2018 Workers' Compensation Part B Fee Schedule

95937-97016

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"Effective Jan. 1, 2017, CMS (Medicare) has deleted the PT and OT evaluation and re-evaluation HCPCS codes as follows:

97001 PT Evaluation
97002 PT Re-evaluation
97003 OT Evaluation
97004 OT Re-evaluation

CMS has added the following new HCPCS codes for these services:

97161 PT Eval Low Complex 20 min
97162 PT Eval Mod Complex 30 min
97163 PT Eval High Complex 45 min

97165 OT Eval Low Complex 30 min
97166 OT Eval Mod Complex 45 min
97167 OT Eval High Complex 60 min

97164 PT Re-eval Est Plan Care
97168 OT Re-eval Est Plan Care

The Pennsylvania Workers’ Compensation Part B Fee Schedule reimbursement for all new HCPCS codes have been calculated in compliance with 34 Pa. Code Section 127.153(c), which states on or after Jan. 1, 1995, payment rates under the act for new HCPCS codes will be based on the rates allowed in the Medicare fee schedule on the effective date of the new codes, and 34 Pa. Code Section 127.104, which requires payments to outpatient providers for services rendered under the act be calculated by multiplying the Medicare Part B reimbursement for the services by 113%. Furthermore, CMS has determined that the 2017 Medicare fee schedule reimbursement amounts will remain the same for all three levels of the physical and occupational evaluation services regardless of the time indicator or acuity of services rendered. The re-evaluation codes are not impacted by the newly-introduced tier complexity stratification."

CPT/HCPC Code
Modifier
Medicare Location
Global Surgery Indicator
Multiple Surgery Indicator
Prevailing Charge Amount
Fee Schedule Amount
Site of Service Amount
95937   1 XXX 0 0 116.45 0
95937 26 1 XXX 0 0 136.77 0
95937 TC 1 XXX 0 0 28.64 0
95937   2 XXX 0 0 127.00 0
95937 26 2 XXX 0 0 136.39 0
95937 TC 2 XXX 0 0 28.06 0
95937   3 XXX 0 0 111.94 0
95937 26 3 XXX 0 0 104.18 0
95937 TC 3 XXX 0 0 25.64 0
95937   4 XXX 0 0 111.51 0
95937 26 4 XXX 0 0 117.00 0
95937 TC 4 XXX 0 0 25.26 0
95938   1 XXX 0 0 408.48 0
95938 26 1 XXX 0 0 59.44 0
95938 TC 1 XXX 0 0 349.03 0
95938   2 XXX 0 0 356.09 0
95938 26 2 XXX 0 0 55.56 0
95938 TC 2 XXX 0 0 300.53 0
95938   3 XXX 0 0 356.09 0
95938 26 3 XXX 0 0 55.56 0
95938 TC 3 XXX 0 0 300.53 0
