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["Press UP, DOWN, LEFT RIGHT ARROW in column A to read through Document. Document ordered by date. Headers contain filter buttons"]
["Cnty Cde","County Name","Provider Type","Procedure Code","Hrly Rate","Time Assoc","Modifier","Type of Service","Service Description","Place of Service","Max Allowed Rate Per Unit","Effective Start Date","Effective End Date"]
[1,"Alameda","Certified AOD Counselor",90785,390.07,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0031",390.07,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0032",390.07,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0033",390.07,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0034",390.07,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0034",390.07,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",21.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2000",390.07,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2011",390.07,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2017",390.07,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2017",390.07,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",21.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2019",390.07,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2021",390.07,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1013",390.07,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1017",390.07,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",97.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90785,898.55,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90791,898.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90792,898.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90832,898.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90832,898.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",452.29,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90833,898.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90833,898.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",452.29,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90834,898.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90834,898.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",676.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90836,898.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90836,898.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",676.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90837,898.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90837,898.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",901.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90838,898.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90838,898.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",901.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90839,898.55,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90840,898.55,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90845,898.55,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90847,898.55,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90849,898.55,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",279.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90853,898.55,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",166.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90865,898.55,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1347.83,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90867,898.55,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90868,898.55,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90869,898.55,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90870,898.55,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",299.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90880,898.55,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90885,898.55,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",90887,898.55,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96105,898.55,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96110,898.55,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96112,898.55,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96113,898.55,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96116,898.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96121,898.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96125,898.55,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96127,898.55,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96130,898.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96131,898.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96132,898.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96133,898.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96136,898.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96137,898.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96146,898.55,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96161,898.55,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96202,898.55,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",199.68,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96203,898.55,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96365,898.55,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",688.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96366,898.55,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96367,898.55,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",464.25,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96368,898.55,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96369,898.55,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",569.08000000000004,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96370,898.55,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96371,898.55,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96372,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96373,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96374,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96375,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96376,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",96377,898.55,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",97550,898.55,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",97551,898.55,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",97552,898.55,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",149.76,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",98966,898.55,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",119.81,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",98967,898.55,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",239.61,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",98968,898.55,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",389.37,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99202,898.55,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",329.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99203,898.55,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",554.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99204,898.55,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99205,898.55,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99212,898.55,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99213,898.55,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99214,898.55,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99215,898.55,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99221,898.55,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99222,898.55,65,"N/A","Therapy","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.","N/A",973.43,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99223,898.55,82,"N/A","Therapy","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.","N/A",1228.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99231,898.55,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99232,898.55,42,"N/A","Therapy","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.","N/A",628.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99233,898.55,57,"N/A","Therapy","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.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99234,898.55,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99235,898.55,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1153.1400000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99236,898.55,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1377.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99238,898.55,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99239,898.55,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99242,898.55,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99243,898.55,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99244,898.55,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99245,898.55,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",928.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99252,898.55,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",599.03,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99253,898.55,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99254,898.55,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1048.31,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99255,898.55,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1302.9000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99304,898.55,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99305,898.55,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",628.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99306,898.55,57,"N/A","Therapy","Initial nursing facility 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.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99307,898.55,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99308,898.55,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99309,898.55,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",554.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99310,898.55,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99341,898.55,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",329.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99342,898.55,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99344,898.55,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99345,898.55,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1228.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99347,898.55,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99348,898.55,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99349,898.55,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99350,898.55,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99366,898.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99368,898.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99415,898.55,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99416,898.55,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99417,898.55,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99418,898.55,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99441,898.55,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",119.81,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99442,898.55,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",239.61,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99443,898.55,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",389.37,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist",99484,898.55,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0316",898.55,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0539",898.55,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0540",898.55,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0541",898.55,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0542",898.55,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","G0543",898.55,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",149.76,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0031",898.55,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0032",898.55,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0033",898.55,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0034",898.55,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0034",898.55,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H0036",898.55,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2000",898.55,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2011",898.55,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2017",898.55,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2017",898.55,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2019",898.55,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","H2021",898.55,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T1001",898.55,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T1013",898.55,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T1017",898.55,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T2021",898.55,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T2021",898.55,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T2021",898.55,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",227.65,"2025-07-01","2026-06-30"]
[1,"Alameda","Clinical Nurse Specialist","T2024",898.55,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98960,362.65,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient","N/A",181.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98961,362.65,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 2-4 patients","N/A",60.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98962,362.65,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",27.9,"2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker","G0019",362.65,60,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors.","N/A",362.65,"2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker","G0022",362.65,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",181.33,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90785,470.26,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90791,470.26,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90832,470.26,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",235.13,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90832,470.26,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",238.14,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90834,470.26,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",352.7,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90834,470.26,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",355.71,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90837,470.26,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90837,470.26,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",473.27,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90839,470.26,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90840,470.26,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",235.13,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90845,470.26,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",352.7,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90847,470.26,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",391.88,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90849,470.26,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",146.30000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90853,470.26,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",87.09,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90880,470.26,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90885,470.26,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90887,470.26,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",391.88,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96110,470.26,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96116,470.26,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96121,470.26,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96127,470.26,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96161,470.26,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96202,470.26,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",104.5,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96203,470.26,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97550,470.26,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97551,470.26,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97552,470.26,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",78.38,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98966,470.26,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",62.7,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98967,470.26,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",125.4,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98968,470.26,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",203.78,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",99366,470.26,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",99368,470.26,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",99484,470.26,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0323",470.26,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0539",470.26,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0540",470.26,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0541",470.26,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0542",470.26,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0543",470.26,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",78.38,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0031",470.26,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0032",470.26,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0033",470.26,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0036",470.26,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2000",470.26,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2011",470.26,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2017",470.26,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2019",470.26,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2021",470.26,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1013",470.26,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1017",470.26,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",120.58,"2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2024",470.26,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90785,1806.94,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90791,1806.94,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90792,1806.94,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90832,1806.94,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90832,1806.94,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",906.48,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90833,1806.94,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90833,1806.94,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",906.48,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90834,1806.94,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90834,1806.94,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",1358.22,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90836,1806.94,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90836,1806.94,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1358.22,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90837,1806.94,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90837,1806.94,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",1809.95,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90838,1806.94,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90838,1806.94,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1809.95,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90839,1806.94,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90840,1806.94,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90845,1806.94,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90847,1806.94,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",1505.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90849,1806.94,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",562.16,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90853,1806.94,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",334.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90865,1806.94,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2710.41,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90867,1806.94,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90868,1806.94,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90869,1806.94,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90870,1806.94,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",602.30999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90880,1806.94,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90885,1806.94,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90887,1806.94,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",1505.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96105,1806.94,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96110,1806.94,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96112,1806.94,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96113,1806.94,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96116,1806.94,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96121,1806.94,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96125,1806.94,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96127,1806.94,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96130,1806.94,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96131,1806.94,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96132,1806.94,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96133,1806.94,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96136,1806.94,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96137,1806.94,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96146,1806.94,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96161,1806.94,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96202,1806.94,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",401.54,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96203,1806.94,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",100.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96365,1806.94,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",1385.32,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96366,1806.94,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96367,1806.94,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",933.59,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96368,1806.94,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96369,1806.94,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",1144.4000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96370,1806.94,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96371,1806.94,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96372,1806.94,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96373,1806.94,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96374,1806.94,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96375,1806.94,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96376,1806.94,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96377,1806.94,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97550,1806.94,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",692.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97551,1806.94,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97552,1806.94,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",301.16000000000003,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99202,1806.94,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",662.54,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99203,1806.94,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1114.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99204,1806.94,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1566.01,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99205,1806.94,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",2017.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99212,1806.94,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99213,1806.94,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",752.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99214,1806.94,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1054.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99215,1806.94,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1415.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99221,1806.94,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1415.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99222,1806.94,65,"N/A","Therapy","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.","N/A",1957.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99223,1806.94,82,"N/A","Therapy","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.","N/A",2469.48,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99231,1806.94,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99232,1806.94,42,"N/A","Therapy","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.","N/A",1264.8599999999999,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99233,1806.94,57,"N/A","Therapy","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.","N/A",1716.59,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99234,1806.94,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1716.59,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99235,1806.94,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",2318.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99236,1806.94,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",2770.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99238,1806.94,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99239,1806.94,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99242,1806.94,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",752.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99243,1806.94,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1054.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99244,1806.94,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1415.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99245,1806.94,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",1867.17,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99252,1806.94,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1204.6300000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99253,1806.94,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1566.01,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99254,1806.94,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",2108.1,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99255,1806.94,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",2620.06,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99304,1806.94,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99305,1806.94,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1264.8599999999999,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99306,1806.94,57,"N/A","Therapy","Initial nursing facility 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.","N/A",1716.59,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99307,1806.94,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99308,1806.94,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",752.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99309,1806.94,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",1114.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99310,1806.94,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",1566.01,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99341,1806.94,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",662.54,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99342,1806.94,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1355.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99344,1806.94,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",2017.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99345,1806.94,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",2469.48,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99347,1806.94,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",752.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99348,1806.94,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1054.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99349,1806.94,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1505.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99350,1806.94,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",2017.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99367,1806.94,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99415,1806.94,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99416,1806.94,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",903.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99417,1806.94,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99418,1806.94,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99441,1806.94,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",240.93,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99442,1806.94,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",481.85,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99443,1806.94,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",783.01,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99451,1806.94,18,"N/A","Referral & Linkage","Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time (5-30 minutes)","N/A",542.08000000000004,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99484,1806.94,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",1806.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0316",1806.94,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0539",1806.94,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",692.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0540",1806.94,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0541",1806.94,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",692.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0542",1806.94,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0543",1806.94,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",301.16000000000003,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0033",1806.94,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0034",1806.94,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0034",1806.94,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",100.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0036",1806.94,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2000",1806.94,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2011",1806.94,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2017",1806.94,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2017",1806.94,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",100.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2019",1806.94,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2021",1806.94,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1013",1806.94,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1017",1806.94,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",100.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",454.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2024",1806.94,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",451.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",90785,330.54,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96138,330.54,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, first 30 minutes","N/A",165.27,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96139,330.54,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, each additional 30 minutes","N/A",165.27,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96202,330.54,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",73.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96203,330.54,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",18.36,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96365,330.54,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",253.41,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96366,330.54,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",247.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96367,330.54,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",170.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96368,330.54,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96369,330.54,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",209.34,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96370,330.54,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",247.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96371,330.54,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96372,330.54,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96373,330.54,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96374,330.54,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96375,330.54,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96376,330.54,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96377,330.54,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97550,330.54,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",126.71,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97551,330.54,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97552,330.54,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",55.09,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",99484,330.54,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",330.54,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0539",330.54,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",126.71,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0540",330.54,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0541",330.54,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",126.71,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0542",330.54,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0543",330.54,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",55.09,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0031",330.54,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0032",330.54,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0033",330.54,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0034",330.54,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0034",330.54,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",18.36,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2000",330.54,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2011",330.54,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2017",330.54,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2017",330.54,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",18.36,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2019",330.54,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2021",330.54,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1001",330.54,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1013",330.54,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1017",330.54,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",82.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",90785,385.57,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96161,385.57,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96202,385.57,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",85.68,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96203,385.57,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",21.42,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96365,385.57,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",295.60000000000002,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96366,385.57,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",289.18,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96367,385.57,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",199.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96368,385.57,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96369,385.57,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",244.19,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96370,385.57,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",289.18,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96371,385.57,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96372,385.57,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96373,385.57,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96374,385.57,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96375,385.57,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96376,385.57,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96377,385.57,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97550,385.57,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",147.80000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97551,385.57,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97552,385.57,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",64.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",99484,385.57,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",385.57,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0539",385.57,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",147.80000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0540",385.57,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0541",385.57,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",147.80000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0542",385.57,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0543",385.57,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",64.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0031",385.57,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0032",385.57,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0033",385.57,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0034",385.57,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0034",385.57,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",21.42,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2000",385.57,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2011",385.57,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2017",385.57,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2017",385.57,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",21.42,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2019",385.57,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2021",385.57,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1001",385.57,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1013",385.57,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1017",385.57,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",96.39,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",90785,265.05,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96110,265.05,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",265.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96127,265.05,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",265.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96161,265.05,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96369,265.05,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",167.87,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96370,265.05,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",198.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96371,265.05,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96372,265.05,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",99366,265.05,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",265.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",99368,265.05,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",265.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",99484,265.05,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",265.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0034",265.05,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0034",265.05,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",14.73,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2000",265.05,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2017",265.05,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2017",265.05,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",14.73,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2019",265.05,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2021",265.05,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T1013",265.05,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T1017",265.05,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T2024",265.05,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",66.260000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist",90785,353.81,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H0031",353.81,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H0032",353.81,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H0033",353.81,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H0034",353.81,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H0034",353.81,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",19.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2000",353.81,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2011",353.81,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2017",353.81,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2017",353.81,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",19.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2019",353.81,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","H2021",353.81,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","T1013",353.81,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Mental Health Rehabilitation Specialist","T1017",353.81,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90785,470.26,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90791,470.26,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90832,470.26,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",235.13,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90832,470.26,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",238.14,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90834,470.26,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",352.7,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90834,470.26,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",355.71,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90837,470.26,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90837,470.26,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",473.27,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90839,470.26,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90840,470.26,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",235.13,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90845,470.26,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",352.7,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90847,470.26,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",391.88,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90849,470.26,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",146.30000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90853,470.26,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",87.09,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90880,470.26,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90885,470.26,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90887,470.26,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",391.88,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96110,470.26,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96116,470.26,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96121,470.26,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96127,470.26,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96161,470.26,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96202,470.26,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",104.5,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96203,470.26,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97550,470.26,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97551,470.26,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97552,470.26,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",78.38,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98966,470.26,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",62.7,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98967,470.26,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",125.4,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98968,470.26,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",203.78,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",99366,470.26,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",99368,470.26,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",99484,470.26,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0323",470.26,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",470.26,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0539",470.26,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0540",470.26,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0541",470.26,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",180.27,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0542",470.26,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0543",470.26,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",78.38,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0031",470.26,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0032",470.26,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0033",470.26,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0036",470.26,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2000",470.26,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2011",470.26,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2017",470.26,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2019",470.26,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2021",470.26,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1013",470.26,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1017",470.26,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",26.13,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",120.58,"2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2024",470.26,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",117.57,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90785,898.55,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90791,898.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90792,898.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90832,898.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90832,898.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",452.29,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90833,898.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90833,898.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",452.29,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90834,898.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90834,898.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",676.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90836,898.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90836,898.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",676.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90837,898.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90837,898.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",901.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90838,898.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90838,898.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",901.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90839,898.55,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90840,898.55,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90845,898.55,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90847,898.55,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90849,898.55,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",279.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90853,898.55,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",166.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90865,898.55,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1347.83,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90867,898.55,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90868,898.55,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90869,898.55,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90870,898.55,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",299.52,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90880,898.55,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90885,898.55,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90887,898.55,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96105,898.55,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96110,898.55,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96112,898.55,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96113,898.55,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96116,898.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96121,898.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96125,898.55,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96127,898.55,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96130,898.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96131,898.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96132,898.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96133,898.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96136,898.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96137,898.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96146,898.55,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96161,898.55,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96202,898.55,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",199.68,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96203,898.55,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96365,898.55,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",688.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96366,898.55,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96367,898.55,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",464.25,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96368,898.55,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96369,898.55,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",569.08000000000004,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96370,898.55,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96371,898.55,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96372,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96373,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96374,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96375,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96376,898.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96377,898.55,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97550,898.55,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97551,898.55,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97552,898.55,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",149.76,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98966,898.55,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",119.81,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98967,898.55,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",239.61,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98968,898.55,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",389.37,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99202,898.55,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",329.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99203,898.55,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",554.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99204,898.55,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99205,898.55,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99212,898.55,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99213,898.55,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99214,898.55,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99215,898.55,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99221,898.55,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99222,898.55,65,"N/A","Therapy","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.","N/A",973.43,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99223,898.55,82,"N/A","Therapy","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.","N/A",1228.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99231,898.55,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99232,898.55,42,"N/A","Therapy","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.","N/A",628.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99233,898.55,57,"N/A","Therapy","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.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99234,898.55,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99235,898.55,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1153.1400000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99236,898.55,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1377.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99238,898.55,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99239,898.55,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99242,898.55,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99243,898.55,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99244,898.55,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",703.86,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99245,898.55,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",928.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99252,898.55,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",599.03,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99253,898.55,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99254,898.55,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1048.31,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99255,898.55,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1302.9000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99304,898.55,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99305,898.55,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",628.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99306,898.55,57,"N/A","Therapy","Initial nursing facility 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.","N/A",853.62,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99307,898.55,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99308,898.55,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99309,898.55,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",554.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99310,898.55,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",778.74,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99341,898.55,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",329.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99342,898.55,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",673.91,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99344,898.55,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99345,898.55,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1228.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99347,898.55,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",374.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99348,898.55,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",524.15,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99349,898.55,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",748.79,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99350,898.55,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",1003.38,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99366,898.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99368,898.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99415,898.55,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99416,898.55,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",449.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99417,898.55,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99418,898.55,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99441,898.55,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",119.81,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99442,898.55,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",239.61,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99443,898.55,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",389.37,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99484,898.55,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",898.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0316",898.55,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0539",898.55,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0540",898.55,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0541",898.55,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",344.44,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0542",898.55,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0543",898.55,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",149.76,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0031",898.55,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0032",898.55,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0033",898.55,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0034",898.55,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0034",898.55,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0036",898.55,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2000",898.55,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2011",898.55,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2017",898.55,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2017",898.55,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2019",898.55,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2021",898.55,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1001",898.55,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1013",898.55,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1017",898.55,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",49.92,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",227.65,"2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2024",898.55,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",224.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90785,625.99,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90887,625.99,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",521.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96110,625.99,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96112,625.99,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96113,625.99,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",313,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96125,625.99,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96127,625.99,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96161,625.99,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96202,625.99,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",139.11000000000001,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96203,625.99,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",34.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97550,625.99,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",239.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97551,625.99,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97552,625.99,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",104.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",99366,625.99,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",99368,625.99,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",625.99,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0539",625.99,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",239.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0540",625.99,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0541",625.99,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",239.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0542",625.99,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0543",625.99,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",104.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0031",625.99,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0032",625.99,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0033",625.99,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2000",625.99,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2011",625.99,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2017",625.99,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2017",625.99,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",34.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2019",625.99,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2021",625.99,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T1013",625.99,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T1017",625.99,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T2024",625.99,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",156.5,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner",90785,353.81,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0031",353.81,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0032",353.81,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0033",353.81,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0034",353.81,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0034",353.81,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",19.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2000",353.81,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2011",353.81,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2017",353.81,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2017",353.81,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",19.66,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2019",353.81,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2021",353.81,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","T1013",353.81,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","T1017",353.81,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",88.45,"2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","H0025",371.5,15,"N/A","Peer Support","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes ","N/A",20.64,"2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","H0038",371.5,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",92.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","T1013",371.5,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90785,810.4,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90791,810.4,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90792,810.4,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90832,810.4,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90832,810.4,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",408.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90833,810.4,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90833,810.4,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",408.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90834,810.4,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90834,810.4,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",610.80999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90836,810.4,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90836,810.4,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",610.80999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90837,810.4,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90837,810.4,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",813.41,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90838,810.4,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90838,810.4,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",813.41,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90839,810.4,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90840,810.4,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90845,810.4,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90847,810.4,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",675.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90849,810.4,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",252.12,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90853,810.4,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90865,810.4,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1215.5999999999999,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90867,810.4,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90868,810.4,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90869,810.4,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90870,810.4,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",270.13,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90880,810.4,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90885,810.4,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90887,810.4,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",675.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96105,810.4,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96110,810.4,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96112,810.4,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96113,810.4,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96116,810.4,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96121,810.4,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96125,810.4,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96127,810.4,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96130,810.4,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96131,810.4,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96132,810.4,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96133,810.4,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96136,810.4,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96137,810.4,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96146,810.4,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96161,810.4,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96202,810.4,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",180.09,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96203,810.4,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",45.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96365,810.4,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",621.30999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96366,810.4,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96367,810.4,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",418.71,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96368,810.4,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96369,810.4,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",513.25,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96370,810.4,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96371,810.4,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96372,810.4,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96373,810.4,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96374,810.4,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96375,810.4,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96376,810.4,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96377,810.4,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97550,810.4,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",310.64999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97551,810.4,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97552,810.4,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",135.07,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98966,810.4,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",108.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98967,810.4,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",216.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98968,810.4,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",351.17,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99202,810.4,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",297.14999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99203,810.4,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",499.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99204,810.4,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",702.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99205,810.4,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",904.95,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99212,810.4,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99213,810.4,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",337.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99214,810.4,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",472.73,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99215,810.4,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",634.80999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99221,810.4,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",634.80999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99222,810.4,65,"N/A","Therapy","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.","N/A",877.93,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99223,810.4,82,"N/A","Therapy","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.","N/A",1107.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99231,810.4,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99232,810.4,42,"N/A","Therapy","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.","N/A",567.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99233,810.4,57,"N/A","Therapy","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.","N/A",769.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99234,810.4,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",769.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99235,810.4,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1040.01,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99236,810.4,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1242.6099999999999,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99238,810.4,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99239,810.4,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99242,810.4,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",337.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99243,810.4,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",472.73,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99244,810.4,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",634.80999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99245,810.4,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",837.41,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99252,810.4,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",540.27,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99253,810.4,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",702.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99254,810.4,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",945.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99255,810.4,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1175.08,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99304,810.4,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99305,810.4,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",567.28,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99306,810.4,57,"N/A","Therapy","Initial nursing facility 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.","N/A",769.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99307,810.4,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99308,810.4,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",337.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99309,810.4,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",499.75,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99310,810.4,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",702.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99341,810.4,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",297.14999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99342,810.4,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",607.79999999999995,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99344,810.4,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",904.95,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99345,810.4,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1107.55,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99347,810.4,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",337.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99348,810.4,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",472.73,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99349,810.4,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",675.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99350,810.4,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",904.95,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99366,810.4,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99368,810.4,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99415,810.4,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99416,810.4,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",405.2,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99417,810.4,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99418,810.4,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99441,810.4,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",108.