{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "13877AZ007", "last_updated_on": "2026-01-23", "version": "2.0.0", "out_of_network": [{"name": "Als routine disposable supplies", "billing_code_type": "CPT", "billing_code": "A0398", "billing_code_type_version": "2022", "description": "Als routine disposable supplies", "allowed_amounts": [{"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1851781314]}]}, {"allowed_amount": 5.33, "providers": [{"billed_charge": 5.33, "npi": [1851781314]}]}, {"allowed_amount": 6.1, "providers": [{"billed_charge": 6.1, "npi": [1851781314]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 10.72, "npi": [1851781314]}]}, {"allowed_amount": 10.96, "providers": [{"billed_charge": 10.96, "npi": [1851781314]}]}, {"allowed_amount": 21.59, "providers": [{"billed_charge": 21.59, "npi": [1851781314]}]}, {"allowed_amount": 22.94, "providers": [{"billed_charge": 22.94, "npi": [1851781314]}]}, {"allowed_amount": 23.2, "providers": [{"billed_charge": 23.2, "npi": [1851781314]}]}, {"allowed_amount": 24.1, "providers": [{"billed_charge": 31.39, "npi": [1851781314]}, {"billed_charge": 52.14, "npi": [1851781314]}, {"billed_charge": 60.47, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.12, "providers": [{"billed_charge": 1.12, "npi": [1932652815]}]}, {"allowed_amount": 5.59, "providers": [{"billed_charge": 5.59, "npi": [1932652815]}]}, {"allowed_amount": 7.49, "providers": [{"billed_charge": 7.49, "npi": [1932652815]}]}, {"allowed_amount": 12.82, "providers": [{"billed_charge": 12.82, "npi": [1932652815]}]}, {"allowed_amount": 15.3, "providers": [{"billed_charge": 15.3, "npi": [1932652815]}]}, {"allowed_amount": 17.67, "providers": [{"billed_charge": 17.67, "npi": [1932652815]}]}, {"allowed_amount": 24.1, "providers": [{"billed_charge": 26.88, "npi": [1932652815]}, {"billed_charge": 31.01, "npi": [1932652815]}, {"billed_charge": 55.59, "npi": [1932652815]}, {"billed_charge": 89.5, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.92, "providers": [{"billed_charge": 11.92, "npi": [1447884507]}]}, {"allowed_amount": 14.87, "providers": [{"billed_charge": 14.87, "npi": [1447884507]}]}, {"allowed_amount": 16.69, "providers": [{"billed_charge": 16.69, "npi": [1447884507]}]}, {"allowed_amount": 17.72, "providers": [{"billed_charge": 17.72, "npi": [1447884507]}]}, {"allowed_amount": 24.1, "providers": [{"billed_charge": 36.61, "npi": [1447884507]}]}, {"allowed_amount": 746.56, "providers": [{"billed_charge": 12.99, "npi": [1447884507]}]}, {"allowed_amount": 787.25, "providers": [{"billed_charge": 30.9, "npi": [1447884507]}]}, {"allowed_amount": 836.41, "providers": [{"billed_charge": 45.78, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1205883717]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1205883717]}]}, {"allowed_amount": 9.98, "providers": [{"billed_charge": 9.98, "npi": [1205883717]}]}, {"allowed_amount": 10.48, "providers": [{"billed_charge": 10.48, "npi": [1205883717]}]}, {"allowed_amount": 33.67, "providers": [{"billed_charge": 102.83, "npi": [1205883717]}, {"billed_charge": 132.57, "npi": [1205883717]}, {"billed_charge": 287.23, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860526018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.4, "providers": [{"billed_charge": 3.4, "npi": [1982116208]}]}, {"allowed_amount": 4.93, "providers": [{"billed_charge": 4.93, "npi": [1982116208]}]}, {"allowed_amount": 5.7, "providers": [{"billed_charge": 5.7, "npi": [1982116208]}]}, {"allowed_amount": 6.69, "providers": [{"billed_charge": 6.69, "npi": [1982116208]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.87, "providers": [{"billed_charge": 9.87, "npi": [1538116652]}]}, {"allowed_amount": 14.31, "providers": [{"billed_charge": 14.31, "npi": [1538116652]}]}, {"allowed_amount": 14.77, "providers": [{"billed_charge": 14.77, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.1, "providers": [{"billed_charge": 60.0, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 0.6, "npi": [1982781571]}]}, {"allowed_amount": 0.8, "providers": [{"billed_charge": 0.8, "npi": [1982781571]}]}, {"allowed_amount": 1.56, "providers": [{"billed_charge": 1.56, "npi": [1982781571]}]}, {"allowed_amount": 2.27, "providers": [{"billed_charge": 2.27, "npi": [1982781571]}]}, {"allowed_amount": 2.75, "providers": [{"billed_charge": 2.75, "npi": [1982781571]}]}, {"allowed_amount": 4.23, "providers": [{"billed_charge": 4.23, "npi": [1982781571]}]}, {"allowed_amount": 6.11, "providers": [{"billed_charge": 6.11, "npi": [1982781571]}]}, {"allowed_amount": 6.27, "providers": [{"billed_charge": 6.27, "npi": [1982781571]}]}, {"allowed_amount": 6.87, "providers": [{"billed_charge": 6.87, "npi": [1982781571]}]}, {"allowed_amount": 6.99, "providers": [{"billed_charge": 6.99, "npi": [1982781571]}]}, {"allowed_amount": 13.29, "providers": [{"billed_charge": 13.29, "npi": [1982781571]}]}, {"allowed_amount": 24.1, "providers": [{"billed_charge": 29.88, "npi": [1982781571]}, {"billed_charge": 32.19, "npi": [1982781571]}, {"billed_charge": 32.42, "npi": [1982781571]}, {"billed_charge": 52.17, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 0.44, "npi": [1750811063]}]}, {"allowed_amount": 24.1, "providers": [{"billed_charge": 60.0, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 33.67, "providers": [{"billed_charge": 44.76, "npi": [1992757025]}]}]}]}, {"name": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)", "billing_code_type": "CPT", "billing_code": "A0427", "billing_code_type_version": "2022", "description": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)", "allowed_amounts": [{"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "351494500"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 595.02, "providers": [{"billed_charge": 2492.22, "npi": [1376576181]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1932652815]}]}, {"allowed_amount": 1204.59, "providers": [{"billed_charge": 1302.3, "npi": [1932652815]}, {"billed_charge": 1303.8, "npi": [1932652815]}, {"billed_charge": 1304.4, "npi": [1932652815]}, {"billed_charge": 1310.05, "npi": [1932652815]}, {"billed_charge": 1311.63, "npi": [1932652815]}, {"billed_charge": 1311.89, "npi": [1932652815]}, {"billed_charge": 1316.84, "npi": [1932652815]}, {"billed_charge": 1317.44, "npi": [1932652815]}, {"billed_charge": 1324.72, "npi": [1932652815]}, {"billed_charge": 1328.28, "npi": [1932652815]}, {"billed_charge": 1330.6, "npi": [1932652815]}, {"billed_charge": 1337.94, "npi": [1932652815]}, {"billed_charge": 1342.62, "npi": [1932652815]}, {"billed_charge": 1346.65, "npi": [1932652815]}, {"billed_charge": 1348.19, "npi": [1932652815]}, {"billed_charge": 1353.56, "npi": [1932652815]}, {"billed_charge": 1354.48, "npi": [1932652815]}, {"billed_charge": 1384.09, "npi": [1932652815]}, {"billed_charge": 1414.13, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1028.57, "providers": [{"billed_charge": 1028.57, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 342.1, "providers": [{"billed_charge": 1541.61, "npi": [1205883717]}]}, {"allowed_amount": 1541.61, "providers": [{"billed_charge": 1541.61, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860339693"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1543.97, "providers": [{"billed_charge": 1690.78, "npi": [1356333934]}]}]}, {"tin": {"type": "ein", "value": "860409619"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1821456575]}]}]}, {"tin": {"type": "ein", "value": "860410332"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.91, "providers": [{"billed_charge": 1644.83, "npi": [1710071410]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1543.97, "providers": [{"billed_charge": 1661.31, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860506675"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 691.65, "providers": [{"billed_charge": 1939.8, "npi": [1316944846]}]}]}, {"tin": {"type": "ein", "value": "860526018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1543.97, "providers": [{"billed_charge": 1704.26, "npi": [1982116208]}]}]}, {"tin": {"type": "ein", "value": "860530631"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 691.65, "providers": [{"billed_charge": 1416.7, "npi": [1750383931]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1204.59, "providers": [{"billed_charge": 1828.63, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860758145"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 691.65, "providers": [{"billed_charge": 2007.03, "npi": [1891742417]}]}]}, {"tin": {"type": "ein", "value": "860779112"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 691.65, "providers": [{"billed_charge": 1650.72, "npi": [1407811318]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 990.33, "providers": [{"billed_charge": 990.33, "npi": [1598385783]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 691.65, "providers": [{"billed_charge": 1249.04, "npi": [1073510699]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1541.61, "providers": [{"billed_charge": 1541.61, "npi": [1992757025]}]}]}, {"tin": {"type": "ein", "value": "866000273"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 678.42, "providers": [{"billed_charge": 1617.01, "npi": [1134421993]}]}]}, {"tin": {"type": "ein", "value": "866000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1204.59, "providers": [{"billed_charge": 1344.65, "npi": [1003366006]}]}]}, {"tin": {"type": "ein", "value": "942471992"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1543.97, "providers": [{"billed_charge": 1695.37, "npi": [1326181223]}]}]}]}, {"name": "Ambulance service, basic life support, emergency transport (bls-emergency)", "billing_code_type": "CPT", "billing_code": "A0429", "billing_code_type_version": "2022", "description": "Ambulance service, basic life support, emergency transport (bls-emergency)", "allowed_amounts": [{"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "426005327"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 620.0, "providers": [{"billed_charge": 620.0, "npi": [1811076565]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1932652815]}]}, {"allowed_amount": 1073.01, "providers": [{"billed_charge": 1171.23, "npi": [1932652815]}, {"billed_charge": 1171.83, "npi": [1932652815]}, {"billed_charge": 1172.43, "npi": [1932652815]}, {"billed_charge": 1172.75, "npi": [1932652815]}, {"billed_charge": 1173.03, "npi": [1932652815]}, {"billed_charge": 1177.58, "npi": [1932652815]}, {"billed_charge": 1180.68, "npi": [1932652815]}, {"billed_charge": 1197.51, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "626000361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 826.88, "providers": [{"billed_charge": 1175.0, "npi": [1942381819]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 526.03, "providers": [{"billed_charge": 2953.13, "npi": [1578597886]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 92.4, "providers": [{"billed_charge": 915.84, "npi": [1447884507]}]}, {"allowed_amount": 915.84, "providers": [{"billed_charge": 915.84, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1383.45, "providers": [{"billed_charge": 1383.45, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860287955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 474.49, "providers": [{"billed_charge": 1737.4, "npi": [1679532535]}]}]}, {"tin": {"type": "ein", "value": "860339693"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1385.56, "providers": [{"billed_charge": 1690.78, "npi": [1356333934]}]}]}, {"tin": {"type": "ein", "value": "860409619"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1821456575]}]}]}, {"tin": {"type": "ein", "value": "860431643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1073.01, "providers": [{"billed_charge": 1972.84, "npi": [1093707242]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1385.56, "providers": [{"billed_charge": 1661.31, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860638446"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1073.01, "providers": [{"billed_charge": 1476.98, "npi": [1821133745]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1071.37, "providers": [{"billed_charge": 1071.37, "npi": [1750811063]}]}]}]}, {"name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "billing_code_type": "CPT", "billing_code": "85025", "billing_code_type_version": "2022", "description": "BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.41, "providers": [{"billed_charge": 148.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.71, "providers": [{"billed_charge": 405.98, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.44, "providers": [{"billed_charge": 80.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.95, "providers": [{"billed_charge": 31.0, "npi": [1992735088]}]}, {"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 249.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.71, "providers": [{"billed_charge": 522.66, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.44, "providers": [{"billed_charge": 135.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.74, "providers": [{"billed_charge": 23.31, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 252.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 249.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.13, "providers": [{"billed_charge": 522.66, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.64, "providers": [{"billed_charge": 131.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.96, "providers": [{"billed_charge": 108.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.21, "providers": [{"billed_charge": 522.66, "npi": [1487607784]}]}, {"allowed_amount": 57.71, "providers": [{"billed_charge": 522.66, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.15, "providers": [{"billed_charge": 776.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.95, "providers": [{"billed_charge": 31.0, "npi": [1700910189]}]}, {"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.95, "providers": [{"billed_charge": 252.0, "npi": [1982733655]}]}, {"allowed_amount": 57.94, "providers": [{"billed_charge": 252.0, "npi": [1982733655]}]}, {"allowed_amount": 75.13, "providers": [{"billed_charge": 252.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.25, "providers": [{"billed_charge": 98.0, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.71, "providers": [{"billed_charge": 309.38, "npi": [1356818496]}]}, {"allowed_amount": 309.38, "providers": [{"billed_charge": 309.38, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.18, "providers": [{"billed_charge": 296.49, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "840935136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.82, "providers": [{"billed_charge": 301.0, "npi": [1104881507]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.82, "providers": [{"billed_charge": 291.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.71, "providers": [{"billed_charge": 217.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.4, "providers": [{"billed_charge": 204.0, "npi": [1174512792]}]}, {"allowed_amount": 57.71, "providers": [{"billed_charge": 204.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.36, "providers": [{"billed_charge": 43.36, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.94, "providers": [{"billed_charge": 190.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.03, "providers": [{"billed_charge": 186.0, "npi": [1801861190]}]}]}]}, {"name": "Bls routine disposable supplies", "billing_code_type": "CPT", "billing_code": "A0382", "billing_code_type_version": "2022", "description": "Bls routine disposable supplies", "allowed_amounts": [{"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1851781314]}]}, {"allowed_amount": 1.96, "providers": [{"billed_charge": 1.96, "npi": [1851781314]}]}, {"allowed_amount": 5.09, "providers": [{"billed_charge": 5.09, "npi": [1851781314]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.21, "providers": [{"billed_charge": 99.26, "npi": [1932652815]}, {"billed_charge": 100.46, "npi": [1932652815]}, {"billed_charge": 101.06, "npi": [1932652815]}, {"billed_charge": 101.38, "npi": [1932652815]}, {"billed_charge": 101.66, "npi": [1932652815]}, {"billed_charge": 102.26, "npi": [1932652815]}, {"billed_charge": 103.46, "npi": [1932652815]}, {"billed_charge": 105.5, "npi": [1932652815]}, {"billed_charge": 106.81, "npi": [1932652815]}, {"billed_charge": 107.61, "npi": [1932652815]}, {"billed_charge": 108.51, "npi": [1932652815]}, {"billed_charge": 110.91, "npi": [1932652815]}, {"billed_charge": 113.66, "npi": [1932652815]}, {"billed_charge": 124.46, "npi": [1932652815]}, {"billed_charge": 124.76, "npi": [1932652815]}, {"billed_charge": 132.39, "npi": [1932652815]}, {"billed_charge": 142.05, "npi": [1932652815]}]}, {"allowed_amount": 805.09, "providers": [{"billed_charge": 101.06, "npi": [1932652815]}]}, {"allowed_amount": 821.84, "providers": [{"billed_charge": 101.06, "npi": [1932652815]}]}, {"allowed_amount": 846.51, "providers": [{"billed_charge": 100.46, "npi": [1932652815]}]}, {"allowed_amount": 875.77, "providers": [{"billed_charge": 101.66, "npi": [1932652815]}]}, {"allowed_amount": 1005.85, "providers": [{"billed_charge": 101.06, "npi": [1932652815]}]}, {"allowed_amount": 1171.89, "providers": [{"billed_charge": 101.66, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1447884507]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 6.12, "npi": [1447884507]}]}, {"allowed_amount": 7.07, "providers": [{"billed_charge": 7.07, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1205883717]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1205883717]}]}, {"allowed_amount": 2.23, "providers": [{"billed_charge": 2.23, "npi": [1205883717]}]}, {"allowed_amount": 4.97, "providers": [{"billed_charge": 4.97, "npi": [1205883717]}]}, {"allowed_amount": 5.09, "providers": [{"billed_charge": 5.09, "npi": [1205883717]}]}, {"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1205883717]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1205883717]}]}, {"allowed_amount": 5.71, "providers": [{"billed_charge": 5.71, "npi": [1205883717]}]}, {"allowed_amount": 6.27, "providers": [{"billed_charge": 7.33, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860526018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.27, "providers": [{"billed_charge": 6.39, "npi": [1982116208]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.27, "providers": [{"billed_charge": 6.27, "npi": [1982781571]}]}, {"allowed_amount": 8.21, "providers": [{"billed_charge": 13.29, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.21, "providers": [{"billed_charge": 22.92, "npi": [1750811063]}, {"billed_charge": 30.0, "npi": [1750811063]}, {"billed_charge": 37.65, "npi": [1750811063]}]}, {"allowed_amount": 854.92, "providers": [{"billed_charge": 20.76, "npi": [1750811063]}]}, {"allowed_amount": 873.96, "providers": [{"billed_charge": 24.16, "npi": [1750811063]}]}]}]}, {"name": "Collection of venous blood by venipuncture", "billing_code_type": "CPT", "billing_code": "36415", "billing_code_type_version": "2022", "description": "COLLECTION VENOUS BLOOD VENIPUNCTURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 195.15, "providers": [{"billed_charge": 34.28, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "202883007"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.45, "providers": [{"billed_charge": 10.0, "npi": [1801878962]}]}]}, {"tin": {"type": "ein", "value": "264681471"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.74, "providers": [{"billed_charge": 30.46, "npi": [1003424771]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.78, "providers": [{"billed_charge": 36.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.83, "providers": [{"billed_charge": 173.62, "npi": [1184468696]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 4.39, "providers": [{"billed_charge": 18.0, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 884.1, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.6, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 486.76, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 537.87, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 542.78, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1237.18, "providers": [{"billed_charge": 17.0, "npi": [1780635078]}]}, {"allowed_amount": 1481.31, "providers": [{"billed_charge": 17.0, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.15, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 276.14, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 338.12, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 342.93, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 405.25, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 413.64, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 456.14, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 512.44, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 527.23, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 537.84, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 717.15, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860220306"}, "billing_class": "professional", "service_codes": ["53"], "payments": [{"allowed_amount": 2.41, "providers": [{"billed_charge": 5.52, "npi": [1790267011]}]}]}, {"tin": {"type": "ein", "value": "861424959"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.74, "providers": [{"billed_charge": 10.0, "npi": [1124227111]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.01, "providers": [{"billed_charge": 60.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.31, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 744.79, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}]}]}, {"name": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80053", "billing_code_type_version": "2022", "description": "COMPREHENSIVE METABOLIC PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.72, "providers": [{"billed_charge": 431.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 1294.03, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.72, "providers": [{"billed_charge": 130.0, "npi": [1164547303]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.64, "providers": [{"billed_charge": 111.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.72, "providers": [{"billed_charge": 42.0, "npi": [1992735088]}]}, {"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.82, "providers": [{"billed_charge": 3619.57, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.19, "providers": [{"billed_charge": 585.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 839.91, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.64, "providers": [{"billed_charge": 379.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.51, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.19, "providers": [{"billed_charge": 344.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.19, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 245.82, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 342.31, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 435.99, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 543.61, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 646.81, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 652.98, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.92, "providers": [{"billed_charge": 839.91, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.24, "providers": [{"billed_charge": 197.