95938   4 XXX 0 0 356.09 0
95938 26 4 XXX 0 0 55.56 0
95938 TC 4 XXX 0 0 300.53 0
95939   1 XXX 0 0 638.48 0
95939 26 1 XXX 0 0 156.64 0
95939 TC 1 XXX 0 0 481.81 0
95939   2 XXX 0 0 561.17 0
95939 26 2 XXX 0 0 146.27 0
95939 TC 2 XXX 0 0 414.90 0
95939   3 XXX 0 0 561.17 0
95939 26 3 XXX 0 0 146.27 0
95939 TC 3 XXX 0 0 414.90 0
95939   4 XXX 0 0 561.17 0
95939 26 4 XXX 0 0 146.27 0
95939 TC 4 XXX 0 0 414.90 0
95940   1 XXX 0 0 42.33 0
95940   2 XXX 0 0 39.37 0
95940   3 XXX 0 0 39.37 0
95940   4 XXX 0 0 39.37 0
95941     XXX 9 0 * 0
95943     XXX 0 0 * 0
95950   1 XXX 0 0 746.48 0
95950 26 1 XXX 0 0 232.57 0
95950 TC 1 XXX 0 0 539.61 0
95950   2 XXX 0 0 703.74 0
95950 26 2 XXX 0 0 224.54 0
95950 TC 2 XXX 0 0 529.06 0
95950   3 XXX 0 0 697.66 0
95950 26 3 XXX 0 0 217.89 0
95950 TC 3 XXX 0 0 484.75 0
95950   4 XXX 0 0 691.47 0
95950 26 4 XXX 0 0 225.45 0
95950 TC 4 XXX 0 0 477.16 0
95951   1 XXX 0 0 938.83 0
95951 26 1 XXX 0 0 432.93 0
95951 TC 1 XXX 0 0 645.04 0
95951   2 XXX 0 0 886.15 0
95951 26 2 XXX 0 0 428.63 0
95951 TC 2 XXX 0 0 637.97 0
95951   3 XXX 0 0 993.02 0
95951 26 3 XXX 0 0 411.13 0
95951 TC 3 XXX 0 0 581.92 0
95951   4 XXX 0 0 979.29 0
95951 26 4 XXX 0 0 406.58 0
95951 TC 4 XXX 0 0 572.73 0
95953   1 XXX 0 0 807.95 0
95953 26 1 XXX 0 0 294.05 0
95953 TC 1 XXX 0 0 539.61 0
95953   2 XXX 0 0 764.88 0
95953 26 2 XXX 0 0 347.51 0
95953 TC 2 XXX 0 0 529.06 0
95953   3 XXX 0 0 817.76 0
95953 26 3 XXX 0 0 277.55 0
95953 TC 3 XXX 0 0 484.75 0
95953   4 XXX 0 0 750.57 0
95953 26 4 XXX 0 0 284.56 0
95953 TC 4 XXX 0 0 477.16 0
95954   1 XXX 0 0 411.84 0
95954 26 1 XXX 0 0 219.27 0
95954 TC 1 XXX 0 0 43.22 0
95954   2 XXX 0 0 405.86 0
95954 26 2 XXX 0 0 363.61 0
95954 TC 2 XXX 0 0 42.23 0
95954   3 XXX 0 0 381.26 0
95954 26 3 XXX 0 0 343.17 0
95954 TC 3 XXX 0 0 38.14 0
95954   4 XXX 0 0 376.63 0
95954 26 4 XXX 0 0 339.09 0
95954 TC 4 XXX 0 0 37.60 0
95955   1 XXX 0 0 345.26 0
95955 26 1 XXX 0 0 174.49 0
95955 TC 1 XXX 0 0 170.76 0
95955   2 XXX 0 0 383.82 0
95955 26 2 XXX 0 0 172.04 0
95955 TC 2 XXX 0 0 167.24 0
95955   3 XXX 0 0 417.57 0
95955 26 3 XXX 0 0 161.77 0
95955 TC 3 XXX 0 0 152.41 0
95955   4 XXX 0 0 309.85 0
95955 26 4 XXX 0 0 159.78 0
95955 TC 4 XXX 0 0 150.09 0
95956   1 XXX 0 0 875.64 0
95956 26 1 XXX 0 0 375.74 0
95956 TC 1 XXX 0 0 539.61 0
