Medical Services
Department of Veterans' Affairs Fee Schedules for Medical Services
Department of Veterans' Affairs Fee Schedules for Medical Services
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<strong>Department</strong> <strong>of</strong><br />
Veterans’ <strong>Affairs</strong><br />
<strong>Fee</strong> <strong>Schedules</strong><br />
<strong>for</strong> <strong>Medical</strong> <strong>Services</strong><br />
1 November 2011 – 31 October 2012
© Commonwealth <strong>of</strong> Australia 2011<br />
This work is copyright. Apart from any use as permitted under the<br />
Copyright Act 1968, no part may be reproduced by any process<br />
without prior written permission from the Commonwealth. Requests<br />
and inquiries concerning reproduction and rights should be addressed<br />
to the publications section, <strong>Department</strong> <strong>of</strong> Veterans’ <strong>Affairs</strong> or emailed<br />
to publications@dva.gov.au.<br />
Published by the <strong>Department</strong> <strong>of</strong> Veterans’ <strong>Affairs</strong>, Canberra, 2011.<br />
DVA P01693 April 2012
DEPARTMENT OF VETERANS’ AFFAIRS MEDICAL FEE SCHEDULES<br />
1 November 2011<br />
REPATRIATION MEDICAL FEE SCHEDULE<br />
CONTENTS<br />
LOCAL MEDICAL OFFICER FEE SCHEDULE 2<br />
DERIVED FEES READY RECKONER LOCAL MEDICAL OFFICERS 6<br />
RELATIVE VALUE GUIDE FEE SCHEDULE 59<br />
DIAGNOSTIC IMAGING FEE SCHEDULE 64<br />
PATHOLOGY FEE SCHEDULE 71<br />
NOTES FOR CLAIMING DVA FEES<br />
• The fee schedules list the fees that will be implemented on the Medicare<br />
Australia payment system from 1 November 2011.<br />
• The fee schedules in this booklet are also available on the DVA website at<br />
www.dva.gov.au/service_providers/<strong>Fee</strong>_schedules/GPs_LMOs_and_<br />
Specialists/Pages/RMFS.aspx<br />
• All item assessments are based on Medicare assessment rules.<br />
• A “D” in a fee column indicates a derived fee.<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 1
LOCAL MEDICAL OFFICER FEE SCHEDULE<br />
LOCAL MEDICAL OFFICER FEE SCHEDULE<br />
1 November 2011<br />
The Local <strong>Medical</strong> Officer <strong>Fee</strong> Schedule lists fees <strong>for</strong> medical attendances and consultations<br />
provided by general practitioners participating in DVA’s Local <strong>Medical</strong> Officer (LMO) Scheme.<br />
LMOs will be paid at 115% <strong>of</strong> the listed MBS fee plus the relevant Veterans Access Payment (VAP)<br />
or where applicable the Rural Enhancement Initiative (REI) loading.<br />
The VAP can be claimed using the Medicare Bulk Billing Incentive item numbers as follows:<br />
• Items 10990, 64990 and 74990 are to be used when claiming the $6.90 VAP; and<br />
• Items 10991, 10992, 64991 and 74991 when claiming the $10.45 VAP.<br />
Please note that VAP is not payable on items provided to inpatients <strong>of</strong> a hospital or day surgery,<br />
Coordinated Veterans’ Care Program UP items and Telehealth consultation items. Items 10990,<br />
10991 and 10992 are VAP incentives and are paid at 100% <strong>of</strong> the MBS fee.<br />
Derived fees are indicated by a “D” in the column <strong>of</strong> the Schedule. Please refer to the derived fees<br />
section <strong>of</strong> the booklet <strong>for</strong> benefit calculation.<br />
The REI loading is available to LMOs who provide services to veterans in designated rural public<br />
hospitals by State or Territory governments. The REI only applies to those In Hospital items indicated<br />
in the Local <strong>Medical</strong> Officer <strong>Fee</strong> Schedule. The REI loading is an additional 10% <strong>of</strong> the LMO fee.<br />
For items not listed in the LMO schedule please refer to the appropriate schedule in this booklet.<br />
• For derived fees <strong>for</strong> Local <strong>Medical</strong> Officers, please use the Derived <strong>Fee</strong>s <strong>for</strong> Local <strong>Medical</strong><br />
Officers <strong>Fee</strong> Schedule.<br />
• For all specialist attendances and consultations, investigative and general medical<br />
procedures claim from the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule.<br />
• For In Hospital anaesthetic services please use Relative Value Guide <strong>Fee</strong> Schedule.<br />
• For diagnostic imaging services claim from the Diagnostic Imaging <strong>Fee</strong> Schedule.<br />
• For pathology services claim from the Pathology <strong>Fee</strong> Schedule.<br />
2 1 NOVEMBER 2011 – 31 OCTOBER 2012
LOCAL MEDICAL OFFICER FEE SCHEDULE<br />
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
3 18.75 Y Y<br />
4 D Y Y Y<br />
20 D Y Y<br />
23 40.95 Y Y<br />
24 D Y Y Y<br />
35 D Y Y<br />
36 79.35 Y Y<br />
37 D Y Y Y<br />
43 D Y Y<br />
44 116.80 Y Y<br />
47 D Y Y Y<br />
51 D Y Y<br />
52 12.65 Y Y<br />
53 24.15 Y Y<br />
54 43.70 Y Y<br />
57 70.15 Y Y<br />
58 D Y Y<br />
59 D Y Y<br />
60 D Y Y<br />
65 D Y Y<br />
92 D Y Y<br />
93 D Y Y<br />
95 D Y Y<br />
96 D Y Y<br />
597 143.65 Y Y<br />
599 169.30 Y Y<br />
701 65.70 Y Y<br />
703 152.65 Y Y<br />
705 210.55 Y Y<br />
707 297.45 Y Y<br />
715 234.85 Y Y<br />
721 159.60 Y Y<br />
723 126.45 Y Y<br />
729 77.90 Y Y<br />
731 77.90 Y Y<br />
732 79.80 Y Y<br />
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
735 78.15 Y Y<br />
739 133.90 Y Y<br />
743 223.10 Y Y<br />
747 57.45 Y Y<br />
750 98.45 Y Y<br />
758 164.00 Y Y<br />
900 171.25 Y Y<br />
903 117.25 Y Y<br />
2100 25.40<br />
2122 D<br />
2125 D<br />
2126 55.30<br />
2137 D<br />
2138 D<br />
2143 107.20<br />
2147 D<br />
2179 D<br />
2195 157.70<br />
2199 D<br />
2220 D<br />
2497 18.75 Y Y<br />
2501 40.95 Y Y<br />
2503 D Y Y<br />
2504 79.35 Y Y<br />
2506 D Y Y<br />
2507 116.80 Y Y<br />
2509 D Y Y<br />
2517 40.95 Y Y<br />
2518 D Y Y<br />
2521 79.35 Y Y<br />
2522 D Y Y<br />
2525 116.80 Y Y<br />
2526 D Y Y<br />
2546 40.95 Y Y<br />
2547 D Y Y<br />
2552 79.35 Y Y<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 3
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
2553 D Y Y<br />
2558 116.80 Y Y<br />
2559 D Y Y<br />
2598 12.65 Y Y<br />
2600 24.15 Y Y<br />
2603 43.70 Y Y<br />
2606 70.15 Y Y<br />
2610 D Y Y<br />
2613 D Y Y<br />
2616 D Y Y<br />
2620 24.15 Y Y<br />
2622 43.70 Y Y<br />
2624 70.15 Y Y<br />
2631 D Y Y<br />
2633 D Y Y<br />
2635 D Y Y<br />
2664 24.15 Y Y<br />
2666 43.70 Y Y<br />
2668 70.15 Y Y<br />
2673 D Y Y<br />
2675 D Y Y<br />
2677 D Y Y<br />
2700 79.35 Y Y<br />
2701 116.80 Y Y<br />
2712 79.35 Y Y<br />
2713 79.35 Y Y<br />
2715 100.75 Y Y<br />
2717 148.35 Y Y<br />
2721 102.65 Y Y<br />
2723 D Y Y<br />
2725 146.90 Y Y<br />
2727 D Y Y<br />
4001 84.80 Y Y<br />
5000 32.10 Y Y<br />
5003 D Y Y<br />
5010 D Y Y<br />
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
5020 54.25 Y Y<br />
5023 D Y Y<br />
5028 D Y Y<br />
5040 92.90 Y Y<br />
5043 D Y Y<br />
5049 D Y Y<br />
5060 130.30 Y Y<br />
5063 D Y Y<br />
5067 D Y Y<br />
5200 24.15 Y Y<br />
5203 35.65 Y Y<br />
5207 55.20 Y Y<br />
5208 81.65 Y Y<br />
5220 D Y Y<br />
5223 D Y Y<br />
5227 D Y Y<br />
5228 D Y Y<br />
5260 D Y Y<br />
5263 D Y Y<br />
5265 D Y Y<br />
5267 D Y Y<br />
10983 31.80 Y Y<br />
10984 31.80 Y Y<br />
10986 57.10 Y Y<br />
10987 23.55 Y Y<br />
10988 11.80 Y Y<br />
10989 11.80 Y Y<br />
10990 6.90<br />
10991 10.45<br />
10992 10.45<br />
64990 6.90<br />
64991 10.45<br />
74990 6.90<br />
74991 10.45<br />
82100 52.40<br />
82105 31.70<br />
4 1 NOVEMBER 2011 – 31 OCTOBER 2012
LOCAL MEDICAL OFFICER FEE SCHEDULE<br />
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
Item<br />
LMO <strong>Fee</strong><br />
REI<br />
Benefit<br />
VAP<br />
10990,<br />
64990,<br />
74990<br />
VAP<br />
10991,<br />
10992,<br />
64991,<br />
74991<br />
82110 52.40<br />
82210 39.00<br />
82115 313.05<br />
82215 57.45<br />
82120 739.25<br />
82220 27.75<br />
82125 739.25<br />
82221 52.70<br />
82130 52.40<br />
82222 77.50<br />
82135 77.05<br />
82223 27.75<br />
82140 52.40<br />
82224 52.70<br />
82150 27.75<br />
82225 77.50<br />
82151 52.70<br />
UP01 408.00<br />
82152 77.50<br />
UP02 255.00<br />
82200 9.40<br />
UP03 425.85<br />
82205 20.55<br />
UP04 191.25<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 5
DERIVED FEES - READY RECKONER FOR LOCAL MEDICAL OFFICERS<br />
DERIVED FEES—READY RECKONER FOR<br />
LOCAL MEDICAL OFFICERS<br />
1 November 2011<br />
Derived fees are indicated by a “D” in the column <strong>of</strong> the Schedule. Derived <strong>Fee</strong>s Ready Reckoner <strong>for</strong><br />
Local <strong>Medical</strong> Officers is a quick reference table <strong>for</strong> all derived fees. The derived fees are calculated<br />
at 115% <strong>of</strong> the listed MBS fee.<br />
LMOs will be paid the relevant Veterans Access Payment (VAP) and where applicable the Rural<br />
Enhancement Initiative (REI) loading.<br />
The VAP can be claimed using the Medicare Bulk Billing Incentive item numbers as follows:<br />
• Items 10990, 64990 and 74990 are to be used when claiming the $6.90 VAP; and<br />
• Items 10991, 10992, 64991 and 74991 when claiming the $10.45 VAP.<br />
Please note that VAP is not payable on items provided to inpatients <strong>of</strong> a hospital or day surgery,<br />
Coordinated Veterans’ Care Program UP items and Telehealth consultation items. Items 10990,<br />
10991 and 10992 are VAP incentives and are paid at 100% <strong>of</strong> the MBS fee.<br />
The REI loading is available to LMOs who provide services to veterans in designated rural public<br />
hospitals by State or Territory governments. The REI only applies to those In Hospital items indicated<br />
in the Local <strong>Medical</strong> Officer <strong>Fee</strong> Schedule. The REI loading <strong>of</strong> 10% is added to 100% <strong>of</strong> the MBS<br />
fee prior to the LMO fee calculation.<br />
For items not listed in the Derived <strong>Fee</strong>s schedule please refer to the appropriate schedule in this<br />
booklet.<br />
• For medical attendances and consultations provided by general practitioners participating<br />
in DVA’s Local <strong>Medical</strong> Officer Scheme, please use the Local <strong>Medical</strong> <strong>Fee</strong> Schedule <strong>for</strong> the<br />
relevant fees.<br />
• For all specialist attendances and consultations, investigative and general medical<br />
procedures claim from the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule.<br />
• For In Hospital anaesthetic services please use Relative Value Guide <strong>Fee</strong> Schedule.<br />
• For diagnostic imaging services claim from the Diagnostic Imaging <strong>Fee</strong> Schedule.<br />
• For pathology services claim from the Pathology <strong>Fee</strong> Schedule.<br />
6 1 NOVEMBER 2011 – 31 OCTOBER 2012
DERIVED FEES - READY RECKONER FOR LOCAL MEDICAL OFFICERS<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
4 1 $47.50<br />
2 $33.15<br />
3 $28.35<br />
4 $25.95<br />
5 $24.50<br />
6 $23.55<br />
7+ $20.95<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
43 1 $131.05<br />
2 $105.20<br />
3 $96.60<br />
4 $92.30<br />
5 $89.70<br />
6 $88.00<br />
7+ $83.05<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
60 1 $58.65<br />
2 $49.75<br />
3 $46.75<br />
4 $45.30<br />
5 $44.40<br />
6 $43.85<br />
7 $41.65<br />
20 1 $70.45<br />
2 $44.60<br />
3 $36.00<br />
4 $31.70<br />
5 $29.10<br />
6 $27.40<br />
7+ $22.45<br />
47 1 $145.55<br />
2 $131.20<br />
3 $126.40<br />
4 $124.00<br />
5 $122.55<br />
6 $121.60<br />
7+ $119.00<br />
65 1 $83.95<br />
2 $75.05<br />
3 $72.05<br />
4 $70.60<br />
5 $69.70<br />
6 $69.15<br />
7 $66.95<br />
24 1 $69.70<br />
2 $55.35<br />
3 $50.55<br />
4 $48.15<br />
5 $46.70<br />
6 $45.75<br />
7+ $43.15<br />
51 1 $168.50<br />
2 $142.60<br />
3 $134.05<br />
4 $129.75<br />
5 $127.15<br />
6 $125.45<br />
7+ $120.50<br />
92 1 $41.95<br />
2 $25.85<br />
3 $20.50<br />
4 $17.85<br />
5 $16.25<br />
6 $15.15<br />
7+ $11.25<br />
35 1 $92.65<br />
2 $66.80<br />
3 $58.20<br />
4 $53.90<br />
5 $51.30<br />
6 $49.60<br />
7+ $44.65<br />
58 1 $27.60<br />
2 $18.70<br />
3 $15.70<br />
4 $14.25<br />
5 $13.35<br />
6 $12.80<br />
7+ $10.60<br />
93 1 $54.70<br />
2 $36.55<br />
3 $30.50<br />
4 $27.50<br />
5 $25.65<br />
6 $24.45<br />
7 $19.85<br />
37 1 $108.10<br />
2 $93.75<br />
3 $89.00<br />
4 $86.55<br />
5 $85.10<br />
6 $84.15<br />
7+ $81.55<br />
59 1 $38.55<br />
2 $28.50<br />
3 $25.15<br />
4 $23.45<br />
5 $22.45<br />
6 $21.75<br />
7+ $19.25<br />
95 1 $73.00<br />
2 $56.90<br />
3 $51.55<br />
4 $48.90<br />
5 $47.30<br />
6 $46.20<br />
7 $42.30<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 7
Item Nos. Patients LMO <strong>Fee</strong><br />
96 1 $98.30<br />
2 $82.20<br />
3 $76.85<br />
4 $74.20<br />
5 $72.60<br />
6 $71.50<br />
7+ $67.60<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
2147 1 $135.95<br />
2 $121.60<br />
3 $116.80<br />
4 $114.40<br />
5 $112.95<br />
6 $112.00<br />
7+ $109.40<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
2506,<br />
2522,<br />
2553<br />
1 $108.10<br />
2 $93.75<br />
3 $89.00<br />
4 $86.55<br />
5 $85.10<br />
6 $84.15<br />
7+ $81.55<br />
2122 1 $54.15<br />
2 $39.75<br />
3 $35.00<br />
2179 1 $158.90<br />
2 $133.00<br />
3 $124.45<br />
2509,<br />
2526,<br />
2559<br />
1 $145.55<br />
2 $131.20<br />
3 $126.40<br />
4 $32.55<br />
4 $120.15<br />
4 $124.00<br />
5 $31.15<br />
5 $117.55<br />
5 $122.55<br />
6 $30.15<br />
6 $115.85<br />
6 $121.60<br />
7+ $27.55<br />
7+ $110.90<br />
7+ $119.00<br />
2125 1 $77.05<br />
2 $51.20<br />
3 $42.65<br />
4 $38.30<br />
5 $35.75<br />
6 $34.00<br />
7+ $29.05<br />
2199 1 $186.45<br />
2 $172.05<br />
3 $167.30<br />
4 $164.90<br />
5 $163.45<br />
6 $162.45<br />
7+ $159.85<br />
2610 1 $38.55<br />
2 $28.50<br />
3 $25.15<br />
4 $23.45<br />
5 $22.45<br />
6 $21.75<br />
7+ $19.25<br />
2137 1 $54.15<br />
2 $39.75<br />
3 $35.00<br />
4 $32.55<br />
5 $31.15<br />
6 $30.15<br />
7+ $27.55<br />
2220 1 $209.40<br />
2 $183.50<br />
3 $174.95<br />
4 $170.65<br />
5 $168.05<br />
6 $166.30<br />
7+ $161.35<br />
2613 1 $58.65<br />
2 $49.75<br />
3 $46.75<br />
4 $45.30<br />
5 $44.40<br />
6 $43.85<br />
7+ $41.65<br />
2138 1 $106.95<br />
2 $81.10<br />
3 $72.55<br />
2503,<br />
2518,<br />
2547<br />
1 $69.70<br />
2 $55.35<br />
3 $50.55<br />
2616 1 83.95<br />
2 75.05<br />
3 72.05<br />
4 $68.20<br />
4 $48.15<br />
4 70.60<br />
5 $65.65<br />
5 $46.70<br />
5 69.70<br />
6 $63.90<br />
6 $45.75<br />
6 69.15<br />
7+ $58.95<br />
7+ $43.15<br />
7+ 66.95<br />
8 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item Nos. Patients LMO <strong>Fee</strong><br />
2631 1 $38.55<br />
2 $28.50<br />
3 $25.15<br />
4 $23.45<br />
5 $22.45<br />
6 $21.75<br />
7+ $19.25<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
2677 1 $83.95<br />
2 $75.05<br />
3 $72.05<br />
4 $70.60<br />
5 $69.70<br />
6 $69.15<br />
7+ $66.95<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
5023 1 $83.00<br />
2 $68.60<br />
3 $63.85<br />
4 $61.45<br />
5 $60.00<br />
6 $59.00<br />
7+ $56.45<br />
2633 1 $58.65<br />
2 $49.75<br />
3 $46.75<br />
4 $45.30<br />
5 $44.40<br />
6 $43.85<br />
7+ $41.65<br />
2723 1 $131.40<br />
2 $117.05<br />
3 $112.25<br />
4 $109.85<br />
5 $108.40<br />
6 $107.45<br />
7+ $104.85<br />
5028 1 $105.95<br />
2 $80.05<br />
3 $71.50<br />
4 $67.20<br />
5 $64.60<br />
6 $62.85<br />
7+ $57.95<br />
2635 1 $83.95<br />
2 $75.05<br />
3 $72.05<br />
4 $70.60<br />
5 $69.70<br />
6 $69.15<br />
7+ $66.95<br />
2727 1 $152.70<br />
2 $140.20<br />
3 $136.05<br />
4 $133.95<br />
5 $132.70<br />
6 $131.85<br />
7+ $129.60<br />
5043 1 $121.65<br />
2 $107.25<br />
3 $102.50<br />
4 $100.05<br />
5 $98.65<br />
6 $97.65<br />
7+ $95.05<br />
2673 1 $38.55<br />
2 $28.50<br />
3 $25.15<br />
4 $23.45<br />
5 $22.45<br />
6 $21.75<br />
7+ $19.25<br />
5003 1 $60.85<br />
2 $46.50<br />
3 $41.70<br />
4 $39.30<br />
5 $37.85<br />
6 $36.90<br />
7+ $34.30<br />
5049 1 $144.60<br />
2 $118.70<br />
3 $110.15<br />
4 $105.80<br />
5 $103.25<br />
6 $101.50<br />
7+ $96.55<br />
2675 1 $58.65<br />
2 $49.75<br />
3 $46.75<br />
4 $45.30<br />
5 $44.40<br />
6 $43.85<br />
7+ $41.65<br />
5010 1 $83.80<br />
2 $57.95<br />
3 $49.35<br />
4 $45.05<br />
5 $42.45<br />
6 $40.75<br />
7+ $35.80<br />
5063 1 $159.05<br />
2 $144.70<br />
3 $139.90<br />
4 $137.50<br />
5 $136.05<br />
6 $135.10<br />
7+ $132.50<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 9
Item Nos. Patients LMO <strong>Fee</strong><br />
5067 1 $182.00<br />
2 $156.15<br />
3 $147.55<br />
4 $143.25<br />
5 $140.65<br />
6 $138.95<br />
7+ $134.00<br />
Item Nos. Patients LMO <strong>Fee</strong><br />
5260 1 $53.45<br />
2 $37.35<br />
3 $32.00<br />
4 $29.35<br />
5 $27.75<br />
6 $26.65<br />
7+ $22.75<br />
5220 1 $39.10<br />
2 $30.20<br />
3 $27.20<br />
4 $25.75<br />
5 $24.85<br />
6 $24.30<br />
7+ $22.10<br />
5263 1 $66.20<br />
2 $48.05<br />
3 $42.00<br />
4 $39.00<br />
5 $37.15<br />
6 $35.95<br />
7+ $31.35<br />
5223 1 $50.05<br />
2 $40.00<br />
3 $36.65<br />
4 $34.95<br />
5 $33.95<br />
6 $33.25<br />
7+ $30.75<br />
5265 1 $84.50<br />
2 $68.40<br />
3 $63.05<br />
4 $60.40<br />
5 $58.80<br />
6 $57.70<br />
7+ $53.80<br />
5227 1 $70.15<br />
2 $61.25<br />
3 $58.25<br />
4 $56.80<br />
5 $55.90<br />
6 $55.35<br />
7+ $53.15<br />
5267 1 $109.80<br />
2 $93.70<br />
3 $88.35<br />
4 $85.70<br />
5 $84.10<br />
6 $83.00<br />
7+ $79.10<br />
5228 1 $95.45<br />
2 $86.55<br />
3 $83.55<br />
4 $82.10<br />
5 $81.20<br />
6 $80.65<br />
7+ $78.45<br />
10 1 NOVEMBER 2011 – 31 OCTOBER 2012
REPATRIATION MEDICAL FEE SCHEDULE<br />
REPATRIATION MEDICAL FEE SCHEDULE<br />
1 November 2011<br />
The fees listed in the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule (RMFS) are <strong>for</strong> specialist consultations and<br />
procedures.<br />
In Hospital items have been calculated with consideration given to private health industry rates.<br />
Out <strong>of</strong> Hospital items have been calculated based on the Medicare Benefits Schedule (MBS) at a rate<br />
<strong>of</strong> 135% <strong>of</strong> the MBS <strong>for</strong> consultations and 140% <strong>of</strong> the MBS <strong>for</strong> procedures.<br />
All medical practitioners, including LMOs and general practitioners, who have the appropriate<br />
qualifications updated with Medicare Australia, are eligible to claim <strong>for</strong> services listed in the<br />
RMFS. Items listed on the RMFS do not attract the Veterans Access Payment (VAP) or the Rural<br />
Enhancement Initiative (REI) loading.<br />
When claiming an RMFS item using the DVA treatment service voucher, electronic funds transfer or<br />