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 839.91, "npi": [1487607784]}]}, {"allowed_amount": 287.77, "providers": [{"billed_charge": 839.91, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.72, "providers": [{"billed_charge": 42.0, "npi": [1700910189]}]}, {"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.72, "providers": [{"billed_charge": 344.0, "npi": [1982733655]}]}, {"allowed_amount": 75.92, "providers": [{"billed_charge": 344.0, "npi": [1609408665]}]}, {"allowed_amount": 140.19, "providers": [{"billed_charge": 344.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.82, "providers": [{"billed_charge": 264.25, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.37, "providers": [{"billed_charge": 1602.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 823.85, "npi": [1356818496]}]}, {"allowed_amount": 823.85, "providers": [{"billed_charge": 823.85, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.72, "providers": [{"billed_charge": 560.73, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.9, "providers": [{"billed_charge": 619.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.06, "providers": [{"billed_charge": 560.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.74, "providers": [{"billed_charge": 406.0, "npi": [1174512792]}]}, {"allowed_amount": 139.06, "providers": [{"billed_charge": 406.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.88, "providers": [{"billed_charge": 35.88, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.19, "providers": [{"billed_charge": 1115.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.19, "providers": [{"billed_charge": 375.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.03, "providers": [{"billed_charge": 384.0, "npi": [1801861190]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 2108.0, "npi": [1700801909]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "74177", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 474.84, "providers": [{"billed_charge": 4710.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1376805044]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1307.65, "providers": [{"billed_charge": 6838.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4735.35, "providers": [{"billed_charge": 26212.96, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 893.47, "providers": [{"billed_charge": 7599.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 891.1, "providers": [{"billed_charge": 13499.56, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 520.0, "npi": [1699095703]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 400.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.0, "npi": [1750660692]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 858.81, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6139.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1891934311]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 447.44, "npi": [1265466825]}]}]}, {"tin": {"type": "ein", "value": "462021581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1992083133]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1772.11, "providers": [{"billed_charge": 6571.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1692.0, "npi": [1417490301]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1386818409, 1891796082, 1033190202]}]}, {"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1386818409]}]}, {"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 893.47, "providers": [{"billed_charge": 6838.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 893.47, "providers": [{"billed_charge": 5537.0, "npi": [1982733655]}]}, {"allowed_amount": 1307.65, "providers": [{"billed_charge": 5537.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1692.0, "npi": [1508249889]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.23, "providers": [{"billed_charge": 15623.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 891.1, "providers": [{"billed_charge": 11837.0, "npi": [1356818496]}]}, {"allowed_amount": 11837.0, "providers": [{"billed_charge": 11837.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1245.05, "providers": [{"billed_charge": 13714.19, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1326302985, 1952549644]}]}, {"allowed_amount": 146.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1407485014]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["23", "11"], "payments": [{"allowed_amount": 90.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1700046364]}]}, {"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1578763108]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 865.5, "providers": [{"billed_charge": 4830.0, "npi": [1174512792]}]}, {"allowed_amount": 891.1, "providers": [{"billed_charge": 4830.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 893.47, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1654.68, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1654.68, "npi": [1003137944]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1316443823]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 622.0, "npi": [1821069089, 1932529229]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1518175637]}]}]}, {"tin": {"type": "ein", "value": "861045119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1692.0, "npi": [1740250323]}]}]}, {"tin": {"type": "ein", "value": "870737749"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 485.71, "providers": [{"billed_charge": 1883.9, "npi": [1790104693]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1487647905, 1659359586, 1922260033, 1164714408, 1174597736]}]}, {"allowed_amount": 164.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1134573645]}]}]}]}, {"name": "Computed tomography, head or brain; without contrast material", "billing_code_type": "CPT", "billing_code": "70450", "billing_code_type_version": "2022", "description": "CT HEAD/BRAIN W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.68, "providers": [{"billed_charge": 5201.48, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1205864204]}]}, {"allowed_amount": 77.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1114250990]}]}]}, {"tin": {"type": "ein", "value": "341664365"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1043409014]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.65, "providers": [{"billed_charge": 3638.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.68, "providers": [{"billed_charge": 7379.22, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "520591657"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1659506517]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.31, "providers": [{"billed_charge": 7379.22, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 361.68, "providers": [{"billed_charge": 7379.22, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 326.68, "providers": [{"billed_charge": 3366.0, "npi": [1700910189]}]}, {"allowed_amount": 356.65, "providers": [{"billed_charge": 3366.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.65, "providers": [{"billed_charge": 3321.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 42.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1295797322, 1306003579, 1952549644, 1336595974]}]}, {"allowed_amount": 65.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1407485014, 1497951719]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 820.57, "providers": [{"billed_charge": 2554.68, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1316443823]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 42.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1861608770, 1306404579, 1700271285, 1518526094]}]}, {"allowed_amount": 47.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1609841790]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1902002504]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.38, "npi": [1548528029]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1174558092, 1215927579, 1386006419, 1780813105]}]}, {"allowed_amount": 83.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "900293038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1386699643, 1497700579]}]}, {"allowed_amount": 224.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1386699643]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 47.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1487647905, 1841278306, 1174597736, 1114121746, 1780872564, 1891807863, 1386806362, 1912939679]}]}]}]}, {"name": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes", "billing_code_type": "CPT", "billing_code": "99291", "billing_code_type_version": "2022", "description": "CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 490.0, "npi": [1548263825]}]}, {"allowed_amount": 448.13, "providers": [{"billed_charge": 490.0, "npi": [1861842148]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.32, "providers": [{"billed_charge": 1424.0, "npi": [1124347695]}]}, {"allowed_amount": 373.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1424.0, "npi": [1770504292, 1265729867, 1316114895, 1386140820, 1902821374, 1649613118]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.33, "providers": [{"billed_charge": 653.0, "npi": [1184010571, 1891060612]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.32, "providers": [{"billed_charge": 1424.0, "npi": [1780147041]}]}, {"allowed_amount": 373.74, "providers": [{"billed_charge": 1693.0, "npi": [1922395656, 1508220971, 1831140995, 1497729982]}]}, {"allowed_amount": 448.13, "providers": [{"billed_charge": 1693.0, "npi": [1780179259]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 1693.0, "npi": [1083277438]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.68, "providers": [{"billed_charge": 2099.0, "npi": [1437433950]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.33, "providers": [{"billed_charge": 521.68, "npi": [1649377813, 1104388511]}, {"billed_charge": 554.0, "npi": [1104388511]}]}, {"allowed_amount": 373.74, "providers": [{"billed_charge": 554.0, "npi": [1497853733]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.33, "providers": [{"billed_charge": 940.0, "npi": [1225522212]}]}, {"allowed_amount": 319.3, "providers": [{"billed_charge": 940.0, "npi": [1275057598]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 2192.5, "npi": [1942256979, 1063669158]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 284.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 617.0, "npi": [1588946107]}]}, {"allowed_amount": 373.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 617.0, "npi": [1144727827, 1649415621, 1952922775]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.3, "providers": [{"billed_charge": 3400.0, "npi": [1548415086]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1512.18, "providers": [{"billed_charge": 6375.62, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 405.0, "npi": [1447430491]}]}, {"allowed_amount": 319.3, "providers": [{"billed_charge": 405.0, "npi": [1922209600, 1447430491, 1962630269]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 550.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1332.0, "npi": [1053846659]}]}, {"allowed_amount": 760.8, "providers": [{"billed_charge": 1893.0, "npi": [1184722480, 1932390457, 1225294887]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 448.13, "providers": [{"billed_charge": 552.0, "npi": [1750916797, 1669422119]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1370.57, "providers": [{"billed_charge": 6375.62, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1512.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 13090.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1281.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9571.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.0, "providers": [{"billed_charge": 273.0, "npi": [1457843096]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.32, "providers": [{"billed_charge": 675.0, "npi": [1033315601, 1881670263]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.32, "providers": [{"billed_charge": 1986.0, "npi": [1679750483]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.3, "providers": [{"billed_charge": 896.0, "npi": [1477339745]}]}, {"allowed_amount": 448.13, "providers": [{"billed_charge": 896.0, "npi": [1306676333]}]}]}, {"tin": {"type": "ein", "value": "833289238"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 319.3, "providers": [{"billed_charge": 599.19, "npi": [1659564268]}]}]}, {"tin": {"type": "ein", "value": "860215065"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 467.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1679136568]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 1338.0, "npi": [1972981116]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 3310.0, "npi": [1427510544, 1407025745, 1437234499, 1093078396]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 304.33, "providers": [{"billed_charge": 1640.0, "npi": [1437782257]}]}, {"allowed_amount": 372.14, "providers": [{"billed_charge": 1640.0, "npi": [1609164839]}]}, {"allowed_amount": 373.74, "providers": [{"billed_charge": 1640.0, "npi": [1205933744, 1114935442, 1518134030]}]}, {"allowed_amount": 448.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1640.0, "npi": [1275152241, 1528671948]}]}]}, {"tin": {"type": "ein", "value": "933810711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 674.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2280.0, "npi": [1710413885]}]}]}]}, {"name": "Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service", "billing_code_type": "CPT", "billing_code": "80307", "billing_code_type_version": "2022", "description": "DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201264723"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 60.49, "providers": [{"billed_charge": 100.0, "npi": [1578087474]}]}]}, {"tin": {"type": "ein", "value": "352539778"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 77.68, "npi": [1972971265]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.23, "providers": [{"billed_charge": 4036.91, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 58.13, "providers": [{"billed_charge": 120.0, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.73, "providers": [{"billed_charge": 4036.91, "npi": [1386697688]}]}, {"allowed_amount": 417.94, "providers": [{"billed_charge": 4036.91, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.73, "providers": [{"billed_charge": 4036.91, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.23, "providers": [{"billed_charge": 747.0, "npi": [1700910189]}, {"billed_charge": 2323.0, "npi": [1700910189]}]}, {"allowed_amount": 237.27, "providers": [{"billed_charge": 2572.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.23, "providers": [{"billed_charge": 638.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "800107753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 39.96, "providers": [{"billed_charge": 130.0, "npi": [1720245806]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.23, "providers": [{"billed_charge": 302.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861007361"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 51.37, "providers": [{"billed_charge": 100.0, "npi": [1578136065, 1609361492]}, {"billed_charge": 175.0, "npi": [1407572266]}]}]}, {"tin": {"type": "ein", "value": "910655392"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.37, "providers": [{"billed_charge": 465.0, "npi": [1972507580]}]}]}, {"tin": {"type": "ein", "value": "932409653"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 58.13, "providers": [{"billed_charge": 3330.03, "npi": [1932983954]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.55, "providers": [{"billed_charge": 748.0, "npi": [1801861190]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.0, "providers": [{"billed_charge": 3017.0, "npi": [1700801909]}]}]}]}, {"name": "Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only", "billing_code_type": "CPT", "billing_code": "93010", "billing_code_type_version": "2022", "description": "ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 67.0, "npi": [1649613118, 1316114895, 1558895409, 1346449626, 1780244061, 1902821374]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 67.0, "npi": [1396773073]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 67.0, "npi": [1831140995, 1114110533, 1386862118, 1275713703, 1134431687, 1144858663, 1922395656, 1750366712, 1124606389, 1134667157, 1124521976, 1912982877, 1497729982]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 67.0, "npi": [1376103044]}]}, {"allowed_amount": 194.25, "providers": [{"billed_charge": 67.0, "npi": [1780179259, 1134667157]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.26, "providers": [{"billed_charge": 67.0, "npi": [1205345923, 1548036437, 1114332855]}]}, {"allowed_amount": 12.12, "providers": [{"billed_charge": 67.0, "npi": [1144802414, 1851552368, 1184041402, 1134611486, 1659371482, 1740854108, 1083277438]}]}, {"allowed_amount": 19.06, "providers": [{"billed_charge": 67.0, "npi": [1891356028]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 67.0, "npi": [1083868392, 1144802414]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.66, "providers": [{"billed_charge": 64.0, "npi": [1114325784]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 8.56, "providers": [{"billed_charge": 26.0, "npi": [1902293749, 1326085358]}]}, {"allowed_amount": 13.08, "providers": [{"billed_charge": 26.0, "npi": [1902293749]}]}, {"allowed_amount": 13.13, "providers": [{"billed_charge": 26.0, "npi": [1568726644]}]}]}, {"tin": {"type": "ein", "value": "272097600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.22, "providers": [{"billed_charge": 21.0, "npi": [1265656672]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 24.0, "npi": [1275824435, 1700888203, 1649415621]}]}, {"allowed_amount": 114.27, "providers": [{"billed_charge": 24.0, "npi": [1467912097]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.38, "providers": [{"billed_charge": 75.0, "npi": [1508942517]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 123.0, "npi": [1497809198]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 85.0, "npi": [1225294887]}]}, {"allowed_amount": 29.02, "providers": [{"billed_charge": 85.0, "npi": [1225294887, 1508354168, 1932390457, 1629010202, 1336728575]}]}, {"allowed_amount": 145.55, "providers": [{"billed_charge": 85.0, "npi": [1932169356]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 78.0, "npi": [1427412352]}, {"billed_charge": 85.0, "npi": [1336728575]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 21.0, "npi": [1801099775]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 24.0, "npi": [1588609267]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 83.0, "npi": [1043848146]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 51.0, "npi": [1760863161, 1245597210, 1871822726, 1174759807]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 51.0, "npi": [1841294378, 1154397933]}]}, {"allowed_amount": 22.14, "providers": [{"billed_charge": 51.0, "npi": [1881185486, 1205323342]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 51.0, "npi": [1386961167]}]}, {"allowed_amount": 170.79, "providers": [{"billed_charge": 51.0, "npi": [1053482828]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 141.34, "npi": [1033477112]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 50.0, "npi": [1477531754, 1487632659]}]}, {"allowed_amount": 12.19, "providers": [{"billed_charge": 50.0, "npi": [1740693548]}]}, {"allowed_amount": 13.08, "providers": [{"billed_charge": 50.0, "npi": [1477531754, 1487632659, 1679551295]}]}, {"allowed_amount": 19.06, "providers": [{"billed_charge": 50.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 51.0, "npi": [1972981116]}]}, {"allowed_amount": 20.86, "providers": [{"billed_charge": 51.0, "npi": [1356720056]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.45, "providers": [{"billed_charge": 50.0, "npi": [1679837488]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 12.19, "providers": [{"billed_charge": 92.0, "npi": [1578672267, 1699157743]}]}, {"allowed_amount": 13.08, "providers": [{"billed_charge": 92.0, "npi": [1740382688, 1902226343, 1396750030, 1770566325, 1295796894]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 53.0, "npi": [1871805408, 1629715297, 1437234499, 1134569957, 1528417573, 1487670188, 1427510544, 1407025745, 1477127512]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 53.0, "npi": [1407025745, 1629715297]}]}]}, {"tin": {"type": "ein", "value": "880161856"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.19, "providers": [{"billed_charge": 20.0, "npi": [1114159738]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.26, "providers": [{"billed_charge": 63.0, "npi": [1528671948]}]}, {"allowed_amount": 12.12, "providers": [{"billed_charge": 63.0, "npi": [1326501313, 1518134030, 1205933744, 1366905713, 1285195511, 1154748283]}]}, {"allowed_amount": 145.55, "providers": [{"billed_charge": 63.0, "npi": [1912768656]}]}, {"allowed_amount": 161.72, "providers": [{"billed_charge": 63.0, "npi": [1184298507]}]}, {"allowed_amount": 194.25, "providers": [{"billed_charge": 63.0, "npi": [1578675245, 1740771245]}]}]}]}, {"name": "Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report", "billing_code_type": "CPT", "billing_code": "93005", "billing_code_type_version": "2022", "description": "ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 957.43, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.07, "providers": [{"billed_charge": 458.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.99, "providers": [{"billed_charge": 716.0, "npi": [1992735088]}]}, {"allowed_amount": 154.46, "providers": [{"billed_charge": 716.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 827.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 910.8, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.07, "providers": [{"billed_charge": 323.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 827.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.09, "providers": [{"billed_charge": 910.8, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.09, "providers": [{"billed_charge": 910.8, "npi": [1487607784]}]}, {"allowed_amount": 154.46, "providers": [{"billed_charge": 910.8, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.67, "providers": [{"billed_charge": 1562.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 599.0, "npi": [1982733655]}]}, {"allowed_amount": 104.99, "providers": [{"billed_charge": 599.0, "npi": [1609408665]}]}, {"allowed_amount": 154.46, "providers": [{"billed_charge": 599.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 409.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.76, "providers": [{"billed_charge": 428.75, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 604.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 564.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 507.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 265.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.62, "providers": [{"billed_charge": 356.0, "npi": [1801861190]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making", "billing_code_type": "CPT", "billing_code": "99285", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT HIGH MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1173.0, "npi": [1265729867, 1447415427]}]}, {"allowed_amount": 259.