{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "11574IL002", "last_updated_on": "2026-08-23", "version": "2.0.0", "out_of_network": [{"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": "271130459"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 792.34, "providers": [{"billed_charge": 2500.0, "npi": [1952683229]}]}]}, {"tin": {"type": "ein", "value": "362481437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 1300.0, "npi": [1023124617]}]}]}, {"tin": {"type": "ein", "value": "362525051"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 4647.0, "npi": [1174561591]}]}]}, {"tin": {"type": "ein", "value": "362688847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 2500.0, "npi": [1336107838]}]}]}, {"tin": {"type": "ein", "value": "364372136"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 3350.0, "npi": [1730155839]}]}]}, {"tin": {"type": "ein", "value": "366005807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 3202.0, "npi": [1417063116]}]}]}, {"tin": {"type": "ein", "value": "366005820"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 592.52, "providers": [{"billed_charge": 3384.0, "npi": [1376554592]}, {"billed_charge": 3412.0, "npi": [1376554592]}]}]}, {"tin": {"type": "ein", "value": "366005833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 1696.12, "npi": [1154337889]}]}]}, {"tin": {"type": "ein", "value": "366006038"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 3500.0, "npi": [1740220151]}]}]}, {"tin": {"type": "ein", "value": "366006041"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 2316.42, "npi": [1851332159]}]}]}, {"tin": {"type": "ein", "value": "366009201"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 1500.0, "npi": [1275552473]}]}]}, {"tin": {"type": "ein", "value": "366009245"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 2688.0, "npi": [1821021460]}]}]}, {"tin": {"type": "ein", "value": "366009386"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 1860.52, "npi": [1265485007]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2124.77, "providers": [{"billed_charge": 4971.75, "npi": [1720012925]}]}]}]}, {"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": "362684724"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 2858.0, "npi": [1982663290]}]}]}, {"tin": {"type": "ein", "value": "362688847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 1900.0, "npi": [1336107838]}]}]}, {"tin": {"type": "ein", "value": "362698031"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 1794.89, "npi": [1982656369]}]}]}, {"tin": {"type": "ein", "value": "363588834"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 2324.4, "npi": [1215993860]}]}]}, {"tin": {"type": "ein", "value": "364199315"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 4500.0, "npi": [1851343537]}]}]}, {"tin": {"type": "ein", "value": "366005807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 3202.0, "npi": [1417063116]}]}]}, {"tin": {"type": "ein", "value": "366005820"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 498.97, "providers": [{"billed_charge": 3234.0, "npi": [1376554592]}]}]}, {"tin": {"type": "ein", "value": "366005833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 1223.3, "npi": [1154337889]}]}]}, {"tin": {"type": "ein", "value": "366005867"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 3665.0, "npi": [1699705970]}]}]}, {"tin": {"type": "ein", "value": "366005955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 3358.34, "npi": [1154336865]}]}]}, {"tin": {"type": "ein", "value": "366006016"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 2797.0, "npi": [1578573267]}]}]}, {"tin": {"type": "ein", "value": "366006024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 3200.0, "npi": [1124067541]}]}]}, {"tin": {"type": "ein", "value": "366006103"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 3609.75, "npi": [1942397013]}]}]}, {"tin": {"type": "ein", "value": "366008523"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 2500.0, "npi": [1952466815]}]}]}, {"tin": {"type": "ein", "value": "366009194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 484.12, "providers": [{"billed_charge": 2100.0, "npi": [1285798686]}]}]}, {"tin": {"type": "ein", "value": "426038393"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 614.4, "providers": [{"billed_charge": 620.0, "npi": [1487127767]}]}]}]}, {"name": "Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80048", "billing_code_type_version": "2022", "description": "BASIC METABOLIC PANEL CALCIUM TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.37, "providers": [{"billed_charge": 244.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 162.0, "npi": [1184670549]}, {"billed_charge": 324.0, "npi": [1184670549]}]}, {"allowed_amount": 45.39, "providers": [{"billed_charge": 162.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 217.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 317.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.39, "providers": [{"billed_charge": 342.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 314.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.39, "providers": [{"billed_charge": 162.0, "npi": [1831151257]}]}, {"allowed_amount": 54.71, "providers": [{"billed_charge": 162.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 133.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.39, "providers": [{"billed_charge": 421.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 285.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 314.0, "npi": [1497859649]}]}, {"allowed_amount": 45.39, "providers": [{"billed_charge": 314.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 215.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 249.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 237.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.39, "providers": [{"billed_charge": 224.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.0, "providers": [{"billed_charge": 210.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 422.0, "npi": [1265270607]}, {"billed_charge": 434.66, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 406.76, "npi": [1811735228]}, {"billed_charge": 418.97, "npi": [1811735228]}]}]}]}, {"name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)", "billing_code_type": "CPT", "billing_code": "85027", "billing_code_type_version": "2022", "description": "BLOOD COUNT COMPLETE AUTOMATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 46.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.66, "providers": [{"billed_charge": 64.0, "npi": [1184670549]}]}, {"allowed_amount": 18.25, "providers": [{"billed_charge": 64.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.66, "providers": [{"billed_charge": 135.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.66, "providers": [{"billed_charge": 160.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.25, "providers": [{"billed_charge": 90.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.25, "providers": [{"billed_charge": 143.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.25, "providers": [{"billed_charge": 64.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.66, "providers": [{"billed_charge": 52.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.25, "providers": [{"billed_charge": 90.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364386543"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1639155328]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.66, "providers": [{"billed_charge": 17.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.25, "providers": [{"billed_charge": 121.0, "npi": [1730166224]}]}]}]}, {"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": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.95, "providers": [{"billed_charge": 48.0, "npi": [1952488066]}]}, {"allowed_amount": 10.28, "providers": [{"billed_charge": 48.0, "npi": [1467560128]}]}, {"allowed_amount": 10.75, "providers": [{"billed_charge": 48.0, "npi": [1548375082]}]}]}, {"tin": {"type": "ein", "value": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 350.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 122.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 122.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 106.0, "npi": [1184670549]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 106.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 115.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 160.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 135.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.55, "providers": [{"billed_charge": 95.0, "npi": [1164539730]}]}, {"allowed_amount": 16.72, "providers": [{"billed_charge": 90.0, "npi": [1467560128]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.69, "providers": [{"billed_charge": 223.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.69, "providers": [{"billed_charge": 199.0, "npi": [1598756686]}]}, {"allowed_amount": 40.69, "providers": [{"billed_charge": 199.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 93.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 174.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 106.0, "npi": [1831151257]}]}, {"allowed_amount": 23.16, "providers": [{"billed_charge": 106.0, "npi": [1831151257]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 106.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 112.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 304.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 103.0, "npi": [1770531600]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 103.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 202.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.22, "providers": [{"billed_charge": 196.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 90.0, "npi": [1912014564]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 90.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.08, "providers": [{"billed_charge": 312.0, "npi": [1508956509]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 312.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 202.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 20.0, "npi": [1588612832, 1487664561]}, {"billed_charge": 61.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 221.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 162.0, "npi": [1497859649]}]}, {"allowed_amount": 24.69, "providers": [{"billed_charge": 162.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 130.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.55, "providers": [{"billed_charge": 291.0, "npi": [1861431751]}]}, {"allowed_amount": 16.72, "providers": [{"billed_charge": 291.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 26.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 81.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.08, "providers": [{"billed_charge": 125.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 156.0, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 130.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.06, "providers": [{"billed_charge": 201.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 876.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.23, "providers": [{"billed_charge": 351.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 174.15, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.55, "providers": [{"billed_charge": 149.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.53, "providers": [{"billed_charge": 27.0, "npi": [1770545519]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 304.0, "npi": [1265270607]}, {"billed_charge": 313.12, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 292.91, "npi": [1811735228]}, {"billed_charge": 301.7, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 304.0, "npi": [1982442398]}]}]}]}, {"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": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.45, "providers": [{"billed_charge": 77.0, "npi": [1558479212]}]}, {"allowed_amount": 11.97, "providers": [{"billed_charge": 77.0, "npi": [1952488066]}]}]}, {"tin": {"type": "ein", "value": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.74, "providers": [{"billed_charge": 617.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.74, "providers": [{"billed_charge": 410.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 190.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 244.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 344.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 225.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 225.0, "npi": [1164539730]}]}, {"allowed_amount": 16.19, "providers": [{"billed_charge": 225.0, "npi": [1467560128]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 437.0, "npi": [1598756686]}]}, {"allowed_amount": 60.38, "providers": [{"billed_charge": 437.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 208.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 190.0, "npi": [1831151257]}]}, {"allowed_amount": 56.53, "providers": [{"billed_charge": 190.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 234.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 595.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 237.0, "npi": [1770531600]}]}, {"allowed_amount": 56.53, "providers": [{"billed_charge": 237.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 368.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.17, "providers": [{"billed_charge": 390.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 225.0, "npi": [1912014564]}, {"billed_charge": 370.0, "npi": [1912014564]}]}, {"allowed_amount": 56.53, "providers": [{"billed_charge": 225.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.97, "providers": [{"billed_charge": 551.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 368.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 497.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 438.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 280.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 552.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.74, "providers": [{"billed_charge": 52.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.74, "providers": [{"billed_charge": 167.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.14, "providers": [{"billed_charge": 162.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 316.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 120.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.98, "providers": [{"billed_charge": 389.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.77, "providers": [{"billed_charge": 2198.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 1140.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 334.96, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.98, "providers": [{"billed_charge": 306.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 596.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 574.43, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.19, "providers": [{"billed_charge": 596.0, "npi": [1982442398]}]}]}]}, {"name": "Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "71275", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "274591786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1821009440]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "providers": [{"billed_charge": 5916.