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"AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-3011825" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205300407" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0240499" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1215930987" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0832294" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407806441" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407894868" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407894868" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-0872873" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1538105366" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-0454268" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588004410" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1777734" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1659301349" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "38-2084239" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1730604471" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-4697090" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1740715333" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "GENERAL HEALTH PANEL", "BillingCodeType": "CPT", "BillingCode": "80050", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0779441" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1972035772" ] } ] } ] } ] }, { "Name": "ELECTROLYTE PANEL", "BillingCodeType": "CPT", "BillingCode": "80051", "BillingCodeTypeVersion": "2020", "Description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-1179794" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 42.72, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 91.0, "Npi": [ "1013407865" ] } ] } ] } ] }, { "Name": "ELECTROLYTE PANEL", "BillingCodeType": "CPT", "BillingCode": "80051", "BillingCodeTypeVersion": "2020", "Description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "59-3205549" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 7.1, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 153.905, "Npi": [ "1245720820" ] } ] } ] } ] }, { "Name": "ELECTROLYTE PANEL", "BillingCodeType": "CPT", "BillingCode": "80051", "BillingCodeTypeVersion": "2020", "Description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 7.1, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 13.64, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ELECTROLYTE PANEL", "BillingCodeType": "CPT", "BillingCode": "80051", "BillingCodeTypeVersion": "2020", "Description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 7.1, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 21.03, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-1559375" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1013379460" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-0231793" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1023032588" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-2694620" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1033120423" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0177350" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043263080" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043915523" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "37-0662561" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1053481630" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-0564987" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1073510277" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-0830701" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1073576740" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "65-1191373" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1073665360" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "58-1966795" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093716979" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-4717998" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1104295864" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-4717998" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1104295864" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1600397" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1104870187" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0692237" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1104981661" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-3002963" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114203668" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-2576167" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114481447" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0214335" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194705202" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "74-2554159" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194769497" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0255530" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194792762" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-3011825" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205300407" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-3011825" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205300407" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-6002707" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205822186" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-0757164" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1215006101" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0240499" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1215930987" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "31-4379509" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1215936927" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-2413596" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1225038136" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0436622" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1225082209" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-0378200" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245222306" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0327251" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1255376406" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-1074557" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1265820179" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "42-1543617" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1275588782" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "42-1543617" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1275588782" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "42-1543617" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1275588782" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "20-3500835" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1285689794" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "59-0724459" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1306938071" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0217280" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1326298787" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1326564071" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001195" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1336125533" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001195" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1336125533" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "30-0975387" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1336289552" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "61-1744940" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1346642899" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1356528269" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1031583" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1366446767" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-1112022" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1376198028" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "30-0502262" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1386895886" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0832294" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407806441" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "23-7293874" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417945627" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "23-7293874" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417945627" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "71-0230218" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1437222312" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "88-3577015" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1437865953" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0218917" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1447239355" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-4551946" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1477809622" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-4551946" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1477809622" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "20-4993360" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487771812" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0469270" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497723407" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