95956   2 XXX 0 0 823.61 0
95956 26 2 XXX 0 0 371.84 0
95956 TC 2 XXX 0 0 529.06 0
95956   3 XXX 0 0 840.39 0
95956 26 3 XXX 0 0 355.61 0
95956 TC 3 XXX 0 0 484.75 0
95956   4 XXX 0 0 828.81 0
95956 26 4 XXX 0 0 351.59 0
95956 TC 4 XXX 0 0 477.16 0
95957   1 XXX 0 0 428.77 0
95957 26 1 XXX 0 0 234.21 0
95957 TC 1 XXX 0 0 143.97 0
95957   2 XXX 0 0 269.54 0
95957 26 2 XXX 0 0 225.73 0
95957 TC 2 XXX 0 0 141.23 0
95957   3 XXX 0 0 402.00 0
95957 26 3 XXX 0 0 272.44 0
95957 TC 3 XXX 0 0 129.59 0
95957   4 XXX 0 0 397.17 0
95957 26 4 XXX 0 0 269.57 0
95957 TC 4 XXX 0 0 127.60 0
95958   1 XXX 0 0 634.07 0
95958 26 1 XXX 0 0 409.29 0
95958 TC 1 XXX 0 0 148.38 0
95958   2 XXX 0 0 775.21 0
95958 26 2 XXX 0 0 629.78 0
95958 TC 2 XXX 0 0 145.46 0
95958   3 XXX 0 0 727.60 0
95958 26 3 XXX 0 0 594.35 0
95958 TC 3 XXX 0 0 133.28 0
95958   4 XXX 0 0 718.53 0
95958 26 4 XXX 0 0 587.32 0
95958 TC 4 XXX 0 0 131.22 0
95961     XXX 0 0 * 0
95962     ZZZ 0 0 * 0
95965 26 1 XXX 0 0 757.21 0
95965 26 2 XXX 0 0 698.91 0
95965 26 3 XXX 0 0 698.91 0
95965 26 4 XXX 0 0 698.91 0
95966 26 1 XXX 0 0 386.13 0
95966 26 2 XXX 0 0 353.67 0
95966 26 3 XXX 0 0 353.67 0
95966 26 4 XXX 0 0 353.67 0
95967 26 1 ZZZ 0 0 338.96 0
95967 26 2 ZZZ 0 0 310.08 0
95967 26 3 ZZZ 0 0 310.08 0
95967 26 4 ZZZ 0 0 310.08 0
95970   1 XXX 0 0 47.92 46.41
95970   2 XXX 0 0 42.00 40.76
95970   3 XXX 0 0 42.00 40.76
95970   4 XXX 0 0 42.00 40.76
95971   1 XXX 0 0 77.75 75.51
95971   2 XXX 0 0 70.10 68.18
95971   3 XXX 0 0 70.10 68.18
95971   4 XXX 0 0 70.10 68.18
95972   1 XXX 0 0 142.38 138.67
95972   2 XXX 0 0 130.93 127.75
95972   3 XXX 0 0 130.93 127.75
95972   4 XXX 0 0 130.93 127.75
95974   1 XXX 0 0 289.23 272.86
95974   2 XXX 0 0 268.18 254.16
95974   3 XXX 0 0 268.18 254.16
95974   4 XXX 0 0 268.18 254.16
95975   1 ZZZ 0 0 172.77 163.10
95975   2 ZZZ 0 0 158.50 150.23
95975   3 ZZZ 0 0 158.50 150.23
95975   4 ZZZ 0 0 158.50 150.23
95978   1 XXX 0 0 364.07 321.66
95978   2 XXX 0 0 331.88 296.49
95978   3 XXX 0 0 331.88 296.49
95978   4 XXX 0 0 331.88 296.49
95979   1 ZZZ 0 0 167.92 155.81
95979   2 ZZZ 0 0 153.38 143.24
95979   3 ZZZ 0 0 153.38 143.24
95979   4 ZZZ 0 0 153.38 143.24
95980   1 XXX 0 0 59.63 0
95980   2 XXX 0 0 54.31 0
95980   3 XXX 0 0 54.31 0
95980   4 XXX 0 0 54.31 0
95981   1 XXX 0 0 42.58 23.29