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99442,810.4,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",216.11,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99443,810.4,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",351.17,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99484,810.4,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",810.4,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0316",810.4,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0539",810.4,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",310.64999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0540",810.4,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0541",810.4,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",310.64999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0542",810.4,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0543",810.4,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",135.07,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0031",810.4,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0032",810.4,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0033",810.4,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0034",810.4,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0034",810.4,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",45.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0036",810.4,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2000",810.4,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2011",810.4,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2017",810.4,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2017",810.4,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",45.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2019",810.4,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2021",810.4,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1013",810.4,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1017",810.4,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",45.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",205.61,"2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2024",810.4,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",202.6,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90785,726.69,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90791,726.69,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90832,726.69,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",363.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90832,726.69,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",366.36,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90834,726.69,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",545.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90834,726.69,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",548.03,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90837,726.69,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90837,726.69,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",729.7,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90839,726.69,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90840,726.69,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",363.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90845,726.69,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",545.02,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90847,726.69,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",605.58000000000004,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90849,726.69,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",226.08,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90853,726.69,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",134.57,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90880,726.69,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90885,726.69,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90887,726.69,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",605.58000000000004,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96105,726.69,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96110,726.69,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96112,726.69,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96113,726.69,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",363.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96116,726.69,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96121,726.69,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96125,726.69,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96127,726.69,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96130,726.69,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96131,726.69,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96132,726.69,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96133,726.69,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96136,726.69,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",363.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96137,726.69,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",363.35,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96146,726.69,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96161,726.69,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96202,726.69,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",161.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96203,726.69,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",40.369999999999997,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97550,726.69,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",278.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97551,726.69,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97552,726.69,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",121.12,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98966,726.69,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",96.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98967,726.69,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",193.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98968,726.69,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",314.89999999999998,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",99366,726.69,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",99368,726.69,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",99484,726.69,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0323",726.69,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",726.69,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0539",726.69,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",278.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0540",726.69,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0541",726.69,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",278.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0542",726.69,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0543",726.69,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",121.12,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0031",726.69,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0032",726.69,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0033",726.69,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0036",726.69,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2000",726.69,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2011",726.69,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2017",726.69,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2017",726.69,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",40.369999999999997,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2019",726.69,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2021",726.69,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1013",726.69,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1017",726.69,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",40.369999999999997,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",184.68,"2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2024",726.69,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",181.67,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90785,733.96,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90887,733.96,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",611.63,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96110,733.96,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96116,733.96,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96121,733.96,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96127,733.96,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96161,733.96,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96202,733.96,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",163.1,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96203,733.96,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",40.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96365,733.96,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",562.70000000000005,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96366,733.96,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",550.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96367,733.96,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",379.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96368,733.96,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96369,733.96,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",464.84,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96370,733.96,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",550.47,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96371,733.96,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96372,733.96,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96373,733.96,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96374,733.96,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96375,733.96,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96376,733.96,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96377,733.96,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97550,733.96,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",281.35000000000002,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97551,733.96,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97552,733.96,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",122.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99366,733.96,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99368,733.96,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99484,733.96,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",733.96,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0539",733.96,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",281.35000000000002,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0540",733.96,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0541",733.96,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",281.35000000000002,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0542",733.96,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0543",733.96,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",122.33,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0031",733.96,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0032",733.96,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0033",733.96,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0034",733.96,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0034",733.96,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",40.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2000",733.96,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2011",733.96,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2017",733.96,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2017",733.96,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",40.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2019",733.96,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2021",733.96,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1001",733.96,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1013",733.96,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1017",733.96,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T2024",733.96,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",183.49,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",90785,864.94,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",90887,864.94,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",720.78,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",96161,864.94,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",96202,864.94,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",192.21,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",96203,864.94,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",48.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97550,864.94,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",331.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97551,864.94,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97552,864.94,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",144.16,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99366,864.94,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",864.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99368,864.94,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",864.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99484,864.94,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",864.94,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99605,864.94,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99606,864.94,15,"N/A","Medication Support","\tMedication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99607,864.94,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0539",864.94,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",331.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0540",864.94,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0541",864.94,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",331.56,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0542",864.94,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0543",864.94,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",144.16,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0031",864.94,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0032",864.94,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0033",864.94,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0034",864.94,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0034",864.94,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",48.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2000",864.94,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2011",864.94,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2017",864.94,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2017",864.94,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",48.05,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2019",864.94,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2021",864.94,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","T1013",864.94,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","T1017",864.94,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",216.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor",90785,423.44,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H0031",423.44,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H0032",423.44,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H0033",423.44,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H0034",423.44,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H0034",423.44,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",23.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2000",423.44,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2011",423.44,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2017",423.44,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2017",423.44,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",23.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2019",423.44,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","H2021",423.44,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","T1013",423.44,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Certified AOD Counselor","T1017",423.44,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",105.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90785,975.43,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90791,975.43,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90792,975.43,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90832,975.43,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90832,975.43,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",490.73,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90833,975.43,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90833,975.43,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",490.73,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90834,975.43,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90834,975.43,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",734.58,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90836,975.43,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90836,975.43,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",734.58,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90837,975.43,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90837,975.43,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",978.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90838,975.43,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90838,975.43,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",978.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90839,975.43,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90840,975.43,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90845,975.43,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90847,975.43,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90849,975.43,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",303.47000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90853,975.43,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",180.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90865,975.43,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1463.15,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90867,975.43,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90868,975.43,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90869,975.43,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90870,975.43,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",325.14,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90880,975.43,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90885,975.43,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",90887,975.43,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96105,975.43,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96110,975.43,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96112,975.43,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96113,975.43,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96116,975.43,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96121,975.43,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96125,975.43,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96127,975.43,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96130,975.43,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96131,975.43,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96132,975.43,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96133,975.43,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96136,975.43,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96137,975.43,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96146,975.43,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96161,975.43,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96202,975.43,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",216.76,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96203,975.43,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96365,975.43,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",747.83,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96366,975.43,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96367,975.43,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",503.97,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96368,975.43,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96369,975.43,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",617.77,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96370,975.43,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96371,975.43,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96372,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96373,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96374,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96375,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96376,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",96377,975.43,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",97550,975.43,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",97551,975.43,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",97552,975.43,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",162.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",98966,975.43,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",130.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",98967,975.43,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",260.11,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",98968,975.43,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",422.69,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99202,975.43,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",357.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99203,975.43,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",601.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99204,975.43,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99205,975.43,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99212,975.43,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99213,975.43,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99214,975.43,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99215,975.43,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99221,975.43,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99222,975.43,65,"N/A","Therapy","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.","N/A",1056.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99223,975.43,82,"N/A","Therapy","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.","N/A",1333.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99231,975.43,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99232,975.43,42,"N/A","Therapy","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.","N/A",682.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99233,975.43,57,"N/A","Therapy","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.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99234,975.43,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99235,975.43,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1251.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99236,975.43,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1495.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99238,975.43,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99239,975.43,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99242,975.43,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99243,975.43,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99244,975.43,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99245,975.43,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",1007.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99252,975.43,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",650.29,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99253,975.43,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99254,975.43,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1138,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99255,975.43,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1414.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99304,975.43,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99305,975.43,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",682.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99306,975.43,57,"N/A","Therapy","Initial nursing facility 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.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99307,975.43,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99308,975.43,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99309,975.43,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",601.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99310,975.43,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99341,975.43,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",357.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99342,975.43,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99344,975.43,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99345,975.43,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1333.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99347,975.43,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99348,975.43,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99349,975.43,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99350,975.43,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99366,975.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99368,975.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99415,975.43,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99416,975.43,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99417,975.43,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99418,975.43,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99441,975.43,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",130.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99442,975.43,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",260.11,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99443,975.43,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",422.69,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist",99484,975.43,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0316",975.43,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0539",975.43,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0540",975.43,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0541",975.43,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0542",975.43,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","G0543",975.43,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",162.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0031",975.43,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0032",975.43,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0033",975.43,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0034",975.43,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0034",975.43,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H0036",975.43,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2000",975.43,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2011",975.43,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2017",975.43,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2017",975.43,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2019",975.43,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","H2021",975.43,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T1001",975.43,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T1013",975.43,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T1017",975.43,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T2021",975.43,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T2021",975.43,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T2021",975.43,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",246.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Clinical Nurse Specialist","T2024",975.43,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Community Health Worker",98960,393.68,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient","N/A",196.84,"2025-07-01","2026-06-30"]
[2,"Alpine","Community Health Worker",98961,393.68,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 2-4 patients","N/A",65.61,"2025-07-01","2026-06-30"]
[2,"Alpine","Community Health Worker",98962,393.68,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",30.28,"2025-07-01","2026-06-30"]
[2,"Alpine","Community Health Worker","G0019",393.68,60,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors.","N/A",393.68,"2025-07-01","2026-06-30"]
[2,"Alpine","Community Health Worker","G0022",393.68,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",196.84,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90785,510.5,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90791,510.5,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90832,510.5,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",255.25,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90832,510.5,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",258.26,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90834,510.5,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",382.88,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90834,510.5,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",385.89,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90837,510.5,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90837,510.5,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",513.51,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90839,510.5,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90840,510.5,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",255.25,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90845,510.5,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",382.88,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90847,510.5,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",425.42,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90849,510.5,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",158.82,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90853,510.5,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",94.54,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90880,510.5,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90885,510.5,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",90887,510.5,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",425.42,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96110,510.5,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96116,510.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96121,510.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96127,510.5,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96161,510.5,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96202,510.5,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",113.44,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",96203,510.5,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",97550,510.5,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",97551,510.5,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",97552,510.5,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",85.08,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",98966,510.5,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",68.069999999999993,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",98967,510.5,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",136.13,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",98968,510.5,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",221.22,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",99366,510.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",99368,510.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)",99484,510.5,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0323",510.5,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0539",510.5,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0540",510.5,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0541",510.5,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0542",510.5,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","G0543",510.5,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",85.08,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H0031",510.5,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H0032",510.5,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H0033",510.5,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H0036",510.5,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2000",510.5,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2011",510.5,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2017",510.5,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2017",510.5,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2019",510.5,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","H2021",510.5,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T1013",510.5,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T1017",510.5,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T2021",510.5,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T2021",510.5,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T2021",510.5,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",130.63999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","LCSW (Licensed, Waivered or Registered)","T2024",510.5,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90785,1961.55,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90791,1961.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90792,1961.55,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90832,1961.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90832,1961.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",983.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90833,1961.55,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90833,1961.55,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",983.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90834,1961.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90834,1961.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",1474.17,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90836,1961.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90836,1961.55,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1474.17,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90837,1961.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90837,1961.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",1964.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90838,1961.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90838,1961.55,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1964.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90839,1961.55,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90840,1961.55,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90845,1961.55,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90847,1961.55,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",1634.63,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90849,1961.55,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",610.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90853,1961.55,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",363.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90865,1961.55,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2942.33,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90867,1961.55,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90868,1961.55,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90869,1961.55,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90870,1961.55,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",653.85,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90880,1961.55,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90885,1961.55,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",90887,1961.55,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",1634.63,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96105,1961.55,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96110,1961.55,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96112,1961.55,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96113,1961.55,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96116,1961.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96121,1961.55,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96125,1961.55,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96127,1961.55,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96130,1961.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96131,1961.55,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96132,1961.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96133,1961.55,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96136,1961.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96137,1961.55,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96146,1961.55,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96161,1961.55,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96202,1961.55,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",435.9,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96203,1961.55,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",108.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96365,1961.55,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",1503.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96366,1961.55,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96367,1961.55,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",1013.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96368,1961.55,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96369,1961.55,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",1242.32,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96370,1961.55,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96371,1961.55,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96372,1961.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96373,1961.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96374,1961.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96375,1961.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96376,1961.55,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",96377,1961.55,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",97550,1961.55,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",751.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",97551,1961.55,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",97552,1961.55,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",326.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99202,1961.55,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",719.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99203,1961.55,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1209.6199999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99204,1961.55,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1700.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99205,1961.55,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",2190.4,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99212,1961.55,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99213,1961.55,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",817.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99214,1961.55,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1144.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99215,1961.55,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1536.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99221,1961.55,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1536.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99222,1961.55,65,"N/A","Therapy","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.","N/A",2125.0100000000002,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99223,1961.55,82,"N/A","Therapy","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.","N/A",2680.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99231,1961.55,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99232,1961.55,42,"N/A","Therapy","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.","N/A",1373.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99233,1961.55,57,"N/A","Therapy","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.","N/A",1863.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99234,1961.55,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1863.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99235,1961.55,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",2517.3200000000002,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99236,1961.55,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",3007.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99238,1961.55,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99239,1961.55,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99242,1961.55,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",817.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99243,1961.55,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1144.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99244,1961.55,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1536.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99245,1961.55,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",2026.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99252,1961.55,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1307.7,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99253,1961.55,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1700.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99254,1961.55,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",2288.48,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99255,1961.55,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",2844.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99304,1961.55,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99305,1961.55,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1373.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99306,1961.55,57,"N/A","Therapy","Initial nursing facility 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.","N/A",1863.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99307,1961.55,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99308,1961.55,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",817.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99309,1961.55,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",1209.6199999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99310,1961.55,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",1700.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99341,1961.55,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",719.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99342,1961.55,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1471.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99344,1961.55,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",2190.4,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99345,1961.55,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",2680.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99347,1961.55,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",817.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99348,1961.55,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1144.24,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99349,1961.55,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1634.63,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99350,1961.55,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",2190.4,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99367,1961.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99415,1961.55,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99416,1961.55,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",980.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99417,1961.55,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99418,1961.55,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99441,1961.55,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",261.54000000000002,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99442,1961.55,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",523.08000000000004,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99443,1961.55,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",850.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99451,1961.55,18,"N/A","Referral & Linkage","Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time (5-30 minutes)","N/A",588.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician",99484,1961.55,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",1961.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0316",1961.55,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0539",1961.55,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",751.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0540",1961.55,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0541",1961.55,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",751.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0542",1961.55,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","G0543",1961.55,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",326.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H0033",1961.55,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H0034",1961.55,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H0034",1961.55,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",108.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H0036",1961.55,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2000",1961.55,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2011",1961.55,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2017",1961.55,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2017",1961.55,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",108.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2019",1961.55,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","H2021",1961.55,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T1013",1961.55,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T1017",1961.55,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T2021",1961.55,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T2021",1961.55,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",108.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T2021",1961.55,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",493.4,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Physician","T2024",1961.55,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",490.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",90785,358.82,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96138,358.82,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, first 30 minutes","N/A",179.41,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96139,358.82,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, each additional 30 minutes","N/A",179.41,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96202,358.82,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",79.739999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96203,358.82,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",19.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96365,358.82,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",275.10000000000002,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96366,358.82,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",269.12,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96367,358.82,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",185.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96368,358.82,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96369,358.82,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",227.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96370,358.82,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",269.12,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96371,358.82,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96372,358.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96373,358.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96374,358.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96375,358.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96376,358.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",96377,358.82,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",97550,358.82,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",137.55000000000001,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",97551,358.82,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",97552,358.82,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",59.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician",99484,358.82,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",358.82,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","G0539",358.82,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",137.55000000000001,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","G0540",358.82,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","G0541",358.82,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",137.55000000000001,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","G0542",358.82,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","G0543",358.82,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",59.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H0031",358.82,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H0032",358.82,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H0033",358.82,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H0034",358.82,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H0034",358.82,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",19.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2000",358.82,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2011",358.82,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2017",358.82,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2017",358.82,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",19.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2019",358.82,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","H2021",358.82,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","T1001",358.82,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","T1013",358.82,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Psychiatric Technician","T1017",358.82,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",89.71,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",90785,418.56,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96161,418.56,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96202,418.56,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",93.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96203,418.56,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",23.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96365,418.56,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",320.89999999999998,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96366,418.56,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",313.92,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96367,418.56,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",216.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96368,418.56,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96369,418.56,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",265.08999999999997,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96370,418.56,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",313.92,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96371,418.56,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96372,418.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96373,418.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96374,418.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96375,418.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96376,418.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",96377,418.56,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",97550,418.56,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",160.44999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",97551,418.56,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",97552,418.56,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",69.760000000000005,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse",99484,418.56,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",418.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","G0539",418.56,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",160.44999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","G0540",418.56,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","G0541",418.56,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",160.44999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","G0542",418.56,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","G0543",418.56,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",69.760000000000005,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H0031",418.56,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H0032",418.56,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H0033",418.56,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H0034",418.56,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H0034",418.56,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",23.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2000",418.56,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2011",418.56,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2017",418.56,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2017",418.56,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",23.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2019",418.56,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","H2021",418.56,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","T1001",418.56,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","T1013",418.56,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Licensed Vocational Nurse","T1017",418.56,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",104.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",90785,287.72000000000003,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96110,287.72000000000003,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",287.72000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96127,287.72000000000003,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",287.72000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96161,287.72000000000003,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96369,287.72000000000003,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",182.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96370,287.72000000000003,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",215.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96371,287.72000000000003,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",96372,287.72000000000003,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",99366,287.72000000000003,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",287.72000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",99368,287.72000000000003,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",287.72000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant",99484,287.72000000000003,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",287.72000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H0034",287.72000000000003,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H0034",287.72000000000003,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",15.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H2000",287.72000000000003,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H2017",287.72000000000003,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H2017",287.72000000000003,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",15.98,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H2019",287.72000000000003,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","H2021",287.72000000000003,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","T1013",287.72000000000003,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","T1017",287.72000000000003,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Medical Assistant","T2024",287.72000000000003,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",71.930000000000007,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist",90785,384.08,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H0031",384.08,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H0032",384.08,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H0033",384.08,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H0034",384.08,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H0034",384.08,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",21.34,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2000",384.08,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2011",384.08,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2017",384.08,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2017",384.08,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",21.34,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2019",384.08,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","H2021",384.08,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","T1013",384.08,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Mental Health Rehabilitation Specialist","T1017",384.08,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90785,510.5,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90791,510.5,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90832,510.5,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",255.25,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90832,510.5,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",258.26,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90834,510.5,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",382.88,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90834,510.5,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",385.89,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90837,510.5,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90837,510.5,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",513.51,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90839,510.5,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90840,510.5,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",255.25,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90845,510.5,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",382.88,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90847,510.5,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",425.42,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90849,510.5,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",158.82,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90853,510.5,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",94.54,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90880,510.5,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90885,510.5,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",90887,510.5,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",425.42,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96110,510.5,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96116,510.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96121,510.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96127,510.5,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96161,510.5,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96202,510.5,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",113.44,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",96203,510.5,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",97550,510.5,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",97551,510.5,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",97552,510.5,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",85.08,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",98966,510.5,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",68.069999999999993,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",98967,510.5,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",136.13,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",98968,510.5,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",221.22,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",99366,510.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",99368,510.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)",99484,510.5,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0323",510.5,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",510.5,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0539",510.5,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0540",510.5,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0541",510.5,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",195.69,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0542",510.5,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","G0543",510.5,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",85.08,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H0031",510.5,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H0032",510.5,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H0033",510.5,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H0036",510.5,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2000",510.5,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2011",510.5,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2017",510.5,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2017",510.5,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2019",510.5,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","H2021",510.5,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T1013",510.5,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T1017",510.5,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T2021",510.5,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T2021",510.5,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",28.36,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T2021",510.5,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",130.63999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","MFT/LPCC (Licensed, Waivered or Registered)","T2024",510.5,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90785,975.43,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90791,975.43,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90792,975.43,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90832,975.43,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90832,975.43,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",490.73,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90833,975.43,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90833,975.43,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",490.73,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90834,975.43,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90834,975.43,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",734.58,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90836,975.43,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90836,975.43,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",734.58,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90837,975.43,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90837,975.43,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",978.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90838,975.43,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90838,975.43,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",978.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90839,975.43,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90840,975.43,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90845,975.43,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90847,975.43,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90849,975.43,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",303.47000000000003,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90853,975.43,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",180.64,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90865,975.43,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1463.15,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90867,975.43,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90868,975.43,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90869,975.43,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90870,975.43,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",325.14,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90880,975.43,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90885,975.43,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",90887,975.43,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96105,975.43,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96110,975.43,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96112,975.43,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96113,975.43,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96116,975.43,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96121,975.43,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96125,975.43,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96127,975.43,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96130,975.43,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96131,975.43,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96132,975.43,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96133,975.43,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96136,975.43,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96137,975.43,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96146,975.43,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96161,975.43,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96202,975.43,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",216.76,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96203,975.43,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96365,975.43,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",747.83,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96366,975.43,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96367,975.43,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",503.97,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96368,975.43,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96369,975.43,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",617.77,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96370,975.43,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96371,975.43,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96372,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96373,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96374,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96375,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96376,975.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",96377,975.43,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",97550,975.43,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",97551,975.43,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",97552,975.43,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",162.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",98966,975.43,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",130.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",98967,975.43,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",260.11,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",98968,975.43,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",422.69,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99202,975.43,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",357.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99203,975.43,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",601.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99204,975.43,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99205,975.43,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99212,975.43,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99213,975.43,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99214,975.43,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99215,975.43,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99221,975.43,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99222,975.43,65,"N/A","Therapy","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.","N/A",1056.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99223,975.43,82,"N/A","Therapy","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.","N/A",1333.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99231,975.43,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99232,975.43,42,"N/A","Therapy","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.","N/A",682.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99233,975.43,57,"N/A","Therapy","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.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99234,975.43,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99235,975.43,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1251.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99236,975.43,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1495.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99238,975.43,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99239,975.43,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99242,975.43,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99243,975.43,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99244,975.43,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",764.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99245,975.43,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",1007.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99252,975.43,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",650.29,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99253,975.43,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99254,975.43,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1138,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99255,975.43,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1414.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99304,975.43,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99305,975.43,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",682.8,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99306,975.43,57,"N/A","Therapy","Initial nursing facility 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.","N/A",926.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99307,975.43,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99308,975.43,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99309,975.43,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",601.52,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99310,975.43,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",845.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99341,975.43,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",357.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99342,975.43,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",731.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99344,975.43,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99345,975.43,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1333.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99347,975.43,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",406.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99348,975.43,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",569,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99349,975.43,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",812.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99350,975.43,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",1089.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99366,975.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99368,975.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99415,975.43,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99416,975.43,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",487.72,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99417,975.43,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99418,975.43,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99441,975.43,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",130.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99442,975.43,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",260.11,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99443,975.43,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",422.69,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner",99484,975.43,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",975.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0316",975.43,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0539",975.43,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0540",975.43,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0541",975.43,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",373.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0542",975.43,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","G0543",975.43,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",162.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0031",975.43,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0032",975.43,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0033",975.43,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0034",975.43,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0034",975.43,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H0036",975.43,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2000",975.43,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2011",975.43,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2017",975.43,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2017",975.43,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2019",975.43,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","H2021",975.43,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T1001",975.43,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T1013",975.43,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T1017",975.43,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T2021",975.43,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T2021",975.43,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",54.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T2021",975.43,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",246.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Nurse Practitioner","T2024",975.43,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",243.86,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",90785,679.55,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",90887,679.55,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",566.29,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96110,679.55,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96112,679.55,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96113,679.55,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",339.78,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96125,679.55,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96127,679.55,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96161,679.55,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96202,679.55,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",151.01,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",96203,679.55,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",37.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",97550,679.55,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",260.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",97551,679.55,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",97552,679.55,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",113.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",99366,679.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist",99368,679.55,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",679.55,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","G0539",679.55,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",260.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","G0540",679.55,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","G0541",679.55,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",260.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","G0542",679.55,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","G0543",679.55,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",113.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H0031",679.55,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H0032",679.55,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H0033",679.55,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2000",679.55,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2011",679.55,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2017",679.55,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2017",679.55,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",37.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2019",679.55,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","H2021",679.55,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","T1013",679.55,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","T1017",679.55,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Occupational Therapist","T2024",679.55,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",169.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner",90785,384.08,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H0031",384.08,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H0032",384.08,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H0033",384.08,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H0034",384.08,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H0034",384.08,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",21.34,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2000",384.08,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2011",384.08,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2017",384.08,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2017",384.08,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",21.34,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2019",384.08,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","H2021",384.08,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","T1013",384.08,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Other Qualified Practitioner","T1017",384.08,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",96.02,"2025-07-01","2026-06-30"]
