FLORIDA HEALTH CARE PLANS INCHEALTH INSURANCE ISSUERFHCP LARGE GROUP HMOEIN591211226GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi11341918360.000.00149717002111MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi11341918360.000.0014674283180.00149717002111PROFESSIONALnpi19221159140.000.0014674283180.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi11341918360.000.0014674283180.00149717002111PROFESSIONALnpi19221159140.000.0014674283180.00149717002111INITIAL HOSPITAL EXTENDED99223CPT2022INITIAL HOSPITAL EXTENDEDPROFESSIONALnpi1891181194258.00258.00122511054721SUBSEQUENT HOSPITAL CARE99232CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi189118119492.0092.00122511054721SUBSEQUENT HOSPITAL CARE99233CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi1891181194132.00132.00122511054721COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881HMO CLASSIC 2004 GFEIN263238817GROUPASSAY SERUM ALBUMIN, PLASMA OR WHOLE BLOOD82040CPT2022ASSAY SERUM ALBUMIN, PLASMA OR WHOLE BLOODPROFESSIONALnpi12553147043.513.51125531470481BILIRUBIN TOTAL82247CPT2022BILIRUBIN TOTALPROFESSIONALnpi12553147043.243.24125531470481ASSAY CALCIUM IN BLOOD82310CPT2022ASSAY CALCIUM IN BLOODPROFESSIONALnpi12553147043.243.24125531470481ASSAY BLOOD CARBON DIOXIDE82374CPT2022ASSAY BLOOD CARBON DIOXIDEPROFESSIONALnpi12553147043.243.24125531470481ASSAY BLOOD CHLORIDES82435CPT2022ASSAY BLOOD CHLORIDESPROFESSIONALnpi12553147043.243.24125531470481ASSAY ALKALINE PHOSPHATASE84075CPT2022ASSAY ALKALINE PHOSPHATASEPROFESSIONALnpi12553147043.243.24125531470481ASSAY SERUM PROTEIN, PLASMA OR WHOLE BLOOD84155CPT2022ASSAY SERUM PROTEIN, PLASMA OR WHOLE BLOODPROFESSIONALnpi12553147043.243.24125531470481ASSAY BLOOD SODIUM, PLASMA OR WHOLE BLOOD84295CPT2022ASSAY BLOOD SODIUM, PLASMA OR WHOLE BLOODPROFESSIONALnpi12553147043.243.24125531470481UV-ASSAY TRANSAMINASE (SGOT)84450CPT2022UV-ASSAY TRANSAMINASE (SGOT)PROFESSIONALnpi12553147043.243.24125531470481UV-ASSAY TRANSAMINASE (SGPT)84460CPT2022UV-ASSAY TRANSAMINASE (SGPT)PROFESSIONALnpi12553147043.243.24125531470481ASSAY BUN84520CPT2022ASSAY BUNPROFESSIONALnpi12553147043.553.55125531470481PSYCHOTHERAPY,60 MINS.W/PATIENT AND/OR FAMILY MBR90837CPT2022PSYCHOTHERAPY,60 MINS.W/PATIENT AND/OR FAMILY MBRPROFESSIONALnpi1598811390150.00150.0015988113900211GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1235103029672.00672.00123510302941PROFESSIONALnpi148793324824.0024.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi148793324896.0096.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1235103029765.00765.00123510302941PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248341.00341.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248545.00545.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881IND BRONZE HMO GYMHIOS56503FL2530002INDIVIDUALMOST RECENT HEMOBLOBIN A1C (HBA1C) LEVEL GREATER3051FCPT2022MOST RECENT HEMOBLOBIN A1C (HBA1C) LEVEL GREATERPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139671308711MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.0013967130870.00174047819711CAT SCAN OF HEAD OR BRAIN70450CPT2022CAT SCAN OF HEAD OR BRAININSTITUTIONALnpi10634268231329.023090.75106342682323RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW71045CPT2022RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEWINSTITUTIONALnpi1063426823269.51626.76106342682323COMPREHENSIVE METABOLIC PANEL80053CPT2022COMPREHENSIVE METABOLIC PANELINSTITUTIONALnpi1063426823190.07442.03106342682323URINALYSIS, DIP STICK-AUTOMA81001CPT2022URINALYSIS, DIP STICK-AUTOMAINSTITUTIONALnpi106342682374.76173.85106342682323KETONE BODY(S); QUANTITATIVE82010CPT2022KETONE BODY(S); QUANTITATIVEINSTITUTIONALnpi106342682333.9779.00106342682323GLYCOSYLATED HEMOGLOBIN TEST83036CPT2022GLYCOSYLATED HEMOGLOBIN TESTINSTITUTIONALnpi106342682380.70187.67106342682323ASSAY BLOOD MAGNESIUM83735CPT2022ASSAY BLOOD MAGNESIUMINSTITUTIONALnpi106342682357.64134.04106342682323TROPONIN-QUANTITATIVE84484CPT2022TROPONIN-QUANTITATIVEINSTITUTIONALnpi1063426823146.77341.33106342682323AUTOMATED HEMOGRAM85025CPT2022AUTOMATED HEMOGRAMINSTITUTIONALnpi106342682370.67164.35106342682323PROTHROMBIN TIME85610CPT2022PROTHROMBIN TIMEINSTITUTIONALnpi106342682340.4894.14106342682323THROMBOPLASTIN TIME, PARTIAL85730CPT2022THROMBOPLASTIN TIME, PARTIALINSTITUTIONALnpi106342682359.70138.83106342682323ELECTROCARDIOGRAM, TRACING93005CPT2022ELECTROCARDIOGRAM, TRACINGINSTITUTIONALnpi1063426823215.80501.86106342682323EXTREMITY STUDY93970CPT2022EXTREMITY STUDYINSTITUTIONALnpi1063426823661.261537.81106342682323POST-OP FOLLOW-UP VISIT99024CPT2022POST-OP FOLLOW-UP VISITPROFESSIONALnpi19221159140.000.0011040770641121EMERGENCY DEPT VISIT99285CPT2022EMERGENCY DEPT VISITINSTITUTIONALnpi10634268231197.842785.67106342682323GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1194821595116.40116.40119482159541PROFESSIONALnpi148775059278.0078.00148775059241PROFESSIONALnpi1487750592117.00117.00148775059241PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324836.0036.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi185140088177.0077.00185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487750592800.00800.00148775059241PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595755.72755.72119482159541IND BRONZE HMO GYMHIOS56503FL2670001INDIVIDUALSTERILE SUPPLY0272RC2022STERILE SUPPLYINSTITUTIONALnpi106342682312.0427.99106342682323CURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi11341918360.000.00149717002111REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi16091826900.000.00150886623711BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi11341918360.000.0014971700210.00150886623711PROFESSIONALnpi16091826900.000.0014971700210.00150886623711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi16091826900.000.00150886623711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00110407706411MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi11341918360.000.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi16091826900.000.00150886623711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi11341918360.000.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00110407706411COMPREHENSIVE METABOLIC PANEL80053CPT2022COMPREHENSIVE METABOLIC PANELINSTITUTIONALnpi1063426823199.58464.13106342682323URINALYSIS, DIP STICK-AUTOMA81001CPT2022URINALYSIS, DIP STICK-AUTOMAINSTITUTIONALnpi106342682378.49182.54106342682323URINE PREGNANCY TEST, BY VIS81025CPT2022URINE PREGNANCY TEST, BY VISINSTITUTIONALnpi106342682384.12195.62106342682323ASSAY BLOOD LIPASE83690CPT2022ASSAY BLOOD LIPASEINSTITUTIONALnpi10634268237.7818.09106342682323AUTOMATED HEMOGRAM85025CPT2022AUTOMATED HEMOGRAMINSTITUTIONALnpi106342682374.21172.57106342682323INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.0010939132120.00138667130315INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTE87637CPT2022INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTEINSTITUTIONALnpi1063426823161.00374.41106342682323INTRAVENOUS INFUSION,HYDRATION; EACH ADD'L HOUR96361CPT2022INTRAVENOUS INFUSION,HYDRATION; EACH ADD'L HOURINSTITUTIONALnpi1063426823119.57278.08106342682323INJ.,THRPY,PRPHLXS,DX; IV PUSH SINGLE/INIT SUBSTNC96374CPT2022INJ.,THRPY,PRPHLXS,DX; IV PUSH SINGLE/INIT SUBSTNCINSTITUTIONALnpi106342682372.88169.49106342682323EMERGENCY DEPT VISIT99284CPT2022EMERGENCY DEPT VISITINSTITUTIONALnpi1063426823754.091753.70106342682323GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159581.4181.41119482159541PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324860.0060.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248182.00182.00148793324841PROFESSIONALnpi185140088157.2057.20185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595800.76800.76119482159541PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841ONDANSETRON-HCL INJ, 1 MGJ2405HCPCS2022ONDANSETRON-HCL INJ, 1 MGINSTITUTIONALnpi10634268237.9218.42106342682323NORMAL SALINE SOLUTION INFUSION, 1000 CCJ7030HCPCS2022NORMAL SALINE SOLUTION INFUSION, 1000 CCINSTITUTIONALnpi106342682323.3854.37106342682323INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2022INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORPROFESSIONALnpi1912521568100.00100.00191252156881COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND BRONZE HMO GYMHIOS56503FL2730001INDIVIDUALCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi16091826900.000.00150886623711REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi16091826900.000.00150886623711BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi16091826900.000.00150886623711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi16091826900.000.00150886623711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi16091826900.000.00150886623711ANTIBODY;SEVERE ACUTE RESP(SARS-COV-2/COVID-19)86769CPT2022ANTIBODY;SEVERE ACUTE RESP(SARS-COV-2/COVID-19)PROFESSIONALnpi125531470442.1342.13125531470481GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159590.0090.00119482159541PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541PROFESSIONALnpi1487933248573.00573.