95981   2 XXX 0 0 37.18 21.21
95981   3 XXX 0 0 37.18 21.21
95981   4 XXX 0 0 37.18 21.21
95982   1 XXX 0 0 64.02 46.57
95982   2 XXX 0 0 57.20 42.69
95982   3 XXX 0 0 57.20 42.69
95982   4 XXX 0 0 57.20 42.69
95990   1 ZZZ 0 0 107.15 0
95990   2 ZZZ 0 0 89.83 0
95990   3 ZZZ 0 0 89.83 0
95990   4 ZZZ 0 0 89.83 0
95991   1 XXX 0 0 152.57 67.65
95991   2 XXX 0 0 134.54 62.29
95991   3 XXX 0 0 134.54 62.29
95991   4 XXX 0 0 134.54 62.29
95992     XXX 0 0 * 0
95999     XXX 0 0 * 0
96000   1 XXX 0 0 168.28 0
96000   2 XXX 0 0 156.17 0
96000   3 XXX 0 0 156.17 0
96000   4 XXX 0 0 156.17 0
96001   1 XXX 0 0 200.66 0
96001   2 XXX 0 0 186.34 0
96001   3 XXX 0 0 186.34 0
96001   4 XXX 0 0 186.34 0
96002   1 XXX 0 0 39.46 0
96002   2 XXX 0 0 36.10 0
96002   3 XXX 0 0 36.10 0
96002   4 XXX 0 0 36.10 0
96003   1 XXX 0 0 37.06 0
96003   2 XXX 0 0 33.50 0
96003   3 XXX 0 0 33.50 0
96003   4 XXX 0 0 33.50 0
96004   1 XXX 0 0 173.67 0
96004   2 XXX 0 0 159.09 0
96004   3 XXX 0 0 159.09 0
96004   4 XXX 0 0 159.09 0
96020 26 1 XXX 0 0 230.65 0
96020 26 2 XXX 0 0 212.21 0
96020 26 3 XXX 0 0 212.21 0
96020 26 4 XXX 0 0 212.21 0
96040     XXX 9 0 * 0
96101   1 XXX 0 0 150.54 149.31
96101   2 XXX 0 0 139.86 138.86
96101   3 XXX 0 0 139.86 138.86
96101   4 XXX 0 0 139.86 138.86
96102   1 XXX 0 0 70.32 39.90
96102   2 XXX 0 0 62.09 37.18
96102   3 XXX 0 0 62.09 37.18
96102   4 XXX 0 0 62.09 37.18
96103   1 XXX 0 0 43.75 41.26
96103   2 XXX 0 0 40.25 38.22
96103   3 XXX 0 0 40.25 38.22
96103   4 XXX 0 0 40.25 38.22
96105   1 XXX 0 0 151.40 0
96105   2 XXX 0 0 142.35 0
96105   3 XXX 0 0 128.43 0
96105   4 XXX 0 0 125.89 0
96110     XXX 0 0 * 0
96111   1 XXX 0 0 151.40 0
96111   2 XXX 0 0 142.35 0
96111   3 XXX 0 0 128.43 0
96111   4 XXX 0 0 125.89 0
96116   1 XXX 0 0 171.87 160.06
96116   2 XXX 0 0 154.89 145.25
96116   3 XXX 0 0 154.89 145.25
96116   4 XXX 0 0 154.89 145.25
96118   1 XXX 0 0 206.65 159.42
96118   2 XXX 0 0 183.32 144.73
96118   3 XXX 0 0 183.32 144.73
96118   4 XXX 0 0 183.32 144.73
96119   1 XXX 0 0 108.83 57.26
96119   2 XXX 0 0 90.85 48.74
96119   3 XXX 0 0 90.85 48.74
96119   4 XXX 0 0 90.85 48.74
96120   1 XXX 0 0 76.64 41.26
96120   2 XXX 0 0 67.13 38.22
96120   3 XXX 0 0 67.13 38.22
96120   4 XXX 0 0 67.13 38.22
96125   1 XXX 0 0 142.11 118.60