[2,"Alpine","Peer Support Specialists","H0025",403.28,15,"N/A","Peer Support","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes ","N/A",22.4,"2025-07-01","2026-06-30"]
[2,"Alpine","Peer Support Specialists","H0038",403.28,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",100.82,"2025-07-01","2026-06-30"]
[2,"Alpine","Peer Support Specialists","T1013",403.28,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90785,879.74,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90791,879.74,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90792,879.74,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90832,879.74,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90832,879.74,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",442.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90833,879.74,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90833,879.74,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",442.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90834,879.74,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90834,879.74,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",662.82,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90836,879.74,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90836,879.74,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",662.82,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90837,879.74,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90837,879.74,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",882.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90838,879.74,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90838,879.74,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",882.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90839,879.74,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90840,879.74,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90845,879.74,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90847,879.74,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",733.12,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90849,879.74,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",273.7,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90853,879.74,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",162.91,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90865,879.74,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1319.61,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90867,879.74,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90868,879.74,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90869,879.74,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90870,879.74,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",293.25,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90880,879.74,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90885,879.74,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",90887,879.74,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",733.12,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96105,879.74,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96110,879.74,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96112,879.74,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96113,879.74,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96116,879.74,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96121,879.74,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96125,879.74,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96127,879.74,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96130,879.74,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96131,879.74,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96132,879.74,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96133,879.74,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96136,879.74,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96137,879.74,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96146,879.74,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96161,879.74,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96202,879.74,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",195.5,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96203,879.74,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",48.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96365,879.74,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",674.47,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96366,879.74,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96367,879.74,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",454.53,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96368,879.74,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96369,879.74,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",557.16999999999996,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96370,879.74,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96371,879.74,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96372,879.74,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96373,879.74,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96374,879.74,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96375,879.74,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96376,879.74,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",96377,879.74,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",97550,879.74,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",337.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",97551,879.74,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",97552,879.74,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",146.62,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",98966,879.74,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",117.3,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",98967,879.74,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",234.6,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",98968,879.74,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",381.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99202,879.74,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",322.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99203,879.74,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",542.51,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99204,879.74,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",762.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99205,879.74,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",982.38,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99212,879.74,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99213,879.74,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",366.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99214,879.74,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",513.17999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99215,879.74,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",689.13,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99221,879.74,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",689.13,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99222,879.74,65,"N/A","Therapy","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.","N/A",953.05,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99223,879.74,82,"N/A","Therapy","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.","N/A",1202.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99231,879.74,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99232,879.74,42,"N/A","Therapy","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.","N/A",615.82000000000005,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99233,879.74,57,"N/A","Therapy","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.","N/A",835.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99234,879.74,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",835.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99235,879.74,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1129,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99236,879.74,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1348.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99238,879.74,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99239,879.74,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99242,879.74,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",366.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99243,879.74,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",513.17999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99244,879.74,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",689.13,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99245,879.74,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",909.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99252,879.74,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",586.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99253,879.74,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",762.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99254,879.74,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1026.3599999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99255,879.74,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1275.6199999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99304,879.74,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99305,879.74,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",615.82000000000005,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99306,879.74,57,"N/A","Therapy","Initial nursing facility 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.","N/A",835.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99307,879.74,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99308,879.74,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",366.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99309,879.74,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",542.51,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99310,879.74,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",762.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99341,879.74,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",322.57,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99342,879.74,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",659.81,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99344,879.74,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",982.38,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99345,879.74,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1202.31,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99347,879.74,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",366.56,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99348,879.74,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",513.17999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99349,879.74,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",733.12,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99350,879.74,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",982.38,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99366,879.74,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99368,879.74,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99415,879.74,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99416,879.74,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",439.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99417,879.74,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99418,879.74,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99441,879.74,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",117.3,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99442,879.74,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",234.6,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99443,879.74,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",381.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant",99484,879.74,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",879.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0316",879.74,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0539",879.74,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",337.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0540",879.74,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0541",879.74,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",337.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0542",879.74,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","G0543",879.74,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",146.62,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0031",879.74,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0032",879.74,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0033",879.74,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0034",879.74,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0034",879.74,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",48.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H0036",879.74,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2000",879.74,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2011",879.74,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2017",879.74,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2017",879.74,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",48.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2019",879.74,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","H2021",879.74,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T1013",879.74,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T1017",879.74,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T2021",879.74,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T2021",879.74,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",48.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T2021",879.74,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",222.95,"2025-07-01","2026-06-30"]
[2,"Alpine","Physician Assistant","T2024",879.74,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",219.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90785,788.87,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90791,788.87,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90832,788.87,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",394.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90832,788.87,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",397.45,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90834,788.87,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",591.65,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90834,788.87,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",594.66,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90837,788.87,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90837,788.87,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",791.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90839,788.87,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90840,788.87,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",394.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90845,788.87,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",591.65,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90847,788.87,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",657.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90849,788.87,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",245.43,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90853,788.87,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",146.09,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90880,788.87,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90885,788.87,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",90887,788.87,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",657.39,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96105,788.87,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96110,788.87,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96112,788.87,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96113,788.87,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",394.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96116,788.87,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96121,788.87,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96125,788.87,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96127,788.87,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96130,788.87,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96131,788.87,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96132,788.87,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96133,788.87,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96136,788.87,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",394.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96137,788.87,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",394.44,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96146,788.87,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96161,788.87,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96202,788.87,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",175.3,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",96203,788.87,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",43.83,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",97550,788.87,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",302.39999999999998,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",97551,788.87,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",97552,788.87,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",131.47999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",98966,788.87,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",105.18,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",98967,788.87,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",210.37,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",98968,788.87,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",341.84,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",99366,788.87,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",99368,788.87,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)",99484,788.87,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0323",788.87,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",788.87,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0539",788.87,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",302.39999999999998,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0540",788.87,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0541",788.87,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",302.39999999999998,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0542",788.87,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","G0543",788.87,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",131.47999999999999,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H0031",788.87,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H0032",788.87,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H0033",788.87,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H0036",788.87,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2000",788.87,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2011",788.87,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2017",788.87,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2017",788.87,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",43.83,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2019",788.87,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","H2021",788.87,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T1013",788.87,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T1017",788.87,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T2021",788.87,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T2021",788.87,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",43.83,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T2021",788.87,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",200.23,"2025-07-01","2026-06-30"]
[2,"Alpine","Psychologist (Licensed or Waivered)","T2024",788.87,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",197.22,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",90785,796.75,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",90887,796.75,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",663.96,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96110,796.75,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96116,796.75,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96121,796.75,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96127,796.75,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96161,796.75,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96202,796.75,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",177.06,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96203,796.75,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",44.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96365,796.75,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",610.84,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96366,796.75,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",597.55999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96367,796.75,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",411.65,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96368,796.75,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96369,796.75,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",504.61,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96370,796.75,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",597.55999999999995,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96371,796.75,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96372,796.75,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96373,796.75,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96374,796.75,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96375,796.75,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96376,796.75,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",96377,796.75,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",97550,796.75,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",305.42,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",97551,796.75,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",97552,796.75,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",132.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",99366,796.75,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",99368,796.75,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse",99484,796.75,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",796.75,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","G0539",796.75,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",305.42,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","G0540",796.75,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","G0541",796.75,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",305.42,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","G0542",796.75,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","G0543",796.75,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",132.79,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H0031",796.75,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H0032",796.75,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H0033",796.75,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H0034",796.75,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H0034",796.75,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",44.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2000",796.75,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2011",796.75,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2017",796.75,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2017",796.75,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",44.26,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2019",796.75,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","H2021",796.75,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","T1001",796.75,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","T1013",796.75,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","T1017",796.75,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Nurse","T2024",796.75,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",199.19,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",90785,938.94,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",90887,938.94,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",782.45,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",96161,938.94,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",96202,938.94,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",208.65,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",96203,938.94,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",52.16,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",97550,938.94,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",359.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",97551,938.94,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",97552,938.94,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",156.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99366,938.94,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",938.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99368,938.94,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",938.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99484,938.94,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",938.94,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99605,938.94,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99606,938.94,15,"N/A","Medication Support","\tMedication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist",99607,938.94,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","G0539",938.94,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",359.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","G0540",938.94,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","G0541",938.94,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",359.93,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","G0542",938.94,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","G0543",938.94,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",156.49,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","H0031",938.94,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[2,"Alpine","Registered Pharmacist","H2017",938.94,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",234.74,"2025-07-01","2026-06-30"]
[3,"Amador","Clinical Nurse Specialist",90868,853.68,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",213.42,"2025-07-01","2026-06-30"]
[3,"Amador","Clinical Nurse Specialist",96112,853.68,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",853.68,"2025-07-01","2026-06-30"]
[3,"Amador","Clinical Nurse Specialist",97551,853.68,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",213.42,"2025-07-01","2026-06-30"]
[3,"Amador","Clinical Nurse Specialist",99368,853.68,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",853.68,"2025-07-01","2026-06-30"]
[3,"Amador","Clinical Nurse Specialist","G0540",853.68,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",213.42,"2025-07-01","2026-06-30"]
[3,"Amador","Community Health Worker","G0022",260.10000000000002,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",130.05000000000001,"2025-07-01","2026-06-30"]
[3,"Amador","LCSW (Licensed, Waivered or Registered)","G0323",446.78,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",446.78,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Physician",90836,1295.97,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",971.98,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Physician",96110,1295.97,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",1295.97,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Physician",99212,1295.97,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",323.99,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Physician",99309,1295.97,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",799.18,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Physician",99345,1295.97,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1771.16,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Psychiatric Technician",96138,237.07,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, first 30 minutes","N/A",118.54,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Psychiatric Technician",96377,237.07,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",59.27,"2025-07-01","2026-06-30"]
[3,"Amador","Licensed Vocational Nurse",96372,276.52999999999997,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",69.13,"2025-07-01","2026-06-30"]
[3,"Amador","Medical Assistant",96110,251.81,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",251.81,"2025-07-01","2026-06-30"]
[3,"Amador","Mental Health Rehabilitation Specialist","H2021",253.75,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",63.44,"2025-07-01","2026-06-30"]
[3,"Amador","MFT/LPCC (Licensed, Waivered or Registered)","G0541",446.78,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",171.27,"2025-07-01","2026-06-30"]
[3,"Amador","MFT/LPCC (Licensed, Waivered or Registered)","T2021",446.78,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",24.82,"2025-07-01","2026-06-30"]
[3,"Amador","Nurse Practitioner",96112,853.68,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",853.68,"2025-07-01","2026-06-30"]
[3,"Amador","Nurse Practitioner",97552,853.68,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",142.28,"2025-07-01","2026-06-30"]
[3,"Amador","Nurse Practitioner",99255,853.68,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1237.8399999999999,"2025-07-01","2026-06-30"]
[3,"Amador","Nurse Practitioner",99348,853.68,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",497.98,"2025-07-01","2026-06-30"]
[3,"Amador","Nurse Practitioner","G0541",853.68,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",327.24,"2025-07-01","2026-06-30"]
[3,"Amador","Occupational Therapist",97550,448.97,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",172.11,"2025-07-01","2026-06-30"]
[3,"Amador","Peer Support Specialists","T1013",336.14,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[3,"Amador","Physician Assistant",90867,769.94,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",769.94,"2025-07-01","2026-06-30"]
[3,"Amador","Physician Assistant",98967,769.94,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",205.32,"2025-07-01","2026-06-30"]
[3,"Amador","Physician Assistant",99234,769.94,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",731.44,"2025-07-01","2026-06-30"]
[3,"Amador","Physician Assistant",99416,769.94,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",384.97,"2025-07-01","2026-06-30"]
[3,"Amador","Physician Assistant","G0543",769.94,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",128.32,"2025-07-01","2026-06-30"]
[3,"Amador","Psychologist (Licensed or Waivered)",96127,690.41,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",690.41,"2025-07-01","2026-06-30"]
[3,"Amador","Psychologist (Licensed or Waivered)","H2019",690.41,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",172.6,"2025-07-01","2026-06-30"]
[3,"Amador","Registered Nurse",90887,697.31,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",581.09,"2025-07-01","2026-06-30"]
[3,"Amador","Registered Nurse",99366,697.31,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",697.31,"2025-07-01","2026-06-30"]
[3,"Amador","Registered Pharmacist","G0543",821.75,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",136.96,"2025-07-01","2026-06-30"]
[4,"Butte","Certified AOD Counselor","H0032",326.13,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",81.53,"2025-07-01","2026-06-30"]
[4,"Butte","Clinical Nurse Specialist",90853,751.25,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",139.12,"2025-07-01","2026-06-30"]
[4,"Butte","Clinical Nurse Specialist",96376,751.25,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",187.81,"2025-07-01","2026-06-30"]
[4,"Butte","Clinical Nurse Specialist",99235,751.25,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",964.1,"2025-07-01","2026-06-30"]
[4,"Butte","Clinical Nurse Specialist",99307,751.25,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",187.81,"2025-07-01","2026-06-30"]
[4,"Butte","Clinical Nurse Specialist","T2021",751.25,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",187.81,"2025-07-01","2026-06-30"]
[4,"Butte","LCSW (Licensed, Waivered or Registered)",96202,393.17,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",87.37,"2025-07-01","2026-06-30"]
[4,"Butte","LCSW (Licensed, Waivered or Registered)","G0539",393.17,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",150.72,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Physician",90785,1510.73,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Physician",96161,1510.73,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",377.68,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Physician",99204,1510.73,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1309.3,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Physician",99255,1510.73,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",2190.56,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Physician","H2021",1510.73,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",377.68,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Psychiatric Technician",96373,276.35000000000002,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",69.09,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Psychiatric Technician","H0034",276.35000000000002,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",15.35,"2025-07-01","2026-06-30"]
[4,"Butte","Licensed Vocational Nurse","T1013",322.36,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[4,"Butte","Mental Health Rehabilitation Specialist",90785,295.81,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[4,"Butte","MFT/LPCC (Licensed, Waivered or Registered)",90791,393.17,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",393.17,"2025-07-01","2026-06-30"]
[4,"Butte","MFT/LPCC (Licensed, Waivered or Registered)",96121,393.17,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",393.17,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner",90837,751.25,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",751.25,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner",96113,751.25,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",375.63,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner",96371,751.25,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",187.81,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner",99308,751.25,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",313.02,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner",99415,751.25,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",751.25,"2025-07-01","2026-06-30"]
[4,"Butte","Nurse Practitioner","H2021",751.25,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",187.81,"2025-07-01","2026-06-30"]
[4,"Butte","Occupational Therapist",99366,523.37,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",523.37,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant",90837,677.55,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",677.55,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant",96105,677.55,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",677.55,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant",96368,677.55,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",169.39,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant",99341,677.55,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",248.44,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant",99442,677.55,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",180.68,"2025-07-01","2026-06-30"]
[4,"Butte","Physician Assistant","H0036",677.55,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",169.39,"2025-07-01","2026-06-30"]
[4,"Butte","Psychologist (Licensed or Waivered)",98966,607.57000000000005,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",81.010000000000005,"2025-07-01","2026-06-30"]
[4,"Butte","Psychologist (Licensed or Waivered)","H2021",607.57000000000005,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",151.88999999999999,"2025-07-01","2026-06-30"]
[4,"Butte","Registered Nurse",96370,613.64,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",460.23,"2025-07-01","2026-06-30"]
[4,"Butte","Registered Nurse","G0542",613.64,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",153.41,"2025-07-01","2026-06-30"]
[4,"Butte","Registered Pharmacist","H0034",723.15,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",40.18,"2025-07-01","2026-06-30"]
[5,"Calaveras","Clinical Nurse Specialist",90792,955.75,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",955.75,"2025-07-01","2026-06-30"]
[5,"Calaveras","Clinical Nurse Specialist",90868,955.75,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",238.94,"2025-07-01","2026-06-30"]
[5,"Calaveras","Clinical Nurse Specialist",99212,955.75,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",238.94,"2025-07-01","2026-06-30"]
[5,"Calaveras","Clinical Nurse Specialist",99245,955.75,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",987.61,"2025-07-01","2026-06-30"]
[5,"Calaveras","Clinical Nurse Specialist","H0034",955.75,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",238.94,"2025-07-01","2026-06-30"]
[5,"Calaveras","LCSW (Licensed, Waivered or Registered)",90834,500.2,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",378.16,"2025-07-01","2026-06-30"]
[5,"Calaveras","LCSW (Licensed, Waivered or Registered)",97552,500.2,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",83.37,"2025-07-01","2026-06-30"]
[5,"Calaveras","LCSW (Licensed, Waivered or Registered)","H0032",500.2,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",125.05,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Physician",90836,1921.99,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1441.49,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Physician",96203,1921.99,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",106.78,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Physician",99231,1921.99,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",961,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Physician",99309,1921.99,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",1185.23,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Physician","T2021",1921.99,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",483.51,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Psychiatric Technician","G0540",351.58,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",87.9,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Vocational Nurse",97551,410.11,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",102.53,"2025-07-01","2026-06-30"]
[5,"Calaveras","Licensed Vocational Nurse","G0543",410.11,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",68.349999999999994,"2025-07-01","2026-06-30"]
[5,"Calaveras","Mental Health Rehabilitation Specialist","H2011",376.33,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",94.08,"2025-07-01","2026-06-30"]
[5,"Calaveras","MFT/LPCC (Licensed, Waivered or Registered)",90834,500.2,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",375.15,"2025-07-01","2026-06-30"]
[5,"Calaveras","MFT/LPCC (Licensed, Waivered or Registered)",99368,500.2,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",500.2,"2025-07-01","2026-06-30"]
[5,"Calaveras","Nurse Practitioner",90869,955.75,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",716.81,"2025-07-01","2026-06-30"]
[5,"Calaveras","Nurse Practitioner",96131,955.75,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",955.75,"2025-07-01","2026-06-30"]
[5,"Calaveras","Nurse Practitioner",97552,955.75,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",159.29,"2025-07-01","2026-06-30"]
[5,"Calaveras","Nurse Practitioner",99310,955.75,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",828.32,"2025-07-01","2026-06-30"]
[5,"Calaveras","Nurse Practitioner","H0034",955.75,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",238.94,"2025-07-01","2026-06-30"]
[5,"Calaveras","Occupational Therapist",96125,665.85,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",665.85,"2025-07-01","2026-06-30"]
[5,"Calaveras","Other Qualified Practitioner","T1017",376.33,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",94.08,"2025-07-01","2026-06-30"]
[5,"Calaveras","Physician Assistant",90865,862,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1293,"2025-07-01","2026-06-30"]
[5,"Calaveras","Physician Assistant",96105,862,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",862,"2025-07-01","2026-06-30"]
[5,"Calaveras","Physician Assistant",98967,862,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",229.87,"2025-07-01","2026-06-30"]
[5,"Calaveras","Physician Assistant",99350,862,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",962.57,"2025-07-01","2026-06-30"]
[5,"Calaveras","Physician Assistant","G0316",862,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",215.5,"2025-07-01","2026-06-30"]
[5,"Calaveras","Psychologist (Licensed or Waivered)",90832,772.96,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",389.49,"2025-07-01","2026-06-30"]
[5,"Calaveras","Psychologist (Licensed or Waivered)",97552,772.96,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",128.83000000000001,"2025-07-01","2026-06-30"]
[5,"Calaveras","Registered Nurse",96202,780.68,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",173.48,"2025-07-01","2026-06-30"]
[5,"Calaveras","Registered Nurse",97551,780.68,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",195.17,"2025-07-01","2026-06-30"]
[5,"Calaveras","Registered Pharmacist",99606,920.01,15,"N/A","Medication Support","\tMedication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient","N/A",230,"2025-07-01","2026-06-30"]
[6,"Colusa","Certified AOD Counselor","H2017",348.22,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",87.06,"2025-07-01","2026-06-30"]
[6,"Colusa","Certified AOD Counselor","T1017",348.22,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",87.06,"2025-07-01","2026-06-30"]
[6,"Colusa","Clinical Nurse Specialist",96130,802.14,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",802.14,"2025-07-01","2026-06-30"]
[6,"Colusa","Clinical Nurse Specialist",99234,802.14,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",762.03,"2025-07-01","2026-06-30"]
[6,"Colusa","Clinical Nurse Specialist",99245,802.14,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",828.88,"2025-07-01","2026-06-30"]
[6,"Colusa","Clinical Nurse Specialist","G0543",802.14,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",133.69,"2025-07-01","2026-06-30"]
[6,"Colusa","LCSW (Licensed, Waivered or Registered)",90791,419.81,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",419.81,"2025-07-01","2026-06-30"]
[6,"Colusa","LCSW (Licensed, Waivered or Registered)","H0032",419.81,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",104.95,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician",90791,1613.06,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1613.06,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician",96125,1613.06,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",1613.06,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician",96161,1613.06,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",403.27,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician",99310,1613.06,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",1397.99,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician",99418,1613.06,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",403.27,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Physician","H2021",1613.06,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",403.27,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Psychiatric Technician",97552,295.07,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",49.18,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Vocational Nurse",97550,344.2,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",131.94,"2025-07-01","2026-06-30"]
[6,"Colusa","Licensed Vocational Nurse","H2017",344.2,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",86.05,"2025-07-01","2026-06-30"]
[6,"Colusa","Mental Health Rehabilitation Specialist","H2011",315.83999999999997,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",78.959999999999994,"2025-07-01","2026-06-30"]
[6,"Colusa","MFT/LPCC (Licensed, Waivered or Registered)",98967,419.81,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",111.95,"2025-07-01","2026-06-30"]
[6,"Colusa","MFT/LPCC (Licensed, Waivered or Registered)","T2024",419.81,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",104.95,"2025-07-01","2026-06-30"]
[6,"Colusa","Nurse Practitioner",90837,802.14,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",802.14,"2025-07-01","2026-06-30"]
[6,"Colusa","Nurse Practitioner",96372,802.14,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",200.54,"2025-07-01","2026-06-30"]
[6,"Colusa","Nurse Practitioner",99245,802.14,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",828.88,"2025-07-01","2026-06-30"]
[6,"Colusa","Nurse Practitioner",99308,802.14,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",334.23,"2025-07-01","2026-06-30"]
[6,"Colusa","Nurse Practitioner","G0541",802.14,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",307.49,"2025-07-01","2026-06-30"]
[6,"Colusa","Occupational Therapist","G0543",558.82000000000005,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",93.14,"2025-07-01","2026-06-30"]
[6,"Colusa","Other Qualified Practitioner","H2017",315.83999999999997,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",78.959999999999994,"2025-07-01","2026-06-30"]
[6,"Colusa","Physician Assistant",90847,723.45,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",602.88,"2025-07-01","2026-06-30"]
[6,"Colusa","Physician Assistant",96374,723.45,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",180.86,"2025-07-01","2026-06-30"]
[6,"Colusa","Physician Assistant",99233,723.45,57,"N/A","Therapy","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.","N/A",687.28,"2025-07-01","2026-06-30"]
[6,"Colusa","Physician Assistant",99305,723.45,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",506.42,"2025-07-01","2026-06-30"]
[6,"Colusa","Psychologist (Licensed or Waivered)",90785,648.72,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[6,"Colusa","Psychologist (Licensed or Waivered)",96131,648.72,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",648.72,"2025-07-01","2026-06-30"]
[6,"Colusa","Psychologist (Licensed or Waivered)",98966,648.72,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",86.5,"2025-07-01","2026-06-30"]
[6,"Colusa","Psychologist (Licensed or Waivered)","H2021",648.72,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",162.18,"2025-07-01","2026-06-30"]
[6,"Colusa","Registered Nurse","H0034",655.20000000000005,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",36.4,"2025-07-01","2026-06-30"]
[6,"Colusa","Registered Pharmacist",99484,772.13,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",772.13,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0032",341.86,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",85.47,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Clinical Nurse Specialist",96105,787.48,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",787.48,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Clinical Nurse Specialist",96202,787.48,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",175,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Clinical Nurse Specialist",99203,787.48,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",485.61,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Clinical Nurse Specialist",99442,787.48,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",209.99,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Clinical Nurse Specialist","T1017",787.48,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",196.87,"2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90834,412.14,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",312.12,"2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",97552,412.14,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",68.69,"2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",103.04,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96127,1583.6,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1583.6,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96371,1583.6,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",395.9,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99347,1583.6,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",659.83,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0034",1583.6,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",395.9,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96369,289.68,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",183.46,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96370,337.91,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",253.43,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0543",337.91,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",56.32,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",96372,232.29,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",58.07,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Mental Health Rehabilitation Specialist","H2011",310.07,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",77.52,"2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2000",412.14,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",103.04,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90832,787.48,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",393.74,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90845,787.48,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",590.61,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99204,787.48,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",682.48,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99252,787.48,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",524.99,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99349,787.48,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",656.23,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0034",787.48,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",196.87,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2011",548.62,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",137.16,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90785,710.23,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90865,710.23,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1065.3499999999999,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",98967,710.23,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",189.39,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99243,710.23,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",414.3,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0032",710.23,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",177.56,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0036",710.23,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",177.56,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96137,636.87,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",318.44,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0323",636.87,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",636.87,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96110,643.23,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",643.23,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H2011",643.23,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",160.81,"2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H2000",758.03,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",189.51,"2025-07-01","2026-06-30"]
[8,"Del Norte","Certified AOD Counselor","H2017",442.02,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",110.51,"2025-07-01","2026-06-30"]
[8,"Del Norte","Clinical Nurse Specialist",96121,1018.23,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1018.23,"2025-07-01","2026-06-30"]
[8,"Del Norte","Clinical Nurse Specialist",96377,1018.23,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",254.56,"2025-07-01","2026-06-30"]
[8,"Del Norte","Clinical Nurse Specialist",99234,1018.23,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",967.32,"2025-07-01","2026-06-30"]
[8,"Del Norte","Clinical Nurse Specialist","G0543",1018.23,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",169.71,"2025-07-01","2026-06-30"]
[8,"Del Norte","Community Health Worker",98962,410.95,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",31.61,"2025-07-01","2026-06-30"]
[8,"Del Norte","LCSW (Licensed, Waivered or Registered)",90839,532.9,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",532.9,"2025-07-01","2026-06-30"]
[8,"Del Norte","LCSW (Licensed, Waivered or Registered)","H0032",532.9,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",133.22999999999999,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Physician",90887,2047.61,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",1706.34,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Physician",96137,2047.61,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",1023.81,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Physician",99205,2047.61,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",2286.5,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Physician",99349,2047.61,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1706.34,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Physician","T2024",2047.61,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",511.9,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Psychiatric Technician",96375,374.56,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",93.64,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Vocational Nurse",96375,436.92,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",109.23,"2025-07-01","2026-06-30"]
[8,"Del Norte","Licensed Vocational Nurse","T1017",436.92,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",109.23,"2025-07-01","2026-06-30"]
[8,"Del Norte","Medical Assistant",96372,300.35000000000002,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",75.09,"2025-07-01","2026-06-30"]
[8,"Del Norte","MFT/LPCC (Licensed, Waivered or Registered)",90837,532.9,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",535.91,"2025-07-01","2026-06-30"]
[8,"Del Norte","MFT/LPCC (Licensed, Waivered or Registered)","T1017",532.9,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",133.22999999999999,"2025-07-01","2026-06-30"]
[8,"Del Norte","Nurse Practitioner",90833,1018.23,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",512.13,"2025-07-01","2026-06-30"]
[8,"Del Norte","Nurse Practitioner",96131,1018.23,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1018.23,"2025-07-01","2026-06-30"]
[8,"Del Norte","Nurse Practitioner",99203,1018.23,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",627.91,"2025-07-01","2026-06-30"]
[8,"Del Norte","Nurse Practitioner",99345,1018.23,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1391.58,"2025-07-01","2026-06-30"]
[8,"Del Norte","Nurse Practitioner","G0539",1018.23,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",390.32,"2025-07-01","2026-06-30"]
[8,"Del Norte","Occupational Therapist",99366,709.37,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",709.37,"2025-07-01","2026-06-30"]
[8,"Del Norte","Peer Support Specialists","H0025",420.98,15,"N/A","Peer Support","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes ","N/A",23.39,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant",90870,918.34,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",306.11,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant",96125,918.34,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",918.34,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant",96374,918.34,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",229.59,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant",99243,918.34,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",535.70000000000005,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant","G0541",918.34,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",352.03,"2025-07-01","2026-06-30"]
[8,"Del Norte","Physician Assistant","T1017",918.34,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",229.59,"2025-07-01","2026-06-30"]
[8,"Del Norte","Psychologist (Licensed or Waivered)",96202,823.48,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",183,"2025-07-01","2026-06-30"]
[8,"Del Norte","Psychologist (Licensed or Waivered)","T2024",823.48,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",205.87,"2025-07-01","2026-06-30"]
[8,"Del Norte","Registered Nurse","G0539",831.71,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",318.82,"2025-07-01","2026-06-30"]
[8,"Del Norte","Registered Nurse","H0034",831.71,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",46.21,"2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor",90785,320.22000000000003,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[9,"El Dorado","Clinical Nurse Specialist",90868,737.63,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",184.41,"2025-07-01","2026-06-30"]
[9,"El Dorado","Clinical Nurse Specialist",96105,737.63,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",737.63,"2025-07-01","2026-06-30"]
[9,"El Dorado","Clinical Nurse Specialist",96374,737.63,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",184.41,"2025-07-01","2026-06-30"]
[9,"El Dorado","Clinical Nurse Specialist",99305,737.63,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",516.34,"2025-07-01","2026-06-30"]
[9,"El Dorado","Clinical Nurse Specialist",99442,737.63,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",196.7,"2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker",98962,297.70999999999998,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",22.9,"2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",99484,386.05,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",386.05,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90832,1483.35,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",741.68,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90839,1483.35,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1483.35,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99202,1483.35,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",543.9,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99306,1483.35,57,"N/A","Therapy","Initial nursing facility 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.","N/A",1409.18,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99347,1483.35,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",618.05999999999995,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96372,271.35000000000002,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",67.84,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0033",271.35000000000002,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",67.84,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96370,316.52,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",237.39,"2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2021",316.52,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",79.13,"2025-07-01","2026-06-30"]
[9,"El Dorado","Mental Health Rehabilitation Specialist","T1017",290.45,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",72.61,"2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96116,386.05,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",386.05,"2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0542",386.05,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",96.51,"2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96110,737.63,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",737.63,"2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96374,737.63,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",184.41,"2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99204,737.63,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",639.28,"2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99418,737.63,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",184.41,"2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2017",737.63,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",40.98,"2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",97551,513.89,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",128.47,"2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","T2024",513.89,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",128.47,"2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",90885,665.28,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",665.28,"2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",96366,665.28,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",498.96,"2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99222,665.28,65,"N/A","Therapy","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.","N/A",720.72,"2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99418,665.28,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",166.32,"2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant","H2017",665.28,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",166.32,"2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)",90840,596.55999999999995,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",298.27999999999997,"2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)",96137,596.55999999999995,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",298.27999999999997,"2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse",96373,602.52,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",150.63,"2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","G0540",602.52,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",150.63,"2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","T1017",602.52,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",150.63,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist",90785,803.9,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist",90865,803.9,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1205.8499999999999,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist",96136,803.9,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",401.95,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist",99243,803.9,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",468.94,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist",99344,803.9,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",897.69,"2025-07-01","2026-06-30"]
[10,"Fresno","Clinical Nurse Specialist","H0031",803.9,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",200.98,"2025-07-01","2026-06-30"]
[10,"Fresno","Community Health Worker",98962,324.45,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",24.96,"2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)","H2000",420.73,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",105.18,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",90834,1616.62,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1212.47,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",96367,1616.62,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",835.25,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",96368,1616.62,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",404.16,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99307,1616.62,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",404.16,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99441,1616.62,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",215.55,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician",99484,295.72000000000003,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",295.72000000000003,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician","H2017",295.72000000000003,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",73.930000000000007,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse","G0541",344.95,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",132.22999999999999,"2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse","T1017",344.95,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",86.24,"2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)",90837,420.73,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",423.74,"2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)",98968,420.73,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",182.32,"2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)","T1017",420.73,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",105.18,"2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",96136,803.9,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",401.95,"2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",97550,803.9,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",308.16000000000003,"2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99221,803.9,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",629.72,"2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99345,803.9,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1098.6600000000001,"2025-07-01","2026-06-30"]
[10,"Fresno","Occupational Therapist",96112,560.05999999999995,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",560.05999999999995,"2025-07-01","2026-06-30"]
[10,"Fresno","Occupational Therapist","H0031",560.05999999999995,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",140.02000000000001,"2025-07-01","2026-06-30"]
[10,"Fresno","Other Qualified Practitioner","H2017",316.54000000000002,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.59,"2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",96113,725.04,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",362.52,"2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",97552,725.04,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",120.84,"2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",99232,725.04,42,"N/A","Therapy","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.","N/A",507.53,"2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant","G0541",725.04,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",277.93,"2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)",90791,650.15,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",650.15,"2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)",90849,650.15,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",202.27,"2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)","G0323",650.15,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",650.15,"2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse",96377,656.65,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",164.16,"2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse","H0033",656.65,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",164.16,"2025-07-01","2026-06-30"]
[10,"Fresno","Registered Pharmacist","G0541",773.84,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",296.64,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist",90792,834.8,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",834.8,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist",96125,834.8,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",834.8,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist",96369,834.8,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",528.71,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist",99254,834.8,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",973.93,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist","G0541",834.8,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",320.01,"2025-07-01","2026-06-30"]
[11,"Glenn","Clinical Nurse Specialist","H0031",834.8,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",208.7,"2025-07-01","2026-06-30"]
[11,"Glenn","LCSW (Licensed, Waivered or Registered)",90847,436.9,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",364.08,"2025-07-01","2026-06-30"]