your own stationery, please ensure that you have correctly indicated whether you have per<strong>for</strong>med<br />
the service In Hospital or Out <strong>of</strong> Hospital and claimed at the appropriate rate. Whether a service is<br />
considered In Hospital or Out <strong>of</strong> Hospital is assessed as per Medicare assessment rules.<br />
For items not listed in the RMFS please refer to the appropriate schedule in this booklet.<br />
• For medical attendances and consultations provided by general practitioners participating<br />
in DVA’s Local <strong>Medical</strong> Officer Scheme, please use the Local <strong>Medical</strong> <strong>Fee</strong> Schedule <strong>for</strong> the<br />
relevant fees.<br />
• For derived fees <strong>for</strong> Local <strong>Medical</strong> Officers, please use the Derived <strong>Fee</strong>s <strong>for</strong> Local <strong>Medical</strong><br />
Officers <strong>Fee</strong> Schedule.<br />
• For In Hospital anaesthetic services please use Relative Value Guide <strong>Fee</strong> Schedule.<br />
• For diagnostic imaging services please use the Diagnostic Imaging <strong>Fee</strong> Schedule.<br />
• For pathology services please use the Pathology <strong>Fee</strong> Schedule.<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 11
REPATRIATION MEDICAL FEE SCHEDULE<br />
Item<br />
RMFS In<br />
Hospital %<br />
99 D D<br />
104 115.85 113.35<br />
105 58.25 57.00<br />
106 96.15 94.10<br />
107 166.30<br />
108 105.25<br />
109 260.95 255.45<br />
110 204.25 199.95<br />
112 D<br />
116 102.30 100.05<br />
119 58.25 57.00<br />
122 242.60<br />
128 146.75<br />
131 105.65<br />
132 356.20 349.65<br />
133 178.35 175.05<br />
135 356.20 349.65<br />
137 356.20 349.65<br />
139 172.15<br />
141 610.90 599.70<br />
143 381.90 374.85<br />
145 727.15<br />
147 454.55<br />
149 D<br />
160 293.85 287.70<br />
161 489.60 479.50<br />
162 685.20 671.05<br />
163 881.25 863.15<br />
164 979.30 959.05<br />
170 135.55 152.70<br />
171 142.80 160.90<br />
172 173.80 195.75<br />
173 29.95 29.25<br />
193 48.10<br />
195 D 23.83<br />
197 93.15<br />
199 137.10<br />
288 D<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
289 349.70 349.65<br />
291 599.70<br />
293 374.85<br />
296 344.90<br />
297 352.15<br />
299 412.45<br />
300 57.45<br />
302 114.55<br />
304 176.35<br />
306 243.35<br />
308 282.45<br />
310 28.65<br />
312 57.45<br />
314 88.30<br />
316 121.85<br />
318 141.25<br />
319 243.35<br />
320 58.75<br />
322 117.00<br />
324 180.10<br />
326 248.60<br />
328 288.30<br />
330 105.40<br />
332 165.20<br />
334 240.65<br />
336 291.15<br />
338 330.65<br />
342 66.85 65.35<br />
344 88.70 86.75<br />
346 131.10 128.25<br />
348 171.60 167.95<br />
350 236.90 231.90<br />
352 171.60 167.95<br />
353 67.50 75.85<br />
355 134.60 151.65<br />
356 197.40 222.30<br />
357 272.35 306.70<br />
358 331.80 373.65<br />
RMFS<br />
Out<br />
Hospital %<br />
12 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
359 439.20 431.10<br />
361 404.00 396.50<br />
364 58.75 57.45<br />
366 117.00 114.55<br />
367 171.60 176.35<br />
369 236.90 243.50<br />
370 288.30 282.45<br />
385 115.85 113.35<br />
386 58.25 57.00<br />
387 169.80 166.30<br />
388 107.55 105.25<br />
389 D<br />
410 25.95<br />
411 56.65<br />
412 109.50<br />
413 161.30<br />
RMFS<br />
Out<br />
Hospital %<br />
414 D 37.97 35<br />
415 D 37.75 35<br />
416 D 37.89 35<br />
417 D 37.85 35<br />
501 45.30<br />
503 76.55<br />
507 128.60<br />
511 181.95<br />
515 281.70<br />
519 193.70<br />
520 372.10<br />
530 609.80<br />
532 847.55<br />
534 1,085.50<br />
536 1,204.45<br />
597<br />
598 144.45 141.45<br />
600 171.25 167.75<br />
820 184.30<br />
822 276.50<br />
823 368.50<br />
825 132.40<br />
Item<br />
RMFS In<br />
Hospital %<br />
826 211.10<br />
828 289.80<br />
830 188.25 184.30<br />
832 282.40 276.50<br />
834 376.25 368.50<br />
835 132.40<br />
837 211.10<br />
838 289.80<br />
855 188.25 184.30<br />
857 282.40 276.50<br />
858 376.25 368.50<br />
861 188.25 184.30<br />
864 282.40 276.50<br />
866 376.25 368.50<br />
871 108.70 106.40<br />
872 50.60 49.55<br />
880 65.80<br />
2100 25.40<br />
2122 D<br />
2125 D<br />
2126 55.30<br />
2137 D<br />
2138 D<br />
2143 107.20<br />
2147 D<br />
2179 D<br />
2195 157.70<br />
2199 D<br />
2220 D<br />
2801 204.25 199.95<br />
2806 102.30 100.05<br />
2814 58.25 57.00<br />
2820 D<br />
2824 242.60<br />
2832 146.75<br />
2840 105.65<br />
2946 188.25 184.30<br />
2949 282.40 276.50<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 13
Item<br />
RMFS In<br />
Hospital %<br />
2954 376.25 368.50<br />
2958 135.30 132.40<br />
2972 215.65 211.10<br />
2974 296.05 289.80<br />
2978 188.25<br />
2984 282.40<br />
2988 376.25<br />
2992 132.40<br />
2996 211.10<br />
3000 289.80<br />
3005 204.25 199.95<br />
3010 102.30 100.05<br />
3014 58.25 57.00<br />
3015 D<br />
3018 242.60<br />
3023 146.75<br />
3028 105.65<br />
3032 188.25 184.30<br />
3040 282.40 276.50<br />
3044 376.25 368.50<br />
3051 135.30 132.40<br />
3055 215.65 211.10<br />
3062 296.05 289.80<br />
3069 188.25<br />
3074 282.40<br />
3078 376.25<br />
3083 132.40<br />
3088 211.10<br />
3093 289.80<br />
5906 25.95<br />
5908 56.65<br />
5910 107.50<br />
5912 158.30<br />
6007 175.40 171.75<br />
6009 58.25 57.00<br />
6011 115.85 113.35<br />
6013 160.40 157.05<br />
6015 204.25 199.95<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
6016 D<br />
10801 164.70 161.20<br />
10802 164.70 161.20<br />
10803 164.70 161.20<br />
10804 164.70 161.20<br />
10805 164.70 161.20<br />
10806 164.70 161.20<br />
10807 164.70 161.20<br />
10808 164.70 161.20<br />
10809 164.70 161.20<br />
10816 164.70 161.20<br />
11000 151.60 169.15<br />
11003 386.25 447.55<br />
11004 385.25 447.55<br />
11005 385.25 447.55<br />
11006 197.50 229.50<br />
11009 269.40 312.90<br />
11012 132.70 153.90<br />
11015 177.30 205.95<br />
11018 264.90 307.65<br />
11021 214.20 205.95<br />
11024 134.75 156.45<br />
11027 199.75 232.05<br />
11200 52.55 56.10<br />
11203 89.10 94.75<br />
11204 139.65 148.75<br />
11205 139.65 148.75<br />
11210 153.25 148.75<br />
11211 139.65 148.75<br />
11212 90.65 96.35<br />
11215 180.35 169.00<br />
11218 277.75 208.75<br />
11221 101.55 93.10<br />
11222 87.50 93.10<br />
11224 52.60 56.15<br />
11225 52.60 56.15<br />
11235 158.35 168.65<br />
11237 105.20 111.95<br />
RMFS<br />
Out<br />
Hospital %<br />
14 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
11240 104.05 111.95<br />
11241 133.85 142.40<br />
11242 103.40 110.05<br />
11243 103.40 110.05<br />
11300 248.55 264.40<br />
11303 248.55 264.40<br />
11304 408.95 435.50<br />
11306 28.35 30.10<br />
11309 36.10 36.15<br />
11312 51.30 51.05<br />
11315 71.55 67.65<br />
11318 89.05 83.45<br />
11321 148.90 158.50<br />
11324 43.60 45.15<br />
11327 28.65 27.20<br />
11330 10.20 10.85<br />
11332 75.45 80.45<br />
11333 57.55 61.25<br />
11336 57.55 61.25<br />
11339 57.55 61.25<br />
11500 283.35 229.50<br />
11503 170.45 190.50<br />
11506 24.80 28.25<br />
11509 42.25 49.00<br />
11512 73.05 84.85<br />
11600 95.05 95.20<br />
11602 73.10 79.35<br />
11604 89.20 104.05<br />
11605 89.20 104.05<br />
11610 75.20 87.60<br />
11611 76.40 87.60<br />
11612 132.35 154.45<br />
11614 94.15 104.05<br />
11615 100.50 104.30<br />
11627 295.00 314.20<br />
11700 37.60 42.95<br />
11701 18.65 21.35<br />
11702 19.65 21.35<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
11708 151.40 175.70<br />
11709 198.15 230.10<br />
11710 61.40 71.35<br />
11711 33.55 38.85<br />
11712 179.95 209.05<br />
11713 87.60 95.85<br />
11715 142.55 165.90<br />
11718 41.20 47.75<br />
11721 82.55 95.85<br />
11722 41.20 47.75<br />
11724 199.75 232.05<br />
11727 122.10 130.20<br />
11800 205.55 239.70<br />
11810 205.55 239.70<br />
11820 2,401.40 2,801.70<br />
11823 2,401.40 2,801.70<br />
11830 219.95 256.65<br />
11833 294.30 343.15<br />
11900 33.75 37.90<br />
11903 131.55 152.70<br />
11906 131.55 152.70<br />
11909 195.30 226.90<br />
11912 212.60 226.90<br />
11915 195.30 226.90<br />
11917 511.60 588.50<br />
11919 505.35 588.50<br />
11921 96.70 103.15<br />
12000 55.25 53.50<br />
12003 111.40 80.85<br />
12012 24.55 28.60<br />
12015 73.60 85.85<br />
12018 94.75 110.40<br />
12021 138.85 161.95<br />
12200 43.90 51.10<br />
12201 2,818.10 3,287.65<br />
12203 692.55 807.90<br />
12207 692.55 807.90<br />
12210 826.55 964.25<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 15
Item<br />
RMFS In<br />
Hospital %<br />
12213 744.75 868.70<br />
12215 826.55 964.25<br />
12217 744.75 868.70<br />
12250 394.95 460.70<br />
12306 120.65 140.70<br />
12309 120.65 140.70<br />
12312 120.65 140.70<br />
12315 126.80 140.70<br />
12318 120.65 140.70<br />
12321 127.25 140.70<br />
12323 127.35 140.70<br />
12500 255.20 297.65<br />
12503 500.35 583.60<br />
12506 357.30 416.75<br />
12509 255.20 297.65<br />
12512 123.80 144.35<br />
12515 270.80 315.80<br />
12518 123.80 144.35<br />
12521 149.20 174.05<br />
12524 186.50 217.60<br />
12527 100.15 116.70<br />
12530 149.20 174.05<br />
12533 99.75 116.30<br />
13015 300.10 350.00<br />
13020 304.80 355.60<br />
13025 136.35 159.00<br />
13030 192.55 224.60<br />
13100 191.80 187.75<br />
13103 83.90 97.80<br />
13104 203.30<br />
13106 143.05 166.75<br />
13109 268.20 312.90<br />
13110 269.20 313.95<br />
13112 180.35 187.75<br />
13200 4,179.20 4,273.85<br />
13201 3,909.15 3,997.70<br />
13202 625.50 639.60<br />
13203 661.65 668.75<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
13206 1,150.40 639.60<br />
13209 119.95 116.35<br />
13210 D<br />
13212 458.30 487.00<br />
13215 158.45 152.70<br />
13218 1,109.55 1,090.25<br />
13221 70.20 69.80<br />
13251 569.15 574.25<br />
13290 270.55 280.65<br />
13292 540.95 561.55<br />
13300 67.20 78.30<br />
13303 99.40 116.00<br />
13306 393.50 459.00<br />
13309 335.50 391.40<br />
13312 44.75 39.10<br />
13318 267.90 312.50<br />
13319 267.90 312.50<br />
13400 114.10 133.00<br />
13500 212.40 247.75<br />
13503 424.80 495.55<br />
13506 217.30 253.50<br />
13700 394.20 457.90<br />
13703 141.35 164.15<br />
13706 98.75 114.55<br />
13709 62.85 66.60<br />
13750 161.75 187.75<br />
13755 177.05 187.75<br />
13757 86.30 100.25<br />
13760 901.80 1,047.80<br />
13815 100.80 117.15<br />
13818 134.50 156.25<br />
13830 89.15 103.55<br />
13839 28.55 31.65<br />
13842 82.00 95.20<br />
13847 184.45 214.50<br />
13848 159.55 180.05<br />
13851 583.40 678.25<br />
13854 185.45 157.80<br />
RMFS<br />
Out<br />
Hospital %<br />
16 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
13857 173.20 201.15<br />
13870 426.55 497.50<br />
13873 316.40 369.05<br />
13876 96.25 105.65<br />
13881 172.45 201.15<br />
13882 135.85 158.35<br />
13885 181.05 211.15<br />
13888 90.65 105.65<br />
13915 76.70 89.40<br />
13918 115.35 134.55<br />
13921 130.65 152.25<br />
13924 76.95 89.70<br />
13927 99.40 116.00<br />
13930 138.80 161.85<br />
13933 154.00 179.55<br />
13936 100.40 117.00<br />
13939 115.35 134.55<br />
13942 76.95 89.70<br />
13945 62.00 72.10<br />
13948 76.95 89.70<br />
14050 62.45 72.45<br />
14053 62.45 72.45<br />
14100 212.70 209.55<br />
14106 218.30 209.55<br />
14109 269.50 257.40<br />
14112 291.05 304.65<br />
14115 303.55 352.40<br />
14118 425.80 447.60<br />
14124 180.45 209.55<br />
14200 81.00 82.20<br />
14201 306.15 325.45<br />
14202 154.95 164.75<br />
14203 65.95 70.30<br />
14206 46.05 48.95<br />
14209 114.45 121.90<br />
14212 240.05 254.60<br />
14215 126.35 134.55<br />
14218 126.35 134.55<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
14221 62.05 72.10<br />
14224 87.50 96.70<br />
14227 119.70 134.55<br />
14230 364.40<br />
14233 442.50<br />
14236 806.85<br />
14239 195.00<br />
14242 579.05<br />
14245 119.70 134.55<br />
15000 54.95 58.45<br />
RMFS<br />
Out<br />
Hospital %<br />
15003 D 31.25 D 40<br />
15006 140.00 129.65<br />
15009 D 31.46 D 40<br />
15012 84.15 73.45<br />
15100 61.80 65.55<br />
15103 D D 40<br />
15106 72.75 77.35<br />
15109 D D 40<br />
15112 154.80 165.20<br />
15115 D 31.15 D 40<br />
15211 65.65 75.20<br />
15214 D 22.13 D 40<br />
15215 73.30 82.00<br />
15218 73.30 82.00<br />
15221 100.45 82.00<br />
15224 71.85 82.00<br />
15227 88.60 82.00<br />
15230 D 25.02 D 40<br />
15233 D 25.02 D 40<br />
15236 D 71.28 D 40<br />
15239 D 22.56 D 40<br />
15242 D 51.09 D 40<br />
15245 87.90 82.00<br />
15248 73.30 82.00<br />
15251 82.80 82.00<br />
15254 86.95 82.00<br />
15257 88.10 82.00<br />
15260 D 49.86 D 40<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 17
Item<br />
RMFS In<br />
Hospital %<br />
RMFS<br />
Out<br />
Hospital %<br />
15263 D 25.02 D 40<br />
15266 D 41.23 D 40<br />
15269 D 48.25 D 40<br />
15272 D 50.14 D 40<br />
15303 422.25 490.50<br />
15304 422.25 490.50<br />
15307 800.45 929.90<br />
15308 800.45 929.90<br />
15311 394.15 457.80<br />
15312 391.35 454.55<br />
15315 773.80 898.90<br />
15316 1,094.05 898.90<br />
15319 480.20 557.90<br />
15320 480.20 557.90<br />
15323 853.75 992.00<br />
15324 853.75 992.00<br />
15327 1,298.70 1,079.15<br />
15328 928.95 1,079.15<br />
15331 885.50 1,024.70<br />
15332 1,100.70 1,024.70<br />
15335 800.45 929.90<br />
15336 800.45 929.90<br />
15338 1,245.05 1,285.45<br />
15339 90.20 104.75<br />
15342 225.15 261.45<br />
15345 625.50 697.70<br />
15348 69.20 80.25<br />
15351 138.00 160.25<br />
15354 167.50 194.40<br />
15357 47.30 55.05<br />
15500 300.05 333.45<br />
15503 381.40 428.05<br />
15506 551.75 639.25<br />
15509 257.45 289.00<br />
15512 331.80 372.50<br />
15513 518.40 421.20<br />
15515 484.30 539.30<br />
15518 97.60 105.80<br />
Item<br />
RMFS In<br />
Hospital %<br />
15521 420.90 467.00<br />
15524 753.85 875.65<br />
15527 101.05 108.50<br />
15530 473.65 483.85<br />
15533 832.70 917.35<br />
15536 356.05 366.70<br />
15539 775.50 861.85<br />
15550 779.45 904.85<br />
15553 840.90 976.25<br />
15556 786.25 912.80<br />
15559 1,025.50 1,190.60<br />
15562 1,326.30 1,539.80<br />
15600 2,004.85 2,338.80<br />
15700 58.55 64.35<br />
15705 97.50 107.25<br />
15710 97.50 107.25<br />
15800 122.65 134.85<br />
15850 349.35 279.30<br />
16003 797.25 893.70<br />
16006 588.80 686.80<br />
16009 401.80 468.75<br />
16012 347.75 405.55<br />
16015 4,811.50 5,613.30<br />
16018 2,876.30 3,355.70<br />
16399 D<br />
16400 37.45<br />
16401 115.85 117.55<br />
16404 58.25 59.10<br />
16406 189.80 184.05<br />
16500 66.85 64.75<br />
16501 188.05 193.15<br />
16502 59.75<br />
16504 55.55 64.75<br />
16505 60.75<br />
16508 56.95<br />
16509 57.50 64.75<br />
16511 355.05 302.20<br />
16512 103.30 87.25<br />
RMFS<br />
Out<br />
Hospital %<br />
18 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
16514 48.20 50.35<br />
16515 920.45 619.15<br />
16518 716.00 619.15<br />
16519 1,790.25 953.40<br />
16520 2,092.20<br />
16522 2,262.30 2,238.55<br />
16525 991.65 528.10<br />
16527 904.15 619.15<br />
16528 2,055.15 1,114.35<br />
16564 293.70 299.55<br />
16567 422.40 438.00<br />
16570 536.80 571.65<br />
16571 411.05 438.00<br />
16573 355.85 356.95<br />
16590 445.30<br />
16591 196.00<br />
16600 114.25 87.25<br />
16603 157.25 167.45<br />
16606 359.50 334.20<br />
16609 639.80 681.45<br />
16612 503.10 536.15<br />
16615 268.10 285.55<br />
16618 268.10 285.55<br />
16621 268.10 285.55<br />
16624 386.00 410.90<br />
16627 785.55 836.65<br />
16633 D D<br />
16636 D D<br />
17609 D<br />
17610 68.15 59.10<br />
17615 135.80 117.55<br />
17620 188.10 162.85<br />
17625 239.50 207.35<br />
17640 68.15 59.10<br />
17645 135.80 117.55<br />
17650 188.10 162.85<br />
17655 239.50 207.35<br />
17680 135.80 117.55<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
17690 54.35<br />
18213 129.15 121.80<br />
18216 296.80 260.90<br />
RMFS<br />
Out<br />
Hospital %<br />
18219 D 59.25 D 40<br />
18222 59.90 51.75<br />
18225 82.00 68.75<br />
18226 457.80 391.30<br />
18227 D 63.77 D 40<br />
18228 93.35 85.90<br />
18230 314.90 327.60<br />
18232 266.30 260.90<br />
18233 262.45 260.90<br />
18234 164.30 171.50<br />
18236 86.05 85.90<br />
18238 67.60 51.75<br />
18240 127.85 128.60<br />
18242 56.65 51.75<br />
18244 157.65 138.50<br />
18246 151.80 138.50<br />
18248 126.90 121.80<br />
18250 94.15 85.90<br />
18252 141.10 138.50<br />
18254 144.65 138.50<br />
18256 81.60 85.90<br />
18258 102.55 85.90<br />
18260 125.65 121.80<br />
18262 88.95 85.90<br />
18264 142.35 138.50<br />
18266 96.80 85.90<br />
18268 152.50 121.80<br />
18270 148.70 121.80<br />
18272 103.15 85.90<br />
18274 132.50 121.80<br />
18276 166.20 171.50<br />
18278 125.85 121.80<br />
18280 195.30 171.50<br />
18282 151.80 138.50<br />
18284 211.65 202.90<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 19
Item<br />
RMFS In<br />
Hospital %<br />
18286 196.10 202.90<br />
18288 201.55 202.90<br />
18290 376.05 343.15<br />
18292 233.40 171.50<br />
18294 227.85 241.80<br />
18296 242.15 206.85<br />
18298 326.70 241.80<br />
18350 174.70 171.50<br />
18351 174.70 171.50<br />
18352 376.05 343.15<br />
18354 207.20 171.50<br />
18356 213.55 171.50<br />
18358 188.05 171.50<br />
18360 223.40 171.50<br />
18361 223.40 171.50<br />
18362 371.40 338.95<br />
18364 188.05 171.50<br />
18366 192.15 214.90<br />
18368 402.00 366.90<br />
18370 67.90 61.90<br />
18371 60.25 61.90<br />
18372 188.05 171.50<br />
18373 188.05 171.50<br />
RMFS<br />
Out<br />
Hospital %<br />
30001 D D 40<br />
30003 45.55 49.85<br />
30006 61.05 63.95<br />
30009 96.80<br />
30010 96.80<br />
30013 203.55<br />
30014 203.55<br />
30017 430.55 447.95<br />
30020 780.20<br />
30023 426.85 447.95<br />
30024 426.85 447.95<br />
30026 68.35 71.75<br />
30029 117.85 123.65<br />
30032 108.15 113.35<br />
30035 150.05 161.50<br />
Item<br />
RMFS In<br />
Hospital %<br />
30038 147.05 123.65<br />
30041 245.55 197.85<br />
30042 245.55 255.05<br />
30045 154.05 161.50<br />
30048 192.85 205.75<br />
30049 239.10 255.05<br />
30052 332.55 348.95<br />
30055 97.55 101.50<br />
30058 183.75 198.35<br />
30061 32.30 32.30<br />
30062 79.55 83.45<br />
30064 131.25 151.00<br />
30067 375.90 307.25<br />
30068 375.90 380.35<br />
30071 68.35 71.75<br />
30074 201.55 161.50<br />
30075 201.55 205.75<br />
30078 60.55 66.60<br />
30081 135.25 151.00<br />
30084 71.05 80.80<br />
30087 38.65 40.50<br />
30090 156.45 176.65<br />
30093 224.65 235.70<br />
30094 248.00 260.20<br />
30096 274.40 252.65<br />
30097 129.55 133.50<br />
30099 117.85 123.65<br />
30102 224.90 205.75<br />
30103 224.90 252.65<br />
30104 193.50 174.40<br />
30106 290.55 213.50<br />
30107 290.55 302.20<br />
30110 486.45 390.70<br />
30111 486.45 510.40<br />
30114 439.45<br />
30165 802.65 624.90<br />
30168 595.50 624.90<br />
