Columns

PFS Payment Amount File

This file contains locality-specific physician fee schedule payment amounts for services covered by the Medicare Physician Fee Schedule (MPFS) with one record for each unique combination of carrier, locality, procedure code and modifier.

mac	Carrier Number	Medicare Administrative Contractor ID
locality	Locality	Pricing Locality ID
hcpcs	HCPCS Code	HCPCS Code
mod	Modifier	Diagnostic Tests, NA denotes Global Service, Mods 26 & TC identify Components. Mod 53 indicates Separate RVUs & PFS Amount for Procedures Terminated Before Completion.
status	Status Code	Indicates if in Fee Schedule, if Covered, if Separately Payable. Only A, R and T used for Medicare payment.
mult_surg	Multiple Surgery Indicator	Indicates Applicable Payment Adjustment Rule: Mod 51
flat_vis	Flat Rate Visit Fee	Contains Flat Visit Fee for Primary Care First Model
nther	Non-Facility Therapy Reduction	Fee reflects 50% PE payment for Non-facility services
fther	Facility Therapy Reduction	Fee reflects 50% PE payment for Facility services
fee_nf	Non-Facility Fee Schedule Amount	Non-Facility Pricing Amount
fee_f	Facility Fee Schedule Amount	Facility Pricing Amount
opps	OPPS Indicator	OPPS Payment Cap Determination: 1 = Applies, 9 = Does Not Apply
opps_nf	OPPS Non-Facility	OPPS Capped Non-Facility Pricing Amount
opps_f	OPPS Facility	OPPS Capped Facility Pricing Amount

PFS Relative Value File

This file contains information on services covered by the Medicare Physician Fee Schedule (MPFS) in 2024. For more than 10,000 physician services, the file contains the associated relative value units (RVUs), a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.).

The Medicare physician fee schedule amounts are adjusted to reflect the variation in practice costs from area to area. A geographic practice cost index (GPCI) has been established for every Medicare payment locality for each of the three components of a procedure’s relative value unit (i.e., the RVUs for work, practice expense, and malpractice). The GPCIs are applied in the calculation of a fee schedule payment amount by multiplying the RVU for each component times the GPCI for that component.

hcpcs	HCPCS Code	HCPCS Code
description	Description	HCPCS Procedure Description
mod	Modifier	Diagnostic Tests, NA denotes Global Service, Mods 26 & TC identify Components. Mod 53 indicates Separate RVUs & PFS Amount for Procedures Terminated Before Completion.
status	Status Code	Indicates if in Fee Schedule, if Covered, if Separately Payable. Only A, R and T used for Medicare payment.
wrvu	Work RVU	RVUs for Physician Work
nprvu	Non-Facility Practice Expense RVU	RVUs for Non-Facility Practice Expense
fprvu	Facility Practice Expense RVU	RVUs for Facility Practice Expense
mrvu	Malpractice RVU	RVUs for Malpractice Expense
cf	Conversion Factor	Multiplier that Transforms RVUs into Payment Amounts
nprvu_opps	Non-Facility PE Used for OPPS Payment Amount	Non-Facility Practice Expense RVUs for OPPS Payment
fprvu_opps	Facility PE Used for OPPS Payment Amount	Facility Practice Expense RVUs for OPPS Payment
global	Global Days	Number of Global Days
op_ind	Operative Percentage Indicator	1 = Has percentages, 0 = Does not have percentages
op_pre	Preoperative Percentage	Preoperative % of Global Package
op_intra	Intraoperative Percentage	Intraoperative % of Global Package, including Postoperative Work in Hospital
op_post	Postoperative Percentage	Postoperative % of Global Package, Provided in Office, Post-Discharge
pctc	PCTC Indicator	PCTC Payment Adjustment
mult_proc	Multiple Procedure Indicator	Multiple Procedures (Mod 51) Payment Adjustment
surg_bilat	Bilateral Surgery Indicator	Bilateral Procedure (Mod 50) Payment Adjustment
surg_asst	Assistant Surgery Indicator	Assistant at Surgery (Mods 80, 81, 82, or AS) Payment Adjustment
surg_co	Co-Surgery Indicator	Co-surgeons (Mod 62) Payment Adjustment
surg_team	Team Surgery Indicator	Team Surgeons (Mod 66) Payment Adjustment
endo	Endoscopic Base Code	Endoscopic Base Code for HCPCS with Multiple Surgery indicator 3
supvis	Physician Supervision Indicator	Physician Supervision Level Required for Service
dximg	Diagnostic Imaging Family Indicator	Diagnostic Service Family for HCPCS with Multiple Procedure indicator 4
unused	Not Used for Medicare Payment	Whether Code used for Medicare Payment
rare	Rarely/Never Performed	Procedure rarely/never performed in: 00 (Neither), 01 (Facility), 10 (Non-Facility), 11 (Both)