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND BRONZE HMO GYMHIOS56503FL2780001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi185140088112.1012.10185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1851400881584.40584.40185140088141COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881IND BRONZE HMO GYMHIOS56503FL2930001INDIVIDUALCURRENT TOBACCO SMOKER OR CURR EXP TO 2ND HND SMOK1032FCPT2022CURRENT TOBACCO SMOKER OR CURR EXP TO 2ND HND SMOKPROFESSIONALnpi11442764520.000.00165936193911CURR TOBACCO NON-SMKER & NOT CURR EXP TO 2ND HAND1033FCPT2022CURR TOBACCO NON-SMKER & NOT CURR EXP TO 2ND HANDPROFESSIONALnpi11442764520.000.00165936193911PRESENCE OR ABSENCE OF URIN INCONTINENCE ASSESSED1090FCPT2022PRESENCE OR ABSENCE OF URIN INCONTINENCE ASSESSEDPROFESSIONALnpi11442764520.000.00165936193911PT SCREEN FUT FALL RISK/NO FALL OR 1 W/O INJ IN YR1101FCPT2022PT SCREEN FUT FALL RISK/NO FALL OR 1 W/O INJ IN YRPROFESSIONALnpi11442764520.000.00165936193911PAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi11442764520.000.0014674283180.0016593619390.00174047819711PROFESSIONALnpi19221159140.000.0014674283180.0016593619390.00174047819711ADV CARE PLAN/SIM LEGAL DOC PRESENT IN MED REC1157FCPT2022ADV CARE PLAN/SIM LEGAL DOC PRESENT IN MED RECPROFESSIONALnpi11442764520.000.00165936193911ADV CARE PLANNING DISCUSSION DOC'D IN MED RECORD1158FCPT2022ADV CARE PLANNING DISCUSSION DOC'D IN MED RECORDPROFESSIONALnpi11442764520.000.00165936193911MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi11442764520.000.00165936193911REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi11442764520.000.00165936193911FUNCTIONAL STATE ASSESSED1170FCPT2022FUNCTIONAL STATE ASSESSEDPROFESSIONALnpi11442764520.000.00165936193911MOST RECENT HEMO A1C LEVEL <7.0%3044FCPT2022MOST RECENT HEMO A1C LEVEL <7.0%PROFESSIONALnpi19221159140.000.00174047819711NEG. MICROALBUMINURIA TEST RESULT DOC. & REV.3061FCPT2022NEG. MICROALBUMINURIA TEST RESULT DOC. & REV.PROFESSIONALnpi11442764520.000.00165936193911MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi11442764520.000.0016593619390.00174047819711PROFESSIONALnpi19221159140.000.0016593619390.00174047819711MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi11442764520.000.00165936193911MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi11442764520.000.0016593619390.00174047819711PROFESSIONALnpi19221159140.000.0016593619390.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi11442764520.000.00165936193911RT VENIPUNC-FNGR/HEEL/EAR ST36415CPT2022RT VENIPUNC-FNGR/HEEL/EAR STPROFESSIONALnpi125531470425.0025.00125531470481SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi11442764520.000.0014674283180.0016593619390.00174047819711PROFESSIONALnpi19221159140.000.0014674283180.0016593619390.00174047819711ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)70355CPT2022ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)PROFESSIONALnpi1912002585137.00137.00137680648911INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585400.00400.00137680648911SUBSEQUENT HOSPITAL CARE99232CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi189118119492.0092.00122511054721SUBSEQUENT HOSPITAL CARE99233CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi1891181194132.00132.00122511054721GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159526.7126.71119482159541PROFESSIONALnpi1194821595172.99172.99119482159541PROFESSIONALnpi1235103029300.00300.00123510302941PROFESSIONALnpi148775059252.0052.00148775059252.00148793324841PROFESSIONALnpi148775059265.0065.00148775059265.00148793324841PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148775059252.00148793324841PROFESSIONALnpi148793324865.0065.00148775059265.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248182.00182.00148793324841PROFESSIONALnpi1487933248195.00195.00148793324841PROFESSIONALnpi185140088148.4048.40185140088141PROFESSIONALnpi185140088161.6061.60185140088141PROFESSIONALnpi185140088164.9064.90185140088141PROFESSIONALnpi1851400881103.40103.40185140088141PROFESSIONALnpi1851400881201.30201.30185140088141AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595810.84810.84119482159541PROFESSIONALnpi1487750592800.00800.00148775059241PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029383.00383.00123510302941PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841PROFESSIONALnpi1851400881584.40584.40185140088141ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND BRONZE HMO GYMHIOS56503FL3000001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248117.00117.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841IND BRONZE HMO HSA GYMHIOS56503FL2240001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi123510302996.0096.00123510302941PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi185140088178.1078.10185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029440.00440.00123510302941INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND BRONZE HMO HSA GYMHIOS56503FL2260001INDIVIDUALSPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORYG2023HCPCS2022SPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORYPROFESSIONALnpi175036870019.0019.00175036870081INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881IND BRONZE POS GYMHIOS56503FL2540002INDIVIDUALPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.0013968499150.00174047819711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00174047819711O2+SUPPLIES LIFE SUSTAININGA0422HCPCS2022O2+SUPPLIES LIFE SUSTAININGPROFESSIONALnpi148793324830.0030.00148793324841GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159514.4014.40119482159541PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324872.0072.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595755.72755.72119482159541PROFESSIONALnpi1487933248603.00603.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481IND BRONZE POS GYMHIOS56503FL2790001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi185140088146.2046.20185140088141PROFESSIONALnpi185140088181.4081.40185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1851400881584.40584.40185140088141ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi14879332481014.001014.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881IND ESS + GOLD HMO GYMHIOS56503FL1390001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324891.0091.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841IND ESS + PLAT HMO GYMHIOS56503FL1400001INDIVIDUALUNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841IND ESS + SILV POS GYMHIOS56503FL1410001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841IND ESS + SILVER HMO GYMHIOS56503FL1330001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159589.0489.04119482159541AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595810.84810.84119482159541IND GOLD HMO GYMHIOS56503FL2000001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248117.00117.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081IND GOLD HMO GYMHIOS56503FL2090002INDIVIDUALMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00126542758711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00126542758711GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159519.2019.20119482159541PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541NEG SCRN FOR CLIN DEP F/U NOT REQUIREDG8510HCPCS2022NEG SCRN FOR CLIN DEP F/U NOT REQUIREDPROFESSIONALnpi19221159140.000.00126542758711COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881IND GOLD HMO GYMHIOS56503FL2590002INDIVIDUALINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2022INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFPROFESSIONALnpi14973525870.000.00109391321215INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHY99152CPT2022MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHYPROFESSIONALnpi1912002585286.00286.00137680648911MODERATE SEDATION SERVICES PROVIDED BY THE SAME PH99153CPT2022MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHPROFESSIONALnpi1912002585219.00219.00137680648911INITIAL HOSPITAL EXTENDED99223CPT2022INITIAL HOSPITAL EXTENDEDPROFESSIONALnpi1891181194258.00258.00122511054721SUBSEQUENT HOSPITAL CARE99232CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi189118119492.0092.00122511054721SUBSEQUENT HOSPITAL CARE99233CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi1891181194132.00132.00122511054721GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148775059213.0013.00148775059241PROFESSIONALnpi148775059265.0065.00148775059265.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324865.0065.00148775059265.