30171 1,268.25 950.40<br />
RMFS<br />
Out<br />
Hospital %<br />
20 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
30174 905.45 950.40<br />
30177 1,290.50<br />
30180 178.70 187.55<br />
30183 322.60 338.70<br />
30185 247.50 250.75<br />
30186 61.55 65.20<br />
30187 353.55 353.05<br />
30189 176.20 202.40<br />
30190 585.25 546.50<br />
30192 51.95 54.35<br />
30195 83.10 87.25<br />
30196 165.35 173.55<br />
30197 720.45 604.60<br />
30202 63.35 66.45<br />
30203 222.95 233.95<br />
30205 165.35 173.55<br />
30207 58.50 61.25<br />
30210 262.30<br />
30213 143.80 150.85<br />
30214 143.80 150.85<br />
30216 35.90 37.60<br />
30219 37.60<br />
30223 197.30<br />
30224 311.20 326.45<br />
30225 338.75 367.75<br />
30226 196.10 205.75<br />
30229 357.45 375.00<br />
30232 292.80 307.25<br />
30235 387.10 406.30<br />
30238 196.10 205.75<br />
30241 486.65 489.60<br />
30244 466.60<br />
30246 995.30<br />
30247 967.80<br />
30250 1,663.85<br />
30251 2,540.25 2,640.30<br />
30253 1,158.25<br />
30255 1,682.70<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
30256 668.55<br />
RMFS In<br />
Hospital %<br />
30259 261.85 272.75<br />
30262 77.15 80.80<br />
30265 213.60 161.50<br />
30266 213.60 205.75<br />
30269 196.10 205.75<br />
30272 390.85 406.30<br />
30275 2,500.85<br />
30278 58.55 63.95<br />
30281 146.05 164.15<br />
30282 296.95 213.50<br />
30283 296.95 281.30<br />
30286 587.70 546.65<br />
30289 611.65<br />
30293 583.15 611.95<br />
30294 3,142.70<br />
30296 1,485.35<br />
30297 1,491.65<br />
30299 834.60<br />
30300 1,001.50<br />
30302 667.60<br />
30303 801.10<br />
30306 1,195.45<br />
30308 1,212.00<br />
30309 1,593.35<br />
30310 582.05<br />
30313 489.40 375.00<br />
30314 681.60<br />
30315 1,736.95<br />
30317 2,013.50<br />
30318 1,188.25<br />
30320 1,747.40<br />
30321 1,188.25<br />
30323 2,047.90<br />
30324 2,056.45<br />
30329 323.30 339.30<br />
30330 964.15<br />
30332 452.85<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 21
Item<br />
30335 1,249.30<br />
30336 1,461.60<br />
30373 594.90<br />
30375 682.40<br />
30376 661.15<br />
30378 685.60<br />
30379 1,215.15<br />
30382 1,751.10<br />
30384 1,437.25<br />
30385 775.90<br />
30387 850.60<br />
30388 1,927.65<br />
30390 288.00<br />
30391 372.40<br />
30392 883.10<br />
30393 685.60<br />
30394 645.15<br />
30396 1,200.75<br />
30397 304.35<br />
30399 418.45<br />
30400 828.05<br />
30402 608.30<br />
30403 682.40<br />
30405 1,172.90<br />
RMFS In<br />
Hospital %<br />
30406 70.35 71.75<br />
30408 577.55<br />
30409 228.60 239.70<br />
30411 116.35<br />
30412 68.50 71.90<br />
30414 903.05<br />
30415 2,009.40<br />
30416 980.60<br />
30417 1,500.75<br />
30418 2,079.95<br />
30419 1,069.90 1,122.60<br />
30421 3,072.85<br />
30422 884.10<br />
30425 1,620.40<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
30427 2,032.65<br />
RMFS In<br />
Hospital %<br />
30428 2,744.15 2,294.40<br />
30430 3,041.60 3,192.00<br />
30431 682.40 716.20<br />
30433 950.65<br />
30434 770.05<br />
30436 855.65<br />
30437 1,064.60<br />
30438 1,460.35 1,581.20<br />
30439 243.20<br />
30440 689.10 723.25<br />
30441 178.35<br />
30442 243.20<br />
30443 967.80<br />
30445 1,062.25<br />
30446 1,051.40<br />
30448 1,374.65<br />
30449 1,529.65<br />
30450 686.40 720.45<br />
30451 350.55 367.75<br />
30452 494.35<br />
30454 1,122.30<br />
30455 1,243.80<br />
30457 1,766.65 1,895.35<br />
30458 1,375.50<br />
30460 1,258.55<br />
30461 1,935.70<br />
30463 3,000.65<br />
30464 4,010.10<br />
30466 1,644.35<br />
30467 2,034.00<br />
30469 2,644.05 2,364.35<br />
30472 1,216.65 1,276.80<br />
30473 232.00 243.35<br />
30475 419.35 440.05<br />
30476 321.50 337.35<br />
30478 321.50 337.35<br />
30479 566.00 654.10<br />
RMFS<br />
Out<br />
Hospital %<br />
22 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
30481 467.45 490.50<br />
30482 332.40 348.75<br />
30483 231.95 243.25<br />
30484 477.80 501.35<br />
30485 715.90 773.95<br />
30487 237.00 248.60<br />
30488 117.85 123.65<br />
30490 623.25 723.25<br />
30491 727.10 763.00<br />
30492 1,030.15<br />
30493 436.40 457.80<br />
30494 550.50<br />
30495 1,030.15<br />
30496 770.05 808.10<br />
30497 918.15<br />
30499 1,092.20<br />
30500 1,169.15 1,227.05<br />
30502 1,290.50<br />
30503 1,444.90 1,516.50<br />
30505 706.25<br />
30506 1,264.40<br />
30508 1,330.90<br />
30509 1,330.90 1,396.65<br />
30511 1,112.25<br />
30512 1,368.75<br />
30514 2,040.50<br />
30515 921.95<br />
30517 1,207.25<br />
30518 1,292.75<br />
30520 884.10<br />
30521 2,033.30<br />
30523 1,975.60<br />
30524 2,258.20<br />
30526 2,921.00<br />
30527 1,210.70<br />
30529 1,711.00<br />
30530 1,026.65<br />
30532 1,178.95<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
30533 1,530.45<br />
30535 2,806.30<br />
30536 2,603.90<br />
30538 1,732.75<br />
30539 1,086.95<br />
30541 2,412.60<br />
30542 1,349.80<br />
30544 947.30<br />
30545 2,405.00<br />
RMFS In<br />
Hospital %<br />
30547 1,586.40 1,735.75<br />
30548 1,782.55 1,296.70<br />
30550 2,699.45<br />
30551 1,863.05<br />
30553 1,300.70 1,446.20<br />
30554 3,003.70<br />
30556 2,072.15<br />
30557 1,530.35<br />
30559 1,115.55 1,167.20<br />
30560 1,348.65<br />
30562 776.20<br />
30563 779.15 817.50<br />
30564 1,011.00<br />
30565 1,140.60<br />
30566 1,267.10<br />
30568 859.25<br />
30569 484.85<br />
30571 593.85<br />
30572 622.75<br />
30574 161.50<br />
30575 657.20<br />
30577 1,436.75<br />
30578 1,417.80<br />
30580 1,281.45<br />
30581 1,047.80<br />
30583 1,563.55<br />
30584 2,456.65<br />
30586 918.15<br />
30587 950.65<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 23
Item<br />
30589 1,637.90<br />
30590 1,911.25<br />
RMFS In<br />
Hospital %<br />
30593 2,522.80 2,593.60<br />
30594 3,028.20<br />
30596 1,174.75<br />
30597 942.95<br />
30599 1,830.70<br />
30600 1,017.60<br />
30601 1,253.20<br />
30602 2,034.00<br />
30603 2,148.35 2,254.45<br />
30605 2,702.20<br />
30606 1,454.30<br />
30609 670.80<br />
30612 589.90<br />
30614 589.90<br />
30615 681.00<br />
30616 444.30<br />
30617 444.30<br />
30620 481.20<br />
30621 481.20<br />
30628 46.75 48.95<br />
30631 304.65 325.15<br />
30634 463.60<br />
30635 463.60<br />
30638 530.90<br />
30641 530.90<br />
30644 777.95<br />
30653 61.05 63.95<br />
30656 141.55 148.65<br />
30659 293.45 205.75<br />
30660 293.45 255.05<br />
30663 222.55 198.35<br />
30666 82.70 65.20<br />
30672 610.90<br />
30675 502.75 411.40<br />
30676 502.75 520.80<br />
30679 115.70 132.30<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
30680 1,382.65 1,607.50<br />
30682 1,382.65 1,607.50<br />
30684 1,701.35 1,978.20<br />
30686 1,701.35 1,978.20<br />
30688 476.40 501.35<br />
30690 735.35 773.95<br />
30692 476.40 501.35<br />
30694 735.35 773.95<br />
30696 735.35 773.95<br />
30710 735.35 773.95<br />
31000 732.15 798.10<br />
31001 1,093.65 997.50<br />
31002 1,153.60 1,197.10<br />
31200 44.60 46.70<br />
31205 124.80 131.15<br />
31210 161.35 169.15<br />
31215 196.90 197.20<br />
31220 289.90 294.80<br />
31225 484.50 523.90<br />
31230 220.00 230.90<br />
31235 188.00 197.20<br />
31240 220.00 230.90<br />
31245 551.30 506.95<br />
31250 615.75 506.95<br />
31255 289.80 304.10<br />
31256 289.75 304.10<br />
31257 289.75 304.10<br />
31258 289.75 304.10<br />
31260 413.35 433.65<br />
31261 413.10 433.65<br />
31262 413.10 433.65<br />
31263 413.10 433.65<br />
31265 241.60 253.50<br />
31266 222.35 253.50<br />
31267 241.45 253.50<br />
31268 241.45 253.50<br />
31270 338.30 354.85<br />
31271 338.05 354.85<br />
RMFS<br />
Out<br />
Hospital %<br />
24 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
31272 338.05 354.85<br />
31273 338.05 354.85<br />
31275 391.80 411.15<br />
31276 391.60 411.15<br />
31277 391.60 411.15<br />
31278 391.60 411.15<br />
31280 204.00 214.15<br />
31281 204.80 214.90<br />
31282 204.80 214.90<br />
31283 204.80 214.90<br />
31285 279.00 292.60<br />
31286 317.05 292.60<br />
31287 278.75 292.60<br />
31288 278.75 292.60<br />
31290 322.10 337.85<br />
31291 308.20 337.85<br />
31292 321.85 337.85<br />
31293 321.85 337.85<br />
31295 409.35 402.40<br />
31300 418.80 439.55<br />
31305 515.20 540.65<br />
31310 364.90 382.85<br />
31315 461.65 484.35<br />
31320 515.20 540.65<br />
31325 354.25 371.70<br />
31330 418.80 439.55<br />
31335 483.10 506.95<br />
31340 D D<br />
31345 287.20 289.80<br />
31346 276.10 289.80<br />
31350 604.00 595.35<br />
31355 922.40 981.65<br />
31400 341.85 358.70<br />
31403 394.45<br />
31406 724.75 689.95<br />
31409 2,582.00<br />
31412 2,918.65<br />
31420 232.85 252.65<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
31423 481.10 551.95<br />
31426 1,052.00<br />
31429 1,847.50<br />
31432 2,237.10<br />
31435 1,279.75<br />
31438 2,077.65<br />
31441 301.60 345.80<br />
31450 582.15<br />
31452 1,048.05<br />
31454 769.45<br />
31456 291.05<br />
31458 385.90<br />
31460 484.90<br />
31462 682.40<br />
31464 1,296.90<br />
31466 1,703.15<br />
31468 2,102.00<br />
31470 970.30<br />
31472 1,382.75<br />
31500 354.30 357.30<br />
31503 450.75 476.45<br />
31506 516.15<br />
31509 443.35 476.45<br />
31512 849.05<br />
31515 551.50<br />
31518 961.55<br />
31521 607.25 595.60<br />
31524 1,358.40<br />
31527 907.05 714.70<br />
31530 777.90 818.40<br />
31533 173.85 189.50<br />
31536 248.00 260.20<br />
31539 497.85<br />
31542 257.15 270.65<br />
31545 759.75 818.40<br />
31548 168.50 189.50<br />
31551 277.50<br />
31554 573.95<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 25
Item<br />
RMFS In<br />
Hospital %<br />
31557 466.30 476.45<br />
31560 458.40 476.45<br />
31563 368.30 356.90<br />
31566 230.30 178.60<br />
32000 1,260.65<br />
32003 1,426.25<br />
32004 1,458.55<br />
32005 1,768.70<br />
32006 1,506.00<br />
32009 1,886.50<br />
32012 2,034.85<br />
32015 2,484.50<br />
32018 1,900.10<br />
32021 827.40<br />
32024 1,944.65<br />
32025 2,510.35<br />
32026 2,668.20<br />
32028 3,036.05<br />
32029 551.55<br />
32030 1,364.05<br />
32033 2,000.20<br />
32036 2,715.40<br />
32039 2,135.75<br />
32042 1,683.85<br />
32045 605.50<br />
32046 993.55<br />
32047 1,140.60<br />
32051 3,142.05<br />
32054 2,507.20<br />
32057 737.35<br />
32060 3,425.20<br />
32063 2,783.50<br />
32066 737.35<br />
32069 2,218.00<br />
32072 60.80 65.75<br />
32075 89.90 103.15<br />
32078 203.40 231.60<br />
32081 297.10 318.05<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
32084 141.00 152.95<br />
32087 259.30 281.30<br />
32090 422.60 459.35<br />
32093 582.25 644.65<br />
32094 698.35<br />
32095 161.85 175.60<br />
32096 445.00<br />
32099 436.30<br />
32102 872.90<br />
32103 921.85<br />
32104 1,284.40<br />
32105 679.50 664.95<br />
32106 1,786.50 1,874.85<br />
32108 1,308.70<br />
32111 855.10<br />
32112 1,036.00<br />
32114 228.60 239.70<br />
32115 166.35<br />
32117 1,308.70<br />
32120 336.45<br />
32123 436.30 457.80<br />
32126 633.75<br />
32129 830.80<br />
32131 698.70<br />
32132 59.20 61.95<br />
32135 88.45 92.75<br />
32138 493.10 505.30<br />
32139 549.65<br />
32142 88.45 92.75<br />
32145 177.05 185.60<br />
32147 59.20 61.95<br />
32150 313.10 353.05<br />
32153 95.75<br />
32156 172.50 181.05<br />
32159 425.10<br />
32162 624.85<br />
32165 830.80 872.00<br />
32166 274.00 283.30<br />
RMFS<br />
Out<br />
Hospital %<br />
26 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
32168 169.80<br />
32171 111.10<br />
RMFS In<br />
Hospital %<br />
32174 116.35 122.05<br />
32175 205.90<br />
32177 208.60<br />
32180 335.90<br />
32183 735.30<br />
32186 735.30<br />
32200 387.10 406.30<br />
32203 831.20<br />
32206 717.80<br />
32209 1,206.95<br />
32210 334.45 351.00<br />
32212 178.35<br />
32213 865.00<br />
32214 437.05<br />
32215 164.10 172.30<br />
32216 776.80<br />
32217 204.65<br />
32218 204.65<br />
32220 1,183.35<br />
32221 1,183.35<br />
32500 163.15 150.85<br />
32501 153.70 150.85<br />
32504 374.10 367.75<br />
32507 753.25 733.15<br />
32508 781.15<br />
32511 1,231.60<br />
32514 1,329.25<br />
32517 1,809.45<br />
32520 745.60 733.15<br />
32522 1,108.35 1,089.90<br />
32700 2,133.75<br />
32703 1,730.60<br />
32708 1,934.90<br />
32710 1,912.25<br />
32711 2,813.10<br />
32712 1,522.10<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
32715 1,602.80<br />
32718 1,660.30<br />
32721 3,095.65<br />
32724 2,994.65<br />
32730 2,269.75<br />
32733 2,591.65<br />
32736 577.85<br />
32739 1,681.95<br />
32742 2,049.60<br />
32745 2,358.65<br />
32748 2,592.95<br />
32751 1,675.50<br />
32754 2,161.20<br />
32757 577.85<br />
32760 567.85<br />
32763 1,544.95<br />
32766 1,102.55<br />
32769 382.40<br />
33050 2,243.60<br />
33055 1,682.35<br />
RMFS In<br />
Hospital %<br />
33070 1,176.70 1,156.85<br />
33075 1,497.00<br />
33080 1,598.75<br />
33100 2,075.50 1,973.30<br />
33103 2,815.65<br />
33109 3,811.70 3,347.50<br />
33112 3,214.05<br />
33115 2,104.20<br />
33116 2,169.20 1,922.10<br />
33118 2,314.70<br />
33119 2,242.45 2,135.80<br />
33121 2,687.05<br />
33124 1,497.20<br />
33127 2,216.90 2,180.05<br />
33130 1,933.40<br />
33133 1,451.05<br />
33136 3,315.10<br />
33139 2,142.15<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 27
Item<br />
RMFS In<br />
Hospital %<br />
33142 2,039.45 2,035.50<br />
33145 3,561.60<br />
33148 4,423.55<br />
33151 5,302.25<br />
33154 3,112.15<br />
33157 3,409.05<br />
33160 3,778.25<br />
33163 3,785.10<br />
33166 2,942.30 2,893.05<br />
33169 2,204.35<br />
33172 1,664.55<br />
33175 1,537.75<br />
33178 2,093.25<br />
33181 3,216.55<br />
33500 1,601.15<br />
33506 1,775.90<br />
33509 1,986.25<br />
33512 2,359.75<br />
33515 2,427.55<br />
33518 1,777.15 1,746.10<br />
33521 1,778.65<br />
33524 2,269.75<br />
33527 2,637.40<br />
33530 2,234.30<br />
33533 2,637.40<br />
33536 1,881.00<br />
33539 1,355.40<br />
33542 2,119.40<br />
33545 382.40<br />
33548 777.85<br />
33551 382.40<br />
33554 380.75<br />
33800 1,556.05 1,622.05<br />
33803 1,576.15<br />
33806 1,134.90 1,115.80<br />
33810 828.00 814.00<br />
33811 3,233.70<br />
RMFS<br />
Out<br />
Hospital %<br />
33812 1,190.25 1,281.10<br />
Item<br />
33815 1,198.10<br />
33818 1,241.45<br />
33821 1,608.00<br />
33824 1,523.40<br />
33827 1,704.90<br />
33830 2,048.95<br />
33833 1,859.85<br />
33836 2,175.25<br />
33839 3,341.55<br />
33842 1,303.50<br />
33845 790.45<br />
33848 843.30<br />
34100 951.00<br />
34103 577.85<br />
RMFS In<br />
Hospital %<br />
34106 407.75 400.75<br />
34109 445.00 464.90<br />
34112 1,373.10<br />
34115 1,268.20<br />
34118 2,074.05 1,901.00<br />
34121 1,544.55<br />
34124 1,691.60<br />
34127 2,216.90<br />
34130 693.75 681.90<br />
34133 968.40<br />
34136 1,455.45<br />
34139 1,156.75<br />
34142 1,484.90<br />
34145 1,340.10<br />
34148 2,199.90<br />
34151 2,656.10<br />
34154 2,864.40 3,213.25<br />
34157 1,660.30<br />
34160 3,110.00<br />
34163 3,993.10<br />
34166 3,757.10<br />
34169 2,405.85<br />
34172 2,291.00<br />
34175 1,492.55<br />
RMFS<br />
Out<br />
Hospital %<br />
28 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
34500 430.95 423.75<br />
34503 577.85<br />
34506 294.30<br />
34509 1,271.30<br />
34512 1,340.90<br />
34515 1,071.70<br />
34518 1,745.95<br />
34521 1,103.85<br />
34524 691.75<br />
34527 703.25 757.85<br />
34528 324.15 374.25<br />
34530 248.30<br />
34533 1,733.70 1,704.50<br />
34538 343.55 374.25<br />
34539 241.95<br />
34800 1,134.90 1,115.80<br />
34803 2,333.15<br />
34806 1,355.40<br />
34809 1,355.40<br />
34812 1,638.95<br />
34815 1,752.00<br />
34818 1,677.35<br />
34821 2,028.15 1,994.20<br />
34824 596.00<br />
34827 840.60<br />
34830 1,168.05 971.35<br />
34833 1,346.00<br />
35000 923.45 971.35<br />
35003 1,370.20<br />
35006 1,607.70<br />
35009 1,690.80<br />
35012 988.20<br />
35100 444.15<br />
35103 327.80<br />
35200 239.80<br />
35202 1,141.85<br />
35300 720.35 708.05<br />
35303 794.20 907.90<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
35306 740.15 838.00<br />
35307 1,566.90<br />
35309 917.90 1,047.45<br />
35312 1,207.55<br />
35315 1,207.55<br />
35317 497.50 488.85<br />
35319 772.55 876.30<br />
35320 1,196.95 1,177.05<br />
35321 1,136.35 1,117.45<br />
35324 426.15<br />
35327 570.95<br />
35330 720.35 708.05<br />
35331 828.00<br />
35360 1,157.00<br />
35361 873.50<br />
35362 827.75<br />
35363 663.15<br />
35404 388.10 476.25<br />
35406 1,107.05<br />
35408 830.45<br />
35410 1,107.05 1,117.45<br />
35412 3,889.50 3,925.95<br />
35500 110.65 111.75<br />
35502 96.70 110.15<br />
35503 65.30 73.60<br />
35506 75.25 73.80<br />
35507 214.10<br />
35508 379.45<br />
35509 114.45 122.95<br />
35512 348.30 246.50<br />
35513 348.30 304.60<br />
35516 207.70 159.90<br />
35517 207.70 200.65<br />
35518 291.45 285.55<br />
35520 90.85 80.10<br />
35523 104.05 80.10<br />
35526 203.80 159.90<br />
35527 203.80 200.65<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 29
Item<br />
35530 332.50<br />
RMFS In<br />
Hospital %<br />
35533 451.05 480.70<br />
35536 515.45 478.75<br />
35539 400.85 375.00<br />
35542 498.20 439.15<br />
35545 237.10 252.30<br />
35548 1,376.20<br />
35551 955.65<br />
35554 59.10 59.80<br />
35557 264.10 294.70<br />
35560 843.20<br />
35561 1,716.80<br />
35562 1,582.65<br />
35564 730.65<br />
35565 861.35<br />
35566 611.85<br />
35568 872.70<br />
35569 193.10 221.00<br />
35570 773.95<br />
35571 773.95<br />
35572 146.35<br />
35573 1,186.70<br />
35577 1,136.75<br />
35578 966.00<br />
35595 1,910.60<br />
35596 955.65<br />
35597 2,173.55<br />
35599 930.90<br />
35602 1,095.25<br />
35605 511.35 502.85<br />
35608 89.40 87.95<br />
35611 89.40 87.95<br />
35612 707.05 695.20<br />
35613 565.85<br />
35614 89.25 87.80<br />
35615 75.25 73.80<br />
35616 647.65<br />
35617 323.80 238.65<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
35618 323.80 299.55<br />
35620 74.60 73.30<br />
35622 843.00<br />
35623 1,136.80<br />
35626 114.30 113.75<br />
35627 149.90<br />
35630 238.35<br />
35633 342.20 299.55<br />
35634 835.90 942.10<br />
35635 440.90<br />
35636 641.55<br />
35637 603.00<br />
35638 1,137.30<br />
35639 255.85<br />
35640 255.85<br />
35641 2,169.60<br />
35643 319.35 299.55<br />
35644 291.85 279.80<br />
35645 441.10 437.85<br />
35646 301.20<br />
35647 308.90 279.80<br />
35648 501.95 437.85<br />
35649 767.50<br />
35653 1,011.10<br />
35657 939.35<br />
35658 581.40<br />
35661 1,354.50<br />
35664 2,321.85<br />
35667 1,818.35<br />
35670 1,489.70<br />
35673 1,064.90<br />
35674 303.55 285.55<br />
35676 783.85<br />
35677 783.85<br />
35678 990.25<br />
35680 865.75 799.70<br />
35683 671.75<br />
35684 671.75<br />
RMFS<br />
Out<br />
Hospital %<br />
30 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
35687 526.00<br />
35688 526.00<br />