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1173.0, "npi": [1770504292, 1265729867, 1386676492, 1558895409, 1386140820, 1902821374, 1346449626, 1780244061, 1649613118, 1952333247]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.02, "providers": [{"billed_charge": 537.0, "npi": [1992014443]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 537.0, "npi": [1497286108]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.64, "providers": [{"billed_charge": 1286.0, "npi": [1356184311]}]}, {"allowed_amount": 152.79, "providers": [{"billed_charge": 1286.0, "npi": [1578548442]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 1286.0, "npi": [1386010668]}]}, {"allowed_amount": 179.02, "providers": [{"billed_charge": 1286.0, "npi": [1700665569, 1558334243, 1588122923, 1679259980, 1538966288, 1336832500, 1497074454, 1124064183, 1073131421, 1548236862]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 1286.0, "npi": [1124607874, 1275561565, 1114110533, 1386862118, 1134431687, 1275713703, 1811162217, 1609404136, 1144781261, 1124521976, 1568578482, 1982091732, 1427599158, 1750366712, 1912982877, 1205544152]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1286.0, "npi": [1932308970, 1033671342]}]}, {"allowed_amount": 179.02, "providers": [{"billed_charge": 1286.0, "npi": [1205345923, 1548036437]}]}, {"allowed_amount": 260.16, "providers": [{"billed_charge": 1286.0, "npi": [1699934240, 1740854108, 1144758442, 1144802414, 1013000751, 1184041402, 1992373880, 1659371482, 1467102012, 1134611486]}]}, {"allowed_amount": 333.42, "providers": [{"billed_charge": 1286.0, "npi": [1619977261, 1134484199]}]}, {"allowed_amount": 595.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1286.0, "npi": [1558001156, 1417032079, 1073827382, 1114332855, 1891356028]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 676.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3723.09, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1619.0, "npi": [1477909521]}]}, {"allowed_amount": 314.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1932603917]}]}, {"allowed_amount": 534.23, "providers": [{"billed_charge": 1388.0, "npi": [1831547421]}, {"billed_charge": 1600.0, "npi": [1114469574]}, {"billed_charge": 1619.0, "npi": [1902056708, 1346541448, 1801493226, 1861136590, 1710367669, 1669970778, 1730371998]}]}, {"allowed_amount": 628.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1388.0, "npi": [1104406586]}, {"billed_charge": 1600.0, "npi": [1952805665, 1043284243, 1124580527]}, {"billed_charge": 1619.0, "npi": [1619464260, 1598119588, 1265852552, 1386010668, 1861874125, 1932603917, 1871706796, 1992295000, 1912446972]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.13, "providers": [{"billed_charge": 461.0, "npi": [1285195511]}]}, {"allowed_amount": 461.0, "providers": [{"billed_charge": 461.0, "npi": [1275152241]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 361.72, "providers": [{"billed_charge": 1286.0, "npi": [1891080883]}]}]}, {"tin": {"type": "ein", "value": "274815951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1054.0, "npi": [1285210948]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1699.88, "npi": [1689296592, 1285097899, 1790859221]}]}, {"allowed_amount": 179.02, "providers": [{"billed_charge": 1699.88, "npi": [1942971213]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 985.0, "npi": [1518487701]}, {"billed_charge": 1699.88, "npi": [1699938878, 1790972396, 1669961157, 1063669158]}]}, {"allowed_amount": 481.5, "providers": [{"billed_charge": 1699.88, "npi": [1689296592]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1349.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3623.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1992735088]}]}, {"allowed_amount": 703.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352574944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 3522.0, "npi": [1922067768]}]}, {"allowed_amount": 260.16, "providers": [{"billed_charge": 3522.0, "npi": [1265433940]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 883.0, "npi": [1629102363]}]}, {"allowed_amount": 179.02, "providers": [{"billed_charge": 883.0, "npi": [1679960504]}]}, {"allowed_amount": 260.16, "providers": [{"billed_charge": 883.0, "npi": [1487274098]}]}, {"allowed_amount": 595.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1598263352, 1912398454, 1295262558]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 481.5, "providers": [{"billed_charge": 2100.0, "npi": [1790198802]}, {"billed_charge": 3050.0, "npi": [1548415086]}, {"billed_charge": 3400.0, "npi": [1790198802]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 413.05, "providers": [{"billed_charge": 1654.0, "npi": [1033248935]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 361.72, "providers": [{"billed_charge": 1035.0, "npi": [1710146360]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3548.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.59, "providers": [{"billed_charge": 543.0, "npi": [1699094748]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 461.0, "npi": [1952783995]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 350.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.51, "providers": [{"billed_charge": 1899.0, "npi": [1134734817]}]}, {"allowed_amount": 152.79, "providers": [{"billed_charge": 1155.0, "npi": [1316574486]}, {"billed_charge": 1899.0, "npi": [1528708377, 1275761900]}]}, {"allowed_amount": 534.23, "providers": [{"billed_charge": 1155.0, "npi": [1053846659, 1275008419, 1134642838]}, {"billed_charge": 1899.0, "npi": [1669704003, 1619523107, 1871155143, 1932169356, 1982360921]}]}, {"allowed_amount": 628.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1155.0, "npi": [1447579586, 1508253162, 1255968715, 1619503596, 1790709293, 1578805966, 1528708377, 1437656410]}, {"billed_charge": 1332.0, "npi": [1699260331, 1447831623]}, {"billed_charge": 1899.0, "npi": [1356091904, 1518294917, 1366626954, 1780983312, 1629010202, 1477531549, 1275729311, 1225294887, 1033109673, 1184722480, 1639225527, 1932390457, 1205369535, 1285377531, 1114500709, 1275761900, 1255913836, 1669565941, 1396088571, 1336728575]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 282.0, "providers": [{"billed_charge": 282.0, "npi": [1700141165]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1154748416]}]}, {"allowed_amount": 677.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 581.99, "providers": [{"billed_charge": 1572.0, "npi": [1578952396]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1412.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5636.35, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 989.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2449.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "561763695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.55, "providers": [{"billed_charge": 1041.0, "npi": [1124017751]}]}]}, {"tin": {"type": "ein", "value": "593677604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 255.76, "providers": [{"billed_charge": 1528.0, "npi": [1831737972]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 481.0, "providers": [{"billed_charge": 481.0, "npi": [1306040498]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1982733655]}]}, {"allowed_amount": 677.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 819.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2326.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5575.0, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 502.6, "providers": [{"billed_charge": 5318.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 644.22, "providers": [{"billed_charge": 1185.0, "npi": [1205181336]}]}]}, {"tin": {"type": "ein", "value": "811641281"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 651.51, "providers": [{"billed_charge": 1329.0, "npi": [1831401546]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.51, "providers": [{"billed_charge": 1286.0, "npi": [1730666264]}]}, {"allowed_amount": 152.79, "providers": [{"billed_charge": 1418.0, "npi": [1780892943]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 1418.0, "npi": [1114120896, 1932464609, 1871822726, 1174759807, 1083032361, 1851379051, 1679750483, 1417995796, 1760863161, 1245597210, 1205996410, 1982633855]}]}, {"allowed_amount": 481.5, "providers": [{"billed_charge": 1418.0, "npi": [1881185486]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1356818496]}]}, {"allowed_amount": 676.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 561.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4611.82, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1430.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4196.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.53, "providers": [{"billed_charge": 3661.77, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2690.0, "npi": [1174512792]}]}, {"allowed_amount": 676.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2690.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.13, "providers": [{"billed_charge": 1910.78, "npi": [1194395582, 1710954847]}]}]}, {"tin": {"type": "ein", "value": "860373636"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1899.0, "npi": [1932390457]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6405.0, "npi": [1760480503]}]}, {"allowed_amount": 677.37, "providers": [{"billed_charge": 5986.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.16, "providers": [{"billed_charge": 1039.0, "npi": [1306308218, 1942763156, 1467027268, 1053480095]}]}, {"allowed_amount": 478.2, "providers": [{"billed_charge": 1039.0, "npi": [1356720056]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.21, "providers": [{"billed_charge": 1064.0, "npi": [1679837488]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4045.0, "npi": [1154392231]}]}, {"allowed_amount": 677.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4045.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.13, "providers": [{"billed_charge": 1341.0, "npi": [1205815008, 1558344226, 1104809136, 1659718567]}]}, {"allowed_amount": 481.5, "providers": [{"billed_charge": 1341.0, "npi": [1790947422]}]}]}, {"tin": {"type": "ein", "value": "860911259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.51, "providers": [{"billed_charge": 1796.0, "npi": [1891864849]}]}, {"allowed_amount": 152.79, "providers": [{"billed_charge": 1039.0, "npi": [1356720056]}, {"billed_charge": 1286.0, "npi": [1891356028]}]}]}, {"tin": {"type": "ein", "value": "861011997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1418.0, "npi": [1205323342]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 2897.0, "npi": [1477127512, 1053340877]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 2897.0, "npi": [1093078396, 1679066427, 1487670188]}]}, {"allowed_amount": 179.02, "providers": [{"billed_charge": 2897.0, "npi": [1689248056]}]}, {"allowed_amount": 260.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2897.0, "npi": [1871805408, 1164004800, 1225611544, 1629715297, 1134569957, 1457790438, 1528417573, 1952335499, 1285379404, 1487670188, 1053340877, 1407025745, 1477127512, 1093078396]}]}, {"allowed_amount": 595.02, "providers": [{"billed_charge": 2897.0, "npi": [1346773694]}]}]}, {"tin": {"type": "ein", "value": "873362930"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 2897.0, "npi": [1053340877]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 1286.0, "npi": [1083632962]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 654.11, "providers": [{"billed_charge": 984.0, "npi": [1013962869]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1282.0, "npi": [1962141143]}]}, {"allowed_amount": 137.51, "providers": [{"billed_charge": 1282.0, "npi": [1003540550, 1801266218, 1649898602, 1528671948, 1437782257, 1386949659, 1962892927]}, {"billed_charge": 1366.0, "npi": [1982287728, 1649898602]}]}, {"allowed_amount": 137.64, "providers": [{"billed_charge": 1282.0, "npi": [1487199824, 1962141143]}]}, {"allowed_amount": 152.79, "providers": [{"billed_charge": 1282.0, "npi": [1326501313]}]}, {"allowed_amount": 179.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1282.0, "npi": [1003540550, 1649898602, 1962141143, 1386949659, 1962892927]}]}, {"allowed_amount": 259.13, "providers": [{"billed_charge": 1282.0, "npi": [1497736599, 1326501313, 1528076049, 1366905713, 1386224244, 1285195511, 1154748283, 1558527036, 1528072287, 1962892927]}]}]}, {"tin": {"type": "ein", "value": "933810711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 318.09, "providers": [{"billed_charge": 1870.0, "npi": [1871231159]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.79, "providers": [{"billed_charge": 350.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "993487298"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 1870.0, "npi": [1316189111]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making", "billing_code_type": "CPT", "billing_code": "99283", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT LOW MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 495.0, "npi": [1902821374]}, {"billed_charge": 1173.0, "npi": [1265729867]}]}, {"allowed_amount": 224.85, "providers": [{"billed_charge": 495.0, "npi": [1609281617]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.11, "providers": [{"billed_charge": 192.0, "npi": [1043307424, 1386406650, 1750938627]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 192.0, "npi": [1417932476]}]}, {"allowed_amount": 87.23, "providers": [{"billed_charge": 192.0, "npi": [1912142225, 1588322770, 1942789367]}]}, {"allowed_amount": 192.0, "providers": [{"billed_charge": 192.0, "npi": [1578274585]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 462.0, "npi": [1578548442]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.07, "providers": [{"billed_charge": 462.0, "npi": [1013000751]}, {"billed_charge": 874.0, "npi": [1144802414]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 667.0, "npi": [1730371998]}]}, {"allowed_amount": 218.19, "providers": [{"billed_charge": 647.0, "npi": [1962474361]}]}, {"allowed_amount": 256.69, "providers": [{"billed_charge": 627.0, "npi": [1346482692]}, {"billed_charge": 647.0, "npi": [1073075123, 1821522301]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.41, "providers": [{"billed_charge": 188.0, "npi": [1801580139]}]}, {"allowed_amount": 73.11, "providers": [{"billed_charge": 188.0, "npi": [1801580139]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 239.0, "npi": [1336305341]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 235.37, "npi": [1902316946]}]}, {"allowed_amount": 61.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 358.68, "npi": [1215256813]}]}]}, {"tin": {"type": "ein", "value": "262583411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.08, "providers": [{"billed_charge": 2399.11, "npi": [1659538858]}]}]}, {"tin": {"type": "ein", "value": "271467022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.13, "providers": [{"billed_charge": 1669.0, "npi": [1932543428]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 607.09, "npi": [1811456676]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.7, "providers": [{"billed_charge": 1573.0, "npi": [1992735088]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1573.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 361.0, "npi": [1952922775]}]}, {"allowed_amount": 62.07, "providers": [{"billed_charge": 361.0, "npi": [1386647469]}]}, {"allowed_amount": 73.11, "providers": [{"billed_charge": 361.0, "npi": [1326304239]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 361.0, "npi": [1780247270, 1487274098, 1144727827, 1427085141, 1881157758]}]}]}, {"tin": {"type": "ein", "value": "382383119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.41, "providers": [{"billed_charge": 756.0, "npi": [1902894512]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 2033.0, "npi": [1689121188]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 224.85, "providers": [{"billed_charge": 1100.0, "npi": [1790198802, 1003014044]}, {"billed_charge": 1600.0, "npi": [1003014044]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2330.14, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "390816848"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.32, "providers": [{"billed_charge": 608.45, "npi": [1568497311]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 803.94, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 580.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.19, "providers": [{"billed_charge": 516.0, "npi": [1639211147]}, {"billed_charge": 852.0, "npi": [1134734817, 1871155143, 1639211147, 1366622672, 1982360921]}]}, {"allowed_amount": 256.69, "providers": [{"billed_charge": 502.0, "npi": [1912137456]}, {"billed_charge": 516.0, "npi": [1497318380, 1891080982]}, {"billed_charge": 852.0, "npi": [1518294917, 1225294887, 1275761900, 1205369535, 1669565941, 1528708377, 1629010202, 1336728575, 1932390457]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1285028183]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.42, "providers": [{"billed_charge": 2033.0, "npi": [1114466950]}]}, {"allowed_amount": 139.59, "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}, {"allowed_amount": 232.24, "providers": [{"billed_charge": 2033.0, "npi": [1275084030]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 908.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2330.14, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561919753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 361.0, "npi": [1699111245]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 647.0, "npi": [1346686573]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.91, "providers": [{"billed_charge": 1241.0, "npi": [1861650814]}]}]}, {"tin": {"type": "ein", "value": "621113169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 396.88, "providers": [{"billed_charge": 1323.0, "npi": [1144213117]}]}, {"allowed_amount": 770.64, "providers": [{"billed_charge": 1323.0, "npi": [1144213117]}]}]}, {"tin": {"type": "ein", "value": "621600397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1666.35, "providers": [{"billed_charge": 4761.0, "npi": [1407405145]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2330.14, "npi": [1487607784]}]}, {"allowed_amount": 908.12, "providers": [{"billed_charge": 2330.14, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1573.0, "npi": [1700910189]}]}, {"allowed_amount": 440.0, "providers": [{"billed_charge": 440.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 1619.0, "npi": [1982733655]}]}, {"allowed_amount": 292.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1982733655]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1265065445, 1982733655]}]}, {"allowed_amount": 911.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1605.45, "providers": [{"billed_charge": 4587.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.07, "providers": [{"billed_charge": 638.0, "npi": [1154397933, 1881185486]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 638.0, "npi": [1851379051, 1871822726]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2872.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.0, "providers": [{"billed_charge": 583.0, "npi": [1336309582]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1813.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1813.84, "npi": [1316947781]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 465.26, "providers": [{"billed_charge": 2777.25, "npi": [1609496397]}]}, {"allowed_amount": 911.91, "providers": [{"billed_charge": 2777.25, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840935136"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.16, "providers": [{"billed_charge": 242.0, "npi": [1851753974]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 1030.49, "npi": [1114908696]}]}]}, {"tin": {"type": "ein", "value": "851514572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1346812864]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}, {"allowed_amount": 908.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 861.2, "npi": [1194395582]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "providers": [{"billed_charge": 1387.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 1018.0, "npi": [1962572008]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}, {"allowed_amount": 322.01, "providers": [{"billed_charge": 2227.0, "npi": [1760480503]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2227.0, "npi": [1760480503]}, {"billed_charge": 2405.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 372.0, "npi": [1467027268]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.41, "providers": [{"billed_charge": 1669.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "860982071"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.09, "providers": [{"billed_charge": 2550.65, "npi": [1255302766]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.07, "providers": [{"billed_charge": 2000.0, "npi": [1194353144]}]}, {"allowed_amount": 81.0, "providers": [{"billed_charge": 1244.0, "npi": [1225611544, 1710545520, 1457790438]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.86, "providers": [{"billed_charge": 481.0, "npi": [1962892927]}]}, {"allowed_amount": 73.11, "providers": [{"billed_charge": 481.0, "npi": [1528671948]}]}, {"allowed_amount": 224.85, "providers": [{"billed_charge": 481.0, "npi": [1992382675]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.07, "providers": [{"billed_charge": 638.0, "npi": [1386961167]}]}]}, {"tin": {"type": "ein", "value": "942958258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.0, "providers": [{"billed_charge": 167.0, "npi": [1184711608, 1922598648, 1487092516]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1704.9, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 422.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2300.0, "npi": [1801861190]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4018.0, "npi": [1700801909]}]}]}, {"tin": {"type": "ein", "value": "994761958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.88, "providers": [{"billed_charge": 3192.0, "npi": [1033937883]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making", "billing_code_type": "CPT", "billing_code": "99284", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT MODERATE MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 820.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3801.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 810.0, "npi": [1558895409]}]}, {"allowed_amount": 178.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 810.0, "npi": [1386140820, 1528121621, 1649613118]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 365.0, "npi": [1245750850]}]}, {"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1114314143]}]}]}, {"tin": {"type": "ein", "value": "201673011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 720.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2049.86, "npi": [1023754371]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 304.0, "providers": [{"billed_charge": 304.0, "npi": [1144865171]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 874.0, "npi": [1063138170]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 810.0, "npi": [1780147041]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 874.0, "npi": [1114110533, 1619908175, 1891029328, 1225353972, 1134667157, 1124521976]}]}, {"allowed_amount": 403.36, "providers": [{"billed_charge": 874.0, "npi": [1376145789, 1497074454]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 874.0, "npi": [1982888962]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 874.0, "npi": [1932662764]}]}, {"allowed_amount": 94.81, "providers": [{"billed_charge": 874.0, "npi": [1932662764]}]}, {"allowed_amount": 105.34, "providers": [{"billed_charge": 874.0, "npi": [1588198006]}]}, {"allowed_amount": 153.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 874.0, "npi": [1932662764, 1073827382]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 874.0, "npi": [1144758442, 1962022707, 1922620954, 1184041402, 1992705818]}]}, {"allowed_amount": 263.99, "providers": [{"billed_charge": 874.0, "npi": [1013537216, 1134484199]}]}, {"allowed_amount": 372.