2018 Workers' Compensation Part B Fee Schedule

97018-99347

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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
97018   1 XXX 0 0 41.05 0
97018   2 XXX 0 0 39.91 0
97018   3 XXX 0 0 36.80 0
97018   4 XXX 0 0 37.61 0
97022   1 XXX 0 0 32.90 0
97022   2 XXX 0 0 32.48 0
97022   3 XXX 0 0 29.62 0
97022   4 XXX 0 0 30.21 0
97024   1 XXX 0 0 35.64 0
97024   2 XXX 0 0 31.71 0
97024   3 XXX 0 0 31.29 0
97024   4 XXX 0 0 29.39 0
97026   1 XXX 0 0 42.09 0
97026   2 XXX 0 0 33.23 0
97026   3 XXX 0 0 31.35 0
97026   4 XXX 0 0 30.96 0
97028   1 XXX 0 0 27.14 0
97028   2 XXX 0 0 29.07 0
97028   3 XXX 0 0 27.62 0
97028   4 XXX 0 0 33.42 0
97032   1 XXX 0 0 32.48 0
97032   2 XXX 0 0 31.82 0
97032   3 XXX 0 0 30.33 0
97032   4 XXX 0 0 29.95 0
97033   1 XXX 0 0 34.36 0
97033   2 XXX 0 0 33.52 0
97033   3 XXX 0 0 31.72 0
97033   4 XXX 0 0 35.82 0
97034   1 XXX 0 0 29.83 0
97034   2 XXX 0 0 32.19 0
97034   3 XXX 0 0 32.88 0
97034   4 XXX 0 0 27.11 0
97035   1 XXX 0 0 26.87 0
97035   2 XXX 0 0 26.29 0
97035   3 XXX 0 0 25.02 0
97035   4 XXX 0 0 24.71 0
97036   1 XXX 0 0 35.01 0
97036   2 XXX 0 0 34.39 0
97036   3 XXX 0 0 46.16 0
97036   4 XXX 0 0 45.60 0
97039   1 XXX 0 0 45.08 0
97039   2 XXX 0 0 44.48 0
97039   3 XXX 0 0 41.87 0
97039   4 XXX 0 0 41.34 0
97110   1 XXX 0 0 41.96 0
97110   2 XXX 0 0 41.35 0
97110   3 XXX 0 0 40.35 0
97110   4 XXX 0 0 38.41 0
97112   1 XXX 0 0 39.17 0
97112   2 XXX 0 0 39.29 0
97112   3 XXX 0 0 36.59 0
97112   4 XXX 0 0 36.13 0
97113   1 XXX 0 0 53.64 0
97113   2 XXX 0 0 36.45 0
97113   3 XXX 0 0 37.18 0
97113   4 XXX 0 0 49.45 0
97116   1 XXX 0 0 38.92 0
97116   2 XXX 0 0 34.05 0
97116   3 XXX 0 0 36.29 0
97116   4 XXX 0 0 31.75 0
97124   1 XXX 0 0 32.90 0
97124   2 XXX 0 0 32.48 0
97124   3 XXX 0 0 30.63 0
97124   4 XXX 0 0 30.27 0
97127         0 * 0
97139   1 XXX 0 0 52.90 0
97139   2 XXX 0 0 52.24 0
97139   3 XXX 0 0 49.34 0
97139   4 XXX 0 0 48.74 0
97140   1 XXX 0 0 45.20 34.74
97140   2 XXX 0 0 41.43 32.54
97140   3 XXX 0 0 41.43 32.54
97140   4 XXX 0 0 41.43 32.54
97150   1 XXX 0 0 40.06 0
97150   2 XXX 0 0 39.05 0
97150   3 XXX 0 0 36.93 0
97150   4 XXX 0 0 36.42 0
97161   1 XXX 5 0 101.00 0
97161   2 XXX 5 0 92.55 0
97161   3 XXX 5 0 92.55 0