35691 222.60<br />
35694 778.60<br />
35697 1,322.25<br />
35700 1,286.05<br />
RMFS In<br />
Hospital %<br />
35703 94.30 92.75<br />
35706 94.30 92.75<br />
35709 60.95 59.80<br />
35710 647.55<br />
35712 559.10<br />
35713 559.10<br />
35716 659.95<br />
35717 659.95<br />
35720 942.65<br />
35723 674.95<br />
35726 674.95<br />
35729 304.40<br />
35750 1,315.45<br />
35753 1,455.75<br />
35754 1,855.20<br />
35756 1,247.60<br />
35759 783.45<br />
36500 1,341.75<br />
36502 878.25<br />
36503 1,772.25<br />
36506 1,341.75<br />
36509 960.05<br />
36516 1,282.80<br />
36519 1,830.10<br />
36522 1,727.70<br />
36525 2,270.75<br />
36526 2,252.20 1,773.90<br />
36527 2,272.85 2,189.20<br />
36528 2,002.25<br />
36529 2,411.40<br />
36531 1,595.55<br />
36532 2,411.85<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
36533 2,969.70<br />
36537 957.80<br />
RMFS In<br />
Hospital %<br />
36540 1,493.85 1,522.25<br />
36543 1,807.90 1,773.90<br />
36546 982.65 949.90<br />
36549 1,208.90<br />
36552 1,157.55<br />
36558 942.95 892.80<br />
36561 204.35 237.05<br />
36564 1,341.00<br />
36567 1,728.60<br />
36570 1,980.75<br />
36573 1,285.85<br />
36576 1,624.50<br />
36579 1,076.00<br />
36585 1,076.00<br />
36588 1,252.00<br />
36591 1,676.30<br />
36594 1,341.75<br />
36597 1,341.75<br />
36600 1,843.60 1,522.25<br />
36603 1,824.70<br />
36604 388.55 367.75<br />
36605 998.85<br />
36606 3,360.35<br />
36607 1,265.50<br />
36608 387.10<br />
36609 914.95<br />
36612 779.85<br />
36615 1,076.00<br />
36618 942.95<br />
36621 690.05<br />
36624 809.85 766.80<br />
36627 914.85<br />
36630 537.55<br />
36633 889.30 1,018.75<br />
36636 580.40<br />
36639 1,238.75<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 31
Item<br />
36642 604.45<br />
36645 1,701.70<br />
36648 1,390.85<br />
RMFS In<br />
Hospital %<br />
36649 388.55 367.75<br />
36650 216.55<br />
36652 826.50<br />
36654 1,109.50<br />
36656 1,553.15<br />
36658 736.15 723.25<br />
36660 357.35 351.00<br />
36662 853.45 838.50<br />
36663 924.45 908.15<br />
36664 830.15 815.50<br />
36665 175.35 172.30<br />
36666 467.05 458.85<br />
36667 218.65 214.80<br />
36668 218.65 214.80<br />
36800 34.80 37.95<br />
36803 622.80 640.75<br />
36806 881.65<br />
36809 1,245.65<br />
36811 429.75 444.30<br />
36812 201.90 229.05<br />
36815 302.95 326.85<br />
36818 401.35 380.05<br />
36821 469.10 444.05<br />
36824 309.40 292.90<br />
36825 705.75<br />
36827 333.65 315.80<br />
36830 295.00<br />
36833 401.35 380.05<br />
36836 291.85 315.80<br />
36840 454.00 444.05<br />
36842 393.90<br />
36845 921.10 949.90<br />
36848 333.65<br />
36851 323.55<br />
36854 676.75<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
36857 549.25<br />
RMFS In<br />
Hospital %<br />
36860 431.65 229.05<br />
36863 745.50<br />
37000 1,076.00<br />
37004 942.95<br />
37008 604.45 572.20<br />
37011 135.45 128.25<br />
37014 1,547.15<br />
37020 1,076.00<br />
37023 604.45<br />
37026 604.45<br />
37029 1,617.10<br />
37038 1,004.00<br />
37041 67.75 64.05<br />
37042 1,321.80<br />
37043 918.20<br />
37044 969.10<br />
37045 2,073.15<br />
37047 1,999.80<br />
37050 1,076.00<br />
37053 1,243.15<br />
37200 1,612.75<br />
37201 1,539.30<br />
37202 603.75 571.65<br />
37203 1,531.45<br />
37206 809.85<br />
37207 1,257.40<br />
37208 603.75<br />
37209 1,873.50<br />
37210 3,010.35<br />
37211 3,465.05<br />
UR372 5,197.50<br />
37212 367.65<br />
37215 491.35 572.20<br />
37217 200.75 190.00<br />
37218 200.75 190.00<br />
37219 428.60 385.85<br />
37220 1,515.30<br />
RMFS<br />
Out<br />
Hospital %<br />
32 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
37221 676.75<br />
37223 299.35<br />
RMFS In<br />
Hospital %<br />
37224 417.90 444.05<br />
37227 803.40 777.45<br />
37230 1,479.55 1,431.80<br />
37233 792.40 766.80<br />
37300 67.75 64.05<br />
37303 107.65 101.75<br />
37306 1,183.80<br />
37309 1,425.60<br />
37315 200.75 190.00<br />
37318 401.35 380.05<br />
37321 135.45 128.25<br />
37324 282.20<br />
37327 390.80<br />
37330 942.95<br />
37333 808.30<br />
37336 1,076.00<br />
37339 300.40 329.60<br />
37340 522.85<br />
37341 1,213.15<br />
37342 1,313.15<br />
37343 2,619.45<br />
37345 1,020.50<br />
37348 1,017.60<br />
37351 401.35<br />
37354 469.10<br />
37369 319.80<br />
37372 665.40<br />
37375 1,680.10<br />
37381 998.60<br />
37384 1,680.10<br />
37387 469.10<br />
37390 1,322.35<br />
37393 288.70 315.80<br />
37396 1,060.30<br />
37402 676.75<br />
37405 1,544.75<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
37408 676.75<br />
RMFS In<br />
Hospital %<br />
37411 1,190.65 1,270.45<br />
37415 67.75 64.05<br />
37417 866.95<br />
37418 1,080.90 1,018.75<br />
37420 531.90<br />
37423 1,242.40<br />
37426 1,414.20<br />
37429 469.10<br />
37432 1,605.40<br />
37435 124.90 128.25<br />
37438 369.00 380.05<br />
37444 1,450.55 1,373.40<br />
37601 372.30 380.05<br />
37604 397.60 380.05<br />
37605 536.90 513.10<br />
37606 797.20 761.90<br />
37607 1,341.75<br />
37610 2,483.50<br />
37613 391.20 380.05<br />
37616 1,200.95<br />
37619 401.35 380.05<br />
37622 338.55 265.45<br />
37623 338.55 315.80<br />
37800 700.55<br />
37803 686.10<br />
37806 793.65 827.40<br />
37809 766.20<br />
37812 671.45<br />
37815 134.60<br />
37818 713.15 675.25<br />
37821 1,072.20<br />
37824 1,737.00<br />
37827 933.90<br />
37830 947.00 949.90<br />
37833 478.95<br />
37836 1,008.55<br />
37839 1,118.15<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 33
Item<br />
37842 2,218.85<br />
37845 1,008.55<br />
37848 1,815.15<br />
37851 1,344.90<br />
37854 445.05<br />
RMFS In<br />
Hospital %<br />
38200 574.80 611.95<br />
38203 962.10 730.35<br />
38206 829.05 882.95<br />
38209 1,064.45 1,133.65<br />
38212 1,770.55 1,885.60<br />
38213 527.25 561.55<br />
38215 572.35 487.65<br />
38218 811.45 731.30<br />
38220 286.25 243.75<br />
38222 572.35 487.65<br />
38225 858.50 731.40<br />
38228 1,093.40 975.35<br />
38231 1,430.85 1,219.00<br />
38234 1,046.60 975.10<br />
38237 1,430.80 1,218.95<br />
38240 1,569.85 1,462.65<br />
38241 575.70 645.35<br />
38243 572.35 609.50<br />
38246 1,349.90 1,218.95<br />
38256 344.85 367.15<br />
38270 1,177.00 1,253.45<br />
38272 1,177.00 1,253.45<br />
38275 384.80 409.75<br />
38285 249.05<br />
38286 224.10<br />
38287 2,544.25 2,883.05<br />
38290 3,446.95<br />
38293 3,432.95 3,940.40<br />
38300 664.95 708.05<br />
38303 852.60 907.90<br />
38306 983.65 1,047.45<br />
38309 1,142.40 1,216.55<br />
RMFS<br />
Out<br />
Hospital %<br />
38312 1,460.90 1,555.75<br />
Item<br />
RMFS In<br />
Hospital %<br />
38315 1,568.55 1,670.50<br />
38318 2,046.55 2,179.45<br />
38350 824.05<br />
38353 329.70<br />
38356 1,080.30<br />
38358 4,068.90<br />
38359 189.55 183.50<br />
38362 496.65 528.85<br />
38365 313.20<br />
38368 1,501.05<br />
38371 352.95 395.50<br />
38384 1,290.40 1,446.20<br />
38387 352.95 395.50<br />
38390 1,358.00 1,446.20<br />
38393 371.40 395.50<br />
38415 566.60 548.70<br />
38418 1,140.85<br />
38421 1,998.95<br />
38424 1,359.90<br />
38427 1,679.00<br />
38430 865.45<br />
38436 354.35<br />
38438 1,971.25<br />
38440 1,627.70<br />
38441 2,381.20<br />
38446 1,679.00<br />
38447 1,907.95<br />
38448 515.10<br />
38449 2,838.60<br />
38450 1,215.55<br />
38452 813.95<br />
38453 2,173.35<br />
38455 3,302.40<br />
38456 1,872.65<br />
38457 1,873.20<br />
38458 995.70<br />
38460 390.95<br />
38462 425.15<br />
RMFS<br />
Out<br />
Hospital %<br />
34 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
38464 470.05<br />
38466 1,295.60<br />
38468 2,015.60<br />
38469 2,044.85<br />
38470 1,359.90<br />
38473 813.95<br />
38475 1,180.25<br />
38477 2,842.30<br />
38478 1,376.85<br />
38480 2,666.80<br />
38481 3,295.95<br />
38483 2,441.50<br />
38485 1,159.30<br />
38487 2,449.85<br />
38488 2,709.20<br />
38489 3,222.00<br />
38490 786.70<br />
38493 2,777.40<br />
38496 885.30<br />
38497 2,569.50<br />
38498 2,878.90<br />
38500 3,130.85<br />
38501 3,110.75<br />
38503 3,406.25<br />
38504 3,475.00<br />
38505 393.50<br />
38506 2,307.25<br />
38507 2,708.70<br />
38508 3,198.75<br />
38509 3,101.75<br />
38512 2,509.20<br />
38515 4,067.45<br />
38518 4,068.95<br />
38550 3,044.95<br />
38553 4,168.75<br />
38556 4,209.70<br />
38559 3,529.85<br />
RMFS In<br />
Hospital %<br />
38562 4,343.90<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
38565 5,030.50<br />
38568 2,226.80<br />
38571 2,910.95<br />
38572 2,819.15<br />
38577 786.70<br />
38588 590.35<br />
38600 1,829.05<br />
38603 1,359.90<br />
38609 679.85<br />
RMFS In<br />
Hospital %<br />
38612 937.25 737.95<br />
38613 956.50<br />
38615 1,992.35<br />
38618 2,709.20<br />
38621 1,081.80<br />
38624 1,127.25<br />
38627 906.40<br />
38637 786.70<br />
38640 1,359.90<br />
38643 1,514.35<br />
38647 3,028.35<br />
38650 2,447.85<br />
38653 2,709.20<br />
38654 1,587.45<br />
38656 1,233.75<br />
38670 2,708.70<br />
38673 3,105.10<br />
38677 2,852.10<br />
38680 3,383.05 3,276.15<br />
38700 1,387.70<br />
38703 2,729.75<br />
38706 2,408.10<br />
38709 3,028.35<br />
38712 3,636.40<br />
38715 2,420.90<br />
38718 3,028.35<br />
38721 2,122.10<br />
38724 2,519.10<br />
38727 2,075.15<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 35
Item<br />
38730 3,028.35<br />
38733 2,063.65<br />
38736 3,028.35<br />
38739 2,729.75<br />
38742 2,729.75<br />
38745 2,554.50<br />
38748 3,028.35<br />
38751 3,028.35<br />
38754 4,113.80<br />
38757 3,028.35<br />
38760 3,028.35<br />
38763 3,028.35<br />
38766 3,028.35<br />
RMFS In<br />
Hospital %<br />
38800 54.75 52.95<br />
38803 109.10 105.65<br />
38806 189.55 183.50<br />
38809 233.60 226.10<br />
38812 296.90 287.35<br />
39000 101.10 103.50<br />
39003 119.85 117.70<br />
39006 301.10 219.05<br />
39009 83.10<br />
39012 332.45<br />
39013 149.45 149.95<br />
39015 526.05<br />
39018 526.05<br />
39100 322.50 326.45<br />
39106 1,587.55<br />
39109 713.45 609.65<br />
39112 2,592.75<br />
39115 90.40 103.50<br />
39118 434.50 409.25<br />
39121 883.80 867.95<br />
39124 2,261.85<br />
39125 440.40<br />
39126 506.40<br />
39127 624.60<br />
39128 913.30<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
39130 900.15<br />
RMFS In<br />
Hospital %<br />
39131 196.65 175.60<br />
39133 223.15<br />
39134 476.55<br />
39135 220.80<br />
39136 223.15<br />
39137 788.40<br />
39138 892.75<br />
39139 1,536.35<br />
39140 414.95 402.40<br />
39300 494.50<br />
39303 750.85<br />
39306 981.65<br />
39309 999.35<br />
39312 520.00<br />
39315 1,565.70<br />
39318 1,100.50<br />
39321 606.75<br />
39323 349.90 380.35<br />
39324 387.10 380.35<br />
39327 663.10<br />
39330 360.35<br />
39331 438.50 380.35<br />
39333 557.55 547.55<br />
39500 1,778.05<br />
39503 1,631.95<br />
39600 683.40<br />
39603 1,553.25<br />
39606 996.75<br />
39609 1,175.10<br />
39612 1,567.60<br />
39615 1,719.75<br />
39640 5,434.85<br />
39642 4,439.35<br />
39646 5,111.25<br />
39650 4,678.00<br />
39653 6,579.40<br />
39654 4,785.05<br />
RMFS<br />
Out<br />
Hospital %<br />
36 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
39656 4,554.80<br />
39658 5,214.20<br />
39660 4,241.20<br />
39662 4,241.20<br />
39700 778.80<br />
39703 726.00<br />
39706 1,556.85<br />
39709 2,458.10<br />
39712 4,446.15<br />
39715 3,379.80<br />
39718 1,220.45<br />
39721 1,020.00<br />
39800 4,112.15<br />
39803 4,098.00<br />
39806 1,760.50<br />
39812 883.80<br />
RMFS In<br />
Hospital %<br />
39815 2,556.30 2,510.50<br />
39818 2,800.05<br />
39821 2,943.15<br />
39900 726.00<br />
39903 2,483.65<br />
39906 1,055.65<br />
40000 1,283.50<br />
40003 1,256.05<br />
40006 936.30<br />
40009 686.80<br />
40012 1,579.85<br />
40015 893.60<br />
40018 192.10 219.05<br />
40100 967.90<br />
40103 1,209.55<br />
40106 1,826.60<br />
40109 1,658.40<br />
40112 1,900.90<br />
40115 1,010.05<br />
40118 1,617.35<br />
40300 1,458.95<br />
40301 1,682.95<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
40303 1,951.90<br />
40306 2,289.90<br />
40309 1,635.40<br />
40312 2,635.80<br />
40315 2,731.05<br />
40316 3,196.70<br />
40318 3,422.55<br />
40321 1,525.35<br />
40324 894.30<br />
40327 894.30<br />
40330 1,336.10<br />
40331 1,336.10<br />
40332 2,609.35<br />
40333 1,115.15<br />
40334 1,584.95<br />
40335 3,007.40<br />
40336 442.15<br />
40339 2,219.75<br />
40342 2,452.50<br />
40345 1,850.60<br />
40348 2,424.55<br />
40351 2,424.55<br />
40600 1,336.10<br />
40700 2,663.65<br />
40703 1,973.65<br />
RMFS In<br />
Hospital %<br />
40706 3,151.15 2,944.45<br />
40709 726.00<br />
40712 1,462.20<br />
40800 784.45 877.45<br />
40801 3,202.50<br />
40803 1,672.70 1,642.80<br />
40850 3,825.70<br />
40851 6,567.80<br />
40852 617.70<br />
40854 958.80<br />
40856 359.15<br />
40858 774.55<br />
40860 3,587.70<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 37
Item<br />
RMFS In<br />
Hospital %<br />
40862 261.05 260.65<br />
40903 775.75<br />
40905 823.30 826.70<br />
41500 126.15 113.35<br />
41503 364.95 328.10<br />
41506 189.85 197.85<br />
41509 268.20 223.90<br />
41512 894.90<br />
41515 587.40<br />
41518 1,304.95<br />
41521 1,428.15<br />
41524 436.35<br />
41527 852.30<br />
41530 1,362.35<br />
41533 1,842.70<br />
41536 1,780.15<br />
41539 1,516.30<br />
41542 1,929.85<br />
41545 796.10<br />
41548 1,056.70<br />
41551 2,451.80<br />
41554 3,255.95<br />
41557 1,664.65<br />
41560 1,832.45<br />
41563 2,258.00<br />
41564 3,201.00<br />
41566 1,428.70<br />
41569 1,644.65<br />
41572 1,577.80<br />
41575 3,720.20<br />
41576 6,061.55<br />
41578 3,720.20<br />
41579 2,982.20<br />
41581 5,006.45<br />
41584 2,829.75<br />
41587 3,439.25<br />
41590 1,689.60<br />
41593 2,377.50<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
41596 2,656.85<br />
41599 2,439.50<br />
RMFS In<br />
Hospital %<br />
41603 649.35 692.25<br />
41604 240.40 256.20<br />
41608 2,017.45<br />
41611 1,071.20<br />
41614 1,768.80 1,497.45<br />
41615 1,400.25 1,497.45<br />
41617 2,830.45<br />
41620 1,195.80<br />
41623 1,746.70<br />
41626 220.00 197.85<br />
41629 622.15<br />
41632 346.55 328.10<br />
41635 1,515.10 1,572.15<br />
41638 2,320.05<br />
41641 72.65 65.20<br />
41644 237.80 196.25<br />
41647 167.95 151.00<br />
41650 142.20 151.00<br />
41653 110.15 98.85<br />
41656 192.70 168.80<br />
41659 97.90 106.55<br />
41662 126.15 113.35<br />
41665 335.85<br />
41668 335.85<br />
41671 787.95<br />
41672 1,011.75<br />
41674 153.60 138.15<br />
41677 137.50 123.65<br />
41680 249.15 223.90<br />
41683 179.00 161.00<br />
41686 110.15 98.85<br />
41689 208.55<br />
41692 272.05<br />
41695 152.60 137.45<br />
41698 49.65 44.75<br />
41701 140.70<br />
RMFS<br />
Out<br />
Hospital %<br />
38 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
41704 55.65 49.85<br />
41707 685.10<br />
41710 872.25<br />
41713 1,109.60<br />
41716 451.70<br />
41719 161.70 161.50<br />
41722 897.70 807.35<br />
41725 685.10<br />
41728 1,392.40<br />
41729 845.60<br />
41731 1,418.65<br />
41734 1,625.65<br />
41737 738.05<br />
41740 89.85<br />
41743 515.50<br />
41746 1,187.00 1,067.65<br />
41749 926.45<br />
41752 451.70<br />
41755 71.10 63.95<br />
41758 179.65 161.50<br />
41761 187.50 168.80<br />
41764 187.50 168.80<br />
41767 1,174.60 1,012.55<br />
41770 1,029.15<br />
41773 856.60<br />
41776 807.35<br />
41779 1,079.05<br />
41782 1,337.30<br />
41785 1,804.15 1,622.85<br />
41786 1,095.25<br />
41787 808.00<br />
41788 554.05 302.20<br />
41789 554.05<br />
41792 612.10<br />
41793 612.10<br />
41796 190.50<br />
41797 190.50<br />
41800 249.15<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
41801 249.15<br />
41804 137.50<br />
RMFS In<br />
Hospital %<br />
41807 95.05 96.35<br />
41810 54.50 48.95<br />
41813 468.45<br />
41816 283.70 255.05<br />
41819 464.25 479.45<br />
41820 596.80 575.35<br />
41822 364.95<br />
41825 559.95<br />
41828 79.85 71.75<br />
41831 477.75 490.50<br />
41832 348.80 313.95<br />
41834 2,318.30<br />
41837 1,800.75<br />
41840 2,521.00<br />
41843 2,041.20<br />
41846 283.70 255.05<br />
41849 409.70<br />
41852 438.70<br />
41855 438.70<br />
41858 733.90<br />
41861 888.10<br />
41864 639.70<br />
41867 879.95<br />
41868 577.45<br />
41870 627.40<br />
41873 897.70 807.35<br />
41876 725.25 807.35<br />
41879 1,555.20<br />
41880 300.55<br />
41881 613.60<br />
41884 126.35<br />
41885 342.50<br />
41886 272.05 244.65<br />
41889 272.05 244.65<br />
41892 359.05 322.95<br />
41895 483.80 505.30<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 39
Item<br />
RMFS In<br />
Hospital %<br />
41898 333.65 353.05<br />
41901 779.65<br />
41904 317.90 338.70<br />
41905 635.30<br />
41907 187.50 168.80<br />
41910 596.15<br />
42503 160.60<br />
42506 763.30 661.25<br />
42509 954.80<br />
42510 965.40<br />
42512 673.00 661.25<br />
42515 884.30<br />
42518 469.10<br />
42521 1,699.25<br />
42524 285.90 281.15<br />
42527 567.35<br />
42530 826.30<br />
42533 586.35<br />
42536 1,161.65<br />
42539 1,978.05<br />
42542 692.05<br />
42543 1,248.40<br />
42545 1,975.65<br />
42548 1,061.25<br />
42551 829.05 867.95<br />
42554 1,008.15<br />
42557 1,342.85<br />
42560 567.35 557.90<br />
42563 725.15 713.05<br />
42566 1,029.70<br />
42569 1,439.50<br />
42572 181.95 161.25<br />
42573 336.60 312.50<br />
42574 716.05 663.95<br />
42575 119.35 113.70<br />
42581 164.15 161.25<br />
42584 386.75 380.35<br />
42587 72.85 71.40<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
42590 424.45 464.90<br />
42593 338.40<br />
42596 704.40 692.25<br />
42599 819.95 867.95<br />
42602 883.10 867.95<br />
42605 651.25 640.40<br />
42608 482.30 413.25<br />
42610 140.05 132.25<br />
42611 195.55 198.35<br />
42614 67.80 66.40<br />
42615 107.20 99.30<br />
42617 191.40 188.20<br />
42620 63.85 72.35<br />
42621 73.75 72.35<br />
42622 115.70 113.70<br />
42623 1,220.75<br />
42626 1,602.80 1,549.80<br />
42629 1,130.50<br />
42632 151.05 161.25<br />
42635 394.20 413.25<br />
42638 540.90 516.60<br />
42641 703.30 671.55<br />
42644 100.85 99.15<br />
42647 255.60 281.15<br />
42650 100.85 99.15<br />
42651 245.50 220.95<br />
42653 2,029.70<br />
42656 2,412.10<br />
42659 1,550.90 1,239.70<br />
42662 1,161.40<br />
42665 817.95 826.65<br />
42667 180.35 195.05<br />
42668 95.85 103.50<br />
42672 1,278.35 1,239.70<br />
42673 630.40 619.80<br />
42676 165.25 159.00<br />
42677 85.20 83.75<br />
42680 420.40 413.25<br />
RMFS<br />
Out<br />
Hospital %<br />
40 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
42683 175.85<br />
RMFS In<br />
Hospital %<br />
42686 382.40 376.00<br />
42689 164.15 161.25<br />
42692 338.25 380.35<br />
42695 617.70 619.80<br />
42698 983.70 817.15<br />
42701 562.30 455.70<br />
42702 1,341.40 1,045.05<br />
42703 800.20 786.00<br />