[11,"Glenn","LCSW (Licensed, Waivered or Registered)",99484,436.9,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",436.9,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Physician",90836,1678.74,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1262.07,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Physician",96137,1678.74,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",839.37,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Physician",99221,1678.74,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1315.01,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Physician",99416,1678.74,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",839.37,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Physician","H2017",1678.74,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",93.26,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Psychiatric Technician","G0540",307.08999999999997,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",76.77,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Vocational Nurse",96376,358.21,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",89.55,"2025-07-01","2026-06-30"]
[11,"Glenn","Licensed Vocational Nurse","H2000",358.21,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",89.55,"2025-07-01","2026-06-30"]
[11,"Glenn","Mental Health Rehabilitation Specialist","H2019",328.7,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",82.18,"2025-07-01","2026-06-30"]
[11,"Glenn","Mental Health Rehabilitation Specialist","T1017",328.7,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",82.18,"2025-07-01","2026-06-30"]
[11,"Glenn","MFT/LPCC (Licensed, Waivered or Registered)",98968,436.9,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",189.32,"2025-07-01","2026-06-30"]
[11,"Glenn","Nurse Practitioner",90836,834.8,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",626.1,"2025-07-01","2026-06-30"]
[11,"Glenn","Nurse Practitioner",96110,834.8,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",834.8,"2025-07-01","2026-06-30"]
[11,"Glenn","Nurse Practitioner",98966,834.8,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",111.31,"2025-07-01","2026-06-30"]
[11,"Glenn","Nurse Practitioner",99306,834.8,57,"N/A","Therapy","Initial nursing facility 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.","N/A",793.06,"2025-07-01","2026-06-30"]
[11,"Glenn","Nurse Practitioner","H0031",834.8,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",208.7,"2025-07-01","2026-06-30"]
[11,"Glenn","Occupational Therapist","G0541",581.58000000000004,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",222.94,"2025-07-01","2026-06-30"]
[11,"Glenn","Other Qualified Practitioner","H2000",328.7,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",82.18,"2025-07-01","2026-06-30"]
[11,"Glenn","Physician Assistant",90865,752.91,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1129.3699999999999,"2025-07-01","2026-06-30"]
[11,"Glenn","Physician Assistant",90885,752.91,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",752.91,"2025-07-01","2026-06-30"]
[11,"Glenn","Physician Assistant",99232,752.91,42,"N/A","Therapy","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.","N/A",527.04,"2025-07-01","2026-06-30"]
[11,"Glenn","Physician Assistant",99255,752.91,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1091.72,"2025-07-01","2026-06-30"]
[11,"Glenn","Physician Assistant",99418,752.91,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",188.23,"2025-07-01","2026-06-30"]
[11,"Glenn","Psychologist (Licensed or Waivered)",90791,675.13,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",675.13,"2025-07-01","2026-06-30"]
[11,"Glenn","Psychologist (Licensed or Waivered)",97551,675.13,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",168.78,"2025-07-01","2026-06-30"]
[11,"Glenn","Psychologist (Licensed or Waivered)","H2019",675.13,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",168.78,"2025-07-01","2026-06-30"]
[11,"Glenn","Registered Nurse",96203,681.88,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",37.880000000000003,"2025-07-01","2026-06-30"]
[11,"Glenn","Registered Pharmacist",99366,803.57,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",803.57,"2025-07-01","2026-06-30"]
[12,"Humboldt","Certified AOD Counselor","H0034",304.11,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",16.899999999999999,"2025-07-01","2026-06-30"]
[12,"Humboldt","Clinical Nurse Specialist",90785,700.52,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[12,"Humboldt","Clinical Nurse Specialist",96366,700.52,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",525.39,"2025-07-01","2026-06-30"]
[12,"Humboldt","Clinical Nurse Specialist",98968,700.52,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",303.56,"2025-07-01","2026-06-30"]
[12,"Humboldt","Clinical Nurse Specialist",99243,700.52,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",408.64,"2025-07-01","2026-06-30"]
[12,"Humboldt","Clinical Nurse Specialist",99368,700.52,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",700.52,"2025-07-01","2026-06-30"]
[12,"Humboldt","LCSW (Licensed, Waivered or Registered)",90832,366.63,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",186.33,"2025-07-01","2026-06-30"]
[12,"Humboldt","LCSW (Licensed, Waivered or Registered)",96202,366.63,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",81.47,"2025-07-01","2026-06-30"]
[12,"Humboldt","LCSW (Licensed, Waivered or Registered)","H0033",366.63,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",91.66,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Physician",96121,1408.72,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1408.72,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Physician",96374,1408.72,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",352.18,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Physician",99222,1408.72,65,"N/A","Therapy","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.","N/A",1526.11,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Physician","G0543",1408.72,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",234.79,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Physician","H0033",1408.72,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",352.18,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Psychiatric Technician",99484,257.69,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",257.69,"2025-07-01","2026-06-30"]
[12,"Humboldt","Licensed Vocational Nurse",90785,300.58999999999997,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[12,"Humboldt","Medical Assistant",96370,206.63,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",154.97,"2025-07-01","2026-06-30"]
[12,"Humboldt","Mental Health Rehabilitation Specialist","H0034",275.83,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",15.32,"2025-07-01","2026-06-30"]
[12,"Humboldt","MFT/LPCC (Licensed, Waivered or Registered)",90880,366.63,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",366.63,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner",90791,700.52,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",700.52,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner",90853,700.52,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",129.72999999999999,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner",96132,700.52,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",700.52,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner",97550,700.52,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",268.52999999999997,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner",99368,700.52,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",700.52,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner","H0032",700.52,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",175.13,"2025-07-01","2026-06-30"]
[12,"Humboldt","Nurse Practitioner","T2024",700.52,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",175.13,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant",90832,631.79999999999995,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",315.89999999999998,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant",90849,631.79999999999995,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",196.56,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant",96132,631.79999999999995,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",631.79999999999995,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant",99239,631.79999999999995,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",631.79999999999995,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant",99341,631.79999999999995,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",231.66,"2025-07-01","2026-06-30"]
[12,"Humboldt","Physician Assistant","H0034",631.79999999999995,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",157.94999999999999,"2025-07-01","2026-06-30"]
[12,"Humboldt","Psychologist (Licensed or Waivered)",90791,566.54,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",566.54,"2025-07-01","2026-06-30"]
[12,"Humboldt","Psychologist (Licensed or Waivered)","G0541",566.54,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",217.17,"2025-07-01","2026-06-30"]
[12,"Humboldt","Registered Nurse",90785,572.20000000000005,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[12,"Humboldt","Registered Nurse","H2019",572.20000000000005,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",143.05000000000001,"2025-07-01","2026-06-30"]
[12,"Humboldt","Registered Pharmacist","H0034",674.32,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",168.58,"2025-07-01","2026-06-30"]
[13,"Imperial","Certified AOD Counselor","H2000",337.82,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",84.46,"2025-07-01","2026-06-30"]
[13,"Imperial","Clinical Nurse Specialist",90836,778.18,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",583.64,"2025-07-01","2026-06-30"]
[13,"Imperial","Clinical Nurse Specialist",96125,778.18,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",778.18,"2025-07-01","2026-06-30"]
[13,"Imperial","Clinical Nurse Specialist",99232,778.18,42,"N/A","Therapy","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.","N/A",544.73,"2025-07-01","2026-06-30"]
[13,"Imperial","Clinical Nurse Specialist",99309,778.18,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",479.88,"2025-07-01","2026-06-30"]
[13,"Imperial","Clinical Nurse Specialist",99443,778.18,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",337.21,"2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)",90847,407.27,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",339.39,"2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)","G0543",407.27,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",67.88,"2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)","T2024",407.27,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",101.82,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",96202,1564.89,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",347.75,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99203,1564.89,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",965.02,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99235,1564.89,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",2008.28,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99416,1564.89,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",782.45,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Psychiatric Technician",96373,286.26,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",71.569999999999993,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Psychiatric Technician","H0034",286.26,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",71.569999999999993,"2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse",96376,333.92,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",83.48,"2025-07-01","2026-06-30"]
[13,"Imperial","Medical Assistant",99484,229.54,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",229.54,"2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)",90834,407.27,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",308.45999999999998,"2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)",96161,407.27,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",101.82,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",90836,778.18,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",583.64,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",96127,778.18,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",778.18,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",96137,778.18,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",389.09,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",99221,778.18,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",609.57000000000005,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","G0542",778.18,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",194.55,"2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","H2011",778.18,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",194.55,"2025-07-01","2026-06-30"]
[13,"Imperial","Occupational Therapist","G0541",542.14,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",207.82,"2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",90785,701.84,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",96116,701.84,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",701.84,"2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",96372,701.84,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",175.46,"2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",99252,701.84,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",467.89,"2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant","G0539",701.84,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",269.04000000000002,"2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)",90839,629.35,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",629.35,"2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)",90885,629.35,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",629.35,"2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)",97551,629.35,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",157.34,"2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse",96116,635.64,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",635.64,"2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse","H0033",635.64,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",158.91,"2025-07-01","2026-06-30"]
[13,"Imperial","Registered Pharmacist",99366,749.07,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",749.07,"2025-07-01","2026-06-30"]
[14,"Inyo","Certified AOD Counselor","T1013",259.29000000000002,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[14,"Inyo","Clinical Nurse Specialist",90885,597.29,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",597.29,"2025-07-01","2026-06-30"]
[14,"Inyo","Clinical Nurse Specialist",96377,597.29,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",149.32,"2025-07-01","2026-06-30"]
[14,"Inyo","Clinical Nurse Specialist",99255,597.29,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",866.07,"2025-07-01","2026-06-30"]
[14,"Inyo","Clinical Nurse Specialist",99418,597.29,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",149.32,"2025-07-01","2026-06-30"]
[14,"Inyo","LCSW (Licensed, Waivered or Registered)",90785,312.60000000000002,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[14,"Inyo","LCSW (Licensed, Waivered or Registered)",90832,312.60000000000002,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",159.31,"2025-07-01","2026-06-30"]
[14,"Inyo","LCSW (Licensed, Waivered or Registered)",98968,312.60000000000002,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",135.46,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Physician",90838,1201.1199999999999,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1201.1199999999999,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Physician",96121,1201.1199999999999,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1201.1199999999999,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Physician",99212,1201.1199999999999,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",300.27999999999997,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Physician",99344,1201.1199999999999,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1341.25,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Physician","H0036",1201.1199999999999,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",300.27999999999997,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Psychiatric Technician","H0031",219.72,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",54.93,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Vocational Nurse",96368,256.3,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",64.08,"2025-07-01","2026-06-30"]
[14,"Inyo","Licensed Vocational Nurse","T1017",256.3,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",64.08,"2025-07-01","2026-06-30"]
[14,"Inyo","Medical Assistant",96370,176.18,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",132.13999999999999,"2025-07-01","2026-06-30"]
[14,"Inyo","MFT/LPCC (Licensed, Waivered or Registered)",96161,312.60000000000002,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",78.150000000000006,"2025-07-01","2026-06-30"]
[14,"Inyo","MFT/LPCC (Licensed, Waivered or Registered)","G0540",312.60000000000002,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",78.150000000000006,"2025-07-01","2026-06-30"]
[14,"Inyo","Nurse Practitioner",90791,597.29,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",597.29,"2025-07-01","2026-06-30"]
[14,"Inyo","Nurse Practitioner",90885,597.29,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",597.29,"2025-07-01","2026-06-30"]
[14,"Inyo","Nurse Practitioner",99202,597.29,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",219.01,"2025-07-01","2026-06-30"]
[14,"Inyo","Nurse Practitioner",99245,597.29,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",617.20000000000005,"2025-07-01","2026-06-30"]
[14,"Inyo","Nurse Practitioner","H2011",597.29,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",149.32,"2025-07-01","2026-06-30"]
[14,"Inyo","Occupational Therapist",96203,416.11,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",23.12,"2025-07-01","2026-06-30"]
[14,"Inyo","Other Qualified Practitioner","H0032",235.18,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",58.8,"2025-07-01","2026-06-30"]
[14,"Inyo","Peer Support Specialists","H0038",246.94,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",61.74,"2025-07-01","2026-06-30"]
[14,"Inyo","Physician Assistant",96203,538.70000000000005,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",29.93,"2025-07-01","2026-06-30"]
[14,"Inyo","Physician Assistant",96368,538.70000000000005,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",134.68,"2025-07-01","2026-06-30"]
[14,"Inyo","Physician Assistant",99239,538.70000000000005,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",538.70000000000005,"2025-07-01","2026-06-30"]
[14,"Inyo","Physician Assistant",99350,538.70000000000005,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",601.54999999999995,"2025-07-01","2026-06-30"]
[14,"Inyo","Psychologist (Licensed or Waivered)",90837,483.05,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",486.06,"2025-07-01","2026-06-30"]
[14,"Inyo","Psychologist (Licensed or Waivered)",96133,483.05,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",483.05,"2025-07-01","2026-06-30"]
[14,"Inyo","Psychologist (Licensed or Waivered)","H2000",483.05,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",120.76,"2025-07-01","2026-06-30"]
[14,"Inyo","Registered Nurse",99484,487.88,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",487.88,"2025-07-01","2026-06-30"]
[14,"Inyo","Registered Pharmacist",90887,574.95000000000005,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",479.13,"2025-07-01","2026-06-30"]
[14,"Inyo","Registered Pharmacist","G0542",574.95000000000005,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",143.74,"2025-07-01","2026-06-30"]
[15,"Kern","Clinical Nurse Specialist",90849,654.99,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",203.77,"2025-07-01","2026-06-30"]
[15,"Kern","Clinical Nurse Specialist",96161,654.99,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",163.75,"2025-07-01","2026-06-30"]
[15,"Kern","Clinical Nurse Specialist",96375,654.99,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",163.75,"2025-07-01","2026-06-30"]
[15,"Kern","Clinical Nurse Specialist",99231,654.99,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",327.5,"2025-07-01","2026-06-30"]
[15,"Kern","Clinical Nurse Specialist","H0034",654.99,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",163.75,"2025-07-01","2026-06-30"]
[15,"Kern","Community Health Worker",98960,264.35000000000002,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient","N/A",132.18,"2025-07-01","2026-06-30"]
[15,"Kern","LCSW (Licensed, Waivered or Registered)",96116,342.79,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",342.79,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",90833,1317.15,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",658.58,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",90869,1317.15,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",987.86,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",96366,1317.15,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",987.86,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99305,1317.15,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",922.01,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99451,1317.15,18,"N/A","Referral & Linkage","Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time (5-30 minutes)","N/A",395.15,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician","H2019",1317.15,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",329.29,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Psychiatric Technician","H2021",240.94,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",60.24,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Vocational Nurse","G0539",281.06,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",107.74,"2025-07-01","2026-06-30"]
[15,"Kern","Licensed Vocational Nurse","T1001",281.06,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",70.27,"2025-07-01","2026-06-30"]
[15,"Kern","Medical Assistant","H2021",193.2,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",48.3,"2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90834,342.79,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",260.10000000000002,"2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2000",342.79,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",85.7,"2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",90839,654.99,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",654.99,"2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",96112,654.99,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",654.99,"2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99231,654.99,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",327.5,"2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99342,654.99,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",491.24,"2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99484,654.99,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",654.99,"2025-07-01","2026-06-30"]
[15,"Kern","Occupational Therapist","H2000",456.31,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",114.08,"2025-07-01","2026-06-30"]
[15,"Kern","Other Qualified Practitioner","T1013",257.89999999999998,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",90834,590.74,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",443.06,"2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",96116,590.74,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",590.74,"2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99223,590.74,82,"N/A","Therapy","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.","N/A",807.34,"2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99307,590.74,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",147.69,"2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant","G0539",590.74,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",226.45,"2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)",90885,529.72,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",529.72,"2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)",99368,529.72,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",529.72,"2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)","H2019",529.72,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",132.43,"2025-07-01","2026-06-30"]
[15,"Kern","Registered Nurse","H2000",535.01,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",133.75,"2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist","G0539",630.49,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",241.69,"2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist","H0034",630.49,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",35.03,"2025-07-01","2026-06-30"]
[16,"Kings","Clinical Nurse Specialist",90833,1014.45,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",510.24,"2025-07-01","2026-06-30"]
[16,"Kings","Clinical Nurse Specialist",96372,1014.45,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",253.61,"2025-07-01","2026-06-30"]
[16,"Kings","Clinical Nurse Specialist",99202,1014.45,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",371.97,"2025-07-01","2026-06-30"]
[16,"Kings","Clinical Nurse Specialist",99255,1014.45,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1470.95,"2025-07-01","2026-06-30"]
[16,"Kings","Clinical Nurse Specialist","H0034",1014.45,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",253.61,"2025-07-01","2026-06-30"]
[16,"Kings","LCSW (Licensed, Waivered or Registered)",90840,530.91999999999996,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",265.45999999999998,"2025-07-01","2026-06-30"]
[16,"Kings","LCSW (Licensed, Waivered or Registered)",99366,530.91999999999996,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",530.91999999999996,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician",90838,2040.03,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",2040.03,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician",96133,2040.03,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",2040.03,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician",96203,2040.03,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",113.34,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician",99235,2040.03,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",2618.04,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician","H2011",2040.03,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",510.01,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Physician","T2021",2040.03,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",513.02,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Psychiatric Technician","H0031",373.18,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",93.3,"2025-07-01","2026-06-30"]
[16,"Kings","Licensed Vocational Nurse",96368,435.3,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",108.83,"2025-07-01","2026-06-30"]
[16,"Kings","Medical Assistant",96371,299.24,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",74.81,"2025-07-01","2026-06-30"]
[16,"Kings","Mental Health Rehabilitation Specialist","H2021",399.44,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",99.86,"2025-07-01","2026-06-30"]
[16,"Kings","MFT/LPCC (Licensed, Waivered or Registered)",99484,530.91999999999996,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",530.91999999999996,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner",90834,1014.45,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",760.84,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner",90887,1014.45,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",845.38,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner",99202,1014.45,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",371.97,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner",99304,1014.45,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",507.23,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner",99306,1014.45,57,"N/A","Therapy","Initial nursing facility 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.","N/A",963.73,"2025-07-01","2026-06-30"]
[16,"Kings","Nurse Practitioner","H2011",1014.45,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",253.61,"2025-07-01","2026-06-30"]
[16,"Kings","Occupational Therapist",96203,706.74,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",39.26,"2025-07-01","2026-06-30"]
[16,"Kings","Other Qualified Practitioner","T1017",399.44,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",99.86,"2025-07-01","2026-06-30"]
[16,"Kings","Physician Assistant",90870,914.94,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",304.98,"2025-07-01","2026-06-30"]
[16,"Kings","Physician Assistant",96371,914.94,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",228.74,"2025-07-01","2026-06-30"]
[16,"Kings","Physician Assistant",99253,914.94,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",792.95,"2025-07-01","2026-06-30"]
[16,"Kings","Physician Assistant",99416,914.94,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",457.47,"2025-07-01","2026-06-30"]
[16,"Kings","Psychologist (Licensed or Waivered)",90834,820.43,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",615.32000000000005,"2025-07-01","2026-06-30"]
[16,"Kings","Psychologist (Licensed or Waivered)",90837,820.43,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",823.44,"2025-07-01","2026-06-30"]
[16,"Kings","Psychologist (Licensed or Waivered)","T1017",820.43,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",205.11,"2025-07-01","2026-06-30"]
[16,"Kings","Registered Nurse",96161,828.63,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",207.16,"2025-07-01","2026-06-30"]
[16,"Kings","Registered Nurse",99484,828.63,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",828.63,"2025-07-01","2026-06-30"]
[16,"Kings","Registered Pharmacist",99366,976.51,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",976.51,"2025-07-01","2026-06-30"]
[17,"Lake","Certified AOD Counselor","T1013",492.13,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[17,"Lake","Clinical Nurse Specialist",90868,1133.6500000000001,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",283.41000000000003,"2025-07-01","2026-06-30"]
[17,"Lake","Clinical Nurse Specialist",98966,1133.6500000000001,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",151.15,"2025-07-01","2026-06-30"]
[17,"Lake","Clinical Nurse Specialist",99239,1133.6500000000001,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",1133.6500000000001,"2025-07-01","2026-06-30"]
[17,"Lake","Clinical Nurse Specialist",99417,1133.6500000000001,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",283.41000000000003,"2025-07-01","2026-06-30"]
[17,"Lake","Clinical Nurse Specialist","G0542",1133.6500000000001,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",283.41000000000003,"2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)",97551,593.30999999999995,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",148.33000000000001,"2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)","H0031",593.30999999999995,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",148.33000000000001,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",90833,2279.73,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",1139.8699999999999,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",96112,2279.73,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",2279.73,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99215,2279.73,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1785.79,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99305,2279.73,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1595.81,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician","G0543",2279.73,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",379.96,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Psychiatric Technician",97551,417.02,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",104.26,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse",96203,486.45,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",27.03,"2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse",96377,486.45,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",121.61,"2025-07-01","2026-06-30"]
[17,"Lake","Mental Health Rehabilitation Specialist","H0033",446.38,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",111.6,"2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)",96110,593.30999999999995,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",593.30999999999995,"2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)",98966,593.30999999999995,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",79.11,"2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)","T1017",593.30999999999995,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",148.33000000000001,"2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",96137,1133.6500000000001,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",566.83000000000004,"2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",96376,1133.6500000000001,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",283.41000000000003,"2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",99239,1133.6500000000001,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",1133.6500000000001,"2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner","G0543",1133.6500000000001,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",188.94,"2025-07-01","2026-06-30"]
[17,"Lake","Occupational Therapist",96110,789.78,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",789.78,"2025-07-01","2026-06-30"]
[17,"Lake","Occupational Therapist","H2000",789.78,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",197.45,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",90845,1022.45,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",766.84,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",96137,1022.45,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",511.23,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",96373,1022.45,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",255.61,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",99222,1022.45,65,"N/A","Therapy","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.","N/A",1107.6500000000001,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant","H0032",1022.45,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",255.61,"2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant","T2024",1022.45,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",255.61,"2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)",96121,916.83,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",916.83,"2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse",96116,925.99,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",925.99,"2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse",96373,925.99,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",231.5,"2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse","H2017",925.99,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",51.44,"2025-07-01","2026-06-30"]
[18,"Lassen","Certified AOD Counselor","H0034",272.62,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",68.16,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist",90837,627.99,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",631,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist",96116,627.99,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",627.99,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist",96367,627.99,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",324.45999999999998,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist",99342,627.99,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",470.99,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist","G0539",627.99,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",240.73,"2025-07-01","2026-06-30"]
[18,"Lassen","Clinical Nurse Specialist","H2019",627.99,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",157,"2025-07-01","2026-06-30"]
[18,"Lassen","LCSW (Licensed, Waivered or Registered)",90840,328.66,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",164.33,"2025-07-01","2026-06-30"]
[18,"Lassen","LCSW (Licensed, Waivered or Registered)","T2021",328.66,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",18.260000000000002,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Physician",90853,1262.8499999999999,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",233.86,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Physician",96133,1262.8499999999999,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1262.8499999999999,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Physician",99239,1262.8499999999999,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",1262.8499999999999,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Physician",99367,1262.8499999999999,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician","N/A",1262.8499999999999,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Physician","H0033",1262.8499999999999,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",315.70999999999998,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Psychiatric Technician","H2011",231.01,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",57.75,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Vocational Nurse",96374,269.47000000000003,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",67.37,"2025-07-01","2026-06-30"]
[18,"Lassen","Licensed Vocational Nurse","G0543",269.47000000000003,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",44.91,"2025-07-01","2026-06-30"]
[18,"Lassen","Medical Assistant","H0034",185.24,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",46.31,"2025-07-01","2026-06-30"]
[18,"Lassen","MFT/LPCC (Licensed, Waivered or Registered)",97550,328.66,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",125.99,"2025-07-01","2026-06-30"]
[18,"Lassen","MFT/LPCC (Licensed, Waivered or Registered)","H0031",328.66,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",82.17,"2025-07-01","2026-06-30"]
[18,"Lassen","Nurse Practitioner",90834,627.99,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",470.99,"2025-07-01","2026-06-30"]
[18,"Lassen","Nurse Practitioner",96202,627.99,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",139.55000000000001,"2025-07-01","2026-06-30"]
[18,"Lassen","Nurse Practitioner",99214,627.99,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",366.33,"2025-07-01","2026-06-30"]
[18,"Lassen","Nurse Practitioner",99304,627.99,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",314,"2025-07-01","2026-06-30"]
[18,"Lassen","Nurse Practitioner","H2019",627.99,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",157,"2025-07-01","2026-06-30"]
[18,"Lassen","Occupational Therapist","G0539",437.5,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",167.71,"2025-07-01","2026-06-30"]
[18,"Lassen","Occupational Therapist","H2011",437.5,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",109.38,"2025-07-01","2026-06-30"]
[18,"Lassen","Physician Assistant",90832,566.38,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",286.2,"2025-07-01","2026-06-30"]
[18,"Lassen","Physician Assistant",96370,566.38,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",424.79,"2025-07-01","2026-06-30"]
[18,"Lassen","Physician Assistant",98967,566.38,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",151.03,"2025-07-01","2026-06-30"]
[18,"Lassen","Physician Assistant",99253,566.38,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",490.86,"2025-07-01","2026-06-30"]
[18,"Lassen","Physician Assistant","G0541",566.38,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",217.11,"2025-07-01","2026-06-30"]
[18,"Lassen","Psychologist (Licensed or Waivered)",90853,507.88,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",94.05,"2025-07-01","2026-06-30"]
[18,"Lassen","Psychologist (Licensed or Waivered)",96203,507.88,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.22,"2025-07-01","2026-06-30"]
[18,"Lassen","Registered Nurse",96161,512.95000000000005,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",128.24,"2025-07-01","2026-06-30"]
[18,"Lassen","Registered Nurse","H0031",512.95000000000005,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",128.24,"2025-07-01","2026-06-30"]
[18,"Lassen","Registered Pharmacist",97551,604.5,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",151.13,"2025-07-01","2026-06-30"]
[18,"Lassen","Registered Pharmacist","H0031",604.5,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",151.13,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Clinical Nurse Specialist",90870,831.92,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",277.31,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Clinical Nurse Specialist",96110,831.92,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",831.92,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Clinical Nurse Specialist",98966,831.92,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",110.92,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Clinical Nurse Specialist",99239,831.92,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",831.92,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Clinical Nurse Specialist","G0543",831.92,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",138.65,"2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)",90791,435.39,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",435.39,"2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)",99484,435.39,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",435.39,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",90837,1672.96,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1672.96,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",96113,1672.96,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",836.48,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99215,1672.96,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1310.49,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99341,1672.96,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",613.41999999999996,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99344,1672.96,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1868.14,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician","T2021",1672.96,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",421.25,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Psychiatric Technician",97551,306.02999999999997,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",76.510000000000005,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Vocational Nurse",96371,356.98,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",89.25,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Medical Assistant",96161,245.39,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",61.35,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Mental Health Rehabilitation Specialist","H2019",327.57,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",81.89,"2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)","G0323",435.39,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",435.39,"2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)","T2024",435.39,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",108.85,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",96110,831.92,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",831.92,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",98967,831.92,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",221.85,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99254,831.92,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",970.57,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99350,831.92,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",928.98,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner","G0543",831.92,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",138.65,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Occupational Therapist",96203,579.58000000000004,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",32.200000000000003,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Other Qualified Practitioner","T1017",327.57,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",81.89,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",90865,750.31,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1125.47,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",96132,750.31,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",750.31,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",99236,750.31,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1150.48,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",99415,750.31,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",750.31,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant","G0540",750.31,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",187.58,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)",96131,672.81,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",672.81,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)","H2017",672.81,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",37.380000000000003,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)","T2021",672.81,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",171.21,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Nurse",97552,679.53,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",113.26,"2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Pharmacist","H0032",800.81,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",200.2,"2025-07-01","2026-06-30"]
[20,"Madera","Certified AOD Counselor","H0034",367.26,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",91.82,"2025-07-01","2026-06-30"]
[20,"Madera","Clinical Nurse Specialist",90849,846.01,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",263.2,"2025-07-01","2026-06-30"]
[20,"Madera","Clinical Nurse Specialist",96373,846.01,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",211.5,"2025-07-01","2026-06-30"]
[20,"Madera","Clinical Nurse Specialist",99234,846.01,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",803.71,"2025-07-01","2026-06-30"]
[20,"Madera","Clinical Nurse Specialist",99309,846.01,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",521.71,"2025-07-01","2026-06-30"]
[20,"Madera","Clinical Nurse Specialist","T2021",846.01,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",214.51,"2025-07-01","2026-06-30"]
[20,"Madera","LCSW (Licensed, Waivered or Registered)",96161,442.77,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",110.69,"2025-07-01","2026-06-30"]
[20,"Madera","LCSW (Licensed, Waivered or Registered)",99368,442.77,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",442.77,"2025-07-01","2026-06-30"]
[20,"Madera","LCSW (Licensed, Waivered or Registered)","T2024",442.77,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",110.69,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Physician",96203,1701.29,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",94.52,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Physician",97552,1701.29,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",283.55,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Physician",99254,1701.29,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1984.84,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Physician","T1017",1701.29,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",425.32,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Psychiatric Technician",96372,311.20999999999998,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",77.8,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Psychiatric Technician","H2011",311.20999999999998,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",77.8,"2025-07-01","2026-06-30"]
[20,"Madera","Licensed Vocational Nurse","H2019",363.02,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",90.76,"2025-07-01","2026-06-30"]
[20,"Madera","Medical Assistant","T2024",249.55,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",62.39,"2025-07-01","2026-06-30"]
[20,"Madera","MFT/LPCC (Licensed, Waivered or Registered)",90832,442.77,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",224.4,"2025-07-01","2026-06-30"]
[20,"Madera","MFT/LPCC (Licensed, Waivered or Registered)","H2017",442.77,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",24.6,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner",90838,846.01,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",846.01,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner",96121,846.01,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",846.01,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner",96370,846.01,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",634.51,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner",99310,846.01,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",733.21,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner",99442,846.01,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",225.6,"2025-07-01","2026-06-30"]
[20,"Madera","Nurse Practitioner","T2021",846.01,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",214.51,"2025-07-01","2026-06-30"]
[20,"Madera","Occupational Therapist","G0539",589.39,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",225.93,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant",90836,763.02,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",575.28,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant",96112,763.02,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",763.02,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant",96365,763.02,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",584.98,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant",99310,763.02,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",661.28,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant",99484,763.02,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",763.02,"2025-07-01","2026-06-30"]
[20,"Madera","Physician Assistant","H2017",763.02,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",190.76,"2025-07-01","2026-06-30"]
[20,"Madera","Psychologist (Licensed or Waivered)",98968,684.2,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",296.49,"2025-07-01","2026-06-30"]
[20,"Madera","Psychologist (Licensed or Waivered)","T1017",684.2,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",171.05,"2025-07-01","2026-06-30"]
[20,"Madera","Registered Nurse",96369,691.04,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",437.66,"2025-07-01","2026-06-30"]
[20,"Madera","Registered Nurse","H0031",691.04,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",172.76,"2025-07-01","2026-06-30"]
[20,"Madera","Registered Pharmacist","H2017",814.37,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",203.59,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist",90832,904.84,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",455.43,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist",90870,904.84,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",301.61,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist",99205,904.84,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1010.4,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist",99253,904.84,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",784.19,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist",99344,904.84,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1010.4,"2025-07-01","2026-06-30"]
[21,"Marin","Clinical Nurse Specialist","H0034",904.84,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",50.27,"2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)",98967,473.56,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",126.28,"2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)","H2000",473.56,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",118.39,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",90837,1819.59,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1819.59,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",96202,1819.59,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",404.35,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99233,1819.59,57,"N/A","Therapy","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.","N/A",1728.61,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99341,1819.59,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",667.18,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician",96138,332.85,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, first 30 minutes","N/A",166.43,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician","G0542",332.85,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",83.21,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse",97550,388.27,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",148.84,"2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse","G0540",388.27,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",97.07,"2025-07-01","2026-06-30"]
[21,"Marin","Mental Health Rehabilitation Specialist","H2017",356.28,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",19.79,"2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)",90832,473.56,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",239.79,"2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)","G0323",473.56,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",473.56,"2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",90880,904.84,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",904.84,"2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",96136,904.84,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",452.42,"2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",98967,904.84,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",241.29,"2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99309,904.84,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",557.98,"2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner","H0036",904.84,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",226.21,"2025-07-01","2026-06-30"]
[21,"Marin","Occupational Therapist",96161,630.37,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",157.59,"2025-07-01","2026-06-30"]
[21,"Marin","Peer Support Specialists","T1013",374.1,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",90868,816.08,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",204.02,"2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",90887,816.08,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",680.07,"2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",97551,816.08,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",204.02,"2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99236,816.08,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1251.32,"2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99484,816.08,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",816.08,"2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)",90834,731.78,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",551.85,"2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)",97551,731.78,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",182.95,"2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse",96121,739.09,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",739.09,"2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse",99366,739.09,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",739.09,"2025-07-01","2026-06-30"]
[21,"Marin","Registered Pharmacist",99605,870.99,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",217.75,"2025-07-01","2026-06-30"]
[22,"Mariposa","Certified AOD Counselor","H2019",474.51,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",118.63,"2025-07-01","2026-06-30"]
[22,"Mariposa","Clinical Nurse Specialist",90880,1147.7,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",1147.7,"2025-07-01","2026-06-30"]
[22,"Mariposa","Clinical Nurse Specialist",96132,1147.7,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1147.7,"2025-07-01","2026-06-30"]
[22,"Mariposa","Clinical Nurse Specialist",96373,1147.7,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",286.93,"2025-07-01","2026-06-30"]
[22,"Mariposa","Clinical Nurse Specialist",99244,1147.7,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",899.03,"2025-07-01","2026-06-30"]
[22,"Mariposa","Clinical Nurse Specialist","G0540",1147.7,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",286.93,"2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)",90785,600.66,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)","H0036",600.66,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",150.16999999999999,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",90832,2071.23,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",1035.6199999999999,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",96121,2071.23,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",2071.23,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99213,2071.23,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",863.01,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99255,2071.23,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",3003.28,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","H0034",2071.23,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",115.07,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","H2017",2071.23,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",517.80999999999995,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Psychiatric Technician",97551,378.88,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",94.72,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Vocational Nurse",97552,441.96,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",73.66,"2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Vocational Nurse","H2019",441.96,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",110.49,"2025-07-01","2026-06-30"]
[22,"Mariposa","Mental Health Rehabilitation Specialist","H2000",405.55,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",101.39,"2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)",97551,600.66,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",150.16999999999999,"2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)","T2021",600.66,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",153.18,"2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",90838,1147.7,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1147.7,"2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",96374,1147.7,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",286.93,"2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99244,1147.7,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",899.03,"2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99305,1147.7,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",803.39,"2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner","G0540",1147.7,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",286.93,"2025-07-01","2026-06-30"]
[22,"Mariposa","Occupational Therapist","H0032",717.55,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",179.39,"2025-07-01","2026-06-30"]
[22,"Mariposa","Other Qualified Practitioner","H0034",405.55,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",22.53,"2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",90845,1035.1199999999999,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",776.34,"2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",96376,1035.1199999999999,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",258.77999999999997,"2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99232,1035.1199999999999,42,"N/A","Therapy","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.","N/A",724.58,"2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99307,1035.1199999999999,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",258.77999999999997,"2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant","T2021",1035.1199999999999,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",57.51,"2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)",96130,928.19,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",928.19,"2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)",98968,928.19,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",402.22,"2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)","H2019",928.19,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",232.05,"2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse","H2011",937.47,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",234.37,"2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Pharmacist",99606,1104.77,15,"N/A","Medication Support","\tMedication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient","N/A",276.19,"2025-07-01","2026-06-30"]
[23,"Mendocino","Certified AOD Counselor","H0031",317.92,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",79.48,"2025-07-01","2026-06-30"]
[23,"Mendocino","Clinical Nurse Specialist",96112,732.35,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",732.35,"2025-07-01","2026-06-30"]
[23,"Mendocino","Clinical Nurse Specialist",96366,732.35,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",549.26,"2025-07-01","2026-06-30"]
[23,"Mendocino","Clinical Nurse Specialist",99205,732.35,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",817.79,"2025-07-01","2026-06-30"]
[23,"Mendocino","Clinical Nurse Specialist",99253,732.35,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",634.70000000000005,"2025-07-01","2026-06-30"]
[23,"Mendocino","Clinical Nurse Specialist","T1013",732.35,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[23,"Mendocino","LCSW (Licensed, Waivered or Registered)",90837,383.28,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",386.29,"2025-07-01","2026-06-30"]
[23,"Mendocino","LCSW (Licensed, Waivered or Registered)","T1017",383.28,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",95.82,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Physician",90868,1472.72,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",368.18,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Physician",96131,1472.72,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1472.72,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Physician",96374,1472.72,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",368.18,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Physician",99349,1472.72,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1227.27,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Physician","H0036",1472.72,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",368.18,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Psychiatric Technician",96368,269.39999999999998,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",67.349999999999994,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Psychiatric Technician","G0542",269.39999999999998,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",67.349999999999994,"2025-07-01","2026-06-30"]
[23,"Mendocino","Licensed Vocational Nurse","H0033",314.25,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",78.56,"2025-07-01","2026-06-30"]
[23,"Mendocino","Medical Assistant",99368,216.02,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",216.02,"2025-07-01","2026-06-30"]
[23,"Mendocino","Mental Health Rehabilitation Specialist","H2017",288.36,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",16.02,"2025-07-01","2026-06-30"]
[23,"Mendocino","MFT/LPCC (Licensed, Waivered or Registered)","H0036",383.28,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",95.82,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner",90833,732.35,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",366.18,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner",90853,732.35,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",135.62,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner",99212,732.35,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",183.09,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner",99254,732.35,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",854.41,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner",99368,732.35,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",732.35,"2025-07-01","2026-06-30"]
[23,"Mendocino","Nurse Practitioner","H0036",732.35,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",183.09,"2025-07-01","2026-06-30"]
[23,"Mendocino","Occupational Therapist","H2000",510.2,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",127.55,"2025-07-01","2026-06-30"]
[23,"Mendocino","Physician Assistant",90792,660.51,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",660.51,"2025-07-01","2026-06-30"]
[23,"Mendocino","Physician Assistant",90868,660.51,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",165.13,"2025-07-01","2026-06-30"]
[23,"Mendocino","Physician Assistant",99203,660.51,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",407.31,"2025-07-01","2026-06-30"]
[23,"Mendocino","Physician Assistant",99245,660.51,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",682.53,"2025-07-01","2026-06-30"]
[23,"Mendocino","Physician Assistant","H0031",660.51,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",165.13,"2025-07-01","2026-06-30"]
[23,"Mendocino","Psychologist (Licensed or Waivered)",90847,592.28,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",493.57,"2025-07-01","2026-06-30"]
[23,"Mendocino","Psychologist (Licensed or Waivered)",96161,592.28,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",148.07,"2025-07-01","2026-06-30"]
[23,"Mendocino","Psychologist (Licensed or Waivered)",99484,592.28,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",592.28,"2025-07-01","2026-06-30"]
[23,"Mendocino","Registered Nurse",96121,598.20000000000005,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",598.20000000000005,"2025-07-01","2026-06-30"]
[23,"Mendocino","Registered Pharmacist",96203,704.95,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",39.159999999999997,"2025-07-01","2026-06-30"]
[23,"Mendocino","Registered Pharmacist","H0034",704.95,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",176.24,"2025-07-01","2026-06-30"]
[24,"Merced","Certified AOD Counselor","H2019",356.03,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",89.01,"2025-07-01","2026-06-30"]
[24,"Merced","Clinical Nurse Specialist",96116,820.14,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",820.14,"2025-07-01","2026-06-30"]
[24,"Merced","Clinical Nurse Specialist",97551,820.14,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",205.04,"2025-07-01","2026-06-30"]
[24,"Merced","Clinical Nurse Specialist",99236,820.14,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1257.55,"2025-07-01","2026-06-30"]
[24,"Merced","Clinical Nurse Specialist",99309,820.14,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",505.75,"2025-07-01","2026-06-30"]
[24,"Merced","Community Health Worker","G0022",331.01,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",165.51,"2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)",90837,429.23,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",432.24,"2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)","G0542",429.23,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",107.31,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",96110,1649.28,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",1649.28,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",96136,1649.28,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",824.64,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99213,1649.28,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",687.2,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99348,1649.28,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",962.08,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician","T2021",1649.28,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",412.32,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Psychiatric Technician",96377,301.7,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",75.430000000000007,"2025-07-01","2026-06-30"]
[24,"Merced","Licensed Vocational Nurse",96374,351.92,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",87.98,"2025-07-01","2026-06-30"]
[24,"Merced","Medical Assistant",96110,241.92,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",241.92,"2025-07-01","2026-06-30"]
[24,"Merced","Medical Assistant",96371,241.92,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",60.48,"2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)",90840,429.23,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",214.62,"2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)","T2021",429.23,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",23.85,"2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",90833,820.14,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",410.07,"2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",96125,820.14,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",820.14,"2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99202,820.14,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",300.72000000000003,"2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99348,820.14,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",478.42,"2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner","G0541",820.14,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",314.39,"2025-07-01","2026-06-30"]
[24,"Merced","Occupational Therapist",97552,571.37,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",95.23,"2025-07-01","2026-06-30"]
[24,"Merced","Other Qualified Practitioner","H2021",322.93,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",80.73,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",90869,739.69,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",554.77,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",96130,739.69,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",739.69,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",96371,739.69,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",184.92,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",99242,739.69,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",308.2,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","G0543",739.69,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",123.28,"2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","T2021",739.69,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",41.09,"2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)",96161,663.28,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",165.82,"2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)","T2021",663.28,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",165.82,"2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse",99484,669.91,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",669.91,"2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse","H2011",669.91,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",167.48,"2025-07-01","2026-06-30"]
[25,"Modoc","Certified AOD Counselor","H0032",332.2,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",83.05,"2025-07-01","2026-06-30"]
[25,"Modoc","Clinical Nurse Specialist",90867,765.23,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",765.23,"2025-07-01","2026-06-30"]
[25,"Modoc","Clinical Nurse Specialist",90880,765.23,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",765.23,"2025-07-01","2026-06-30"]
[25,"Modoc","Clinical Nurse Specialist",96373,765.23,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Clinical Nurse Specialist",99307,765.23,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Clinical Nurse Specialist",99417,765.23,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Community Health Worker",98961,308.85000000000002,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 2-4 patients","N/A",51.48,"2025-07-01","2026-06-30"]
[25,"Modoc","LCSW (Licensed, Waivered or Registered)","G0539",400.49,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",153.52000000000001,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician",90792,1538.86,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1538.86,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician",90845,1538.86,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",1154.1500000000001,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician",97550,1538.86,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",589.9,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician",99305,1538.86,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1077.2,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician",99349,1538.86,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",1282.3800000000001,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Physician","H0036",1538.86,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",384.72,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Psychiatric Technician","H0034",281.5,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",15.64,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Vocational Nurse",96372,328.36,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",82.09,"2025-07-01","2026-06-30"]
[25,"Modoc","Licensed Vocational Nurse","H2019",328.36,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",82.09,"2025-07-01","2026-06-30"]
[25,"Modoc","MFT/LPCC (Licensed, Waivered or Registered)",90791,400.49,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",400.49,"2025-07-01","2026-06-30"]
[25,"Modoc","MFT/LPCC (Licensed, Waivered or Registered)",96161,400.49,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",100.12,"2025-07-01","2026-06-30"]
[25,"Modoc","MFT/LPCC (Licensed, Waivered or Registered)","H0031",400.49,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",100.12,"2025-07-01","2026-06-30"]
[25,"Modoc","Nurse Practitioner",96113,765.23,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",382.62,"2025-07-01","2026-06-30"]