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 874.0, "npi": [1205345923, 1558001156, 1518022961, 1477008860, 1891356028]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 367.25, "providers": [{"billed_charge": 972.0, "npi": [1952066961, 1871248963]}, {"billed_charge": 1052.0, "npi": [1619083896, 1710367669, 1679397269, 1346541448]}, {"billed_charge": 1194.0, "npi": [1174921704, 1427021740, 1114469574, 1558032623]}]}, {"allowed_amount": 432.06, "providers": [{"billed_charge": 1052.0, "npi": [1619464260, 1598119588, 1932603917, 1811316334, 1871971598, 1952456816, 1992295000]}, {"billed_charge": 1194.0, "npi": [1063099216, 1073075123, 1053370981]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.68, "providers": [{"billed_charge": 317.0, "npi": [1770224313]}]}, {"allowed_amount": 317.0, "providers": [{"billed_charge": 317.0, "npi": [1801580139]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 932.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 960.0, "npi": [1164547303]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 1151.76, "npi": [1942256979]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 1151.76, "npi": [1124607874, 1811456676, 1619952587, 1790972396, 1942465356, 1942256979, 1790859221]}]}, {"allowed_amount": 403.36, "providers": [{"billed_charge": 1151.76, "npi": [1285097899]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "providers": [{"billed_charge": 2720.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352574944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 2392.0, "npi": [1922636976, 1104137504, 1245493907, 1265433940]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1388.64, "providers": [{"billed_charge": 5749.89, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "364850536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.02, "providers": [{"billed_charge": 531.0, "npi": [1861532756]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 607.0, "npi": [1578755120]}]}, {"allowed_amount": 178.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 607.0, "npi": [1619231875, 1649415621, 1639675465, 1275572554, 1144607722, 1700888203, 1275824435]}]}, {"allowed_amount": 372.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 607.0, "npi": [1679960504]}]}]}, {"tin": {"type": "ein", "value": "382988086"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.21, "providers": [{"billed_charge": 446.0, "npi": [1487622171]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.74, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1263.35, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.29, "providers": [{"billed_charge": 276.0, "npi": [1780886952, 1891953543]}]}]}, {"tin": {"type": "ein", "value": "453023019"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 528.5, "providers": [{"billed_charge": 806.0, "npi": [1316358641]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.81, "providers": [{"billed_charge": 1273.0, "npi": [1144547738]}]}, {"allowed_amount": 105.34, "providers": [{"billed_charge": 776.0, "npi": [1447579586]}, {"billed_charge": 1273.0, "npi": [1669565941, 1285071381, 1225294887, 1639225527]}]}, {"allowed_amount": 367.25, "providers": [{"billed_charge": 776.0, "npi": [1912303496, 1275008419]}, {"billed_charge": 1273.0, "npi": [1316354400, 1134734817, 1871155143, 1790265064, 1235863465, 1639211147, 1932169356, 1366622672]}]}, {"allowed_amount": 432.06, "providers": [{"billed_charge": 776.0, "npi": [1215514310, 1841417755, 1073598355, 1316574486, 1649808312, 1659352763]}, {"billed_charge": 833.0, "npi": [1376984377]}, {"billed_charge": 1273.0, "npi": [1518294917, 1871822726, 1447831623, 1225294887, 1033109673, 1366626954, 1740714187, 1619503596, 1275761900, 1184722480, 1962025585, 1073598355, 1669565941, 1639225527, 1396088571, 1336728575]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 318.09, "providers": [{"billed_charge": 406.91, "npi": [1457660961]}]}, {"allowed_amount": 340.89, "providers": [{"billed_charge": 406.91, "npi": [1457351165]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 464.68, "providers": [{"billed_charge": 1210.0, "npi": [1104015577, 1841813151]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.34, "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}, {"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "471854250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.67, "providers": [{"billed_charge": 1280.0, "npi": [1831592187]}]}]}, {"tin": {"type": "ein", "value": "473965789"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 906.0, "npi": [1619034725]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.16, "providers": [{"billed_charge": 1151.76, "npi": [1568873560]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 908.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.74, "npi": [1386697688]}]}, {"allowed_amount": 1147.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.74, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561919753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 607.0, "npi": [1699111245]}]}]}, {"tin": {"type": "ein", "value": "581425000"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2305.97, "npi": [1760402424]}]}]}, {"tin": {"type": "ein", "value": "611262927"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 340.89, "providers": [{"billed_charge": 347.0, "npi": [1225474760]}]}]}, {"tin": {"type": "ein", "value": "611871948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 461.0, "providers": [{"billed_charge": 461.0, "npi": [1437297157]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2289.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.74, "npi": [1487607784]}]}, {"allowed_amount": 1147.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.74, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "636001820"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.0, "providers": [{"billed_charge": 330.15, "npi": [1164862942]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1222.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4351.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}, {"allowed_amount": 496.0, "providers": [{"billed_charge": 496.0, "npi": [1700910189]}]}, {"allowed_amount": 703.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1982733655]}]}, {"allowed_amount": 703.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1909.33, "npi": [1982733655]}, {"billed_charge": 2864.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 321.48, "providers": [{"billed_charge": 1266.0, "npi": [1043848146]}]}]}, {"tin": {"type": "ein", "value": "812206928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.61, "providers": [{"billed_charge": 1280.0, "npi": [1578114989]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1851379051]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1891886479]}]}, {"allowed_amount": 105.34, "providers": [{"billed_charge": 895.0, "npi": [1689967267, 1841294378, 1780892943, 1568428431, 1306232178, 1093178329, 1912921917, 1174759807]}]}, {"allowed_amount": 165.48, "providers": [{"billed_charge": 895.0, "npi": [1245945369]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 895.0, "npi": [1114120896, 1255829784, 1801868898, 1457313728, 1588009120, 1871822726, 1063669158, 1467424986, 1679912265, 1568428431, 1144211855, 1386961167, 1164450961, 1841212024, 1437712890, 1053671677]}]}, {"allowed_amount": 403.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1598086688, 1033360995, 1841294378, 1053482828, 1154397933, 1285747725, 1881185486, 1043205297, 1851397624, 1760825566]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 317.0, "npi": [1487114179]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3518.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 438.21, "providers": [{"billed_charge": 983.0, "npi": [1518296185]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1033477112]}]}, {"allowed_amount": 2461.65, "providers": [{"billed_charge": 2461.65, "npi": [1033477112, 1700839982]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 703.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4255.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840866061"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.54, "providers": [{"billed_charge": 1455.0, "npi": [1245401561]}]}]}, {"tin": {"type": "ein", "value": "840866061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.62, "providers": [{"billed_charge": 349.5, "npi": [1891324570]}]}]}, {"tin": {"type": "ein", "value": "840935136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1110.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3638.0, "npi": [1104881507]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 1429.77, "npi": [1386696656]}]}]}, {"tin": {"type": "ein", "value": "853972091"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 816.0, "npi": [1144414905]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2492.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.26, "providers": [{"billed_charge": 1787.54, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}, {"allowed_amount": 908.12, "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}, {"allowed_amount": 1147.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "providers": [{"billed_charge": 648.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3909.0, "npi": [1760480503]}]}, {"allowed_amount": 433.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3619.0, "npi": [1760480503]}, {"billed_charge": 3909.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860472307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.81, "providers": [{"billed_charge": 1227.0, "npi": [1952486466]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 1534.0, "npi": [1396137337]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 706.0, "npi": [1730620741]}]}, {"allowed_amount": 307.11, "providers": [{"billed_charge": 706.0, "npi": [1356720056]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 969.0, "npi": [1457766230]}]}]}, {"tin": {"type": "ein", "value": "861011997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 317.0, "npi": [1336589878]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 2000.0, "npi": [1689028425]}]}, {"allowed_amount": 105.34, "providers": [{"billed_charge": 2000.0, "npi": [1194353144]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 2000.0, "npi": [1528417573, 1053340877, 1841467313, 1952333874, 1902249527]}]}]}, {"tin": {"type": "ein", "value": "873362930"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 2000.0, "npi": [1053340877]}]}]}, {"tin": {"type": "ein", "value": "880176558"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.86, "providers": [{"billed_charge": 1297.0, "npi": [1043310998]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 376.3, "providers": [{"billed_charge": 1162.0, "npi": [1336511476]}]}]}, {"tin": {"type": "ein", "value": "883463577"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.45, "providers": [{"billed_charge": 2400.0, "npi": [1396773990]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.81, "providers": [{"billed_charge": 883.0, "npi": [1164495917, 1962141143]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 883.0, "npi": [1578675245]}]}, {"allowed_amount": 105.34, "providers": [{"billed_charge": 883.0, "npi": [1326501313, 1669522587]}]}, {"allowed_amount": 165.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1487199824]}]}, {"allowed_amount": 178.45, "providers": [{"billed_charge": 883.0, "npi": [1396965190, 1184298507, 1285195511, 1740771245, 1205933744, 1497736599, 1558527036, 1528072287]}]}, {"allowed_amount": 201.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1528671948]}]}, {"allowed_amount": 403.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1649898602, 1003540550]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1386961167]}]}]}, {"tin": {"type": "ein", "value": "934387494"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.28, "providers": [{"billed_charge": 1055.0, "npi": [1184078362]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 874.0, "npi": [1174082176]}]}, {"allowed_amount": 202.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 874.0, "npi": [1649625526]}]}]}, {"tin": {"type": "ein", "value": "942745413"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.81, "providers": [{"billed_charge": 1227.0, "npi": [1104875533]}]}]}, {"tin": {"type": "ein", "value": "942958258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 305.0, "providers": [{"billed_charge": 305.0, "npi": [1487092516]}]}, {"allowed_amount": 361.0, "providers": [{"billed_charge": 361.0, "npi": [1427583640]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.34, "providers": [{"billed_charge": 895.0, "npi": [1811079940]}]}]}, {"tin": {"type": "ein", "value": "954298276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 506.0, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 5489.0, "npi": [1700801909]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2724.48, "providers": [{"billed_charge": 5079.59, "npi": [1821159195]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making", "billing_code_type": "CPT", "billing_code": "99282", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "providers": [{"billed_charge": 311.0, "npi": [1083086557]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.75, "providers": [{"billed_charge": 311.0, "npi": [1366881971]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.94, "providers": [{"billed_charge": 110.0, "npi": [1285195511]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.12, "providers": [{"billed_charge": 525.18, "npi": [1275588345]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.75, "providers": [{"billed_charge": 405.88, "npi": [1942256979]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 978.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.75, "providers": [{"billed_charge": 210.0, "npi": [1578755120, 1427085141]}]}, {"allowed_amount": 142.2, "providers": [{"billed_charge": 210.0, "npi": [1679960504]}]}]}, {"tin": {"type": "ein", "value": "455337737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1162.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.5, "providers": [{"billed_charge": 510.0, "npi": [1932390457]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 955.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 99.0, "npi": [1295364867]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.74, "providers": [{"billed_charge": 1162.0, "npi": [1275084030]}]}, {"allowed_amount": 269.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1162.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 510.55, "providers": [{"billed_charge": 1501.3, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "562462584"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 738.0, "npi": [1487652426]}, {"billed_charge": 1513.0, "npi": [1487652426]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.86, "providers": [{"billed_charge": 1501.3, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.0, "providers": [{"billed_charge": 321.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 955.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 342.0, "npi": [1679750483]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.74, "providers": [{"billed_charge": 646.0, "npi": [1174512792]}]}, {"allowed_amount": 269.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 646.0, "npi": [1174512792]}]}, {"allowed_amount": 510.55, "providers": [{"billed_charge": 646.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.22, "providers": [{"billed_charge": 1392.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "933810711"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.1, "providers": [{"billed_charge": 440.0, "npi": [1417511239]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.08, "providers": [{"billed_charge": 1060.0, "npi": [1508859323]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.94, "providers": [{"billed_charge": 236.0, "npi": [1134151657]}]}]}, {"tin": {"type": "ein", "value": "954298276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.94, "providers": [{"billed_charge": 180.0, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "994761958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.88, "providers": [{"billed_charge": 1136.0, "npi": [1033937883]}]}]}]}, {"name": "Ground mileage, per statute mile", "billing_code_type": "CPT", "billing_code": "A0425", "billing_code_type_version": "2022", "description": "Ground mileage, per statute mile", "allowed_amounts": [{"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.41, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 15.61, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 17.84, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 20.81, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "351494500"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.17, "providers": [{"billed_charge": 52.37, "npi": [1376576181]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.68, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}]}, {"allowed_amount": 96.62, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}]}, {"allowed_amount": 96.81, "providers": [{"billed_charge": 27.71, "npi": [1467725911]}]}, {"allowed_amount": 376.26, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "426005327"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1811076565]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.05, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 3.06, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 3.47, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 3.78, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 4.4, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 4.51, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 4.54, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 5.36, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 5.38, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 5.95, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 6.31, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 6.57, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 7.35, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 7.76, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 8.32, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 9.61, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 9.76, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 11.46, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 11.78, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 12.24, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 12.36, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 14.87, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 15.04, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 15.23, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 15.61, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 17.84, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 18.92, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 20.47, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 20.81, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 23.12, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 23.56, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "626000361"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1942381819]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.42, "providers": [{"billed_charge": 62.08, "npi": [1578597886]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.77, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 11.35, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 14.11, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 30.08, "providers": [{"billed_charge": 14.58, "npi": [1447884507]}]}, {"allowed_amount": 37.32, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 45.85, "providers": [{"billed_charge": 14.94, "npi": [1447884507]}]}, {"allowed_amount": 50.57, "providers": [{"billed_charge": 15.05, "npi": [1447884507]}]}, {"allowed_amount": 132.59, "providers": [{"billed_charge": 16.93, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.05, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 5.23, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 9.77, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 10.47, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 12.21, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 13.32, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 14.66, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 16.28, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 18.32, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 20.94, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 24.43, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 26.37, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 327.19, "providers": [{"billed_charge": 35.16, "npi": [1205883717]}]}, {"allowed_amount": 336.2, "providers": [{"billed_charge": 35.16, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860287955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.27, "providers": [{"billed_charge": 19.71, "npi": [1679532535]}]}]}, {"tin": {"type": "ein", "value": "860339693"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.18, "providers": [{"billed_charge": 17.18, "npi": [1356333934]}]}]}, {"tin": {"type": "ein", "value": "860409619"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.93, "providers": [{"billed_charge": 24.93, "npi": [1821456575]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1821456575]}]}]}, {"tin": {"type": "ein", "value": "860410332"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.85, "providers": [{"billed_charge": 22.57, "npi": [1710071410]}]}]}, {"tin": {"type": "ein", "value": "860431643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.57, "providers": [{"billed_charge": 28.16, "npi": [1093707242]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.16, "providers": [{"billed_charge": 25.54, "npi": [1316331374]}]}, {"allowed_amount": 25.54, "providers": [{"billed_charge": 25.54, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860506675"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.52, "providers": [{"billed_charge": 28.08, "npi": [1316944846]}]}]}, {"tin": {"type": "ein", "value": "860526018"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.05, "providers": [{"billed_charge": 14.21, "npi": [1982116208]}]}]}, {"tin": {"type": "ein", "value": "860530631"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.95, "providers": [{"billed_charge": 18.44, "npi": [1750383931]}]}, {"allowed_amount": 5.67, "providers": [{"billed_charge": 18.44, "npi": [1750383931]}]}]}, {"tin": {"type": "ein", "value": "860638446"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.43, "providers": [{"billed_charge": 17.18, "npi": [1821133745]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.2, "providers": [{"billed_charge": 28.69, "npi": [1538116652]}]}, {"allowed_amount": 8.92, "providers": [{"billed_charge": 28.69, "npi": [1538116652]}]}, {"allowed_amount": 17.84, "providers": [{"billed_charge": 28.69, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860758145"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.77, "providers": [{"billed_charge": 16.43, "npi": [1891742417]}]}]}, {"tin": {"type": "ein", "value": "860779112"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.73, "providers": [{"billed_charge": 18.38, "npi": [1407811318]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1295284495]}]}, {"allowed_amount": 379.81, "providers": [{"billed_charge": 