42704 706.30 640.40<br />
42707 962.60 1,095.15<br />
42710 1,260.95 1,239.70<br />
42713 516.00 516.60<br />
42716 1,477.15 1,642.80<br />
42718 1,412.35 1,309.45<br />
42719 638.80 713.05<br />
42722 793.35<br />
42725 2,036.45<br />
42728 315.50<br />
42731 2,104.65<br />
42734 420.40 413.25<br />
42737 420.40 413.25<br />
42740 420.40 413.25<br />
42741 420.40 413.25<br />
42743 815.25 867.95<br />
42744 419.95 412.95<br />
42746 1,467.45<br />
42749 1,685.20<br />
42752 1,738.15<br />
42755 231.55 227.30<br />
42758 992.85<br />
42761 709.05 713.05<br />
42764 624.15 713.05<br />
42767 1,845.85<br />
42770 383.95 405.05<br />
42771 405.45 398.90<br />
42773 1,260.95 1,239.70<br />
42776 1,870.40<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
42779 2,309.55<br />
RMFS In<br />
Hospital %<br />
42782 699.70 619.80<br />
42783 630.40 619.80<br />
42785 479.55 485.45<br />
42786 493.95 485.45<br />
42788 431.15 485.45<br />
42789 493.95 485.45<br />
42791 450.70 485.45<br />
42792 493.95 485.45<br />
42794 94.60 93.00<br />
42797 94.60 93.00<br />
42801 1,349.60<br />
42802 674.50<br />
42805 819.45 805.80<br />
42806 493.95 485.45<br />
42807 497.25 488.85<br />
42808 564.75 488.85<br />
42809 630.40 619.80<br />
42810 793.45 779.95<br />
42811 630.40 619.80<br />
42812 215.00 227.30<br />
42815 883.10<br />
42818 703.20 805.80<br />
42821 126.20 124.15<br />
42824 97.85 96.05<br />
42833 921.65<br />
42836 1,099.15<br />
42839 1,021.85<br />
42842 1,110.95<br />
42845 250.95 260.20<br />
42848 1,154.35<br />
42851 1,216.50<br />
42854 567.35 557.90<br />
42857 519.60 557.90<br />
42860 1,310.45 1,239.70<br />
42863 1,108.55 1,064.15<br />
42866 1,024.70 1,033.00<br />
42869 766.85 754.25<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 41
Item<br />
RMFS In<br />
Hospital %<br />
42872 438.05 330.70<br />
43021 535.95 625.20<br />
43022 643.30 750.35<br />
43023 102.10 121.60<br />
43500 172.45<br />
43503 242.55<br />
43506 454.00<br />
43509 498.10<br />
43512 487.35<br />
43515 509.15 489.60<br />
43518 724.45<br />
43521 648.90<br />
43524 800.10 807.35<br />
43801 1,212.50<br />
43804 1,369.30<br />
43807 1,316.05<br />
43810 1,646.45<br />
43813 1,986.70<br />
43816 2,003.00<br />
43819 1,308.25<br />
43822 1,306.60<br />
43825 1,704.80<br />
43828 1,509.05<br />
43831 1,208.45<br />
43834 1,429.45<br />
43837 1,641.55<br />
43840 1,582.95<br />
43843 2,591.35<br />
43846 2,676.45<br />
43849 630.00<br />
43852 2,083.05 2,227.85<br />
43855 2,202.15<br />
43858 809.40 827.40<br />
43861 2,111.40<br />
43864 1,573.35<br />
43867 933.85<br />
43870 1,308.25<br />
43873 1,558.55<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
43876 1,479.10<br />
43879 1,743.25<br />
RMFS In<br />
Hospital %<br />
43882 2,241.20 2,291.75<br />
43900 1,493.95<br />
43903 2,490.00<br />
43906 2,178.80<br />
43909 2,178.80<br />
43912 2,155.00<br />
43915 1,549.45 1,591.40<br />
43930 561.35<br />
43933 686.10<br />
43936 1,225.25<br />
43939 939.00<br />
43942 311.35 318.40<br />
43945 1,260.45<br />
43948 212.00 191.10<br />
43951 1,173.60<br />
43954 1,336.95<br />
43957 1,556.45<br />
43960 501.50<br />
43963 2,106.90<br />
43966 2,228.20<br />
43969 3,423.85<br />
43972 2,244.95<br />
43975 2,932.35<br />
43978 2,490.00<br />
43981 684.85<br />
43984 1,743.25<br />
43987 1,930.45<br />
43990 2,123.60<br />
43993 2,552.50 2,609.95<br />
43996 2,553.65 2,928.25<br />
43999 320.30<br />
44102 345.70<br />
44105 60.90 61.95<br />
44108 611.90<br />
44111 726.40 790.90<br />
44114 801.85<br />
RMFS<br />
Out<br />
Hospital %<br />
42 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
44130 570.85 636.55<br />
44133 557.70<br />
44136 214.75 232.90<br />
44325 413.50 406.30<br />
44328 471.05<br />
44331 801.40<br />
44334 1,671.45 1,640.80<br />
44338 189.35 197.85<br />
44342 261.05<br />
44346 375.25<br />
44350 393.20 396.00<br />
44354 449.85<br />
44358 237.25<br />
44359 340.35<br />
44361 569.90<br />
44364 420.95<br />
44367 675.60<br />
44370 982.25<br />
44373 2,016.10 2,031.20<br />
RMFS<br />
Out<br />
Hospital %<br />
44376 D D 40<br />
45000 731.60 743.75<br />
45003 889.75 826.65<br />
45006 1,438.10<br />
45009 529.75<br />
45012 853.40<br />
45015 420.40<br />
45018 661.90 650.75<br />
45019 551.05<br />
45020 554.40<br />
45021 248.00 243.70<br />
45024 556.90 547.55<br />
45025 266.85 243.70<br />
45026 600.90 547.55<br />
45027 168.30<br />
45030 160.85 177.60<br />
45033 354.40 330.70<br />
45035 1,037.85<br />
45036 1,585.35<br />
Item<br />
RMFS In<br />
Hospital %<br />
45039 291.60 330.70<br />
45042 537.50 423.75<br />
45045 430.95 423.75<br />
45048 1,036.20<br />
45051 613.75<br />
45054 343.80<br />
45200 336.45 390.70<br />
45203 577.35 557.90<br />
45206 505.20 527.00<br />
45207 493.20 527.00<br />
45209 646.10 650.90<br />
45212 325.60 322.95<br />
45215 1,417.00<br />
45218 593.10<br />
45221 365.55 359.35<br />
45224 202.30 161.50<br />
45227 623.15 611.95<br />
45230 264.95 306.05<br />
45233 622.50 650.90<br />
45236 517.65<br />
45239 365.55 359.35<br />
45240 336.25 359.35<br />
45400 286.15 281.30<br />
45403 602.95 559.90<br />
45406 592.50 619.80<br />
45409 736.75<br />
45412 1,304.50<br />
45415 1,260.95<br />
45418 1,192.15<br />
45439 397.35 390.70<br />
45442 742.40 805.80<br />
45445 734.35 764.70<br />
45448 472.85 516.60<br />
45451 660.25 650.90<br />
45460 1,750.20<br />
45461 1,247.45<br />
45462 941.45<br />
45464 2,601.30<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 43
Item<br />
RMFS In<br />
Hospital %<br />
45465 1,903.35 1,872.65<br />
45466 1,435.25 1,412.35<br />
45468 2,559.25<br />
45469 1,930.70 1,899.70<br />
45471 3,216.65 3,165.00<br />
45472 2,426.55 2,387.30<br />
45474 3,872.60 3,810.25<br />
45475 2,922.00 2,874.85<br />
45477 4,528.50 4,455.60<br />
45478 3,415.85 3,360.65<br />
45480 5,184.35 5,100.80<br />
45481 3,911.35 3,848.40<br />
45483 5,906.60 5,811.55<br />
45484 4,456.65 4,384.80<br />
45485 986.60<br />
45486 630.40<br />
45487 521.65 557.90<br />
45488 630.40<br />
45489 1,098.80 929.90<br />
45490 1,261.05<br />
45491 1,576.15<br />
45492 1,694.10<br />
45493 479.35<br />
45494 2,289.60 2,251.45<br />
45496 580.95<br />
45497 454.00<br />
45498 365.55<br />
45499 272.45<br />
45500 1,748.25<br />
45501 2,644.85<br />
45502 2,481.35<br />
45503 2,837.15<br />
45504 3,204.10<br />
45505 2,481.35<br />
45506 266.55 302.20<br />
45512 405.30 406.30<br />
45515 261.05 256.20<br />
45518 304.45 310.10<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
45519 599.45<br />
45520 1,258.20<br />
RMFS In<br />
Hospital %<br />
45522 1,142.60 867.95<br />
45524 1,036.45<br />
45527 1,301.20<br />
45528 1,554.15<br />
45530 1,536.30<br />
45533 1,739.50<br />
45536 639.65<br />
45539 1,810.00<br />
45542 943.30<br />
45545 827.75 855.35<br />
45546 276.50 271.85<br />
45548 430.70 380.35<br />
45551 620.00<br />
45552 1,150.40 877.45<br />
45553 827.25 877.45<br />
45554 977.35 961.00<br />
45555 892.60<br />
45556 1,070.10 1,052.45<br />
45557 1,070.10<br />
45558 1,605.30<br />
45559 1,472.25 1,561.85<br />
45560 661.90 650.75<br />
45561 2,479.75<br />
45562 1,536.30 1,510.50<br />
45563 1,632.40 1,510.50<br />
45564 4,003.95<br />
45565 2,623.70<br />
45566 1,501.65<br />
45568 628.35<br />
45569 877.55<br />
45570 1,184.85 1,257.10<br />
45572 407.55 400.75<br />
45575 1,006.40 989.45<br />
45578 1,165.60<br />
45581 386.75 380.35<br />
45584 882.85 867.95<br />
RMFS<br />
Out<br />
Hospital %<br />
44 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
45585 882.85 867.95<br />
45586 882.85<br />
45587 1,244.85 1,223.95<br />
45588 1,802.00<br />
45590 752.05<br />
45593 776.20<br />
45596 1,596.75<br />
45597 1,684.25<br />
45599 1,308.75 1,286.75<br />
45602 977.35<br />
45605 821.25<br />
45608 1,340.70<br />
45611 662.10<br />
45614 793.75 807.35<br />
45617 328.60 322.95<br />
45620 564.05 447.95<br />
45623 1,063.25 993.40<br />
45624 1,386.65 1,287.90<br />
45625 317.60<br />
45626 455.70 447.95<br />
45629 889.85 650.90<br />
45632 879.05 703.40<br />
45635 821.25 807.35<br />
45638 1,417.00 1,393.25<br />
45639 1,788.50 1,393.25<br />
45641 1,523.90 1,487.80<br />
45644 2,216.25 1,757.85<br />
45645 312.65<br />
45646 1,199.05 1,237.15<br />
45647 1,626.15<br />
45650 206.80 203.10<br />
45652 497.85 489.60<br />
45653 645.85 489.60<br />
45656 750.40 690.10<br />
45659 728.40 716.20<br />
45660 4,702.05<br />
45661 2,016.15<br />
45662 980.00<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
45665 445.45 447.95<br />
45668 388.90 447.95<br />
45669 491.30 447.95<br />
45671 1,545.80 1,145.90<br />
45674 353.05 333.30<br />
45675 675.35<br />
45676 804.10<br />
45677 756.60<br />
45680 1,032.15<br />
45683 1,004.70<br />
45686 1,124.75<br />
45689 365.70<br />
45692 367.85 413.25<br />
45695 699.90<br />
45698 641.55<br />
45701 1,328.65<br />
45704 420.40 413.25<br />
45707 1,438.00<br />
45710 682.95<br />
45713 777.85<br />
45714 1,139.40<br />
45716 1,361.05<br />
45720 1,350.85 1,328.25<br />
45723 2,017.90<br />
45726 1,880.05<br />
45729 2,387.30<br />
45731 1,935.20<br />
45732 2,578.60<br />
45735 2,366.10<br />
45738 2,545.20<br />
45741 2,367.70<br />
45744 2,808.20<br />
45747 2,701.65 2,656.50<br />
45752 3,420.55<br />
45753 2,977.75 2,993.20<br />
45754 3,649.15<br />
45755 513.90 505.30<br />
45758 919.65<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 45
Item<br />
45761 1,024.60<br />
RMFS In<br />
Hospital %<br />
45767 3,509.55 3,450.75<br />
45770 2,688.40<br />
45773 2,450.10 2,409.00<br />
45776 2,450.10<br />
45779 2,374.05<br />
45782 1,206.35 1,354.25<br />
45785 2,704.70<br />
45788 2,304.15<br />
45791 1,244.85<br />
45794 939.70<br />
45797 261.05<br />
45799 41.35 40.50<br />
45801 167.85 174.40<br />
45803 456.30 447.95<br />
45805 241.45 237.05<br />
45807 345.00 338.70<br />
45809 547.95 510.40<br />
45811 703.00 690.10<br />
45813 822.50 807.35<br />
45815 513.80 489.60<br />
45817 650.10 638.20<br />
45819 806.35 807.25<br />
45821 532.90 523.20<br />
45823 152.40<br />
45825 458.45 464.90<br />
45827 452.60 444.30<br />
45829 344.85 338.95<br />
45831 392.35 444.30<br />
45833 568.15 557.90<br />
45835 705.20 692.25<br />
45837 1,069.35 805.80<br />
45839 820.75 805.80<br />
45841 663.90 650.75<br />
45843 406.55 399.15<br />
45845 705.20 692.25<br />
45847 261.05 256.20<br />
45849 812.80 798.10<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
45851 200.05<br />
RMFS In<br />
Hospital %<br />
45853 1,246.75 1,223.95<br />
45855 571.85 561.55<br />
45857 914.00 898.25<br />
45859 460.85 452.85<br />
45861 1,220.85 1,198.50<br />
45863 1,353.20 1,328.55<br />
45865 406.55 399.15<br />
45867 437.30 429.10<br />
45869 1,662.80 1,632.50<br />
45871 1,873.15 1,838.90<br />
45873 2,104.80 2,066.40<br />
45875 657.60 646.70<br />
45877 657.60 646.70<br />
45879 437.30 429.10<br />
45882 60.15 59.10<br />
45885 620.60 609.65<br />
45888 578.35 568.20<br />
45891 842.55 827.70<br />
45894 286.35 281.30<br />
45897 1,495.20 1,468.85<br />
45900 337.30 331.35<br />
45939 625.30 614.25<br />
45945 166.20 163.10<br />
45975 180.70 177.55<br />
45978 220.75 216.90<br />
45981 119.80 117.70<br />
45984 862.45 847.25<br />
45987 862.45 847.25<br />
45990 1,177.85 1,157.20<br />
45993 1,177.85 1,157.20<br />
45996 334.05 328.10<br />
46300 436.35<br />
46303 563.85<br />
46306 881.50<br />
46307 866.95<br />
46309 927.15<br />
46312 1,164.70<br />
RMFS<br />
Out<br />
Hospital %<br />
46 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
46315 1,374.70<br />
46318 1,896.25<br />
RMFS In<br />
Hospital %<br />
46321 2,344.30 1,860.15<br />
46324 1,253.70<br />
46325 1,399.20<br />
46327 284.00 279.10<br />
46330 487.30<br />
46333 895.35<br />
46336 366.60 361.80<br />
46339 676.95 640.50<br />
46342 651.55<br />
46345 740.15<br />
46348 375.40 335.90<br />
46351 619.35<br />
46354 835.80<br />
46357 1,003.70<br />
46360 1,015.85<br />
46363 292.15 289.35<br />
46366 178.95 175.70<br />
46369 294.35 289.35<br />
46372 722.90 587.95<br />
46375 886.65 697.55<br />
46378 1,125.90<br />
46381 420.40<br />
46384 420.40<br />
46387 964.50 852.70<br />
46390 1,258.30<br />
46393 1,683.20<br />
46396 418.15 452.85<br />
46399 808.85<br />
46402 729.05<br />
46405 883.05<br />
46408 1,054.95<br />
46411 567.60<br />
46414 735.50 723.25<br />
46417 649.30<br />
46420 285.90 281.15<br />
46423 457.80 449.50<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
46426 472.75<br />
RMFS In<br />
Hospital %<br />
46429 612.40 568.35<br />
46432 635.25<br />
46435 834.10<br />
46438 222.20 186.10<br />
46441 457.20 449.50<br />
46442 430.00<br />
46444 864.40<br />
46447 979.05<br />
46450 315.40<br />
46453 443.10<br />
46456 136.65 134.40<br />
46459 255.00 258.40<br />
46462 385.85 413.30<br />
46464 325.55 310.10<br />
46465 277.95 310.10<br />
46468 551.85<br />
46471 788.30 775.00<br />
46474 1,024.75<br />
46477 1,261.05<br />
46480 570.60 516.75<br />
46483 491.15 413.30<br />
46486 315.40<br />
46489 376.45<br />
46492 504.85<br />
46494 306.40 302.20<br />
46495 284.00 279.10<br />
46498 306.65 302.20<br />
46500 390.45 361.80<br />
46501 475.90 452.30<br />
46502 486.60 416.25<br />
46503 502.65 519.90<br />
46504 1,707.10 1,518.95<br />
46507 1,730.90<br />
46510 509.25<br />
46513 79.35 77.65<br />
46516 164.75<br />
46519 222.55 194.05<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 47
Item<br />
46522 623.90<br />
46525 73.00<br />
RMFS In<br />
Hospital %<br />
46528 232.15 232.90<br />
46531 118.95 117.00<br />
46534 285.55 323.55<br />
47000 102.70 97.10<br />
47003 100.95 116.50<br />
47006 247.20 233.95<br />
47009 252.90 232.90<br />
47012 492.05<br />
47015 100.90 116.50<br />
47018 273.85 271.50<br />
47021 382.60<br />
47024 325.20 271.50<br />
47027 390.70<br />
47030 310.35 271.50<br />
47033 382.60 362.20<br />
47036 105.70 116.50<br />
47039 164.75 155.05<br />
47042 159.95 155.05<br />
47045 218.70 207.15<br />
47048 432.80 446.25<br />
47051 599.00<br />
47054 419.90 446.25<br />
47057 162.75 174.55<br />
47060 245.90 232.90<br />
47063 368.90 349.25<br />
47066 492.05<br />
47069 102.70 97.10<br />
47072 123.10 129.15<br />
47300 123.35 116.50<br />
47303 126.00 135.90<br />
47306 164.75 155.05<br />
47309 212.30 194.05<br />
47312 227.35 174.55<br />
47315 209.20 200.55<br />
47318 245.90 232.90<br />
47321 304.80<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
47324 271.85 232.90<br />
47327 286.90 271.50<br />
47330 398.25 310.55<br />
47333 410.80<br />
47336 305.20 232.90<br />
47339 304.60 271.50<br />
47342 368.40 310.55<br />
47345 444.80<br />
47348 136.60 129.15<br />
47351 417.55 323.55<br />
47354 245.90 232.90<br />
47357 615.10 517.40<br />
47360 191.40 181.20<br />
47363 258.05 271.50<br />
47366 396.20 362.20<br />
47369 220.55 232.90<br />
47372 441.70 387.95<br />
47375 546.20<br />
47378 279.00 232.90<br />
47381 383.85<br />
47384 497.10<br />
47385 479.65<br />
47386 654.45<br />
47387 466.50 375.00<br />
47390 612.85<br />
47393 780.05<br />
47396 273.80 258.60<br />
47399 573.35<br />
47402 409.70 387.95<br />
47405 273.80 258.60<br />
47408 534.55<br />
47411 150.20 155.05<br />
47414 328.00 310.55<br />
47417 381.40 362.20<br />
47420 751.60<br />
47423 313.35 297.45<br />
47426 479.75<br />
47429 628.50<br />
RMFS<br />
Out<br />
Hospital %<br />
48 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
47432 669.70<br />
RMFS In<br />
Hospital %<br />
47435 597.50 569.20<br />
47438 956.55<br />
47441 1,394.05<br />
47444 346.60 310.55<br />
47447 514.30<br />
47450 572.85<br />
47451 776.50<br />
47453 363.30 362.20<br />
47456 618.75<br />
47459 774.30<br />
47462 153.50 155.05<br />
47465 327.25 310.55<br />
47466 164.75 155.05<br />
47467 316.40<br />
47468 628.50 594.90<br />
47471 62.40 59.10<br />
47474 255.10 258.60<br />
47477 318.05 323.55<br />
47480 855.10<br />
47483 792.70<br />
47486 1,274.20<br />
47489 2,049.30<br />
47492 334.60 323.55<br />
47495 745.60 646.70<br />
47498 1,101.60<br />
47501 1,406.15<br />
47504 2,435.00 1,940.20<br />
47507 2,363.65<br />
47510 2,534.35<br />
47513 546.45<br />
47516 578.15 594.90<br />
47519 1,389.50<br />
47522 1,084.20<br />
47525 1,299.95<br />
47528 1,076.30<br />
47531 1,421.20<br />
47534 1,582.50<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
47537 587.50 594.90<br />
47540 314.10 297.45<br />
47543 329.15 310.55<br />
47546 492.05 465.60<br />
47549 597.90<br />
47552 544.80 517.40<br />
47555 927.40<br />
47558 1,251.20<br />
47561 461.00 375.00<br />
47564 638.75 562.70<br />
47565 1,070.85<br />
47566 1,372.30<br />
47567 710.15 653.10<br />
47570 906.35 750.15<br />
47573 1,150.05<br />
47576 134.20 155.05<br />
47579 219.75 219.90<br />
47582 411.10<br />
47585 653.10<br />
47588 2,119.95<br />
47591 2,735.45<br />
47594 288.40 297.45<br />
47597 497.45 446.25<br />
47600 647.95<br />
47603 857.50<br />
47606 303.25 323.55<br />
47609 512.35 485.05<br />
47612 515.00 562.70<br />
47615 678.50 646.70<br />
47618 817.95<br />
47621 756.15 562.70<br />
47624 993.95<br />
47627 232.45 219.90<br />
47630 436.20 465.60<br />
47633 161.50 155.05<br />
47636 269.25 232.90<br />
47639 309.70 310.55<br />
47642 218.70 207.15<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 49
Item<br />
RMFS In<br />
Hospital %<br />
47645 329.85 310.55<br />
47648 419.80<br />
47651 341.65 323.55<br />
47654 512.35 485.05<br />
47657 840.95<br />
47663 204.90 194.05<br />
47666 293.95 323.55<br />
47672 162.20 155.05<br />
47678 245.90 232.90<br />
47681 62.40 59.10<br />
47684 1,091.95 1,034.90<br />
47687 1,912.65<br />
47690 1,381.60<br />
47693 1,580.70<br />
47696 509.95<br />
47699 2,484.10<br />
47702 2,994.45<br />
47703 62.40 59.10<br />
47705 409.70<br />
47708 314.10 297.45<br />
47711 444.40<br />
47714 348.40<br />
47717 615.10<br />
47720 615.10 582.20<br />
47723 615.10 582.20<br />
47726 204.90<br />
47729 341.65<br />
47732 546.45<br />
47735 64.75 59.15<br />
47738 383.20 323.55<br />
47741 718.40<br />
47753 590.25<br />
47756 579.75<br />
47762 445.20 328.10<br />
47765 631.25<br />
47768 637.05<br />
47771 975.00<br />
47774 632.20<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
47777 632.20<br />
47780 696.85<br />
RMFS In<br />
Hospital %<br />
47783 821.80 778.15<br />
47786 1,168.70<br />
47789 1,043.40<br />
47900 234.05 232.90<br />
47903 313.55 323.55<br />
47904 82.30 77.65<br />
47906 133.40<br />
47912 82.30 77.65<br />
47915 232.70 232.90<br />
47916 116.00 117.00<br />
47918 315.85 323.55<br />
47920 552.65<br />
47921 164.75 155.05<br />
47924 54.90 51.75<br />
47927 190.00<br />
47930 319.35<br />
47933 300.65 284.45<br />
47936 368.90<br />
47948 240.65<br />
47951 273.80 258.60<br />
47954 539.80 517.40<br />
47957 409.70<br />
47960 191.40 181.20<br />
47963 314.10 297.45<br />