Modifier (26/TC/53)

For Diagnostic Tests, a blank in this field denotes the Global Service & the following Modifiers identify the components:
26	Type	CPT
	Category	General
	Description	Professional Component
	Information	Certain procedures are a combination of a physician or other qualified health care professional component and a technical component. When the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
	Instructions	Indicates physician's interpretation or professional component reported separately (from technical component) for diagnostic, lab or pathology procedures; Check Medicare Physician Fee Schedule (MPFS) Indicator and Descriptor Lists; Certain codes are divided from global with TC/26 modifiers; Technical and professional component fees equal total global allowance; Report in first field as a payment modifier
	Correct Use	Involves global, professional and technical. E.g. 71010, 71010 26 and 71010 TC. Place of Service (POS) 21, 22 and 23 only. Services appended with modifier 26. Facility pays technical portion with modifier TC. If 26 and TC are provided in different service locations (enrolled practice locations), professional and technical must be billed separately
	Incorrect Use	Do not use with evaluation and management (E/M) or Anesthesia codes. An independent laboratory may not bill TC of a physician pathology service furnished to a hospital inpatient or outpatient. Cannot use separately if provider performed global service (In this case, no modifier would be necessary). Claim Coding Example
	Resources	CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 13, Section 20.1 and 150 - Payment Conditions for Radiology Services
53	Type	CPT
	Category	General
	Description	Discontinued Procedure
	Information	Under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. Due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. This circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. Note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. For outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
	Correct Use	Append in first pricing position. Under certain circumstances, physician may elect to terminate surgical or diagnostic procedure. Surgical or diagnostic procedure started and discontinued by physician. Prior to or after anesthesia is administered. Bill Medicare percentage of service completed (see second example below). Medicare Claims Processing System does not automatically reduce payment
	Incorrect Use	Do not use to report elective procedure cancellation, in operating suite, prior to patient's anesthesia induction and/or surgical preparation. Inappropriate with E/M or anesthesia codes. Inappropriate to use for Ambulatory Surgery Center (ASC) or hospital facility claims. Use facility modifiers 73 or 74. Do not confuse with reduced procedure modifier 52. Claim Coding Example. Claim Reduction Fee Example
	Resources	CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30.1
TC	Type	HCPCS
	Description	Technical component
	Information	Under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles

Status

Medicare Status Codes
Indicates whether the code is in the fee schedule and whether it is separately payable if the service is covered. Only RVUs associated with status codes of A, R, or T, are used for Medicare payment.
A	Active	Separately paid if covered. RVUs and payment amounts. Carriers responsible for coverage decisions in absence of an NCD.
B	Payment Bundle	Payment bundled into payment for other services not specified. No RVUs, no payment made. When covered, payment subsumed by payment for services to which they are incident.
C	Carrier Priced	Carriers establish RVUs and payment following documentation review.
D	Deleted Codes	Deleted effective with beginning of year.
E	Regulatory Exclusion	Excluded by regulation. No RVUs, no payment made. When covered, payment made under reasonable charge procedures.
F	Deleted/Discontinued	Not subject to 90 day grace period
G	Not Valid for Medicare	Another code used for payment. Subject to a 90 day grace period.
H	Deleted Modifier	Had TC/26 mod in previous year, TC/26 component now deleted.
I	Not Valid for Medicare	Another code used for payment. Not subject to a 90-day grace period.
J	Anesthesia Service	No RVUs or payment amounts. Only identifies anesthesia services.
M	Measurement Code	Used for reporting purposes only.
N	Restricted Coverage	Not covered by Medicare.
P	Non-Covered Service	No RVUs, no payment made. If covered as Incident To and provided on same day as physician service, payment bundled into payment for Incident To service. If covered as other than Incident To, paid under other payment provision.
R	Bundled/Excluded Code	Special coverage instructions apply. If covered, service is contractor priced. Assigned to limited number of codes covered in unusual circumstances. Majority of codes are dental codes.
T	Injections	RVUs and payment amounts. Paid only if no other payable services billed on same date by same provider. If payable services billed, bundled into payment.
X	Statutory Exclusion	Not in statutory definition of Physician Services. No RVUs or payment amounts, no payment made.

Global Days

000	Endoscopic or minor procedure with related Preoperative and Postoperative RVUs on the day of the procedure only included in the fee schedule payment amount. E&M services on the day of the procedure generally not payable.
010	Minor procedure with Preoperative RVUs on the day of the procedure and Postoperative RVUs during a 10-day postoperative period included in the fee schedule amount. E&M services on the day of the procedure and during the 10-day postoperative period generally not payable.
090	Major surgery with a 1-day Preoperative period and 90-day Postoperative period included in fee schedule amount.
MMM	Maternity codes. Usual Global period does not apply.
XXX	Global concept does not apply.
YYY	Carrier determines if Global concept applies and, if appropriate, establishes Postoperative period.
ZZZ	Code related to another service and is always included in Global period of other service.

PCTC Indicator

0	Physician Service: PC/TC does not apply
1	Diagnostic Tests for Radiology Services: Have both a PC and TC. Mods 26/TC can be used.
2	Professional Component Only: Standalone code. Describes PC of diagnostic tests for which there is a code that describes TC of diagnostic test only and another code that describes the Global test.
3	Technical Component Only: Standalone code. Mods 26/TC cannot be used. Describe TC of diagnostic tests for which there is a code that describes PC of the diagnostic test only. Also identifies codes that are covered only as diagnostic tests and do not have a PC code.
4	Global Test Only: Standalone code. Mods 26/TC cannot be used. Describes diagnostic tests for which there are codes that describe PC of the test only, and the TC of the test only. Total RVUs is sum of total RVUs for PC and TC only codes combined.
5	Incident-To: Mods 26/TC cannot be used. Services provided by personnel working under physician supervision. Payment may not be made when provided to hospital inpatients or outpatients.
6	Lab Physician Interpretation: Mod TC cannot be used. Clinical Lab codes for which separate payment for interpretations by laboratory physicians may be made. Actual performance of tests paid by lab fee schedule.
7	Physical Therapy: Payment may not be made if provided to hospital outpatient/inpatient by independently practicing physical or occupational therapist.
8	Physician Interpretation: Identifies PC of Clinical Lab codes for which separate payment made only if physician interprets abnormal smear for hospital inpatient. No TC billing recognized, payment for test made to hospital. No payment for CPT 85060 furnished to hospital outpatients or non-hospital patients. Physician interpretation paid through clinical laboratory fee schedule.
9	PCTC Concept does not apply