96125   2 XXX 0 0 128.12 108.64
96125   3 XXX 0 0 128.12 108.64
96125   4 XXX 0 0 128.12 108.64
96127   1 XXX 0 0 7.19 0
96127   2 XXX 0 0 6.10 0
96127   3 XXX 0 0 6.10 0
96127   4 XXX 0 0 6.10 0
96150   1 XXX 0 0 48.74 48.04
96150   2 XXX 0 0 44.66 44.10
96150   3 XXX 0 0 44.66 44.10
96150   4 XXX 0 0 44.66 44.10
96151   1 XXX 0 0 47.44 46.06
96151   2 XXX 0 0 43.42 42.27
96151   3 XXX 0 0 43.42 42.27
96151   4 XXX 0 0 43.42 42.27
96152   1 XXX 0 0 45.44 44.08
96152   2 XXX 0 0 41.58 40.42
96152   3 XXX 0 0 41.58 40.42
96152   4 XXX 0 0 41.58 40.42
96153   1 XXX 0 0 10.18 0
96153   2 XXX 0 0 9.13 0
96153   3 XXX 0 0 9.13 0
96153   4 XXX 0 0 9.13 0
96154   1 XXX 0 0 44.14 43.40
96154   2 XXX 0 0 40.33 39.79
96154   3 XXX 0 0 40.33 39.79
96154   4 XXX 0 0 40.33 39.79
96155   1 XXX 0 0 42.75 0
96155   2 XXX 0 0 39.16 0
96155   3 XXX 0 0 39.16 0
96155   4 XXX 0 0 39.16 0
96160   1 ZZZ 9 0 5.87 0
96160   2 ZZZ 9 0 5.07 0
96160   3 ZZZ 9 0 5.07 0
96160   4 ZZZ 9 0 5.07 0
96161   1 ZZZ 9 0 5.87 0
96161   2 ZZZ 9 0 5.07 0
96161   3 ZZZ 9 0 5.07 0
96161   4 ZZZ 9 0 5.07 0
96360   1 XXX 0 0 87.14 0
96360   2 XXX 0 0 73.72 0
96360   3 XXX 0 0 73.72 0
96360   4 XXX 0 0 73.72 0
96361   1 ZZZ 0 0 25.88 0
96361   2 ZZZ 0 0 21.91 0
96361   3 ZZZ 0 0 21.91 0
96361   4 ZZZ 0 0 21.91 0
96365   1 XXX 0 0 105.63 0
96365   2 XXX 0 0 89.57 0
96365   3 XXX 0 0 89.57 0
96365   4 XXX 0 0 89.57 0
96366   1 ZZZ 0 0 33.73 0
96366   2 ZZZ 0 0 29.15 0
96366   3 ZZZ 0 0 29.15 0
96366   4 ZZZ 0 0 29.15 0
96367   1 ZZZ 0 0 52.86 0
96367   2 ZZZ 0 0 45.39 0
96367   3 ZZZ 0 0 45.39 0
96367   4 ZZZ 0 0 45.39 0
96368   1 ZZZ 0 0 31.58 0
96368   2 ZZZ 0 0 27.27 0
96368   3 ZZZ 0 0 27.27 0
96368   4 ZZZ 0 0 27.27 0
96369   1 XXX 0 0 228.09 0
96369   2 XXX 0 0 192.99 0
96369   3 XXX 0 0 192.99 0
96369   4 XXX 0 0 192.99 0
96370   1 ZZZ 0 0 24.42 0
96370   2 ZZZ 0 0 21.31 0
96370   3 ZZZ 0 0 21.31 0
96370   4 ZZZ 0 0 21.31 0
96371   1 ZZZ 0 0 110.40 0
96371   2 ZZZ 0 0 92.93 0
96371   3 ZZZ 0 0 92.93 0
96371   4 ZZZ 0 0 92.93 0
96372   1 XXX 0 0 31.35 0
96372   2 XXX 0 0 27.52 0
96372   3 XXX 0 0 27.52 0
96372   4 XXX 0 0 27.52 0
96373   1 XXX 0 0 27.23 0
96373   2 XXX 0 0 23.88 0
96373   3 XXX 0 0 23.88 0
96373   4 XXX 0 0 23.88 0
96374   1 XXX 0 0 83.06 0
96374   2 XXX 0 0 70.75 0
96374   3 XXX 0 0 70.75 0