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487750592800.00800.00148775059241PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND GOLD HMO GYMHIOS56503FL3010001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi185140088147.3047.30185140088141AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1851400881584.40584.40185140088141COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00191252156881IND GOLD HMO HSA GYMHIOS56503FL2860001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1235103029648.00648.00123510302941PROFESSIONALnpi1235103029708.00708.00123510302941PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1851400881118.80118.80185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029440.00440.00123510302941IND GOLD POS GYMHIOS56503FL2010001INDIVIDUALINJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481IND GOLD POS GYMHIOS56503FL2600002INDIVIDUALPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870081PROFESSIONALnpi175036870025.0025.00125531470425.00175036870081IND PLAT TRIPLE OPT GYMHIOS56503FL2690002INDIVIDUALTHERAPEUTIC EXERCISES 15 MIN97110CPT2022THERAPEUTIC EXERCISES 15 MINPROFESSIONALnpi15382651520.000.00172034365011NEUROMUSCULAR REEDUCATION97112CPT2022NEUROMUSCULAR REEDUCATIONPROFESSIONALnpi15382651520.000.00172034365011THERAP.ACTIVITIES EACH 15 MI97530CPT2022THERAP.ACTIVITIES EACH 15 MIPROFESSIONALnpi15382651520.000.00172034365011PROFESSIONALnpi153826515245.0045.00172034365011BMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi16896817930.000.00157862756822DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822SYS BP LESS 140G8752HCPCS2022SYS BP LESS 140PROFESSIONALnpi16896817930.000.00157862756822SYS BP > OR = 140G8753HCPCS2022SYS BP > OR = 140PROFESSIONALnpi16896817930.000.00157862756822DIAS BP LESS 90G8754HCPCS2022DIAS BP LESS 90PROFESSIONALnpi16896817930.000.00157862756822PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASG9903HCPCS2022PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASPROFESSIONALnpi16896817930.000.00157862756822IND PLATINUM HMO GYMHIOS56503FL2610001INDIVIDUALINJ,ANESTH AGENT AND/OR STEROID;GENICULAR NERVE BR64451CPT2022INJ,ANESTH AGENT AND/OR STEROID;GENICULAR NERVE BRPROFESSIONALnpi1689681793150.00150.00157862756822IND PLATINUM HMO GYMHIOS56503FL2630002INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159536.0036.00119482159541AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541IND PLATINUM POS GYMHIOS56503FL1990001INDIVIDUALPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811IND PLATINUM POS GYMHIOS56503FL2640002INDIVIDUALPSYCHOTHERAPY,60 MINS.W/PATIENT AND/OR FAMILY MBR90837CPT2022PSYCHOTHERAPY,60 MINS.W/PATIENT AND/OR FAMILY MBRPROFESSIONALnpi1598811390150.00150.0015988113900211GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi14879332481053.001053.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248460.00460.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081IND SILVER HMO GYMHIOS56503FL2550002INDIVIDUALCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi16091826900.000.00150886623711PAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi19221159140.000.00126542758711PAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.00126542758711REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi16091826900.000.00150886623711MOST RECENT HEMO A1C LEVEL <7.0%3044FCPT2022MOST RECENT HEMO A1C LEVEL <7.0%PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi16091826900.000.0012654275870.0015088662370.00174047819711PROFESSIONALnpi19221159140.000.0012654275870.0015088662370.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi16091826900.000.0012654275870.0015088662370.00174047819711PROFESSIONALnpi19221159140.000.0012654275870.0015088662370.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00126542758711UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281INITIAL HOSPITAL EXTENDED99223CPT2022INITIAL HOSPITAL EXTENDEDPROFESSIONALnpi1891181194258.00258.00122511054721SUBSEQUENT HOSPITAL CARE99233CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi1891181194132.00132.00122511054721GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159522.9022.90119482159541PROFESSIONALnpi12351030291584.001584.00123510302941PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248195.00195.00148793324841PROFESSIONALnpi185140088191.3091.30185140088141PROFESSIONALnpi1851400881113.30113.30185140088141PROFESSIONALnpi1851400881146.30146.30185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595838.40838.40119482159541PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029383.00383.00123510302941AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2022INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORPROFESSIONALnpi1912521568100.00100.00191252156881COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND SILVER HMO GYMHIOS56503FL2570001INDIVIDUALCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi11341918360.000.0014971700210.0015088662370.00186182481511PROFESSIONALnpi14179871240.000.0014971700210.0015088662370.00186182481511PROFESSIONALnpi16091826900.000.0014971700210.0015088662370.00186182481511PAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi15585306000.000.0013967130870.0017907633321119PROFESSIONALnpi19221159140.000.0013967130870.0017907633321119PAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi14179871240.000.0013967130870.0014674283180.0017907633320.001861824815021119PROFESSIONALnpi15585306000.000.0013967130870.0014674283180.0017907633320.001861824815021119PROFESSIONALnpi19221159140.000.0013967130870.0014674283180.0017907633320.001861824815021119MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi14179871240.000.00186182481511REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi14179871240.000.0015088662370.00186182481511PROFESSIONALnpi16091826900.000.0015088662370.00186182481511ARTHORCENT,ASPIR &/OR INJECT, INTERMED JOINT WO UL20605CPT2022ARTHORCENT,ASPIR &/OR INJECT, INTERMED JOINT WO ULPROFESSIONALnpi1912002585172.00172.00137680648924INCL DEBRID/SHAV ARTICUL CARTIL;MEDIAL OR LATERAL29881CPT2022INCL DEBRID/SHAV ARTICUL CARTIL;MEDIAL OR LATERALPROFESSIONALnpi19221159140.000.00110407706422BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi11341918360.000.0014971700210.0015088662370.00186182481511PROFESSIONALnpi14179871240.000.0014971700210.0015088662370.00186182481511PROFESSIONALnpi16091826900.000.0014971700210.0015088662370.00186182481511MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%3046FCPT2022MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%PROFESSIONALnpi19221159140.000.00146742831811MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi11341918360.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017404781970.00186182481511PROFESSIONALnpi14179871240.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017404781970.00186182481511PROFESSIONALnpi16091826900.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017404781970.00186182481511PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017404781970.00186182481511MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi15585306000.000.0011040770640.0013967130870.0014674283180.00179076333211PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.0014674283180.00179076333211MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi15585306000.000.0013967130870.0014674283180.0017907633321119PROFESSIONALnpi19221159140.000.0013967130870.0014674283180.0017907633321119MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi11341918360.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017907633320.0018618248151119PROFESSIONALnpi14179871240.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017907633320.0018618248151119PROFESSIONALnpi15585306000.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017907633320.0018618248151119PROFESSIONALnpi16091826900.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017907633320.0018618248151119PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.0014674283180.0014971700210.0015088662370.0017907633320.0018618248151119MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi15585306000.000.0011040770640.0013967130870.0014674283180.0017404781970.00179076333211PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.0014674283180.0017404781970.00179076333211MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.0013967130870.00146742831811SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi14179871240.000.0013967130870.0014674283180.0017404781970.0017907633320.001861824815021119PROFESSIONALnpi15585306000.000.0013967130870.0014674283180.0017404781970.0017907633320.001861824815021119PROFESSIONALnpi19221159140.000.0013967130870.0014674283180.0017404781970.0017907633320.001861824815021119BIOPSY OF MOUTH LESION40808CPT2022BIOPSY OF MOUTH LESIONPROFESSIONALnpi1912002585457.00457.00137680648911ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)70355CPT2022ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)PROFESSIONALnpi1912002585120.00120.00137680648911X-RAY EXAM OF KNEE73562CPT2022X-RAY EXAM OF KNEEINSTITUTIONALnpi1063426823324.48754.61106342682323CFTR GENE ANALYSIS; COMMON VARIANTS81220CPT2022CFTR GENE ANALYSIS; COMMON VARIANTSPROFESSIONALnpi1518983642556.60556.60151898364281UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215IMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EAC88341CPT2022IMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EACPROFESSIONALnpi125531470493.7493.74125531470481IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2022IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKPROFESSIONALnpi125531470493.7493.74125531470481MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHY99152CPT2022MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHYPROFESSIONALnpi1912002585286.00286.00137680648924MODERATE SEDATION SERVICES PROVIDED BY THE SAME PH99153CPT2022MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHPROFESSIONALnpi1912002585219.00219.00137680648924OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585330.00330.00137680648911OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1912002585221.00221.00137680648911INITIAL HOSPITAL EXTENDED99223CPT2022INITIAL HOSPITAL EXTENDEDPROFESSIONALnpi1891181194258.00258.00122511054721SUBSEQUENT HOSPITAL CARE99232CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi189118119492.0092.00122511054721SUBSEQUENT HOSPITAL CARE99233CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi1891181194132.00132.00122511054721EMERGENCY DEPT VISIT99283CPT2022EMERGENCY