Multiple Procedures

0	No adjustment. If procedure is reported on the same day as another procedure, base the payment on the lower of (a) the actual charge, or (b) the fee schedule amount for the procedure.
1	Standard adjustment. If reported on the same day as another procedure with an indicator of 1, 2, or 3, rank the procedures by fee schedule amount and apply the appropriate reduction to this code (100%, 50%, 25%, 25%, 25%, and by report). Base payment on the lower of (a) the actual charge, or (b) the fee schedule amount reduced by the appropriate percentage.
2	Standard adjustment. If reported on the same day as another procedure with an indicator of 1, 2, or 3, rank the procedures by fee schedule amount and apply the appropriate reduction to this code (100%, 50%, 50%, 50%, 50% and by report). Base payment on the lower of (a) the actual charge, or (b) the fee schedule amount reduced by the appropriate percentage.
3	Special rules for multiple endoscopic procedures apply if procedure is billed with another endoscopy in the same family (i.e., another endoscopy that has the same base procedure). The base procedure for each code with this indicator is identified in the Endobase column. Apply the multiple endoscopy rules to a family before ranking the family with the other procedures performed on the same day (for example, if multiple endoscopies in the same family are reported on the same day as endoscopies in another family or on the same day as a non-endoscopic procedure). If an endoscopic procedure is reported with only its base procedure, do not pay separately for the base procedure. Payment for the base procedure is included in the payment for the other endoscopy.
4	Special rules for the technical component (TC) of diagnostic imaging procedures apply if procedure is billed with another diagnostic imaging procedure in the same family (per the diagnostic imaging family indicator, below). If procedure is reported in the same session on the same day as another procedure with the same family indicator, rank the procedures by fee schedule amount for the TC. Pay 100% for the highest priced procedure, and 50% for each subsequent procedure. Base the payment for subsequent procedures on the lower of (a) the actual charge, or (b) the fee schedule amount reduced by the appropriate percentage. Subject to 50% reduction of the TC diagnostic imaging (effective for services July 1, 2010 and after). Subject to 25% reduction of the PC of diagnostic imaging (effective for services January 1, 2012 through December 31, 2016). Subject to 5% reduction of the PC of diagnostic imaging (effective for services January 1, 2017 and after).
5	Subject to 50% of the practice expense component for certain therapy services.
6	Subject to 25% reduction of the second highest and subsequent procedures to the TC of diagnostic cardiovascular services, effective for services January 1, 2013, and thereafter.
7	Subject to 20% reduction of the second highest and subsequent procedures to the TC of diagnostic ophthalmology services, effective for services January 1, 2013, and thereafter.
9	Concept does not apply

Diagnostic Imaging Family

01	Ultrasound (Chest / Abdomen / Pelvis-Non-Obstetrical)
02	CT and CTA (Chest / Thorax / Abd / Pelvis)
03	CT and CTA (Head / Brain / Orbit / Maxillofacial / Neck)
04	MRI and MRA (Chest / Abd / Pelvis)
05	MRI and MRA (Head / Brain / Neck)
06	MRI and MRA (Spine)
07	CT (Spine)
08	MRI and MRA (Lower Extremities)
09	CT and CTA (Lower Extremities)
10	MRI and MRA (Upper Extremities and Joints)
11	CT and CTA (Upper Extremities)
88	Subject to Reduction of TC or PC Diagnostic Imaging
99	Concept does not apply

Geographic Practice Cost Indices

This file contains the Geographic Practice Cost Index (GPCI) component for each carrier/locality for 2024 as well as the locality/county crosswalk. The GPCI reflects the relative costs of physician work, practice expense, and malpractice insurance in a geographic area compared to the national average costs for each component.

