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When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "82-4872633" }, "service_code" : [ "20" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 179.00, "providers" : [ { "billed_charge" : 179.00, "npi" : [ 1053548644 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-2796316" }, "service_code" : [ "50" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 101.19, "providers" : [ { "billed_charge" : 237.00, "npi" : [ 1922250505 ] } ] }, { "allowed_amount" : 123.90, "providers" : [ { "billed_charge" : 237.00, "npi" : [ 1699706333 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-1691313" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 123.90, "providers" : [ { "billed_charge" : 284.00, "npi" : [ 1851540199 ] } ] }, { "allowed_amount" : 123.90, "billing_code_modifier" : [ "GC" ], "providers" : [ { "billed_charge" : 284.00, "npi" : [ 1548417652 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-4112121" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 95.24, "providers" : [ { "billed_charge" : 266.34, "npi" : [ 1174937825 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "47-3530706" }, "service_code" : [ "22" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 84.03, "providers" : [ { "billed_charge" : 101.00, "npi" : [ 1407972490 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "04-3782422" }, "service_code" : [ "20" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 95.24, "providers" : [ { "billed_charge" : 120.00, "npi" : [ 1295910701 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "83-2589214" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 119.05, "billing_code_modifier" : [ "25" ], "providers" : [ { "billed_charge" : 145.00, "npi" : [ 1659948321 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-1691313" }, "service_code" : [ "22" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 85.74, "billing_code_modifier" : [ "25" ], "providers" : [ { "billed_charge" : 211.00, "npi" : [ 1851540199 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-2796316" }, "service_code" : [ "02" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 72.88, "billing_code_modifier" : [ "95" ], "providers" : [ { "billed_charge" : 237.00, "npi" : [ 1194323121 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "95-6000930" }, "service_code" : [ "50" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 74.94, "billing_code_modifier" : [ "95" ], "providers" : [ { "billed_charge" : 333.00, "npi" : [ 1407155047 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "33-0866951" }, "service_code" : [ "02" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 71.43, "billing_code_modifier" : [ "95" ], "providers" : [ { "billed_charge" : 150.00, "npi" : [ 1104451541 ] } ] } ] } ] }, { "name" : "Office O/P Est Hi 40-54 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99215", "description" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "81-2903786" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 227.35, "providers" : [ { "billed_charge" : 260.00, "npi" : [ 1962766907 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "83-0867696" }, "service_code" : [ "10" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 246.95, "billing_code_modifier" : [ "95" ], "providers" : [ { "billed_charge" : 291.51, "npi" : [ 1710108881 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "26-2900972" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 251.21, "billing_code_modifier" : [ "25" ], "providers" : [ { "billed_charge" : 325.00, "npi" : [ 1881694131 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "23-7064656" }, "service_code" : [ "02" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 187.94, "billing_code_modifier" : [ "95" ], "providers" : [ { "billed_charge" : 583.00, "npi" : [ 1043770001 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "45-5156007" }, "service_code" : [ "22" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 170.81, "billing_code_modifier" : [ "25" ], "providers" : [ { "billed_charge" : 450.00, "npi" : [ 1548279755 ] } ] } ] } ] }, { "name" : "Ntrprof Ph1/Ntrnet/Ehr 5/>", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99451", "description" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "33-0283773" }, "service_code" : [ "23" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 46.19, "providers" : [ { "billed_charge" : 100.00, "npi" : [ 1881928414 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "33-0283773" }, "service_code" : [ "21" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 46.19, "providers" : [ { "billed_charge" : 100.00, "npi" : [ 1801276571 ] } ] } ] } ] }, { "name" : "Office O/P Est Sf 10-19 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99212", "description" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "95-1691313" }, "service_code" : [ "22" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 45.74, "providers" : [ { "billed_charge" : 126.00, "npi" : [ 1902414790 ] } ] } ] } ] }, { "name" : "Anesth Skin Ext/Per/Atrunk", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "00400", "description" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "99-0749845" }, "service_code" : [ "21" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 