0476926" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497824106" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-1643327" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1518951300" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528078581" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528078581" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528078581" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528078581" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528078581" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-0872873" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1538105366" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1538345251" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "38-3990879" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1538797782" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0587431" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548208440" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "04-3651340" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548294424" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "52-1272129" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548378235" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "88-6000436" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548393127" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "88-1352811" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548902984" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-6000295" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558361949" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "72-1529708" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558391771" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-0901059" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558441485" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-0901059" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558441485" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-1643359" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558575746" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0796090" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1578500492" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-4718253" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588141048" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "72-1549752" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588219117" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0611484" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1598491300" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0262217" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1619038536" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1619113115" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0327475" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1639140015" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1777734" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1659301349" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0200896" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1659371870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0516012" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1669462362" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "38-3990879" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1689121188" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-2226406" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1689608150" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-0171250" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699485821" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0220728" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699884858" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0220728" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699884858" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "27-0085482" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1700821808" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0602940" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1710160445" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-2151670" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031701" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "32-0499956" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720537178" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0327251" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1730132523" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-4372339" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1740772268" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "23-2973511" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770150914" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0161600" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770586794" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-1183919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1780681189" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "26-3757128" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1790751055" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "26-3757128" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1790751055" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-1329784" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801847066" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0429015" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801887658" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801903240" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801903240" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-2321786" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1811080526" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831108497" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831108497" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831108497" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-1162805" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831590660" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "27-0036499" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841224870" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841231461" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "55-0643304" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841271459" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "55-0643304" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841271459" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-0096775" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841282852" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1762537" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1861439952" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "77-0465765" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1871543215" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0791519" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912935594" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1922012350" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-6008116" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1932109048" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-3190906" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1942970272" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "33-4335561" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952295164" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0262196" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952332991" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1210615" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952703472" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1210615" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952703472" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1210615" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952703472" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1210615" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952703472" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-1655073" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962181172" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0391573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962453134" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "72-1025017" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962537407" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-0233470" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1972139004" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0128950" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1972743011" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-3357013" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982606992" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "20-5126945" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982805271" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0200895" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992736649" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001347" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001347" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001347" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-1643360" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992752315" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-0851599" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992759427" ] } ] } ] } ] }, { "Name": "COMPREHEN METABOLIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80053", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0380784" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1992798409" ] } ] } ] } ] }, { "Name": "OBSTETRIC PANEL", "BillingCodeType": "CPT", "BillingCode": "80055", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Obstetric panel This panel must include the following: Hemogram", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "rubella (86762) syphilis test", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0471017" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1053545095" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "27-1117058" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1063734739" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "74-2554159" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194769497" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-3011825" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205300407" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-3011825" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205300407" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-6002707" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1205822186" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0240499" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1215930987" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "59-3205549" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1245720820" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "42-1543617" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1275588782" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1031583" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1366446767" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0832294" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407806441" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407894868" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1407894868" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0218917" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1447239355" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-0872873" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1538105366" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "88-1352811" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1548902984" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-0454268" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588004410" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1777734" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1659301349" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-0171250" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699485821" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-2151670" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031701" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "38-2084239" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1730604471" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-4697090" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1740715333" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "55-0643304" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841271459" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "55-0643304" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841271459" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-0791519" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912935594" ] } ] } ] } ] }, { "Name": "LIPID PANEL", "BillingCodeType": "CPT", "BillingCode": "80061", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Lipid panel This panel must include the following: Cholesterol", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-3357013" }, "BillingClass": "outpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982606992" ] } ] } ] } ] }, { "Name": "RENAL FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80069", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Renal function panel This panel must include the following: Albumin (82040) Calcium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "59-3205549" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 8.79, "Npi": [ "1245720820" ] } ] } ] } ] }, { "Name": "RENAL FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80069", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Renal function panel This panel must include the following: Albumin (82040) Calcium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-0564748" }, "BillingClass": "", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 39.0, "Npi": [ "1467536276" ] } ] } ] } ] }, { "Name": "RENAL FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80069", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Renal function panel This panel must include the following: Albumin (82040) Calcium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 8.79, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "RENAL FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80069", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Renal function panel This panel must include the following: Albumin (82040) Calcium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-1777734" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 8.79, "Npi": [ "1659301349" ] } ] } ] } ] }, { "Name": "RENAL FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80069", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Renal function panel This panel must include the following: Albumin (82040) Calcium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-3357013" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 8.79, "Npi": [ "1982606992" ] } ] } ] } ] }, { "Name": "ACUTE HEPATITIS PANEL", "BillingCodeType": "CPT", "BillingCode": "80074", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "42-1543617" }, "BillingClass": "632.87", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1275588782" ] } ] } ] } ] }, { "Name": "ACUTE HEPATITIS PANEL", "BillingCodeType": "CPT", "BillingCode": "80074", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "139.5", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "ACUTE HEPATITIS PANEL", "BillingCodeType": "CPT", "BillingCode": "80074", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "602.63", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ACUTE HEPATITIS PANEL", "BillingCodeType": "CPT", "BillingCode": "80074", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "412.99", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "ACUTE HEPATITIS PANEL", "BillingCodeType": "CPT", "BillingCode": "80074", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "412.99", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-1112022" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1003281452" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "38-3769889" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1447406699" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-1644042" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1467459776" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-0901059" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1558441485" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0327475" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1639140015" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "26-2583411" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1659538858" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-6006143" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801653969" ] } ] } ] } ] }, { "Name": "HEPATIC FUNCTION PANEL", "BillingCodeType": "CPT", "BillingCode": "80076", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0454894" }, "BillingClass": "alanine amino (alt) (sgpt) (84460) transferase", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1891938122" ] } ] } ] } ] }, { "Name": "OBSTETRIC PANEL INC HIV TSTG", "BillingCodeType": "CPT", "BillingCode": "80081", "BillingCodeTypeVersion": "2020", "Description": "Obstetric panel (includes HIV testing)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 75.78, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 595.35, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "OBSTETRIC PANEL INC HIV TSTG", "BillingCodeType": "CPT", "BillingCode": "80081", "BillingCodeTypeVersion": "2020", "Description": "Obstetric panel (includes HIV testing)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 75.78, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 103.23, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-0231793" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 49.89, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 204.0, "Npi": [ "1023032588" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 95.04, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 211.21, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "83-0327251" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 49.89, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 330.0, "Npi": [ "1255376406" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 169.59, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 376.86, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0333048" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 407.01, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 