				GPCIwk	GPCIpe	GPCImp	GPCIgaf
AL	10112	00	ALABAMA	1	0.87	0.58	2.44
AK	02102	01	ALASKA	1.5	1.08	0.59	3.17
AZ	03102	00	ARIZONA	1	0.97	0.85	2.83
AR	07102	13	ARKANSAS	1	0.86	0.52	2.38
CA	01112	54	BAKERSFIELD	1.02	1.09	0.66	2.77
	01112	55	CHICO	1.01	1.09	0.56	2.67
	01182	71	EL CENTRO	1.01	1.09	0.57	2.68
	01112	56	FRESNO	1.01	1.09	0.56	2.67
	01112	57	HANFORD-CORCORAN	1.01	1.09	0.56	2.67
	01182	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)	1.04	1.19	0.69	2.93
	01112	58	MADERA	1.01	1.09	0.56	2.67
	01112	59	MERCED	1.01	1.09	0.56	2.67
	01112	60	MODESTO	1.01	1.09	0.56	2.67
	01112	51	NAPA	1.06	1.31	0.52	2.89
	01182	17	OXNARD-THOUSAND OAKS-VENTURA	1.03	1.18	0.65	2.86
	01112	61	REDDING	1.01	1.09	0.56	2.67
	01112	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	1.01	1.09	0.89	3
	01112	63	SACRAMENTO-ROSEVILLE-FOLSOM	1.03	1.16	0.56	2.75
	01112	64	SALINAS	1.03	1.17	0.56	2.76
	01182	72	SAN DIEGO-CHULA VISTA-CARLSBAD	1.03	1.19	0.57	2.79
	01112	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)	1.09	1.42	0.45	2.95
	01112	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	1.09	1.42	0.47	2.98
	01112	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	1.1	1.43	0.56	3.1
	01182	73	SAN LUIS OBISPO-PASO ROBLES	1.01	1.13	0.56	2.71
	01112	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	1.1	1.43	0.42	2.96
	01112	66	SANTA CRUZ-WATSONVILLE	1.02	1.21	0.56	2.79
	01182	74	SANTA MARIA-SANTA BARBARA	1.02	1.18	0.56	2.76
	01112	67	SANTA ROSA-PETALUMA	1.03	1.23	0.56	2.82
	01112	68	STOCKTON	1.01	1.09	0.56	2.67
	01112	53	VALLEJO	1.06	1.31	0.47	2.84
	01112	69	VISALIA	1.01	1.09	0.56	2.67
	01112	70	YUBA CITY	1.01	1.09	0.56	2.67
	01112	75	REST OF CALIFORNIA	1.01	1.09	0.56	2.67
CO	04112	01	COLORADO	1.01	1.05	0.83	2.89
CT	13102	00	CONNECTICUT	1.02	1.09	1.21	3.32
DC	12202	01	DC + MD/VA SUBURBS	1.06	1.19	1.17	3.42
DE	12102	01	DELAWARE	1.01	0.99	0.95	2.95
FL	09102	03	FORT LAUDERDALE	1	1	1.77	3.77
	09102	04	MIAMI	1	1.03	2.5	4.53
	09102	99	REST OF FLORIDA	1	0.94	1.47	3.41
GA	10212	01	ATLANTA	1	1	1.13	3.12
	10212	99	REST OF GEORGIA	1	0.88	1.12	3.01
HI	01212	01	HAWAII, GUAM	1	1.15	0.56	2.71
ID	02202	00	IDAHO	1	0.91	0.46	2.37
IL	06102	16	CHICAGO	1.01	1.02	2.02	4.05
	06102	12	EAST ST. LOUIS	1	0.92	1.78	3.7
	06102	15	SUBURBAN CHICAGO	1.01	1.05	1.56	3.61
	06102	99	REST OF ILLINOIS	1	0.91	1.38	3.29
IN	08102	00	INDIANA	1	0.92	0.49	2.41
IA	05102	00	IOWA	1	0.91	0.46	2.37
KS	05202	00	KANSAS	1	0.91	0.54	2.45