47966 628.50<br />
47969 382.60<br />
47972 305.60<br />
47975 535.65<br />
47978 364.25<br />
47981 218.30 206.85<br />
47982 490.85<br />
48200 1,093.10<br />
48203 1,378.65<br />
48206 820.60<br />
48209 1,052.10<br />
48212 820.60<br />
RMFS<br />
Out<br />
Hospital %<br />
50 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
48215 1,011.65<br />
48218 963.75<br />
48221 1,384.05<br />
48224 546.45<br />
48227 719.65<br />
48230 688.95<br />
48233 1,108.95<br />
48236 1,158.60<br />
48239 642.10<br />
48242 1,102.65<br />
48400 405.45<br />
48403 725.00<br />
48406 478.35<br />
48409 728.55<br />
48412 791.85<br />
48415 1,157.45<br />
48418 755.35<br />
48421 1,404.95<br />
48424 934.35<br />
48427 1,243.55<br />
48500 467.45<br />
48503 458.80<br />
48506 641.90<br />
48509 296.55<br />
48512 1,633.55<br />
48600 136.60<br />
48603 204.90<br />
48606 2,261.70<br />
48612 4,135.60<br />
48613 5,371.20<br />
48615 578.00<br />
48618 3,527.85<br />
48621 2,322.85<br />
48624 2,869.40<br />
48627 4,292.00<br />
48630 4,508.90<br />
48632 2,121.05<br />
RMFS In<br />
Hospital %<br />
RMFS<br />
Out<br />
Hospital %<br />
48636 1,049.15 1,112.25<br />
Item<br />
48639 1,781.65<br />
48640 5,429.15<br />
48642 1,161.40<br />
48645 1,571.20<br />
48648 1,571.20<br />
48651 2,272.60<br />
48654 1,571.20<br />
48657 2,586.50<br />
48660 1,865.25<br />
48663 1,174.85<br />
48666 763.50<br />
48669 2,117.75<br />
48672 1,295.90<br />
48675 851.90<br />
48678 820.60<br />
48681 1,366.25<br />
48684 1,366.25<br />
48687 1,912.65<br />
48690 2,186.05<br />
RMFS In<br />
Hospital %<br />
48691 2,354.50 2,464.30<br />
48692 1,587.00 1,661.00<br />
48693 767.65 803.35<br />
48900 398.45 387.95<br />
48903 735.10<br />
48906 679.00<br />
48909 1,297.60<br />
48912 478.35 452.85<br />
48915 1,231.30<br />
48918 2,685.10<br />
48921 2,649.90<br />
48924 2,863.10<br />
48927 532.75<br />
48930 1,259.35<br />
48933 1,781.60<br />
48936 1,169.45<br />
48939 1,592.70<br />
48942 2,127.35<br />
48945 396.25<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 51
Item<br />
48948 844.65<br />
48951 1,519.55<br />
48954 1,702.50<br />
48957 1,843.35<br />
48960 1,578.20<br />
49100 478.35<br />
49103 1,228.95<br />
RMFS In<br />
Hospital %<br />
49106 1,421.95 1,293.50<br />
49109 1,208.80<br />
49112 1,011.95<br />
49115 1,815.40<br />
49116 2,088.90<br />
49117 2,506.45<br />
49118 396.25<br />
49121 947.30<br />
49200 1,297.85<br />
49203 960.70<br />
49206 819.75<br />
49209 1,254.15<br />
49210 1,392.80<br />
49211 1,671.35<br />
49212 341.65<br />
49215 1,097.30<br />
49218 430.85<br />
49221 1,081.90<br />
49224 1,140.30<br />
49227 1,263.55<br />
49300 806.15<br />
49303 733.40<br />
49306 1,700.95<br />
49309 1,027.85<br />
49312 1,683.15<br />
49315 1,277.30<br />
49318 2,165.35<br />
49319 4,224.95<br />
49321 2,528.60<br />
49324 2,687.55<br />
49327 3,357.65<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
49330 3,292.20<br />
49333 3,912.85<br />
49336 519.10<br />
49339 4,425.75<br />
49342 4,555.00<br />
49345 4,522.10<br />
49346 1,237.95<br />
49360 472.10<br />
RMFS In<br />
Hospital %<br />
49363 546.35 569.10<br />
49366 956.75<br />
49500 546.45<br />
49503 675.70<br />
49506 1,095.95<br />
49509 1,093.10<br />
49512 1,529.80<br />
49515 1,416.90<br />
49517 2,053.00<br />
49518 2,178.00<br />
49519 3,875.00<br />
49521 2,585.60<br />
49524 2,992.65<br />
49527 2,520.50<br />
49530 2,888.85<br />
49533 3,291.95<br />
49534 716.45<br />
49536 1,508.60<br />
49539 1,678.45<br />
49542 2,297.50<br />
49545 1,093.10<br />
49548 1,354.35<br />
49551 2,253.00<br />
49554 2,436.45<br />
49557 393.75<br />
49558 450.90<br />
49559 666.90<br />
49560 921.80<br />
49561 1,122.40<br />
49562 1,272.90<br />
RMFS<br />
Out<br />
Hospital %<br />
52 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
49563 1,279.25<br />
49564 1,525.10<br />
49566 1,193.20<br />
49569 960.00<br />
49700 396.25<br />
49703 1,010.45<br />
49706 478.35<br />
49709 1,024.70<br />
49712 1,337.30<br />
49715 1,914.30<br />
49716 1,955.80<br />
49717 2,346.95<br />
49718 606.90<br />
RMFS In<br />
Hospital %<br />
49721 341.65 323.55<br />
49724 1,088.95<br />
49727 409.70<br />
49728 740.65<br />
49800 191.40 181.20<br />
49803 220.25 232.90<br />
49806 191.40 181.20<br />
49809 314.10<br />
49812 628.50<br />
49815 1,316.35<br />
49818 380.45<br />
49821 644.20<br />
49824 1,238.55<br />
49827 683.10<br />
49830 1,195.55<br />
49833 786.30<br />
49836 1,460.55<br />
49837 939.40<br />
49838 1,971.35<br />
49839 751.60<br />
49842 1,681.65<br />
49845 715.30<br />
49848 232.45 219.90<br />
49851 300.65<br />
49854 567.60<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
49857 528.15<br />
49860 409.70<br />
49863 615.10<br />
49866 444.05<br />
RMFS In<br />
Hospital %<br />
49878 82.30 77.65<br />
50100 337.75 375.00<br />
50102 991.15<br />
50103 478.35<br />
50104 453.35 429.10<br />
50106 588.75<br />
50109 683.10<br />
50112 436.00<br />
50115 193.55<br />
50118 628.50<br />
50121 1,229.75<br />
50127 1,087.25<br />
50130 453.35<br />
50200 273.30 258.60<br />
50201 477.75<br />
50203 640.85 569.20<br />
50206 1,000.50<br />
50209 1,030.75<br />
50212 2,326.35<br />
50215 2,487.00<br />
50218 4,057.00<br />
50221 3,470.90<br />
50224 4,654.05 3,880.40<br />
50227 4,949.25<br />
50230 2,625.35<br />
50233 3,292.35<br />
50236 2,286.05<br />
50239 1,630.95<br />
50300 1,386.30<br />
50303 2,293.75<br />
50306 3,581.35 3,390.70<br />
50309 372.85<br />
50312 1,046.45<br />
50315 976.60<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 53
Item<br />
50318 1,157.45<br />
50321 1,380.00<br />
50324 2,011.80<br />
50327 2,643.25<br />
50330 292.65<br />
50333 922.00<br />
50336 1,350.55<br />
50339 815.00<br />
50342 1,047.50<br />
50345 443.50<br />
50348 293.00<br />
RMFS In<br />
Hospital %<br />
50349 464.60 439.90<br />
50351 2,316.95<br />
50352 90.80 77.65<br />
50353 539.10<br />
50354 1,901.35 1,800.00<br />
50357 815.00<br />
50360 982.30<br />
50363 724.45<br />
50366 1,284.55<br />
50369 945.65<br />
50372 1,614.80<br />
50375 724.45<br />
50378 1,267.70<br />
50381 945.65<br />
50384 1,775.55<br />
50387 945.65<br />
50390 332.00<br />
50393 1,227.35<br />
50394 4,610.40<br />
50396 745.85<br />
50399 1,338.10<br />
50402 659.80<br />
50405 1,002.30<br />
50408 1,589.70<br />
50411 1,901.35 1,800.00<br />
50414 2,565.20 2,428.55<br />
RMFS<br />
Out<br />
Hospital %<br />
50417 1,901.35 1,800.00<br />
Item<br />
50420 1,569.45<br />
RMFS In<br />
Hospital %<br />
50423 1,448.80 1,371.55<br />
50426 738.65<br />
50450 1,645.30<br />
50451 1,645.30<br />
50455 1,863.15<br />
50456 1,863.15<br />
50460 2,781.65<br />
50461 2,781.65<br />
50465 3,917.95<br />
50466 3,917.95<br />
50470 4,968.90<br />
50471 4,968.90<br />
50475 5,733.65<br />
50476 5,733.65<br />
50500 371.00 380.10<br />
50504 494.95 507.05<br />
50508 530.10 543.10<br />
50512 707.25<br />
50516 477.30 488.90<br />
50520 636.25<br />
50524 547.80<br />
50528 883.70<br />
50532 768.95<br />
50536 1,025.05<br />
50540 707.25<br />
50544 353.55 362.20<br />
50548 707.25<br />
50552 609.90<br />
50556 812.85<br />
50560 636.25<br />
50564 848.50<br />
50568 742.55<br />
50572 989.85<br />
50576 812.85 832.90<br />
50580 848.50<br />
50584 812.85<br />
50588 1,060.45<br />
RMFS<br />
Out<br />
Hospital %<br />
54 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
50600 583.00 597.25<br />
50604 2,474.20<br />
50608 4,595.45<br />
50612 6,536.45<br />
50616 830.60<br />
50620 4,595.45<br />
50624 4,595.45<br />
50628 5,676.55<br />
50632 4,772.00<br />
50636 5,302.25<br />
50640 2,931.10<br />
50644 2,827.95<br />
50650 556.25 569.80<br />
50654 666.15<br />
50658 265.20 271.70<br />
50950 1,186.00 1,122.60<br />
50952 1,186.00 1,122.60<br />
51300 122.40 118.60<br />
51303 D D<br />
51306 199.80 171.30<br />
51309 D D<br />
51312 D D<br />
51315 378.20 374.25<br />
51318 237.10 247.00<br />
51700 111.70 117.55<br />
51703 62.30 59.10<br />
51800 120.75 118.60<br />
51803 D D<br />
51900 406.20 447.95<br />
51902 113.50 101.50<br />
51904 610.20 624.90<br />
51906 968.30 950.40<br />
52000 115.55 113.35<br />
52003 164.55 161.50<br />
52006 164.55 161.50<br />
52009 251.10 255.05<br />
52010 304.00 348.95<br />
52012 32.90 32.30<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
52015 153.95 151.00<br />
52018 348.05 380.35<br />
52021 41.35 40.50<br />
52024 73.15 71.75<br />
52025 257.45 252.65<br />
52027 269.55 205.75<br />
52030 120.90 123.65<br />
52033 253.50 252.65<br />
52034 60.10 59.10<br />
52035 666.30 654.10<br />
52036 167.70 174.40<br />
52039 403.65 447.95<br />
52042 241.45 237.05<br />
52045 301.85 338.70<br />
52048 537.30 510.40<br />
52051 630.20 690.10<br />
52054 1,004.35 807.35<br />
52055 37.60<br />
52056 42.60 37.60<br />
52057 205.90<br />
52058 332.55 326.45<br />
52059 374.60 367.75<br />
52060 242.00 260.20<br />
52061 313.00 307.25<br />
52062 413.95 406.30<br />
52063 502.45 489.60<br />
52064 306.25 232.90<br />
52066 623.45 611.95<br />
52069 370.85 272.75<br />
52072 82.35 80.80<br />
52073 209.65 205.75<br />
52075 206.40 205.75<br />
52078 510.85 406.30<br />
52081 65.20 63.95<br />
52084 159.30 164.15<br />
52087 327.70 281.30<br />
52090 454.70 489.60<br />
52092 650.10 638.20<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 55
Item<br />
RMFS In<br />
Hospital %<br />
52094 789.85 807.25<br />
52095 532.90 523.20<br />
52096 158.10 155.05<br />
52097 275.65 219.90<br />
52098 263.50 258.60<br />
52099 175.15 194.05<br />
52102 197.75<br />
52105 369.00 362.20<br />
52106 204.10<br />
52108 434.20 447.95<br />
52111 472.15 447.95<br />
52114 916.20 807.35<br />
52117 1,132.90 961.00<br />
52120 1,153.90 1,136.60<br />
52122 1,322.60 1,136.60<br />
52123 1,310.70 1,286.75<br />
52126 1,260.15 1,237.15<br />
52129 1,686.80 1,656.10<br />
52130 649.60 607.90<br />
52131 929.90 840.70<br />
52132 334.35 342.05<br />
52133 127.40 125.10<br />
52135 191.85<br />
52138 623.45 616.30<br />
52141 636.20 609.65<br />
52144 578.75 568.20<br />
52147 546.20 536.15<br />
52148 965.35 947.75<br />
52158 1,554.25 1,525.95<br />
52180 321.80 258.60<br />
52182 635.10 569.20<br />
52184 933.30 840.70<br />
52186 1,054.15 1,034.90<br />
52300 345.85 390.70<br />
52303 568.15 557.90<br />
52306 843.20 827.70<br />
52309 286.55 281.30<br />
52312 398.00 390.70<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
52315 616.80 650.90<br />
52318 197.75 194.05<br />
52319 329.10 323.55<br />
52321 665.40 650.90<br />
52324 663.15 650.90<br />
52327 329.10 322.95<br />
52330 1,290.70 1,074.30<br />
52333 1,094.40 1,074.30<br />
52336 657.80 671.55<br />
52337 1,310.40 1,468.85<br />
52339 779.10 764.70<br />
52342 1,484.95 1,328.25<br />
52345 1,525.75 1,498.00<br />
52348 2,057.35 1,692.75<br />
52351 1,936.35 1,901.00<br />
52354 2,077.30 1,927.20<br />
52357 2,962.55 2,169.65<br />
52360 2,254.55 2,213.40<br />
52363 2,536.25 2,490.05<br />
52366 2,480.20 2,434.95<br />
52369 2,788.60 2,737.80<br />
52372 2,705.85 2,656.50<br />
52375 3,030.80 2,975.50<br />
52378 1,234.80 1,028.60<br />
52379 1,715.30 1,757.85<br />
52380 3,048.90 2,993.20<br />
52382 3,654.70 3,588.10<br />
52420 337.60 331.35<br />
52424 662.90 650.75<br />
52430 1,525.75 1,498.00<br />
52440 757.65 743.75<br />
52442 947.30 929.90<br />
52444 1,052.30 1,033.00<br />
52446 1,241.95 1,219.35<br />
52450 421.00 413.25<br />
52452 684.00 671.55<br />
52456 1,157.65 1,136.60<br />
52458 421.00 413.25<br />
RMFS<br />
Out<br />
Hospital %<br />
56 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
RMFS In<br />
Hospital %<br />
52460 1,094.40 1,074.30<br />
52480 703.00 690.10<br />
52482 676.30 663.95<br />
52484 805.10 790.40<br />
52600 480.30 464.90<br />
52603 384.50 444.30<br />
52606 344.85 338.95<br />
52609 452.60 444.30<br />
52612 568.15 557.90<br />
52615 705.20 692.25<br />
52618 757.60 805.80<br />
52621 820.75 805.80<br />
52624 829.70 650.75<br />
52626 406.55 399.15<br />
52627 694.05 692.25<br />
52630 261.05 256.20<br />
52633 705.20 692.25<br />
52636 283.55 256.20<br />
52800 387.20 380.35<br />
52803 637.15 547.55<br />
52806 387.20 380.35<br />
52809 663.15 650.90<br />
52812 988.55 929.90<br />
52815 1,277.40 981.50<br />
52818 786.85 650.90<br />
52821 1,441.70 1,415.40<br />
52824 558.20 609.65<br />
52826 332.55 326.45<br />
52828 494.65 485.45<br />
52830 652.30 640.40<br />
52832 894.55 878.25<br />
53000 45.55 44.75<br />
53003 128.85<br />
53004 47.05 48.95<br />
53006 656.00 716.20<br />
53009 413.95 406.30<br />
53012 164.55 161.50<br />
53015 729.10 807.35<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
53016 676.30 663.95<br />
53017 847.65 828.25<br />
53019 812.80 798.10<br />
53052 171.95 168.80<br />
53054 171.90 168.80<br />
53056 100.75 98.85<br />
53058 171.90 168.80<br />
53060 140.70 138.15<br />
53062 126.00 123.65<br />
53064 228.15 223.90<br />
53068 188.85 187.55<br />
53070 249.20 244.65<br />
53200 99.00 97.10<br />
53203 166.40 163.10<br />
53206 185.50<br />
53209 2,307.75 2,265.70<br />
53212 1,246.75 1,223.95<br />
53215 571.85 561.55<br />
53218 914.00 898.25<br />
53220 460.85 452.85<br />
53221 1,265.15 1,198.50<br />
53224 1,173.70 1,328.55<br />
53225 450.30 399.15<br />
53226 437.30 429.10<br />
53227 1,624.25 1,632.50<br />
53230 1,737.35 1,838.90<br />
53233 2,104.80 2,066.40<br />
53236 657.60 646.70<br />
53239 657.60 646.70<br />
53242 437.30 429.10<br />
53400 180.85 177.55<br />
53403 221.00 216.90<br />
53406 546.95 558.70<br />
53409 479.95 558.70<br />
53410 154.80 117.70<br />
53411 386.40 328.10<br />
53412 610.10 538.75<br />
53413 670.55 660.00<br />
RMFS<br />
Out<br />
Hospital %<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 57
Item<br />
RMFS In<br />
Hospital %<br />
53414 772.20 758.20<br />
53415 622.10 598.60<br />
53416 609.90 598.60<br />
53418 926.55 778.15<br />
53419 792.65 778.15<br />
53422 1,081.95 987.50<br />
53423 1,178.50 987.50<br />
53424 947.55 847.25<br />
53425 939.35 847.25<br />
53427 1,178.70 1,157.20<br />
53429 1,288.65 1,157.20<br />
53439 334.35 328.10<br />
53453 676.30 663.95<br />
53455 794.45 779.90<br />
53458 60.15 59.15<br />
53459 306.45 323.55<br />
53460 672.20 660.00<br />
53600 58.80 53.50<br />
53700 212.65 171.50<br />
53702 94.10 85.90<br />
53704 56.70 51.75<br />
53706 188.10 171.50<br />
75150 121.45 117.55<br />
75153 61.00 59.10<br />
75156 108.20 104.80<br />
75200 78.00 75.50<br />
75203 116.95 113.30<br />
75206 38.80 37.60<br />
75400 233.90 226.40<br />
75403 268.50 260.00<br />
75406 306.10 296.35<br />
RMFS<br />
Out<br />
Hospital %<br />
Item<br />
RMFS In<br />
Hospital %<br />
75409 346.55 335.60<br />
75412 193.60 187.40<br />
75415 233.90 226.40<br />
75600 329.30 318.80<br />
75603 386.95 374.75<br />
75606 386.95 374.75<br />
75609 577.70 559.40<br />
75612 714.85 692.25<br />
75615 264.65 256.20<br />
75618 328.70 318.25<br />
75621 328.70 318.25<br />
75800 116.95 113.30<br />
75803 467.85 453.05<br />
75806 548.70 531.40<br />
75809 653.20 629.20<br />
75812 721.90 699.10<br />
75815 880.80 853.05<br />
75818 1,039.50 1,006.70<br />
75821 837.30 810.85<br />
75824 967.30 936.75<br />
75827 1,111.70 1,076.85<br />
75830 1,227.30 1,188.55<br />
75833 1,501.45 1,454.05<br />
75836 1,554.55 1,663.85<br />
75839 35.20 37.60<br />
75842 52.40 56.00<br />
75845 261.55 279.80<br />
75848 313.55 335.60<br />
75851 156.85 167.80<br />
75854 156.85 167.80<br />
RMFS<br />
Out<br />
Hospital %<br />
58 1 NOVEMBER 2011 – 31 OCTOBER 2012
RELATIVE VALUE GUIDE<br />
RELATIVE VALUE GUIDE FEE SCHEDULE<br />
1 November 2011<br />
The Relative Value Guide (RVG) lists fees <strong>for</strong> In Hospital anaesthetic services.<br />
The RVG basic unit cost has been reviewed to $32.05.<br />
In addition all medical practitioners will be paid RVG fees where they have qualifications<br />
updated with Medicare Australia.<br />
For items not listed in the RVG <strong>Fee</strong> Schedule please refer to the appropriate schedule in<br />
this booklet.<br />
• For medical attendances and consultations provided by general practitioners<br />
participating in DVA’s Local <strong>Medical</strong> Officer Scheme, please use the Local <strong>Medical</strong><br />
Officer <strong>Fee</strong> Schedule <strong>for</strong> the relevant fees.<br />
• For derived fees <strong>for</strong> Local <strong>Medical</strong> Officers, please use the Derived <strong>Fee</strong>s <strong>for</strong> Local<br />
<strong>Medical</strong> Officers <strong>Fee</strong> Schedule.<br />
• For all specialist attendances and consultations, investigative and general medical<br />
procedures claim from the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule.<br />
• For diagnostic imaging services claim from the Diagnostic Imaging <strong>Fee</strong> Schedule.<br />
• For pathology services claim from the Pathology <strong>Fee</strong> Schedule.<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 59
RELATIVE VALUE GUIDE<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
20100 160.25<br />
20355 384.60<br />
20690 160.25<br />
20845 320.50<br />
20102 192.30<br />
20400 96.15<br />
20700 96.15<br />
20846 320.50<br />
20104 128.20<br />
20401 128.20<br />
20702 128.20<br />
20847 320.50<br />
20120 160.25<br />
20402 160.25<br />
20703 128.20<br />
20848 320.50<br />
20124 128.20<br />
20403 160.25<br />
20704 320.50<br />
20850 384.60<br />
20140 160.25<br />
20404 192.30<br />
20705 192.30<br />
20855 480.75<br />
20142 192.30<br />
20405 256.40<br />
20706 224.35<br />
20860 192.30<br />
20143 192.30<br />
20406 416.65<br />
20730 160.25<br />
20862 224.35<br />
20144 256.40<br />
20410 160.25<br />
20740 160.25<br />
20863 320.50<br />
20145 256.40<br />
20420 160.25<br />
20745 192.30<br />
20864 320.50<br />
20146 160.25<br />
20440 128.20<br />
20750 128.20<br />
20866 320.50<br />
20147 192.30<br />
20450 160.25<br />
20752 192.30<br />
20867 320.50<br />
20148 128.20<br />
20452 192.30<br />
20754 224.35<br />
20868 320.50<br />
20160 192.30<br />
20470 192.30<br />
20756 288.45<br />
20880 480.75<br />
20162 224.35<br />
20472 320.50<br />
20770 480.75<br />
20882 320.50<br />
20164 128.20<br />
20474 416.65<br />
20790 256.40<br />
20884 160.25<br />
20170 192.30<br />
20475 320.50<br />
20791 320.50<br />
20886 192.30<br />
20172 224.35<br />
20500 480.75<br />
20792 416.65<br />
20900 96.15<br />
20174 288.45<br />
20520 192.30<br />
20793 480.75<br />
20902 128.20<br />
20176 320.50<br />
20522 128.20<br />
20794 384.60<br />
20904 224.35<br />
20190 160.25<br />
20524 128.20<br />
20798 320.50<br />
20905 320.50<br />
20192 320.50<br />
20526 320.50<br />
20799 192.30<br />
20906 128.20<br />
20210 480.75<br />
20528 256.40<br />
20800 96.15<br />
20910 128.20<br />
20212 160.25<br />
20540 416.65<br />