407.01, "Npi": [ "1487607669" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 20.84, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 46.32, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 28.18, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 50.95, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 50.95, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 50.95, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 36.35, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 48.46, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 40.95, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 54.6, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 119.79, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 266.21, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 155.53, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 281.25, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 281.25, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 281.25, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 57.16, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 127.02, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 75.86, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 137.18, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 137.18, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 137.18, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 42.73, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 66.55, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 43.26, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 66.55, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "DRUG ASSAY ACETAMINOPHEN", "BillingCodeType": "CPT", "BillingCode": "80143", "BillingCodeTypeVersion": "2020", "Description": "Acetaminophen", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 45.53, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 70.05, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "ASSAY CARBAMAZEPINE TOTAL", "BillingCodeType": "CPT", "BillingCode": "80156", "BillingCodeTypeVersion": "2020", "Description": "Carbamazepine; total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 14.74, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 135.12, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY DIPROPYLACETIC ACD TOT", "BillingCodeType": "CPT", "BillingCode": "80164", "BillingCodeTypeVersion": "2020", "Description": "Valproic acid (dipropylacetic acid); total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 71.72, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 95.62, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "ASSAY DIPROPYLACETIC ACD TOT", "BillingCodeType": "CPT", "BillingCode": "80164", "BillingCodeTypeVersion": "2020", "Description": "Valproic acid (dipropylacetic acid); total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 61.33, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 191.31, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "ASSAY DIPROPYLACETIC ACD TOT", "BillingCodeType": "CPT", "BillingCode": "80164", "BillingCodeTypeVersion": "2020", "Description": "Valproic acid (dipropylacetic acid); total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0832294" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 36.17, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 227.02, "Npi": [ "1407806441" ] } ] } ] } ] }, { "Name": "ASSAY DIPROPYLACETIC ACD TOT", "BillingCodeType": "CPT", "BillingCode": "80164", "BillingCodeTypeVersion": "2020", "Description": "Valproic acid (dipropylacetic acid); total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 13.71, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 140.53, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "DIPROPYLACETIC ACID FREE", "BillingCodeType": "CPT", "BillingCode": "80165", "BillingCodeTypeVersion": "2020", "Description": "Valproic acid (dipropylacetic acid); free", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 13.71, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 121.59, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "DRUG SCREEN QUAN LAMOTRIGINE", "BillingCodeType": "CPT", "BillingCode": "80175", "BillingCodeTypeVersion": "2020", "Description": "Lamotrigine", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 29.34, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 53.06, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "DRUG SCRN QUAN LEVETIRACETAM", "BillingCodeType": "CPT", "BillingCode": "80177", "BillingCodeTypeVersion": "2020", "Description": "Levetiracetam", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 236.72, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 315.62, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 41.89, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 130.65, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 2.66, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 77.48, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 58.11, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 77.48, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 8.21, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 25.62, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 23.24, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 72.5, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 54.38, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 72.5, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 6.69, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 73.86, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY OF LITHIUM", "BillingCodeType": "CPT", "BillingCode": "80178", "BillingCodeTypeVersion": "2020", "Description": "Lithium", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": 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"Payments": [ { "AllowedAmount": 151.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 151.0, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0318837" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 253.23, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 253.23, "Npi": [ "1245282227" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 6.56, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 58.035, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "86-1429868" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 6.56, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 19.44, "Npi": [ "1639769953" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 132.09, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 293.54, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 310.13, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 310.13, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 620.26, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 620.26, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 72.86, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 161.91, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 109.24, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 174.86, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-6006143" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 51.07, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 150.0, "Npi": [ "1801653969" ] } ] } ] } ] }, { "Name": "ASSAY OF AMYLASE", "BillingCodeType": "CPT", "BillingCode": "82150", "BillingCodeTypeVersion": "2020", "Description": "Amylase", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001347" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 41.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 41.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "ANGIOTENSIN I ENZYME TEST", "BillingCodeType": "CPT", "BillingCode": "82164", "BillingCodeTypeVersion": "2020", "Description": "Angiotensin I - converting enzyme (ACE)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 14.78, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 168.9, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY ANTI-MULLERIAN HORM", "BillingCodeType": "CPT", "BillingCode": "82166", "BillingCodeTypeVersion": "2020", "Description": "Anti-mullerian hormone (AMH)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 40.78, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 127.2, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "ASSAY ANTI-MULLERIAN HORM", "BillingCodeType": "CPT", "BillingCode": "82166", "BillingCodeTypeVersion": "2020", "Description": "Anti-mullerian hormone (AMH)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 31.67, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 182.42, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY OF APOLIPOPROTEIN", "BillingCodeType": "CPT", "BillingCode": "82172", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Apolipoprotein", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1031583" }, "BillingClass": "", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 2.54, "Npi": [ "1366446767" ] } ] } ] } ] }, { "Name": "ASSAY OF APOLIPOPROTEIN", "BillingCodeType": "CPT", "BillingCode": "82172", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Apolipoprotein", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-0454268" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 34.58, "Npi": [ "1588004410" ] } ] } ] } ] }, { "Name": "ASSAY OF APOLIPOPROTEIN", "BillingCodeType": "CPT", "BillingCode": "82172", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Apolipoprotein", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 17.29, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY OF APOLIPOPROTEIN", "BillingCodeType": "CPT", "BillingCode": "82172", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Apolipoprotein", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-4697090" }, "BillingClass": "81", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 34.58, "Npi": [ "1740715333" ] } ] } ] } ] }, { "Name": "ASSAY OF ARSENIC", "BillingCodeType": "CPT", "BillingCode": "82175", "BillingCodeTypeVersion": "2020", "Description": "Arsenic", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 38.4, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 416.94, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "ASSAY OF BETA-2 PROTEIN", "BillingCodeType": "CPT", "BillingCode": "82232", "BillingCodeTypeVersion": "2020", "Description": "Beta-2 microglobulin", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 56.77, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 177.06, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "BETA-AMYLOID 1-40 (ABETA 40)", "BillingCodeType": "CPT", "BillingCode": "82233", "BillingCodeTypeVersion": "2020", "Description": "Beta-amyloid; 1-40 (Abeta 40)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 105.71, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 250.