97161   4 XXX 5 0 92.55 0
97162   1 XXX 5 0 101.00 0
97162   2 XXX 5 0 92.55 0
97162   3 XXX 5 0 92.55 0
97162   4 XXX 5 0 92.55 0
97163   1 XXX 5 0 101.00 0
97163   2 XXX 5 0 92.55 0
97163   3 XXX 5 0 92.55 0
97163   4 XXX 5 0 92.55 0
97164   1 XXX 5 0 68.85 0
97164   2 XXX 5 0 62.74 0
97164   3 XXX 5 0 62.74 0
97164   4 XXX 5 0 62.74 0
97165   1 XXX 5 0 97.84 0
97165   2 XXX 5 0 89.81 0
97165   3 XXX 5 0 89.81 0
97165   4 XXX 5 0 89.81 0
97166   1 XXX 5 0 97.84 0
97166   2 XXX 5 0 89.81 0
97166   3 XXX 5 0 89.81 0
97166   4 XXX 5 0 89.81 0
97167   1 XXX 5 0 97.84 0
97167   2 XXX 5 0 89.81 0
97167   3 XXX 5 0 89.81 0
97167   4 XXX 5 0 89.81 0
97168   1 XXX 5 0 64.67 0
97168   2 XXX 5 0 59.19 0
97168   3 XXX 5 0 59.19 0
97168   4 XXX 5 0 59.19 0
97169         0 * 0
97170         0 * 0
97171         0 * 0
97172         0 * 0
97530   1 XXX 0 0 56.02 0
97530   2 XXX 0 0 54.66 0
97530   3 XXX 0 0 53.44 0
97530   4 XXX 0 0 53.16 0
97533   1 XXX 0 0 53.64 37.90
97533   2 XXX 0 0 49.02 35.59
97533   3 XXX 0 0 49.02 35.59
97533   4 XXX 0 0 49.02 35.59
97535   1 XXX 0 0 41.07 0
97535   2 XXX 0 0 39.61 0
97535   3 XXX 0 0 37.68 0
97535   4 XXX 0 0 37.16 0
97537   1 XXX 0 0 41.07 0
97537   2 XXX 0 0 39.61 0
97537   3 XXX 0 0 37.68 0
97537   4 XXX 0 0 37.16 0
97542   1 XXX 0 0 34.78 0
97542   2 XXX 0 0 33.52 0
97542   3 XXX 0 0 31.69 0
97542   4 XXX 0 0 31.24 0
97545   1 XXX 0 0 184.16 0
97545   2 XXX 0 0 172.88 0
97545   3 XXX 0 0 185.83 0
97545   4 XXX 0 0 178.17 0
97546   1 ZZZ 0 0 86.43 0
97546   2 ZZZ 0 0 92.20 0
97546   3 ZZZ 0 0 92.94 0
97546   4 ZZZ 0 0 89.08 0
97597   1 XXX 0 0 84.95 0
97597   2 XXX 0 0 75.09 0
97597   3 XXX 0 0 75.09 0
97597   4 XXX 0 0 75.09 0
97598   1 XXX 0 0 107.43 0
97598   2 XXX 0 0 95.88 0
97598   3 XXX 0 0 95.88 0
97598   4 XXX 0 0 95.88 0
97602     XXX 9 0 * 0
97605     XXX 0 0 * 0
97606     XXX 0 0 * 0
97607     XXX 0 0 * 0
97608     XXX 0 0 * 0
97610     XXX 0 0 * 0
97750   1 XXX 0 0 63.48 0
97750   2 XXX 0 0 60.54 0
97750   3 XXX 0 0 54.47 0
97750   4 XXX 0 0 58.79 0
97755   1 XXX 0 0 61.39 0
97755   2 XXX 0 0 56.74 0
97755   3 XXX 0 0 56.74 0
97755   4 XXX 0 0 56.74 0
97760   1 XXX 0 0 49.15 40.48
97760   2 XXX 0 0 43.92 36.82
97760   3 XXX 0 0 43.92 36.82
97760   4 XXX 0 0 43.92 36.82