DEPT VISITINSTITUTIONALnpi1063426823496.771155.27106342682323O2+SUPPLIES LIFE SUSTAININGA0422HCPCS2022O2+SUPPLIES LIFE SUSTAININGPROFESSIONALnpi123510302926.0026.00123510302941GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159515.6015.60119482159541PROFESSIONALnpi119482159521.6021.60119482159541PROFESSIONALnpi119482159526.4026.40119482159541PROFESSIONALnpi119482159531.2031.20119482159541PROFESSIONALnpi119482159531.8031.80119482159541PROFESSIONALnpi119482159536.8936.89119482159541PROFESSIONALnpi119482159549.8249.82119482159541PROFESSIONALnpi119482159551.6051.60119482159541PROFESSIONALnpi119482159555.2055.20119482159541PROFESSIONALnpi119482159558.5158.51119482159541PROFESSIONALnpi119482159563.6063.60119482159541PROFESSIONALnpi119482159566.0066.00119482159541PROFESSIONALnpi119482159567.4267.42119482159541PROFESSIONALnpi119482159569.9669.96119482159541PROFESSIONALnpi119482159570.8070.80119482159541PROFESSIONALnpi119482159575.3375.33119482159541PROFESSIONALnpi119482159575.6075.60119482159541PROFESSIONALnpi119482159588.7088.70119482159541PROFESSIONALnpi119482159590.0090.00119482159541PROFESSIONALnpi119482159595.4095.40119482159541PROFESSIONALnpi119482159598.4298.42119482159541PROFESSIONALnpi1194821595110.57110.57119482159541PROFESSIONALnpi1194821595121.20121.20119482159541PROFESSIONALnpi1194821595121.50121.50119482159541PROFESSIONALnpi1194821595142.80142.80119482159541PROFESSIONALnpi1194821595148.82148.82119482159541PROFESSIONALnpi1194821595166.63166.63119482159541PROFESSIONALnpi123510302924.0024.00123510302924.00148793324841PROFESSIONALnpi123510302984.0084.00123510302984.00148793324841PROFESSIONALnpi1235103029552.00552.00123510302941PROFESSIONALnpi1235103029564.00564.00123510302941PROFESSIONALnpi1487750592117.00117.001487750592117.00148793324841PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324824.0024.00123510302924.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324836.0036.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324848.0048.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324860.0060.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324872.0072.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi148793324884.0084.00123510302984.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi148793324896.0096.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248117.00117.001487750592117.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248154.70154.70148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248157.30157.30148793324841PROFESSIONALnpi1487933248169.00169.00148793324841PROFESSIONALnpi1487933248195.00195.00148793324841PROFESSIONALnpi1487933248221.00221.00148793324841PROFESSIONALnpi1487933248260.00260.00148793324841PROFESSIONALnpi1487933248273.00273.00148793324841PROFESSIONALnpi1487933248299.00299.00148793324841PROFESSIONALnpi1487933248312.00312.00148793324841PROFESSIONALnpi1487933248325.00325.00148793324841PROFESSIONALnpi1487933248338.00338.00148793324841PROFESSIONALnpi1487933248351.00351.00148793324841PROFESSIONALnpi1487933248689.00689.00148793324841PROFESSIONALnpi1487933248715.00715.00148793324841PROFESSIONALnpi185140088123.1023.10185140088141PROFESSIONALnpi185140088127.5027.50185140088141PROFESSIONALnpi185140088128.6028.60185140088141PROFESSIONALnpi185140088136.3036.30185140088141PROFESSIONALnpi185140088137.4037.40185140088141PROFESSIONALnpi185140088138.5038.50185140088141PROFESSIONALnpi185140088140.7040.70185140088141PROFESSIONALnpi185140088148.4048.40185140088141PROFESSIONALnpi185140088149.5049.50185140088141PROFESSIONALnpi185140088153.9053.90185140088141PROFESSIONALnpi185140088157.2057.20185140088141PROFESSIONALnpi185140088160.5060.50185140088141PROFESSIONALnpi185140088163.8063.80185140088141PROFESSIONALnpi185140088167.1067.10185140088141PROFESSIONALnpi185140088168.2068.20185140088141PROFESSIONALnpi185140088169.3069.30185140088141PROFESSIONALnpi185140088170.4070.40185140088141PROFESSIONALnpi185140088171.5071.50185140088141PROFESSIONALnpi185140088175.9075.90185140088141PROFESSIONALnpi185140088177.0077.00185140088141PROFESSIONALnpi185140088180.3080.30185140088141PROFESSIONALnpi185140088181.4081.40185140088141PROFESSIONALnpi185140088184.7084.70185140088141PROFESSIONALnpi185140088190.2090.20185140088141PROFESSIONALnpi1851400881102.30102.30185140088141PROFESSIONALnpi1851400881104.50104.50185140088141PROFESSIONALnpi1851400881108.90108.90185140088141PROFESSIONALnpi1851400881115.50115.50185140088141PROFESSIONALnpi1851400881129.80129.80185140088141PROFESSIONALnpi1851400881260.70260.70185140088141AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1235103029603.00603.00123510302941PROFESSIONALnpi1487933248409.00409.00148793324841PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595774.44774.44119482159541PROFESSIONALnpi1194821595800.76800.76119482159541PROFESSIONALnpi1194821595810.84810.84119482159541PROFESSIONALnpi1194821595838.40838.40119482159541PROFESSIONALnpi1487750592800.00800.00148775059241PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248677.00677.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029383.00383.00123510302941PROFESSIONALnpi1487933248341.00341.00148793324841PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541PROFESSIONALnpi1194821595755.72755.72119482159541PROFESSIONALnpi1487933248545.00545.00148793324841PROFESSIONALnpi1487933248573.00573.00148793324841PROFESSIONALnpi1851400881584.40584.40185140088141ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1194821595848.34848.34119482159541PROFESSIONALnpi1487933248984.00984.00148793324841PROFESSIONALnpi14879332481014.001014.00148793324841SPECIALITY CARE TRANSPORTA0434HCPCS2022SPECIALITY CARE TRANSPORTPROFESSIONALnpi14879332481163.001163.00148793324841PRESCRIP DRUG,ORAL NON CHEMOJ8499HCPCS2022PRESCRIP DRUG,ORAL NON CHEMOINSTITUTIONALnpi10634268231.573.66106342682323INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2022INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORPROFESSIONALnpi1912521568100.00100.00191252156881COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881IND SILVER HMO GYMHIOS56503FL2750002INDIVIDUALINFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881IND SILVER HMO GYMHIOS56503FL2760002INDIVIDUALMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139684991511SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139684991511OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1912002585221.00221.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148775059252.0052.00148775059241AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487750592750.00750.00148775059241COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081IND SILVER HMO GYMHIOS56503FL2840001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248276.00276.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248341.00341.00148793324841IND SILVER HMO GYMHIOS56503FL2910001INDIVIDUALUNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281IND SILVER HMO GYMHIOS56503FL2940001INDIVIDUALPOST-OP FOLLOW-UP VISIT99024CPT2022POST-OP FOLLOW-UP VISITPROFESSIONALnpi19221159140.000.0011040770641121GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248234.00234.00148793324841PROFESSIONALnpi185140088190.2090.20185140088141AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141IND SILVER HMO HSA GYMHIOS56503FL2220001INDIVIDUALCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881IND SILVER POS GYMHIOS56503FL2560002INDIVIDUALPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142867.5067.50146751142811GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi185140088193.5093.50185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1851400881690.00690.00185140088141IND SILVER POS GYMHIOS56503FL2580002INDIVIDUALMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139671308711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139671308711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139684991511PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142867.5067.50146751142811HOME INF/SPEC DRUG ADMIN PER VISIT UP TO 2HRS99601CPT2022HOME INF/SPEC DRUG ADMIN PER VISIT UP TO 2HRSPROFESSIONALnpi1790888188117.00117.00199278835012GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159542.0042.00119482159541PROFESSIONALnpi1235103029804.00804.00123510302941PROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248325.00325.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1235103029383.00383.00123510302941AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595755.72755.72119482159541PROFESSIONALnpi1487933248573.00573.00148793324841PARENTAL NUTRITION >100 GRAMB4199HCPCS2022PARENTAL NUTRITION >100 GRAMPROFESSIONALnpi17908881881565.201565.20199278835012PROFESSIONALnpi17908881881878.241878.24199278835012PROFESSIONALnpi17908881882191.282191.281992788350121 MO. SUPPLY KIT PARENTERALB4220HCPCS20221 MO. SUPPLY KIT PARENTERALPROFESSIONALnpi179088818839.2539.25199278835012PROFESSIONALnpi179088818847.1047.10199278835012PROFESSIONALnpi179088818854.9554.95199278835012PARENTERAL NUTRITION ADM KITB4224HCPCS2022PARENTERAL NUTRITION ADM KITPROFESSIONALnpi1790888188122.50122.50199278835012PROFESSIONALnpi1790888188147.00147.00199278835012PROFESSIONALnpi1790888188171.50171.50199278835012ALCOHOL &/OR DRUG SRVCS;INT OUTPTH0015HCPCS2022ALCOHOL &/OR DRUG SRVCS;INT OUTPTINSTITUTIONALnpi1679952345166.592150.00167995234522ORAL MEDICATION ADMINISTRATION, DIRECT OBSERVATIONH0033HCPCS2022ORAL MEDICATION ADMINISTRATION, DIRECT OBSERVATIONINSTITUTIONALnpi16799523450.001000.00167995234522ALCOHOL AND/OR DRUG ABUSE HALFWAY HOUSE SERVICES,H2034HCPCS2022ALCOHOL AND/OR DRUG ABUSE HALFWAY HOUSE SERVICES,INSTITUTIONALnpi16799523450.005000.00167995234555INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881IND SILVER POS GYMHIOS56503FL2850001INDIVIDUALGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841INDI ESS + SILV HMO GYMHIOS56503FL1330001INDIVIDUALSCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139684991511GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324878.0078.