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 89.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1851778633, 1861543837]}]}, {"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 719.0, "npi": [1225892144, 1366429466]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1017.15, "providers": [{"billed_charge": 3317.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1017.15, "providers": [{"billed_charge": 2978.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "providers": [{"billed_charge": 3130.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362646425"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 444.0, "npi": [1336637628]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 315.0, "npi": [1245693589]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 496.0, "npi": [1568479723]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "providers": [{"billed_charge": 3580.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1017.15, "providers": [{"billed_charge": 3284.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "providers": [{"billed_charge": 3130.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 89.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1629249867]}]}, {"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1164740874]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.69, "providers": [{"billed_charge": 5004.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1740570035]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1457364457]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 660.17, "providers": [{"billed_charge": 12449.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "941720882"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 457.0, "npi": [1770558686]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 881.6, "providers": [{"billed_charge": 12221.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1790135507, 1336161959]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 4692.0, "npi": [1184670549]}]}, {"allowed_amount": 1210.49, "providers": [{"billed_charge": 4692.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 8609.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.49, "providers": [{"billed_charge": 5630.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.49, "providers": [{"billed_charge": 6354.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 722.0, "npi": [1962486639]}]}, {"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 722.0, "npi": [1366429466]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.49, "providers": [{"billed_charge": 4692.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 7184.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6376.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.49, "providers": [{"billed_charge": 4206.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6801.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1366444770, 1245693589]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 3980.0, "npi": [1912014564]}]}, {"allowed_amount": 1210.49, "providers": [{"billed_charge": 3980.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6801.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1790244697]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 892.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 120.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1427083641]}]}, {"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1164740874, 1245463595, 1770746711, 1750321691, 1134560030]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6100.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 881.6, "providers": [{"billed_charge": 2769.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 2985.0, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1982852828]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1992768402, 1447757851, 1336236959]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 4767.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1033373287, 1073558383]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.49, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5814.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2062.0, "npi": [1518132083, 1982706974]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 89.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1114289725]}]}, {"allowed_amount": 139.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1588861728]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 297.28, "npi": [1639175144]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6385.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 599.26, "providers": [{"billed_charge": 6385.0, "npi": [1982442398]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; without contrast material", "billing_code_type": "CPT", "billing_code": "74176", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1637.0, "npi": [1487090213, 1962546309]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.13, "providers": [{"billed_charge": 6270.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1467482794]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1043.73, "providers": [{"billed_charge": 3550.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.13, "providers": [{"billed_charge": 3977.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1902426224]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 268.0, "providers": [{"billed_charge": 268.0, "npi": [1588612832]}]}, {"allowed_amount": 518.13, "providers": [{"billed_charge": 610.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 85.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1629249867]}]}, {"allowed_amount": 107.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1861610552]}]}, {"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1164740874, 1245463595, 1134560030]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1427057058]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.13, "providers": [{"billed_charge": 2842.5, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1720252315, 1982852828]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.13, "providers": [{"billed_charge": 4292.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 9303.12, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1881674695]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.13, "providers": [{"billed_charge": 3904.0, "npi": [1265270607]}]}]}]}, {"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": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.0, "npi": [1295179448, 1225135890]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 883.04, "providers": [{"billed_charge": 2063.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 883.04, "providers": [{"billed_charge": 2647.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 1803.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 339.0, "npi": [1801442298]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 2063.0, "npi": [1831151257]}]}, {"allowed_amount": 883.04, "providers": [{"billed_charge": 2063.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 1802.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 1808.0, "npi": [1770531600]}]}, {"allowed_amount": 883.04, "providers": [{"billed_charge": 1808.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362646425"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1336370824, 1336637628]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1023019973]}]}, {"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1245693589, 1528060910]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1164665345]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 2035.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 268.0, "providers": [{"billed_charge": 268.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1164740874, 1851821581, 1770746711]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 3395.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 3535.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 2500.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381877512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1164624292]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 692.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1750.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 623.86, "providers": [{"billed_charge": 2634.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "460224743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1306808720]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1720252315]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1750344768, 1447757851]}]}]}, {"tin": {"type": "ein", "value": "730793134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 499.0, "npi": [1275887663]}]}]}, {"tin": {"type": "ein", "value": "736264482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 591.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 915.0, "npi": [1508896499]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1639141682]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1144533068, 1215497342]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 4076.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.6, "providers": [{"billed_charge": 4076.0, "npi": [1982442398]}]}]}]}, {"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": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 282.97, "providers": [{"billed_charge": 1863.0, "npi": [1215487830]}]}, {"allowed_amount": 314.61, "providers": [{"billed_charge": 1863.0, "npi": [1205147360, 1811525504, 1912428129, 1063070852, 1386228906, 1912951567, 1548671829, 1881950616, 1225428857]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1717.55, "providers": [{"billed_charge": 4873.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "352563749"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.97, "providers": [{"billed_charge": 1029.0, "npi": [1134456742]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1717.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3791.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "460819112"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2378.0, "npi": [1306423504]}]}]}, {"tin": {"type": "ein", "value": "811724358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.97, "providers": [{"billed_charge": 551.0, "npi": [1689249492]}]}]}, {"tin": {"type": "ein", "value": "820558911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.97, "providers": [{"billed_charge": 550.0, "npi": [1114905544, 1841516234, 1578541876]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1717.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5389.0, "npi": [1265270607]}]}]}]}, {"name": "Culture, bacterial; quantitative colony count, urine", "billing_code_type": "CPT", "billing_code": "87086", "billing_code_type_version": "2022", "description": "CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.28, "providers": [{"billed_charge": 56.0, "npi": [1952488066]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 108.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 253.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.3, "providers": [{"billed_charge": 141.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 113.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.98, "providers": [{"billed_charge": 114.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 120.0, "npi": [1912014564]}]}, {"allowed_amount": 22.3, "providers": [{"billed_charge": 120.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 108.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "363738206"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.28, "providers": [{"billed_charge": 141.0, "npi": [1730223009]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 21.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 114.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.3, "providers": [{"billed_charge": 134.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.43, "providers": [{"billed_charge": 50.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 203.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.49, "providers": [{"billed_charge": 46.49, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.63, "providers": [{"billed_charge": 89.0, "npi": [1265270607]}]}]}]}, {"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": "050540914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 15.0, "npi": [1801000476]}]}]}, {"tin": {"type": "ein", "value": "208445687"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.72, "providers": [{"billed_charge": 53.0, "npi": [1578721379]}]}]}, {"tin": {"type": "ein", "value": "261283189"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 25.0, "npi": [1760416713, 1043238306]}]}, {"allowed_amount": 13.17, "providers": [{"billed_charge": 25.0, "npi": [1023259777, 1871734723, 1922100403]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.54, "providers": [{"billed_charge": 71.0, "npi": [1932680725, 1306494877]}]}, {"allowed_amount": 13.4, "providers": [{"billed_charge": 71.0, "npi": [1912428129, 1942705884, 1093002404, 1508493255, 1629432679, 1629331145, 1083174122, 1982229258, 1326780909, 1376918516, 1548720600, 1205418811, 1437617628]}]}]}, {"tin": {"type": "ein", "value": "330185031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1578543963]}]}]}, {"tin": {"type": "ein", "value": "331385787"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 18.54, "npi": [1295081651]}, {"billed_charge": 26.49, "npi": [1295081651]}]}, {"allowed_amount": 10.05, "providers": [{"billed_charge": 26.49, "npi": [1013186071]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 66.0, "npi": [1508011040, 1023499498]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 57.0, "npi": [1467771378, 1538587035, 1689699373]}]}]}, {"tin": {"type": "ein", "value": "363186070"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 89.0, "npi": [1760776090]}]}]}, {"tin": {"type": "ein", "value": "363208390"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 34.0, "npi": [1962403998]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.7, "providers": [{"billed_charge": 39.0, "npi": [1285770925]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 29.0, "npi": [1942221981]}]}]}, {"tin": {"type": "ein", "value": "364351282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 60.0, "npi": [1700864550]}]}, {"allowed_amount": 13.17, "providers": [{"billed_charge": 60.0, "npi": [1336204031]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 23.0, "npi": [1760877153, 1730529132, 1255574935, 1669789020, 1093761181, 1194901470, 1679837470]}]}, {"allowed_amount": 13.17, "providers": [{"billed_charge": 23.0, "npi": [1235156266, 1528374030, 1649406992, 1518032341, 1154508570, 1033352703]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 47.0, "npi": [1013412634]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 68.0, "npi": [1922475482, 1124606652, 1982068375]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "providers": [{"billed_charge": 15.0, "npi": [1821052416]}]}]}, {"tin": {"type": "ein", "value": "800607953"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.05, "providers": [{"billed_charge": 25.0, "npi": [1578900999]}]}, {"allowed_amount": 13.17, "providers": [{"billed_charge": 25.0, "npi": [1972821825, 1346287927]}]}]}, {"tin": {"type": "ein", "value": "800710751"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 52.0, "npi": [1518183169, 1194762781, 1760438543]}]}]}, {"tin": {"type": "ein", "value": "812488609"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 25.0, "npi": [1841231321]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 95.0, "npi": [1982799854]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 31.0, "npi": [1134851538, 1861071151]}]}]}, {"tin": {"type": "ein", "value": "933000212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 70.0, "npi": [1497799035]}]}]}, {"tin": {"type": "ein", "value": "946346360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.0, "providers": [{"billed_charge": 68.0, "npi": [1093274193]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 342.