14.67, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.53, "providers": [{"billed_charge": 20.53, "npi": [1598385783]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 24.94, "npi": [1477979276]}]}, {"allowed_amount": 21.91, "providers": [{"billed_charge": 24.94, "npi": [1477979276]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1477979276]}]}, {"allowed_amount": 150.43, "providers": [{"billed_charge": 23.69, "npi": [1477979276]}]}, {"allowed_amount": 254.18, "providers": [{"billed_charge": 21.61, "npi": [1477979276]}]}, {"allowed_amount": 375.42, "providers": [{"billed_charge": 23.7, "npi": [1477979276]}]}, {"allowed_amount": 378.76, "providers": [{"billed_charge": 28.68, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.28, "providers": [{"billed_charge": 16.28, "npi": [1073510699]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.87, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 18.36, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 18.64, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 20.47, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 20.81, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 21.53, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 21.91, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 22.7, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 26.37, "providers": [{"billed_charge": 26.37, "npi": [1992757025]}]}]}, {"tin": {"type": "ein", "value": "866000273"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.03, "providers": [{"billed_charge": 21.89, "npi": [1134421993]}]}]}, {"tin": {"type": "ein", "value": "866000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.67, "providers": [{"billed_charge": 23.99, "npi": [1003366006]}]}, {"allowed_amount": 23.99, "providers": [{"billed_charge": 23.99, "npi": [1003366006]}]}]}, {"tin": {"type": "ein", "value": "942471992"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.05, "providers": [{"billed_charge": 16.06, "npi": [1326181223]}]}, {"allowed_amount": 7.63, "providers": [{"billed_charge": 16.06, "npi": [1326181223]}]}]}]}, {"name": "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter", "billing_code_type": "CPT", "billing_code": "99238", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.87, "providers": [{"billed_charge": 520.0, "npi": [1427219872, 1174503411, 1255774741]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 214.0, "npi": [1467560565]}]}, {"allowed_amount": 107.93, "providers": [{"billed_charge": 214.0, "npi": [1255419206, 1902059652, 1467560565, 1548311350]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.69, "providers": [{"billed_charge": 146.0, "npi": [1487841722]}, {"billed_charge": 179.0, "npi": [1750600466]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1720141815]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.22, "providers": [{"billed_charge": 154.12, "npi": [1467560565]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 200.0, "npi": [1386600625]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.93, "providers": [{"billed_charge": 202.0, "npi": [1346444015]}]}]}, {"tin": {"type": "ein", "value": "611764392"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 174.28, "providers": [{"billed_charge": 232.61, "npi": [1588657662]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 202.0, "npi": [1952508186]}]}]}, {"tin": {"type": "ein", "value": "680508149"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 107.93, "providers": [{"billed_charge": 115.0, "npi": [1831203934]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 141.0, "providers": [{"billed_charge": 141.0, "npi": [1306465042]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 461.0, "npi": [1023304797]}]}, {"allowed_amount": 107.93, "providers": [{"billed_charge": 461.0, "npi": [1588291561]}]}]}, {"tin": {"type": "ein", "value": "860665872"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.73, "providers": [{"billed_charge": 228.0, "npi": [1639731920]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.93, "providers": [{"billed_charge": 110.0, "npi": [1992095020]}]}]}]}, {"name": "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter", "billing_code_type": "CPT", "billing_code": "99239", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "043596798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.99, "providers": [{"billed_charge": 215.3, "npi": [1306307061]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 260.08, "npi": [1609993179]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 315.0, "npi": [1720312390]}]}, {"allowed_amount": 131.51, "providers": [{"billed_charge": 315.0, "npi": [1306810338, 1902059652]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 315.0, "npi": [1609131499, 1811421852, 1972065365]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.53, "providers": [{"billed_charge": 254.0, "npi": [1306032701]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1346734589]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 217.94, "npi": [1205333051]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 217.94, "npi": [1942656590, 1649377813, 1235750126]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.79, "providers": [{"billed_charge": 295.0, "npi": [1407340086]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 295.0, "npi": [1164787016, 1114990751]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 1600.0, "npi": [1548415086]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.79, "providers": [{"billed_charge": 218.0, "npi": [1447430491]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 272.0, "npi": [1063948529]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.99, "providers": [{"billed_charge": 200.0, "npi": [1871858217, 1790976876, 1851032254]}]}]}, {"tin": {"type": "ein", "value": "470892411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.27, "providers": [{"billed_charge": 309.0, "npi": [1104347947]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 217.94, "npi": [1952920613]}]}]}, {"tin": {"type": "ein", "value": "474291438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.97, "providers": [{"billed_charge": 299.0, "npi": [1215265426]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 98.09, "providers": [{"billed_charge": 296.0, "npi": [1891378600, 1174750053, 1295167302]}]}, {"allowed_amount": 99.97, "providers": [{"billed_charge": 296.0, "npi": [1891378600]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 296.0, "npi": [1447661376, 1487620696]}]}, {"allowed_amount": 150.53, "providers": [{"billed_charge": 296.0, "npi": [1770162471]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.77, "providers": [{"billed_charge": 350.0, "npi": [1497069629]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 160.0, "npi": [1598347858]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 160.0, "npi": [1164863569, 1225659287]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.53, "providers": [{"billed_charge": 280.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 682.0, "npi": [1588291561]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 682.0, "npi": [1508251174, 1245869478, 1225457674, 1962065425, 1023304797]}]}, {"allowed_amount": 150.53, "providers": [{"billed_charge": 682.0, "npi": [1700068855]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 100.0, "npi": [1407389612]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 367.94, "npi": [1861847154]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.53, "providers": [{"billed_charge": 326.91, "npi": [1033389150]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 440.0, "npi": [1760572523, 1013105014]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.99, "providers": [{"billed_charge": 220.0, "npi": [1306266523]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.99, "providers": [{"billed_charge": 160.0, "npi": [1053056440, 1003558131]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 135.0, "npi": [1245673714]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1477110849]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 281.75, "npi": [1972590818]}]}, {"allowed_amount": 140.99, "providers": [{"billed_charge": 281.75, "npi": [1053738096, 1760456032]}]}, {"allowed_amount": 150.53, "providers": [{"billed_charge": 281.75, "npi": [1043248834]}]}]}, {"tin": {"type": "ein", "value": "922413120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.97, "providers": [{"billed_charge": 273.0, "npi": [1972009686]}, {"billed_charge": 326.91, "npi": [1033389150]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.81, "providers": [{"billed_charge": 300.0, "npi": [1114785953]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique", "billing_code_type": "CPT", "billing_code": "87637", "billing_code_type_version": "2022", "description": "IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "474477428"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 142.5, "providers": [{"billed_charge": 285.26, "npi": [1518406636]}]}, {"allowed_amount": 210.54, "providers": [{"billed_charge": 285.26, "npi": [1518406636]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.14, "providers": [{"billed_charge": 275.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.77, "providers": [{"billed_charge": 750.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.06, "providers": [{"billed_charge": 2282.08, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.77, "providers": [{"billed_charge": 268.87, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.77, "providers": [{"billed_charge": 395.0, "npi": [1760480503]}]}]}]}, {"name": "Infusion, normal saline solution , 1000 cc", "billing_code_type": "CPT", "billing_code": "J7030", "billing_code_type_version": "2022", "description": "Infusion, normal saline solution , 1000 cc", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 9.6, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.29, "providers": [{"billed_charge": 231.0, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 350.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 5.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.05, "providers": [{"billed_charge": 57.11, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 350.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 350.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}, {"billed_charge": 108.0, "npi": [1982733655]}]}, {"allowed_amount": 30.75, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 80.63, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 80.08, "npi": [1174512792]}, {"billed_charge": 155.15, "npi": [1174512792]}]}, {"allowed_amount": 9.48, "providers": [{"billed_charge": 155.15, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 32.34, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 38.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 565.53, "providers": [{"billed_charge": 12.3, "npi": [1154355188]}]}]}]}, {"name": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99223", "billing_code_type_version": "2022", "description": "1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "043596798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 208.07, "providers": [{"billed_charge": 325.26, "npi": [1760019947]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.47, "providers": [{"billed_charge": 490.38, "npi": [1245069012]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 593.0, "npi": [1306810338]}]}, {"allowed_amount": 261.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 593.0, "npi": [1891060612, 1235186628, 1255419206, 1023691912, 1184010571, 1346330412, 1265639637, 1548311350, 1437438041]}]}, {"allowed_amount": 284.12, "providers": [{"billed_charge": 593.0, "npi": [1942548565]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 272.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 560.0, "npi": [1811299159]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 481.0, "providers": [{"billed_charge": 481.0, "npi": [1013538636, 1013346261]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 315.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "262759927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 450.0, "npi": [1548275969]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 329.58, "npi": [1952920613]}]}, {"allowed_amount": 261.59, "providers": [{"billed_charge": 329.58, "npi": [1942656590, 1851037402, 1801993910]}]}]}, {"tin": {"type": "ein", "value": "270180808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 266.0, "npi": [1477555845]}]}]}, {"tin": {"type": "ein", "value": "271135227"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 237.9, "providers": [{"billed_charge": 385.0, "npi": [1366733560]}]}, {"allowed_amount": 261.59, "providers": [{"billed_charge": 385.0, "npi": [1851357909]}]}]}, {"tin": {"type": "ein", "value": "273894712"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.75, "providers": [{"billed_charge": 650.0, "npi": [1710308432]}]}]}, {"tin": {"type": "ein", "value": "274952264"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.5, "providers": [{"billed_charge": 305.0, "npi": [1205830684]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 390.0, "npi": [1154373793, 1720020431]}]}, {"allowed_amount": 233.3, "providers": [{"billed_charge": 390.0, "npi": [1154373793]}]}]}, {"tin": {"type": "ein", "value": "332811950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 247.18, "npi": [1598778177]}]}]}, {"tin": {"type": "ein", "value": "333483148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 402.04, "npi": [1184160517]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 560.0, "npi": [1376562942]}]}, {"allowed_amount": 227.33, "providers": [{"billed_charge": 560.0, "npi": [1730754151]}]}, {"allowed_amount": 261.59, "providers": [{"billed_charge": 560.0, "npi": [1629316609, 1033315965, 1801059902]}]}]}, {"tin": {"type": "ein", "value": "431961728"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 226.0, "providers": [{"billed_charge": 226.0, "npi": [1194831784]}]}]}, {"tin": {"type": "ein", "value": "452645948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 330.0, "npi": [1700190964]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 406.0, "npi": [1730399304]}]}]}, {"tin": {"type": "ein", "value": "455241551"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 151.3, "providers": [{"billed_charge": 300.0, "npi": [1801007562]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 412.0, "npi": [1063948529]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.27, "providers": [{"billed_charge": 380.0, "npi": [1437123593]}]}, {"allowed_amount": 261.59, "providers": [{"billed_charge": 380.0, "npi": [1437123593, 1790976876, 1871858217]}]}]}, {"tin": {"type": "ein", "value": "464534925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.56, "providers": [{"billed_charge": 526.0, "npi": [1083619043]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 321.0, "npi": [1376532127]}]}]}, {"tin": {"type": "ein", "value": "470892411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 296.19, "providers": [{"billed_charge": 467.0, "npi": [1104347947]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 296.19, "providers": [{"billed_charge": 484.0, "npi": [1487867487]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.46, "providers": [{"billed_charge": 392.0, "npi": [1669422119]}]}]}, {"tin": {"type": "ein", "value": "471871693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.89, "providers": [{"billed_charge": 456.0, "npi": [1154583847]}]}]}, {"tin": {"type": "ein", "value": "472259455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 300.71, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 400.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.46, "providers": [{"billed_charge": 560.0, "npi": [1093095739, 1083896146, 1760878219, 1811350119]}]}, {"allowed_amount": 151.3, "providers": [{"billed_charge": 560.0, "npi": [1700166576]}]}, {"allowed_amount": 261.59, "providers": [{"billed_charge": 560.0, "npi": [1760048466, 1528354925, 1083896146]}]}]}, {"tin": {"type": "ein", "value": "680508149"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 370.0, "npi": [1831203934]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 226.0, "npi": [1629506811]}]}, {"allowed_amount": 226.0, "providers": [{"billed_charge": 226.0, "npi": [1326241175, 1891744231]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.12, "providers": [{"billed_charge": 425.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.94, "providers": [{"billed_charge": 736.0, "npi": [1184129249]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "providers": [{"billed_charge": 406.7, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "821004682"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 261.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 331.86, "npi": [1700080900]}]}]}, {"tin": {"type": "ein", "value": "831615363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 272.86, "providers": [{"billed_charge": 338.0, "npi": [1063933851]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 294.23, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "832602750"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 300.0, "npi": [1750595575]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1427474170]}]}, {"allowed_amount": 279.68, "providers": [{"billed_charge": 380.0, "npi": [1932479953]}]}]}, {"tin": {"type": "ein", "value": "843393469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.06, "npi": [1023306933]}]}, {"allowed_amount": 237.9, "providers": [{"billed_charge": 360.06, "npi": [1679250393]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.3, "providers": [{"billed_charge": 1255.0, "npi": [1861876542]}]}, {"allowed_amount": 233.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1255.0, "npi": [1588291561, 1104277953]}]}, {"allowed_amount": 261.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1255.0, "npi": [1780046342, 1528223245, 1336645456, 1861876542, 1710273693, 1558543678]}]}]}, {"tin": {"type": "ein", "value": "844748189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1902095094]}]}]}, {"tin": {"type": "ein", "value": "851058907"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 227.33, "providers": [{"billed_charge": 300.0, "npi": [1164784443]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 400.0, "npi": [1699187807]}]}]}, {"tin": {"type": "ein", "value": "860187416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.85, "providers": [{"billed_charge": 509.0, "npi": [1316132319]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 494.37, "npi": [1760097570]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.66, "providers": [{"billed_charge": 1165.0, "npi": [1275868788]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 272.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1396953998]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1942306535]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1295122638]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 677.0, "npi": [1750311577]}]}, {"allowed_amount": 284.12, "providers": [{"billed_charge": 677.0, "npi": [1356920607]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.9, "providers": [{"billed_charge": 415.0, "npi": [1285229534]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 388.0, "npi": [1316984339]}]}, {"allowed_amount": 213.73, "providers": [{"billed_charge": 388.0, "npi": [1356448815]}]}]}, {"tin": {"type": "ein", "value": "860976831"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6600.0, "providers": [{"billed_charge": 6600.0, "npi": [1699117101]}]}]}, {"tin": {"type": "ein", "value": "861000239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 450.0, "npi": [1548275969]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.17, "providers": [{"billed_charge": 205.0, "npi": [1326707845]}]}, {"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1235628033, 1508851841]}]}]}, {"tin": {"type": "ein", "value": "872749569"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 227.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1881685584]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 427.13, "npi": [1053738096]}]}, {"allowed_amount": 284.12, "providers": [{"billed_charge": 427.13, "npi": [1518413871]}]}]}, {"tin": {"type": "ein", "value": "883264719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.24, "providers": [{"billed_charge": 488.0, "npi": [1174817720]}]}]}, {"tin": {"type": "ein", "value": "900130287"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 565.5, "providers": [{"billed_charge": 560.0, "npi": [1912054867]}]}]}, {"tin": {"type": "ein", "value": "922698558"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1518116680]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 261.59, "providers": [{"billed_charge": 310.0, "npi": [1780962431]}]}]}, {"tin": {"type": "ein", "value": "932588532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.3, "providers": [{"billed_charge": 347.0, "npi": [1063446425]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.3, "providers": [{"billed_charge": 399.0, "npi": [1497935183]}]}]}, {"tin": {"type": "ein", "value": "954298276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.09, "providers": [{"billed_charge": 897.0, "npi": [1770670713]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.33, "providers": [{"billed_charge": 310.0, "npi": [1477841914]}]}]}]}, {"name": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99222", "billing_code_type_version": "2022", "description": "1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.31, "providers": [{"billed_charge": 403.0, "npi": [1336216803]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.37, "providers": [{"billed_charge": 340.0, "npi": [1023535580]}]}]}, {"tin": {"type": "ein", "value": "270431100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 327.85, "npi": [1003906751]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.12, "providers": [{"billed_charge": 417.0, "npi": [1891138616]}]}]}, {"tin": {"type": "ein", "value": "412157061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.96, "providers": [{"billed_charge": 618.0, "npi": [1891011961, 1174696850, 1336532332]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.12, "providers": [{"billed_charge": 385.0, "npi": [1538309133]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 176.36, "providers": [{"billed_charge": 218.0, "npi": [1588657365]}]}]}, {"tin": {"type": "ein", "value": "473419336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.96, "providers": [{"billed_charge": 549.0, "npi": [1467750851]}]}]}, {"tin": {"type": "ein", "value": "474291438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.6, "providers": [{"billed_charge": 380.0, "npi": [1215265426]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.35, "providers": [{"billed_charge": 381.0, "npi": [1548258031]}]}, {"allowed_amount": 182.94, "providers": [{"billed_charge": 381.0, "npi": [1053873422]}]}, {"allowed_amount": 196.96, "providers": [{"billed_charge": 381.0, "npi": [1578947172]}]}, {"allowed_amount": 251.88, "providers": [{"billed_charge": 381.0, "npi": [1053873422]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.27, "providers": [{"billed_charge": 449.0, "npi": [1497069629]}]}]}, {"tin": {"type": "ein", "value": "812250456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.96, "providers": [{"billed_charge": 335.0, "npi": [1831155506]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.41, "providers": [{"billed_charge": 320.