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HDHP HMOEIN592216240GROUPINFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215LARGE GROUP HDHP HMO HSAEIN472689230GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315LARGE GROUP HDHP HMO HSAEIN590968982GROUPPAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi19221159140.000.00126542758711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00126542758711LARGE GROUP HDHP HMO HSAEIN591099415GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HDHP HMO HSAEIN596000314GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HDHP POS HSAEIN200604706GROUPPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811LARGE GROUP HDHP POS HSAEIN261689713GROUPPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142867.5067.50146751142811LARGE GROUP HDHP POS HSAEIN596000304GROUPMOST RECENT HEMOGLOBIN A1C LEVEL >9.0%3046FCPT2022MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%PROFESSIONALnpi19221159140.000.00146742831811MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00146742831811MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00146742831811PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HDHP POS HSAEIN596000398GROUPPRESENCE OR ABSENCE OF URIN INCONTINENCE ASSESSED1090FCPT2022PRESENCE OR ABSENCE OF URIN INCONTINENCE ASSESSEDPROFESSIONALnpi19221159140.000.00174047819711MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi19221159140.000.00174047819711REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%3046FCPT2022MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.0012654275870.00174047819711MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00126542758711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00174047819711UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi19221159140.000.00174047819711GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1851400881254.10254.10185140088141AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1851400881690.00690.00185140088141ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi14879332481014.001014.00148793324841BMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi16896817930.000.00157862756822NEG SCRN FOR CLIN DEP F/U NOT REQUIREDG8510HCPCS2022NEG SCRN FOR CLIN DEP F/U NOT REQUIREDPROFESSIONALnpi19221159140.000.00126542758711DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822SYS BP LESS 140G8752HCPCS2022SYS BP LESS 140PROFESSIONALnpi16896817930.000.00157862756822DIAS BP LESS 90G8754HCPCS2022DIAS BP LESS 90PROFESSIONALnpi16896817930.000.00157862756822PT SCREENED FOR TOBACCO USE AND IDENTIFIED AS A TOG9902HCPCS2022PT SCREENED FOR TOBACCO USE AND IDENTIFIED AS A TOPROFESSIONALnpi16896817930.000.00157862756822COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HDHP POS HSAEIN596000412GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.00126542758711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00126542758711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00126542758711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00126542758711COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00191252156881LARGE GROUP HDHP POS HSAEIN596000886GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248494.00494.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841LARGE GROUP HMOEIN020543850GROUPINITIAL HOSPITAL EXTENDED99223CPT2022INITIAL HOSPITAL EXTENDEDPROFESSIONALnpi1891181194258.00258.00122511054721SUBSEQUENT HOSPITAL CARE99232CPT2022SUBSEQUENT HOSPITAL CAREPROFESSIONALnpi189118119492.0092.00122511054721LARGE GROUP HMOEIN042736286GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN131725892GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1235103029540.00540.00123510302941PROFESSIONALnpi1235103029828.00828.00123510302941AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1235103029603.00603.00123510302941LARGE GROUP HMOEIN161476829GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1194821595162.82162.82119482159541AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595838.40838.40119482159541LARGE GROUP HMOEIN263238817GROUPPAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%3046FCPT2022MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00110407706411MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00110407706411SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00174047819711ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)70355CPT2022ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)PROFESSIONALnpi1912002585137.00137.00137680648911UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585400.00400.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248182.00182.00148793324841PROFESSIONALnpi1487933248312.00312.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN273545391GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN341978208GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HMOEIN371838624GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN383283216GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HMOEIN461444191GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN462017378GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248120.00120.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841LARGE GROUP HMOEIN470769139GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1194821595125.15125.15119482159541PROFESSIONALnpi1194821595172.80172.80119482159541PROFESSIONALnpi1235103029523.20523.20123510302941AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1235103029524.00524.00123510302941AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595774.44774.44119482159541AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541LARGE GROUP HMOEIN471545335GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi119482159536.4536.45119482159541AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595774.44774.44119482159541LARGE GROUP HMOEIN590704726GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi12250342340.000.00114465938411PAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.0017404781970211MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi12250342340.000.00114465938411REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi12250342340.000.00114465938411BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi12250342340.000.00114465938411MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi12250342340.000.0011446593840.0014674283180.00174047819711PROFESSIONALnpi19221159140.000.0011446593840.0014674283180.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi12250342340.000.0011446593840.0014674283180.00174047819711PROFESSIONALnpi19221159140.000.0011446593840.0014674283180.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.0017404781970211GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324826.0026.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HMOEIN590722785GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00174047819711LARGE GROUP HMOEIN590872949GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HMOEIN590936101GROUPTEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870020.0020.00175036870081PROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881LARGE GROUP HMOEIN591160221GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139684991511LARGE GROUP HMOEIN591265432GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481LARGE GROUP HMOEIN591288721GROUPINJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315LARGE GROUP HMOEIN591502582GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN591662454GROUPMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00139684991511LARGE GROUP HMOEIN591777126GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248156.00156.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HMOEIN592163944GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HMOEIN592295522GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248273.00273.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN592562555GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248325.00325.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP HMOEIN593044703GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN593074052GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi11948215957.637.63119482159541AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1194821595810.84810.84119482159541LARGE GROUP HMOEIN593087637GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324848.0048.00148793324841PROFESSIONALnpi148793324850.7050.70148793324841PROFESSIONALnpi148793324852.0052.