[25,"Modoc","Nurse Practitioner",96373,765.23,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Nurse Practitioner",99212,765.23,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Nurse Practitioner",99418,765.23,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",191.31,"2025-07-01","2026-06-30"]
[25,"Modoc","Nurse Practitioner",99443,765.23,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",331.6,"2025-07-01","2026-06-30"]
[25,"Modoc","Occupational Therapist",99366,533.12,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",533.12,"2025-07-01","2026-06-30"]
[25,"Modoc","Other Qualified Practitioner","H0032",301.31,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",75.33,"2025-07-01","2026-06-30"]
[25,"Modoc","Physician Assistant",96105,690.17,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",690.17,"2025-07-01","2026-06-30"]
[25,"Modoc","Physician Assistant",96368,690.17,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",172.54,"2025-07-01","2026-06-30"]
[25,"Modoc","Physician Assistant",99221,690.17,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",540.63,"2025-07-01","2026-06-30"]
[25,"Modoc","Physician Assistant",99442,690.17,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",184.05,"2025-07-01","2026-06-30"]
[25,"Modoc","Physician Assistant","H2021",690.17,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",172.54,"2025-07-01","2026-06-30"]
[25,"Modoc","Psychologist (Licensed or Waivered)",90847,618.88,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",515.73,"2025-07-01","2026-06-30"]
[25,"Modoc","Psychologist (Licensed or Waivered)",96161,618.88,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",154.72,"2025-07-01","2026-06-30"]
[25,"Modoc","Registered Nurse",96372,625.05999999999995,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",156.27000000000001,"2025-07-01","2026-06-30"]
[25,"Modoc","Registered Nurse","G0542",625.05999999999995,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",156.27000000000001,"2025-07-01","2026-06-30"]
[25,"Modoc","Registered Nurse","T1013",625.05999999999995,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist",90792,760.18,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",760.18,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist",90868,760.18,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",190.05,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist",96161,760.18,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",190.05,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist",97551,760.18,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",190.05,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist",99342,760.18,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",570.14,"2025-07-01","2026-06-30"]
[26,"Mono","Clinical Nurse Specialist","H0033",760.18,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",190.05,"2025-07-01","2026-06-30"]
[26,"Mono","Community Health Worker","G0022",306.8,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",153.4,"2025-07-01","2026-06-30"]
[26,"Mono","LCSW (Licensed, Waivered or Registered)","H2017",397.85,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",22.1,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician",90836,1528.68,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1146.51,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician",96366,1528.68,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",1146.51,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician",99231,1528.68,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",764.34,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician",99309,1528.68,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",942.69,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician",99418,1528.68,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",382.17,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Physician","T2021",1528.68,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",382.17,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Psychiatric Technician","H2011",279.64,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",69.91,"2025-07-01","2026-06-30"]
[26,"Mono","Licensed Vocational Nurse",99484,326.19,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",326.19,"2025-07-01","2026-06-30"]
[26,"Mono","Medical Assistant",96110,224.23,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",224.23,"2025-07-01","2026-06-30"]
[26,"Mono","MFT/LPCC (Licensed, Waivered or Registered)",90837,397.85,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",397.85,"2025-07-01","2026-06-30"]
[26,"Mono","MFT/LPCC (Licensed, Waivered or Registered)",99368,397.85,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",397.85,"2025-07-01","2026-06-30"]
[26,"Mono","MFT/LPCC (Licensed, Waivered or Registered)","T2021",397.85,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",22.1,"2025-07-01","2026-06-30"]
[26,"Mono","Nurse Practitioner",90840,760.18,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",380.09,"2025-07-01","2026-06-30"]
[26,"Mono","Nurse Practitioner",97552,760.18,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",126.7,"2025-07-01","2026-06-30"]
[26,"Mono","Nurse Practitioner",99215,760.18,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",595.47,"2025-07-01","2026-06-30"]
[26,"Mono","Nurse Practitioner",99341,760.18,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",278.73,"2025-07-01","2026-06-30"]
[26,"Mono","Occupational Therapist",96125,529.59,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",529.59,"2025-07-01","2026-06-30"]
[26,"Mono","Occupational Therapist","G0543",529.59,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",88.27,"2025-07-01","2026-06-30"]
[26,"Mono","Other Qualified Practitioner","H2021",299.32,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",74.83,"2025-07-01","2026-06-30"]
[26,"Mono","Physician Assistant",96112,685.61,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",685.61,"2025-07-01","2026-06-30"]
[26,"Mono","Physician Assistant",96377,685.61,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",171.4,"2025-07-01","2026-06-30"]
[26,"Mono","Physician Assistant",99234,685.61,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",651.33000000000004,"2025-07-01","2026-06-30"]
[26,"Mono","Physician Assistant","G0540",685.61,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",171.4,"2025-07-01","2026-06-30"]
[26,"Mono","Psychologist (Licensed or Waivered)",90832,614.79,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",310.41000000000003,"2025-07-01","2026-06-30"]
[26,"Mono","Psychologist (Licensed or Waivered)",90847,614.79,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",512.33000000000004,"2025-07-01","2026-06-30"]
[26,"Mono","Psychologist (Licensed or Waivered)","G0540",614.79,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",153.69999999999999,"2025-07-01","2026-06-30"]
[26,"Mono","Registered Nurse",97551,620.92999999999995,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",155.22999999999999,"2025-07-01","2026-06-30"]
[26,"Mono","Registered Nurse","H0032",620.92999999999995,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",155.22999999999999,"2025-07-01","2026-06-30"]
[26,"Mono","Registered Pharmacist",99607,731.74,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",182.94,"2025-07-01","2026-06-30"]
[27,"Monterey","Clinical Nurse Specialist",90791,787.01,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",787.01,"2025-07-01","2026-06-30"]
[27,"Monterey","Clinical Nurse Specialist",96130,787.01,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",787.01,"2025-07-01","2026-06-30"]
[27,"Monterey","Clinical Nurse Specialist",96371,787.01,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",196.75,"2025-07-01","2026-06-30"]
[27,"Monterey","Clinical Nurse Specialist",99253,787.01,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",682.08,"2025-07-01","2026-06-30"]
[27,"Monterey","Clinical Nurse Specialist","G0316",787.01,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",196.75,"2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)",90832,411.89,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",208.96,"2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)",90853,411.89,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",76.28,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",90791,1582.64,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1582.64,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",90836,1582.64,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1186.98,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",96161,1582.64,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",395.66,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99215,1582.64,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1239.73,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99418,1582.64,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",395.66,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician","H2000",1582.64,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",395.66,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician","G0539",289.51,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",110.98,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician","H0034",289.51,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",16.079999999999998,"2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Vocational Nurse","H2017",337.71,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",84.43,"2025-07-01","2026-06-30"]
[27,"Monterey","Mental Health Rehabilitation Specialist","H2017",309.89,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.22,"2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)",96203,411.89,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",22.88,"2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)",98967,411.89,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",109.84,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",90837,787.01,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",787.01,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",90885,787.01,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",787.01,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",97552,787.01,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",131.16999999999999,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99308,787.01,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",327.92,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","G0543",787.01,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",131.16999999999999,"2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","H2021",787.01,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",196.75,"2025-07-01","2026-06-30"]
[27,"Monterey","Other Qualified Practitioner","H0033",309.89,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",77.47,"2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",90853,709.81,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",131.44999999999999,"2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",96105,709.81,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",709.81,"2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",96371,709.81,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",177.45,"2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99305,709.81,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",496.87,"2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99442,709.81,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",189.28,"2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)",90785,636.49,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)",98966,636.49,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",84.87,"2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)","T1017",636.49,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",159.12,"2025-07-01","2026-06-30"]
[27,"Monterey","Registered Nurse",96366,642.85,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",482.14,"2025-07-01","2026-06-30"]
[27,"Monterey","Registered Pharmacist",99484,757.57,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",757.57,"2025-07-01","2026-06-30"]
[28,"Napa","Certified AOD Counselor","H0034",422.22,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",105.56,"2025-07-01","2026-06-30"]
[28,"Napa","Clinical Nurse Specialist",90792,972.6,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",972.6,"2025-07-01","2026-06-30"]
[28,"Napa","Clinical Nurse Specialist",90868,972.6,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",243.15,"2025-07-01","2026-06-30"]
[28,"Napa","Clinical Nurse Specialist",99203,972.6,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",599.77,"2025-07-01","2026-06-30"]
[28,"Napa","Clinical Nurse Specialist",99245,972.6,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",1005.02,"2025-07-01","2026-06-30"]
[28,"Napa","Clinical Nurse Specialist",99417,972.6,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.15,"2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)",90834,509.02,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",384.78,"2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)",97552,509.02,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",84.84,"2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)","T2021",509.02,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",130.27000000000001,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",96127,1955.85,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1955.85,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",96377,1955.85,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",488.96,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99231,1955.85,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",977.93,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99309,1955.85,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",1206.1099999999999,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician",96371,357.78,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",89.45,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician","G0540",357.78,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",89.45,"2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician","T1017",357.78,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",89.45,"2025-07-01","2026-06-30"]
[28,"Napa","Medical Assistant",96372,286.89,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",71.72,"2025-07-01","2026-06-30"]
[28,"Napa","Mental Health Rehabilitation Specialist","H2011",382.96,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",95.74,"2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)",96110,509.02,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",509.02,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",90832,972.6,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",486.3,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",90849,972.6,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",302.58999999999997,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",96136,972.6,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",486.3,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",97552,972.6,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",162.1,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",99417,972.6,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",243.15,"2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner","H0034",972.6,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",243.15,"2025-07-01","2026-06-30"]
[28,"Napa","Occupational Therapist","H2017",677.58,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",37.64,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",90785,877.19,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",90865,877.19,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1315.79,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",96131,877.19,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",877.19,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99243,877.19,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",511.69,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99310,877.19,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",760.23,"2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant","H0031",877.19,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",219.3,"2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)",90832,786.58,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",396.3,"2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)","G0540",786.58,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",196.65,"2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse",96110,794.44,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",794.44,"2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse","H2017",794.44,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",44.14,"2025-07-01","2026-06-30"]
[28,"Napa","Registered Pharmacist","H0031",936.22,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",234.06,"2025-07-01","2026-06-30"]
[29,"Nevada","Certified AOD Counselor","H2017",341.03,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",85.26,"2025-07-01","2026-06-30"]
[29,"Nevada","Clinical Nurse Specialist",90834,785.59,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",592.20000000000005,"2025-07-01","2026-06-30"]
[29,"Nevada","Clinical Nurse Specialist",96113,785.59,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",392.8,"2025-07-01","2026-06-30"]
[29,"Nevada","Clinical Nurse Specialist",99234,785.59,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",746.31,"2025-07-01","2026-06-30"]
[29,"Nevada","Clinical Nurse Specialist",99308,785.59,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",327.33,"2025-07-01","2026-06-30"]
[29,"Nevada","Clinical Nurse Specialist","G0316",785.59,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",196.4,"2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)",90845,411.15,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",308.36,"2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)","G0540",411.15,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",102.79,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",90791,1579.79,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1579.79,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",96161,1579.79,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",394.95,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99205,1579.79,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1764.1,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99234,1579.79,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1500.8,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99418,1579.79,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",394.95,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Psychiatric Technician",96375,288.99,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",72.25,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Psychiatric Technician","H0033",288.99,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",72.25,"2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Vocational Nurse",96373,337.1,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",84.28,"2025-07-01","2026-06-30"]
[29,"Nevada","Medical Assistant",99368,231.73,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",231.73,"2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)",90837,411.15,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",414.16,"2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)",96203,411.15,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",22.84,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",90834,785.59,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",592.20000000000005,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",96116,785.59,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",785.59,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",96136,785.59,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",392.8,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",99223,785.59,82,"N/A","Therapy","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.","N/A",1073.6400000000001,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner","G0539",785.59,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",301.14,"2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner","H2000",785.59,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",196.4,"2025-07-01","2026-06-30"]
[29,"Nevada","Occupational Therapist","G0543",547.29999999999995,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",91.22,"2025-07-01","2026-06-30"]
[29,"Nevada","Peer Support Specialists","T1013",324.79000000000002,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",96125,708.53,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",708.53,"2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",96369,708.53,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",448.74,"2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",99245,708.53,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",732.15,"2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant","G0541",708.53,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",271.60000000000002,"2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant","T1017",708.53,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",177.13,"2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)",97550,635.34,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",243.55,"2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)","T1013",635.34,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse",96110,641.69000000000005,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",641.69000000000005,"2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse","H0034",641.69000000000005,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",35.65,"2025-07-01","2026-06-30"]
[29,"Nevada","Registered Pharmacist",97550,756.21,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",289.88,"2025-07-01","2026-06-30"]
[30,"Orange","Certified AOD Counselor","H2021",345.81,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",86.45,"2025-07-01","2026-06-30"]
[30,"Orange","Clinical Nurse Specialist",96105,796.59,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",796.59,"2025-07-01","2026-06-30"]
[30,"Orange","Clinical Nurse Specialist",96376,796.59,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",199.15,"2025-07-01","2026-06-30"]
[30,"Orange","Clinical Nurse Specialist",99305,796.59,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",557.61,"2025-07-01","2026-06-30"]
[30,"Orange","Clinical Nurse Specialist",99415,796.59,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",796.59,"2025-07-01","2026-06-30"]
[30,"Orange","Community Health Worker","G0022",321.5,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",160.75,"2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)",90834,416.91,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",315.69,"2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)",99484,416.91,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",416.91,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",90839,1601.92,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1601.92,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",96127,1601.92,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1601.92,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99205,1601.92,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1788.81,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99347,1601.92,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",667.47,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician","H2017",1601.92,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",400.48,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Psychiatric Technician",96139,293.02999999999997,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, each additional 30 minutes","N/A",146.52000000000001,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse",96370,341.82,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",256.37,"2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse","T1013",341.82,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[30,"Orange","Medical Assistant",96372,234.97,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",58.74,"2025-07-01","2026-06-30"]
[30,"Orange","Mental Health Rehabilitation Specialist","H2019",313.66000000000003,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",78.42,"2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)","G0542",416.91,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",104.23,"2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",90832,796.59,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",398.3,"2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",96110,796.59,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",796.59,"2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99204,796.59,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",690.38,"2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99244,796.59,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",624,"2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99349,796.59,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",663.83,"2025-07-01","2026-06-30"]
[30,"Orange","Occupational Therapist",97551,554.96,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",138.74,"2025-07-01","2026-06-30"]
[30,"Orange","Other Qualified Practitioner","H0034",313.66000000000003,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",17.43,"2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",90785,718.45,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",96366,718.45,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",538.84,"2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",96367,718.45,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",371.2,"2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",99243,718.45,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",419.1,"2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",99349,718.45,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",598.71,"2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)",90840,644.24,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",322.12,"2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)",96137,644.24,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",322.12,"2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)","H2017",644.24,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",35.79,"2025-07-01","2026-06-30"]
[30,"Orange","Registered Nurse","G0540",650.67999999999995,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",162.66999999999999,"2025-07-01","2026-06-30"]
[30,"Orange","Registered Pharmacist",90785,766.8,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[30,"Orange","Registered Pharmacist","H0031",766.8,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",191.7,"2025-07-01","2026-06-30"]
[31,"Placer","Certified AOD Counselor","H2017",354.37,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",88.59,"2025-07-01","2026-06-30"]
[31,"Placer","Clinical Nurse Specialist",96365,816.3,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",625.83000000000004,"2025-07-01","2026-06-30"]
[31,"Placer","Clinical Nurse Specialist",96377,816.3,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",204.08,"2025-07-01","2026-06-30"]
[31,"Placer","Clinical Nurse Specialist",99223,816.3,82,"N/A","Therapy","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.","N/A",1115.6099999999999,"2025-07-01","2026-06-30"]
[31,"Placer","Clinical Nurse Specialist","H0031",816.3,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",204.08,"2025-07-01","2026-06-30"]
[31,"Placer","Community Health Worker",98962,329.46,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",25.34,"2025-07-01","2026-06-30"]
[31,"Placer","LCSW (Licensed, Waivered or Registered)",96110,427.22,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",427.22,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",90834,1641.55,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1231.1600000000001,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",90868,1641.55,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",410.39,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",96202,1641.55,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",364.79,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",99205,1641.55,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1833.06,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",99443,1641.55,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",711.34,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician","T1013",1641.55,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Psychiatric Technician","H2019",300.27999999999997,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",75.069999999999993,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse",97551,350.28,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",87.57,"2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse","T1017",350.28,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",87.57,"2025-07-01","2026-06-30"]
[31,"Placer","Medical Assistant","H2019",240.79,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",60.2,"2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)",98968,427.22,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",185.13,"2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)","T1017",427.22,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",106.81,"2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",90839,816.3,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",816.3,"2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",96116,816.3,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",816.3,"2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99223,816.3,82,"N/A","Therapy","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.","N/A",1115.6099999999999,"2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99309,816.3,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",503.39,"2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner","G0539",816.3,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",312.92,"2025-07-01","2026-06-30"]
[31,"Placer","Occupational Therapist","H0033",568.69000000000005,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",142.16999999999999,"2025-07-01","2026-06-30"]
[31,"Placer","Other Qualified Practitioner","H2017",321.42,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.86,"2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",90833,736.23,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",371.13,"2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",96125,736.23,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",736.23,"2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99232,736.23,42,"N/A","Therapy","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.","N/A",515.36,"2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99306,736.23,57,"N/A","Therapy","Initial nursing facility 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.","N/A",699.42,"2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99443,736.23,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",319.02999999999997,"2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)",90880,660.18,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",660.18,"2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)","G0323",660.18,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",660.18,"2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)","T1013",660.18,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[31,"Placer","Registered Nurse","H0034",666.78,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",37.04,"2025-07-01","2026-06-30"]
[31,"Placer","Registered Pharmacist",99605,785.77,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",196.44,"2025-07-01","2026-06-30"]
[31,"Placer","Registered Pharmacist","H0034",785.77,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",196.44,"2025-07-01","2026-06-30"]
[32,"Plumas","Clinical Nurse Specialist",90834,917.19,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",690.9,"2025-07-01","2026-06-30"]
[32,"Plumas","Clinical Nurse Specialist",96369,917.19,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",580.89,"2025-07-01","2026-06-30"]
[32,"Plumas","Clinical Nurse Specialist",98968,917.19,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",397.45,"2025-07-01","2026-06-30"]
[32,"Plumas","Clinical Nurse Specialist",99305,917.19,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",642.03,"2025-07-01","2026-06-30"]
[32,"Plumas","Clinical Nurse Specialist","H0033",917.19,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",229.3,"2025-07-01","2026-06-30"]
[32,"Plumas","LCSW (Licensed, Waivered or Registered)",90847,480.02,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",400.02,"2025-07-01","2026-06-30"]
[32,"Plumas","LCSW (Licensed, Waivered or Registered)",98966,480.02,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",64,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician",90837,1844.44,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",1847.45,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician",96137,1844.44,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",922.22,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician",99223,1844.44,82,"N/A","Therapy","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.","N/A",2520.73,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician",99238,1844.44,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",922.22,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician",99347,1844.44,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",768.52,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Physician","T2021",1844.44,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",102.47,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Psychiatric Technician","H0033",337.4,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",84.35,"2025-07-01","2026-06-30"]
[32,"Plumas","Licensed Vocational Nurse","H2000",393.57,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",98.39,"2025-07-01","2026-06-30"]
[32,"Plumas","Medical Assistant",96370,270.55,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",202.91,"2025-07-01","2026-06-30"]
[32,"Plumas","Mental Health Rehabilitation Specialist","T1017",361.15,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",90.29,"2025-07-01","2026-06-30"]
[32,"Plumas","MFT/LPCC (Licensed, Waivered or Registered)",99368,480.02,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",480.02,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner",90836,917.19,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",687.89,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner",90870,917.19,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",305.73,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner",98968,917.19,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",397.45,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner",99204,917.19,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",794.9,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner",99309,917.19,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",565.6,"2025-07-01","2026-06-30"]
[32,"Plumas","Nurse Practitioner","H2017",917.19,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",50.96,"2025-07-01","2026-06-30"]
[32,"Plumas","Occupational Therapist",97551,638.98,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",159.75,"2025-07-01","2026-06-30"]
[32,"Plumas","Other Qualified Practitioner","T1013",361.15,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[32,"Plumas","Physician Assistant",90885,827.22,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",827.22,"2025-07-01","2026-06-30"]
[32,"Plumas","Physician Assistant",96374,827.22,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",206.81,"2025-07-01","2026-06-30"]
[32,"Plumas","Physician Assistant",99255,827.22,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1199.47,"2025-07-01","2026-06-30"]
[32,"Plumas","Physician Assistant",99418,827.22,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",206.81,"2025-07-01","2026-06-30"]
[32,"Plumas","Psychologist (Licensed or Waivered)",90832,741.77,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",373.9,"2025-07-01","2026-06-30"]
[32,"Plumas","Psychologist (Licensed or Waivered)",90840,741.77,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",370.89,"2025-07-01","2026-06-30"]
[32,"Plumas","Psychologist (Licensed or Waivered)",97551,741.77,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",185.44,"2025-07-01","2026-06-30"]
[32,"Plumas","Registered Nurse",96203,749.19,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",41.62,"2025-07-01","2026-06-30"]
[32,"Plumas","Registered Nurse","G0540",749.19,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",187.3,"2025-07-01","2026-06-30"]
[32,"Plumas","Registered Pharmacist",99605,882.89,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",220.72,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist",90785,1084.52,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist",90867,1084.52,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",1084.52,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist",98968,1084.52,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",469.96,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist",99243,1084.52,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",632.64,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist",99442,1084.52,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",289.20999999999998,"2025-07-01","2026-06-30"]
[33,"Riverside","Clinical Nurse Specialist","H0031",1084.52,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",271.13,"2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)",97550,567.59,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",217.58,"2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)",98967,567.59,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",151.36000000000001,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",90834,1903.09,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1427.32,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",96110,1903.09,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",1903.09,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99222,1903.09,65,"N/A","Therapy","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.","N/A",2061.6799999999998,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99307,1903.09,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",475.77,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician","H0034",1903.09,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",105.73,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Psychiatric Technician",99484,348.13,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",348.13,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Vocational Nurse",96202,406.08,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",90.24,"2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Vocational Nurse",97551,406.08,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",101.52,"2025-07-01","2026-06-30"]
[33,"Riverside","Mental Health Rehabilitation Specialist","H0034",372.63,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",20.7,"2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)",96127,567.59,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",567.59,"2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)",98968,567.59,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",245.96,"2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)","T1013",567.59,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",96132,1084.52,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1084.52,"2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",97550,1084.52,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",415.73,"2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",99238,1084.52,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",542.26,"2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner","H0032",1084.52,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",271.13,"2025-07-01","2026-06-30"]
[33,"Riverside","Occupational Therapist",90887,659.3,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",549.41999999999996,"2025-07-01","2026-06-30"]
[33,"Riverside","Occupational Therapist","H0031",659.3,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",164.83,"2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",90849,978.13,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",304.31,"2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",96136,978.13,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",489.07,"2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",96375,978.13,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",244.53,"2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",99344,978.13,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1092.25,"2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant","G0542",978.13,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",244.53,"2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)",90791,877.1,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",877.1,"2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)",96116,877.1,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",877.1,"2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse",90785,885.86,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse",96372,885.86,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",221.47,"2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse","H2021",885.86,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",221.47,"2025-07-01","2026-06-30"]
[33,"Riverside","Registered Pharmacist",99605,1043.96,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",260.99,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist",90837,798.31,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",798.31,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist",96110,798.31,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",798.31,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist",96369,798.31,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",505.6,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist",99341,798.31,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",292.70999999999998,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist",99443,798.31,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",345.93,"2025-07-01","2026-06-30"]
[34,"Sacramento","Clinical Nurse Specialist","H2017",798.31,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",44.35,"2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)",90847,417.8,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",348.17,"2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)","T2024",417.8,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",104.45,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",90849,1605.37,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",499.45,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",96130,1605.37,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1605.37,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99238,1605.37,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",802.69,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99416,1605.37,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",802.69,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician","H0034",1605.37,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",89.19,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Psychiatric Technician","H2000",293.67,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",73.42,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Vocational Nurse",96371,342.56,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",85.64,"2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Vocational Nurse","G0542",342.56,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",85.64,"2025-07-01","2026-06-30"]
[34,"Sacramento","Medical Assistant","H2000",235.48,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",58.87,"2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)",96161,417.8,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",104.45,"2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)","G0543",417.8,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",69.63,"2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",90836,798.31,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",598.73,"2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",96161,798.31,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",199.58,"2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99221,798.31,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",625.34,"2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99253,798.31,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",691.87,"2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner","H2017",798.31,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",44.35,"2025-07-01","2026-06-30"]
[34,"Sacramento","Occupational Therapist","G0541",556.16,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",213.19,"2025-07-01","2026-06-30"]
[34,"Sacramento","Occupational Therapist","H2000",556.16,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",139.04,"2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",90833,720,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",363.01,"2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",96372,720,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",180,"2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",98966,720,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",96,"2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99255,720,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1044,"2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant","H0031",720,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",180,"2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)",90885,645.63,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",645.63,"2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)",97551,645.63,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",161.41,"2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse",96127,652.08000000000004,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",652.08000000000004,"2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse","H0033",652.08000000000004,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",163.02000000000001,"2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Pharmacist",96202,768.45,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",170.77,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist",90785,761.62,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist",90885,761.62,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",761.62,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist",96116,761.62,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",761.62,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist",98968,761.62,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",330.04,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist",99243,761.62,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",444.28,"2025-07-01","2026-06-30"]
[35,"San Benito","Clinical Nurse Specialist","G0542",761.62,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",190.41,"2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)",90832,398.6,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",202.31,"2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)","G0540",398.6,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",99.65,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",90838,1531.58,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1531.58,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",96121,1531.58,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1531.58,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99214,1531.58,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",893.42,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99222,1531.58,65,"N/A","Therapy","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.","N/A",1659.21,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99348,1531.58,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",893.42,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician",90785,280.17,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician",99484,280.17,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",280.17,"2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Vocational Nurse",96374,326.81,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",81.7,"2025-07-01","2026-06-30"]
[35,"San Benito","Medical Assistant",96370,224.66,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",168.5,"2025-07-01","2026-06-30"]
[35,"San Benito","Mental Health Rehabilitation Specialist","H2017",299.89,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",16.66,"2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)","G0540",398.6,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",99.65,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",90791,761.62,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",761.62,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",96116,761.62,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",761.62,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",96132,761.62,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",761.62,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99253,761.62,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",660.07,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99347,761.62,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",317.33999999999997,"2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner","H0032",761.62,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",190.41,"2025-07-01","2026-06-30"]
[35,"San Benito","Occupational Therapist",96202,530.6,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",117.91,"2025-07-01","2026-06-30"]
[35,"San Benito","Peer Support Specialists","H0038",314.88,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",78.72,"2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",90849,686.91,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",213.71,"2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",96370,686.91,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",515.17999999999995,"2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99239,686.91,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",686.91,"2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99368,686.91,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",686.91,"2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant","G0542",686.91,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",171.73,"2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)",96133,615.95000000000005,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",615.95000000000005,"2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)",96161,615.95000000000005,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",153.99,"2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse",90785,622.11,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse",97551,622.11,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",155.53,"2025-07-01","2026-06-30"]
[35,"San Benito","Registered Pharmacist","G0542",733.13,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",183.28,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Certified AOD Counselor","H2000",368.32,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",92.08,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Clinical Nurse Specialist",90847,848.45,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",707.04,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Clinical Nurse Specialist",96375,848.45,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",212.11,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Clinical Nurse Specialist",99233,848.45,57,"N/A","Therapy","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.","N/A",806.03,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Clinical Nurse Specialist",99306,848.45,57,"N/A","Therapy","Initial nursing facility 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.","N/A",806.03,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Community Health Worker",98960,342.43,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient","N/A",171.22,"2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)",96127,444.04,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",444.04,"2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)","G0323",444.04,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",444.04,"2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)","T2021",444.04,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",114.02,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",96366,1706.19,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",1279.6400000000001,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99203,1706.19,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1052.1500000000001,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99253,1706.19,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1478.7,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician","H2019",1706.19,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",426.55,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician",96371,312.11,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",78.03,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician","H2017",312.11,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.34,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Vocational Nurse","T1001",364.07,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",91.02,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Medical Assistant","T1017",250.27,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",62.57,"2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)",90785,444.04,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)","H2017",444.04,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",111.01,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",90839,848.45,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",848.45,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",96112,848.45,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",848.45,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",96369,848.45,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",537.35,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99221,848.45,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",664.62,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99484,848.45,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",848.45,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner","T2021",848.45,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",47.14,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Other Qualified Practitioner","H2011",334.08,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",83.52,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",90836,765.22,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",573.91999999999996,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",96116,765.22,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",765.22,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",96367,765.22,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",395.36,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99309,765.22,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",471.89,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99441,765.22,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",102.03,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant","H2011",765.22,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",191.31,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)",90885,686.17,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",686.17,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)","H2019",686.17,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",171.54,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse",96368,693.03,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",173.26,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse","H0033",693.03,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",173.26,"2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Pharmacist","H2011",816.71,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",204.18,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist",90833,743.91,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",374.97,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist",90867,743.91,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",743.91,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist",99204,743.91,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",644.72,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist",99255,743.91,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1078.67,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist",99342,743.91,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",557.92999999999995,"2025-07-01","2026-06-30"]
[37,"San Diego","Clinical Nurse Specialist","H2000",743.91,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",185.98,"2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)",99366,389.33,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",389.33,"2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)","H0036",389.33,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",97.33,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",90838,1495.97,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1495.97,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",96366,1495.97,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",1121.98,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99235,1495.97,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1919.83,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99344,1495.97,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1670.5,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician",90785,273.64999999999998,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician","H0031",273.64999999999998,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",68.41,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Vocational Nurse",96202,319.20999999999998,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",70.94,"2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Vocational Nurse",99484,319.20999999999998,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",319.20999999999998,"2025-07-01","2026-06-30"]
[37,"San Diego","Mental Health Rehabilitation Specialist","H2021",292.92,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",73.23,"2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)",90837,389.33,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",389.33,"2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)","G0540",389.33,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",97.33,"2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",90791,743.91,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",743.91,"2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",96133,743.91,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",743.91,"2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99202,743.91,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",272.77,"2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99342,743.91,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",557.92999999999995,"2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner","H2011",743.91,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",185.98,"2025-07-01","2026-06-30"]
[37,"San Diego","Occupational Therapist",96203,518.26,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.79,"2025-07-01","2026-06-30"]
[37,"San Diego","Peer Support Specialists","H0038",307.56,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",76.89,"2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",90870,670.94,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",223.65,"2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",96112,670.94,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",670.94,"2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",98966,670.94,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",89.46,"2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",99239,670.94,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",670.94,"2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant","G0540",670.94,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",167.74,"2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)",90837,601.63,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",604.64,"2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)",97550,601.63,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",230.62,"2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse",96161,607.64,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",151.91,"2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse",99484,607.64,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",607.64,"2025-07-01","2026-06-30"]
[37,"San Diego","Registered Pharmacist","G0539",716.09,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",274.5,"2025-07-01","2026-06-30"]
[38,"San Francisco","Certified AOD Counselor","T1013",455.3,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[38,"San Francisco","Clinical Nurse Specialist",90870,1048.82,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",349.61,"2025-07-01","2026-06-30"]
[38,"San Francisco","Clinical Nurse Specialist",96127,1048.82,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1048.82,"2025-07-01","2026-06-30"]
[38,"San Francisco","Clinical Nurse Specialist",96375,1048.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",262.20999999999998,"2025-07-01","2026-06-30"]
[38,"San Francisco","Clinical Nurse Specialist",99243,1048.82,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",611.80999999999995,"2025-07-01","2026-06-30"]
[38,"San Francisco","Clinical Nurse Specialist","G0542",1048.82,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",262.20999999999998,"2025-07-01","2026-06-30"]
[38,"San Francisco","Community Health Worker","G0022",423.3,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",211.65,"2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)","H0031",548.91,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",137.22999999999999,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",90833,2109.13,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",1054.57,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",96116,2109.13,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",2109.13,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",96146,2109.13,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",2109.13,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99305,2109.13,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",1476.39,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99342,2109.13,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1581.85,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician","H2019",2109.13,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",527.28,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Psychiatric Technician",97550,385.82,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",147.9,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse",96377,450.05,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",112.51,"2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse","T1001",450.05,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",112.51,"2025-07-01","2026-06-30"]
[38,"San Francisco","Mental Health Rehabilitation Specialist","H0034",412.97,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",22.94,"2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)",98966,548.91,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",73.19,"2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)","T2021",548.91,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",30.5,"2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",90836,1048.82,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",789.63,"2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",96376,1048.82,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",262.20999999999998,"2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99243,1048.82,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",611.80999999999995,"2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99307,1048.82,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",262.20999999999998,"2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner","G0539",1048.82,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",402.05,"2025-07-01","2026-06-30"]
[38,"San Francisco","Occupational Therapist","H2000",730.68,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",182.67,"2025-07-01","2026-06-30"]
[38,"San Francisco","Other Qualified Practitioner","H2011",412.97,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",103.24,"2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",90840,945.93,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",472.97,"2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",96373,945.93,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",236.48,"2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99231,945.93,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",472.97,"2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99309,945.93,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",583.32000000000005,"2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant","T2024",945.93,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",236.48,"2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)",96127,848.22,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",848.22,"2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)",97552,848.22,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",141.37,"2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse",96375,856.7,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",214.18,"2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse","H2017",856.7,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",47.59,"2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Pharmacist",99368,1009.59,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",1009.59,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Certified AOD Counselor",90785,319.64,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Clinical Nurse Specialist",96116,736.31,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",736.31,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Clinical Nurse Specialist",96367,736.31,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",380.43,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Clinical Nurse Specialist",99222,736.31,65,"N/A","Therapy","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.","N/A",797.67,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Clinical Nurse Specialist",99441,736.31,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",98.17,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Clinical Nurse Specialist","T1001",736.31,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",184.08,"2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)",90840,385.36,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",192.68,"2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)",97551,385.36,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",96.34,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",90867,1480.7,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",1480.7,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",96125,1480.7,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",1480.7,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",96373,1480.7,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",370.18,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",99367,1480.7,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician","N/A",1480.7,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician","H0033",1480.7,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",370.18,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician",96367,270.86,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",139.94,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician","H0031",270.86,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",67.72,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Vocational Nurse","H0032",315.95,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",78.989999999999995,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Medical Assistant","H0034",217.19,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",54.3,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Mental Health Rehabilitation Specialist","H2000",289.93,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",72.48,"2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)","H0033",385.36,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",96.34,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",90834,736.31,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",552.23,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",90849,736.31,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",229.07,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",96202,736.31,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",163.62,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99304,736.31,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",368.16,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99366,736.31,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",736.31,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner","H2011",736.31,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",184.08,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Occupational Therapist","H2017",512.97,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",28.5,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",90832,664.09,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",335.06,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",90870,664.09,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",221.36,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99202,664.09,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",243.5,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99253,664.09,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",575.54,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99310,664.09,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",575.54,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant","H0034",664.09,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",36.89,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)",96203,595.49,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",33.08,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)","G0540",595.49,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",148.87,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Nurse",96161,601.44000000000005,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",150.36000000000001,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Pharmacist",97551,708.77,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",177.19,"2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Pharmacist","H0033",708.77,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",177.19,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Certified AOD Counselor","T1013",287.76,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Clinical Nurse Specialist",96127,662.88,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",662.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Clinical Nurse Specialist",98966,662.88,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",88.38,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Clinical Nurse Specialist",99239,662.88,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",662.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Clinical Nurse Specialist","H0032",662.88,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",165.72,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)",90791,346.92,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",346.92,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)",90845,346.92,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",260.19,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)","H0031",346.92,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",86.73,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",90833,1333.02,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",666.51,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",96161,1333.02,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",333.26,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99215,1333.02,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",1044.2,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99347,1333.02,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",555.42999999999995,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician","T2021",1333.02,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",336.27,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Psychiatric Technician",97551,243.84,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",60.96,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Vocational Nurse",96377,284.44,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",71.11,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Medical Assistant",96161,195.53,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",48.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Mental Health Rehabilitation Specialist","T1013",261.01,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)",90837,346.92,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",346.92,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)",98966,346.92,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",46.26,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",90832,662.88,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",334.45,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",96130,662.88,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",662.88,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",98968,662.88,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",287.25,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",99344,662.88,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",740.22,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner","G0543",662.88,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",110.48,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Occupational Therapist",97551,461.81,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",115.45,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Other Qualified Practitioner","T1017",261.01,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",65.25,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",90845,597.85,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",448.39,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",90885,597.85,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",597.85,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",96373,597.85,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",149.46,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99239,597.85,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",597.85,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant","G0540",597.85,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",149.46,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant","T2024",597.85,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",149.46,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)",96146,536.09,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",536.09,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)","T2021",536.09,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",137.03,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse",99368,541.45000000000005,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",541.45000000000005,"2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Pharmacist","G0540",638.08000000000004,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",159.52000000000001,"2025-07-01","2026-06-30"]