97761   1 XXX 0 0 44.65 39.08
97761   2 XXX 0 0 40.44 35.84
97761   3 XXX 0 0 40.44 35.84
97761   4 XXX 0 0 40.44 35.84
97763   1 XXX 5 0 59.09 0
97763   2 XXX 5 0 53.49 0
97763   3 XXX 5 0 53.49 0
97763   4 XXX 5 0 53.49 0
97799     XXX 0 0 * 0
97802     XXX 0 0 * 0
97803     XXX 0 0 * 0
97804     XXX 0 0 * 0
97810     XXX 9 0 * 0
97811     ZZZ 9 0 * 0
97813     XXX 9 0 * 0
97814     ZZZ 9 0 * 0
98925   1 0 0 0 49.73 0
98925   2 0 0 0 51.92 0
98925   3 0 0 0 49.34 0
98925   4 0 0 0 43.29 0
98926   1 0 0 0 68.64 0
98926   2 0 0 0 67.71 0
98926   3 0 0 0 60.86 0
98926   4 0 0 0 61.18 0
98927   1 0 0 0 83.47 0
98927   2 0 0 0 83.17 0
98927   3 0 0 0 79.23 0
98927   4 0 0 0 78.77 0
98928   1 0 0 0 104.70 0
98928   2 0 0 0 102.75 0
98928   3 0 0 0 95.02 0
98928   4 0 0 0 89.81 0
98929   1 0 0 0 101.53 0
98929   2 0 0 0 118.54 0
98929   3 0 0 0 105.98 0
98929   4 0 0 0 120.60 0
98940   1 0 0 0 53.58 42.31
98940   2 0 0 0 50.04 40.23
98940   3 0 0 0 51.96 41.77
98940   4 0 0 0 48.71 39.15
98941   1 0 0 0 66.96 55.69
98941   2 0 0 0 63.28 53.49
98941   3 0 0 0 65.76 55.59
98941   4 0 0 0 61.61 52.06
98942   1 0 0 0 81.70 70.41
98942   2 0 0 0 77.91 68.11
98942   3 0 0 0 80.94 70.76
98942   4 0 0 0 75.81 66.33
98943     XXX 9 0 * 0
98960     XXX 9 0 * 0
98961     XXX 9 0 * 0
98962     XXX 9 0 * 0
98966     XXX 9 0 * 0
98967     XXX 9 0 * 0
98968     XXX 9 0 * 0
98969     XXX 9 0 * 0
99000     XXX 9 0 * 0
99001     XXX 9 0 * 0
99002     XXX 9 0 * 0
99024     XXX 9 0 * 0
99026     XXX 9 0 * 0
99027     XXX 9 0 * 0
99050     XXX 9 0 * 0
99051     XXX 9 0 * 0
99053     XXX 9 0 * 0
99056     XXX 9 0 * 0
99058     XXX 9 0 * 0
99060     XXX 9 0 * 0
99070     XXX 9 0 * 0
99071     XXX 9 0 * 0
99075     XXX 9 0 * 0
99078     XXX 9 0 * 0
99080     XXX 9 0 * 0
99082     XXX 0 0 * 0
99090     XXX 9 0 * 0
99091     XXX 9 0 * 0
99100     ZZZ 9 0 * 0
99116     ZZZ 9 0 * 0
99135     ZZZ 9 0 * 0
99140     ZZZ 9 0 * 0
99151   1 XXX 9 0 97.71 29.53
99151   2 XXX 9 0 86.52 27.67
99151   3 XXX 9 0 86.52 27.67
99151   4 XXX 9 0 86.52 27.67
99152   1 XXX 9 0 65.07 15.39
99152   2 XXX 9 0 57.28 14.41
99152   3 XXX 9 0 57.28 14.41
99152   4 XXX 9 0 57.28 14.41
99153   1 ZZZ 9 0 14.09 0
99153   2 ZZZ 9 0 12.11 0
99153   3 ZZZ 9 0 12.11 0
99153   4 ZZZ 9 0 12.11 0