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 355.0, "npi": [1184670549]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 355.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 542.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 526.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 545.0, "npi": [1467560128]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 485.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.59, "providers": [{"billed_charge": 481.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.8, "providers": [{"billed_charge": 443.0, "npi": [1598756686]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 443.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 453.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.19, "providers": [{"billed_charge": 355.0, "npi": [1831151257]}]}, {"allowed_amount": 104.55, "providers": [{"billed_charge": 355.0, "npi": [1831151257]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 355.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 445.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 657.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 355.0, "npi": [1770531600]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 355.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 516.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 545.0, "npi": [1912014564]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 545.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.59, "providers": [{"billed_charge": 556.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 516.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 151.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 428.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 311.0, "npi": [1497859649]}]}, {"allowed_amount": 207.59, "providers": [{"billed_charge": 311.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 475.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 455.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 167.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 376.0, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 1641.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.45, "providers": [{"billed_charge": 791.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.59, "providers": [{"billed_charge": 335.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 598.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.55, "providers": [{"billed_charge": 598.0, "npi": [1982442398]}]}]}, {"tin": {"type": "ein", "value": "994815457"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.97, "providers": [{"billed_charge": 614.41, "npi": [1306673009]}]}]}]}, {"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": "200323858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 625.01, "providers": [{"billed_charge": 1182.0, "npi": [1336768571]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.61, "providers": [{"billed_charge": 1415.0, "npi": [1821494154, 1568830099, 1932680725, 1578950424, 1811148059, 1306494877, 1225832108, 1326869819, 1104313667, 1275392714, 1699457226, 1871784405, 1528541018, 1437435997, 1285208926, 1942717418, 1497022826, 1427746155, 1356712558, 1457652208, 1730057332, 1780130682, 1265919484, 1437911039]}]}, {"allowed_amount": 303.65, "providers": [{"billed_charge": 1415.0, "npi": [1811525504, 1467015941, 1144476938, 1982229258, 1093058190, 1912951567, 1558625301, 1013412634, 1760001564, 1093002404, 1447699368, 1609336361, 1477904936, 1700440492, 1093376568, 1205418811, 1831453760, 1508493255, 1902224967, 1629331145, 1689684557, 1033613393, 1013593938, 1164674131, 1548671829, 1841555414, 1548720600, 1225038680, 1437617628, 1801811294, 1912391392, 1629432679, 1730706409, 1083174122, 1326780909, 1376918516, 1225428857, 1962643452, 1942200191]}]}]}, {"tin": {"type": "ein", "value": "300261806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 557.0, "npi": [1417178864, 1427430446]}]}]}, {"tin": {"type": "ein", "value": "311713993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 348.91, "providers": [{"billed_charge": 1162.0, "npi": [1457319949]}]}]}, {"tin": {"type": "ein", "value": "330609057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.74, "providers": [{"billed_charge": 2331.0, "npi": [1962458208]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1385.78, "providers": [{"billed_charge": 3577.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4066.0, "npi": [1184670549]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4066.0, "npi": [1184670549]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4066.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4457.0, "npi": [1548306343]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4457.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 3945.0, "npi": [1588771919]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3945.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "providers": [{"billed_charge": 3790.0, "npi": [1467560128]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2970.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1235234535]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4230.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3597.0, "npi": [1598756686]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3597.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 770.0, "npi": [1689615585, 1801958350, 1891016754, 1760734073, 1952831646, 1700948254]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4066.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3452.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4219.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3115.0, "npi": [1770531600]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3115.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3729.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.41, "providers": [{"billed_charge": 868.0, "npi": [1205890613]}]}, {"allowed_amount": 303.65, "providers": [{"billed_charge": 539.0, "npi": [1245593540, 1861421034, 1710988654, 1851895668, 1679078687]}]}]}, {"tin": {"type": "ein", "value": "363186070"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1239.0, "npi": [1760776090]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4060.0, "npi": [1912014564]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4060.0, "npi": [1912014564]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4060.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 868.0, "npi": [1205890613]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5099.0, "npi": [1508956509]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5099.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3729.0, "npi": [1376644385]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3729.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 2192.0, "npi": [1588612832]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2192.0, "npi": [1588612832, 1487664561]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2192.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 483.0, "npi": [1356963458, 1518193192, 1902054216, 1013578475, 1225141005, 1891729232, 1609132984]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3130.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.0, "npi": [1497859649]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.0, "npi": [1497859649]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4390.0, "npi": [1407889652]}]}, {"allowed_amount": 615.61, "providers": [{"billed_charge": 4390.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3455.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1052.0, "npi": [1386919041]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1385.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1990.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "383852646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 533.0, "npi": [1194165613, 1285028118]}]}]}, {"tin": {"type": "ein", "value": "393329303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1488.0, "npi": [1922030147, 1942293469]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 639.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3230.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "460819112"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1860.0, "npi": [1912179185, 1023097706, 1376107052]}]}]}, {"tin": {"type": "ein", "value": "472051272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 656.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1559.0, "npi": [1902160278]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2414.25, "npi": [1033214416]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2414.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 701.0, "npi": [1568725521, 1922475482, 1124606652, 1982068375]}]}]}, {"tin": {"type": "ein", "value": "474944608"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 371.32, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 2331.0, "npi": [1720329121]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8699.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1290.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10785.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "834708147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.61, "providers": [{"billed_charge": 1942.0, "npi": [1467737320]}]}, {"allowed_amount": 303.65, "providers": [{"billed_charge": 1942.0, "npi": [1053999060, 1336720119]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3161.0, "npi": [1730166224]}]}, {"allowed_amount": 1657.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3161.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "883926499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1860.0, "npi": [1902398019, 1972503563]}]}]}, {"tin": {"type": "ein", "value": "884147175"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1285621219]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 646.0, "npi": [1861071151]}]}]}, {"tin": {"type": "ein", "value": "933000212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1956.0, "npi": [1821053380, 1215133087]}]}]}, {"tin": {"type": "ein", "value": "946346360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 786.32, "providers": [{"billed_charge": 1302.0, "npi": [1093274193]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.0, "npi": [1265270607]}]}, {"allowed_amount": 615.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3878.15, "npi": [1811735228]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.5, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.0, "npi": [1982442398]}]}]}]}, {"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": "300261806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.66, "providers": [{"billed_charge": 226.0, "npi": [1760941991]}]}, {"allowed_amount": 104.26, "providers": [{"billed_charge": 226.0, "npi": [1083094106]}]}]}, {"tin": {"type": "ein", "value": "351129669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 831.48, "providers": [{"billed_charge": 1376.0, "npi": [1104998624]}]}]}, {"tin": {"type": "ein", "value": "351835133"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 417.25, "providers": [{"billed_charge": 1932.0, "npi": [1811077431]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1892.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.78, "providers": [{"billed_charge": 1242.0, "npi": [1790739977]}]}, {"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1242.0, "npi": [1790739977]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1850.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.71, "providers": [{"billed_charge": 1579.0, "npi": [1598756686]}]}, {"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1579.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2349.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1875.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1448.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362513909"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1924.0, "npi": [1003864810]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1899.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363088628"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "providers": [{"billed_charge": 550.53, "npi": [1760927800]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.37, "providers": [{"billed_charge": 352.0, "npi": [1568628477]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1892.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2477.0, "npi": [1508956509]}]}, {"allowed_amount": 869.36, "providers": [{"billed_charge": 2477.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1899.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 755.0, "npi": [1588612832]}]}, {"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 755.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.0, "npi": [1235379041, 1336134402, 1558985861, 1104239334, 1518193192, 1669887337, 1013578475, 1225141005, 1790190221, 1790041101, 1891729232, 1881030963, 1982990487]}]}, {"allowed_amount": 123.22, "providers": [{"billed_charge": 197.0, "npi": [1811016520, 1376299818, 1194457861, 1891556031]}]}, {"allowed_amount": 197.0, "providers": [{"billed_charge": 197.0, "npi": [1013280718]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1189.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1700.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 1097.0, "npi": [1861431751]}]}, {"allowed_amount": 869.36, "providers": [{"billed_charge": 1097.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "383943890"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "providers": [{"billed_charge": 215.0, "npi": [1174341879]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 964.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "providers": [{"billed_charge": 315.0, "npi": [1306133640, 1144516568]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 910.0, "npi": [1194723999]}]}, {"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 910.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 904.75, "providers": [{"billed_charge": 2585.