20802 160.25<br />
20911 160.25<br />
20214 288.45<br />
20542 480.75<br />
20803 128.20<br />
20912 160.25<br />
20216 641.00<br />
20546 480.75<br />
20804 320.50<br />
20914 224.35<br />
20220 320.50<br />
20548 480.75<br />
20805 192.30<br />
20916 224.35<br />
20222 192.30<br />
20560 641.00<br />
20806 224.35<br />
20920 128.20<br />
20225 384.60<br />
20600 320.50<br />
20810 128.20<br />
20924 128.20<br />
20230 384.60<br />
20604 416.65<br />
20815 192.30<br />
20926 128.20<br />
20300 160.25<br />
20620 320.50<br />
20820 160.25<br />
20928 192.30<br />
20305 480.75<br />
20622 416.65<br />
20830 128.20<br />
20930 128.20<br />
20320 192.30<br />
20630 256.40<br />
20832 192.30<br />
20932 128.20<br />
20321 320.50<br />
20632 224.35<br />
20840 192.30<br />
20934 192.30<br />
20330 256.40<br />
20634 320.50<br />
20841 256.40<br />
20936 256.40<br />
20350 320.50<br />
20670 416.65<br />
20842 128.20<br />
20938 128.20<br />
20352 160.25<br />
20680 96.15<br />
20844 320.50<br />
20940 128.20<br />
60 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
20942 160.25<br />
21270 256.40<br />
21530 480.75<br />
21820 96.15<br />
20943 128.20<br />
21272 128.20<br />
21532 256.40<br />
21830 128.20<br />
20944 192.30<br />
21274 192.30<br />
21535 320.50<br />
21832 224.35<br />
20946 256.40<br />
21275 320.50<br />
21600 96.15<br />
21834 128.20<br />
20948 128.20<br />
21280 480.75<br />
21610 160.25<br />
21840 256.40<br />
20950 160.25<br />
21300 96.15<br />
21620 128.20<br />
21842 192.30<br />
20952 128.20<br />
21321 128.20<br />
21622 160.25<br />
21850 128.20<br />
20953 160.25<br />
21340 128.20<br />
21630 160.25<br />
21860 96.15<br />
20954 320.50<br />
21360 160.25<br />
21632 192.30<br />
21865 320.50<br />
20956 128.20<br />
21380 96.15<br />
21634 288.45<br />
21870 480.75<br />
20958 160.25<br />
21382 128.20<br />
21636 480.75<br />
21872 256.40<br />
20960 224.35<br />
21390 96.15<br />
21638 320.50<br />
21878 96.15<br />
21100 96.15<br />
21392 128.20<br />
21650 256.40<br />
21879 160.25<br />
21110 160.25<br />
21400 128.20<br />
21652 320.50<br />
21880 224.35<br />
21112 128.20<br />
21402 224.35<br />
21654 256.40<br />
21881 288.45<br />
21114 160.25<br />
21403 320.50<br />
21656 320.50<br />
21882 352.55<br />
21116 192.30<br />
21404 160.25<br />
21670 128.20<br />
21883 416.65<br />
21120 192.30<br />
21420 96.15<br />
21680 96.15<br />
21884 480.75<br />
21130 96.15<br />
21430 128.20<br />
21682 128.20<br />
21885 544.85<br />
21140 480.75<br />
21432 160.25<br />
21685 320.50<br />
21886 608.95<br />
21150 320.50<br />
21440 256.40<br />
21700 96.15<br />
21887 673.05<br />
21155 320.50<br />
21445 320.50<br />
21710 128.20<br />
21900 96.15<br />
21160 128.20<br />
21460 96.15<br />
21712 160.25<br />
21906 160.25<br />
21170 256.40<br />
21461 128.20<br />
21714 160.25<br />
21908 192.30<br />
21195 96.15<br />
21462 96.15<br />
21716 160.25<br />
21910 288.45<br />
21199 128.20<br />
21464 128.20<br />
21730 96.15<br />
21912 160.25<br />
21200 128.20<br />
21472 160.25<br />
21732 128.20<br />
21914 192.30<br />
21202 128.20<br />
21474 160.25<br />
21740 160.25<br />
21915 160.25<br />
21210 192.30<br />
21480 128.20<br />
21756 192.30<br />
21916 160.25<br />
21212 320.50<br />
21482 160.25<br />
21760 224.35<br />
21918 160.25<br />
21214 320.50<br />
21484 160.25<br />
21770 256.40<br />
21922 224.35<br />
21216 448.70<br />
21486 224.35<br />
21772 192.30<br />
21925 128.20<br />
21220 128.20<br />
21490 96.15<br />
21780 128.20<br />
21926 160.25<br />
21230 192.30<br />
21500 256.40<br />
21785 320.50<br />
21927 160.25<br />
21232 160.25<br />
21502 192.30<br />
21790 480.75<br />
21930 192.30<br />
21234 256.40<br />
21520 128.20<br />
21800 96.15<br />
21935 160.25<br />
21260 128.20<br />
21522 160.25<br />
21810 128.20<br />
21936 192.30<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 61
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
21939 96.15<br />
22060 641.00<br />
23118 576.90<br />
23510 1,762.75<br />
21941 224.35<br />
22065 160.25<br />
23119 608.95<br />
23520 1,794.80<br />
21942 320.50<br />
22070 320.50<br />
23121 641.00<br />
23530 1,826.85<br />
21943 160.25<br />
22075 480.75<br />
23170 673.05<br />
23540 1,858.90<br />
21945 160.25<br />
22900 192.30<br />
23180 705.10<br />
23550 1,890.95<br />
21949 160.25<br />
22905 192.30<br />
23190 737.15<br />
23560 1,923.00<br />
21952 320.50<br />
23010 32.05<br />
23200 769.20<br />
23570 1,955.05<br />
21955 160.25<br />
23021 64.10<br />
23210 801.25<br />
23580 1,987.10<br />
21959 160.25<br />
23022 64.10<br />
23220 833.30<br />
23590 2,019.15<br />
21962 160.25<br />
23023 64.10<br />
23230 865.35<br />
23600 2,051.20<br />
21965 160.25<br />
23031 96.15<br />
23240 897.40<br />
23610 2,083.25<br />
21969 256.40<br />
23032 96.15<br />
23250 929.45<br />
23620 2,115.30<br />
21970 480.75<br />
23033 96.15<br />
23260 961.50<br />
23630 2,147.35<br />
21973 160.25<br />
23041 128.20<br />
23270 993.55<br />
23640 2,179.40<br />
21976 160.25<br />
23042 128.20<br />
23280 1,025.60<br />
23650 2,211.45<br />
21980 160.25<br />
23043 128.20<br />
23290 1,057.65<br />
23660 2,243.50<br />
21981 128.20<br />
23051 160.25<br />
23300 1,089.70<br />
23670 2,275.55<br />
21990 96.15<br />
23052 160.25<br />
23310 1,121.75<br />
23680 2,307.60<br />
21992 128.20<br />
23053 160.25<br />
23320 1,153.80<br />
23690 2,339.65<br />
21997 128.20<br />
23061 192.30<br />
23330 1,185.85<br />
23700 2,371.70<br />
22001 96.15<br />
23062 192.30<br />
23340 1,217.90<br />
23710 2,403.75<br />
22002 128.20<br />
23063 192.30<br />
23350 1,249.95<br />
23720 2,435.80<br />
22007 128.20<br />
23071 224.35<br />
23360 1,282.00<br />
23730 2,467.85<br />
22008 128.20<br />
23072 224.35<br />
23370 1,314.05<br />
23740 2,499.90<br />
22012 96.15<br />
23073 224.35<br />
23380 1,346.10<br />
23750 2,531.95<br />
22014 96.15<br />
23081 256.40<br />
23390 1,378.15<br />
23760 2,564.00<br />
22015 192.30<br />
23082 256.40<br />
23400 1,410.20<br />
23770 2,596.05<br />
22018 224.35<br />
23083 256.40<br />
23410 1,442.25<br />
23780 2,628.10<br />
22020 128.20<br />
23091 288.45<br />
23420 1,474.30<br />
23790 2,660.15<br />
22025 128.20<br />
23101 320.50<br />
23430 1,506.35<br />
23800 2,692.20<br />
22031 160.25<br />
23111 352.55<br />
23440 1,538.40<br />
23810 2,724.25<br />
22036 96.15<br />
23112 384.60<br />
23450 1,570.45<br />
23820 2,756.30<br />
22040 64.10<br />
23113 416.65<br />
23460 1,602.50<br />
23830 2,788.35<br />
22045 96.15<br />
23114 448.70<br />
23470 1,634.55<br />
23840 2,820.40<br />
22050 64.10<br />
23115 480.75<br />
23480 1,666.60<br />
23850 2,852.45<br />
22051 288.45<br />
23116 512.80<br />
23490 1,698.65<br />
23860 2,884.50<br />
22055 384.60<br />
23117 544.85<br />
23500 1,730.70<br />
23870 2,916.55<br />
62 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
Item<br />
Relative<br />
Value<br />
Guide<br />
23880 2,948.60<br />
24103 3,429.35<br />
24118 3,910.10<br />
24133 4,390.85<br />
23890 2,980.65<br />
24104 3,461.40<br />
24119 3,942.15<br />
24134 4,422.90<br />
23900 3,012.70<br />
24105 3,493.45<br />
24120 3,974.20<br />
24135 4,454.95<br />
23910 3,044.75<br />
24106 3,525.50<br />
24121 4,006.25<br />
24136 4,487.00<br />
23920 3,076.80<br />
24107 3,557.55<br />
24122 4,038.30<br />
25000 32.05<br />
23930 3,108.85<br />
24108 3,589.60<br />
24123 4,070.35<br />
25005 64.10<br />
23940 3,140.90<br />
24109 3,621.65<br />
24124 4,102.40<br />
25010 96.15<br />
23950 3,172.95<br />
24110 3,653.70<br />
24125 4,134.45<br />
25015 32.05<br />
23960 3,205.00<br />
24111 3,685.75<br />
24126 4,166.50<br />
25020 64.10<br />
23970 3,237.05<br />
24112 3,717.80<br />
24127 4,198.55<br />
25025 D<br />
23980 3,269.10<br />
24113 3,749.85<br />
24128 4,230.60<br />
25030 D<br />
23990 3,301.15<br />
24114 3,781.90<br />
24129 4,262.65<br />
25050 D<br />
24100 3,333.20<br />
24115 3,813.95<br />
24130 4,294.70<br />
25200 D<br />
24101 3,365.25<br />
24116 3,846.00<br />
24131 4,326.75<br />
25205 D<br />
24102 3,397.30<br />
24117 3,878.05<br />
24132 4,358.80<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 63
DIAGNOSTIC IMAGING SERVICES<br />
DIAGNOSTIC IMAGING FEE SCHEDULE<br />
1 November 2011<br />
All medical practitioners will be paid 100% <strong>of</strong> the MBS <strong>for</strong> diagnostic imaging services,<br />
where they have the appropriate qualifications updated with Medicare Australia.<br />
Local <strong>Medical</strong> Officers claiming from the Diagnostic Imaging <strong>Fee</strong> Schedule can also claim<br />
the relevant Veterans Access Payment (VAP) on these items.<br />
For items not listed in the Diagnostic Imaging <strong>Fee</strong> schedule please refer to the appropriate<br />
schedule in this booklet.<br />
• For medical attendances and consultations provided by general practitioners<br />
participating in DVA’s Local <strong>Medical</strong> Officer Scheme, please use the Local <strong>Medical</strong><br />
<strong>Fee</strong> Schedule <strong>for</strong> the relevant fees.<br />
• For derived fees <strong>for</strong> Local <strong>Medical</strong> Officers, please use the Derived <strong>Fee</strong>s <strong>for</strong> Local<br />
<strong>Medical</strong> Officers <strong>Fee</strong> Schedule.<br />
• For all specialist attendances and consultations, investigative and general medical<br />
procedures claim from the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule.<br />
• For In Hospital anaesthetic services please use Relative Value Guide <strong>Fee</strong> Schedule.<br />
• For pathology services please use the Pathology <strong>Fee</strong> Schedule.<br />
64 1 NOVEMBER 2011 – 31 OCTOBER 2012
DIAGNOSTIC IMAGING SERVICES<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
55005 54.55<br />
55079 37.85<br />
55276 169.50<br />
55727 20.00<br />
55007 18.95<br />
55084 98.25<br />
55278 169.50<br />
55729 27.25<br />
55008 54.55<br />
55085 34.05<br />
55280 169.50<br />
55730 13.65<br />
55010 18.95<br />
55113 230.65<br />
55282 169.50<br />
55731 98.00<br />
55011 54.55<br />
55114 230.65<br />
55284 169.50<br />
55732 49.00<br />
55013 18.95<br />
55115 230.65<br />
55292 169.50<br />
55733 35.00<br />
55014 55.65<br />
55116 261.65<br />
55294 169.50<br />
55734 17.50<br />
55016 18.95<br />
55117 261.65<br />
55296 111.05<br />
55735 63.50<br />
55017 54.55<br />
55118 275.50<br />
55600 109.10<br />
55736 127.00<br />
55019 18.95<br />
55119 115.35<br />
55601 54.55<br />
55737 28.50<br />
55020 55.65<br />
55120 115.35<br />
55603 109.10<br />
55739 57.00<br />
55022 18.95<br />
55121 115.35<br />
55604 54.55<br />
55759 150.00<br />
55023 54.75<br />
55122 130.85<br />
55700 60.00<br />
55760 75.00<br />
55025 18.95<br />
55123 130.85<br />
55701 30.00<br />
55762 60.00<br />
55026 54.55<br />
55125 137.75<br />
55702 17.50<br />
55763 30.00<br />
55028 109.10<br />
55130 170.00<br />
55703 35.00<br />
55764 160.00<br />
55029 37.85<br />
55131 85.00<br />
55704 70.00<br />
55765 80.00<br />
55030 109.10<br />
55135 353.60<br />
55705 35.00<br />
55766 65.00<br />
55031 37.85<br />
55136 176.80<br />
55706 100.00<br />
55767 32.50<br />
55032 109.10<br />
55220 84.75<br />
55707 70.00<br />
55768 150.00<br />
55033 37.85<br />
55221 84.75<br />
55708 35.00<br />
55769 75.00<br />
55036 111.30<br />
55222 84.75<br />
55709 38.00<br />
55770 60.00<br />
55037 37.85<br />
55223 84.75<br />
55710 35.00<br />
55771 30.00<br />
55038 109.10<br />
55224 84.75<br />
55711 17.50<br />
55772 160.00<br />
55039 37.85<br />
55226 84.75<br />
55712 115.00<br />
55773 80.00<br />
55044 111.30<br />
55227 84.75<br />
55713 50.00<br />
55774 65.00<br />
55045 37.85<br />
55228 84.75<br />
55714 35.00<br />
55775 32.50<br />
55048 109.50<br />
55229 84.75<br />
55715 40.00<br />
55800 109.10<br />
55049 37.85<br />
55230 84.75<br />
55716 17.50<br />
55801 54.55<br />
55054 109.10<br />
55232 84.75<br />
55717 19.00<br />
55802 37.85<br />
55059 49.15<br />
55233 84.75<br />
55718 100.00<br />
55803 18.95<br />
55060 17.05<br />
55235 84.75<br />
55719 57.50<br />
55804 109.10<br />
55061 54.55<br />
55236 55.55<br />
55720 20.00<br />
55805 54.55<br />
55062 18.95<br />
55238 169.50<br />
55721 115.00<br />
55806 37.85<br />
55063 49.15<br />
55244 169.50<br />
55722 50.00<br />
55807 18.95<br />
55064 17.05<br />
55246 169.50<br />
55723 38.00<br />
55808 109.10<br />
55070 98.25<br />
55248 169.50<br />
55724 57.50<br />
55809 54.55<br />
55073 34.05<br />
55252 169.50<br />
55725 40.00<br />
55810 37.85<br />
55076 109.10<br />
55274 169.50<br />
55726 19.00<br />
55811 18.95<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 65
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
55812 109.10<br />
55851 76.45<br />
56230 177.45<br />
57007 567.75<br />
55813 54.55<br />
55852 109.10<br />
56231 177.45<br />
57041 233.40<br />
55814 37.85<br />
55853 54.55<br />
56232 177.45<br />
57047 283.90<br />
55815 18.95<br />
55854 37.85<br />
56233 240.00<br />
57201 155.20<br />
55816 109.10<br />
55855 18.95<br />
56234 351.40<br />
57247 77.55<br />
55817 54.55<br />
56001 195.05<br />
56235 122.45<br />
57341 470.00<br />
55818 37.85<br />
56007 250.00<br />
56236 177.45<br />
57345 241.60<br />
55819 18.95<br />
56010 252.10<br />
56237 240.00<br />
57350 510.00<br />
55820 109.10<br />
56013 250.00<br />
56238 351.40<br />
57351 510.00<br />
55821 54.55<br />
56016 290.00<br />
56239 122.45<br />
57355 264.15<br />
55822 37.85<br />
56022 225.00<br />
56240 177.45<br />
57356 264.15<br />
55823 18.95<br />
56025 113.15<br />
56259 164.80<br />
57360 700.00<br />
55824 109.10<br />
56026 56.60<br />
56301 295.00<br />
57361 350.00<br />
55825 54.55<br />
56028 336.80<br />
56307 400.00<br />
57506 29.75<br />
55826 37.85<br />
56030 225.00<br />
56341 149.45<br />
57509 39.75<br />
55827 18.95<br />
56036 336.80<br />
56347 202.00<br />
57512 40.50<br />
55828 109.10<br />
56041 98.75<br />
56401 250.00<br />
57515 54.00<br />
55829 54.55<br />
56047 126.10<br />
56407 360.00<br />
57518 32.50<br />
55830 37.85<br />
56050 128.20<br />
56409 250.00<br />
57521 43.40<br />
55831 18.95<br />
56053 128.20<br />
56412 360.00<br />
57524 49.40<br />
55832 109.10<br />
56056 155.45<br />
56441 126.80<br />
57527 65.75<br />
55833 54.55<br />
56062 113.15<br />
56447 181.50<br />
57529 14.90<br />
55834 37.85<br />
56068 168.40<br />
56449 126.80<br />
57530 19.90<br />
55835 18.95<br />
56070 113.15<br />
56452 181.50<br />
57532 20.25<br />
55836 109.10<br />
56076 168.40<br />
56501 385.00<br />
57533 27.00<br />
55837 54.55<br />
56101 230.00<br />
56507 480.05<br />
57535 16.25<br />
55838 37.85<br />
56107 340.00<br />
56541 193.15<br />
57536 21.70<br />
55839 18.95<br />
56141 116.45<br />
56547 243.75<br />
57538 24.70<br />
55840 109.10<br />
56147 171.60<br />
56552 600.00<br />
57539 32.90<br />
55841 54.55<br />
56219 326.20<br />
56554 600.00<br />
57700 40.50<br />
55842 37.85<br />
56220 240.00<br />
56619 220.00<br />
57702 20.25<br />
55843 18.95<br />
56221 240.00<br />
56625 334.65<br />
57703 54.00<br />
55844 87.35<br />
56223 240.00<br />
56659 112.10<br />
57705 27.00<br />
55845 43.70<br />
56224 351.40<br />
56665 167.40<br />
57706 32.50<br />
55846 37.85<br />
56225 351.40<br />
56801 466.55<br />
57708 16.25<br />
55847 18.95<br />
56226 351.40<br />
56807 560.00<br />
57709 43.40<br />
55848 109.10<br />
56227 122.50<br />
56841 233.35<br />
57711 21.70<br />
55849 54.55<br />
56228 122.50<br />
56847 283.85<br />
57712 47.15<br />
55850 152.85<br />
56229 122.50<br />
57001 466.65<br />
57714 23.60<br />
66 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
57715 60.90<br />
57963 47.40<br />
58527 69.40<br />
59301 44.75<br />
57717 30.45<br />
57965 23.70<br />
58529 34.70<br />
59303 53.95<br />
57721 99.25<br />
57966 47.40<br />
58700 46.05<br />
59304 27.00<br />
57723 49.65<br />
57968 23.70<br />
58702 23.05<br />
59306 100.30<br />
57901 64.50<br />
57969 47.40<br />
58706 157.90<br />
59307 50.15<br />
57902 64.50<br />
58100 67.15<br />
58708 78.95<br />
59309 200.60<br />
57903 47.30<br />
58102 33.60<br />
58715 151.55<br />
59310 100.30<br />
57906 64.50<br />
58103 55.10<br />
58717 75.80<br />
59312 87.00<br />
57909 64.50<br />
58105 27.55<br />
58718 126.10<br />
59313 43.50<br />
57911 32.25<br />
58106 77.00<br />
58720 63.05<br />
59314 52.50<br />
57912 47.15<br />
58108 110.00<br />
58721 138.25<br />
59315 26.25<br />
57914 32.25<br />
58109 47.00<br />
58723 69.15<br />
59318 47.05<br />
57915 47.15<br />
58111 38.50<br />
58900 35.70<br />
59319 23.55<br />
57917 23.65<br />
58112 97.25<br />
58902 17.85<br />
59503 89.40<br />
57918 47.15<br />
58114 55.00<br />
58903 47.60<br />
59504 44.70<br />
57920 32.25<br />
58115 110.00<br />
58905 23.80<br />
59700 96.55<br />
57921 47.15<br />
58117 23.50<br />
58909 89.95<br />
59701 48.30<br />
57923 32.25<br />
58120 110.00<br />
58911 45.00<br />
59703 75.90<br />
57924 47.15<br />
58121 110.00<br />
58912 110.25<br />
59704 37.95<br />
57926 23.60<br />
58123 48.65<br />
58914 55.15<br />
59712 113.70<br />
57927 49.65<br />
58124 55.00<br />
58915 78.95<br />
59713 56.85<br />
57929 23.60<br />
58126 55.00<br />
58916 138.50<br />
59715 143.55<br />
57930 32.90<br />
58127 55.00<br />
58917 39.50<br />
59716 71.80<br />
57932 23.60<br />
58300 40.10<br />
58920 69.25<br />
59718 134.65<br />
57933 78.25<br />
58302 20.05<br />
58921 135.25<br />
59719 67.35<br />
57935 23.60<br />
58306 89.40<br />
58923 67.65<br />
59724 226.45<br />
57938 23.60<br />
58308 44.70<br />
58924 84.05<br />
59725 113.25<br />
57939 64.50<br />
58500 35.35<br />
58926 42.05<br />
59733 107.70<br />
57941 24.85<br />
58502 17.70<br />
58927 76.45<br />
59734 53.85<br />
57942 49.65<br />
58503 47.15<br />
58929 38.25<br />
59736 62.00<br />
57944 16.45<br />
58505 23.60<br />
58933 205.60<br />
59737 31.00<br />
57945 43.40<br />
58506 60.75<br />
58935 102.80<br />
59739 73.75<br />
57947 39.15<br />
58508 30.40<br />
58936 195.95<br />
59740 36.90<br />
57950 32.25<br />
58509 39.75<br />
58938 98.00<br />
59751 139.15<br />
57953 24.85<br />
58511 19.90<br />
58939 139.30<br />
59752 69.60<br />
57956 21.70<br />
58521 43.40<br />
58941 69.65<br />
59754 219.35<br />
57959 23.70<br />
58523 21.70<br />
59103 21.30<br />
59755 109.70<br />
57960 47.40<br />
58524 56.50<br />
59104 10.65<br />
59760 115.15<br />
57962 23.70<br />
58526 28.25<br />
59300 89.50<br />
59761 57.60<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 67
DIAGNOSTIC IMAGING SERVICES<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
59763 133.90<br />
60500 43.40<br />
61386 332.50<br />
61495 223.10<br />
59764 66.95<br />
60501 21.70<br />
61387 430.75<br />
61499 253.00<br />