99155   1 XXX 9 0 115.78 0
99155   2 XXX 9 0 108.36 0
99155   3 XXX 9 0 108.36 0
99155   4 XXX 9 0 108.36 0
99156   1 XXX 9 0 94.52 0
99156   2 XXX 9 0 88.89 0
99156   3 XXX 9 0 88.89 0
99156   4 XXX 9 0 88.89 0
99157   1 ZZZ 9 0 71.63 0
99157   2 ZZZ 9 0 67.38 0
99157   3 ZZZ 9 0 67.38 0
99157   4 ZZZ 9 0 67.38 0
99170   1 0 2 0 271.04 184.91
99170   2 0 2 0 242.48 168.87
99170   3 0 2 0 242.48 168.87
99170   4 0 2 0 242.48 168.87
99172     XXX 9 0 * 0
99173     XXX 9 0 * 0
99174     XXX 9 0 * 0
99175   1 XXX 0 0 116.94 0
99175   2 XXX 0 0 114.72 0
99175   3 XXX 0 0 105.40 0
99175   4 XXX 0 0 103.73 0
99177     XXX 9 0 * 0
99183   1 XXX 0 0 331.13 0
99183   2 XXX 0 0 327.38 0
99183   3 XXX 0 0 311.81 0
99183   4 XXX 0 0 308.12 0
99184   1 XXX 0 0 302.82 0
99184   2 XXX 0 0 282.26 0
99184   3 XXX 0 0 282.26 0
99184   4 XXX 0 0 282.26 0
99188     XXX 0 0 * 0
99190     XXX 9 0 * 0
99191     XXX 9 0 * 0
99192     XXX 9 0 * 0
99195   1 XXX 0 0 28.34 0
99195   2 XXX 0 0 32.73 0
99195   3 XXX 0 0 32.90 0
99195   4 XXX 0 0 32.41 0
99199     XXX 0 0 * 0
99201   1 XXX 0 0 65.09 50.20
99201   2 XXX 0 0 64.22 49.52
99201   3 XXX 0 0 60.38 46.56
99201   4 XXX 0 0 59.67 46.06
99202   1 XXX 0 0 102.33 84.06
99202   2 XXX 0 0 97.32 80.00
99202   3 XXX 0 0 89.07 73.12
99202   4 XXX 0 0 89.07 73.17
99203   1 XXX 0 0 124.76 105.62
99203   2 XXX 0 0 123.18 104.45
99203   3 XXX 0 0 115.35 97.89
99203   4 XXX 0 0 112.01 95.31
99204   1 XXX 0 0 208.13 176.13
99204   2 XXX 0 0 193.95 164.70
99204   3 XXX 0 0 174.03 148.17
99204   4 XXX 0 0 171.36 145.85
99205   1 XXX 0 0 248.42 215.51
99205   2 XXX 0 0 233.86 202.25
99205   3 XXX 0 0 213.15 185.31
99205   4 XXX 0 0 208.75 181.34
99211   1 XXX 0 0 38.69 29.72
99211   2 XXX 0 0 36.47 27.97
99211   3 XXX 0 0 32.21 24.70
99211   4 XXX 0 0 28.64 21.62
99212   1 XXX 0 0 55.41 44.21
99212   2 XXX 0 0 54.75 43.69
99212   3 XXX 0 0 52.08 41.58
99212   4 XXX 0 0 51.47 41.17
99213   1 XXX 0 0 79.11 63.84
99213   2 XXX 0 0 78.18 63.17
99213   3 XXX 0 0 74.74 60.51
99213   4 XXX 0 0 72.58 59.01
99214   1 XXX 0 0 122.08 101.62
99214   2 XXX 0 0 119.88 99.00
99214   3 XXX 0 0 107.92 89.48
99214   4 XXX 0 0 108.12 89.90
99215   1 XXX 0 0 193.16 162.28
99215   2 XXX 0 0 186.88 155.95
99215   3 XXX 0 0 167.22 140.09