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "BETA-AMYLOID 1-42 (ABETA 42)", "BillingCodeType": "CPT", "BillingCode": "82234", "BillingCodeTypeVersion": "2020", "Description": "Beta-amyloid; 1-42 (Abeta 42)", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 105.71, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 250.0, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "BILIRUBIN TOTAL", "BillingCodeType": "CPT", "BillingCode": "82247", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; total", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-6001347" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 15.73, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 42.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "45-2694620" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 31.16, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 177.66, "Npi": [ "1033120423" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650573" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 95.91, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 95.91, "Npi": [ "1164469243" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0240499" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 5.08, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 5.53, "Npi": [ "1215930987" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "43-1039532" }, "BillingClass": "professional", "ServiceCode": [ "81" ], "Payments": [ { "AllowedAmount": 5.08, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 33.55, "Npi": [ "1609812445" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 43.93, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 137.03, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "BILIRUBIN DIRECT", "BillingCodeType": "CPT", "BillingCode": "82248", "BillingCodeTypeVersion": "2020", "Description": "Bilirubin; direct", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 87.97, "BillingCodeModifier": null, 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"BillingClass": "institutional", "ServiceCode": null, "Payments": [ { "AllowedAmount": 31.16, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 32.0, "Npi": [ "1992747570" ] } ] } ] } ] }, { "Name": "OCCULT BLOOD FECES", "BillingCodeType": "CPT", "BillingCode": "82270", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Blood", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "consecutive collected specimens with single determination", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1477683357" ] } ] } ] } ] }, { "Name": "OCCULT BLOOD FECES", "BillingCodeType": "CPT", "BillingCode": "82270", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Blood", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "consecutive collected specimens with single determination", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1902936008" ] } ] } ] } ] }, { "Name": "ASSAY TEST FOR BLOOD FECAL", "BillingCodeType": "CPT", "BillingCode": "82274", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Blood", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "1-3 simultaneous determinations\"\"\"", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "ASSAY TEST FOR BLOOD FECAL", "BillingCodeType": "CPT", "BillingCode": "82274", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Blood", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "1-3 simultaneous determinations\"\"\"", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ 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SUPVJ ONLY", "BillingCodeType": "CPT", "BillingCode": "93016", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "23.61", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "CV STRESS TEST SUPVJ ONLY", "BillingCodeType": "CPT", "BillingCode": "93016", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "23.61", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "CV STRESS TEST SUPVJ ONLY", "BillingCodeType": "CPT", "BillingCode": "93016", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0474130" }, "BillingClass": "23.61", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982664199" ] } ] } ] } ] }, { "Name": "CV STRESS TEST TRACING ONLY", "BillingCodeType": "CPT", "BillingCode": "93017", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "378.13", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "CV STRESS TEST TRACING ONLY", "BillingCodeType": "CPT", "BillingCode": "93017", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "41.62", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "CV STRESS TEST TRACING ONLY", "BillingCodeType": "CPT", "BillingCode": "93017", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "41.62", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "CV STRESS TEST TRACING ONLY", "BillingCodeType": "CPT", "BillingCode": "93017", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "420.01", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0372919" }, "BillingClass": "56.23", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043260862" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "37", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "37-1625746" }, "BillingClass": "49", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1437446168" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "37-1625746" }, "BillingClass": "49", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1437446168" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "35", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801114459" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "34", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831213180" ] } ] } ] } ] }, { "Name": "CV STRESS TEST I&R ONLY", "BillingCodeType": "CPT", "BillingCode": "93018", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0474130" }, "BillingClass": "39", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982664199" ] } ] } ] } ] }, { "Name": "RHYTHM ECG REPORT", "BillingCodeType": "CPT", "BillingCode": "93042", 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"Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 13.0, "Npi": [ "1780626069" ] } ] } ] } ] }, { "Name": "XTRNL ECG REC<48 HRS REC", "BillingCodeType": "CPT", "BillingCode": "93225", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "37-1625746" }, "BillingClass": "74", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1437446168" ] } ] } ] } ] }, { "Name": "XTRNL ECG REC<48 HR SCAN A/R", "BillingCodeType": "CPT", "BillingCode": "93226", "BillingCodeTypeVersion": "2020", "Description": "External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report", "AllowedAmounts": [ { "Tin": { "Type": "ein", 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"Description": "\"\"\"Initial nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "47-5415230" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1669845327" ] } ] } ] } ] }, { "Name": "1ST NF CARE MODERATE MDM 35", "BillingCodeType": "CPT", "BillingCode": "99305", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Initial nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "33-4488520" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1831985951" ] } ] } ] } ] }, { "Name": "1ST NF CARE HIGH MDM 50", "BillingCodeType": "CPT", "BillingCode": "99306", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Initial nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": 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"BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801562921" ] } ] } ] } ] }, { "Name": "1ST NF CARE HIGH MDM 50", "BillingCodeType": "CPT", "BillingCode": "99306", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Initial nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE SF MDM 10", "BillingCodeType": "CPT", "BillingCode": "99307", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-3026886" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1598594483" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE SF MDM 10", "BillingCodeType": "CPT", "BillingCode": "99307", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "20-4199225" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699975144" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE SF MDM 