[41,"San Mateo","Certified AOD Counselor","H0034",495.92,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",123.98,"2025-07-01","2026-06-30"]
[41,"San Mateo","Clinical Nurse Specialist",90865,1142.3800000000001,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1713.57,"2025-07-01","2026-06-30"]
[41,"San Mateo","Clinical Nurse Specialist",90887,1142.3800000000001,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",951.98,"2025-07-01","2026-06-30"]
[41,"San Mateo","Clinical Nurse Specialist",96372,1142.3800000000001,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",285.60000000000002,"2025-07-01","2026-06-30"]
[41,"San Mateo","Clinical Nurse Specialist",99309,1142.3800000000001,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",704.47,"2025-07-01","2026-06-30"]
[41,"San Mateo","Clinical Nurse Specialist",99441,1142.3800000000001,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",152.32,"2025-07-01","2026-06-30"]
[41,"San Mateo","Community Health Worker",98960,461.06,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; individual patient","N/A",230.53,"2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)",99368,597.87,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",597.87,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",90791,2297.2800000000002,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",2297.2800000000002,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",90849,2297.2800000000002,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",714.71,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",97552,2297.2800000000002,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",382.88,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99304,2297.2800000000002,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",1148.6400000000001,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99345,2297.2800000000002,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",3139.62,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician","H0034",2297.2800000000002,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",127.63,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Psychiatric Technician","H2011",420.23,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",105.06,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse",96369,490.19,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",310.45,"2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse","H2017",490.19,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",27.23,"2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)",90832,597.87,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",301.95,"2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)",96127,597.87,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",597.87,"2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)","H0033",597.87,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",149.47,"2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",96105,1142.3800000000001,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",1142.3800000000001,"2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",96372,1142.3800000000001,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",285.60000000000002,"2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99214,1142.3800000000001,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",666.39,"2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99442,1142.3800000000001,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",304.63,"2025-07-01","2026-06-30"]
[41,"San Mateo","Occupational Therapist",90785,795.86,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[41,"San Mateo","Occupational Therapist",97550,795.86,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",305.08,"2025-07-01","2026-06-30"]
[41,"San Mateo","Other Qualified Practitioner","H0031",449.81,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",112.45,"2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",96112,1030.32,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",1030.32,"2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",96365,1030.32,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",789.91,"2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99215,1030.32,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",807.08,"2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99253,1030.32,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",892.94,"2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant","H2019",1030.32,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",257.58,"2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)",90853,923.89,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",171.09,"2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)",96136,923.89,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",461.95,"2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse",96371,933.12,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",233.28,"2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse","H0031",933.12,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",233.28,"2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Pharmacist",90785,1099.6500000000001,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist",90832,671.74,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",338.88,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist",90870,671.74,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",223.91,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist",96146,671.74,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",671.74,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist",98966,671.74,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",89.57,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist",99347,671.74,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",279.89,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Clinical Nurse Specialist","H0034",671.74,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",37.32,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)",90791,351.56,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",351.56,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)","H2017",351.56,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",87.89,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",90837,1350.83,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1350.83,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",90868,1350.83,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",337.71,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99233,1350.83,57,"N/A","Therapy","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.","N/A",1283.29,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99341,1350.83,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",495.3,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99443,1350.83,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",585.36,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician","T2021",1350.83,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",340.72,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Psychiatric Technician","H2000",247.1,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",61.78,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Vocational Nurse","G0540",288.24,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",72.06,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Medical Assistant",96161,198.14,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",49.54,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)",90840,351.56,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",175.78,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)","G0323",351.56,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",351.56,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)","T2024",351.56,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",87.89,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",90839,671.74,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",671.74,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",98967,671.74,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",179.13,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99214,671.74,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",391.85,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99344,671.74,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",750.11,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Occupational Therapist",96161,467.98,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",117,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Occupational Therapist","H0033",467.98,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",117,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Other Qualified Practitioner","T1017",264.5,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",66.13,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",96110,605.84,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",605.84,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",97551,605.84,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",151.46,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",99236,605.84,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",928.95,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant","G0543",605.84,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",100.97,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)",90834,543.26,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",410.46,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)",90845,543.26,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",407.45,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)",99484,543.26,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",543.26,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse",99366,548.69000000000005,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",548.69000000000005,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse","H0031",548.69000000000005,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",137.16999999999999,"2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Pharmacist","G0540",646.61,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",161.65,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Clinical Nurse Specialist",90785,1090.03,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Clinical Nurse Specialist",96121,1090.03,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",1090.03,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Clinical Nurse Specialist",96373,1090.03,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",272.51,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Clinical Nurse Specialist",99252,1090.03,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",726.69,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Clinical Nurse Specialist","G0540",1090.03,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",272.51,"2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90832,570.48,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",285.24,"2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90845,570.48,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",427.86,"2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",99368,570.48,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",570.48,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",90834,2192.02,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",1647.03,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",96136,2192.02,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",1096.01,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",97552,2192.02,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",365.34,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",99341,2192.02,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",803.74,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician","H2017",2192.02,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",548.01,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Psychiatric Technician",99484,400.98,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",400.98,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse",96375,467.73,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",116.93,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse","H2019",467.73,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",116.93,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Mental Health Rehabilitation Specialist","H2017",429.2,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",107.3,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Mental Health Rehabilitation Specialist","T1013",429.2,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",98966,570.48,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",76.06,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",90838,1090.03,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",1090.03,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",96105,1090.03,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",1090.03,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",97551,1090.03,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",272.51,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99305,1090.03,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",763.02,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner","G0542",1090.03,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",272.51,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner","T1013",1090.03,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Other Qualified Practitioner","H0034",429.2,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",23.84,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",90849,983.11,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",305.86,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",90880,983.11,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",983.11,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",96370,983.11,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",737.33,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",99307,983.11,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",245.78,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",99417,983.11,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",245.78,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant","T2024",983.11,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",245.78,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)",98968,881.56,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",382.01,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)","T1013",881.56,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Nurse",96368,890.37,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",222.59,"2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Pharmacist",97552,1049.26,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",174.88,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Certified AOD Counselor","H0033",345.01,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",86.25,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Clinical Nurse Specialist",90832,794.75,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",400.39,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Clinical Nurse Specialist",96368,794.75,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",198.69,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Clinical Nurse Specialist",99205,794.75,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",887.47,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Clinical Nurse Specialist",99242,794.75,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",331.15,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Clinical Nurse Specialist",99416,794.75,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",397.38,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)",90837,415.94,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",418.95,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)",96203,415.94,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",23.11,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)","T2021",415.94,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",23.11,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",96131,1598.21,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",1598.21,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",96376,1598.21,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",399.55,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99233,1598.21,57,"N/A","Therapy","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.","N/A",1518.3,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician","G0542",1598.21,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",399.55,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Psychiatric Technician",96370,292.36,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",219.27,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Psychiatric Technician","G0542",292.36,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",73.09,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Vocational Nurse",96202,341.03,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",75.78,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Medical Assistant",99368,234.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",234.43,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Mental Health Rehabilitation Specialist","H2017",312.94,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.39,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)",90887,415.94,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",346.62,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)","G0323",415.94,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",415.94,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",90867,794.75,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",794.75,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",96146,794.75,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",794.75,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",98967,794.75,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",211.93,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",99416,794.75,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",397.38,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner","H0036",794.75,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",198.69,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Occupational Therapist",90887,553.67999999999995,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",461.4,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",90792,716.79,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",716.79,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",90868,716.79,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",179.2,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",96136,716.79,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",358.4,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",97551,716.79,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",179.2,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",99309,716.79,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",442.02,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant","H0033",716.79,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",179.2,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)",90834,642.75,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",485.07,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)","G0543",642.75,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",107.13,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse",96121,649.16999999999996,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",649.16999999999996,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse",99366,649.16999999999996,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",649.16999999999996,"2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse","T1001",649.16999999999996,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",162.29,"2025-07-01","2026-06-30"]
[45,"Shasta","Certified AOD Counselor","H2019",312.32,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",78.08,"2025-07-01","2026-06-30"]
[45,"Shasta","Clinical Nurse Specialist",90834,719.44,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",539.58000000000004,"2025-07-01","2026-06-30"]
[45,"Shasta","Clinical Nurse Specialist",96121,719.44,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",719.44,"2025-07-01","2026-06-30"]
[45,"Shasta","Clinical Nurse Specialist",99236,719.44,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1103.1400000000001,"2025-07-01","2026-06-30"]
[45,"Shasta","Clinical Nurse Specialist",99341,719.44,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",263.79000000000002,"2025-07-01","2026-06-30"]
[45,"Shasta","Clinical Nurse Specialist","G0540",719.44,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",179.86,"2025-07-01","2026-06-30"]
[45,"Shasta","LCSW (Licensed, Waivered or Registered)",90840,376.52,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",188.26,"2025-07-01","2026-06-30"]
[45,"Shasta","LCSW (Licensed, Waivered or Registered)","G0542",376.52,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",94.13,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Physician",90832,1446.76,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",723.38,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Physician",96365,1446.76,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",1109.18,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Physician",99213,1446.76,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",602.82000000000005,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Physician",99233,1446.76,57,"N/A","Therapy","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.","N/A",1374.42,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Physician",99415,1446.76,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",1446.76,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Psychiatric Technician",96377,264.64999999999998,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",66.16,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Psychiatric Technician","H0032",264.64999999999998,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",66.16,"2025-07-01","2026-06-30"]
[45,"Shasta","Licensed Vocational Nurse",96375,308.70999999999998,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",77.180000000000007,"2025-07-01","2026-06-30"]
[45,"Shasta","Medical Assistant",99366,212.21,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",212.21,"2025-07-01","2026-06-30"]
[45,"Shasta","MFT/LPCC (Licensed, Waivered or Registered)",90834,376.52,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",282.39,"2025-07-01","2026-06-30"]
[45,"Shasta","MFT/LPCC (Licensed, Waivered or Registered)",97551,376.52,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",94.13,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner",90834,719.44,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",539.58000000000004,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner",96125,719.44,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",719.44,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner",99204,719.44,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",623.51,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner",99215,719.44,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",563.55999999999995,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner","G0541",719.44,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",275.79000000000002,"2025-07-01","2026-06-30"]
[45,"Shasta","Nurse Practitioner","H0036",719.44,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",179.86,"2025-07-01","2026-06-30"]
[45,"Shasta","Occupational Therapist","G0540",501.21,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",125.3,"2025-07-01","2026-06-30"]
[45,"Shasta","Peer Support Specialists","H0038",297.44,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",74.36,"2025-07-01","2026-06-30"]
[45,"Shasta","Physician Assistant",96130,648.86,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",648.86,"2025-07-01","2026-06-30"]
[45,"Shasta","Physician Assistant",96371,648.86,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",162.22,"2025-07-01","2026-06-30"]
[45,"Shasta","Physician Assistant",99244,648.86,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",508.27,"2025-07-01","2026-06-30"]
[45,"Shasta","Physician Assistant","G0316",648.86,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",162.22,"2025-07-01","2026-06-30"]
[45,"Shasta","Physician Assistant","T2021",648.86,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",36.049999999999997,"2025-07-01","2026-06-30"]
[45,"Shasta","Psychologist (Licensed or Waivered)",96203,581.84,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",32.32,"2025-07-01","2026-06-30"]
[45,"Shasta","Psychologist (Licensed or Waivered)","T2021",581.84,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",145.46,"2025-07-01","2026-06-30"]
[45,"Shasta","Registered Nurse",90887,587.65,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",489.71,"2025-07-01","2026-06-30"]
[45,"Shasta","Registered Nurse","H2011",587.65,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",146.91,"2025-07-01","2026-06-30"]
[45,"Shasta","Registered Pharmacist",97552,692.53,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",115.42,"2025-07-01","2026-06-30"]
[46,"Sierra","Certified AOD Counselor","H2019",256.67974923880803,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",64.17,"2025-07-01","2026-06-30"]
[46,"Sierra","Clinical Nurse Specialist",90880,591.27512428862076,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",591.28,"2025-07-01","2026-06-30"]
[46,"Sierra","Clinical Nurse Specialist",96375,591.27512428862076,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",147.82,"2025-07-01","2026-06-30"]
[46,"Sierra","Clinical Nurse Specialist",99205,591.27512428862076,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",660.26,"2025-07-01","2026-06-30"]
[46,"Sierra","Clinical Nurse Specialist",99417,591.27512428862076,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",147.82,"2025-07-01","2026-06-30"]
[46,"Sierra","Community Health Worker","G0019",238.6365015598895,60,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors.","N/A",238.64,"2025-07-01","2026-06-30"]
[46,"Sierra","LCSW (Licensed, Waivered or Registered)",90832,309.44937317201425,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",154.72,"2025-07-01","2026-06-30"]
[46,"Sierra","LCSW (Licensed, Waivered or Registered)",99368,309.44937317201425,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",309.45,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Physician",90845,1189.0308637222054,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",891.77,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Physician",96116,1189.0308637222054,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",1189.03,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Physician",99204,1189.0308637222054,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",1030.49,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Physician",99349,1189.0308637222054,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",990.86,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Physician","H2011",1189.0308637222054,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",297.26,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Psychiatric Technician",96203,217.51,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",12.08,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Vocational Nurse",96367,253.72,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",131.09,"2025-07-01","2026-06-30"]
[46,"Sierra","Licensed Vocational Nurse","T1001",253.72,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",63.43,"2025-07-01","2026-06-30"]
[46,"Sierra","Medical Assistant",99368,174.4095550888342,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",174.41,"2025-07-01","2026-06-30"]
[46,"Sierra","Mental Health Rehabilitation Specialist","H2017",232.81609908281905,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",12.93,"2025-07-01","2026-06-30"]
[46,"Sierra","MFT/LPCC (Licensed, Waivered or Registered)","H0031",309.44937317201425,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",77.36,"2025-07-01","2026-06-30"]
[46,"Sierra","Nurse Practitioner",90833,591.27512428862076,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",295.64,"2025-07-01","2026-06-30"]
[46,"Sierra","Nurse Practitioner",96105,591.27512428862076,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",591.28,"2025-07-01","2026-06-30"]
[46,"Sierra","Nurse Practitioner",99212,591.27512428862076,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",147.82,"2025-07-01","2026-06-30"]
[46,"Sierra","Nurse Practitioner",99243,591.27512428862076,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",344.91,"2025-07-01","2026-06-30"]
[46,"Sierra","Nurse Practitioner","G0316",591.27512428862076,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",147.82,"2025-07-01","2026-06-30"]
[46,"Sierra","Occupational Therapist",99366,411.92410015175193,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",411.92,"2025-07-01","2026-06-30"]
[46,"Sierra","Other Qualified Practitioner","H0034",232.81609908281905,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",58.2,"2025-07-01","2026-06-30"]
[46,"Sierra","Physician Assistant",90792,533.27361874119617,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",533.27,"2025-07-01","2026-06-30"]
[46,"Sierra","Physician Assistant",96202,533.27361874119617,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",118.51,"2025-07-01","2026-06-30"]
[46,"Sierra","Physician Assistant",99223,533.27361874119617,82,"N/A","Therapy","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.","N/A",728.81,"2025-07-01","2026-06-30"]
[46,"Sierra","Physician Assistant",99245,533.27361874119617,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",551.04999999999995,"2025-07-01","2026-06-30"]
[46,"Sierra","Physician Assistant",99368,533.27361874119617,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",533.27,"2025-07-01","2026-06-30"]
[46,"Sierra","Psychologist (Licensed or Waivered)",90847,478.18839000900516,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",398.49,"2025-07-01","2026-06-30"]
[46,"Sierra","Psychologist (Licensed or Waivered)",96161,478.18839000900516,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",119.55,"2025-07-01","2026-06-30"]
[46,"Sierra","Psychologist (Licensed or Waivered)","H2017",478.18839000900516,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",119.55,"2025-07-01","2026-06-30"]
[46,"Sierra","Registered Nurse","G0542",482.96784367841593,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",120.74,"2025-07-01","2026-06-30"]
[46,"Sierra","Registered Pharmacist",96202,569.16,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",126.48,"2025-07-01","2026-06-30"]
[46,"Sierra","Registered Pharmacist","H0033",569.16,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",142.29,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Certified AOD Counselor","H2019",375.32,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",93.83,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Clinical Nurse Specialist",96203,864.58,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",48.03,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Clinical Nurse Specialist",97551,864.58,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",216.15,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Clinical Nurse Specialist",99233,864.58,57,"N/A","Therapy","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.","N/A",821.35,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Clinical Nurse Specialist","H0033",864.58,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",216.15,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Community Health Worker","G0022",348.94,30,"N/A","Referral & Linkage","Community health services to address social determinants of health (SDOH) needs that are significantly limiting the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors; additional 30 min","N/A",174.47,"2025-07-01","2026-06-30"]
[47,"Siskiyou","LCSW (Licensed, Waivered or Registered)",96127,452.49,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",452.49,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician",90836,1738.63,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1303.97,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician",90867,1738.63,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",1738.63,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician",96365,1738.63,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",1332.95,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician",99213,1738.63,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",724.43,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician","G0316",1738.63,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",434.66,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Physician","T2021",1738.63,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",434.66,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Psychiatric Technician","H2017",318.04000000000002,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",17.670000000000002,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Licensed Vocational Nurse",99484,370.99,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",370.99,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Medical Assistant",96110,255.03,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",255.03,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Medical Assistant","H2017",255.03,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",14.17,"2025-07-01","2026-06-30"]
[47,"Siskiyou","MFT/LPCC (Licensed, Waivered or Registered)",90834,452.49,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",339.37,"2025-07-01","2026-06-30"]
[47,"Siskiyou","MFT/LPCC (Licensed, Waivered or Registered)","T2021",452.49,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",25.14,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner",90847,864.58,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",720.48,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner",96125,864.58,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",864.58,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner",99222,864.58,65,"N/A","Therapy","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.","N/A",936.63,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner",99341,864.58,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",317.01,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner","G0541",864.58,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",331.42,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Nurse Practitioner","T2021",864.58,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",48.03,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Other Qualified Practitioner","H2021",340.43,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",85.11,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Physician Assistant",90833,779.77,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",389.89,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Physician Assistant",96113,779.77,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",389.89,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Physician Assistant",99234,779.77,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",740.78,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Physician Assistant",99305,779.77,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",545.84,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Physician Assistant","G0316",779.77,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",194.94,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Psychologist (Licensed or Waivered)",90853,699.22,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",129.49,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Psychologist (Licensed or Waivered)",99366,699.22,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",699.22,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Psychologist (Licensed or Waivered)","T2021",699.22,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",174.81,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Registered Nurse","H0034",706.21,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",176.55,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Registered Pharmacist",99607,832.24,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",208.06,"2025-07-01","2026-06-30"]
[47,"Siskiyou","Registered Pharmacist","H0033",832.24,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",208.06,"2025-07-01","2026-06-30"]
[48,"Solano","Clinical Nurse Specialist",90833,883.77,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",441.89,"2025-07-01","2026-06-30"]
[48,"Solano","Clinical Nurse Specialist",96371,883.77,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",220.94,"2025-07-01","2026-06-30"]
[48,"Solano","Clinical Nurse Specialist",98967,883.77,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",235.67,"2025-07-01","2026-06-30"]
[48,"Solano","Clinical Nurse Specialist",99254,883.77,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1031.07,"2025-07-01","2026-06-30"]
[48,"Solano","Clinical Nurse Specialist","H0032",883.77,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",220.94,"2025-07-01","2026-06-30"]
[48,"Solano","LCSW (Licensed, Waivered or Registered)",90853,462.53,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",85.65,"2025-07-01","2026-06-30"]
[48,"Solano","LCSW (Licensed, Waivered or Registered)",98968,462.53,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",200.43,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician",90837,1777.22,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",1777.22,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician",96132,1777.22,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1777.22,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician",97550,1777.22,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",681.27,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician",99345,1777.22,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",2428.87,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician","H2000",1777.22,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",444.31,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Physician","T2021",1777.22,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",444.31,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Psychiatric Technician","H0034",325.10000000000002,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",18.059999999999999,"2025-07-01","2026-06-30"]
[48,"Solano","Licensed Vocational Nurse",96367,379.22,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",195.93,"2025-07-01","2026-06-30"]
[48,"Solano","Medical Assistant",96369,260.69,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",165.1,"2025-07-01","2026-06-30"]
[48,"Solano","Mental Health Rehabilitation Specialist","H2019",347.99,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",87,"2025-07-01","2026-06-30"]
[48,"Solano","MFT/LPCC (Licensed, Waivered or Registered)",99366,462.53,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",462.53,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner",90837,883.77,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",883.77,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner",90885,883.77,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",883.77,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner",98967,883.77,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",235.67,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner",99255,883.77,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1281.47,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner",99308,883.77,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",368.24,"2025-07-01","2026-06-30"]
[48,"Solano","Nurse Practitioner","H2021",883.77,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",220.94,"2025-07-01","2026-06-30"]
[48,"Solano","Occupational Therapist",96202,615.69000000000005,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",136.82,"2025-07-01","2026-06-30"]
[48,"Solano","Other Qualified Practitioner","H2021",347.99,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",87,"2025-07-01","2026-06-30"]
[48,"Solano","Physician Assistant",96105,797.07,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",797.07,"2025-07-01","2026-06-30"]
[48,"Solano","Physician Assistant",96373,797.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",199.27,"2025-07-01","2026-06-30"]
[48,"Solano","Physician Assistant",99203,797.07,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",491.53,"2025-07-01","2026-06-30"]
[48,"Solano","Physician Assistant",99415,797.07,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",797.07,"2025-07-01","2026-06-30"]
[48,"Solano","Psychologist (Licensed or Waivered)",90832,714.74,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",357.37,"2025-07-01","2026-06-30"]
[48,"Solano","Psychologist (Licensed or Waivered)",90847,714.74,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",595.62,"2025-07-01","2026-06-30"]
[48,"Solano","Psychologist (Licensed or Waivered)",97550,714.74,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",273.98,"2025-07-01","2026-06-30"]
[48,"Solano","Registered Nurse",96366,721.88,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",541.41,"2025-07-01","2026-06-30"]
[48,"Solano","Registered Nurse","G0542",721.88,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",180.47,"2025-07-01","2026-06-30"]
[48,"Solano","Registered Pharmacist",99484,850.71,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",850.71,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist",90792,788.07,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",788.07,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist",90870,788.07,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",262.69,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist",96133,788.07,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",788.07,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist",99245,788.07,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",814.34,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist",99441,788.07,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",105.08,"2025-07-01","2026-06-30"]
[49,"Sonoma","Clinical Nurse Specialist","H0033",788.07,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",197.02,"2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)",96161,412.44,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",103.11,"2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)",98966,412.44,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",54.99,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",90836,1584.77,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",1188.58,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",96116,1584.77,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",1584.77,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99231,1584.77,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",792.39,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99309,1584.77,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",977.27,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician","H0034",1584.77,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",396.19,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Psychiatric Technician","G0540",289.89999999999998,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",72.48,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Vocational Nurse",96366,338.16,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",253.62,"2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Vocational Nurse",99484,338.16,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",338.16,"2025-07-01","2026-06-30"]
[49,"Sonoma","Medical Assistant",96110,232.46,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",232.46,"2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)",96121,412.44,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",412.44,"2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)",99368,412.44,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",412.44,"2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)","T2021",412.44,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",22.91,"2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",96136,788.07,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",394.04,"2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",97552,788.07,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",131.35,"2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",99243,788.07,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",459.71,"2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner","H0034",788.07,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",197.02,"2025-07-01","2026-06-30"]
[49,"Sonoma","Occupational Therapist",90785,549.02,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[49,"Sonoma","Occupational Therapist","H0033",549.02,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",137.26,"2025-07-01","2026-06-30"]
[49,"Sonoma","Other Qualified Practitioner","H2021",310.3,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",77.58,"2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",96161,710.76,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",177.69,"2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",96377,710.76,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",177.69,"2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",99342,710.76,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",533.07000000000005,"2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant","H0031",710.76,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",177.69,"2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)",90832,637.34,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",321.68,"2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)",96113,637.34,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",318.67,"2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse",96110,643.71,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",643.71,"2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse",96371,643.71,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",160.93,"2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse","H2017",643.71,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",160.93,"2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Pharmacist",99607,758.59,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",189.65,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist",90836,894.46,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",673.86,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist",96113,894.46,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",447.23,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist",96371,894.46,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",223.62,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist",99222,894.46,65,"N/A","Therapy","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.","N/A",969,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist","G0316",894.46,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",223.62,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Clinical Nurse Specialist","H2017",894.46,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",223.62,"2025-07-01","2026-06-30"]
[50,"Stanislaus","LCSW (Licensed, Waivered or Registered)","G0540",468.13,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",117.03,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",90791,1798.73,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1798.73,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",90847,1798.73,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",1498.94,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",96132,1798.73,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1798.73,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",99236,1798.73,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",2758.05,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",99350,1798.73,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",2008.58,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician","H2000",1798.73,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",449.68,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Psychiatric Technician","H0034",329.04,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",18.28,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse",96373,383.81,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",95.95,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse","G0541",383.81,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",147.13,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Medical Assistant",99484,263.83999999999997,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",263.83999999999997,"2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)",96203,468.13,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",26.01,"2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)","G0542",468.13,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",117.03,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",90833,894.46,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",450.24,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",96146,894.46,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",894.46,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99223,894.46,82,"N/A","Therapy","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.","N/A",1222.43,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99255,894.46,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1296.97,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner","H2017",894.46,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",223.62,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Occupational Therapist",99368,623.15,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",623.15,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",90791,806.72,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",806.72,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",90834,806.72,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",608.04999999999995,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",96369,806.72,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",510.92,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",97552,806.72,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",134.44999999999999,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",99305,806.72,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",564.70000000000005,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant","T1017",806.72,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",201.68,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)",90840,723.39,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",361.7,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)",96202,723.39,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",160.75,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse",96121,730.62,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",730.62,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse","H0034",730.62,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",40.590000000000003,"2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Pharmacist",97550,861.01,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",330.05,"2025-07-01","2026-06-30"]
[52,"Tehama","Certified AOD Counselor","T1017",405.19,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",101.3,"2025-07-01","2026-06-30"]
[52,"Tehama","Clinical Nurse Specialist",90869,933.38,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",700.04,"2025-07-01","2026-06-30"]
[52,"Tehama","Clinical Nurse Specialist",96113,933.38,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",466.69,"2025-07-01","2026-06-30"]
[52,"Tehama","Clinical Nurse Specialist",99203,933.38,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",575.58000000000004,"2025-07-01","2026-06-30"]
[52,"Tehama","Clinical Nurse Specialist",99238,933.38,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",466.69,"2025-07-01","2026-06-30"]
[52,"Tehama","Clinical Nurse Specialist","G0541",933.38,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",357.8,"2025-07-01","2026-06-30"]
[52,"Tehama","LCSW (Licensed, Waivered or Registered)",90834,488.49,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",369.38,"2025-07-01","2026-06-30"]
[52,"Tehama","LCSW (Licensed, Waivered or Registered)","G0539",488.49,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",187.25,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Physician",90839,1876.99,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1876.99,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Physician",96112,1876.99,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",1876.99,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Physician",99213,1876.99,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",782.08,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Physician",99231,1876.99,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",938.5,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Physician",99347,1876.99,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",782.08,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Psychiatric Technician",96139,343.35,30,"N/A","Assessment","Psychological or Neuropsychological (2 or more) Tests Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; In person (Administration) & Scoring, each additional 30 minutes","N/A",171.68,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Psychiatric Technician","G0540",343.35,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",85.84,"2025-07-01","2026-06-30"]
[52,"Tehama","Licensed Vocational Nurse",96373,400.51,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",100.13,"2025-07-01","2026-06-30"]
[52,"Tehama","Medical Assistant",96372,275.32,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",68.83,"2025-07-01","2026-06-30"]
[52,"Tehama","Mental Health Rehabilitation Specialist","T1013",367.52,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[52,"Tehama","MFT/LPCC (Licensed, Waivered or Registered)","G0542",488.49,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",122.12,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner",90832,933.38,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",466.69,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner",96113,933.38,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",466.69,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner",96136,933.38,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",466.69,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner",98968,933.38,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",404.46,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner",99349,933.38,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",777.82,"2025-07-01","2026-06-30"]
[52,"Tehama","Nurse Practitioner","H0034",933.38,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",233.35,"2025-07-01","2026-06-30"]
[52,"Tehama","Occupational Therapist",97551,650.26,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",162.57,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant",90785,841.82,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant",90865,841.82,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1262.73,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant",96369,841.82,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",533.15,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant",99243,841.82,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",491.06,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant",99417,841.82,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",210.46,"2025-07-01","2026-06-30"]
[52,"Tehama","Physician Assistant","H0031",841.82,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",210.46,"2025-07-01","2026-06-30"]
[52,"Tehama","Psychologist (Licensed or Waivered)",96137,754.86,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",377.43,"2025-07-01","2026-06-30"]
[52,"Tehama","Psychologist (Licensed or Waivered)","H2021",754.86,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",188.72,"2025-07-01","2026-06-30"]
[52,"Tehama","Registered Nurse",96110,762.41,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",762.41,"2025-07-01","2026-06-30"]
[52,"Tehama","Registered Nurse",99368,762.41,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",762.41,"2025-07-01","2026-06-30"]
[52,"Tehama","Registered Pharmacist","H0031",898.47,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",224.62,"2025-07-01","2026-06-30"]
[53,"Trinity","Certified AOD Counselor","H2017",407.4,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",101.85,"2025-07-01","2026-06-30"]
[53,"Trinity","Clinical Nurse Specialist",90865,985.39,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1478.09,"2025-07-01","2026-06-30"]
[53,"Trinity","Clinical Nurse Specialist",96377,985.39,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",246.35,"2025-07-01","2026-06-30"]
[53,"Trinity","Clinical Nurse Specialist",99232,985.39,42,"N/A","Therapy","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.","N/A",689.77,"2025-07-01","2026-06-30"]
[53,"Trinity","Clinical Nurse Specialist",99308,985.39,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",410.58,"2025-07-01","2026-06-30"]
[53,"Trinity","Community Health Worker",98962,276.95999999999998,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",21.3,"2025-07-01","2026-06-30"]
[53,"Trinity","LCSW (Licensed, Waivered or Registered)",96203,515.71,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.65,"2025-07-01","2026-06-30"]
[53,"Trinity","LCSW (Licensed, Waivered or Registered)","G0540",515.71,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",128.93,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Physician",90870,1489.08,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",496.36,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Physician",96202,1489.08,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",330.91,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Physician",99205,1489.08,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",1662.81,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Physician",99252,1489.08,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",992.72,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Physician","T1013",1489.08,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Psychiatric Technician",96370,252.44,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",189.33,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Psychiatric Technician","H2000",252.44,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",63.11,"2025-07-01","2026-06-30"]
[53,"Trinity","Licensed Vocational Nurse",96373,294.47000000000003,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",73.62,"2025-07-01","2026-06-30"]
[53,"Trinity","Medical Assistant","T1013",290.66000000000003,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[53,"Trinity","MFT/LPCC (Licensed, Waivered or Registered)",90832,515.71,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",257.86,"2025-07-01","2026-06-30"]
[53,"Trinity","MFT/LPCC (Licensed, Waivered or Registered)",96203,515.71,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",28.65,"2025-07-01","2026-06-30"]
[53,"Trinity","MFT/LPCC (Licensed, Waivered or Registered)","H2021",515.71,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",128.93,"2025-07-01","2026-06-30"]
[53,"Trinity","Nurse Practitioner",96116,985.39,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",985.39,"2025-07-01","2026-06-30"]
[53,"Trinity","Nurse Practitioner",96368,985.39,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",246.35,"2025-07-01","2026-06-30"]
[53,"Trinity","Nurse Practitioner",99309,985.39,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",607.66,"2025-07-01","2026-06-30"]
[53,"Trinity","Nurse Practitioner","G0539",985.39,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",377.73,"2025-07-01","2026-06-30"]
[53,"Trinity","Nurse Practitioner","T2021",985.39,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",246.35,"2025-07-01","2026-06-30"]
[53,"Trinity","Occupational Therapist",99368,478.08,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",478.08,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant",90834,888.72,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",669.55,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant",96110,888.72,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",888.72,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant",96369,888.72,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",562.86,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant",99308,888.72,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",370.3,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant",99443,888.72,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",385.11,"2025-07-01","2026-06-30"]
[53,"Trinity","Physician Assistant","H2000",888.72,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",222.18,"2025-07-01","2026-06-30"]
[53,"Trinity","Psychologist (Licensed or Waivered)",96105,796.92,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",796.92,"2025-07-01","2026-06-30"]
[53,"Trinity","Psychologist (Licensed or Waivered)","T1013",796.92,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[53,"Trinity","Registered Nurse",96367,804.89,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",415.86,"2025-07-01","2026-06-30"]
[53,"Trinity","Registered Nurse","G0543",804.89,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",134.15,"2025-07-01","2026-06-30"]
[53,"Trinity","Registered Pharmacist","H2000",948.53,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",237.13,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist",90834,1054,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",793.51,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist",90869,1054,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",790.5,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist",99203,1054,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",649.97,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist",99252,1054,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",702.67,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist",99341,1054,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",386.47,"2025-07-01","2026-06-30"]
[54,"Tulare","Clinical Nurse Specialist","H2017",1054,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",263.5,"2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)",98966,551.62,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",73.55,"2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)","H0033",551.62,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",137.91,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",90839,1592.76,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",1592.76,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",96365,1592.76,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",1221.1199999999999,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99238,1592.76,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",796.38,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99310,1592.76,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",1380.39,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician","T2024",1592.76,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",398.19,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Psychiatric Technician","H0033",285.63,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",71.41,"2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Vocational Nurse",96365,333.18,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",255.44,"2025-07-01","2026-06-30"]
[54,"Tulare","Medical Assistant",96372,310.89999999999998,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",77.73,"2025-07-01","2026-06-30"]
[54,"Tulare","Mental Health Rehabilitation Specialist","H2017",305.73,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",76.430000000000007,"2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)",90834,551.62,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",416.73,"2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)","G0542",551.62,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",137.91,"2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",90870,1054,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",351.33,"2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",96132,1054,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1054,"2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99204,1054,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",913.47,"2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99341,1054,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",386.47,"2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner","H2017",1054,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",58.56,"2025-07-01","2026-06-30"]
[54,"Tulare","Occupational Therapist",96127,540.94000000000005,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",540.94000000000005,"2025-07-01","2026-06-30"]
[54,"Tulare","Peer Support Specialists","H0025",415.01,15,"N/A","Peer Support","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes ","N/A",23.06,"2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",90785,950.6,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",96110,950.6,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",950.6,"2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",98968,950.6,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",411.93,"2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",99243,950.6,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",554.52,"2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant","G0539",950.6,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",364.4,"2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)",90840,852.41,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",426.21,"2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)",98966,852.41,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",113.65,"2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse",96203,860.93,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",47.83,"2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse","G0540",860.93,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",215.23,"2025-07-01","2026-06-30"]
[54,"Tulare","Registered Pharmacist",99607,1014.58,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",253.65,"2025-07-01","2026-06-30"]
[54,"Tulare","Registered Pharmacist","H0031",1014.58,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",253.65,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Clinical Nurse Specialist",90785,696.34,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Clinical Nurse Specialist",96131,696.34,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",696.34,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Clinical Nurse Specialist",96377,696.34,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",174.09,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Clinical Nurse Specialist",99252,696.34,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",464.23,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Clinical Nurse Specialist","H0031",696.34,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",174.09,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Community Health Worker",98962,281.04000000000002,30,"N/A","Community Health Worker","Education and training for patient self-management by a qualified, nonphysician health care professional using a standarized curriculum, face-to-face with the patient(may include caregiver/family) each 30 minutes; 5-8 patients","N/A",21.62,"2025-07-01","2026-06-30"]
[55,"Tuolumne","LCSW (Licensed, Waivered or Registered)",99366,364.43,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",364.43,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician",90834,1400.31,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1050.23,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician",96127,1400.31,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",1400.31,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician",96202,1400.31,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",311.18,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician",99307,1400.31,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",350.08,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician",99341,1400.31,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",513.45000000000005,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Physician","T1013",1400.31,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Psychiatric Technician",99484,256.14999999999998,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",256.14999999999998,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Vocational Nurse",97551,298.8,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",74.7,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Licensed Vocational Nurse","T1017",298.8,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",74.7,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Mental Health Rehabilitation Specialist","H2017",274.18,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",68.55,"2025-07-01","2026-06-30"]
[55,"Tuolumne","MFT/LPCC (Licensed, Waivered or Registered)",98968,364.43,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",157.91999999999999,"2025-07-01","2026-06-30"]
[55,"Tuolumne","MFT/LPCC (Licensed, Waivered or Registered)","T2021",364.43,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",91.11,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Nurse Practitioner",90837,696.34,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",699.35,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Nurse Practitioner",97550,696.34,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",266.93,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Nurse Practitioner",99252,696.34,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",464.23,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Nurse Practitioner",99309,696.34,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",429.41,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Nurse Practitioner","G0316",696.34,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",174.09,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Occupational Therapist","H0031",485.12,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",121.28,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Other Qualified Practitioner","H2017",274.18,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",15.23,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Physician Assistant",90839,628.03,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",628.03,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Physician Assistant",96375,628.03,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",157.01,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Physician Assistant",99223,628.03,82,"N/A","Therapy","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.","N/A",858.31,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Physician Assistant",99306,628.03,57,"N/A","Therapy","Initial nursing facility 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.","N/A",596.63,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Psychologist (Licensed or Waivered)",90791,563.16,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",563.16,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Psychologist (Licensed or Waivered)",96125,563.16,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",563.16,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Psychologist (Licensed or Waivered)",98967,563.16,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",150.18,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Registered Nurse",96374,568.78,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",142.19999999999999,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Registered Nurse","H2000",568.78,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",142.19999999999999,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Registered Pharmacist",99605,670.29,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",167.57,"2025-07-01","2026-06-30"]