99215   4 XXX 0 0 165.98 139.37
99217   1 XXX 0 0 137.91 0
99217   2 XXX 0 0 126.69 0
99217   3 XXX 0 0 126.69 0
99217   4 XXX 0 0 126.69 0
99218   1 XXX 0 0 146.59 0
99218   2 XXX 0 0 144.83 0
99218   3 XXX 0 0 137.77 0
99218   4 XXX 0 0 136.14 0
99219   1 XXX 0 0 232.41 0
99219   2 XXX 0 0 229.75 0
99219   3 XXX 0 0 218.70 0
99219   4 XXX 0 0 216.20 0
99220   1 XXX 0 0 291.94 0
99220   2 XXX 0 0 288.85 0
99220   3 XXX 0 0 276.19 0
99220   4 XXX 0 0 273.08 0
99221   1 XXX 0 0 144.24 0
99221   2 XXX 0 0 142.52 0
99221   3 XXX 0 0 135.54 0
99221   4 XXX 0 0 133.92 0
99222   1 XXX 0 0 238.66 0
99222   2 XXX 0 0 235.99 0
99222   3 XXX 0 0 224.82 0
99222   4 XXX 0 0 222.22 0
99223   1 XXX 0 0 302.46 0
99223   2 XXX 0 0 291.70 0
99223   3 XXX 0 0 265.86 0
99223   4 XXX 0 0 265.98 0
99224   1 XXX 0 0 40.03 0
99224   2 XXX 0 0 37.33 0
99224   3 XXX 0 0 37.33 0
99224   4 XXX 0 0 37.33 0
99225   1 XXX 0 0 70.27 0
99225   2 XXX 0 0 65.87 0
99225   3 XXX 0 0 65.87 0
99225   4 XXX 0 0 65.87 0
99226   1 XXX 0 0 105.26 0
99226   2 XXX 0 0 98.61 0
99226   3 XXX 0 0 98.61 0
99226   4 XXX 0 0 98.61 0
99231   1 XXX 0 0 78.71 0
99231   2 XXX 0 0 73.17 0
99231   3 XXX 0 0 69.57 0
99231   4 XXX 0 0 68.72 0
99232   1 XXX 0 0 109.74 0
99232   2 XXX 0 0 109.07 0
99232   3 XXX 0 0 101.54 0
99232   4 XXX 0 0 101.21 0
99233   1 XXX 0 0 152.43 0
99233   2 XXX 0 0 150.80 0
99233   3 XXX 0 0 144.06 0
99233   4 XXX 0 0 145.35 0
99234   1 XXX 0 0 244.17 0
99234   2 XXX 0 0 227.02 0
99234   3 XXX 0 0 227.02 0
99234   4 XXX 0 0 227.02 0
99235   1 XXX 0 0 338.88 0
99235   2 XXX 0 0 313.77 0
99235   3 XXX 0 0 313.77 0
99235   4 XXX 0 0 313.77 0
99236   1 XXX 0 0 406.82 0
99236   2 XXX 0 0 378.54 0
99236   3 XXX 0 0 378.54 0
99236   4 XXX 0 0 378.54 0
99238   1 XXX 0 0 129.31 0
99238   2 XXX 0 0 127.93 0
99238   3 XXX 0 0 125.20 0
99238   4 XXX 0 0 120.91 0
99239   1 XXX 0 0 180.84 0
99239   2 XXX 0 0 175.68 0
99239   3 XXX 0 0 168.70 0
99239   4 XXX 0 0 166.62 0
99241   1 XXX 0 0 107.84 81.40
99241   2 XXX 0 0 107.05 80.68
99241   3 XXX 0 0 105.54 79.27
99241   4 XXX 0 0 104.99 79.02
99242   1 XXX 0 0 159.57 129.05
99242   2 XXX 0 0 152.74 123.47
99242   3 XXX 0 0 146.58 118.53
99242   4 XXX 0 0 146.24 118.44
99243   1 XXX 0 0 198.32 161.25
99243   2 XXX 0 0 187.34 152.37