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.81, "providers": [{"billed_charge": 774.0, "npi": [1225431455]}]}]}, {"tin": {"type": "ein", "value": "834708147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.66, "providers": [{"billed_charge": 874.0, "npi": [1437101409]}]}, {"allowed_amount": 104.26, "providers": [{"billed_charge": 874.0, "npi": [1184647752, 1730569211, 1295862811, 1497314397]}]}]}, {"tin": {"type": "ein", "value": "872190065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.22, "providers": [{"billed_charge": 750.0, "npi": [1750929709]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 259.0, "npi": [1215938857, 1639662562, 1003818550]}]}]}, {"tin": {"type": "ein", "value": "921814438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.26, "providers": [{"billed_charge": 750.0, "npi": [1063953016]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.78, "providers": [{"billed_charge": 1381.0, "npi": [1265270607]}]}, {"allowed_amount": 374.03, "providers": [{"billed_charge": 1381.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1384.0, "npi": [1811735228]}]}, {"allowed_amount": 374.03, "providers": [{"billed_charge": 1384.0, "npi": [1811735228]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 929.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3694.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1841587540]}]}, {"allowed_amount": 93.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1194154963]}]}, {"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1124777313, 1952999526, 1952647273, 1679904874, 1427746155, 1811148059, 1396460978, 1245991801, 1518587922, 1649166869, 1730061623, 1568659449, 1528541018, 1326869819, 1760048318, 1285208926, 1437911039]}]}, {"allowed_amount": 187.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1063655777, 1619456548, 1952174823, 1821494154, 1174209746, 1194154963, 1780130682]}]}, {"allowed_amount": 208.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1063070852, 1346781572, 1982229258, 1568048015, 1508515362, 1437610409, 1891176236, 1285678383, 1205418811, 1508493255, 1346878923, 1033613393, 1013593938, 1225038680, 1851313241, 1437617628, 1942705884, 1245346782, 1801811294, 1831764828, 1326780909, 1861758328, 1942680319]}]}]}, {"tin": {"type": "ein", "value": "300261806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1760941991]}]}, {"allowed_amount": 208.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1437299815, 1851859367, 1710408026, 1427430446, 1336480078, 1083094106, 1184129595, 1942247135]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 417.25, "providers": [{"billed_charge": 2467.0, "npi": [1689776882]}]}, {"allowed_amount": 929.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2467.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "351837309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 247.36, "providers": [{"billed_charge": 833.0, "npi": [1669899837]}]}]}, {"tin": {"type": "ein", "value": "359661599"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.18, "providers": [{"billed_charge": 1581.0, "npi": [1861623365]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1184670549]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1968.0, "npi": [1790739977]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 2631.0, "npi": [1588771919]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2631.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1450.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.36, "providers": [{"billed_charge": 2320.0, "npi": [1548375082]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1690.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.36, "providers": [{"billed_charge": 2619.0, "npi": [1598756686]}]}, {"allowed_amount": 1317.12, "providers": [{"billed_charge": 2619.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3495.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.54, "providers": [{"billed_charge": 519.0, "npi": [1104357821]}]}, {"allowed_amount": 170.48, "providers": [{"billed_charge": 519.0, "npi": [1013228642]}]}, {"allowed_amount": 208.7, "providers": [{"billed_charge": 519.0, "npi": [1528181401]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "providers": [{"billed_charge": 2835.0, "npi": [1831151257]}]}, {"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1831151257]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2835.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2998.0, "npi": [1558391706]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2998.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1802.0, "npi": [1770531600]}]}, {"allowed_amount": 869.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1802.0, "npi": [1770531600]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1802.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2752.0, "npi": [1265577191]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2752.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 993.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1711.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "362690865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.54, "providers": [{"billed_charge": 290.0, "npi": [1568422012]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 365.0, "npi": [1558490128, 1710988654, 1265698542, 1346732559]}]}]}, {"tin": {"type": "ein", "value": "363186070"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 939.0, "npi": [1780930248, 1952752057]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2780.0, "npi": [1912014564]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2780.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 599.0, "npi": [1073891107]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4274.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 519.0, "npi": [1356376727]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2752.0, "npi": [1376644385]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2752.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1526.0, "npi": [1588612832]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1526.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 336.0, "npi": [1952423865, 1891556031]}]}, {"allowed_amount": 160.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1124463393]}]}, {"allowed_amount": 170.48, "providers": [{"billed_charge": 336.0, "npi": [1427083641]}]}, {"allowed_amount": 208.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1558985861, 1790190221, 1790041101, 1225141005, 1144761495, 1992923288, 1417519133, 1518193192, 1881030963, 1245250885, 1902054216, 1992722508, 1013280718, 1891729232, 1407260755, 1801234133, 1659715928, 1689930968, 1942448733, 1881343457, 1669887337, 1932121332, 1629137914]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1883.0, "npi": [1215572045]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1883.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "providers": [{"billed_charge": 2128.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.32, "providers": [{"billed_charge": 717.0, "npi": [1649872367]}]}, {"allowed_amount": 208.7, "providers": [{"billed_charge": 717.0, "npi": [1316962798]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 929.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1325.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "383852646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 378.0, "npi": [1942705553, 1073870739, 1194165613, 1396249751]}]}, {"allowed_amount": 297.97, "providers": [{"billed_charge": 378.0, "npi": [1073140216]}]}]}, {"tin": {"type": "ein", "value": "393329303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 1026.0, "npi": [1356325328]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 655.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "460819112"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 1261.0, "npi": [1750969697, 1982354338]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1730.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 470.0, "npi": [1922475482, 1972943850]}]}]}, {"tin": {"type": "ein", "value": "474944608"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 247.36, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1581.0, "npi": [1780327882, 1013151463]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1398.0, "npi": [1194723999]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1398.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 986.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2917.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "651219504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1164530465]}]}]}, {"tin": {"type": "ein", "value": "736264482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 560.0, "npi": [1508896499]}, {"billed_charge": 840.0, "npi": [1508896499]}]}]}, {"tin": {"type": "ein", "value": "831188528"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 285.29, "providers": [{"billed_charge": 687.0, "npi": [1194344002]}]}]}, {"tin": {"type": "ein", "value": "834708147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1307.0, "npi": [1699322602]}]}, {"allowed_amount": 160.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1307.0, "npi": [1659711950]}]}, {"allowed_amount": 208.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1307.0, "npi": [1285929414, 1730569211, 1366948820, 1326063736, 1295862811, 1679148829]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2189.4, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.67, "providers": [{"billed_charge": 706.0, "npi": [1760869929]}]}]}, {"tin": {"type": "ein", "value": "872190065"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 1280.0, "npi": [1528531944, 1750929709]}]}, {"allowed_amount": 208.7, "providers": [{"billed_charge": 1280.0, "npi": [1972503563, 1568620276]}]}]}, {"tin": {"type": "ein", "value": "883926499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.32, "providers": [{"billed_charge": 1261.0, "npi": [1831811991]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 445.0, "npi": [1730520529]}]}, {"allowed_amount": 208.7, "providers": [{"billed_charge": 445.0, "npi": [1427585272, 1669433512, 1851859433, 1194286765, 1861071151, 1134851538, 1164047320]}]}]}, {"tin": {"type": "ein", "value": "933000212"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 1328.0, "npi": [1821053380, 1922487628, 1760478671, 1013593524, 1497799035, 1215133087]}]}]}, {"tin": {"type": "ein", "value": "954541687"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2420.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2420.0, "npi": [1427055839]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 731.0, "npi": [1295239788]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 2598.0, "npi": [1265270607]}]}, {"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2598.0, "npi": [1265270607]}, {"billed_charge": 2675.94, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.03, "providers": [{"billed_charge": 2503.67, "npi": [1811735228]}]}, {"allowed_amount": 514.92, "providers": [{"billed_charge": 2503.67, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2598.0, "npi": [1982442398]}]}]}, {"tin": {"type": "ein", "value": "994815457"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.35, "providers": [{"billed_charge": 3009.32, "npi": [1306673009]}]}]}]}, {"name": "Gonadotropin, chorionic (hCG); quantitative", "billing_code_type": "CPT", "billing_code": "84702", "billing_code_type_version": "2022", "description": "GONADOTROPIN CHORIONIC QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 337.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.45, "providers": [{"billed_charge": 134.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 192.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 215.0, "npi": [1912014564]}]}, {"allowed_amount": 39.45, "providers": [{"billed_charge": 215.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 38.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 390.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 239.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.81, "providers": [{"billed_charge": 477.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.82, "providers": [{"billed_charge": 579.89, "npi": [1265270607]}]}]}]}, {"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": "271130459"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.2, "providers": [{"billed_charge": 39.0, "npi": [1952683229]}]}]}, {"tin": {"type": "ein", "value": "362481437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1023124617]}]}]}, {"tin": {"type": "ein", "value": "362525051"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1174561591]}]}]}, {"tin": {"type": "ein", "value": "362684724"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 25.0, "npi": [1982663290]}]}]}, {"tin": {"type": "ein", "value": "362688847"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 39.0, "npi": [1336107838]}, {"billed_charge": 60.0, "npi": [1336107838]}]}]}, {"tin": {"type": "ein", "value": "362698031"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 16.0, "npi": [1982656369]}]}]}, {"tin": {"type": "ein", "value": "363588834"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 30.0, "npi": [1215993860]}]}]}, {"tin": {"type": "ein", "value": "364199315"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 75.0, "npi": [1851343537]}]}]}, {"tin": {"type": "ein", "value": "364372136"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 87.5, "npi": [1730155839]}]}]}, {"tin": {"type": "ein", "value": "366005807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 25.0, "npi": [1417063116]}]}]}, {"tin": {"type": "ein", "value": "366005820"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.74, "providers": [{"billed_charge": 19.0, "npi": [1376554592]}]}]}, {"tin": {"type": "ein", "value": "366005833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 25.0, "npi": [1154337889]}, {"billed_charge": 28.33, "npi": [1154337889]}]}]}, {"tin": {"type": "ein", "value": "366005867"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 20.0, "npi": [1699705970]}]}]}, {"tin": {"type": "ein", "value": "366005955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 20.0, "npi": [1154336865]}]}]}, {"tin": {"type": "ein", "value": "366006016"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1578573267]}]}]}, {"tin": {"type": "ein", "value": "366006024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 25.0, "npi": [1124067541]}]}]}, {"tin": {"type": "ein", "value": "366006038"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1740220151]}]}]}, {"tin": {"type": "ein", "value": "366006041"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1851332159]}]}]}, {"tin": {"type": "ein", "value": "366006103"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1942397013]}]}]}, {"tin": {"type": "ein", "value": "366008523"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 20.0, "npi": [1952466815]}]}]}, {"tin": {"type": "ein", "value": "366009194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1285798686]}]}]}, {"tin": {"type": "ein", "value": "366009201"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.0, "npi": [1275552473]}]}]}, {"tin": {"type": "ein", "value": "366009245"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.71, "providers": [{"billed_charge": 8.71, "npi": [1821021460]}]}, {"allowed_amount": 9.76, "providers": [{"billed_charge": 10.5, "npi": [1821021460]}]}]}, {"tin": {"type": "ein", "value": "366009386"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 15.45, "npi": [1265485007]}]}]}, {"tin": {"type": "ein", "value": "426038393"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.87, "providers": [{"billed_charge": 15.0, "npi": [1487127767]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 160.91, "npi": [1720012925]}]}]}]}, {"name": "Hemoglobin; glycosylated (A1C)", "billing_code_type": "CPT", "billing_code": "83036", "billing_code_type_version": "2022", "description": "HEMOGLOBIN GLYCOSYLATED A1C", "allowed_amounts": [{"tin": {"type": "ein", "value": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.17, "providers": [{"billed_charge": 68.0, "npi": [1952488066]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.07, "providers": [{"billed_charge": 194.