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841LARGE GROUP HMOEIN593092773GROUPEXCISION BENIGN TUMOR/CYST MAXILLA INTRAORAL OSTEO21048CPT2022EXCISION BENIGN TUMOR/CYST MAXILLA INTRAORAL OSTEOPROFESSIONALnpi1912002585286.00286.00137680648911MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHY99152CPT2022MODERATE SEDATION SERVICE PROVIDED BY THE SAME PHYPROFESSIONALnpi1912002585275.00275.00137680648911MODERATE SEDATION SERVICES PROVIDED BY THE SAME PH99153CPT2022MODERATE SEDATION SERVICES PROVIDED BY THE SAME PHPROFESSIONALnpi1912002585219.00219.00137680648911BONE REPLACEMENT GRAFT FOR RIDGE PRESERVATION/SITED7953CDT2022BONE REPLACEMENT GRAFT FOR RIDGE PRESERVATION/SITEPROFESSIONALnpi1912002585219.00219.00137680648911COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HMOEIN593154090GROUPUNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281LARGE GROUP HMOEIN593222299GROUPPAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi19221159140.000.00139671308702SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139671308702OFFICE/OUTPATIENT VISIT, EST99215CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1912002585353.00353.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248299.00299.00148793324841PROFESSIONALnpi1487933248312.00312.00148793324841PROFESSIONALnpi1487933248324.00324.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841PROFESSIONALnpi1487933248460.00460.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841BMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi16896817930.000.00157862756822DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASG9903HCPCS2022PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASPROFESSIONALnpi16896817930.000.00157862756822INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2022INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORPROFESSIONALnpi1912521568125.00125.00191252156881COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881LARGE GROUP HMOEIN593370544GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi185140088134.1034.10185140088141AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1851400881584.40584.40185140088141LARGE GROUP HMOEIN593413820GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1851400881127.60127.60185140088141AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1851400881584.40584.40185140088141COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN593546154GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841LARGE GROUP HMOEIN596000304GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi15585306000.000.00179076333219MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi15585306000.000.0017404781970.0017907633321119PROFESSIONALnpi19221159140.000.0017404781970.0017907633321119MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi15585306000.000.00179076333219MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi15585306000.000.00179076333219ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)70355CPT2022ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)PROFESSIONALnpi1912002585120.00120.00137680648911PROFESSIONALnpi1912002585137.00137.00137680648911UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281POST-OP FOLLOW-UP VISIT99024CPT2022POST-OP FOLLOW-UP VISITPROFESSIONALnpi19221159140.000.00110407706411OFFICE/OUTPATIENT VISIT, NEW99203CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585235.00235.00137680648911OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585400.00400.00137680648911OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1912002585221.00221.00137680648911PROFESSIONALnpi1912002585325.00325.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324837.7037.70148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN596000307GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248156.00156.00148793324841PROFESSIONALnpi1487933248234.00234.00148793324841PROFESSIONALnpi1487933248299.00299.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN596000314GROUPBMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi16896817930.000.00157862756822DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822SYS BP > OR = 140G8753HCPCS2022SYS BP > OR = 140PROFESSIONALnpi16896817930.000.00157862756822DIAS BP LESS 90G8754HCPCS2022DIAS BP LESS 90PROFESSIONALnpi16896817930.000.00157862756822PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASG9903HCPCS2022PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASPROFESSIONALnpi16896817930.000.00157862756822LARGE GROUP HMOEIN596000387GROUPORTHOPANTOGRAM (EG. PANORAMIC X-RAY)70355CPT2022ORTHOPANTOGRAM (EG. PANORAMIC X-RAY)PROFESSIONALnpi1912002585137.00137.00137680648911OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585400.00400.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248270.00270.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248409.00409.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00191252156881LARGE GROUP HMOEIN596000412GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248601.20601.20148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248341.00341.00148793324841PROFESSIONALnpi1487933248358.00358.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP HMOEIN596000884GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi11341918360.000.00149717002111BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi11341918360.000.00149717002111MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi11341918360.000.0011040770640.0013967130870.00149717002111PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.00149717002111MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi11341918360.000.0011040770640.00149717002111PROFESSIONALnpi19221159140.000.0011040770640.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi11341918360.000.0011040770640.0013967130870.00149717002111PROFESSIONALnpi19221159140.000.0011040770640.0013967130870.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi11341918360.000.0011040770640.00149717002111PROFESSIONALnpi19221159140.000.0011040770640.00149717002111BIOPSY OF TONGUE41100CPT2022BIOPSY OF TONGUEPROFESSIONALnpi1912002585462.00462.00137680648911UNLISTED MOLECULAR PATHOLOGY PROCEDURE81479CPT2022UNLISTED MOLECULAR PATHOLOGY PROCEDUREPROFESSIONALnpi151898364226.7626.76151898364281ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585330.00330.00137680648911OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1134191836149.00149.00149717002111PROFESSIONALnpi1912002585325.00325.00137680648911GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148775059252.0052.00148775059252.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324836.0036.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324848.0048.00148793324841PROFESSIONALnpi148793324852.0052.00148775059252.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248148.20148.20148793324841PROFESSIONALnpi1487933248169.00169.00148793324841PROFESSIONALnpi1487933248288.00288.00148793324841PROFESSIONALnpi1487933248494.00494.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487750592800.00800.00148775059241PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248341.00341.00148793324841PROFESSIONALnpi1487933248358.00358.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487750592750.00750.00148775059241PROFESSIONALnpi1487933248573.00573.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841PROFESSIONALnpi14879332481014.001014.00148793324841INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315INJECT, BAM AND ETESEVIMAB, 2100 MGQ0245HCPCS2022INJECT, BAM AND ETESEVIMAB, 2100 MGPROFESSIONALnpi14973525870.000.00138667130315INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2022INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORPROFESSIONALnpi1912521568100.00100.00191252156881COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881LARGE GROUP HMOEIN844537931GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881LARGE GROUP HMOEIN851265279GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324836.0036.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324887.63138.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248234.00234.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248432.58649.00148793324841PROFESSIONALnpi1487933248647.00647.