89.98, "billing_code_modifier" : [ "AA", "P1" ], "providers" : [ { "billed_charge" : 2709.00, "npi" : [ 1831298389 ] } ] } ] } ] }, { "name" : "Path Consult Introp", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "88329", "description" : "Pathology consultation during surgery;", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "83-0565295" }, "service_code" : [ "22" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 44.31, "billing_code_modifier" : [ "59" ], "providers" : [ { "billed_charge" : 84.50, "npi" : [ 1972080752 ] } ] } ] } ] }, { "name" : "Unlisted Dialysis Procedure", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "90999", "description" : "Unlisted dialysis procedure, inpatient or outpatient", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "20-5577621" }, "billing_class" : "institutional", "payments" : [ { "allowed_amount" : 5762.00, "billing_code_modifier" : [ "G6", "V5" ], "providers" : [ { "billed_charge" : 5762.00, "npi" : [ 1316971641 ] } ] } ] } ] }, { "name" : "O2 CONC 1 DEL PORT 85%/>02 CONC AT PRSC FLW RATE", "billing_code_type" : "HCPCS", "billing_code_type_version" : "2024", "billing_code" : "E1390", "description" : "Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "95-3514215" }, "service_code" : [ "12" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 120.20, "billing_code_modifier" : [ "RR" ], "providers" : [ { "billed_charge" : 275.00, "npi" : [ 1992793269 ] }, { "billed_charge" : 390.00, "npi" : [ 1992793269 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "47-5072466" }, "service_code" : [ "12" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 120.20, "billing_code_modifier" : [ "RR" ], "providers" : [ { "billed_charge" : 195.40, "npi" : [ 1669845996 ] } ] } ] } ] }, { "name" : "M.Pneumon Dna Amp Probe", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "87581", "description" : "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "92-1249599" }, "service_code" : [ "81" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 43.86, "providers" : [ { "billed_charge" : 43.86, "npi" : [ 1790470763 ] } ] } ] } ] }, { "name" : "Anesth Induced Ab Procedure", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "01966", "description" : "Anesthesia for induced abortion procedures", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "33-0385426" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 52.93, "billing_code_modifier" : [ "P1", "QX" ], "providers" : [ { "billed_charge" : 242.86, "npi" : [ 1861463572 ] } ] } ] } ] }, { "name" : "COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS", "billing_code_type" : "HCPCS", "billing_code_type_version" : "2024", "billing_code" : "E0165", "description" : "Commode chair, mobile or stationary, with detachable arms", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "20-1106262" }, "service_code" : [ "12" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 113.65, "billing_code_modifier" : [ "NU" ], "providers" : [ { "billed_charge" : 113.65, "npi" : [ 1184716672 ] } ] } ] } ] }, { "name" : "Office O/P New Low 30-44 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99203", "description" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "95-1691313" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 151.04, "providers" : [ { "billed_charge" : 407.00, "npi" : [ 1851540199 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "26-1971598" }, "service_code" : [ "20" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 116.61, "providers" : [ { "billed_charge" : 300.00, "npi" : [ 1184809337 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "27-2872791" }, "service_code" : [ "20" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 108.21, "providers" : [ { "billed_charge" : 302.00, "npi" : [ 1811385461 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "20-8912577" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 91.76, "providers" : [ { "billed_charge" : 129.00, "npi" : [ 1750586723 ] } ] } ] } ] }, { "name" : "Office O/P New Sf 15-29 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99202", "description" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "33-0385426" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 100.25, "providers" : [ { "billed_charge" : 195.00, "npi" : [ 1619119328 ] } ] } ] } ] }, { "name" : "Office O/P New Hi 60-74 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99205", "description" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.", "allowed_amounts" : [ { "tin" : { "type" : "ein", "value" : "81-2903786" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 276.95, "providers" : [ { "billed_charge" : 320.00, "npi" : [ 1962766907 ] } ] }, { "allowed_amount" : 286.81, "providers" : [ { "billed_charge" : 320.00, "npi" : [ 1447592969, 1306259114 ] } ] } ] }, { "tin" : { "type" : "ein", "value" : "23-7064656" }, "service_code" : [ "11" ], "billing_class" : "professional", "payments" : [ { "allowed_amount" : 295.83, "providers" : [ { "billed_charge" : 823.00, "npi" : [ 1427408921 ] } ] } ] } ] }, { "name" : "Office O/P New Mod 45-59 Min", "billing_code_type" : "CPT", "billing_code_type_version" : "2024", "billing_code" : "99204", "description" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. 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