59903 114.55<br />
60503 29.75<br />
61389 370.55<br />
61505 100.00<br />
59912 305.20<br />
60504 14.90<br />
61390 409.95<br />
61506 0.05<br />
59925 362.45<br />
60506 63.75<br />
61393 605.50<br />
61523 953.00<br />
59970 168.30<br />
60507 31.90<br />
61397 246.85<br />
61529 953.00<br />
59971 57.30<br />
60509 98.90<br />
61401 162.30<br />
61538 901.00<br />
59972 152.60<br />
60510 49.45<br />
61402 605.05<br />
61541 953.00<br />
59973 181.25<br />
60918 47.15<br />
61405 346.00<br />
61553 999.00<br />
59974 84.20<br />
60927 38.05<br />
61409 873.50<br />
61559 918.00<br />
60000 564.00<br />
61109 258.90<br />
61413 225.95<br />
61565 953.00<br />
60003 827.10<br />
61110 129.45<br />
61417 118.85<br />
61571 953.00<br />
60006 1,176.10<br />
61302 448.85<br />
61421 479.80<br />
61575 953.00<br />
60009 1,376.30<br />
61303 565.30<br />
61425 600.70<br />
61577 953.00<br />
60012 564.00<br />
61306 709.70<br />
61426 554.80<br />
61598 953.00<br />
60015 827.10<br />
61307 834.90<br />
61429 543.00<br />
61604 953.00<br />
60018 1,176.10<br />
61310 367.30<br />
61430 659.45<br />
61610 953.00<br />
60021 1,376.30<br />
61313 303.35<br />
61433 496.95<br />
61616 953.00<br />
60024 564.00<br />
61314 420.00<br />
61434 615.40<br />
61620 953.00<br />
60027 827.10<br />
61316 381.15<br />
61437 542.75<br />
61622 953.00<br />
60030 1,176.10<br />
61317 492.40<br />
61438 672.95<br />
61628 953.00<br />
60033 1,376.30<br />
61320 228.90<br />
61441 489.70<br />
61632 953.00<br />
60036 564.00<br />
61328 227.65<br />
61442 752.35<br />
61640 999.00<br />
60039 827.10<br />
61340 253.00<br />
61445 286.80<br />
61646 999.00<br />
60042 1,176.10<br />
61348 443.35<br />
61446 333.55<br />
61650 878.70<br />
60045 1,376.30<br />
61352 259.35<br />
61449 456.20<br />
61651 224.45<br />
60048 564.00<br />
61353 386.60<br />
61450 397.55<br />
61652 282.65<br />
60051 827.10<br />
61356 392.80<br />
61453 514.70<br />
61653 354.85<br />
60054 1,176.10<br />
61360 403.35<br />
61454 348.10<br />
61654 417.45<br />
60057 1,376.30<br />
61361 461.40<br />
61457 470.45<br />
61655 183.65<br />
60060 564.00<br />
61364 496.95<br />
61458 396.95<br />
61656 151.70<br />
60063 827.10<br />
61368 223.10<br />
61461 527.85<br />
61657 210.00<br />
60066 1,176.10<br />
61369 2,015.75<br />
61462 129.00<br />
61658 190.60<br />
60069 1,376.30<br />
61372 223.10<br />
61465 265.50<br />
61659 246.20<br />
60072 48.10<br />
61373 489.70<br />
61469 348.10<br />
61660 114.45<br />
60075 96.10<br />
61376 143.35<br />
61473 175.40<br />
61661 113.85<br />
60078 144.25<br />
61381 574.35<br />
61480 386.85<br />
61662 126.50<br />
60100 60.75<br />
61383 624.95<br />
61484 880.85<br />
61663 221.70<br />
60101 30.40<br />
61384 687.70<br />
61485 999.20<br />
61664 129.70<br />
68 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
61665 193.30<br />
61704 198.80<br />
63051 403.20<br />
63131 492.80<br />
61666 196.40<br />
61705 257.35<br />
63052 403.20<br />
63132 492.80<br />
61667 201.70<br />
61706 174.05<br />
63054 403.20<br />
63134 246.40<br />
61668 230.70<br />
61707 235.25<br />
63055 403.20<br />
63135 246.40<br />
61669 248.50<br />
61708 198.50<br />
63057 403.20<br />
63136 246.40<br />
61670 111.55<br />
61709 263.95<br />
63058 403.20<br />
63151 358.40<br />
61671 1,007.90<br />
61710 64.50<br />
63060 403.20<br />
63152 358.40<br />
61672 111.55<br />
61711 132.75<br />
63061 403.20<br />
63154 358.40<br />
61673 244.85<br />
61712 174.05<br />
63063 403.20<br />
63155 358.40<br />
61674 71.70<br />
61713 87.70<br />
63064 403.20<br />
63157 179.20<br />
61675 287.20<br />
61714 193.45<br />
63065 403.20<br />
63158 179.20<br />
61676 312.50<br />
61715 440.45<br />
63067 403.20<br />
63161 358.40<br />
61677 343.85<br />
61716 499.60<br />
63070 403.20<br />
63163 358.40<br />
61678 166.25<br />
61717 111.55<br />
63073 403.20<br />
63164 358.40<br />
61679 215.40<br />
61718 126.50<br />
63074 168.00<br />
63165 358.40<br />
61680 185.30<br />
61719 50.00<br />
63075 179.20<br />
63167 358.40<br />
61681 205.00<br />
61729 439.35<br />
63076 201.60<br />
63168 358.40<br />
61682 302.75<br />
63001 403.20<br />
63077 201.60<br />
63169 358.40<br />
61683 123.45<br />
63002 403.20<br />
63078 201.60<br />
63170 358.40<br />
61684 81.15<br />
63004 403.20<br />
63079 201.60<br />
63171 358.40<br />
61685 302.55<br />
63005 403.20<br />
63080 201.60<br />
63172 358.40<br />
61686 173.00<br />
63007 403.20<br />
63081 201.60<br />
63173 358.40<br />
61687 436.75<br />
63008 403.20<br />
63082 201.60<br />
63174 358.40<br />
61688 113.00<br />
63010 336.00<br />
63083 201.60<br />
63175 358.40<br />
61689 59.45<br />
63011 336.00<br />
63084 201.60<br />
63176 358.40<br />
61690 239.90<br />
63013 201.60<br />
63085 201.60<br />
63177 358.40<br />
61691 300.35<br />
63014 201.60<br />
63101 492.80<br />
63179 358.40<br />
61692 277.40<br />
63016 201.60<br />
63102 492.80<br />
63182 358.40<br />
61693 271.50<br />
63017 168.00<br />
63104 246.40<br />
63185 358.40<br />
61694 329.75<br />
63040 336.00<br />
63111 492.80<br />
63186 179.20<br />
61695 248.50<br />
63041 336.00<br />
63113 492.80<br />
63187 179.20<br />
61696 307.70<br />
63042 358.40<br />
63114 492.80<br />
63188 179.20<br />
61697 271.40<br />
63043 358.40<br />
63116 492.80<br />
63189 179.20<br />
61698 336.50<br />
63044 403.20<br />
63117 246.40<br />
63190 179.20<br />
61699 244.85<br />
63045 403.20<br />
63119 246.40<br />
63191 179.20<br />
61700 376.20<br />
63046 403.20<br />
63125 492.80<br />
63192 179.20<br />
61701 143.40<br />
63047 403.20<br />
63126 492.80<br />
63193 179.20<br />
61702 166.80<br />
63048 403.20<br />
63128 492.80<br />
63194 179.20<br />
61703 228.10<br />
63049 403.20<br />
63129 492.80<br />
63201 448.00<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 69
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
63202 448.00<br />
63281 492.80<br />
63386 448.00<br />
63467 690.00<br />
63204 448.00<br />
63282 246.40<br />
63387 448.00<br />
63469 690.00<br />
63205 448.00<br />
63283 246.40<br />
63388 448.00<br />
63470 403.20<br />
63207 224.00<br />
63284 246.40<br />
63389 403.20<br />
63472 403.20<br />
63208 224.00<br />
63285 246.40<br />
63391 403.20<br />
63473 627.20<br />
63219 448.00<br />
63301 380.80<br />
63392 224.00<br />
63475 627.20<br />
63220 448.00<br />
63302 380.80<br />
63393 224.00<br />
63476 403.20<br />
63222 448.00<br />
63304 380.80<br />
63394 201.60<br />
63478 403.20<br />
63223 448.00<br />
63305 380.80<br />
63401 403.20<br />
63479 201.60<br />
63224 448.00<br />
63307 380.80<br />
63402 403.20<br />
63481 313.60<br />
63225 448.00<br />
63308 380.80<br />
63404 403.20<br />
63482 403.20<br />
63226 448.00<br />
63310 190.40<br />
63405 403.20<br />
63483 403.20<br />
63227 448.00<br />
63311 190.40<br />
63407 201.60<br />
63484 201.60<br />
63228 448.00<br />
63313 190.40<br />
63408 201.60<br />
63486 201.60<br />
63229 448.00<br />
63322 403.20<br />
63416 403.20<br />
63491 44.80<br />
63230 448.00<br />
63323 403.20<br />
63417 403.20<br />
63492 44.80<br />
63231 448.00<br />
63324 403.20<br />
63419 201.60<br />
63493 44.80<br />
63232 448.00<br />
63325 403.20<br />
63425 403.20<br />
63494 44.80<br />
63234 448.00<br />
63326 403.20<br />
63426 403.20<br />
63495 156.80<br />
63237 448.00<br />
63327 403.20<br />
63428 403.20<br />
63497 156.80<br />
63240 448.00<br />
63328 403.20<br />
63429 403.20<br />
64990 6.90<br />
63243 448.00<br />
63329 336.00<br />
63432 201.60<br />
64991 10.45<br />
63244 448.00<br />
63330 448.00<br />
63433 201.60<br />
63257 224.00<br />
63331 403.20<br />
63440 403.20<br />
63258 224.00<br />
63332 403.20<br />
63441 403.20<br />
63259 224.00<br />
63334 336.00<br />
63442 403.20<br />
63260 224.00<br />
63337 448.00<br />
63443 403.20<br />
63261 224.00<br />
63340 403.20<br />
63444 403.20<br />
63262 224.00<br />
63341 201.60<br />
63446 403.20<br />
63263 224.00<br />
63342 201.60<br />
63447 201.60<br />
63264 224.00<br />
63343 201.60<br />
63448 201.60<br />
63265 224.00<br />
63345 201.60<br />
63449 201.60<br />
63271 492.80<br />
63346 168.00<br />
63455 179.20<br />
63272 492.80<br />
63347 224.00<br />
63457 345.00<br />
63274 492.80<br />
63348 201.60<br />
63458 345.00<br />
63275 492.80<br />
63361 403.20<br />
63461 358.40<br />
63277 492.80<br />
63363 403.20<br />
63463 358.40<br />
63278 492.80<br />
63364 201.60<br />
63464 690.00<br />
63280 492.80<br />
63385 448.00<br />
63466 690.00<br />
70 1 NOVEMBER 2011 – 31 OCTOBER 2012
PATHOLOGY SERVICES<br />
PATHOLOGY FEE SCHEDULE<br />
1 November 2011<br />
All medical practitioners will be paid 100% <strong>of</strong> the MBS <strong>for</strong> pathology services, where they have<br />
the appropriate qualifications updated with Medicare Australia.<br />
Local <strong>Medical</strong> Officers claiming the Pathology <strong>Fee</strong> Schedule can also claim the relevant Veterans<br />
Access Payment on these items if they do not receive the bulk billing incentive.<br />
In addition, DVA does not apply the coning or super coning rule to “Out <strong>of</strong> Hospital” pathology<br />
services.<br />
For items not listed in the Pathology <strong>Fee</strong> schedule please refer to the appropriate schedule in<br />
this booklet.<br />
• For medical attendances and consultations provided by general practitioners<br />
participating in DVA’s Local <strong>Medical</strong> Officer Scheme, please use the Local <strong>Medical</strong> <strong>Fee</strong><br />
Schedule <strong>for</strong> the relevant fees.<br />
• For derived fees <strong>for</strong> Local <strong>Medical</strong> Officers, please use the Derived <strong>Fee</strong>s <strong>for</strong> Local<br />
<strong>Medical</strong> Officers <strong>Fee</strong> Schedule.<br />
• For all specialist attendances and consultations, investigative and general medical<br />
procedures claim from the Repatriation <strong>Medical</strong> <strong>Fee</strong> Schedule.<br />
• For In Hospital anaesthetic services please use Relative Value Guide <strong>Fee</strong> Schedule.<br />
• For diagnostic imaging services please use the Diagnostic Imaging <strong>Fee</strong> Schedule.<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 71
PATHOLOGY SERVICES<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
63498 44.80<br />
65153 142.80<br />
66578 69.80<br />
66667 30.80<br />
63499 156.80<br />
65156 214.20<br />
66581 78.80<br />
66671 37.15<br />
63501 500.00<br />
65157 71.40<br />
66584 9.75<br />
66674 40.20<br />
63502 500.00<br />
65158 71.40<br />
66587 47.85<br />
66677 11.25<br />
63504 500.00<br />
65159 71.40<br />
66590 30.80<br />
66680 74.95<br />
63505 500.00<br />
65162 10.50<br />
66593 18.10<br />
66683 74.95<br />
65060 7.90<br />
65165 34.70<br />
66596 32.75<br />
66686 51.00<br />
65066 10.45<br />
65166 34.70<br />
66599 23.75<br />
66695 30.70<br />
65070 17.05<br />
65171 25.50<br />
66602 43.25<br />
66696 30.70<br />
65072 10.25<br />
65175 25.50<br />
66605 30.80<br />
66697 13.30<br />
65075 52.30<br />
65176 49.00<br />
66606 30.80<br />
66698 44.00<br />
65078 90.80<br />
65177 72.45<br />
66607 76.25<br />
66701 57.30<br />
65079 90.80<br />
65178 95.85<br />
66608 42.55<br />
66704 70.60<br />
65081 97.25<br />
65179 119.30<br />
66609 42.55<br />
66707 83.90<br />
65082 97.25<br />
65180 25.50<br />
66610 76.25<br />
66711 30.35<br />
65084 166.95<br />
65181 23.45<br />
66623 41.80<br />
66712 43.35<br />
65087 83.65<br />
66500 9.75<br />
66626 24.25<br />
66714 30.35<br />
65090 11.20<br />
66503 11.75<br />
66629 20.25<br />
66715 12.95<br />
65093 22.15<br />
66506 13.75<br />
66632 20.25<br />
66716 25.20<br />
65096 41.30<br />
66509 15.75<br />
66635 20.25<br />
66719 35.05<br />
65099 109.65<br />
66512 17.80<br />
66638 49.40<br />
66722 38.15<br />
65102 165.70<br />
66517 19.80<br />
66639 29.40<br />
66723 38.15<br />
65105 109.65<br />
66518 20.20<br />
66641 29.40<br />
66724 13.25<br />
65108 165.70<br />
66519 40.40<br />
66642 29.40<br />
66725 51.40<br />
65109 13.00<br />
66536 11.10<br />
66644 20.30<br />
66728 64.65<br />
65110 13.00<br />
66539 30.80<br />
66647 45.40<br />
66731 77.90<br />
65111 23.35<br />
66542 19.10<br />
66650 24.50<br />
66734 91.15<br />
65114 9.15<br />
66545 15.90<br />
66651 24.50<br />
66743 20.25<br />
65117 20.40<br />
66548 20.05<br />
66652 20.45<br />
66749 33.15<br />
65120 13.80<br />
66551 16.90<br />
66653 44.90<br />
66750 40.00<br />
65123 20.50<br />
66554 16.90<br />
66655 20.30<br />
66751 55.60<br />
65126 28.05<br />
66557 9.75<br />
66656 20.30<br />
66752 24.85<br />
65129 35.75<br />
66560 20.25<br />
66659 37.55<br />
66755 39.10<br />
65137 25.50<br />
66563 24.85<br />
66660 37.55<br />
66756 98.95<br />
65142 25.50<br />
66566 33.95<br />
66662 80.50<br />
66757 98.95<br />
65144 56.95<br />
66569 42.90<br />
66663 80.50<br />
66758 24.85<br />
65147 38.15<br />
66572 51.90<br />
66665 30.80<br />
66761 13.25<br />
65150 71.40<br />
66575 60.85<br />
66666 30.80<br />
66764 8.95<br />
72 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
66767 17.95<br />
69309 48.45<br />
69415 69.55<br />
71075 23.15<br />
66770 26.90<br />
69312 34.00<br />
69418 64.00<br />
71076 106.85<br />
66773 24.80<br />
69316 28.85<br />
69419 64.00<br />
71077 27.25<br />
66776 24.80<br />
69317 36.10<br />
69445 92.80<br />
71079 27.00<br />
66779 40.20<br />
69318 34.00<br />
69451 92.80<br />
71081 40.80<br />
66780 40.20<br />
69319 43.25<br />
69471 35.15<br />
71083 20.30<br />
66782 13.25<br />
69321 48.45<br />
69472 15.75<br />
71085 29.15<br />
66783 13.25<br />
69324 43.30<br />
69474 28.85<br />
71087 37.95<br />
66785 40.20<br />
69325 43.30<br />
69475 15.75<br />
71089 29.35<br />
66788 66.30<br />
69327 85.55<br />
69478 29.45<br />
71090 29.35<br />
66789 40.20<br />
69328 85.55<br />
69481 40.80<br />
71091 53.20<br />
66790 26.05<br />
69330 128.85<br />
69482 153.10<br />
71092 23.85<br />
66791 74.95<br />
69331 128.85<br />
69483 153.10<br />
71093 76.95<br />
66792 74.95<br />
69333 20.70<br />
69484 17.20<br />
71095 40.80<br />
66800 18.25<br />
69336 33.65<br />
69488 181.45<br />
71096 40.80<br />
66803 30.70<br />
69339 19.25<br />
69489 181.45<br />
71097 24.60<br />
66804 18.25<br />
69345 53.25<br />
69491 206.20<br />
71099 26.70<br />
66805 12.45<br />
69354 30.95<br />
69492 206.20<br />
71101 17.50<br />
66806 42.15<br />
69357 61.85<br />
69494 28.85<br />
71103 52.40<br />
66812 35.05<br />
69360 92.80<br />
69495 36.10<br />
71106 11.40<br />
66815 59.95<br />
69363 28.85<br />
69496 43.35<br />
71119 17.45<br />
66816 35.05<br />
69378 181.45<br />
69497 28.85<br />
71121 20.95<br />
66817 24.90<br />
69379 181.45<br />
69498 7.25<br />
71123 24.40<br />
66819 30.80<br />
69380 775.50<br />
69499 92.80<br />
71125 27.85<br />
66820 30.80<br />
69381 181.45<br />
69500 92.80<br />
71127 177.55<br />
66821 21.95<br />
69382 181.45<br />
71057 33.10<br />
71129 219.30<br />
66822 52.80<br />
69383 181.45<br />
71058 50.85<br />
71131 261.10<br />
66825 30.80<br />
69384 15.75<br />
71059 35.90<br />
71133 10.45<br />
66826 30.80<br />
69387 29.20<br />
71060 44.35<br />
71134 104.75<br />
66827 21.95<br />
69390 42.65<br />
71062 44.35<br />
71135 209.35<br />
66828 52.80<br />
69393 56.10<br />
71064 20.90<br />
71137 30.45<br />
66830 58.90<br />
69396 69.55<br />
71066 14.65<br />
71139 104.75<br />
66831 31.15<br />
69400 15.75<br />
71068 14.65<br />
71141 198.70<br />
66832 31.15<br />
69401 13.45<br />
71069 22.90<br />
71143 261.75<br />
66900 78.15<br />
69405 15.75<br />
71071 31.15<br />
71145 427.35<br />
69300 12.60<br />
69408 29.20<br />
71072 14.65<br />
71146 104.75<br />
69303 22.15<br />
69411 42.65<br />
71073 106.85<br />
71147 40.80<br />
69306 34.00<br />
69413 56.10<br />
71074 14.65<br />
71148 40.80<br />
1 NOVEMBER 2011 – 31 OCTOBER 2012 73
PATHOLOGY SERVICES<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
Item<br />
100% MBS<br />
71149 109.00<br />
72846 60.00<br />
73312 36.70<br />
73833 10.20<br />
71151 119.65<br />
72847 90.00<br />
73314 232.50<br />
73834 6.95<br />
71153 34.80<br />
72848 75.00<br />
73315 232.50<br />
73835 8.70<br />
71154 34.80<br />
72849 105.00<br />
73317 36.70<br />
73836 2.35<br />
71155 47.75<br />
72850 120.00<br />
73318 36.70<br />
73837 6.95<br />
71156 12.95<br />
72851 185.60<br />
73320 40.80<br />
73840 17.10<br />
71157 60.70<br />
72852 247.45<br />
73321 40.80<br />
73844 20.50<br />
71159 73.65<br />
72855 185.60<br />
73323 40.80<br />
73920 2.40<br />
71163 24.90<br />
72856 247.45<br />
73324 41.25<br />
73922 8.25<br />
71164 40.15<br />
72857 288.70<br />
73325 75.00<br />
73923 2.40<br />
71165 34.80<br />
73043 23.00<br />
73326 232.50<br />
73924 14.75<br />
71166 47.75<br />
73045 48.95<br />
73327 52.30<br />
73925 2.40<br />
71167 60.70<br />
73047 95.35<br />
73328 400.00<br />
73926 8.25<br />
71168 73.65<br />
73049 68.60<br />
73330 232.50<br />
73927 2.40<br />
71169 34.80<br />
73051 171.50<br />
73332 317.50<br />
73928 6.00<br />
71170 12.95<br />
73053 19.60<br />
73521 9.75<br />
73929 2.40<br />
71180 34.80<br />
73055 19.60<br />
73523 42.05<br />
73930 6.00<br />
71183 47.75<br />
73057 19.60<br />
73525 28.55<br />
73931 2.40<br />
71186 60.70<br />
73059 43.30<br />
73527 10.05<br />
73932 10.30<br />
71189 15.60<br />
73060 57.75<br />
73529 28.85<br />
73933 2.40<br />
71192 28.55<br />
73061 51.55<br />
73801 6.95<br />
73934 17.70<br />
71195 40.30<br />
73062 89.60<br />
73802 4.60<br />
73935 2.40<br />
71198 40.80<br />
73063 100.00<br />
73803 6.40<br />
73936 6.00<br />
71200 60.00<br />
73064 72.20<br />
73804 8.20<br />
73937 2.40<br />
71203 40.80<br />
73065 86.60<br />
73805 4.60<br />
73938 8.00<br />
72813 72.00<br />
73066 222.95<br />
73806 10.20<br />
73939 2.40<br />
72816 86.95<br />
73067 130.00<br />
73807 6.95<br />
73940 10.30<br />
72817 97.45<br />
73287 397.20<br />
73808 8.70<br />
74990 6.90<br />
72818 107.75<br />
73289 361.35<br />
73809 2.35<br />
74991 10.45<br />
72823 97.80<br />
73290 397.20<br />
73810 6.95<br />
74992 1.60<br />
72824 142.30<br />
73291 232.50<br />
73811 11.30<br />
74993 3.75<br />
72825 181.45<br />
73292 593.85<br />
73818 13.75<br />
74994 3.25<br />
72826 195.90<br />
73293 232.50<br />
73824 20.50<br />
74995 4.00<br />
72827 210.35<br />
73294 232.50<br />
73827 14.05<br />
74996 3.70<br />
72828 224.80<br />
73300 102.00<br />
73828 6.95<br />
74997 3.30<br />
72830 276.00<br />
73305 204.00<br />
73829 4.60<br />
74998 2.00<br />
72836 420.00<br />
73308 36.70<br />
73830 6.40<br />
74999 1.60<br />
72838 470.00<br />
73309 36.70<br />
73831 8.20<br />
72844 30.95<br />
73311 36.70<br />
73832 4.60<br />
74 1 NOVEMBER 2011 – 31 OCTOBER 2012