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 165.0, "npi": [1184670549]}]}, {"allowed_amount": 23.79, "providers": [{"billed_charge": 165.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 131.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 226.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 104.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 25.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 116.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.43, "providers": [{"billed_charge": 167.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.39, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}]}]}, {"name": "Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)", "billing_code_type": "CPT", "billing_code": "80076", "billing_code_type_version": "2022", "description": "HEPATIC FUNCTION PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.89, "providers": [{"billed_charge": 410.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.82, "providers": [{"billed_charge": 172.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1588612832, 1487664561]}]}]}]}, {"name": "Hospital observation service, per hour", "billing_code_type": "CPT", "billing_code": "G0378", "billing_code_type_version": "2022", "description": "Hospital observation service, per hour", "allowed_amounts": [{"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.82, "providers": [{"billed_charge": 125.63, "npi": [1003918210]}, {"billed_charge": 739.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.37, "providers": [{"billed_charge": 72.7, "npi": [1184670549]}]}, {"allowed_amount": 44.41, "providers": [{"billed_charge": 71.23, "npi": [1184670549]}]}, {"allowed_amount": 47.74, "providers": [{"billed_charge": 135.17, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 162.07, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1588771919]}]}, {"allowed_amount": 47.74, "providers": [{"billed_charge": 288.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.76, "providers": [{"billed_charge": 145.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 91.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1770531600]}]}, {"allowed_amount": 36.47, "providers": [{"billed_charge": 36.47, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 150.0, "npi": [1912014564]}, {"billed_charge": 152.78, "npi": [1912014564]}]}, {"allowed_amount": 64.76, "providers": [{"billed_charge": 190.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 153.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 127.0, "npi": [1588612832]}]}, {"allowed_amount": 45.83, "providers": [{"billed_charge": 127.0, "npi": [1588612832]}]}, {"allowed_amount": 47.74, "providers": [{"billed_charge": 87.78, "npi": [1588612832]}, {"billed_charge": 88.28, "npi": [1588612832]}, {"billed_charge": 127.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 108.0, "npi": [1215572045]}, {"billed_charge": 113.86, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 222.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 128.93, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.76, "providers": [{"billed_charge": 528.0, "npi": [1730166224]}, {"billed_charge": 1936.0, "npi": [1730166224]}, {"billed_charge": 2112.0, "npi": [1730166224]}, {"billed_charge": 2640.0, "npi": [1730166224]}]}]}]}, {"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": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 342.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 340.0, "npi": [1467560128]}]}, {"allowed_amount": 271.47, "providers": [{"billed_charge": 340.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.47, "providers": [{"billed_charge": 835.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.47, "providers": [{"billed_charge": 460.0, "npi": [1841387388]}]}, {"allowed_amount": 271.47, "providers": [{"billed_charge": 460.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 411.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 288.0, "npi": [1770531600]}]}, {"allowed_amount": 271.47, "providers": [{"billed_charge": 288.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 567.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.47, "providers": [{"billed_charge": 880.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1174614267]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 567.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 357.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 515.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 660.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 569.0, "npi": [1265270607]}]}]}]}, {"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": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 41.42, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 181.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 33.75, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 59.22, "npi": [1770531600]}]}, {"allowed_amount": 15.38, "providers": [{"billed_charge": 45.87, "npi": [1770531600]}, {"billed_charge": 51.86, "npi": [1770531600]}, {"billed_charge": 59.22, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 149.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 181.0, "npi": [1912014564]}]}, {"allowed_amount": 15.38, "providers": [{"billed_charge": 181.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 149.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.97, "providers": [{"billed_charge": 24.25, "npi": [1497859649]}]}, {"allowed_amount": 15.38, "providers": [{"billed_charge": 24.25, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 170.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 104.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 30.0, "npi": [1265270607]}, {"billed_charge": 60.0, "npi": [1265270607]}]}]}]}, {"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": "050540914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 302.0, "npi": [1467803122]}]}]}, {"tin": {"type": "ein", "value": "271661214"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 1389.0, "npi": [1801417217, 1891291886]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 278.98, "providers": [{"billed_charge": 534.0, "npi": [1730342593]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.41, "providers": [{"billed_charge": 1099.0, "npi": [1073633038]}]}, {"allowed_amount": 248.15, "providers": [{"billed_charge": 1099.0, "npi": [1255494779]}]}]}, {"tin": {"type": "ein", "value": "362657618"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 244.41, "providers": [{"billed_charge": 431.0, "npi": [1609032218]}]}, {"allowed_amount": 288.85, "providers": [{"billed_charge": 431.0, "npi": [1487048922]}]}, {"allowed_amount": 329.71, "providers": [{"billed_charge": 431.0, "npi": [1679912687]}]}]}, {"tin": {"type": "ein", "value": "362768260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.85, "providers": [{"billed_charge": 367.0, "npi": [1205037991]}]}]}, {"tin": {"type": "ein", "value": "364251848"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 439.0, "providers": [{"billed_charge": 439.0, "npi": [1437414695]}]}]}, {"tin": {"type": "ein", "value": "364270411"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 853.0, "npi": [1306418322, 1104931476, 1780729830]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 687.0, "npi": [1992284889]}]}, {"allowed_amount": 253.65, "providers": [{"billed_charge": 687.0, "npi": [1508205808]}]}]}, {"tin": {"type": "ein", "value": "454434822"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 525.0, "npi": [1487273082, 1205934395]}]}]}, {"tin": {"type": "ein", "value": "455057247"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 340.0, "npi": [1255161485]}]}]}, {"tin": {"type": "ein", "value": "465737836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 350.0, "npi": [1205049046]}]}]}, {"tin": {"type": "ein", "value": "812191756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 420.0, "npi": [1346455185]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 329.71, "providers": [{"billed_charge": 446.0, "npi": [1609220276]}]}]}, {"tin": {"type": "ein", "value": "920544543"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 310.01, "providers": [{"billed_charge": 1318.0, "npi": [1649943010]}]}]}, {"tin": {"type": "ein", "value": "934940558"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 1415.0, "npi": [1821670431, 1508503863]}]}]}]}, {"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": "272663826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.25, "providers": [{"billed_charge": 400.0, "npi": [1730342593]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 593.0, "npi": [1255348694]}, {"billed_charge": 905.0, "npi": [1659412682]}]}, {"allowed_amount": 186.86, "providers": [{"billed_charge": 593.0, "npi": [1730620170]}, {"billed_charge": 905.0, "npi": [1063938611]}]}]}, {"tin": {"type": "ein", "value": "363105151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 394.0, "npi": [1801090220]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 319.0, "npi": [1588303432, 1982916425, 1043650526]}]}, {"allowed_amount": 186.86, "providers": [{"billed_charge": 319.0, "npi": [1851553374]}]}, {"allowed_amount": 191.05, "providers": [{"billed_charge": 319.0, "npi": [1427083641, 1104171347, 1154880417, 1194842005]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.87, "providers": [{"billed_charge": 679.0, "npi": [1538815030]}]}]}, {"tin": {"type": "ein", "value": "463131504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 320.0, "npi": [1225123615]}]}]}, {"tin": {"type": "ein", "value": "472810879"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.87, "providers": [{"billed_charge": 372.0, "npi": [1972668077]}]}]}, {"tin": {"type": "ein", "value": "800710751"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.56, "providers": [{"billed_charge": 297.0, "npi": [1639564347]}]}]}, {"tin": {"type": "ein", "value": "861706781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 340.0, "npi": [1750834628]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 612.0, "npi": [1942519533]}]}]}, {"tin": {"type": "ein", "value": "911999919"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.25, "providers": [{"billed_charge": 701.0, "npi": [1962082099]}]}]}]}, {"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": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.2, "providers": [{"billed_charge": 4.2, "npi": [1003918210]}]}, {"allowed_amount": 12.28, "providers": [{"billed_charge": 18.06, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.03, "providers": [{"billed_charge": 9.03, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 53.62, "npi": [1184670549]}]}, {"allowed_amount": 11.09, "providers": [{"billed_charge": 53.63, "npi": [1184670549]}, {"billed_charge": 57.08, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 12.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 32.45, "npi": [1790739977]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 123.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 123.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 71.48, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 13.21, "npi": [1598756686]}, {"billed_charge": 47.98, "npi": [1598756686]}]}, {"allowed_amount": 16.28, "providers": [{"billed_charge": 47.98, "npi": [1598756686]}, {"billed_charge": 58.41, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.11, "providers": [{"billed_charge": 56.13, "npi": [1831151257]}]}, {"allowed_amount": 4.01, "providers": [{"billed_charge": 56.13, "npi": [1831151257]}, {"billed_charge": 57.08, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 55.58, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 6.16, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 50.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 123.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 59.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 50.0, "npi": [1376644385]}, {"billed_charge": 76.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1588612832]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1588612832, 1487664561]}]}, {"allowed_amount": 11.09, "providers": [{"billed_charge": 15.71, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.0, "providers": [{"billed_charge": 4.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 33.17, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.79, "providers": [{"billed_charge": 0.79, "npi": [1922090554]}]}, {"allowed_amount": 4.32, "providers": [{"billed_charge": 23.58, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 94.0, "npi": [1194723999]}, {"billed_charge": 95.0, "npi": [1194723999]}, {"billed_charge": 100.0, "npi": [1194723999]}, {"billed_charge": 118.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "651219504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 59.11, "npi": [1164530465]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.1, "providers": [{"billed_charge": 9.1, "npi": [1265270607]}]}, {"allowed_amount": 11.09, "providers": [{"billed_charge": 15.04, "npi": [1265270607]}, {"billed_charge": 18.5, "npi": [1265270607]}, {"billed_charge": 39.18, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.09, "providers": [{"billed_charge": 18.5, "npi": [1811735228]}, {"billed_charge": 34.2, "npi": [1811735228]}, {"billed_charge": 45.0, "npi": [1811735228]}]}]}]}, {"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": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.81, "providers": [{"billed_charge": 4.51, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 13.16, "npi": [1184670549]}]}, {"allowed_amount": 4.8, "providers": [{"billed_charge": 13.63, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 31.25, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 32.67, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.88, "providers": [{"billed_charge": 1.88, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 0.96, "npi": [1770531600]}, {"billed_charge": 1.47, "npi": [1770531600]}, {"billed_charge": 2.01, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 0.75, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.06, "providers": [{"billed_charge": 4.06, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 31.25, "npi": [1912014564]}]}, {"allowed_amount": 4.8, "providers": [{"billed_charge": 31.25, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 0.75, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.5, "providers": [{"billed_charge": 2.5, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.54, "providers": [{"billed_charge": 2.54, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.38, "providers": [{"billed_charge": 0.38, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 5.52, "npi": [1407889652]}, {"billed_charge": 5.62, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 14.44, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 93.0, "npi": [1194723999]}, {"billed_charge": 95.