10", "BillingCodeType": "CPT", "BillingCode": "99307", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE SF MDM 10", "BillingCodeType": "CPT", "BillingCode": "99307", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-2615901" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1578245544" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": 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"BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1669845327" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-4037021" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE LOW MDM 20", "BillingCodeType": "CPT", "BillingCode": "99308", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0474130" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1982664199" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": 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"AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1669845327" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-4037021" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-4037021" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE MODERATE MDM 30", "BillingCodeType": "CPT", "BillingCode": "99309", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing 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"Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE HIGH MDM 45", "BillingCodeType": "CPT", "BillingCode": "99310", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-4037021" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE HIGH MDM 45", "BillingCodeType": "CPT", "BillingCode": "99310", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-4037021" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770187163" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE HIGH MDM 45", "BillingCodeType": "CPT", "BillingCode": "99310", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE HIGH MDM 45", "BillingCodeType": "CPT", "BillingCode": "99310", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Subsequent nursing facility care", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "93-4430463" }, "BillingClass": "inpatient", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1881469484" ] } ] } ] } ] }, { "Name": "SBSQ NF CARE HIGH MDM 45", "BillingCodeType": "CPT", "BillingCode": "99310", "BillingCodeTypeVersion": "2020", "Description": 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] } ] }, { "Name": "INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0131", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "30-0975387" }, "BillingClass": "75.64", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1336289552" ] } ] } ] } ] }, { "Name": "INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0131", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "23-7293874" }, "BillingClass": "61.16", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417945627" ] } ] } ] } ] }, { "Name": "INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0131", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "95-2226406" }, "BillingClass": "84", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1689608150" ] } ] } ] } ] }, { "Name": "INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0131", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "57.95", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0134", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "42.75", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0134", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "49.05", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0134", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "20.97", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0134", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "29.25", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0134", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "49.05", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0136", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "82-0161600" }, "BillingClass": "5.51", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770586794" ] } ] } ] } ] }, { "Name": "INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0136", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "99-0262196" }, "BillingClass": "20.37", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952332991" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "0.49", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "16.29", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "37.99", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "58.5", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "56-2570686" }, "BillingClass": "8.86", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1932154705" ] } ] } ] } ] }, { "Name": "INJECTION EPINEPHRINE NOS 0.1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0165", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "56-2570686" }, "BillingClass": "16.02", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1932154705" ] } ] } ] } ] }, { "Name": "INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG", "BillingCodeType": "HCPCS", "BillingCode": "J0169", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-0965588" }, "BillingClass": "4.28", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1871594127" ] } ] } ] } ] }, { "Name": "INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG", "BillingCodeType": "HCPCS", "BillingCode": "J0169", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "36.9", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG", "BillingCodeType": "HCPCS", "BillingCode": "J0169", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "36.9", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "INJECTION APREPITANT 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0185", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-3002963" }, "BillingClass": "377", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114203668" ] } ] } ] } ] }, { "Name": "INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G", "BillingCodeType": "HCPCS", "BillingCode": "J0295", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "31.8", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G", "BillingCodeType": "HCPCS", "BillingCode": "J0295", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "31.6", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G", "BillingCodeType": "HCPCS", "BillingCode": "J0295", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "36", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G", "BillingCodeType": "HCPCS", "BillingCode": "J0295", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "90", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0330", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "200", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1255327201" ] } ] } ] } ] }, { "Name": "INJECTION HYDRALAZINE HCL UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0360", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "51.61", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION HYDRALAZINE HCL UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0360", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "32.22", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJECTION HYDRALAZINE HCL UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0360", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "60", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJECTION HYDRALAZINE HCL UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0360", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "16.11", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION HYDRALAZINE HCL UP TO 20 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0360", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "32.22", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION AZITHROMYCIN 500 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0456", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "59.02", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "INJECTION AZITHROMYCIN 500 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0456", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "59-0724459" }, "BillingClass": "87.99", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1306938071" ] } ] } ] } ] }, { "Name": "INJECTION AZITHROMYCIN 500 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0456", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "86.75", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1841231461" ] } ] } ] } ] }, { "Name": "INJECTION PENICILLIN G BENZATHINE 100000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J0561", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "4245.44", "ServiceCode": null, "Payments": [ { "AllowedAmount": 100.