[55,"Tuolumne","Registered Pharmacist","T1017",670.29,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",167.57,"2025-07-01","2026-06-30"]
[56,"Ventura","Clinical Nurse Specialist",96110,720.17,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",720.17,"2025-07-01","2026-06-30"]
[56,"Ventura","Clinical Nurse Specialist",96369,720.17,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",456.11,"2025-07-01","2026-06-30"]
[56,"Ventura","Clinical Nurse Specialist",99221,720.17,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",564.13,"2025-07-01","2026-06-30"]
[56,"Ventura","Clinical Nurse Specialist",99443,720.17,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",312.07,"2025-07-01","2026-06-30"]
[56,"Ventura","Clinical Nurse Specialist","H2021",720.17,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",180.04,"2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)",90837,376.91,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",376.91,"2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)",98966,376.91,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",50.25,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",90865,1448.23,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2172.35,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",96130,1448.23,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",1448.23,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",96372,1448.23,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",362.06,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",99238,1448.23,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",724.12,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician","H0034",1448.23,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",80.459999999999994,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician",96366,264.92,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",198.69,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician","G0541",264.92,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",101.55,"2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Vocational Nurse","H0031",309.02,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",77.260000000000005,"2025-07-01","2026-06-30"]
[56,"Ventura","Medical Assistant","H2000",212.43,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",53.11,"2025-07-01","2026-06-30"]
[56,"Ventura","Mental Health Rehabilitation Specialist","H2017",283.57,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",70.89,"2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)","H0032",376.91,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",94.23,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",90832,720.17,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",363.1,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",90847,720.17,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",600.14,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",96365,720.17,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",552.13,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99253,720.17,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",624.15,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99350,720.17,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",804.19,"2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner","H2017",720.17,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",40.01,"2025-07-01","2026-06-30"]
[56,"Ventura","Occupational Therapist","H2017",501.72,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",125.43,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",90833,649.52,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",327.77,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",90867,649.52,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",649.52,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",98968,649.52,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",281.45999999999998,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99255,649.52,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",941.8,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99366,649.52,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",649.52,"2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant","H0033",649.52,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",162.38,"2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)",96146,582.42999999999995,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",582.42999999999995,"2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)","G0539",582.42999999999995,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",223.26,"2025-07-01","2026-06-30"]
[56,"Ventura","Registered Nurse",96203,588.25,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",32.68,"2025-07-01","2026-06-30"]
[56,"Ventura","Registered Pharmacist",96202,693.23,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",154.05000000000001,"2025-07-01","2026-06-30"]
[56,"Ventura","Registered Pharmacist","H0032",693.23,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",173.31,"2025-07-01","2026-06-30"]
[57,"Yolo","Clinical Nurse Specialist",90785,909.66,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[57,"Yolo","Clinical Nurse Specialist",96125,909.66,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",909.66,"2025-07-01","2026-06-30"]
[57,"Yolo","Clinical Nurse Specialist",98968,909.66,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",394.19,"2025-07-01","2026-06-30"]
[57,"Yolo","Clinical Nurse Specialist",99235,909.66,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1167.4000000000001,"2025-07-01","2026-06-30"]
[57,"Yolo","Clinical Nurse Specialist","H0031",909.66,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",227.42,"2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)",90832,476.08,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",241.05,"2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)",90840,476.08,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",238.04,"2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)","H0033",476.08,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",119.02,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",90834,1829.3,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",1371.98,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",96146,1829.3,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",1829.3,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99222,1829.3,65,"N/A","Therapy","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.","N/A",1981.74,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99350,1829.3,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",2042.72,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician",90785,334.63,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician",99484,334.63,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",334.63,"2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse",96376,390.34,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",97.59,"2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",96370,268.33,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",201.25,"2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",99366,268.33,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",268.33,"2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90839,476.08,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",476.08,"2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",98968,476.08,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",206.3,"2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90834,909.66,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",682.25,"2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96132,909.66,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",909.66,"2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",98967,909.66,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",242.58,"2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99347,909.66,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",379.03,"2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0032",909.66,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",227.42,"2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",99368,633.74,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",633.74,"2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0031",633.74,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",158.44,"2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90849,820.43,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",255.24,"2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90880,820.43,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",820.43,"2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96375,820.43,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",205.11,"2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99244,820.43,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",642.66999999999996,"2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0542",820.43,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",205.11,"2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90791,735.68,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",735.68,"2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96203,735.68,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",40.869999999999997,"2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",90785,743.04,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99366,743.04,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",743.04,"2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H2000",743.04,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",185.76,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Certified AOD Counselor","H2000",374.05,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",93.51,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist",90869,888.2,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist",96110,888.2,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist",96371,888.2,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist",99306,888.2,57,"N/A","Therapy","Initial nursing facility 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.","N/A",843.79,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist",99443,888.2,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",384.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Clinical Nurse Specialist","T2024",888.2,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","LCSW (Licensed, Waivered or Registered)","G0323",464.85,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",464.85,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Physician",90785,1732.75,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Physician",90840,1732.75,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",866.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Physician",99203,1732.75,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1068.53,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Physician",99255,1732.75,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",2512.4899999999998,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Physician",99348,1732.75,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",1010.77,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Psychiatric Technician",96373,316.97000000000003,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",79.239999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Psychiatric Technician","H0034",316.97000000000003,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",79.239999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Vocational Nurse",96371,369.74,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",92.44,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Licensed Vocational Nurse","H2017",369.74,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",92.44,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)",90785,464.85,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)",96121,464.85,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",464.85,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","G0540",464.85,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","G0541",464.85,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",178.19,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","G0542",464.85,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","G0543",464.85,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",77.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H0031",464.85,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H0032",464.85,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H0033",464.85,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H0036",464.85,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2000",464.85,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2011",464.85,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2017",464.85,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2017",464.85,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",25.83,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2019",464.85,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","H2021",464.85,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T1013",464.85,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T1017",464.85,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T2021",464.85,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T2021",464.85,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",25.83,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T2021",464.85,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",119.22,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","MFT/LPCC (Licensed, Waivered or Registered)","T2024",464.85,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",116.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90785,888.2,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90791,888.2,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90792,888.2,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90832,888.2,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90832,888.2,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",447.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90833,888.2,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90833,888.2,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",447.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90834,888.2,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90834,888.2,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",669.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90836,888.2,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90836,888.2,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",669.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90837,888.2,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90837,888.2,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",891.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90838,888.2,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90838,888.2,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",891.21,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90839,888.2,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90840,888.2,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90845,888.2,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90847,888.2,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",740.17,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90849,888.2,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",276.33,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90853,888.2,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",164.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90865,888.2,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1332.3,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90867,888.2,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90868,888.2,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90869,888.2,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90870,888.2,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",296.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90880,888.2,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90885,888.2,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",90887,888.2,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",740.17,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96105,888.2,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96110,888.2,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96112,888.2,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96113,888.2,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96116,888.2,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96121,888.2,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96125,888.2,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96127,888.2,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96130,888.2,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96131,888.2,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96132,888.2,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96133,888.2,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96136,888.2,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96137,888.2,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96146,888.2,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96161,888.2,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96202,888.2,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",197.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96203,888.2,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",49.34,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96365,888.2,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",680.95,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96366,888.2,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96367,888.2,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",458.9,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96368,888.2,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96369,888.2,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",562.53,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96370,888.2,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96371,888.2,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96372,888.2,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96373,888.2,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96374,888.2,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96375,888.2,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96376,888.2,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",96377,888.2,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",97550,888.2,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",340.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",97551,888.2,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",97552,888.2,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",148.03,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",98966,888.2,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",118.43,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",98967,888.2,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",236.85,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",98968,888.2,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",384.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99202,888.2,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",325.67,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99203,888.2,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",547.72,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99204,888.2,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",769.77,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99205,888.2,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",991.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99212,888.2,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99213,888.2,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",370.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99214,888.2,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",518.12,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99215,888.2,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",695.76,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99221,888.2,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",695.76,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99222,888.2,65,"N/A","Therapy","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.","N/A",962.22,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99223,888.2,82,"N/A","Therapy","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.","N/A",1213.8699999999999,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99231,888.2,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99232,888.2,42,"N/A","Therapy","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.","N/A",621.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99233,888.2,57,"N/A","Therapy","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.","N/A",843.79,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99234,888.2,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",843.79,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99235,888.2,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1139.8599999999999,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99236,888.2,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1361.91,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99238,888.2,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99239,888.2,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99242,888.2,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",370.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99243,888.2,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",518.12,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99244,888.2,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",695.76,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99245,888.2,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",917.81,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99252,888.2,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",592.13,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99253,888.2,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",769.77,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99254,888.2,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",1036.23,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99255,888.2,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1287.8900000000001,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99304,888.2,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99305,888.2,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",621.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99306,888.2,57,"N/A","Therapy","Initial nursing facility 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.","N/A",843.79,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99307,888.2,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99308,888.2,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",370.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99309,888.2,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",547.72,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99310,888.2,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",769.77,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99341,888.2,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",325.67,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99342,888.2,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",666.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99344,888.2,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",991.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99345,888.2,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1213.8699999999999,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99347,888.2,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",370.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99348,888.2,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",518.12,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99349,888.2,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",740.17,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99350,888.2,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",991.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99366,888.2,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99368,888.2,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99415,888.2,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99416,888.2,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",444.1,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99417,888.2,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99418,888.2,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99441,888.2,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",118.43,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99442,888.2,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",236.85,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99443,888.2,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",384.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner",99484,888.2,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",888.2,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0316",888.2,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0539",888.2,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",340.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0540",888.2,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0541",888.2,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",340.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0542",888.2,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","G0543",888.2,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",148.03,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0031",888.2,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0032",888.2,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0033",888.2,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0034",888.2,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0034",888.2,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",49.34,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H0036",888.2,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2000",888.2,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2011",888.2,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2017",888.2,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2017",888.2,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",49.34,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2019",888.2,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","H2021",888.2,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T1001",888.2,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T1013",888.2,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T1017",888.2,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T2021",888.2,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T2021",888.2,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",49.34,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T2021",888.2,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",225.06,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Nurse Practitioner","T2024",888.2,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",222.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",90785,600.29,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",90887,600.29,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",500.24,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96110,600.29,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96112,600.29,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96113,600.29,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",300.14999999999998,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96125,600.29,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96127,600.29,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96161,600.29,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96202,600.29,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",133.4,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",96203,600.29,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",33.35,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",97550,600.29,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",230.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",97551,600.29,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",97552,600.29,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",100.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",99366,600.29,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist",99368,600.29,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",600.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","G0539",600.29,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",230.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","G0540",600.29,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","G0541",600.29,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",230.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","G0542",600.29,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","G0543",600.29,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",100.05,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H0031",600.29,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H0032",600.29,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H0033",600.29,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2000",600.29,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2011",600.29,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2017",600.29,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2017",600.29,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",33.35,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2019",600.29,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","H2021",600.29,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","T1013",600.29,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","T1017",600.29,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Occupational Therapist","T2024",600.29,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",150.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner",90785,339.28,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H0031",339.28,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H0032",339.28,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H0033",339.28,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H0034",339.28,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H0034",339.28,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",18.850000000000001,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2000",339.28,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2011",339.28,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2017",339.28,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2017",339.28,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",18.850000000000001,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2019",339.28,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","H2021",339.28,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","T1013",339.28,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Other Qualified Practitioner","T1017",339.28,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",84.82,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Peer Support Specialists","H0025",356.24,15,"N/A","Peer Support","Behavior health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) [Peer Support group session], 15 minutes ","N/A",19.79,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Peer Support Specialists","H0038",356.24,15,"N/A","Peer Support","Self-help/peer services (individual) 15 minutes","N/A",89.06,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Peer Support Specialists","T1013",356.24,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90785,801.07,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90791,801.07,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90792,801.07,60,"N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90832,801.07,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90832,801.07,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",403.55,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90833,801.07,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90833,801.07,30,22,"Therapy","Psychotherapy, 30 minutes with patient when performed with an evaluation and management service","N/A",403.55,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90834,801.07,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90834,801.07,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",603.80999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90836,801.07,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90836,801.07,45,22,"Therapy","Psychotherapy, 45 minutes with patient when performed with an evaluation and management service","N/A",603.80999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90837,801.07,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90837,801.07,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",804.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90838,801.07,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90838,801.07,60,22,"Therapy","Psychotherapy, 60 minutes with patient when performed with an evaluation and management service","N/A",804.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90839,801.07,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90840,801.07,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90845,801.07,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90847,801.07,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",667.56,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90849,801.07,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",249.22,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90853,801.07,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",148.35,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90865,801.07,90,"N/A","Medication Support","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1201.6099999999999,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90867,801.07,60,"N/A","Therapy","Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management (Report only once per course of treatment), 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90868,801.07,15,"N/A","Therapy","Subsequent delivery and management of TMS, per session, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90869,801.07,45,"N/A","Therapy","TMS treatment subsequent motor threshold re-determination with delivery and management, 45 minutes","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90870,801.07,20,"N/A","Therapy","Electrocunvulsive therapy (includes necessary monitoring), 20 minutes","N/A",267.02,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90880,801.07,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90885,801.07,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",90887,801.07,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",667.56,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96105,801.07,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96110,801.07,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96112,801.07,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96113,801.07,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96116,801.07,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96121,801.07,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96125,801.07,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96127,801.07,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96130,801.07,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96131,801.07,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96132,801.07,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96133,801.07,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96136,801.07,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96137,801.07,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96146,801.07,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96161,801.07,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96202,801.07,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",178.02,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96203,801.07,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",44.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96365,801.07,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",614.15,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96366,801.07,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96367,801.07,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",413.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96368,801.07,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96369,801.07,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",507.34,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96370,801.07,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96371,801.07,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96372,801.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96373,801.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96374,801.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96375,801.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96376,801.07,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",96377,801.07,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",97550,801.07,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",307.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",97551,801.07,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",97552,801.07,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",133.51,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",98966,801.07,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",106.81,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",98967,801.07,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",213.62,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",98968,801.07,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",347.13,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99202,801.07,22,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",293.73,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99203,801.07,37,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",493.99,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99204,801.07,52,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",694.26,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99205,801.07,67,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of a new 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, 60 minutes must be met or exceeded.","N/A",894.53,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99212,801.07,15,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99213,801.07,25,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",333.78,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99214,801.07,35,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",467.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99215,801.07,47,"N/A","Medication Support","Office or other outpatient visit for the evaluation and management of an established 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, 40 minutes must be met or exceeded.","N/A",627.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99221,801.07,47,"N/A","Therapy","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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",627.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99222,801.07,65,"N/A","Therapy","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.","N/A",867.83,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99223,801.07,82,"N/A","Therapy","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.","N/A",1094.8,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99231,801.07,30,"N/A","Therapy","Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99232,801.07,42,"N/A","Therapy","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.","N/A",560.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99233,801.07,57,"N/A","Therapy","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.","N/A",761.02,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99234,801.07,57,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",761.02,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99235,801.07,77,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.","N/A",1028.04,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99236,801.07,92,"N/A","Assessment","Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.","N/A",1228.31,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99238,801.07,30,"N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99239,801.07,60,"N/A","Discharge","Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99242,801.07,25,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",333.78,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99243,801.07,35,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",467.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99244,801.07,47,"N/A","Therapy","Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",627.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99245,801.07,62,"N/A","Therapy","Office or other outpatient consultation for a new or established 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, 55 minutes must be met or exceeded.","N/A",827.77,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99252,801.07,40,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",534.04999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99253,801.07,52,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.","N/A",694.26,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99254,801.07,70,"N/A","Therapy","Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",934.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99255,801.07,87,"N/A","Therapy","Inpatient or observation consultation for a new or established 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, 80 minutes must be met or exceeded.","N/A",1161.55,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99304,801.07,30,"N/A","Therapy","Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99305,801.07,42,"N/A","Therapy","\tInitial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.","N/A",560.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99306,801.07,57,"N/A","Therapy","Initial nursing facility 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.","N/A",761.02,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99307,801.07,15,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99308,801.07,25,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",333.78,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99309,801.07,37,"N/A","Therapy","Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.\t","N/A",493.99,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99310,801.07,52,"N/A","Therapy","\tSubsequent nursing facility 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, 45 minutes must be met or exceeded.","N/A",694.26,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99341,801.07,22,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.","N/A",293.73,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99342,801.07,45,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",600.79999999999995,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99344,801.07,67,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.","N/A",894.53,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99345,801.07,82,"N/A","Medication Support","Home or residence visit for the evaluation and management of a new 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.","N/A",1094.8,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99347,801.07,25,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.","N/A",333.78,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99348,801.07,35,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.","N/A",467.29,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99349,801.07,50,"N/A","Medication Support","\tHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.","N/A",667.56,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99350,801.07,67,"N/A","Medication Support","Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.","N/A",894.53,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99366,801.07,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99368,801.07,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99415,801.07,60,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99416,801.07,30,"N/A","Therapy","Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes","N/A",400.54,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99417,801.07,15,"N/A","Therapy","Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99418,801.07,15,"N/A","Therapy","Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99441,801.07,8,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion","N/A",106.81,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99442,801.07,16,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion","N/A",213.62,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99443,801.07,26,"N/A","Assessment","Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion","N/A",347.13,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant",99484,801.07,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",801.07,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0316",801.07,15,"N/A","Therapy","Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0539",801.07,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",307.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0540",801.07,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0541",801.07,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",307.08,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0542",801.07,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","G0543",801.07,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",133.51,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0031",801.07,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0032",801.07,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0033",801.07,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0034",801.07,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0034",801.07,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",44.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H0036",801.07,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2000",801.07,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2011",801.07,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2017",801.07,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2017",801.07,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",44.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2019",801.07,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","H2021",801.07,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T1013",801.07,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T1017",801.07,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T2021",801.07,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T2021",801.07,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",44.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T2021",801.07,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",203.28,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Physician Assistant","T2024",801.07,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",200.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90785,718.32,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90791,718.32,60,"N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90832,718.32,30,"N/A","Therapy","Psychotherapy, 30 minutes with patient","N/A",359.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90832,718.32,30,22,"Therapy","Psychotherapy, 30 minutes with patient","N/A",362.17,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90834,718.32,45,"N/A","Therapy","Psychotherapy, 45 minutes with patient","N/A",538.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90834,718.32,45,22,"Therapy","Psychotherapy, 45 minutes with patient","N/A",541.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90837,718.32,60,"N/A","Therapy","Psychotherapy, 60 minutes with patient","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90837,718.32,60,22,"Therapy","Psychotherapy, 60 minutes with patient","N/A",721.33,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90839,718.32,60,"N/A","Crisis","Psychotherapy for crisis; first hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90840,718.32,30,"N/A","Crisis","Psychotherapy for crisis; each additional 30 minutes","N/A",359.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90845,718.32,45,"N/A","Therapy","Psychoanalysis, 45 minutes","N/A",538.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90847,718.32,50,"N/A","Therapy","Family psychotherapy [conjoint psychotherapy] (with patient present), 50 minutes","N/A",598.6,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90849,718.32,84,"N/A","Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",223.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90853,718.32,50,"N/A","Therapy","Group psychotherapy (other than of a multiple-family group), 50 minutes","N/A",133.02000000000001,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90880,718.32,60,"N/A","Therapy","Hypnotherapy, 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90885,718.32,60,"N/A","Assessment","Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes, 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",90887,718.32,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",598.6,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96105,718.32,60,"N/A","Assessment","Assessment of Aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report), per hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96110,718.32,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96112,718.32,60,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, first hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96113,718.32,30,"N/A","Assessment","Developmental Testing Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report, each additional 30 minutes","N/A",359.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96116,718.32,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96121,718.32,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96125,718.32,60,"N/A","Assessment","Standardized Cognitive Performance Testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96127,718.32,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96130,718.32,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96131,718.32,60,"N/A","Assessment","Psychological Testing Evaluation Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96132,718.32,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, first hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96133,718.32,60,"N/A","Assessment","Neuropsychological Testing Evaluation Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed, each additional hour","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96136,718.32,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes","N/A",359.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96137,718.32,30,"N/A","Assessment","Psychological or Neuropsychological Testing Psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, two or more tests, any method, each additional 30 minutes","N/A",359.16,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96146,718.32,60,"N/A","Assessment","Psychological Neuropsychological Test (Automated) Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only: Via electronic platform & formulates an electronic result. Interpretation and report, 60 minutes","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96161,718.32,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96202,718.32,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",159.63,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",96203,718.32,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",39.909999999999997,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",97550,718.32,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",275.36,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",97551,718.32,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",97552,718.32,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",119.72,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",98966,718.32,8,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.","N/A",95.78,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",98967,718.32,16,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.","N/A",191.55,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",98968,718.32,26,"N/A","Assessment","Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion.","N/A",311.27,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",99366,718.32,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",99368,718.32,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)",99484,718.32,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0323",718.32,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month.","N/A",718.32,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0539",718.32,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",275.36,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0540",718.32,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0541",718.32,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",275.36,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0542",718.32,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","G0543",718.32,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",119.72,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H0031",718.32,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H0032",718.32,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H0033",718.32,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H0036",718.32,15,"N/A","Functional Family Therapy","A family-based prevention and intervention program for high-risk youth that addresses complex and multidimensional problems with a flexibly structured and culturally responsive practice.","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2000",718.32,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2011",718.32,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2017",718.32,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2017",718.32,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",39.909999999999997,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2019",718.32,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","H2021",718.32,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T1013",718.32,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T1017",718.32,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T2021",718.32,15,"N/A","Therapy","Therapy substitute, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T2021",718.32,15,"HQ","Therapy","Therapy substitute, 15 minutes","N/A",39.909999999999997,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T2021",718.32,15,22,"Therapy","Therapy substitute, 15 minutes","N/A",182.59,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Psychologist (Licensed or Waivered)","T2024",718.32,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",179.58,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",90785,725.5,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",90887,725.5,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",604.58000000000004,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96110,725.5,60,"N/A","Assessment","Developmental Screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument), 60 minutes","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96116,725.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, first hour","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96121,725.5,60,"N/A","Assessment","Neuorobehavioral Status Exam (clinical assessment of thinking, reasoning and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving and visual spatial abilities) by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report, each additional hour","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96127,725.5,60,"N/A","Assessment","Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation per standardized instrument, 60 minutes","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96161,725.5,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96202,725.5,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",161.22,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96203,725.5,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",40.31,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96365,725.5,46,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour","N/A",556.22,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96366,725.5,45,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, each additional hour","N/A",544.13,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96367,725.5,31,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, additional sequential infusion of a new drug/ substance, up to 1 hour ","N/A",374.84,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96368,725.5,15,"N/A","Medication Support","Intravenous infusion, for therapy, prophylaxis, or diagnosis, concurrent infusion, 15 minutes ","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96369,725.5,38,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, initial, including pump set-up and establishment of subcutaneous infusion site(s), 16-60 minutes\n\n(For infusions of 15 minutes or less, use 96372)","N/A",459.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96370,725.5,45,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, including pump set-up and establishment or subcutaneous infusion site(s), each additional hour","N/A",544.13,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96371,725.5,15,"N/A","Medication Support","Subcutaneous infusion for therapy or prophylaxis, additional pump set-up with establishment of new subcutaneous infusion site(s), 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96372,725.5,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular, 1 - 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96373,725.5,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intra-arterial, 1 - 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96374,725.5,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96375,725.5,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance/drug, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96376,725.5,15,"N/A","Medication Support","Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility; 15 minutes; has to be more than 30 minutes after a reported push of the same drug","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",96377,725.5,15,"N/A","Medication Support","Application of on-body injector (includes cannula insertion) for timed subcutaneous injection, 1 - 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",97550,725.5,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",278.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",97551,725.5,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",97552,725.5,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",120.92,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",99366,725.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",99368,725.5,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse",99484,725.5,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",725.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","G0539",725.5,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",278.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","G0540",725.5,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","G0541",725.5,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",278.11,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","G0542",725.5,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","G0543",725.5,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",120.92,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H0031",725.5,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H0032",725.5,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H0033",725.5,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H0034",725.5,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H0034",725.5,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",40.31,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2000",725.5,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2011",725.5,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2017",725.5,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2017",725.5,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",40.31,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2019",725.5,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","H2021",725.5,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","T1001",725.5,15,"N/A","Assessment","Nursing assessment/ evaluation, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","T1013",725.5,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","T1017",725.5,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Nurse","T2024",725.5,15,"N/A","Assessment","Assessment substitute, 15 minutes","N/A",181.38,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",90785,854.98,"N/A","N/A","Supplemental","Interactive complexity. This code is claimed in addition to the code for the primary procedure. There is no assigned time for this code. ","N/A",18.89,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",90887,854.98,50,"N/A","Supplemental","Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient, 50 minutes","N/A",712.48,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",96161,854.98,15,"N/A","Supplemental","Caregiver Assessment Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",96202,854.98,60,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes","N/A",190,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",96203,854.98,15,"N/A","Collateral","Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes","N/A",47.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",97550,854.98,23,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes","N/A",327.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",97551,854.98,15,"N/A","Collateral","Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",97552,854.98,45,"N/A","Collateral","Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of caregivers.  Need to clarify time.","N/A",142.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99366,854.98,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional","N/A",854.98,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99368,854.98,60,"N/A","Treatment Planning","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional","N/A",854.98,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99484,854.98,60,"N/A","Treatment Planning","Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.","N/A",854.98,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99605,854.98,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99606,854.98,15,"N/A","Medication Support","\tMedication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist",99607,854.98,15,"N/A","Medication Support","Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","G0539",854.98,23,"N/A","Collateral","Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes","N/A",327.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","G0540",854.98,15,"N/A","Collateral","Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","G0541",854.98,23,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes","N/A",327.74,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","G0542",854.98,15,"N/A","Collateral","Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","G0543",854.98,45,"N/A","Collateral","Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers","N/A",142.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H0031",854.98,15,"N/A","Assessment","Mental health assessment by nonphysician, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H0032",854.98,15,"N/A","Treatment Planning","Mental health service plan development by non-physicians, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H0033",854.98,15,"N/A","Medication Support","Medication administration, direct observation, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H0034",854.98,15,"N/A","Medication Support","Medication training and support, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H0034",854.98,15,"HQ","Medication Support","Medication training and support, 15 minutes","N/A",47.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2000",854.98,15,"N/A","Assessment","Comprehensive multidisciplinary evaluation, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2011",854.98,15,"N/A","Crisis","Crisis intervention service, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2017",854.98,15,"N/A","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2017",854.98,15,"HQ","Rehabilitation","Psychosocial rehabilitation, 15 minutes","N/A",47.5,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2019",854.98,15,"N/A","Therapeutic Behavioral Services","Therapeutic behavioral services, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","H2021",854.98,15,"N/A","Rehabilitation","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","T1013",854.98,"N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"2025-07-01","2026-06-30"]
[58,"Sutter Yuba","Registered Pharmacist","T1017",854.98,15,"N/A","Referral & Linkage","Targeted case management, 15 minutes","N/A",213.75,"2025-07-01","2026-06-30"]

{"sheet":"Updates","index":1,"n_rows":57,"n_cols":5,"rows_kept":57,"cut":false,"hidden":false,"merged":[]}
["Press UP, DOWN, LEFT RIGHT ARROW in column A to read through Document. Document ordered by date. Headers contain filter buttons"]
["Date","Program","CPT","Action","Notes"]
["2024-10-22","SMHS",90785,"Added","Added rate for Certified AOD Counselor, and Other Qualified Practitioner for CPT Code"]
["2024-10-22","SMHS","90833, 90836, 90838","Added","Added rate for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant "]
["2024-10-22","SMHS","90832, 90834, 90837","Added","Added rate for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant "]
["2024-10-22","SMHS","98960 - 98962","Added","Added Community Health worker "]
["2024-10-22","SMHS","H0031","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H0032","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H0033","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H0034","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H0036","Added","Clinical Nurse Specialist, LCSW (Licensed, Waivered or Registered), Licensed Physician, MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Physician Assistant, Psychologist (Licensed or Waivered) "]
["2024-10-22","SMHS","H2000","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H2011","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H2017","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H2019","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","H2021","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","T1013","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","T1017","Added","Added rate for Other Qualified Provider for CPT Code "]
["2024-10-22","SMHS","T1017","Added","PT Certified AOD Counselor "]
["2024-10-22","SMHS","T2021","Added","Added the following PT for CPT code Certified Nurse Specialist/Clinical Nurse Specialist, LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Medical Doctor/Doctor of Osteopathy/Licensed Physician , MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Physician Assistant, Psychologist (Licensed or Waivered) "]
["2024-10-22","SMHS","T2024","Added","Added the Certified Nurse Specialist/Clinical Nurse Specialist, LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Medical Doctor/Doctor of Osteopathy/Licensed Physician , Medical Assistant, MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Licensed Occupational Therapist, Physician Assistant, Psychologist (Licensed or Waivered), Registered Nurse "]
["2024-10-22","SMHS","T2024","Added","Added the Certified Nurse Specialist/Clinical Nurse Specialist, LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Medical Doctor/Doctor of Osteopathy/Licensed Physician , Medical Assistant, MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Licensed Occupational Therapist, Physician Assistant, Psychologist (Licensed or Waivered), Registered Nurse "]
["2024-11-01","SMHS",90860,"Removed","Community Health Worker Services for CPT/HCPCS code was not approved by CMS/DHCS as of Last schedule release date"]
["2024-11-01","SMHS",90861,"Removed","Community Health Worker Services for CPT/HCPCS code was not approved by CMS/DHCS as of last schedule release date"]
["2024-11-01","SMHS",90862,"Removed","Community Health Worker Services for CPT/HCPCS code was not approved by CMS/DHCS as of last schedule release date"]
["2024-11-01","SMHS","H0036","Removed","Functional Family Therapy  Services for CPT/HCPCS code was not approved by CMS/DHCS as of the last schedule release date"]
["2024-11-01","SMHS","90833, 90836, 90838","Removed","Removed rate with modifier 22 for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant . CPT/HCPCS code was not approved by CMS/DHCS as of Last schedule release date"]
["2024-11-01","SMHS","90832, 90834, 90837","Removed","Removed rate with modifier 22 for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant . CPT/HCPCS code was not approved by CMS/DHCS as of Last schedule release date"]
["2025-01-02","SMHS","H0036","Added","Functional Family Therapy  Services for CPT/HCPCS code was not approved by CMS/DHCS as of the last schedule release date"]
["2025-01-02","SMHS","T2021","Added","Added the following PT for CPT code Certified Nurse Specialist/Clinical Nurse Specialist, LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Medical Doctor/Doctor of Osteopathy/Licensed Physician , MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Physician Assistant, Psychologist (Licensed or Waivered) "]
["2025-01-02","SMHS","90833, 90836, 90838","Added","Rate added with modifier 22 for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant . CPT/HCPCS code was not approved by CMS/DHCS as of Last schedule release date"]
["2025-01-02","SMHS","90832, 90834, 90837","Added","Rate add with modifier 22 for following provider types Clinical Nurse Specialist, Licensed Physician, Nurse Practitioner, Physician Assistant . CPT/HCPCS code was not approved by CMS/DHCS as of Last schedule release date"]
["2025-02-10","SMHS","96365, 96366, 96367, 96368, 96369, 96370, 96371, 96372, 96373, 96374, 96375, 96376, 96377","Added","Beginning in fiscal year 2025/26 MHP may now submit claims under the following provider types: Licensed Psychiatric Technician and LVN for the noted HCPCS/CPT codes "]
["2025-02-10","SMHS",96202,"Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS",96203,"Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS",97550,"Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS",97551,"Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS",97552,"Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0323","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0539","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0540","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0541","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0542","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-10","SMHS","G0543","Added","Beginning in fiscal year 2025/26 MHPs may now submit claims under the following provider types: Medical Doctor/ Doctor of Osteopathy, Licensed Physician, Physician Assistant, Nurse Practitioner, Certified Nurse Specialist/Clinical Nurse Specialist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Registered or Waivered LPHA (LMFT, LCSW & LPCC), Licensed Psychiatric Technician, Pharmacist, Registered Nurse, LVN, Licensed Occupational Therapist"]
["2025-02-26","SMHS","Rate","Changed","Increased rate by HHA rate of 3.09%"]
["2025-05-07","SMHS","G0019 & G0022","Added","Beginning state fiscal year 2025/26 provider type Community Health Care work may claim for services provided using the codes noted"]
["2025-07-24","SMHS","96202, 96203","Corrections","These procedure codes included a group function designation using the HQ modifier.  This was erroneous.  The codes with the HQ modifier were removed from the fee schedule"]
["2025-07-24","SMHS","97552, G0543","Corrections","These procedure codes included a group function designation using the HQ modifier.  This was erroneous.  The codes with the HQ modifier were removed from the fee schedule"]
["2025-09-05","SMHS","Multiple","Corrections","A corrections was made to the rate associated with the Certified AOD provider type rate.  The rate was changed from $244.48 to $256.68"]
["2025-09-13","SMHS","T1013","Corrections","A correction was made to the Time Basis to reflect \"N/A\" as opposed to 15 minutes"]
["2025-09-13","SMHS",98961,"Corrected Rate","A correction was made to the rate associated with Community Health Worker. The change was made to reflect the correct group rate."]