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 171.37, "providers": [{"billed_charge": 498.0, "npi": [1467136044, 1265889364]}]}]}, {"tin": {"type": "ein", "value": "830667499"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 176.36, "providers": [{"billed_charge": 271.0, "npi": [1366692162]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.12, "providers": [{"billed_charge": 205.0, "npi": [1932479953]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 176.36, "providers": [{"billed_charge": 423.61, "npi": [1861847154]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 176.36, "providers": [{"billed_charge": 450.0, "npi": [1053671529, 1235541269]}]}, {"allowed_amount": 178.12, "providers": [{"billed_charge": 450.0, "npi": [1639733447]}]}]}, {"tin": {"type": "ein", "value": "860770482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1174843403]}]}]}, {"tin": {"type": "ein", "value": "860783428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.36, "providers": [{"billed_charge": 305.0, "npi": [1871718486]}]}]}, {"tin": {"type": "ein", "value": "860888560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.0, "providers": [{"billed_charge": 389.1, "npi": [1023450319]}]}, {"allowed_amount": 176.36, "providers": [{"billed_charge": 389.1, "npi": [1740693548]}]}]}, {"tin": {"type": "ein", "value": "860930581"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.34, "providers": [{"billed_charge": 264.0, "npi": [1285607978]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.41, "providers": [{"billed_charge": 320.23, "npi": [1518413871]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 326.15, "npi": [1437123593]}]}]}, {"tin": {"type": "ein", "value": "921819458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.54, "providers": [{"billed_charge": 205.0, "npi": [1932479953]}]}]}]}, {"name": "Injection, ketorolac tromethamine, per 15 mg", "billing_code_type": "CPT", "billing_code": "J1885", "billing_code_type_version": "2022", "description": "Injection, ketorolac tromethamine, per 15 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.96, "providers": [{"billed_charge": 118.44, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "455337737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.14, "providers": [{"billed_charge": 559.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 13.0, "npi": [1982733655]}, {"billed_charge": 26.0, "npi": [1982733655]}]}, {"allowed_amount": 12.46, "providers": [{"billed_charge": 13.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 32.53, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 47.95, "npi": [1174512792]}, {"billed_charge": 91.3, "npi": [1174512792]}, {"billed_charge": 94.1, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 10.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.97, "providers": [{"billed_charge": 37.6, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 61.42, "npi": [1518951300]}]}]}]}, {"name": "Injection, morphine sulfate, up to 10 mg", "billing_code_type": "CPT", "billing_code": "J2270", "billing_code_type_version": "2022", "description": "Injection, morphine sulfate, up to 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 50.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.33, "providers": [{"billed_charge": 10.55, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.47, "providers": [{"billed_charge": 50.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581425000"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.18, "providers": [{"billed_charge": 141.0, "npi": [1760402424]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.47, "providers": [{"billed_charge": 50.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 26.0, "npi": [1982733655]}]}, {"allowed_amount": 15.33, "providers": [{"billed_charge": 26.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.97, "providers": [{"billed_charge": 153.18, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.16, "providers": [{"billed_charge": 92.4, "npi": [1174512792]}]}, {"allowed_amount": 12.47, "providers": [{"billed_charge": 92.4, "npi": [1174512792]}]}]}]}, {"name": "Injection, ondansetron hydrochloride, per 1 mg", "billing_code_type": "CPT", "billing_code": "J2405", "billing_code_type_version": "2022", "description": "Injection, ondansetron hydrochloride, per 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.75, "providers": [{"billed_charge": 6.77, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 12.5, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 12.5, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 6.5, "npi": [1982733655]}]}, {"allowed_amount": 3.29, "providers": [{"billed_charge": 6.5, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.75, "providers": [{"billed_charge": 7.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 32.53, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 10.0, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.29, "providers": [{"billed_charge": 20.25, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 22.8, "npi": [1174512792]}]}, {"allowed_amount": 4.85, "providers": [{"billed_charge": 22.8, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.32, "providers": [{"billed_charge": 8.94, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.25, "providers": [{"billed_charge": 6.25, "npi": [1801861190]}]}]}]}, {"name": "Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96361", "billing_code_type_version": "2022", "description": "IV INFUSION HYDRATION EACH ADDITIONAL HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.87, "providers": [{"billed_charge": 128.0, "npi": [1164547303]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 320.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 577.31, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.37, "providers": [{"billed_charge": 234.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 327.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 320.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 291.41, "providers": [{"billed_charge": 577.31, "npi": [1487607784]}]}, {"allowed_amount": 486.88, "providers": [{"billed_charge": 577.31, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 327.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 353.58, "npi": [1356818496]}]}, {"allowed_amount": 353.58, "providers": [{"billed_charge": 353.58, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.45, "providers": [{"billed_charge": 155.12, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 171.0, "npi": [1174512792]}]}, {"allowed_amount": 115.17, "providers": [{"billed_charge": 171.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 109.17, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.91, "providers": [{"billed_charge": 188.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.32, "providers": [{"billed_charge": 112.0, "npi": [1801861190]}]}]}]}, {"name": "Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy", "billing_code_type": "CPT", "billing_code": "88305", "billing_code_type_version": "2022", "description": "LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "043452130"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 167.2, "providers": [{"billed_charge": 204.0, "npi": [1477522910]}]}]}, {"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 80.66, "providers": [{"billed_charge": 191.5, "npi": [1649272022]}]}]}, {"tin": {"type": "ein", "value": "200484226"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 85.49, "providers": [{"billed_charge": 350.0, "npi": [1508393182]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 85.49, "providers": [{"billed_charge": 350.0, "npi": [1366421927]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.82, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 97.0, "npi": [1659481661]}]}, {"allowed_amount": 48.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1659481661]}]}, {"allowed_amount": 49.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 97.0, "npi": [1659481661]}]}, {"allowed_amount": 85.91, "providers": [{"billed_charge": 208.0, "npi": [1578718003]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.72, "providers": [{"billed_charge": 1206.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860425107"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 48.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1114941903]}]}]}, {"tin": {"type": "ein", "value": "860443813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.96, "providers": [{"billed_charge": 157.0, "npi": [1023086634]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 157.0, "npi": [1023086634]}]}]}, {"tin": {"type": "ein", "value": "860564320"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1700028271]}]}]}, {"tin": {"type": "ein", "value": "860603759"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1558680355]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1669702544]}]}, {"allowed_amount": 48.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1104891670]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}, {"allowed_amount": 74.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1437360815]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.52, "providers": [{"billed_charge": 278.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.04, "providers": [{"billed_charge": 2049.85, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 114.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 481.42, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.9, "providers": [{"billed_charge": 109.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 114.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.07, "providers": [{"billed_charge": 481.42, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.32, "providers": [{"billed_charge": 172.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.58, "providers": [{"billed_charge": 95.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.86, "providers": [{"billed_charge": 323.0, "npi": [1982733655]}]}, {"allowed_amount": 61.44, "providers": [{"billed_charge": 323.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.19, "providers": [{"billed_charge": 695.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 221.0, "npi": [1356818496]}]}, {"allowed_amount": 221.0, "providers": [{"billed_charge": 221.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.43, "providers": [{"billed_charge": 39.69, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.07, "providers": [{"billed_charge": 284.0, "npi": [1174512792]}]}, {"allowed_amount": 61.44, "providers": [{"billed_charge": 284.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.44, "providers": [{"billed_charge": 65.24, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.0, "providers": [{"billed_charge": 61.0, "npi": [1154392231]}]}]}]}, {"name": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "billing_code_type": "CPT", "billing_code": "Q9967", "billing_code_type_version": "2022", "description": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.3, "providers": [{"billed_charge": 5.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 5.67, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.59, "providers": [{"billed_charge": 3.6, "npi": [1275588345]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.35, "providers": [{"billed_charge": 9.98, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 0.65, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 998.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.24, "providers": [{"billed_charge": 0.24, "npi": [1851927669]}]}, {"allowed_amount": 0.35, "providers": [{"billed_charge": 0.35, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 6.27, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.72, "providers": [{"billed_charge": 0.79, "npi": [1528009412]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 998.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 0.35, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.23, "providers": [{"billed_charge": 0.63, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.35, "providers": [{"billed_charge": 0.35, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 9.98, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 1.0, "npi": [1982733655]}]}, {"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1609408665, 1982733655]}]}, {"allowed_amount": 8.86, "providers": [{"billed_charge": 1.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 5.16, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 7.31, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.31, "providers": [{"billed_charge": 1.07, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.27, "providers": [{"billed_charge": 1.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 0.74, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "870737749"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 3.08, "npi": [1790104693]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.89, "providers": [{"billed_charge": 1.0, "npi": [1982733655]}]}]}]}, {"name": "Magnesium", "billing_code_type": "CPT", "billing_code": "83735", "billing_code_type_version": "2022", "description": "ASSAY OF MAGNESIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 426.28, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "222325405"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.02, "providers": [{"billed_charge": 73.0, "npi": [1164547303]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.22, "providers": [{"billed_charge": 237.18, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 224.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.17, "providers": [{"billed_charge": 20.1, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 230.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 224.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 350.75, "npi": [1487607784]}]}, {"allowed_amount": 116.37, "providers": [{"billed_charge": 350.75, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 230.0, "npi": [1982733655]}]}, {"allowed_amount": 34.58, "providers": [{"billed_charge": 230.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 49.72, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.82, "providers": [{"billed_charge": 56.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.53, "providers": [{"billed_charge": 174.0, "npi": [1801861190]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99203", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "203023758"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 157.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1407834385]}]}]}, {"tin": {"type": "ein", "value": "204044472"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 176.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 195.0, "npi": [1659359164]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.24, "providers": [{"billed_charge": 179.0, "npi": [1679000533]}]}]}, {"tin": {"type": "ein", "value": "208870333"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.87, "providers": [{"billed_charge": 253.8, "npi": [1467297408]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 187.11, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.16, "providers": [{"billed_charge": 351.0, "npi": [1366673121]}]}]}, {"tin": {"type": "ein", "value": "410713914"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 209.41, "providers": [{"billed_charge": 364.0, "npi": [1093822686]}]}]}, {"tin": {"type": "ein", "value": "472025762"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.0, "providers": [{"billed_charge": 179.0, "npi": [1962438341]}]}]}, {"tin": {"type": "ein", "value": "474189075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.24, "providers": [{"billed_charge": 220.0, "npi": [1871981951]}]}]}, {"tin": {"type": "ein", "value": "562589722"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 124.73, "providers": [{"billed_charge": 270.0, "npi": [1134443427]}]}]}, {"tin": {"type": "ein", "value": "830429940"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 157.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 205.0, "npi": [1225224660]}]}]}, {"tin": {"type": "ein", "value": "832897415"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 154.93, "providers": [{"billed_charge": 288.0, "npi": [1871057646]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.69, "providers": [{"billed_charge": 350.0, "npi": [1427797604]}]}, {"allowed_amount": 118.29, "providers": [{"billed_charge": 350.0, "npi": [1265077937]}]}, {"allowed_amount": 154.24, "providers": [{"billed_charge": 350.0, "npi": [1477205409]}]}, {"allowed_amount": 155.25, "providers": [{"billed_charge": 350.0, "npi": [1235746405]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 608.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.25, "providers": [{"billed_charge": 335.0, "npi": [1477245868, 1417258914, 1740513316, 1205088846]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 82.99, "providers": [{"billed_charge": 335.0, "npi": [1265485718]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99204", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.92, "providers": [{"billed_charge": 413.23, "npi": [1780271270]}]}]}, {"tin": {"type": "ein", "value": "202320179"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 249.86, "providers": [{"billed_charge": 358.0, "npi": [1508842881]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 179.33, "providers": [{"billed_charge": 219.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 372.0, "npi": [1023363009]}]}]}, {"tin": {"type": "ein", "value": "260904640"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 116.05, "providers": [{"billed_charge": 807.2, "npi": [1194349597]}]}]}, {"tin": {"type": "ein", "value": "262944556"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 244.77, "providers": [{"billed_charge": 338.0, "npi": [1295545259]}]}]}, {"tin": {"type": "ein", "value": "263095354"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 293.95, "providers": [{"billed_charge": 485.79, "npi": [1164535118]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 244.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 286.16, "npi": [1134880917, 1083343495]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 244.77, "providers": [{"billed_charge": 580.0, "npi": [1942789367]}]}]}, {"tin": {"type": "ein", "value": "461555497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 221.35, "providers": [{"billed_charge": 315.0, "npi": [1861113078]}]}]}, {"tin": {"type": "ein", "value": "680637976"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 293.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 562.0, "npi": [1437134582]}]}]}, {"tin": {"type": "ein", "value": "813805715"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 244.77, "providers": [{"billed_charge": 397.0, "npi": [1770740367]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 244.77, "providers": [{"billed_charge": 260.0, "npi": [1063781797]}]}]}, {"tin": {"type": "ein", "value": "831838152"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 264.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1548234073]}]}]}, {"tin": {"type": "ein", "value": "833358423"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 192.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1508316993]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 401.0, "npi": [1609052430]}]}]}, {"tin": {"type": "ein", "value": "860783428"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.92, "providers": [{"billed_charge": 317.0, "npi": [1356480172]}]}]}, {"tin": {"type": "ein", "value": "860836126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.91, "providers": [{"billed_charge": 476.0, "npi": [1194158998]}]}]}, {"tin": {"type": "ein", "value": "870737749"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 293.95, "providers": [{"billed_charge": 452.88, "npi": [1073527313]}]}]}, {"tin": {"type": "ein", "value": "934200468"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 62.33, "providers": [{"billed_charge": 411.0, "npi": [1629398912]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.25, "providers": [{"billed_charge": 430.0, "npi": [1942593850, 1023767340, 1679680045]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99213", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 80.4, "providers": [{"billed_charge": 144.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "260152289"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 110.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 262.0, "npi": [1740265776]}]}]}, {"tin": {"type": "ein", "value": "262420730"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 64.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 64.2, "npi": [1841554920, 1336717321, 1629308051, 1063623262]}]}]}, {"tin": {"type": "ein", "value": "273798043"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 330.0, "npi": [1679367478]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 149.17, "npi": [1033296561, 1043891070]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 105.88, "providers": [{"billed_charge": 390.0, "npi": [1952863136]}]}, {"allowed_amount": 110.48, "providers": [{"billed_charge": 390.0, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "472584784"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 330.0, "npi": [1912158551]}]}]}, {"tin": {"type": "ein", "value": "800528955"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 330.0, "npi": [1528412277]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 116.0, "npi": [1003683723]}]}]}, {"tin": {"type": "ein", "value": "843447602"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 120.46, "providers": [{"billed_charge": 181.8, "npi": [1184822348]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 155.92, "providers": [{"billed_charge": 500.0, "npi": [1457339004]}]}]}, {"tin": {"type": "ein", "value": "860498020"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 129.88, "npi": [1225879430]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.49, "providers": [{"billed_charge": 158.0, "npi": [1437147477]}]}]}, {"tin": {"type": "ein", "value": "873784641"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.84, "providers": [{"billed_charge": 144.0, "npi": [1609989144]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.84, "providers": [{"billed_charge": 330.0, "npi": [1477247633]}]}, {"allowed_amount": 90.61, "providers": [{"billed_charge": 330.0, "npi": [1053756403, 1699359687]}]}, {"allowed_amount": 105.88, "providers": [{"billed_charge": 330.0, "npi": [1235516675]}]}, {"allowed_amount": 110.48, "providers": [{"billed_charge": 330.0, "npi": [1184337560, 1053756403, 1679680045, 1396343430]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 110.48, "providers": [{"billed_charge": 222.0, "npi": [1790331361]}]}]}, {"tin": {"type": "ein", "value": "990326099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.08, "providers": [{"billed_charge": 235.0, "npi": [1528163847]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99214", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.35, "providers": [{"billed_charge": 318.98, "npi": [1205807971]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 91.5, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 161.9, "providers": [{"billed_charge": 245.0, "npi": [1306086798]}]}]}, {"tin": {"type": "ein", "value": "262420730"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 90.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 90.55, "npi": [1841554920, 1629308051, 1952506867, 1326342007, 1538670427]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 161.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 189.28, "npi": [1790150738, 1992441836]}]}]}, {"tin": {"type": "ein", "value": "461621237"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 174.