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 1.25, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.8, "providers": [{"billed_charge": 1.8, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 6.75, "npi": [1811735228]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.34, "providers": [{"billed_charge": 777.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 333.0, "npi": [1184670549]}]}, {"allowed_amount": 106.43, "providers": [{"billed_charge": 333.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 357.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 346.0, "npi": [1790739977]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 225.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.43, "providers": [{"billed_charge": 175.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.43, "providers": [{"billed_charge": 531.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.82, "providers": [{"billed_charge": 416.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 228.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.43, "providers": [{"billed_charge": 333.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 279.0, "npi": [1770531600]}]}, {"allowed_amount": 106.43, "providers": [{"billed_charge": 279.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 474.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.95, "providers": [{"billed_charge": 324.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 260.0, "npi": [1912014564]}]}, {"allowed_amount": 106.43, "providers": [{"billed_charge": 260.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.43, "providers": [{"billed_charge": 473.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 474.0, "npi": [1376644385]}]}, {"allowed_amount": 608.05, "providers": [{"billed_charge": 474.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 120.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 439.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 355.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.34, "providers": [{"billed_charge": 86.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 187.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.43, "providers": [{"billed_charge": 455.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 449.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 449.0, "npi": [1982442398]}]}]}]}, {"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": "201076798"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 55.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1629172218]}]}]}, {"tin": {"type": "ein", "value": "364104662"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 85.51, "providers": [{"billed_charge": 270.0, "npi": [1174762256]}]}]}, {"tin": {"type": "ein", "value": "364147775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1811927775]}]}]}, {"tin": {"type": "ein", "value": "364295601"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 55.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1306195920]}]}]}, {"tin": {"type": "ein", "value": "364386543"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 43.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1356653596]}]}, {"allowed_amount": 50.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1235372301]}]}, {"allowed_amount": 55.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1003064700, 1235100546, 1568690147, 1992146500, 1568454072, 1407848872, 1013173962, 1669763983, 1063404382, 1386636884, 1942270392, 1275767931, 1629267612, 1427439934, 1932151966]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.0, "providers": [{"billed_charge": 134.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 30.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1588303432]}]}, {"allowed_amount": 46.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1013578475]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.98, "providers": [{"billed_charge": 645.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.47, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 569.0, "npi": [1730166224]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.56, "providers": [{"billed_charge": 252.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.56, "providers": [{"billed_charge": 156.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.56, "providers": [{"billed_charge": 156.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 123.0, "npi": [1184670549]}]}, {"allowed_amount": 57.81, "providers": [{"billed_charge": 123.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 319.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 198.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 140.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.81, "providers": [{"billed_charge": 140.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.6, "providers": [{"billed_charge": 250.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.81, "providers": [{"billed_charge": 123.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 125.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 98.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.81, "providers": [{"billed_charge": 120.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 287.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.78, "providers": [{"billed_charge": 295.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 140.0, "npi": [1912014564]}]}, {"allowed_amount": 57.81, "providers": [{"billed_charge": 140.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 287.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 263.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 142.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 160.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.56, "providers": [{"billed_charge": 83.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 158.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 98.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.84, "providers": [{"billed_charge": 218.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.55, "providers": [{"billed_charge": 820.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.81, "providers": [{"billed_charge": 151.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 99.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 95.22, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.89, "providers": [{"billed_charge": 99.0, "npi": [1982442398]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 0.95, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 1.0, "npi": [1184670549]}]}, {"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 28.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 25.34, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.11, "providers": [{"billed_charge": 1.11, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.8, "providers": [{"billed_charge": 3.85, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 1.97, "npi": [1558391706]}, {"billed_charge": 2.08, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 6.9, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 0.14, "npi": [1770531600]}]}, {"allowed_amount": 0.14, "providers": [{"billed_charge": 0.14, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 8.2, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 1.11, "npi": [1912014564]}]}, {"allowed_amount": 1.11, "providers": [{"billed_charge": 1.11, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.8, "providers": [{"billed_charge": 7.51, "npi": [1508956509]}, {"billed_charge": 7.78, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 8.2, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 9.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 5.71, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 1.06, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 0.47, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 6.79, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 7.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 11.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.9, "providers": [{"billed_charge": 0.9, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.8, "providers": [{"billed_charge": 7.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 12.11, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 10.89, "npi": [1982442398]}]}]}]}, {"name": "Magnesium", "billing_code_type": "CPT", "billing_code": "83735", "billing_code_type_version": "2022", "description": "ASSAY OF MAGNESIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.59, "providers": [{"billed_charge": 40.0, "npi": [1952488066]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 118.0, "npi": [1184670549]}]}, {"allowed_amount": 26.04, "providers": [{"billed_charge": 118.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 131.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 185.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 146.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.27, "providers": [{"billed_charge": 191.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 118.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 81.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 186.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 244.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 100.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 145.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 244.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 17.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 196.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 116.0, "npi": [1497859649]}]}, {"allowed_amount": 26.04, "providers": [{"billed_charge": 116.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 76.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.73, "providers": [{"billed_charge": 74.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 137.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.65, "providers": [{"billed_charge": 668.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 108.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 187.0, "npi": [1265270607]}]}]}]}, {"name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code": "85610", "billing_code_type_version": "2022", "description": "PROTHROMBIN TIME", "allowed_amounts": [{"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 53.0, "npi": [1184670549]}]}, {"allowed_amount": 20.88, "providers": [{"billed_charge": 53.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 134.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 53.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 40.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 62.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 75.0, "npi": [1912014564]}]}, {"allowed_amount": 20.88, "providers": [{"billed_charge": 75.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 139.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 11.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 123.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 119.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.96, "providers": [{"billed_charge": 320.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.88, "providers": [{"billed_charge": 97.0, "npi": [1730166224]}]}]}]}, {"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": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 453.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 487.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.43, "providers": [{"billed_charge": 555.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.3, "providers": [{"billed_charge": 882.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.73, "providers": [{"billed_charge": 639.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 567.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1295375806]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 453.0, "npi": [1831151257]}]}, {"allowed_amount": 280.3, "providers": [{"billed_charge": 453.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 567.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.3, "providers": [{"billed_charge": 403.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 764.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1053312116]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1245694348, 1144258013]}]}]}, {"tin": {"type": "ein", "value": "363279680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1073779179]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 764.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1861012601]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 223.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1629249867]}]}, {"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1861610552]}]}, {"allowed_amount": 14.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1427083641]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1790981702, 1164740874, 1851821581, 1366585366, 1770746711]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 466.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 963.0, "npi": [1497859649]}]}, {"allowed_amount": 280.3, "providers": [{"billed_charge": 963.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1578582532]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 364.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1801679915]}]}]}, {"tin": {"type": "ein", "value": "381877512"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1164624292]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 244.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 268.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1720252315]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1679955173]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1750344768, 1760404958, 1336236959]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.28, "providers": [{"billed_charge": 289.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1568959120]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.43, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 512.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1053305680]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1477668929, 1881030260, 1609216399]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.44, "providers": [{"billed_charge": 566.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1336161959]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 369.0, "npi": [1184670549]}]}, {"allowed_amount": 198.11, "providers": [{"billed_charge": 369.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 613.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 526.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1447301411, 1851778633, 1659304855, 1164631479, 1861543837]}]}, {"allowed_amount": 11.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1992201560]}]}, {"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1801442298]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.11, "providers": [{"billed_charge": 369.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 604.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 400.0, "npi": [1770531600]}]}, {"allowed_amount": 198.11, "providers": [{"billed_charge": 400.