I have a question on how you would create a column in your Access query that will add a count by claim_number from highest billed charges to lowest. I need to be able to determine how many outpatient surgeries were paid the rate1, rate2, rate3 based on billed charges. In other words the surgery with the highest billed is paid at rate1 next highest rate2, etc. So I will need to count the number of surgeries from highest billed to lowest where the CPT is equal to the grouper_cpt (another table).