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1891907119]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 93.67, "providers": [{"billed_charge": 300.0, "npi": [1548796485]}]}]}, {"tin": {"type": "ein", "value": "731636831"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 93.67, "providers": [{"billed_charge": 182.0, "npi": [1932697190]}]}]}, {"tin": {"type": "ein", "value": "753122676"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.3, "providers": [{"billed_charge": 192.0, "npi": [1023267200]}]}]}, {"tin": {"type": "ein", "value": "811039174"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.3, "providers": [{"billed_charge": 175.0, "npi": [1538342779]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 130.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.0, "npi": [1386840726]}]}, {"allowed_amount": 137.46, "providers": [{"billed_charge": 366.0, "npi": [1205906591]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.53, "providers": [{"billed_charge": 171.0, "npi": [1063781797]}]}]}, {"tin": {"type": "ein", "value": "830429940"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 165.0, "npi": [1225224660]}]}]}, {"tin": {"type": "ein", "value": "833358423"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 80.09, "providers": [{"billed_charge": 316.0, "npi": [1861237414]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.34, "providers": [{"billed_charge": 233.0, "npi": [1437147477]}]}]}, {"tin": {"type": "ein", "value": "860795409"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.35, "providers": [{"billed_charge": 211.0, "npi": [1700804366]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.53, "providers": [{"billed_charge": 354.0, "npi": [1851510390]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.0, "npi": [1184710188]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.44, "providers": [{"billed_charge": 239.7, "npi": [1598327025]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 85.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1780392209]}]}, {"allowed_amount": 132.25, "providers": [{"billed_charge": 350.0, "npi": [1184337560, 1720445570, 1912420142]}]}]}]}, {"name": "Radiologic examination, chest; 2 views", "billing_code_type": "CPT", "billing_code": "71046", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM CHEST 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1336128461]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1114250990]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 565.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1427369248]}]}]}, {"tin": {"type": "ein", "value": "391824445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1639186463]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.41, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 489.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "452568950"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.71, "providers": [{"billed_charge": 79.0, "npi": [1083072185]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 797.0, "npi": [1154748416]}]}, {"allowed_amount": 200.82, "providers": [{"billed_charge": 797.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.57, "providers": [{"billed_charge": 1158.76, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 1158.76, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1639343759]}]}, {"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1891796082]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 665.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 17.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1932554896, 1831583939, 1952549644]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 626.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}, {"allowed_amount": 149.0, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.07, "providers": [{"billed_charge": 694.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "11"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1003827007]}]}, {"allowed_amount": 38.92, "providers": [{"billed_charge": 218.0, "npi": [1003827007]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1528054517]}]}]}, {"tin": {"type": "ein", "value": "860719858"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1043264419]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1780882407]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1205253549]}]}]}, {"tin": {"type": "ein", "value": "861048897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1265400154]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1982815296, 1588668370, 1114905007]}]}]}]}, {"name": "Radiologic examination, chest; single view", "billing_code_type": "CPT", "billing_code": "71045", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM CHEST SINGLE VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "203625798"}, "billing_class": "professional", "service_codes": ["13"], "payments": [{"allowed_amount": 29.64, "providers": [{"billed_charge": 67.2, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 729.77, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1205864204]}]}, {"allowed_amount": 14.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1114250990]}]}]}, {"tin": {"type": "ein", "value": "260799572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1982653424, 1902897200]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.23, "providers": [{"billed_charge": 419.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352111484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1326250234]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.47, "providers": [{"billed_charge": 543.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 613.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.33, "providers": [{"billed_charge": 563.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.19, "npi": [1104041409]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 613.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473394746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1285739334]}]}]}, {"tin": {"type": "ein", "value": "520591657"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1144204371]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.77, "providers": [{"billed_charge": 1031.91, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "620859738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1952304925]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.77, "providers": [{"billed_charge": 1031.91, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 7.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1386818409, 1558433870, 1639343759, 1891796082, 1033190202, 1447630140, 1700046364, 1417489758]}]}, {"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1386818409, 1033190202, 1316566441, 1891796082]}]}, {"allowed_amount": 9.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1891796082]}]}, {"allowed_amount": 14.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1134789456]}]}, {"allowed_amount": 80.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1003479197]}]}, {"allowed_amount": 84.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 543.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 563.0, "npi": [1982733655]}]}, {"allowed_amount": 94.47, "providers": [{"billed_charge": 563.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.26, "providers": [{"billed_charge": 403.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.7, "providers": [{"billed_charge": 747.25, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1508353871]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1770548604]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.44, "providers": [{"billed_charge": 932.91, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 1.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1750591475]}]}, {"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1376987362, 1831583939, 1902293285, 1215257670, 1326302985, 1295797322, 1407485014, 1306003579]}]}, {"allowed_amount": 13.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1881199669]}]}, {"allowed_amount": 13.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1568027860, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.27, "providers": [{"billed_charge": 386.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}, {"allowed_amount": 145.77, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 8.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1003818873, 1003827007]}]}, {"allowed_amount": 8.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1871082263]}]}, {"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1821069089, 1134532898, 1235427857, 1720059827, 1386969111, 1629268537, 1003827007]}]}, {"allowed_amount": 13.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1235427857]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 29.64, "providers": [{"billed_charge": 76.83, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.93, "providers": [{"billed_charge": 152.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1487035812, 1295184687]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1609005289, 1518281781, 1205253549, 1780813105]}]}, {"allowed_amount": 18.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1205253549]}]}]}, {"tin": {"type": "ein", "value": "880602985"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.15, "npi": [1235124561]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1538202528, 1487647905, 1841278306, 1174597736, 1679991442, 1245218171, 1003011933]}]}, {"allowed_amount": 14.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1134573645, 1750743951]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 495.0, "npi": [1801861190]}]}]}, {"tin": {"type": "ein", "value": "952706100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.78, "npi": [1366612301]}]}]}]}, {"name": "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99233", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 250.0, "npi": [1548263825]}]}, {"allowed_amount": 147.11, "providers": [{"billed_charge": 250.0, "npi": [1548263825]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 306.0, "npi": [1720312390]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 306.0, "npi": [1467560565]}]}, {"allowed_amount": 127.89, "providers": [{"billed_charge": 306.0, "npi": [1306810338, 1861888315, 1902059652]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 306.0, "npi": [1659723427, 1235186628, 1740487719, 1609131499, 1265639637, 1467560565, 1548311350, 1972065365, 1548233141, 1811421852]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.87, "providers": [{"billed_charge": 311.0, "npi": [1295968162]}]}, {"allowed_amount": 295.83, "providers": [{"billed_charge": 311.0, "npi": [1013346261]}]}]}, {"tin": {"type": "ein", "value": "260745915"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 182.0, "npi": [1962668673]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 155.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "262759927"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.16, "providers": [{"billed_charge": 250.0, "npi": [1548275969]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.92, "providers": [{"billed_charge": 224.58, "npi": [1467560565]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 208.0, "npi": [1235750126, 1104388511]}, {"billed_charge": 224.58, "npi": [1942656590, 1851037402, 1235750126]}]}]}, {"tin": {"type": "ein", "value": "270180808"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.1, "providers": [{"billed_charge": 175.0, "npi": [1477555845]}]}]}, {"tin": {"type": "ein", "value": "270939002"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 140.0, "npi": [1902069768]}]}]}, {"tin": {"type": "ein", "value": "272383794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 200.0, "npi": [1285839795]}]}]}, {"tin": {"type": "ein", "value": "332811950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 225.58, "npi": [1427431147]}]}, {"allowed_amount": 146.1, "providers": [{"billed_charge": 225.58, "npi": [1598778177]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 286.0, "npi": [1972520708]}]}, {"allowed_amount": 134.83, "providers": [{"billed_charge": 286.0, "npi": [1730754151]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 286.0, "npi": [1184129983]}]}]}, {"tin": {"type": "ein", "value": "431961728"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1194831784]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 250.0, "npi": [1710954847]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 250.0, "npi": [1710954847]}]}, {"allowed_amount": 123.16, "providers": [{"billed_charge": 250.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "452645948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 225.0, "npi": [1700190964]}]}]}, {"tin": {"type": "ein", "value": "455241551"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 150.0, "npi": [1801007562]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.1, "providers": [{"billed_charge": 235.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.16, "providers": [{"billed_charge": 281.0, "npi": [1063948529]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 89.82, "providers": [{"billed_charge": 201.0, "npi": [1740256361]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 200.0, "npi": [1871858217, 1851032254]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 164.0, "npi": [1376532127]}]}]}, {"tin": {"type": "ein", "value": "470892411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 320.0, "npi": [1104347947]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 249.0, "npi": [1093101156]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.24, "providers": [{"billed_charge": 202.0, "npi": [1750916797]}]}, {"allowed_amount": 149.29, "providers": [{"billed_charge": 202.0, "npi": [1669422119]}]}]}, {"tin": {"type": "ein", "value": "471871693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.29, "providers": [{"billed_charge": 250.0, "npi": [1154583847]}]}]}, {"tin": {"type": "ein", "value": "472188010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 280.72, "npi": [1740420041]}]}]}, {"tin": {"type": "ein", "value": "472259455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 154.62, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 340.68, "providers": [{"billed_charge": 185.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 101.92, "providers": [{"billed_charge": 288.0, "npi": [1942640065, 1295167302, 1275917064, 1972984409, 1639516636]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 288.0, "npi": [1891378600, 1972984409]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 288.0, "npi": [1487620696, 1447788930, 1174750053, 1326220518]}]}, {"allowed_amount": 203.84, "providers": [{"billed_charge": 288.0, "npi": [1962889543]}]}, {"allowed_amount": 301.93, "providers": [{"billed_charge": 288.0, "npi": [1447788930]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.92, "providers": [{"billed_charge": 288.0, "npi": [1982868519]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.77, "providers": [{"billed_charge": 305.0, "npi": [1750437596]}]}, {"allowed_amount": 147.59, "providers": [{"billed_charge": 305.0, "npi": [1497069629]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1225659287, 1164863569, 1184698623]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.11, "providers": [{"billed_charge": 295.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.89, "providers": [{"billed_charge": 209.48, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "825058478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 966.0, "providers": [{"billed_charge": 200.0, "npi": [1922234228]}]}]}, {"tin": {"type": "ein", "value": "831615363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.11, "providers": [{"billed_charge": 208.0, "npi": [1063933851]}]}]}, {"tin": {"type": "ein", "value": "832602750"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.1, "providers": [{"billed_charge": 150.0, "npi": [1750595575]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 200.0, "npi": [1427474170]}]}, {"allowed_amount": 142.24, "providers": [{"billed_charge": 200.0, "npi": [1932479953]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1306465042]}]}]}, {"tin": {"type": "ein", "value": "843393469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 245.36, "npi": [1023306933]}]}, {"allowed_amount": 123.16, "providers": [{"billed_charge": 245.36, "npi": [1023306933]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 647.0, "npi": [1275574105, 1225457674, 1023304797, 1508251174]}]}]}, {"tin": {"type": "ein", "value": "844748189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 200.0, "npi": [1902095094]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1306465042]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 200.0, "npi": [1699187807]}]}]}, {"tin": {"type": "ein", "value": "860334392"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 182.0, "npi": [1720155989]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.11, "providers": [{"billed_charge": 336.87, "npi": [1033389150]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 200.0, "npi": [1942306535]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.24, "providers": [{"billed_charge": 406.0, "npi": [1194252197]}]}, {"allowed_amount": 147.11, "providers": [{"billed_charge": 406.0, "npi": [1326020074, 1619239399]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 225.0, "npi": [1831155001, 1306266523]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 150.0, "npi": [1053056440]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 202.0, "npi": [1467600833, 1588685879]}]}, {"allowed_amount": 123.1, "providers": [{"billed_charge": 202.0, "npi": [1356448815]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 202.0, "npi": [1306075924]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 140.0, "npi": [1245673714]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 140.0, "npi": [1477110849, 1194110965]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.82, "providers": [{"billed_charge": 293.05, "npi": [1891006532]}]}, {"allowed_amount": 103.55, "providers": [{"billed_charge": 293.05, "npi": [1972590818]}]}, {"allowed_amount": 138.71, "providers": [{"billed_charge": 293.05, "npi": [1053738096, 1063413524, 1760456032]}]}, {"allowed_amount": 286.83, "providers": [{"billed_charge": 293.05, "npi": [1891006532]}]}, {"allowed_amount": 290.46, "providers": [{"billed_charge": 293.05, "npi": [1891006532]}]}, {"allowed_amount": 414.2, "providers": [{"billed_charge": 293.05, "npi": [1972590818]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 154.62, "npi": [1194954032]}, {"billed_charge": 306.0, "npi": [1467560565]}]}]}, {"tin": {"type": "ein", "value": "921985500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.29, "providers": [{"billed_charge": 200.0, "npi": [1235102369]}]}]}, {"tin": {"type": "ein", "value": "922413120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 336.87, "npi": [1033389150]}]}, {"allowed_amount": 207.1, "providers": [{"billed_charge": 266.0, "npi": [1972009686]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.71, "providers": [{"billed_charge": 160.0, "npi": [1780962431]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1407046824, 1124220397]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 250.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.1, "providers": [{"billed_charge": 160.0, "npi": [1477841914]}]}]}]}, {"name": "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99232", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.82, "providers": [{"billed_charge": 170.0, "npi": [1548263825]}]}]}, {"tin": {"type": "ein", "value": "043596798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 148.46, "npi": [1306307061]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.52, "providers": [{"billed_charge": 213.0, "npi": [1902059652]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 213.0, "npi": [1467560565, 1548233141]}]}, {"allowed_amount": 100.59, "providers": [{"billed_charge": 213.0, "npi": [1336216803]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.17, "providers": [{"billed_charge": 199.0, "npi": [1578806212]}]}, {"allowed_amount": 93.52, "providers": [{"billed_charge": 199.0, "npi": [1285195669]}]}]}, {"tin": {"type": "ein", "value": "205324064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.89, "providers": [{"billed_charge": 155.0, "npi": [1780686147]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 206.65, "providers": [{"billed_charge": 260.0, "npi": [1942256482, 1720141815]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.39, "providers": [{"billed_charge": 207.0, "npi": [1043616063, 1144424383]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 207.0, "npi": [1265678569]}]}, {"allowed_amount": 102.2, "providers": [{"billed_charge": 207.0, "npi": [1245999697, 1215752589]}]}, {"allowed_amount": 190.26, "providers": [{"billed_charge": 207.0, "npi": [1043325541, 1639684046]}]}, {"allowed_amount": 207.0, "providers": [{"billed_charge": 207.0, "npi": [1346734589, 1013346261]}]}]}, {"tin": {"type": "ein", "value": "260745915"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 127.0, "npi": [1962668673]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 115.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 150.42, "npi": [1851037402]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.52, "providers": [{"billed_charge": 140.0, "npi": [1154373793]}]}, {"allowed_amount": 100.59, "providers": [{"billed_charge": 140.0, "npi": [1154373793]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 199.0, "npi": [1184970592, 1386600625, 1073562930]}]}, {"allowed_amount": 93.52, "providers": [{"billed_charge": 199.0, "npi": [1407340086]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 199.0, "npi": [1841253804, 1114990751]}]}, {"allowed_amount": 108.82, "providers": [{"billed_charge": 199.0, "npi": [1073562930]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.26, "providers": [{"billed_charge": 226.0, "npi": [1700268224, 1649333717]}]}]}, {"tin": {"type": "ein", "value": "412157061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.48, "providers": [{"billed_charge": 376.0, "npi": [1891011961]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.59, "providers": [{"billed_charge": 145.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.39, "providers": [{"billed_charge": 188.0, "npi": [1063948529]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1639457096, 1740256361]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 114.0, "npi": [1588657365, 1376532127]}]}]}, {"tin": {"type": "ein", "value": "471157530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.51, "providers": [{"billed_charge": 172.0, "npi": [1093101156]}]}, {"allowed_amount": 115.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 172.0, "npi": [1922268986]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.97, "providers": [{"billed_charge": 140.0, "npi": [1750916797]}]}, {"allowed_amount": 182.91, "providers": [{"billed_charge": 140.0, "npi": [1578871026]}]}]}, {"tin": {"type": "ein", "value": "471871693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.89, "providers": [{"billed_charge": 170.0, "npi": [1154583847]}]}]}, {"tin": {"type": "ein", "value": "472259455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 107.96, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "474291438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.05, "providers": [{"billed_charge": 202.0, "npi": [1215265426]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.52, "providers": [{"billed_charge": 130.0, "npi": [1326036757]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 130.