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 728.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362646425"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1336637628]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1598051104, 1831328038, 1932426327]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1558681304, 1447239389]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 465.0, "npi": [1912014564]}]}, {"allowed_amount": 198.11, "providers": [{"billed_charge": 465.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.16, "providers": [{"billed_charge": 345.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 728.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 223.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "23", "21"], "payments": [{"allowed_amount": 9.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1629249867]}]}, {"allowed_amount": 11.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1861610552]}]}, {"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1255375440, 1750321691, 1851330252, 1790981702]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 768.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1982915302]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 268.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1720252315, 1982852828]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1578526448, 1992768402]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1417905522]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 550.0, "npi": [1265270607]}]}]}]}, {"name": "Radiologic examination, shoulder; complete, minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73030", "billing_code_type_version": "2022", "description": "RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1336161959]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.89, "providers": [{"billed_charge": 747.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1952452922]}]}, {"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1801442298]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.89, "providers": [{"billed_charge": 491.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.85, "providers": [{"billed_charge": 780.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.47, "providers": [{"billed_charge": 521.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.85, "providers": [{"billed_charge": 780.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.85, "providers": [{"billed_charge": 223.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1164740874, 1851330252, 1851821581]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.85, "providers": [{"billed_charge": 537.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["19", "23"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1891817961, 1740570035]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.85, "providers": [{"billed_charge": 639.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1538114616]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1750344768]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1518946649]}]}]}]}, {"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": "261283189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.96, "providers": [{"billed_charge": 210.0, "npi": [1720375819]}]}]}, {"tin": {"type": "ein", "value": "271661214"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.96, "providers": [{"billed_charge": 718.0, "npi": [1265939169]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 143.74, "providers": [{"billed_charge": 364.0, "npi": [1730342593]}]}]}, {"tin": {"type": "ein", "value": "352563749"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.87, "providers": [{"billed_charge": 550.0, "npi": [1487146486]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.77, "providers": [{"billed_charge": 448.0, "npi": [1285263186]}]}, {"allowed_amount": 173.96, "providers": [{"billed_charge": 448.0, "npi": [1083359269, 1952622847]}]}]}, {"tin": {"type": "ein", "value": "362657618"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.77, "providers": [{"billed_charge": 218.0, "npi": [1609032218]}]}]}, {"tin": {"type": "ein", "value": "364251848"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1437414695]}]}]}, {"tin": {"type": "ein", "value": "454434822"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.96, "providers": [{"billed_charge": 270.0, "npi": [1659804417, 1487273082]}]}]}, {"tin": {"type": "ein", "value": "811724358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1689249492]}]}]}, {"tin": {"type": "ein", "value": "820558911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.96, "providers": [{"billed_charge": 270.0, "npi": [1114905544, 1497733828, 1578541876]}]}]}, {"tin": {"type": "ein", "value": "861706781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.96, "providers": [{"billed_charge": 300.0, "npi": [1750834628]}]}]}, {"tin": {"type": "ein", "value": "934940558"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.77, "providers": [{"billed_charge": 727.0, "npi": [1013734102]}]}, {"allowed_amount": 173.96, "providers": [{"billed_charge": 727.0, "npi": [1538427364]}]}]}]}, {"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": "223682760"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 76.85, "providers": [{"billed_charge": 150.0, "npi": [1336632934]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1316635014, 1336632934]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 102.86, "providers": [{"billed_charge": 244.0, "npi": [1730342593, 1730193186, 1033731526]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.96, "providers": [{"billed_charge": 308.0, "npi": [1225420961]}]}, {"allowed_amount": 97.2, "providers": [{"billed_charge": 308.0, "npi": [1609028851]}]}, {"allowed_amount": 111.55, "providers": [{"billed_charge": 308.0, "npi": [1255348694, 1952622847]}]}, {"allowed_amount": 127.34, "providers": [{"billed_charge": 308.0, "npi": [1285263186]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 217.0, "npi": [1487873808]}]}]}, {"tin": {"type": "ein", "value": "363387262"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.04, "providers": [{"billed_charge": 110.0, "npi": [1043261282]}]}]}, {"tin": {"type": "ein", "value": "364270411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 307.0, "npi": [1861142010, 1104931476]}]}, {"allowed_amount": 118.34, "providers": [{"billed_charge": 307.0, "npi": [1720087398]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 243.0, "npi": [1568967958]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 91.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 191.0, "npi": [1831217728]}]}, {"allowed_amount": 102.86, "providers": [{"billed_charge": 191.0, "npi": [1235288416, 1669488003]}]}, {"allowed_amount": 111.55, "providers": [{"billed_charge": 191.0, "npi": [1588303432, 1568490381]}]}, {"allowed_amount": 118.34, "providers": [{"billed_charge": 191.0, "npi": [1427083641]}]}]}, {"tin": {"type": "ein", "value": "383852646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.8, "providers": [{"billed_charge": 240.0, "npi": [1184663742]}]}]}, {"tin": {"type": "ein", "value": "463131504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 165.0, "npi": [1225123615]}]}]}, {"tin": {"type": "ein", "value": "465737836"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 150.0, "npi": [1205049046]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.48, "providers": [{"billed_charge": 214.0, "npi": [1093764193]}]}]}, {"tin": {"type": "ein", "value": "472810879"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.75, "providers": [{"billed_charge": 195.0, "npi": [1407677628, 1972668077]}]}]}, {"tin": {"type": "ein", "value": "812191756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 190.0, "npi": [1346455185]}]}]}, {"tin": {"type": "ein", "value": "820558911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 160.0, "npi": [1114905544]}]}]}, {"tin": {"type": "ein", "value": "861706781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 210.0, "npi": [1629647169, 1750834628]}]}]}, {"tin": {"type": "ein", "value": "934940558"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 504.0, "npi": [1316294978, 1780832147, 1538427364]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.82, "providers": [{"billed_charge": 682.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 306.0, "npi": [1184670549]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 306.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 561.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 396.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 295.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362170833"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.86, "providers": [{"billed_charge": 387.0, "npi": [1235234535]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 377.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 294.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 354.0, "npi": [1770531600]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 354.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 298.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.54, "providers": [{"billed_charge": 353.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 315.0, "npi": [1912014564]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 315.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.86, "providers": [{"billed_charge": 393.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 298.0, "npi": [1376644385]}, {"billed_charge": 343.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 120.0, "npi": [1588612832, 1487664561]}, {"billed_charge": 240.0, "npi": [1588612832]}, {"billed_charge": 360.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 208.0, "npi": [1497859649]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 208.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 305.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.82, "providers": [{"billed_charge": 426.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 256.5, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 187.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.86, "providers": [{"billed_charge": 266.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 268.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 257.71, "npi": [1811735228]}, {"billed_charge": 257.72, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 268.0, "npi": [1982442398]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.8, "providers": [{"billed_charge": 682.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.8, "providers": [{"billed_charge": 319.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 359.0, "npi": [1184670549]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 359.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 993.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 455.0, "npi": [1790739977]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 396.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 395.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.55, "providers": [{"billed_charge": 415.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.22, "providers": [{"billed_charge": 440.0, "npi": [1598756686]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 440.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 431.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.55, "providers": [{"billed_charge": 359.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 479.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 536.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 299.0, "npi": [1770531600]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 299.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 424.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.08, "providers": [{"billed_charge": 395.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 420.0, "npi": [1912014564]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 420.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.55, "providers": [{"billed_charge": 510.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 424.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 544.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 237.0, "npi": [1497859649]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 237.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 405.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.55, "providers": [{"billed_charge": 558.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.8, "providers": [{"billed_charge": 266.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 283.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 692.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 488.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 1098.11, "npi": [1811735228]}, {"billed_charge": 1131.06, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 488.0, "npi": [1982442398]}]}]}]}, {"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": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.31, "providers": [{"billed_charge": 197.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 204.0, "npi": [1184670549]}]}, {"allowed_amount": 94.08, "providers": [{"billed_charge": 204.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 243.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 329.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.08, "providers": [{"billed_charge": 235.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.01, "providers": [{"billed_charge": 271.0, "npi": [1598756686]}]}, {"allowed_amount": 94.08, "providers": [{"billed_charge": 271.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.08, "providers": [{"billed_charge": 204.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 231.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 174.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 265.0, "npi": [1912014564]}]}, {"allowed_amount": 94.08, "providers": [{"billed_charge": 265.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 174.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 184.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 148.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 235.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.3, "providers": [{"billed_charge": 158.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "651219504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 275.0, "npi": [1164530465]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 156.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 370.93, "npi": [1811735228]}]}]}]}, {"name": "Thromboplastin time, partial (PTT); plasma or whole blood", "billing_code_type": "CPT", "billing_code": "85730", "billing_code_type_version": "2022", "description": "THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 123.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 199.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 123.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 100.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362235165"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 91.0, "npi": [1679659585]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 100.0, "npi": [1912014564]}]}, {"allowed_amount": 33.62, "providers": [{"billed_charge": 100.