96374   4 XXX 0 0 70.75 0
96375   1 ZZZ 0 0 36.80 0
96375   2 ZZZ 0 0 31.19 0
96375   3 ZZZ 0 0 31.19 0
96375   4 ZZZ 0 0 31.19 0
96376     ZZZ 9 0 * 0
96377         0 * 0
96379     XXX 0 0 * 0
96401   1 XXX 0 0 107.78 0
96401   2 XXX 0 0 89.91 0
96401   3 XXX 0 0 89.91 0
96401   4 XXX 0 0 89.91 0
96402   1 XXX 0 0 57.61 0
96402   2 XXX 0 0 48.69 0
96402   3 XXX 0 0 48.69 0
96402   4 XXX 0 0 48.69 0
96405   1 0 2 0 79.99 64.10
96405   2 0 2 0 79.05 63.33
96405   3 0 2 0 75.11 60.31
96405   4 0 2 0 74.19 59.67
96406   1 0 2 0 120.59 96.75
96406   2 0 2 0 119.22 95.65
96406   3 0 2 0 113.49 91.24
96406   4 0 2 0 112.13 90.28
96409   1 XXX 0 0 200.32 0
96409   2 XXX 0 0 164.86 0
96409   3 XXX 0 0 164.86 0
96409   4 XXX 0 0 164.86 0
96411   1 ZZZ 0 0 116.07 0
96411   2 ZZZ 0 0 95.65 0
96411   3 ZZZ 0 0 95.65 0
96411   4 ZZZ 0 0 95.65 0
96413   1 XXX 0 0 283.04 0
96413   2 XXX 0 0 232.46 0
96413   3 XXX 0 0 232.46 0
96413   4 XXX 0 0 232.46 0
96415   1 ZZZ 0 0 64.14 0
96415   2 ZZZ 0 0 52.93 0
96415   3 ZZZ 0 0 52.93 0
96415   4 ZZZ 0 0 52.93 0
96416   1 XXX 0 0 304.48 0
96416   2 XXX 0 0 249.34 0
96416   3 XXX 0 0 249.34 0
96416   4 XXX 0 0 249.34 0
96417   1 ZZZ 0 0 138.52 0
96417   2 ZZZ 0 0 113.93 0
96417   3 ZZZ 0 0 113.93 0
96417   4 ZZZ 0 0 113.93 0
96420   1 XXX 0 0 104.75 0
96420   2 XXX 0 0 102.78 0
96420   3 XXX 0 0 94.42 0
96420   4 XXX 0 0 92.95 0
96422   1 XXX 0 0 103.20 0
96422   2 XXX 0 0 112.75 0
96422   3 XXX 0 0 92.96 0
96422   4 XXX 0 0 110.71 0
96423   1 ZZZ 0 0 82.50 0
96423   2 ZZZ 0 0 82.22 0
96423   3 ZZZ 0 0 36.60 0
96423   4 ZZZ 0 0 36.03 0
96425   1 XXX 0 0 118.84 0
96425   2 XXX 0 0 96.63 0
96425   3 XXX 0 0 91.42 0
96425   4 XXX 0 0 105.86 0
96440   1 0 0 0 285.74 243.41
96440   2 0 0 0 243.31 207.95
96440   3 0 0 0 268.06 229.19
96440   4 0 0 0 244.12 214.70
96446   1 XXX 0 0 259.51 31.87
96446   2 XXX 0 0 230.02 28.85
96446   3 XXX 0 0 230.02 28.85
96446   4 XXX 0 0 230.02 28.85
96450   1 0 0 0 151.56 0
96450   2 0 0 0 159.75 0
96450   3 0 0 0 179.80 0
96450   4 0 0 0 143.58 0
96521   1 XXX 0 0 250.76 0
96521   2 XXX 0 0 205.81 0
96521   3 XXX 0 0 205.81 0
96521   4 XXX 0 0 205.81 0
96522   1 XXX 0 0 181.24 0
96522   2 XXX 0 0 148.98 0
96522   3 XXX 0 0 148.98 0
96522   4 XXX 0 0 148.98 0
96523   1 XXX 0 0 45.94 0