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.75, "providers": [{"billed_charge": 200.0, "npi": [1992718423]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 200.0, "npi": [1487620696, 1447788930, 1447661376]}]}]}, {"tin": {"type": "ein", "value": "680508149"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 89.39, "providers": [{"billed_charge": 104.0, "npi": [1831203934]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.75, "providers": [{"billed_charge": 200.0, "npi": [1750347563]}]}, {"allowed_amount": 68.94, "providers": [{"billed_charge": 200.0, "npi": [1477819324]}]}, {"allowed_amount": 121.94, "providers": [{"billed_charge": 200.0, "npi": [1497798573]}]}, {"allowed_amount": 135.5, "providers": [{"billed_charge": 200.0, "npi": [1215160379]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.47, "providers": [{"billed_charge": 241.0, "npi": [1497069629]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1184698623]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.0, "npi": [1619592490, 1467136044]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.59, "providers": [{"billed_charge": 105.62, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1306465042]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 453.0, "npi": [1225457674]}]}]}, {"tin": {"type": "ein", "value": "851058907"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 89.04, "providers": [{"billed_charge": 150.0, "npi": [1164784443]}]}, {"allowed_amount": 102.2, "providers": [{"billed_charge": 150.0, "npi": [1972504561]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.79, "providers": [{"billed_charge": 76.79, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1306465042, 1467299339]}]}]}, {"tin": {"type": "ein", "value": "860187416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.89, "providers": [{"billed_charge": 182.0, "npi": [1639639479]}]}]}, {"tin": {"type": "ein", "value": "860290033"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 79.53, "providers": [{"billed_charge": 194.7, "npi": [1932627395]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 150.0, "npi": [1942306535]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 151.0, "npi": [1952627622]}]}, {"allowed_amount": 108.82, "providers": [{"billed_charge": 151.0, "npi": [1548505142]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 64.36, "providers": [{"billed_charge": 250.0, "npi": [1750487344, 1023366291]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 250.0, "npi": [1255598744, 1265678569]}]}]}, {"tin": {"type": "ein", "value": "860770482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 145.0, "npi": [1174843403]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 89.39, "providers": [{"billed_charge": 283.0, "npi": [1518252881]}]}, {"allowed_amount": 93.52, "providers": [{"billed_charge": 283.0, "npi": [1558524330]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 283.0, "npi": [1295993715, 1710373725]}]}, {"allowed_amount": 98.97, "providers": [{"billed_charge": 283.0, "npi": [1508253220]}]}, {"allowed_amount": 102.2, "providers": [{"billed_charge": 283.0, "npi": [1013105014, 1245710219, 1629535828, 1316433006]}]}]}, {"tin": {"type": "ein", "value": "860888560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.97, "providers": [{"billed_charge": 236.52, "npi": [1457002339]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 110.0, "npi": [1003558131]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 141.0, "npi": [1316984339]}]}, {"allowed_amount": 89.04, "providers": [{"billed_charge": 141.0, "npi": [1356448815]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 141.0, "npi": [1306075924]}]}, {"allowed_amount": 98.97, "providers": [{"billed_charge": 180.0, "npi": [1619544145]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 80.0, "npi": [1629006002]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 80.0, "npi": [1629006002]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "872880655"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 250.0, "npi": [1053671529]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 250.0, "npi": [1053671529]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 194.8, "npi": [1972590818]}]}, {"allowed_amount": 94.07, "providers": [{"billed_charge": 194.8, "npi": [1760456032]}]}]}, {"tin": {"type": "ein", "value": "900815497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.25, "providers": [{"billed_charge": 200.0, "npi": [1235199639]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 185.0, "npi": [1730140781]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.57, "providers": [{"billed_charge": 200.0, "npi": [1114785953, 1437878659]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.07, "providers": [{"billed_charge": 110.0, "npi": [1780962431]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 250.0, "npi": [1265678569]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.94, "providers": [{"billed_charge": 155.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.59, "providers": [{"billed_charge": 110.0, "npi": [1477841914]}]}]}]}, {"name": "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99231", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.4, "providers": [{"billed_charge": 109.0, "npi": [1285195669]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 146.89, "providers": [{"billed_charge": 160.0, "npi": [1942256482]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 42.42, "providers": [{"billed_charge": 130.0, "npi": [1144424383]}]}, {"allowed_amount": 56.76, "providers": [{"billed_charge": 130.0, "npi": [1962071209]}]}, {"allowed_amount": 56.77, "providers": [{"billed_charge": 130.0, "npi": [1144424383, 1487215919]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1962071209, 1154984243, 1346734589]}]}]}, {"tin": {"type": "ein", "value": "463600310"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 56.76, "providers": [{"billed_charge": 85.0, "npi": [1326259631]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 85.0, "npi": [1770792780]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.18, "providers": [{"billed_charge": 109.0, "npi": [1134591704, 1831596352]}]}, {"allowed_amount": 65.52, "providers": [{"billed_charge": 109.0, "npi": [1447788930]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.18, "providers": [{"billed_charge": 109.0, "npi": [1629492236]}]}]}, {"tin": {"type": "ein", "value": "860290033"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 47.59, "providers": [{"billed_charge": 106.11, "npi": [1750785168]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.95, "providers": [{"billed_charge": 207.0, "npi": [1194252197, 1316433006]}]}, {"allowed_amount": 65.52, "providers": [{"billed_charge": 207.0, "npi": [1053386169, 1144717521]}]}]}]}, {"name": "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99309", "billing_code_type_version": "2022", "description": "SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 84.87, "providers": [{"billed_charge": 160.0, "npi": [1891155875]}]}, {"allowed_amount": 254.61, "providers": [{"billed_charge": 160.0, "npi": [1659823334]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 125.36, "providers": [{"billed_charge": 178.0, "npi": [1750916797]}]}]}, {"tin": {"type": "ein", "value": "472188010"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 98.84, "providers": [{"billed_charge": 256.5, "npi": [1740420041]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 125.36, "providers": [{"billed_charge": 185.0, "npi": [1851922918]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 98.84, "providers": [{"billed_charge": 120.0, "npi": [1144615303]}]}]}, {"tin": {"type": "ein", "value": "814984542"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 78.7, "providers": [{"billed_charge": 370.0, "npi": [1649265406]}]}]}, {"tin": {"type": "ein", "value": "823774452"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 98.84, "providers": [{"billed_charge": 180.0, "npi": [1023442985]}]}]}, {"tin": {"type": "ein", "value": "832531356"}, "billing_class": "professional", "service_codes": ["31", "32"], "payments": [{"allowed_amount": 78.7, "providers": [{"billed_charge": 137.04, "npi": [1609131499]}]}, {"allowed_amount": 98.84, "providers": [{"billed_charge": 137.04, "npi": [1609131499]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["31", "32"], "payments": [{"allowed_amount": 78.7, "providers": [{"billed_charge": 261.9, "npi": [1114941994]}]}, {"allowed_amount": 98.84, "providers": [{"billed_charge": 261.9, "npi": [1114941994]}]}]}, {"tin": {"type": "ein", "value": "921245330"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 98.84, "providers": [{"billed_charge": 153.32, "npi": [1104388511]}]}]}, {"tin": {"type": "ein", "value": "934103847"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 98.84, "providers": [{"billed_charge": 152.13, "npi": [1518413871]}]}]}, {"tin": {"type": "ein", "value": "942540194"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 339.48, "providers": [{"billed_charge": 150.0, "npi": [1184277139]}]}]}]}, {"name": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session", "billing_code_type": "CPT", "billing_code": "90868", "billing_code_type_version": "2022", "description": "THERAP REPETITIVE TMS TX SUBSEQ DELIVERY & MNG", "allowed_amounts": [{"tin": {"type": "ein", "value": "843471456"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1891054391]}]}, {"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1891054391]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1891054391]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96375", "billing_code_type_version": "2022", "description": "THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG", "allowed_amounts": [{"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 528.64, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.87, "providers": [{"billed_charge": 528.64, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.16, "providers": [{"billed_charge": 528.64, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.43, "providers": [{"billed_charge": 592.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 1032.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.86, "providers": [{"billed_charge": 336.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 307.61, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.38, "providers": [{"billed_charge": 294.24, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 136.46, "npi": [1083643738]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug", "billing_code_type": "CPT", "billing_code": "96374", "billing_code_type_version": "2022", "description": "THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 1053.59, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.73, "providers": [{"billed_charge": 261.89, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 538.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 870.18, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.27, "providers": [{"billed_charge": 331.0, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 335.22, "providers": [{"billed_charge": 495.13, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 538.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.62, "providers": [{"billed_charge": 870.18, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.62, "providers": [{"billed_charge": 870.18, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.39, "providers": [{"billed_charge": 613.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 1032.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 442.0, "npi": [1982733655]}]}, {"allowed_amount": 216.34, "providers": [{"billed_charge": 442.0, "npi": [1982733655]}]}, {"allowed_amount": 778.57, "providers": [{"billed_charge": 442.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 454.35, "npi": [1356818496]}]}, {"allowed_amount": 454.35, "providers": [{"billed_charge": 454.35, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.77, "providers": [{"billed_charge": 295.09, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 584.0, "npi": [1174512792]}]}, {"allowed_amount": 171.62, "providers": [{"billed_charge": 584.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.87, "providers": [{"billed_charge": 551.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.28, "providers": [{"billed_charge": 347.0, "npi": [1801861190]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular", "billing_code_type": "CPT", "billing_code": "96372", "billing_code_type_version": "2022", "description": "THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.34, "providers": [{"billed_charge": 324.77, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.72, "providers": [{"billed_charge": 142.73, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "420698265"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.57, "providers": [{"billed_charge": 162.73, "npi": [1336231091]}]}]}, {"tin": {"type": "ein", "value": "421264647"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.57, "providers": [{"billed_charge": 126.0, "npi": [1700827896]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.15, "providers": [{"billed_charge": 29.02, "npi": [1134880917]}]}]}, {"tin": {"type": "ein", "value": "455337737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}, {"allowed_amount": 131.01, "providers": [{"billed_charge": 503.0, "npi": [1275084030]}]}, {"allowed_amount": 137.45, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581425000"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.26, "providers": [{"billed_charge": 201.64, "npi": [1760402424]}]}]}, {"tin": {"type": "ein", "value": "611334601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.82, "providers": [{"billed_charge": 196.0, "npi": [1861650814]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.36, "providers": [{"billed_charge": 649.26, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 795.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}, {"allowed_amount": 89.96, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}, {"allowed_amount": 258.49, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.6, "providers": [{"billed_charge": 316.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.98, "providers": [{"billed_charge": 397.57, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.96, "providers": [{"billed_charge": 245.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.52, "providers": [{"billed_charge": 138.38, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.34, "providers": [{"billed_charge": 257.0, "npi": [1174512792]}]}, {"allowed_amount": 76.72, "providers": [{"billed_charge": 257.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.34, "providers": [{"billed_charge": 258.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.71, "providers": [{"billed_charge": 100.0, "npi": [1154392231]}]}, {"allowed_amount": 39.62, "providers": [{"billed_charge": 100.0, "npi": [1154392231]}]}, {"allowed_amount": 47.54, "providers": [{"billed_charge": 100.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.18, "providers": [{"billed_charge": 217.0, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 99.33, "providers": [{"billed_charge": 90.0, "npi": [1427522556]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1190.5, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "951643327"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.43, "providers": [{"billed_charge": 196.81, "npi": [1518951300]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.5, "providers": [{"billed_charge": 436.0, "npi": [1700801909]}]}]}]}, {"name": "Troponin, quantitative", "billing_code_type": "CPT", "billing_code": "84484", "billing_code_type_version": "2022", "description": "ASSAY OF TROPONIN QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.54, "providers": [{"billed_charge": 592.04, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "350869065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.08, "providers": [{"billed_charge": 117.0, "npi": [1427082957]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 224.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 1409.73, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 224.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.87, "providers": [{"billed_charge": 1409.73, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.87, "providers": [{"billed_charge": 1409.73, "npi": [1487607784]}]}, {"allowed_amount": 74.31, "providers": [{"billed_charge": 1409.73, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.48, "providers": [{"billed_charge": 495.0, "npi": [1982733655]}]}, {"allowed_amount": 66.95, "providers": [{"billed_charge": 495.0, "npi": [1609408665]}]}, {"allowed_amount": 74.31, "providers": [{"billed_charge": 495.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.2, "providers": [{"billed_charge": 214.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.52, "providers": [{"billed_charge": 206.25, "npi": [1750499273]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 397.79, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.06, "providers": [{"billed_charge": 645.18, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.59, "providers": [{"billed_charge": 328.0, "npi": [1306914213]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 284.5, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.87, "providers": [{"billed_charge": 65.6, "npi": [1174512792]}]}, {"allowed_amount": 65.6, "providers": [{"billed_charge": 65.6, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 131.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.53, "providers": [{"billed_charge": 310.0, "npi": [1801861190]}]}]}]}, {"name": "Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy", "billing_code_type": "CPT", "billing_code": "81001", "billing_code_type_version": "2022", "description": "URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 98.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "391835630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.13, "providers": [{"billed_charge": 66.15, "npi": [1922043744]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 98.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.64, "providers": [{"billed_charge": 341.7, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "561484844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.09, "providers": [{"billed_charge": 100.0, "npi": [1750353462]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.64, "providers": [{"billed_charge": 341.7, "npi": [1487607784]}]}, {"allowed_amount": 30.75, "providers": [{"billed_charge": 341.7, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 164.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.3, "providers": [{"billed_charge": 658.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "822567308"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.54, "providers": [{"billed_charge": 176.05, "npi": [1215444054]}]}]}, {"tin": {"type": "ein", "value": "840935136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.83, "providers": [{"billed_charge": 294.0, "npi": [1104881507]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.64, "providers": [{"billed_charge": 124.0, "npi": [1174512792]}]}, {"allowed_amount": 30.75, "providers": [{"billed_charge": 124.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 43.17, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 80.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.84, "providers": [{"billed_charge": 35.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "951656366"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.84, "providers": [{"billed_charge": 213.0, "npi": [1508859323]}]}]}]}, {"name": "Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy", "billing_code_type": "CPT", "billing_code": "81003", "billing_code_type_version": "2022", "description": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "111630914"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.88, "providers": [{"billed_charge": 88.0, "npi": [1508845322]}]}]}, {"tin": {"type": "ein", "value": "205220956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.91, "providers": [{"billed_charge": 187.77, "npi": [1780761866]}]}]}, {"tin": {"type": "ein", "value": "364764806"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.92, "providers": [{"billed_charge": 87.69, "npi": [1871935072]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.97, "providers": [{"billed_charge": 91.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.91, "providers": [{"billed_charge": 141.94, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "461555497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.11, "providers": [{"billed_charge": 10.0, "npi": [1861113078]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.97, "providers": [{"billed_charge": 91.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.55, "providers": [{"billed_charge": 141.94, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.55, "providers": [{"billed_charge": 141.94, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.15, "providers": [{"billed_charge": 97.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.15, "providers": [{"billed_charge": 111.0, "npi": [1982733655]}]}, {"allowed_amount": 18.97, "providers": [{"billed_charge": 111.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.91, "providers": [{"billed_charge": 194.47, "npi": [1356818496]}]}, {"allowed_amount": 194.47, "providers": [{"billed_charge": 194.47, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "870737749"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.64, "providers": [{"billed_charge": 9.79, "npi": [1073527313]}]}]}, {"tin": {"type": "ein", "value": "952126937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.43, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 97.0, "npi": [1801861190]}]}]}]}, {"name": "Urine pregnancy test, by visual color comparison methods", "billing_code_type": "CPT", "billing_code": "81025", "billing_code_type_version": "2022", "description": "URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS", "allowed_amounts": [{"tin": {"type": "ein", "value": "300996462"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.91, "providers": [{"billed_charge": 19.8, "npi": [1235544867]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.39, "providers": [{"billed_charge": 364.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.39, "providers": [{"billed_charge": 299.18, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "461621237"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 7.06, "providers": [{"billed_charge": 15.0, "npi": [1891907119]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.39, "providers": [{"billed_charge": 364.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.54, "providers": [{"billed_charge": 299.18, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.73, "providers": [{"billed_charge": 278.0, "npi": [1700910189]}]}, {"allowed_amount": 34.0, "providers": [{"billed_charge": 34.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.39, "providers": [{"billed_charge": 277.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.9, "providers": [{"billed_charge": 1554.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.39, "providers": [{"billed_charge": 158.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "942880847"}, "billing_class": "professional", "service_codes": ["53", "11"], "payments": [{"allowed_amount": 7.06, "providers": [{"billed_charge": 24.41, "npi": [1144567264, 1114533130, 1275900060]}]}, {"allowed_amount": 12.72, "providers": [{"billed_charge": 24.41, "npi": [1972364966]}]}]}]}]}