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 240.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 178.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 16.0, "npi": [1588612832, 1487664561]}]}, {"allowed_amount": 19.77, "providers": [{"billed_charge": 20.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 162.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 172.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 176.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.62, "providers": [{"billed_charge": 134.0, "npi": [1730166224]}]}]}]}, {"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": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.68, "providers": [{"billed_charge": 365.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 248.0, "npi": [1184670549]}]}, {"allowed_amount": 84.12, "providers": [{"billed_charge": 248.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 327.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167869"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 226.0, "npi": [1588771919]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.12, "providers": [{"billed_charge": 190.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.19, "providers": [{"billed_charge": 303.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 130.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 248.0, "npi": [1831151257]}]}, {"allowed_amount": 84.12, "providers": [{"billed_charge": 248.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 98.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 130.0, "npi": [1770531600]}]}, {"allowed_amount": 84.12, "providers": [{"billed_charge": 130.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 279.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 190.0, "npi": [1912014564]}]}, {"allowed_amount": 84.12, "providers": [{"billed_charge": 190.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363488183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.12, "providers": [{"billed_charge": 431.0, "npi": [1508956509]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 279.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 297.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 244.0, "npi": [1497859649]}]}, {"allowed_amount": 84.12, "providers": [{"billed_charge": 244.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 245.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "376000511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 261.0, "npi": [1861431751]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.68, "providers": [{"billed_charge": 92.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 239.75, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "814791043"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 970.0, "npi": [1235218785]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.12, "providers": [{"billed_charge": 205.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.37, "providers": [{"billed_charge": 412.0, "npi": [1265270607]}]}]}]}, {"name": "Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)", "billing_code_type": "CPT", "billing_code": "76705", "billing_code_type_version": "2022", "description": "US ABDOMINAL REAL TIME W/IMAGE LIMITED", "allowed_amounts": [{"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 409.0, "npi": [1972785715]}]}]}, {"tin": {"type": "ein", "value": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.42, "providers": [{"billed_charge": 934.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351435368"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1205040698, 1619438884]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.42, "providers": [{"billed_charge": 934.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.17, "providers": [{"billed_charge": 1140.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 33.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1922539089]}]}, {"allowed_amount": 39.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1801958350]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.85, "providers": [{"billed_charge": 1167.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.17, "providers": [{"billed_charge": 714.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362664075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1528060910]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1710988654]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.85, "providers": [{"billed_charge": 1150.0, "npi": [1912014564]}]}, {"allowed_amount": 462.17, "providers": [{"billed_charge": 1150.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.85, "providers": [{"billed_charge": 1311.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "364340137"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1255592655]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 29.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1629249867]}]}, {"allowed_amount": 43.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1710924667]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.85, "providers": [{"billed_charge": 2292.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.85, "providers": [{"billed_charge": 349.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 43.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1497919641, 1235160524]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.17, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1223.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1518132083]}]}]}, {"tin": {"type": "ein", "value": "911780160"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 29.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1114289725]}]}]}]}, {"name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76856", "billing_code_type_version": "2022", "description": "US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "333541786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1376527382]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.19, "providers": [{"billed_charge": 1310.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362177139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 274.0, "npi": [1164627725]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.47, "providers": [{"billed_charge": 1200.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363491850"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 134.84, "providers": [{"billed_charge": 495.0, "npi": [1326094236]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.19, "providers": [{"billed_charge": 268.0, "npi": [1588612832, 1487664561]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1861610552]}]}, {"allowed_amount": 55.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1710924667, 1790981702, 1770746711]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1982915302]}]}]}, {"tin": {"type": "ein", "value": "852880262"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 55.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1366767352, 1639141682, 1306890728]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.53, "providers": [{"billed_charge": 1187.78, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1497700579]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.19, "providers": [{"billed_charge": 2060.0, "npi": [1265270607]}]}]}]}, {"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": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.45, "providers": [{"billed_charge": 81.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.45, "providers": [{"billed_charge": 81.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 92.0, "npi": [1184670549]}]}, {"allowed_amount": 28.15, "providers": [{"billed_charge": 92.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 119.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362167920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 70.0, "npi": [1629026364]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.15, "providers": [{"billed_charge": 70.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 123.0, "npi": [1598756686]}]}, {"allowed_amount": 28.15, "providers": [{"billed_charge": 123.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 146.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362179813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.15, "providers": [{"billed_charge": 92.0, "npi": [1831151257]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 77.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.15, "providers": [{"billed_charge": 88.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 220.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "362604009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.27, "providers": [{"billed_charge": 135.0, "npi": [1588713440]}]}]}, {"tin": {"type": "ein", "value": "363196629"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 70.0, "npi": [1912014564]}]}, {"allowed_amount": 28.15, "providers": [{"billed_charge": 70.0, "npi": [1912014564]}]}]}, {"tin": {"type": "ein", "value": "363297173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 119.0, "npi": [1427069632]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 220.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 8.0, "npi": [1588612832, 1487664561]}, {"billed_charge": 74.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 53.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "370960170"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 132.0, "npi": [1497859649]}]}, {"allowed_amount": 28.15, "providers": [{"billed_charge": 132.0, "npi": [1497859649]}]}]}, {"tin": {"type": "ein", "value": "371762682"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 120.0, "npi": [1407889652]}]}]}, {"tin": {"type": "ein", "value": "381360529"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.45, "providers": [{"billed_charge": 17.0, "npi": [1922090554]}]}]}, {"tin": {"type": "ein", "value": "383330803"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.45, "providers": [{"billed_charge": 57.0, "npi": [1942379284]}]}]}, {"tin": {"type": "ein", "value": "420680370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.57, "providers": [{"billed_charge": 63.0, "npi": [1508810177]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 60.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "540620889"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.68, "providers": [{"billed_charge": 89.0, "npi": [1376564302]}]}]}, {"tin": {"type": "ein", "value": "621768106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.0, "providers": [{"billed_charge": 540.0, "npi": [1366496937]}]}]}, {"tin": {"type": "ein", "value": "651219504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 120.0, "npi": [1164530465]}]}]}, {"tin": {"type": "ein", "value": "811112022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 497.0, "npi": [1003281452]}]}]}, {"tin": {"type": "ein", "value": "860100882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 172.13, "npi": [1346291648]}]}]}, {"tin": {"type": "ein", "value": "862358048"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.15, "providers": [{"billed_charge": 92.0, "npi": [1730166224]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 15.85, "npi": [1265270607]}, {"billed_charge": 16.33, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992392397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 16.33, "npi": [1811735228]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 15.85, "npi": [1982442398]}]}]}]}, {"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": "205657908"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.71, "providers": [{"billed_charge": 21.0, "npi": [1952488066]}]}]}, {"tin": {"type": "ein", "value": "208473972"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.81, "providers": [{"billed_charge": 72.0, "npi": [1215151154]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 68.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.88, "providers": [{"billed_charge": 65.0, "npi": [1164539730]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.98, "providers": [{"billed_charge": 97.0, "npi": [1598756686]}]}, {"allowed_amount": 24.88, "providers": [{"billed_charge": 97.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 42.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "364251846"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 110.0, "npi": [1376644385]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 285.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 50.25, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.84, "providers": [{"billed_charge": 58.0, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "994815457"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.33, "providers": [{"billed_charge": 214.77, "npi": [1306673009]}]}]}]}, {"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": "351107009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 131.0, "npi": [1003918210]}]}]}, {"tin": {"type": "ein", "value": "351738708"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 131.0, "npi": [1689776882]}]}]}, {"tin": {"type": "ein", "value": "362167060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 114.0, "npi": [1184670549]}]}]}, {"tin": {"type": "ein", "value": "362167784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 223.0, "npi": [1548306343]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 207.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "362174823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 87.0, "npi": [1932213600]}]}]}, {"tin": {"type": "ein", "value": "362179779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 179.0, "npi": [1124025176]}]}]}, {"tin": {"type": "ein", "value": "362183812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 86.0, "npi": [1558391706]}]}]}, {"tin": {"type": "ein", "value": "362340313"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 108.0, "npi": [1770531600]}]}]}, {"tin": {"type": "ein", "value": "362596381"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 142.0, "npi": [1265577191]}]}]}, {"tin": {"type": "ein", "value": "370813229"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 144.0, "npi": [1215572045]}]}]}, {"tin": {"type": "ein", "value": "472313900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 112.0, "npi": [1033214416]}]}]}, {"tin": {"type": "ein", "value": "510217097"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.43, "providers": [{"billed_charge": 99.0, "npi": [1194723999]}]}, {"allowed_amount": 18.85, "providers": [{"billed_charge": 99.0, "npi": [1194723999]}, {"billed_charge": 198.0, "npi": [1194723999]}]}]}, {"tin": {"type": "ein", "value": "651219504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 70.0, "npi": [1164530465]}]}]}, {"tin": {"type": "ein", "value": "992171028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 271.0, "npi": [1265270607]}, {"billed_charge": 279.13, "npi": [1265270607]}]}]}, {"tin": {"type": "ein", "value": "992441755"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.85, "providers": [{"billed_charge": 271.0, "npi": [1982442398]}]}]}, {"tin": {"type": "ein", "value": "994815457"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.19, "providers": [{"billed_charge": 107.32, "npi": [1306673009]}]}]}]}]}