96523   2 XXX 0 0 37.70 0
96523   3 XXX 0 0 37.70 0
96523   4 XXX 0 0 37.70 0
96542   1 XXX 0 0 214.48 0
96542   2 XXX 0 0 211.59 0
96542   3 XXX 0 0 199.60 0
96542   4 XXX 0 0 197.25 0
96549     XXX 0 0 * 0
96567   1 XXX 0 0 115.46 0
96567   2 XXX 0 0 97.45 0
96567   3 XXX 0 0 97.45 0
96567   4 XXX 0 0 97.45 0
96570   1 ZZZ 0 0 155.22 134.08
96570   2 ZZZ 0 0 133.70 115.61
96570   3 ZZZ 0 0 133.70 115.61
96570   4 ZZZ 0 0 133.70 115.61
96571   1 ZZZ 0 0 85.94 78.39
96571   2 ZZZ 0 0 70.14 63.66
96571   3 ZZZ 0 0 70.14 63.66
96571   4 ZZZ 0 0 70.14 63.66
96573   1 0 0 0 233.97 0
96573   2 0 0 0 205.84 0
96573   3 0 0 0 205.84 0
96573   4 0 0 0 205.84 0
96574   1 0 0 0 300.82 0
96574   2 0 0 0 266.32 0
96574   3 0 0 0 266.32 0
96574   4 0 0 0 266.32 0
96900   1 XXX 0 0 36.65 0
96900   2 XXX 0 0 32.72 0
96900   3 XXX 0 0 30.02 0
96900   4 XXX 0 0 35.84 0
96902     XXX 9 0 * 0
96904   1 XXX 0 0 109.57 0
96904   2 XXX 0 0 89.40 0
96904   3 XXX 0 0 89.40 0
96904   4 XXX 0 0 89.40 0
96910   1 XXX 0 0 48.69 0
96910   2 XXX 0 0 47.81 0
96910   3 XXX 0 0 43.90 0
96910   4 XXX 0 0 43.26 0
96912   1 XXX 0 0 54.75 0
96912   2 XXX 0 0 52.94 0
96912   3 XXX 0 0 50.51 0
96912   4 XXX 0 0 49.73 0
96913   1 XXX 0 0 79.11 0
96913   2 XXX 0 0 78.18 0
96913   3 XXX 0 0 74.40 0
96913   4 XXX 0 0 73.48 0
96920   1 XXX 0 0 280.82 113.31
96920   2 XXX 0 0 245.09 102.59
96920   3 XXX 0 0 245.09 102.59
96920   4 XXX 0 0 245.09 102.59
96921   1 0 2 0 287.66 115.30
96921   2 0 2 0 251.04 104.42
96921   3 0 2 0 251.04 104.42
96921   4 0 2 0 251.04 104.42
96922   1 0 2 0 395.33 206.40
96922   2 0 2 0 347.72 187.02
96922   3 0 2 0 347.72 187.02
96922   4 0 2 0 347.72 187.02
96931     YYY 0 0 * 0
96932     YYY 0 0 * 0
96933     YYY 0 0 * 0
96934     YYY 0 0 * 0
96935     YYY 0 0 * 0
96936     YYY 0 0 * 0
96999   1 XXX 0 0 * 0
96999   2 XXX 0 0 * 0
96999   3 XXX 0 0 * 0
96999   4 XXX 0 0 * 0
97010   1 XXX 9 0 36.10 0
97010   2 XXX 9 0 35.60 0
97010   3 XXX 9 0 33.56 0
97010   4 XXX 9 0 33.62 0
97012   1 XXX 0 0 37.16 0
97012   2 XXX 0 0 37.31 0
97012   3 XXX 0 0 34.90 0
97012   4 XXX 0 0 38.60 0
97014   1 XXX 0 0 34.69 0
97014   2 XXX 0 0 33.23 0
97014   3 XXX 0 0 33.71 0
97014   4 XXX 0 0 36.03 0
97016   1 XXX 0 0 39.17 0
97016   2 XXX 0 0 38.71 0
97016   3 XXX 0 0 41.53 0
97016   4 XXX 0 0 35.82 0