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841LARGE GROUP POSEIN261689713GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP POSEIN462017378GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GROUP POSEIN590704726GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi15585306000.000.00179076333219MOST RECENT HEMO A1C LEVEL <7.0%3044FCPT2022MOST RECENT HEMO A1C LEVEL <7.0%PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00174047819711MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00174047819711MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00174047819711SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi15585306000.000.00179076333219PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870081LARGE GROUP POSEIN592085808GROUPPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811LARGE GROUP POSEIN592295522GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841LARGE GROUP POSEIN593092773GROUPMOST RECENT HEMO A1C LEVEL <7.0%3044FCPT2022MOST RECENT HEMO A1C LEVEL <7.0%PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139684991511SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139684991511LARGE GROUP POSEIN593525431GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1487933248573.00573.00148793324841LARGE GROUP POSEIN596000884GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi11341918360.000.00149717002111PAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.0012654275870.00139684991511REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi10634584200.000.00106345842011BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi10634584200.000.0010634584200.00149717002111PROFESSIONALnpi11341918360.000.0010634584200.00149717002111MOST RECENT HEMO A1C LEVEL <7.0%3044FCPT2022MOST RECENT HEMO A1C LEVEL <7.0%PROFESSIONALnpi10634584200.000.0010634584200.00126542758711PROFESSIONALnpi19221159140.000.0010634584200.00126542758711MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi10634584200.000.0010634584200.0011040770640.0012654275870.0014971700210211PROFESSIONALnpi11341918360.000.0010634584200.0011040770640.0012654275870.0014971700210211PROFESSIONALnpi19221159140.000.0010634584200.0011040770640.0012654275870.0014971700210211MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi10634584200.000.00106345842011MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HG3077FCPT2022MOST RECENT SYSTOLIC BLOOD PRESSURE >140 MM HGPROFESSIONALnpi10634584200.000.00106345842011MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi10634584200.000.0010634584200.0012654275870211PROFESSIONALnpi19221159140.000.0010634584200.0012654275870211MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi10634584200.000.0010634584200.0011040770640.00149717002111PROFESSIONALnpi11341918360.000.0010634584200.0011040770640.00149717002111PROFESSIONALnpi19221159140.000.0010634584200.0011040770640.00149717002111MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi10634584200.000.00106345842011SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00126542758711EXC LESION OF PHARYNX42808CPT2022EXC LESION OF PHARYNXPROFESSIONALnpi1912002585755.00755.00137680648911DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;SING FACET J64635CPT2022DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;SING FACET JPROFESSIONALnpi1689681793630.00630.00157862756822DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;EA ADDL JOIN64636CPT2022DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;EA ADDL JOINPROFESSIONALnpi1689681793315.00315.00157862756822PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1912002585330.00330.00137680648911OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811PROFESSIONALnpi146751142867.5067.50146751142811OFFICE/OUTPATIENT VISIT, EST99214CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi1063458420130.00130.00106345842011SMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MIN99406CPT2022SMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MINPROFESSIONALnpi10634584200.000.00106345842011GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324865.0065.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248117.00117.00148793324841PROFESSIONALnpi1487933248247.00247.00148793324841PROFESSIONALnpi1487933248312.00312.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841BMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822BMI<30 & >22 CALC & DOCUMENTG8420HCPCS2022BMI<30 & >22 CALC & DOCUMENTPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi10634584200.000.0010634584200.0015786275681122PROFESSIONALnpi16896817930.000.0010634584200.0015786275681122NEG SCRN FOR CLIN DEP F/U NOT REQUIREDG8510HCPCS2022NEG SCRN FOR CLIN DEP F/U NOT REQUIREDPROFESSIONALnpi19221159140.000.00126542758711DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822SYS BP LESS 140G8752HCPCS2022SYS BP LESS 140PROFESSIONALnpi16896817930.000.00157862756822DIAS BP LESS 90G8754HCPCS2022DIAS BP LESS 90PROFESSIONALnpi16896817930.000.00157862756822PT SCREENED FOR TOBACCO USE AND IDENTIFIED AS A TOG9902HCPCS2022PT SCREENED FOR TOBACCO USE AND IDENTIFIED AS A TOPROFESSIONALnpi10634584200.000.00106345842011PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASG9903HCPCS2022PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASPROFESSIONALnpi10634584200.000.0010634584200.0015786275681122PROFESSIONALnpi16896817930.000.0010634584200.0015786275681122INJECTION, CASIRIVIMAB AND IMDEVIMAB, 600 MGQ0240HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 600 MGPROFESSIONALnpi14973525870.000.00138667130315INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881LARGE GROUP TRIP OPT GFEIN263238817GROUPRADIO ABLATION,NERVES INNERVATING THE SACROILIAC J64625CPT2022RADIO ABLATION,NERVES INNERVATING THE SACROILIAC JPROFESSIONALnpi1689681793300.00300.00157862756822BMI >= 30 OR <22 CAL NO FOLLOWUPG8419HCPCS2022BMI >= 30 OR <22 CAL NO FOLLOWUPPROFESSIONALnpi16896817930.000.00157862756822LST OF CURRENT MEDS DOCUMENTED BY PROVIDERG8427HCPCS2022LST OF CURRENT MEDS DOCUMENTED BY PROVIDERPROFESSIONALnpi16896817930.000.00157862756822DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDG8539HCPCS2022DOC CURR FNCTNL OTCME ASSMNT USING STANDARDIZEDPROFESSIONALnpi16896817930.000.00157862756822SYS BP LESS 140G8752HCPCS2022SYS BP LESS 140PROFESSIONALnpi16896817930.000.00157862756822DIAS BP LESS 90G8754HCPCS2022DIAS BP LESS 90PROFESSIONALnpi16896817930.000.00157862756822PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASG9903HCPCS2022PATIENT SCREENED FOR TOBACCO USE AND IDENTIFIED ASPROFESSIONALnpi16896817930.000.00157862756822LARGE GROUP TRIPLEEIN591777126GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324812.0012.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841LARGE GROUP TRIPLE OPTEIN590704726GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi12250342340.000.00114465938411MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi12250342340.000.00114465938411REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi12250342340.000.00114465938411BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi12250342340.000.00114465938411MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi12250342340.000.00114465938411MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi12250342340.000.00114465938411SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi12250342340.000.00114465938411GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248169.00169.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841NEG SCRN FOR CLIN DEP F/U NOT REQUIREDG8510HCPCS2022NEG SCRN FOR CLIN DEP F/U NOT REQUIREDPROFESSIONALnpi12250342340.000.00114465938411COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481LARGE GROUP TRIPLE OPTEIN596000304GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841LARGE GRP TRIPLE OPTIONEIN596000884GROUPCURRENT TOBACCO NON-USER1036FCPT2022CURRENT TOBACCO NON-USERPROFESSIONALnpi12250342340.000.00114465938411MEDICATION LIST DOCUMENTED IN MED RECORD1159FCPT2022MEDICATION LIST DOCUMENTED IN MED RECORDPROFESSIONALnpi12250342340.000.00114465938411REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MREC1160FCPT2022REV MEDS BY RX PRACTIT OR CLIN PHARMST DOC IN MRECPROFESSIONALnpi12250342340.000.00114465938411BODY MASS INDEX DOCUMENTED3008FCPT2022BODY MASS INDEX DOCUMENTEDPROFESSIONALnpi12250342340.000.00114465938411MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi12250342340.000.00114465938411MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi12250342340.000.00114465938411ACYLCARNITINES EACH SPECIMEN82016CPT2022ACYLCARNITINES EACH SPECIMENPROFESSIONALnpi151898364216.4916.49151898364281TEST FOR AMINO ACIDS82128CPT2022TEST FOR AMINO ACIDSPROFESSIONALnpi151898364213.8713.87151898364281ENZYME ACTIVITY/BLOOD CELLS82657CPT2022ENZYME ACTIVITY/BLOOD CELLSPROFESSIONALnpi151898364222.1722.17151898364281VERY LONG CHAIN FATTY ACIDS82726CPT2022VERY LONG CHAIN FATTY ACIDSPROFESSIONALnpi151898364222.2922.29151898364281ASSAY GALACTOSE TRANSFERASE82775CPT2022ASSAY GALACTOSE TRANSFERASEPROFESSIONALnpi151898364226.0126.01151898364281CHROMATOGRAPHY83021CPT2022CHROMATOGRAPHYPROFESSIONALnpi151898364222.2922.29151898364281RIA ASSAY OF PROGESTERONE83498CPT2022RIA ASSAY OF PROGESTERONEPROFESSIONALnpi151898364233.5433.54151898364281IMMUNOASSAY,ANALYTE,QUANTITA83520CPT2022IMMUNOASSAY,ANALYTE,QUANTITAPROFESSIONALnpi151898364217.2717.27151898364281MASS SPECTROMETRY AND TANDEM MASS83789CPT2022MASS SPECTROMETRY AND TANDEM MASSPROFESSIONALnpi151898364224.1124.11151898364281ASSAY NEONATAL THYROXINE84437CPT2022ASSAY NEONATAL THYROXINEPROFESSIONALnpi15189836427.987.98151898364281ASSAY THYROID STIM HORMONE84443CPT2022ASSAY THYROID STIM HORMONEPROFESSIONALnpi151898364220.7520.75151898364281GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324813.0013.00148793324841PROFESSIONALnpi148793324836.0036.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248130.00130.00148793324841PROFESSIONALnpi1487933248143.00143.00148793324841PROFESSIONALnpi1487933248273.00273.00148793324841PROFESSIONALnpi1487933248364.00364.00148793324841PROFESSIONALnpi1487933248429.00429.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248677.00677.00148793324841PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841ADVANCE LIFE SUPPORT, LEVEL 2A0433HCPCS2022ADVANCE LIFE SUPPORT, LEVEL 2PROFESSIONALnpi1487933248984.00984.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870081PROFESSIONALnpi175036870025.0025.00125531470425.00175036870081SELECT 200IP 25SP 60E GFEIN596000430GROUPDESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;SING FACET J64635CPT2022DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;SING FACET JPROFESSIONALnpi1689681793630.00630.00157862756822DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;EA ADDL JOIN64636CPT2022DESTRUC PARAVERTEBRAL NRVE;LUM/SACRAL;EA ADDL JOINPROFESSIONALnpi1689681793315.00315.00157862756822COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881SM GRP POS $1000 CLASSICEIN592206272GROUPMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139684991511SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00139684991511SM GRP STD $10/SP GFEIN593624203GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324813.0013.