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "BOTULINUM TOXIN TYPE A PER UNIT", "BillingCodeType": "HCPCS", "BillingCode": "J0585", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0281028" }, "BillingClass": "1100", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093764805" ] } ] } ] } ] }, { "Name": "BOTULINUM TOXIN TYPE A PER UNIT", "BillingCodeType": "HCPCS", "BillingCode": "J0585", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "11-3358535" }, "BillingClass": "1328.04", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417915653" ] } ] } ] } ] }, { "Name": "BOTULINUM TOXIN TYPE A PER UNIT", "BillingCodeType": "HCPCS", "BillingCode": "J0585", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "3004", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "INJECTION ABOBOTULINUMTOXINA 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J0586", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "2201.25", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1699148197" ] } ] } ] } ] }, { "Name": "INJECTION METOPROLOL TARTRATE 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0616", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "3.6", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "INJECTION METOPROLOL TARTRATE 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0616", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "25-1925376" }, "BillingClass": "127.04", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1770821571" ] } ] } ] } ] }, { "Name": "INJECTION METOPROLOL TARTRATE 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0616", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "25.39", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1912014358" ] } ] } ] } ] }, { "Name": "INJECTION CALCIUM CHLORIDE 2 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0618", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "133.88", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION BUPIVICAINE NOS 0.5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J0665", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "11.54", "ServiceCode": 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"BillingCode": "J1596", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-0405257" }, "BillingClass": "90", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1801591391" ] } ] } ] } ] }, { "Name": "INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1610", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "91-1352172" }, "BillingClass": "531.25", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1326564071" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "0.53", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "7.19", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1154551919" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "90-0214335" }, "BillingClass": "4.32", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194705202" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "3.59", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-0322019" }, "BillingClass": "263.36", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1528010451" ] } ] } ] } ] }, { "Name": "INJECTION HALOPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1630", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "7.19", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 10 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1642", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "0.03", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 1000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1644", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "10.44", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 1000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1644", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "10.44", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 1000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1644", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "9", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 1000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1644", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "10.44", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "INJECTION HEPARIN SODIUM PER 1000 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1644", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "20.88", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "INJECTION 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"\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "32.22", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION ENOXAPARIN SODIUM 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1650", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "22.08", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJECTION ENOXAPARIN SODIUM 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1650", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "131.85", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "INJECTION ENOXAPARIN SODIUM 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1650", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "22.08", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1417460205" ] } ] } ] } ] }, { "Name": "INJECTION ENOXAPARIN SODIUM 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1650", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "84-1179794" }, "BillingClass": "21.62", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1477531580" ] } ] } ] } ] }, 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"Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1831495" }, "BillingClass": "269.75", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1497702195" ] } ] } ] } ] }, { "Name": "INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1720", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "35-2644646" }, "BillingClass": "127.21", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164194601" ] } ] } ] } ] }, { "Name": "INJECTION IRON DEXTRAN 50 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1750", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "85-3002963" }, "BillingClass": "300", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1114203668" ] } ] } ] } ] }, { "Name": "INJECTION IRON SUCROSE 1 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1756", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "35-2644646" }, "BillingClass": "137.4", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1164194601" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "7.97", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "11.96", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "15.95", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "31.89", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1043220650" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "58-1966795" }, "BillingClass": "44.66", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1093716979" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "15.95", "ServiceCode": 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{ "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "14.52", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "14.52", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION DROPERIDOL UP TO 5 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1790", "BillingCodeTypeVersion": "2020", "Description": 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"Providers": [ { "BilledCharge": 0.0, "Npi": [ "1952703472" ] } ] } ] } ] }, { "Name": "INJECTION INSULIN PER 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1815", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "3", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION INSULIN PER 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1815", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "87-6000525" }, "BillingClass": "101", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1588656870" ] } ] } ] } ] }, { "Name": "INJECTION INSULIN PER 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1815", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "62-1650578" }, "BillingClass": "5.675", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "INJECTION INSULIN PER 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1815", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "3", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "INJECTION INSULIN PER 5 UNITS", "BillingCodeType": "HCPCS", "BillingCode": "J1815", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": 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"BilledCharge": 0.0, "Npi": [ "1114025491" ] } ] } ] } ] }, { "Name": "INJECTION METRONIDAZOLE 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1836", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "47.54", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1124661384" ] } ] } ] } ] }, { "Name": "INJECTION METRONIDAZOLE 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1836", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "19.2", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1194749580" ] } ] } ] } ] }, { "Name": "INJECTION METRONIDAZOLE 10 MG", "BillingCodeType": "HCPCS", "BillingCode": 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"Npi": [ "1720031636" ] } ] } ] } ] }, { "Name": "INJECTION METRONIDAZOLE 10 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1836", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "94-2854057" }, "BillingClass": "12.6", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1962412486" ] } ] } ] } ] }, { "Name": "INJECTION KETOROLAC TROMETHAMINE PER 15 MG", "BillingCodeType": "HCPCS", "BillingCode": "J1885", "BillingCodeTypeVersion": "2020", "Description": "\"\"\"Injection", "AllowedAmounts": [ { "Tin": { "Type": "ein", "Value": "81-1112022" }, "BillingClass": "657", "ServiceCode": null, "Payments": [ { "AllowedAmount": 0.0, "BillingCodeModifier": null, "Providers": [ { "BilledCharge": 0.0, "Npi": [ "1003281452" ] } ] } ] } ] }, { "Name": "INJECTION KETOROLAC TROMETHAMINE PER 15 MG", "BillingCodeType": "HCPCS", "BillingCode": 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