hospital_name,last_updated_on,version,location_name,hospital_address,license_number|IN,type_2_npi,"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",attester_name
"Brentwood Springs",2026-07-31,3.0.0,"Brentwood Springs","4488 Roslin Road, , Newburgh, IN 47630",1603-0001,"1457594830",True,Holly Gonzales, Interim CFO
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"Other female reproductive system o.r. procedures without cc/mcc",750,MS-DRG,,,,inpatient,,,16064.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Abortion with d&c, aspiration curettage or hysterotomy",770,MS-DRG,,,,inpatient,,,8717.71,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Postpartum and post abortion diagnoses without o.r. procedures",776,MS-DRG,,,,inpatient,,,17525.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Acute adjustment reaction and psychosocial dysfunction",880,MS-DRG,,,,inpatient,,,29208.80,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Depressive neuroses",881,MS-DRG,,,,inpatient,,,16551.66,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Neuroses except depressive",882,MS-DRG,,,,inpatient,,,59391.23,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Psychoses",885,MS-DRG,,,,inpatient,,,21267.86,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Alcohol, drug abuse or dependence, left ama",894,MS-DRG,,,,inpatient,,,8387.10,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Alcohol, drug abuse or dependence with rehabilitation therapy",895,MS-DRG,,,,inpatient,,,23464.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Alcohol, drug abuse or dependence without rehabilitation therapy with mcc",896,MS-DRG,,,,inpatient,,,2920.88,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Alcohol, drug abuse or dependence without rehabilitation therapy without mcc",897,MS-DRG,,,,inpatient,,,15543.67,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Semi-private room bh",0124,RC,,,,inpatient,,,11577.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"R&b geriatric psych",0124,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"H4h ip psych",0124,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"Semi-private room psy - unit 2",0124,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"H4h ip psych - unit 2",0124,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"R&b geriatric psych - unit 2",0124,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1050.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"Semi-private room - detox",0126,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1234.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"H4h ip cd",0126,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1140.33,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1234.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1118.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.52,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,688.52,2061.00,
"R&b rehab",0128,RC,,,,inpatient,,,6133.85,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,813.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1150.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1484.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,827.15,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,827.15,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,736.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,1100.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,703.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,703.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,1234.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,703.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,1520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,960.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,1024.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1450.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,2061.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,939.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,703.00,2061.00,
"Iop psy adult group therapy",0905,RC,,,,outpatient,,,612.93,,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,360.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,398.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,213.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,350.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,289.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,530.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,746.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.12,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,171.00,746.00,
"Iop cd adult group therapy",0906,RC,,,,outpatient,,,612.93,,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,360.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,398.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,213.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,350.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,289.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,350.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,746.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.12,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,171.00,746.00,
"Iop cd indiv therapy",0914,RC,,,,outpatient,,,612.93,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,575.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,615.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,433.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,495.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,670.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,585.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,940.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,372.95,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,305.00,940.00,
"Php cd adult group therapy",0915,RC,,,,outpatient,,,766.73,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,575.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,615.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,433.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,495.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,670.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,585.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,940.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,372.95,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,305.00,940.00,
"Php cd indiv therapy",0914,RC,,,,outpatient,,,766.73,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,575.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,615.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,433.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,495.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,670.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,585.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,940.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,372.95,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,305.00,940.00,
"H4h php cd 8986",0915,RC,,,,outpatient,,,401.62,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,338.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,575.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,615.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,520.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499.08,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,433.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,495.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,560.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,670.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,435.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,585.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,550.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,940.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,320.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,305.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,372.95,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,305.00,940.00,
"H4h iop cd 8984",0906,RC,,,,outpatient,,,321.06,,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,171.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,360.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,398.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,330.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.96,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,213.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,350.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,289.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,280.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,350.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,334.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,524.58,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,345.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,746.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,187.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,179.00,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.12,,,,,,0,case rate,Insufficient remit data to calculate allowed amounts.,171.00,746.00,
"Tobacco use txmnt pharmacol",4001F,CPT,,,,inpatient,,,11683.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Pt tobacco screen rcvd tlk",4004F,CPT,,,,inpatient,,,11683.52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Php - interactive complexity",90785,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Psytx complex interactive",90785,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"Php indiv therapy 16-30 min",90832,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Psytx w pt 30 minutes",90832,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Php indiv therapy 31-45 min",90834,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Psytx w pt 45 minutes",90834,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Family psytx w/o pt 50 min",90846,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Family therapy w/o patient",90846,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Family psytx w/pt 50 min",90847,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Family therapy w/patient",90847,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"Group psychotherapy",90853,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,
"H4h php cd",90853,CPT,,,,both,,,381.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.82,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,396.39,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,70.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,64.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,80.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.33,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,68.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,392.54,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,75.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,404.09,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,85.00000,,,,,0,percent of total billed charges,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,384.85,,,,,,0,fee schedule,Insufficient remit data to calculate allowed amounts.,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.85,461.82,