99243   3 XXX 0 0 177.42 144.42
99243   4 XXX 0 0 176.14 143.60
99244   1 XXX 0 0 286.44 237.94
99244   2 XXX 0 0 283.23 235.32
99244   3 XXX 0 0 267.39 222.57
99244   4 XXX 0 0 260.64 217.19
99245   1 XXX 0 0 341.14 282.15
99245   2 XXX 0 0 339.76 281.09
99245   3 XXX 0 0 321.44 266.39
99245   4 XXX 0 0 308.41 255.84
99251   1 XXX 0 0 109.56 0
99251   2 XXX 0 0 108.61 0
99251   3 XXX 0 0 107.05 0
99251   4 XXX 0 0 106.46 0
99252   1 XXX 0 0 160.18 0
99252   2 XXX 0 0 154.20 0
99252   3 XXX 0 0 147.98 0
99252   4 XXX 0 0 147.70 0
99253   1 XXX 0 0 202.33 0
99253   2 XXX 0 0 191.36 0
99253   3 XXX 0 0 181.25 0
99253   4 XXX 0 0 179.98 0
99254   1 XXX 0 0 288.05 0
99254   2 XXX 0 0 284.83 0
99254   3 XXX 0 0 268.95 0
99254   4 XXX 0 0 262.22 0
99255   1 XXX 0 0 343.74 0
99255   2 XXX 0 0 342.52 0
99255   3 XXX 0 0 324.45 0
99255   4 XXX 0 0 311.43 0
99281   1 XXX 0 0 46.14 0
99281   2 XXX 0 0 45.64 0
99281   3 XXX 0 0 45.34 0
99281   4 XXX 0 0 43.02 0
99282   1 XXX 0 0 74.38 0
99282   2 XXX 0 0 70.59 0
99282   3 XXX 0 0 64.74 0
99282   4 XXX 0 0 65.84 0
99283   1 XXX 0 0 110.34 0
99283   2 XXX 0 0 106.23 0
99283   3 XXX 0 0 100.16 0
99283   4 XXX 0 0 101.13 0
99284   1 XXX 0 0 159.99 0
99284   2 XXX 0 0 153.85 0
99284   3 XXX 0 0 143.94 0
99284   4 XXX 0 0 148.57 0
99285   1 XXX 0 0 256.68 0
99285   2 XXX 0 0 256.50 0
99285   3 XXX 0 0 235.04 0
99285   4 XXX 0 0 228.33 0
99288     XXX 9 0 * 0
99291   1 XXX 0 0 355.87 0
99291   2 XXX 0 0 343.14 0
99291   3 XXX 0 0 314.70 0
99291   4 XXX 0 0 303.88 0
99292   1 ZZZ 0 0 174.63 0
99292   2 ZZZ 0 0 169.84 0
99292   3 ZZZ 0 0 152.23 0
99292   4 ZZZ 0 0 149.31 0
99304   1 XXX 0 0 102.89 0
99304   2 XXX 0 0 94.63 0
99304   3 XXX 0 0 94.63 0
99304   4 XXX 0 0 94.63 0
99305   1 XXX 0 0 136.59 0
99305   2 XXX 0 0 125.68 0
99305   3 XXX 0 0 125.68 0
99305   4 XXX 0 0 125.68 0
99306   1 XXX 0 0 168.45 0
99306   2 XXX 0 0 155.19 0
99306   3 XXX 0 0 155.19 0
99306   4 XXX 0 0 155.19 0
99307   1 XXX 0 0 53.37 0
99307   2 XXX 0 0 48.80 0
99307   3 XXX 0 0 48.80 0
99307   4 XXX 0 0 48.80 0
99308   1 XXX 0 0 88.17 0
99308   2 XXX 0 0 80.88 0
99308   3 XXX 0 0 80.88 0
99308   4 XXX 0 0 80.88 0
99309   1 XXX 0 0 124.31 0
99309   2 XXX 0 0 114.02 0
99309   3 XXX 0 0 114.02 0