KY	15102	00	KENTUCKY	1	0.88	0.91	2.79
LA	07202	01	NEW ORLEANS	1	0.94	1.16	3.09
	07202	99	REST OF LOUISIANA	1	0.88	0.98	2.86
ME	14112	03	SOUTHERN MAINE	1	1.01	0.66	2.67
	14112	99	REST OF MAINE	1	0.91	0.65	2.56
MD	12302	01	BALTIMORE/SURR. CNTYS	1.02	1.08	1.31	3.41
	12302	99	REST OF MARYLAND	1.01	1.02	0.97	3
MA	14212	01	METROPOLITAN BOSTON	1.04	1.2	0.89	3.13
	14212	99	REST OF MASSACHUSETTS	1.02	1.06	0.8	2.87
MI	08202	01	DETROIT	1	0.99	1.72	3.71
	08202	99	REST OF MICHIGAN	1	0.91	1.17	3.08
MN	06202	00	MINNESOTA	1	1.02	0.3	2.32
MS	07302	00	MISSISSIPPI	1	0.85	0.77	2.62
MO	05302	02	METROPOLITAN KANSAS CITY	1	0.95	0.99	2.94
	05302	01	METROPOLITAN ST. LOUIS	1	0.95	0.99	2.95
	05302	99	REST OF MISSOURI	1	0.86	0.97	2.83
MT	03202	01	MONTANA	1	1	0.98	2.98
NE	05402	00	NEBRASKA	1	0.92	0.3	2.22
NV	01312	00	NEVADA	1	1	0.84	2.84
NH	14312	40	NEW HAMPSHIRE	1	1.03	0.9	2.93
NJ	12402	01	NORTHERN NJ	1.06	1.17	1.03	3.27
	12402	99	REST OF NEW JERSEY	1.04	1.11	1.07	3.22
NM	04212	05	NEW MEXICO	1	0.91	1.17	3.08
NY	13202	01	MANHATTAN	1.06	1.17	1.66	3.89
	13202	02	NYC SUBURBS/LONG ISLAND	1.06	1.2	1.91	4.18
	13202	03	POUGHKPSIE/N NYC SUBURBS	1.05	1.11	1.27	3.42
	13292	04	QUEENS	1.06	1.2	1.46	3.72
	13282	99	REST OF NEW YORK	1	0.95	0.73	2.68
NC	11502	00	NORTH CAROLINA	1	0.93	0.66	2.59
ND	03302	01	NORTH DAKOTA	1	1	0.52	2.52
OH	15202	00	OHIO	1	0.91	1.03	2.94
OK	04312	00	OKLAHOMA	1	0.89	0.81	2.7
OR	02302	01	PORTLAND	1.01	1.1	0.69	2.8
	02302	99	REST OF OREGON	1	0.99	0.64	2.63
PA	12502	01	METROPOLITAN PHILADELPHIA	1.02	1.05	1.18	3.25
	12502	99	REST OF PENNSYLVANIA	1	0.93	0.93	2.85
PR	09202	20	PUERTO RICO	1	1.01	0.98	2.99
RI	14412	01	RHODE ISLAND	1.02	1.04	0.85	2.91
SC	11202	01	SOUTH CAROLINA	1	0.91	0.82	2.73
SD	03402	02	SOUTH DAKOTA	1	1	0.38	2.38
TN	10312	35	TENNESSEE	1	0.9	0.54	2.44
TX	04412	31	AUSTIN	1	1.05	0.91	2.96
	04412	20	BEAUMONT	1	0.9	0.95	2.85
	04412	09	BRAZORIA	1.01	1.01	0.79	2.81
	04412	11	DALLAS	1.01	1.01	0.88	2.89
	04412	28	FORT WORTH	1.01	1	0.9	2.91
	04412	15	GALVESTON	1.01	1	0.86	2.87
	04412	18	HOUSTON	1.01	1	1.41	3.43
	04412	99	REST OF TEXAS	1	0.94	0.93	2.88
UT	03502	09	UTAH	1	0.93	0.93	2.86
VT	14512	50	VERMONT	1	0.99	0.52	2.51
VA	11302	00	VIRGINIA	1	0.98	0.76	2.74
VI	09202	50	VIRGIN ISLANDS	1	1.01	0.98	2.99
WA	02402	02	SEATTLE (KING CNTY)	1.04	1.22	0.85	3.12
	02402	99	REST OF WASHINGTON	1.01	1.04	0.8	2.85
WV	11402	16	WEST VIRGINIA	1	0.86	1.33	3.2
WI	06302	00	WISCONSIN	1	0.96	0.33	2.29
WY	03602	21	WYOMING	1	1	0.74	2.74