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"service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 6.54, "providers": [ { "billed_charge": 11.67, "npi": [ 1972971265 ] } ] } ] } ] }, { "name": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot", "billing_code_type": "CPT", "billing_code": "80053", "billing_code_type_version": "2020", "description": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot", "allowed_amounts": [ { "tin": { "type": "ein", "value": "112981841" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 85.0, "npi": [ 1033281126 ] } ] } ] }, { "tin": { "type": "ein", "value": "233079507" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 10.56, "npi": [ 1043271539 ] } ] } ] }, { "tin": { "type": "ein", "value": "872582895" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 21.5, "npi": [ 1043982002 ] } ] } ] }, { "tin": { "type": "ein", "value": "636004476" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 30.0, "npi": [ 1114161601 ] } ] } ] }, { "tin": { "type": "ein", "value": "823971792" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 15.84, "npi": [ 1114435492 ] } ] } ] }, { "tin": { "type": "ein", "value": "471359076" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 31.68, "npi": [ 1134538713 ] } ] } ] }, { "tin": { "type": "ein", "value": "831005259" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 31.68, "npi": [ 1174092548 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 48.3, "npi": [ 1194712083, 1376323998, 1801883780, 1821565045, 1851388748 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 78.25, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "203174593" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 48.3, "npi": [ 1295726032 ] }, { "billed_charge": 52.68, "npi": [ 1295726032 ] } ] } ] }, { "tin": { "type": "ein", "value": "582030692" }, "service_code": [ "11" ], "billing_class": "professional", "payments": [ { "allowed_amount": 5.28, "providers": [ { "billed_charge": 264.0, "npi": [ 1396798229 ] } ] } ] }, { "tin": { "type": "ein", "value": "815340198" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 12.14, "npi": [ 1407487465 ] } ] } ] }, { "tin": { "type": "ein", "value": "251008110" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 88.0, "npi": [ 1437272697 ] } ] } ] }, { "tin": { "type": "ein", "value": "582149128" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 263.0, "npi": [ 1528861481 ] } ] } ] }, { "tin": { "type": "ein", "value": "621802294" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 10.56, "npi": [ 1548370745 ] }, { "billed_charge": 48.0, "npi": [ 1548370745 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 40.4, "npi": [ 1639264575 ] }, { "billed_charge": 48.3, "npi": [ 1639264575 ] } ] } ] }, { "tin": { "type": "ein", "value": "471797576" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 40.0, "npi": [ 1730582594 ] } ] } ] }, { "tin": { "type": "ein", "value": "582328865" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 18.48, "providers": [ { "billed_charge": 37.63, "npi": [ 1760579825 ] } ] } ] }, { "tin": { "type": "ein", "value": "271773152" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 125.0, "npi": [ 1790016921 ] } ] } ] }, { "tin": { "type": "ein", "value": "862874977" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 32.0, "npi": [ 1831851039 ] } ] } ] }, { "tin": { "type": "ein", "value": "823146637" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 36.96, "npi": [ 1861994600 ] } ] } ] }, { "tin": { "type": "ein", "value": "921600577" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 21.12, "npi": [ 1912787144 ] } ] } ] }, { "tin": { "type": "ein", "value": "352539778" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 13.2, "npi": [ 1972971265 ] } ] } ] }, { "tin": { "type": "ein", "value": "943357013" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 127.0, "npi": [ 1982606992 ] } ] } ] } ] }, { "name": "Continuous positive airway pressure (CPAP) device", "billing_code_type": "HCPCS", "billing_code": "E0601", "billing_code_type_version": "2020", "description": "Continuous positive airway pressure (CPAP) device", "allowed_amounts": [ { "tin": { "type": "ein", "value": "510447627" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 180.0, "npi": [ 1033195110 ] }, { "billed_charge": 260.0, "npi": [ 1033195110 ] } ] } ] }, { "tin": { "type": "ein", "value": "270110308" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 260.0, "npi": [ 1124251913 ] } ] } ] }, { "tin": { "type": "ein", "value": "593758015" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 260.0, "npi": [ 1184640393 ] } ] } ] }, { "tin": { "type": "ein", "value": "010676164" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 95.0, "npi": [ 1205831765 ] } ] } ] }, { "tin": { "type": "ein", "value": "760653019" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 180.0, "npi": [ 1538471412 ] } ] } ] }, { "tin": { "type": "ein", "value": "522439178" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 105.25, "npi": [ 1740527654 ] } ] } ] }, { "tin": { "type": "ein", "value": "571111621" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 