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841SM GRP STD $10/SP GFEIN593707097GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324865.0065.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841SMAG BRONZE HMO GYMHIOS56503FL2700002GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148775059252.0052.00148775059241AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487750592800.00800.00148775059241SMAG BRONZE HMO GYMHIOS56503FL2710002GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324852.0052.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841SMAG BRONZE HMO GYMHIOS56503FL2970001GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248240.00240.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248647.00647.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870081PROFESSIONALnpi175036870025.0025.00125531470425.00175036870081SMAG BRONZE POS HSA GYMHIOS56503FL2170001GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841SMAG ESS + PLAT HMO GYMHIOS56503FL1620001GROUPBLINDNESS AND LOW VI369MS-DRG9BLINDNESS AND LOW VIINSTITUTIONALnpi106342682320.5540.70106342682321INSTITUTIONALnpi106342682357.60114.05106342682321INSTITUTIONALnpi106342682383.88166.10106342682321INSTITUTIONALnpi106342682389.99178.19106342682321INSTITUTIONALnpi1063426823167.03330.75106342682321INSTITUTIONALnpi1063426823308.44610.78106342682321INSTITUTIONALnpi1063426823421.25834.16106342682321INSTITUTIONALnpi1063426823559.271107.47106342682321INSTITUTIONALnpi1063426823606.101200.20106342682321INSTITUTIONALnpi1063426823712.621411.12106342682321INSTITUTIONALnpi1063426823746.391478.00106342682321INSTITUTIONALnpi10634268231444.302860.00106342682321INSTITUTIONALnpi10634268231477.102924.95106342682321INSTITUTIONALnpi10634268231607.303182.77106342682321INSTITUTIONALnpi10634268231911.413784.98106342682321INSTITUTIONALnpi10634268231974.553910.00106342682321INSTITUTIONALnpi10634268233275.106485.35106342682321INSTITUTIONALnpi10634268233870.467664.28106342682321GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324891.0091.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248710.00710.00148793324841SMAG GOLD HMO GYMHIOS56503FL2280001GROUPARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFF29827CPT2022ARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFFPROFESSIONALnpi19221159141827.113348.00110407706411MOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00110407706411MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00110407706411X-RAY EXAM OF SHOULDER73030CPT2022X-RAY EXAM OF SHOULDERPROFESSIONALnpi192211591449.33103.00110407706411INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215POST-OP FOLLOW-UP VISIT99024CPT2022POST-OP FOLLOW-UP VISITPROFESSIONALnpi19221159140.000.00110407706411OFFICE/OUTPATIENT VISIT, NEW99204CPT2022OFFICE/OUTPATIENT VISIT, NEWPROFESSIONALnpi1922115914262.90507.00110407706411GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324826.0026.00148793324841PROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324852.0052.00148793324841PROFESSIONALnpi148793324891.0091.00148793324841PROFESSIONALnpi1487933248741.00741.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi175036870025.0025.00125531470425.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00125531470425.00175036870025.00191252156881SMAG GOLD HMO GYMHIOS56503FL2430002GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi19221159140.000.00126542758711GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841PROFESSIONALnpi1487933248169.00169.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841SMAG GOLD HMO GYMHIOS56503FL2440002GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481SMAG GOLD HMO GYMHIOS56503FL2460002GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841SMAG GOLD HMO GYMHIOS56503FL2480002GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841PROFESSIONALnpi148793324878.0078.00148793324841PROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841PROFESSIONALnpi1487933248710.00710.00148793324841SMAG GOLD POS GYMHIOS56503FL2340001GROUPPAIN SEVERITY QUANTIFIED;NO PAIN PRESENT1126FCPT2022PAIN SEVERITY QUANTIFIED;NO PAIN PRESENTPROFESSIONALnpi15585306000.000.00179076333219SCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi15585306000.000.00179076333219GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1194821595108.00108.00119482159541PROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841AMBULANCE SVC, BLS,EMERGENCY TRNSPRTA0429HCPCS2022AMBULANCE SVC, BLS,EMERGENCY TRNSPRTPROFESSIONALnpi1194821595721.80721.80119482159541SMAG PLATINUM HMO GYMHIOS56503FL2180001GROUPINFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUT87635CPT2022INFECT AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTPROFESSIONALnpi14973525870.000.00109391321215GROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248408.00408.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248651.00651.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881SMAG PLATINUM HMO GYMHIOS56503FL2200001GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881SMAG PLATINUM HMO GYMHIOS56503FL2440002GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470425.00175036870081PROFESSIONALnpi175036870025.0025.00125531470425.00175036870081SMAG PLATINUM HMO GYMHIOS56503FL2450002GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi175036870025.0025.00175036870025.00191252156881PROFESSIONALnpi191252156825.0025.00175036870025.00191252156881SMAG PLATINUM POS GYMHIOS56503FL2410002GROUPMOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00139684991511POST-OP FOLLOW-UP VISIT99024CPT2022POST-OP FOLLOW-UP VISITPROFESSIONALnpi19221159140.000.00110407706411INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGQ0244HCPCS2022INJECTION, CASIRIVIMAB AND IMDEVIMAB, 1200 MGPROFESSIONALnpi14973525870.000.00138667130315SMAG PLATINUM TRIPLE GYMHIOS56503FL2350002GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi191252156825.0025.00191252156881SMAG SILVER HMO GYMHIOS56503FL2720002GROUPCOVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481SMAG SILVER HMO GYMHIOS56503FL2740002GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148793324839.0039.00148793324841AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487933248680.00680.00148793324841COVID-19 TEST RESULTS UNDER TWO DAYSU0005HCPCS2022COVID-19 TEST RESULTS UNDER TWO DAYSPROFESSIONALnpi125531470425.0025.00125531470481SMALL GROUP BAL POS GFEIN208366085GROUPPAIN SEVERITY QUANTIFIED;PAIN PRESENT1125FCPT2022PAIN SEVERITY QUANTIFIED;PAIN PRESENTPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT SYSTOLIC BP 130-1393075FCPT2022MOST RECENT SYSTOLIC BP 130-139PROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG3079FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HGPROFESSIONALnpi19221159140.000.00139684991511MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HG3080FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE >90 MM HGPROFESSIONALnpi19221159140.000.00139684991511SMALL GROUP BAL POS GFEIN592058390GROUPSCREENING FOR DEPRESSION PERFORMED3725FCPT2022SCREENING FOR DEPRESSION PERFORMEDPROFESSIONALnpi19221159140.000.00126542758711SMALL GROUP BALANCE POSEIN043649438GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi148775059265.0065.00148775059241AMBULANCE SVC, ALS, EMERG LEV 1A0427HCPCS2022AMBULANCE SVC, ALS, EMERG LEV 1PROFESSIONALnpi1487750592800.00800.00148775059241SMALL GROUP BALANCE POSEIN200454035GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841SMALL GROUP BALANCE POSEIN593008015GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248104.00104.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841SMALL GROUP BALANCE POSEIN593025304GROUPPSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/M90833CPT2022PSYCHOTHERAPY,30 MINS W/PATIENT AND/OR FAM W/ E/MPROFESSIONALnpi146751142860.0060.00146751142811OFFICE/OUTPATIENT VISIT, EST99213CPT2022OFFICE/OUTPATIENT VISIT, ESTPROFESSIONALnpi146751142860.0060.00146751142811SMALL GROUP PREMIUM.EIN160965875GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248169.00169.00148793324841AMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2022AMBULANCE SVC, ALS, NON EMERG LEV 1PROFESSIONALnpi1487933248430.00430.00148793324841SMALL GRP POS HDHP HSAEIN593247367GROUPGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2022GROUND MILEAGE, PER STATUTE MILEPROFESSIONALnpi1487933248117.00117.00148793324841AMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2022AMBULANCE SVC, BLS, NON EMERG LEV 1PROFESSIONALnpi1487933248358.00358.00148793324841SMALL GRP POS HDHP HSAEIN593351719GROUPMOST RECENT SYSTOLIC BP<1303074FCPT2022MOST RECENT SYSTOLIC BP<130PROFESSIONALnpi19221159140.000.00126542758711MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HG3078FCPT2022MOST RECENT DIASTOLIC BLOOD PRESSURE <80 MM HGPROFESSIONALnpi19221159140.000.00126542758711NEG SCRN FOR CLIN DEP F/U NOT REQUIREDG8510HCPCS2022NEG SCRN FOR CLIN DEP F/U NOT REQUIREDPROFESSIONALnpi19221159140.000.001265427587112022-08-01