99309   4 XXX 0 0 114.02 0
99310   1 XXX 0 0 155.82 0
99310   2 XXX 0 0 142.76 0
99310   3 XXX 0 0 142.76 0
99310   4 XXX 0 0 142.76 0
99315   1 XXX 0 0 126.39 0
99315   2 XXX 0 0 115.68 0
99315   3 XXX 0 0 115.68 0
99315   4 XXX 0 0 115.68 0
99316   1 XXX 0 0 152.77 0
99316   2 XXX 0 0 141.13 0
99316   3 XXX 0 0 141.13 0
99316   4 XXX 0 0 141.13 0
99318   1 XXX 0 0 102.89 0
99318   2 XXX 0 0 94.63 0
99318   3 XXX 0 0 94.63 0
99318   4 XXX 0 0 94.63 0
99324   1 XXX 0 0 92.05 85.21
99324   2 XXX 0 0 83.95 78.35
99324   3 XXX 0 0 83.95 78.35
99324   4 XXX 0 0 83.95 78.35
99325   1 XXX 0 0 134.54 126.49
99325   2 XXX 0 0 123.16 116.59
99325   3 XXX 0 0 123.16 116.59
99325   4 XXX 0 0 123.16 116.59
99326   1 XXX 0 0 194.65 185.95
99326   2 XXX 0 0 178.88 171.76
99326   3 XXX 0 0 178.88 171.76
99326   4 XXX 0 0 178.88 171.76
99327   1 XXX 0 0 255.96 248.49
99327   2 XXX 0 0 235.71 229.61
99327   3 XXX 0 0 235.71 229.61
99327   4 XXX 0 0 235.71 229.61
99328   1 XXX 0 0 316.67 309.84
99328   2 XXX 0 0 291.90 286.32
99328   3 XXX 0 0 291.90 286.32
99328   4 XXX 0 0 291.90 286.32
99334   1 XXX 0 0 71.38 62.71
99334   2 XXX 0 0 64.83 57.75
99334   3 XXX 0 0 64.83 57.75
99334   4 XXX 0 0 64.83 57.75
99335   1 XXX 0 0 112.68 103.38
99335   2 XXX 0 0 103.00 95.43
99335   3 XXX 0 0 103.00 95.43
99335   4 XXX 0 0 103.00 95.43
99336   1 XXX 0 0 173.38 163.42
99336   2 XXX 0 0 159.32 151.18
99336   3 XXX 0 0 159.32 151.18
99336   4 XXX 0 0 159.32 151.18
99337   1 XXX 0 0 254.69 244.12
99337   2 XXX 0 0 234.65 226.04
99337   3 XXX 0 0 234.65 226.04
99337   4 XXX 0 0 234.65 226.04
99339     XXX 9 0 * 0
99340     XXX 9 0 * 0
99341   1 XXX 0 0 120.50 0
99341   2 XXX 0 0 109.32 0
99341   3 XXX 0 0 109.32 0
99341   4 XXX 0 0 109.32 0
99342   1 XXX 0 0 162.59 0
99342   2 XXX 0 0 149.34 0
99342   3 XXX 0 0 149.34 0
99342   4 XXX 0 0 149.34 0
99343   1 XXX 0 0 230.98 0
99343   2 XXX 0 0 213.36 0
99343   3 XXX 0 0 213.36 0
99343   4 XXX 0 0 213.36 0
99344   1 XXX 0 0 294.57 0
99344   2 XXX 0 0 272.86 0
99344   3 XXX 0 0 272.86 0
99344   4 XXX 0 0 272.86 0
99345   1 XXX 0 0 348.69 0
99345   2 XXX 0 0 325.15 0
99345   3 XXX 0 0 325.15 0
99345   4 XXX 0 0 325.15 0
99347   1 XXX 0 0 95.10 0
99347   2 XXX 0 0 85.98 0
99347   3 XXX 0 0 85.98 0
99347   4 XXX 0 0 85.98 0