56.93, "npi": [ 1801428776 ] } ] } ] }, { "tin": { "type": "ein", "value": "273319284" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 100.0, "npi": [ 1811206741 ] } ] } ] }, { "tin": { "type": "ein", "value": "582507620" }, "service_code": [ "12" ], "billing_class": "professional", "payments": [ { "allowed_amount": 47.47, "billing_code_modifier": [ "RR" ], "providers": [ { "billed_charge": 97.02, "npi": [ 1861487373 ] } ] } ] } ] }, { "name": "Cortisol; total", "billing_code_type": "CPT", "billing_code": "82533", "billing_code_type_version": "2020", "description": "Cortisol; total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "831005259" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 48.9, "npi": [ 1174092548 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 118.0, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "621802294" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 90.0, "npi": [ 1548370745 ] } ] } ] }, { "tin": { "type": "ein", "value": "471797576" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 60.0, "npi": [ 1730582594 ] } ] } ] }, { "tin": { "type": "ein", "value": "814697090" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 40.75, "npi": [ 1740715333 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 102.9, "npi": [ 1801883780 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 80.85, "npi": [ 1962489237 ] } ] }, { "allowed_amount": 22.82, "providers": [ { "billed_charge": 161.7, "npi": [ 1962489237 ] } ] }, { "allowed_amount": 34.23, "providers": [ { "billed_charge": 242.55, "npi": [ 1962489237 ] } ] }, { "allowed_amount": 45.64, "providers": [ { "billed_charge": 323.4, "npi": [ 1962489237 ] } ] } ] } ] }, { "name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code": "82565", "billing_code_type_version": "2020", "description": "Creatinine; blood", "allowed_amounts": [ { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.58, "providers": [ { "billed_charge": 46.1, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "593205549" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.58, "providers": [ { "billed_charge": 115.14, "npi": [ 1245720820 ] } ] } ] }, { "tin": { "type": "ein", "value": "464163620" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.58, "providers": [ { "billed_charge": 25.0, "npi": [ 1265854855 ] } ] } ] } ] }, { "name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code": "82570", "billing_code_type_version": "2020", "description": "Creatinine; other source", "allowed_amounts": [ { "tin": { "type": "ein", "value": "233079507" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 5.18, "npi": [ 1043271539 ] } ] } ] }, { "tin": { "type": "ein", "value": "561565047" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 14.79, "npi": [ 1073591822 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 29.86, "npi": [ 1083698534 ] }, { "billed_charge": 30.11, "npi": [ 1083698534 ] }, { "billed_charge": 30.14, "npi": [ 1083698534 ] }, { "billed_charge": 45.37, "npi": [ 1083698534 ] }, { "billed_charge": 64.07, "npi": [ 1639264575 ] } ] } ] }, { "tin": { "type": "ein", "value": "273012584" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 6.0, "npi": [ 1104255215 ] }, { "billed_charge": 7.0, "npi": [ 1104255215 ] } ] } ] }, { "tin": { "type": "ein", "value": "471359076" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 15.54, "npi": [ 1134538713 ] } ] } ] }, { "tin": { "type": "ein", "value": "831005259" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 15.54, "npi": [ 1174092548 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 79.05, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "593205549" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 116.25, "npi": [ 1245720820 ] } ] } ] }, { "tin": { "type": "ein", "value": "203174593" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 59.12, "npi": [ 1295726032 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.25, "providers": [ { "billed_charge": 118.73, "npi": [ 1376323998, 1487969341 ] }, { "billed_charge": 90.36, "npi": [ 1487969341 ] } ] }, { "allowed_amount": 3.63, "providers": [ { "billed_charge": 26.34, "npi": [ 1487969341 ] }, { "billed_charge": 26.35, "npi": [ 1487969341 ] }, { "billed_charge": 64.02, "npi": [ 1487969341 ] }, { "billed_charge": 33.67, "npi": [ 1821565045 ] } ] } ] }, { "tin": { "type": "ein", "value": "251008110" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 37.0, "npi": [ 1437272697 ] } ] } ] }, { "tin": { "type": "ein", "value": "814697090" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 12.95, "npi": [ 1740715333 ] } ] } ] }, { "tin": { "type": "ein", "value": "862874977" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 16.0, "npi": [ 1831851039 ] } ] } ] }, { "tin": { "type": "ein", "value": "943357013" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 63.0, "npi": [ 1982606992 ] } ] } ] } ] }, { "name": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "billing_code_type": "CPT", "billing_code": "99292", "billing_code_type_version": "2020", "description": "CRITICAL CARE ILL/INJURED PATIENT 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