["2025-09-13","SMHS",98962,"Corrected Rate","A correction was made to the rate associated with Community Health Worker. The change was made to reflect the correct group rate."]
["2025-09-13","SMHS","96202, 96203, 97552, G0543","Corrected Rate","A corrections was made to the rate associated with all provider types.  The rate was converted to a group rate.  Previously the rate was displayed as an individual rate."]
["2025-11-30","SMHS","T1013","Added","Added provider type Peer Support Specialists.  PT erroneously deleted from table."]
["2025-11-30","SMHS",98962,"Corrections","Rounded the rate up by .01 dollars for Kern, Kings, Santa Barbara counties for this CPT code to match last displayed fee schedule"]
["2025-11-30","SMHS","G0323","Removed","The following provider types are not eligible to claim for this procedure code Clinical Nurse Specialist, Licensed Psychiatric Technician, Licensed Vocational Nurse, Nurse Practitioner, Occupational Therapist, Physician Assistant, Registered Nurse, Registered Pharmacist"]
["2025-12-19","SMHS","N/A","Corrections","The Hourly Rate column was incorrectly referencing data unrelated to the true or correct county. The formula lookup value error has been corrected.  Please note that the Hourly Rate has no impact on the rate a county uses to claim."]

{"sheet":"Rates","index":2,"n_rows":192,"n_cols":58,"rows_kept":192,"cut":false,"hidden":true,"merged":[]}
["Provider Type","Alameda","Alpine","Amador","Butte","Calaveras","Colusa","Contra Costa","Del Norte","El Dorado","Fresno","Glenn","Humboldt","Imperial","Inyo","Kern","Kings","Lake","Lassen","Los Angeles","Madera","Marin","Mariposa","Mendocino","Merced","Modoc","Mono","Monterey","Napa","Nevada","Orange","Placer","Plumas","Riverside","Sacramento","San Benito","San Bernardino","San Diego","San Francisco","San Joaquin","San Luis Obispo","San Mateo","Santa Barbara","Santa Clara","Santa Cruz","Shasta","Sierra","Siskiyou","Solano","Sonoma","Stanislaus","Tehama","Trinity","Tulare","Tuolumne","Ventura","Yolo","Sutter Yuba"]
["Licensed Physician",1806.94,1961.55,1295.97,1510.73,1921.99,1613.06,1583.6,2047.61,1483.35,1616.62,1678.74,1408.72,1564.89,1201.1199999999999,1317.15,2040.03,2279.73,1262.8499999999999,1672.96,1701.29,1819.59,2071.23,1472.72,1649.28,1538.86,1528.68,1582.64,1955.85,1579.79,1601.92,1641.55,1844.44,1903.09,1605.37,1531.58,1706.19,1495.97,2109.13,1480.7,1333.02,2297.2800000000002,1350.83,2192.02,1598.21,1446.76,1189.0308637222054,1738.63,1777.22,1584.77,1798.73,1876.99,1489.08,1592.76,1400.31,1448.23,1829.3,1732.75]
["Clinical Nurse Specialist",898.55,975.43,853.68,751.25,955.75,802.14,787.48,1018.23,737.63,803.9,834.8,700.52,778.18,597.29,654.99,1014.45,1133.6500000000001,627.99,831.92,846.01,904.84,1147.7,732.35,820.14,765.23,760.18,787.01,972.6,785.59,796.59,816.3,917.19,1084.52,798.31,761.62,848.45,743.91,1048.82,736.31,662.88,1142.3800000000001,671.74,1090.03,794.75,719.44,591.27512428862076,864.58,883.77,788.07,894.46,933.38,985.39,1054,696.34,720.17,909.66,888.2]
["Certified AOD Counselor",390.07,423.44,352.95,326.13,414.9,348.22,341.86,442.02,320.22000000000003,348.98,362.4,304.11,337.82,259.29000000000002,284.33999999999997,440.39,492.13,272.62,361.15,367.26,392.8,474.51,317.92,356.03,332.2,330,341.65,422.22,341.03,345.81,354.37,398.16,448.38,346.56,330.63,368.32,322.94,455.3,319.64,287.76,495.92,291.61,473.2,345.01,312.32,256.67974923880803,375.32,383.65,342.11,388.3,405.19,407.4,435.76,302.29000000000002,312.63,394.9,374.05]
["Nurse Practitioner",898.55,975.43,853.68,751.25,955.75,802.14,787.48,1018.23,737.63,803.9,834.8,700.52,778.18,597.29,654.99,1014.45,1133.6500000000001,627.99,831.92,846.01,904.84,1147.7,732.35,820.14,765.23,760.18,787.01,972.6,785.59,796.59,816.3,917.19,1084.52,798.31,761.62,848.45,743.91,1048.82,736.31,662.88,1142.3800000000001,671.74,1090.03,794.75,719.44,591.27512428862076,864.58,883.77,788.07,894.46,933.38,985.39,1054,696.34,720.17,909.66,888.2]
["Registered Pharmacist",864.94,938.94,821.75,723.15,920.01,772.13,758.03,980.14,710.05,773.84,803.57,674.32,749.07,574.95000000000005,630.49,976.51,1091.25,604.5,800.81,814.37,870.99,1104.77,704.95,789.47,736.61,731.74,757.57,936.22,756.21,766.8,785.77,882.89,1043.96,768.45,733.13,816.71,716.09,1009.59,708.77,638.08000000000004,1099.6500000000001,646.61,1049.26,765.02,692.53,569.16,832.24,850.71,758.59,861.01,898.47,948.53,1014.58,670.29,693.23,875.64,854.98]
["Physician Assistant",810.4,879.74,769.94,677.55,862,723.45,710.23,918.34,665.28,725.04,752.91,631.79999999999995,701.84,538.70000000000005,590.74,914.94,1022.45,566.38,750.31,763.02,816.08,1035.1199999999999,660.51,739.69,690.17,685.61,709.81,877.19,708.53,718.45,736.23,827.22,978.13,720,686.91,765.22,670.94,945.93,664.09,597.85,1030.32,605.84,983.11,716.79,648.86,533.27361874119617,779.77,797.07,710.76,806.72,841.82,888.72,950.6,628.03,649.52,820.43,801.07]
["Registered Nurse",733.96,796.75,697.31,613.64,780.68,655.20000000000005,643.23,831.71,602.52,656.65,681.88,572.20000000000005,635.64,487.88,535.01,828.63,925.99,512.95000000000005,679.53,691.04,739.09,937.47,598.20000000000005,669.91,625.05999999999995,620.92999999999995,642.85,794.44,641.69000000000005,650.67999999999995,666.78,749.19,885.86,652.08000000000004,622.11,693.03,607.64,856.7,601.44000000000005,541.45000000000005,933.12,548.69000000000005,890.37,649.16999999999996,587.65,482.96784367841593,706.21,721.88,643.71,730.62,762.41,804.89,860.93,568.78,588.25,743.04,725.5]
["Psychologist (Licensed or Waivered)",726.69,788.87,690.41,607.57000000000005,772.96,648.72,636.87,823.48,596.55999999999995,650.15,675.13,566.54,629.35,483.05,529.72,820.43,916.83,507.88,672.81,684.2,731.78,928.19,592.28,663.28,618.88,614.79,636.49,786.58,635.34,644.24,660.18,741.77,877.1,645.63,615.95000000000005,686.17,601.63,848.22,595.49,536.09,923.89,543.26,881.56,642.75,581.84,478.18839000900516,699.22,714.74,637.34,723.39,754.86,796.92,852.41,563.16,582.42999999999995,735.68,718.32]
["Occupational Therapist",625.99,679.55,448.97,523.37,665.85,558.82000000000005,548.62,709.37,513.89,560.05999999999995,581.58000000000004,488.03,542.14,416.11,456.31,706.74,789.78,437.5,579.58000000000004,589.39,630.37,717.55,510.2,571.37,533.12,529.59,548.29,677.58,547.29999999999995,554.96,568.69000000000005,638.98,659.3,556.16,530.6,591.09,518.26,730.68,512.97,461.81,795.86,467.98,759.4,553.67999999999995,501.21,411.92410015175193,602.33000000000004,615.69000000000005,549.02,623.15,650.26,478.08,540.94000000000005,485.12,501.72,633.74,600.29]
["LCSW (Licensed, Waivered or Registered)",470.26,510.5,446.78,393.17,500.2,419.81,412.14,532.9,386.05,420.73,436.9,366.63,407.27,312.60000000000002,342.79,530.91999999999996,593.30999999999995,328.66,435.39,442.77,473.56,600.66,383.28,429.23,400.49,397.85,411.89,509.02,411.15,416.91,427.22,480.02,567.59,417.8,398.6,444.04,389.33,548.91,385.36,346.92,597.87,351.56,570.48,415.94,376.52,309.44937317201425,452.49,462.53,412.44,468.13,488.49,515.71,551.62,364.43,376.91,476.08,464.85]
["MFT/LPCC (Licensed, Waivered or Registered)",470.26,510.5,446.78,393.17,500.2,419.81,412.14,532.9,386.05,420.73,436.9,366.63,407.27,312.60000000000002,342.79,530.91999999999996,593.30999999999995,328.66,435.39,442.77,473.56,600.66,383.28,429.23,400.49,397.85,411.89,509.02,411.15,416.91,427.22,480.02,567.59,417.8,398.6,444.04,389.33,548.91,385.36,346.92,597.87,351.56,570.48,415.94,376.52,309.44937317201425,452.49,462.53,412.44,468.13,488.49,515.71,551.62,364.43,376.91,476.08,464.85]
["Licensed Vocational Nurse",385.57,418.56,276.52999999999997,322.36,410.11,344.2,337.91,436.92,316.52,344.95,358.21,300.58999999999997,333.92,256.3,281.06,435.3,486.45,269.47000000000003,356.98,363.02,388.27,441.96,314.25,351.92,328.36,326.19,337.71,417.34,337.1,341.82,350.28,393.57,406.08,342.56,326.81,364.07,319.20999999999998,450.05,315.95,284.44,490.19,288.24,467.73,341.03,308.70999999999998,253.72,370.99,379.22,338.16,383.81,400.51,294.47000000000003,333.18,298.8,309.02,390.34,369.74]
["Peer Support Specialists",371.5,403.28,336.14,310.60000000000002,395.15,331.64,325.58,420.98,304.97000000000003,332.37,345.14,289.62,321.73,246.94,270.8,419.42,468.7,259.63,343.95,349.77,374.1,451.91,302.77999999999997,339.08,316.38,314.29000000000002,325.38,402.11,324.79000000000002,329.34,337.49,379.2,427.03,330.05,314.88,350.78,307.56,433.62,304.42,274.06,472.31,277.72000000000003,450.66,328.58,297.44,244.45690403696003,357.45,365.38,325.82,369.81,385.9,388,415.01,287.89,297.75,376.09,356.24]
["Mental Health Rehabilitation Specialist",353.81,384.08,253.75,295.81,376.33,315.83999999999997,310.07,400.93,290.45,316.54000000000002,328.7,275.83,306.41000000000003,235.18,257.89999999999998,399.44,446.38,247.27,327.57,333.12,356.28,405.55,288.36,322.93,301.31,299.32,309.89,382.96,309.33,313.66000000000003,321.42,361.15,372.63,314.33999999999997,299.89,334.08,292.92,412.97,289.93,261.01,449.81,264.5,429.2,312.94,283.27999999999997,232.81609908281905,340.43,347.99,310.3,352.2,367.52,270.20999999999998,305.73,274.18,283.57,358.18,339.28]
["Other Qualified Practitioner",353.81,384.08,253.75,295.81,376.33,315.83999999999997,310.07,400.93,290.45,316.54000000000002,328.7,275.83,306.41000000000003,235.18,257.89999999999998,399.44,446.38,247.27,327.57,333.12,356.28,405.55,288.36,322.93,301.31,299.32,309.89,382.96,309.33,313.66000000000003,321.42,361.15,372.63,314.33999999999997,299.89,334.08,292.92,412.97,289.93,261.01,449.81,264.5,429.2,312.94,283.27999999999997,232.81609908281905,340.43,347.99,310.3,352.2,367.52,270.20999999999998,305.73,274.18,283.57,358.18,339.28]
["Licensed Psychiatric Technician",330.54,358.82,237.07,276.35000000000002,351.58,295.07,289.68,374.56,271.35000000000002,295.72000000000003,307.08999999999997,257.69,286.26,219.72,240.94,373.18,417.02,231.01,306.02999999999997,311.20999999999998,332.85,378.88,269.39999999999998,301.7,281.5,279.64,289.51,357.78,288.99,293.02999999999997,300.27999999999997,337.4,348.13,293.67,280.17,312.11,273.64999999999998,385.82,270.86,243.84,420.23,247.1,400.98,292.36,264.64999999999998,217.51,318.04000000000002,325.10000000000002,289.89999999999998,329.04,343.35,252.44,285.63,256.14999999999998,264.92,334.63,316.97000000000003]
["Community Health Worker",362.65,393.68,260.10000000000002,303.2,385.74,323.74,317.83,410.95,297.70999999999998,324.45,336.92,282.73,314.07,241.06,264.35000000000002,409.43,457.54,253.45,335.76,341.45,365.19,415.69,295.57,331.01,308.85000000000002,306.8,317.63,392.54,317.06,321.5,329.46,370.18,381.95,322.2,307.39,342.43,300.24,423.3,297.17,267.52999999999997,461.06,271.11,439.93,320.76,290.36,238.6365015598895,348.94,356.69,318.06,361,376.71,276.95999999999998,313.38,281.04000000000002,290.66000000000003,367.14,347.76]
["Medical Assistant",265.05,287.72000000000003,251.81,221.6,281.92,236.61,232.29,300.35000000000002,217.58,237.13,246.24,206.63,229.54,176.18,193.2,299.24,334.4,185.24,245.39,249.55,266.89999999999998,338.54,216.02,241.92,225.72,224.23,232.15,286.89,231.73,234.97,240.79,270.55,319.89999999999998,235.48,224.66,250.27,219.43,309.37,217.19,195.53,336.97,198.14,321.52999999999997,234.43,212.21,174.4095550888342,255.03,260.69,232.46,263.83999999999997,275.32,290.66000000000003,310.89999999999998,205.4,212.43,268.33,261.99]
[]
[]
[90785,"Occurrence"]
[90791,60]
[90792,60]
[90832,30]
[90832.1,30]
[90833,30]
[90833.1,30]
[90834,45]
[90834.1,45]
[90836,45]
[90836.1,45]
[90837,60]
[90837.1,60]
[90838,60]
[90838.1,60]
[90839,60]
[90840,30]
[90845,45]
[90847,50]
[90849,84]
[90849.1,84]
[90853,50]
[90853.1,50]
[90865,90]
[90867,60]
[90868,15]
[90869,45]
[90870,20]
[90880,60]
[90885,60]
[90887,50]
[96105,60]
[96110,60]
[96112,60]
[96113,30]
[96116,60]
[96121,60]
[96125,60]
[96127,60]
[96130,60]
[96131,60]
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[96138,30]
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[96202.1,60]
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[96203.1,15]
[96365,46]
[96366,45]
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[96369,38]
[96370,45]
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[96372,15]
[96373,15]
[96374,15]
[96375,15]
[96376,15]
[96377,15]
[97550,23]
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[97552,45]
[97552.1,45]
[98960,30]
[98961,30]
[98962,30]
[98966,8]
[98967,16]
[98968,26]
[99202,22]
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[99204,52]
[99205,67]
[99212,15]
[99213,25]
[99214,35]
[99215,47]
[99221,47]
[99222,65]
[99223,82]
[99231,30]
[99232,42]
[99233,57]
[99234,57]
[99235,77]
[99236,92]
[99238,30]
[99239,60]
[99242,25]
[99243,35]
[99244,47]
[99245,62]
[99252,40]
[99253,52]
[99254,70]
[99255,87]
[99304,30]
[99305,42]
[99306,57]
[99307,15]
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[99309,37]
[99310,52]
[99341,22]
[99342,45]
[99344,67]
[99345,82]
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[99349,50]
[99350,67]
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[99367,60]
[99368,60]
[99415,60]
[99416,30]
[99417,15]
[99418,15]
[99441,8]
[99442,16]
[99443,26]
[99451,18]
[99484,60]
[99605,15]
[99606,15]
[99607,15]
["A0140",15]
["G0019",60]
["G0022",30]
["G0316",15]
["G0323",60]
["G0539",23]
["G0540",15]
["G0541",23]
["G0542",15]
["G0543",45]
["G0543.1",45]
["G2212",15]
["G2212.1",15]
["H0025",15]
["H0025.1",15]
["H0031",15]
["H0032",15]
["H0033",15]
["H0034",15]
["H0034.1",15]
["H0036",15]
["H0038",15]
["H0050",15]
["H2000",15]
["H2011",15]
["H2011.1",15]
["H2017",15]
["H2017.1",15]
["H2019",15]
["H2021",15]
["T1001",15]
["T1013",15]
["T1017",15]
["T2007",15]
["T2021",15]
["T2021.1",15]
["T2021.2",15]
["T2024",15]

{"sheet":"Validation","index":3,"n_rows":57758,"n_cols":17,"rows_kept":4500,"cut":true,"hidden":true,"merged":[],"bounds":{"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0}}
["Press UP, DOWN, LEFT RIGHT ARROW in column A to read through Document. Document ordered by date. Headers contain filter buttons",null,null,null,null,null,null,null,null,null,null,"Press UP, DOWN, LEFT RIGHT ARROW in column A to read through Document. Document ordered by date. Headers contain filter buttons"]
["Cnty Cde","Provider Type","Procedure Code","Modifier","Max Allowed Rate Per Unit",null,1,2,3,4,5,"Cnty Cde","Provider Type","Procedure Code","Modifier","Max Allowed Rate Per Unit"]
[1,"Certified AOD Counselor",90785,"N/A",18.89,null,{"$f":"EXACT(A3,L3)","v":true},{"$f":"EXACT(B3,M3)","v":true},{"$f":"EXACT(C3,N3)","v":true},{"$f":"EXACT(D3,O3)","v":true},{"$f":"EXACT(E3,P3)","v":true},1,"Certified AOD Counselor",90785,"N/A",18.89]
[1,"Certified AOD Counselor","H0031","N/A",97.52,null,true,true,true,true,{"$f":"EXACT(E4,P4)","v":true},1,"Certified AOD Counselor","H0031","N/A",97.52]
[1,"Certified AOD Counselor","H0032","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0032","N/A",97.52]
[1,"Certified AOD Counselor","H0033","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0033","N/A",97.52]
[1,"Certified AOD Counselor","H0034","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0034","N/A",97.52]
[1,"Certified AOD Counselor","H0034","HQ",21.67,null,true,true,true,true,true,1,"Certified AOD Counselor","H0034","HQ",21.67]
[1,"Certified AOD Counselor","H2000","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2000","N/A",97.52]
[1,"Certified AOD Counselor","H2011","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2011","N/A",97.52]
[1,"Certified AOD Counselor","H2017","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2017","N/A",97.52]
[1,"Certified AOD Counselor","H2017","HQ",21.67,null,true,true,true,true,true,1,"Certified AOD Counselor","H2017","HQ",21.67]
[1,"Certified AOD Counselor","H2019","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2019","N/A",97.52]
[1,"Certified AOD Counselor","H2021","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2021","N/A",97.52]
[1,"Certified AOD Counselor","T1013","N/A",31.88,null,true,true,true,true,true,1,"Certified AOD Counselor","T1013","N/A",31.88]
[1,"Certified AOD Counselor","T1017","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","T1017","N/A",97.52]
[1,"Clinical Nurse Specialist",90785,"N/A",18.89,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90785,"N/A",18.89]
[1,"Clinical Nurse Specialist",90791,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90791,"N/A",898.55]
[1,"Clinical Nurse Specialist",90792,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90792,"N/A",898.55]
[1,"Clinical Nurse Specialist",90832,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90832,"N/A",449.28]
[1,"Clinical Nurse Specialist",90832,22,452.29,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90832,22,452.29]
[1,"Clinical Nurse Specialist",90833,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90833,"N/A",449.28]
[1,"Clinical Nurse Specialist",90833,22,452.29,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90833,22,452.29]
[1,"Clinical Nurse Specialist",90834,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90834,"N/A",673.91]
[1,"Clinical Nurse Specialist",90834,22,676.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90834,22,676.92]
[1,"Clinical Nurse Specialist",90836,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90836,"N/A",673.91]
[1,"Clinical Nurse Specialist",90836,22,676.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90836,22,676.92]
[1,"Clinical Nurse Specialist",90837,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90837,"N/A",898.55]
[1,"Clinical Nurse Specialist",90837,22,901.56,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90837,22,901.56]
[1,"Clinical Nurse Specialist",90838,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90838,"N/A",898.55]
[1,"Clinical Nurse Specialist",90838,22,901.56,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90838,22,901.56]
[1,"Clinical Nurse Specialist",90839,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90839,"N/A",898.55]
[1,"Clinical Nurse Specialist",90840,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90840,"N/A",449.28]
[1,"Clinical Nurse Specialist",90845,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90845,"N/A",673.91]
[1,"Clinical Nurse Specialist",90847,"N/A",748.79,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90847,"N/A",748.79]
[1,"Clinical Nurse Specialist",90849,"N/A",279.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90849,"N/A",279.55]
[1,"Clinical Nurse Specialist",90853,"N/A",166.4,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90853,"N/A",166.4]
[1,"Clinical Nurse Specialist",90865,"N/A",1347.83,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90865,"N/A",1347.83]
[1,"Clinical Nurse Specialist",90867,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90867,"N/A",898.55]
[1,"Clinical Nurse Specialist",90868,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90868,"N/A",224.64]
[1,"Clinical Nurse Specialist",90869,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90869,"N/A",673.91]
[1,"Clinical Nurse Specialist",90870,"N/A",299.52,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90870,"N/A",299.52]
[1,"Clinical Nurse Specialist",90880,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90880,"N/A",898.55]
[1,"Clinical Nurse Specialist",90885,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90885,"N/A",898.55]
[1,"Clinical Nurse Specialist",90887,"N/A",748.79,null,true,true,true,true,true,1,"Clinical Nurse Specialist",90887,"N/A",748.79]
[1,"Clinical Nurse Specialist",96105,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96105,"N/A",898.55]
[1,"Clinical Nurse Specialist",96110,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96110,"N/A",898.55]
[1,"Clinical Nurse Specialist",96112,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96112,"N/A",898.55]
[1,"Clinical Nurse Specialist",96113,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96113,"N/A",449.28]
[1,"Clinical Nurse Specialist",96116,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96116,"N/A",898.55]
[1,"Clinical Nurse Specialist",96121,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96121,"N/A",898.55]
[1,"Clinical Nurse Specialist",96125,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96125,"N/A",898.55]
[1,"Clinical Nurse Specialist",96127,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96127,"N/A",898.55]
[1,"Clinical Nurse Specialist",96130,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96130,"N/A",898.55]
[1,"Clinical Nurse Specialist",96131,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96131,"N/A",898.55]
[1,"Clinical Nurse Specialist",96132,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96132,"N/A",898.55]
[1,"Clinical Nurse Specialist",96133,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96133,"N/A",898.55]
[1,"Clinical Nurse Specialist",96136,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96136,"N/A",449.28]
[1,"Clinical Nurse Specialist",96137,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96137,"N/A",449.28]
[1,"Clinical Nurse Specialist",96146,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96146,"N/A",898.55]
[1,"Clinical Nurse Specialist",96161,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96161,"N/A",224.64]
[1,"Clinical Nurse Specialist",96202,"N/A",199.68,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96202,"N/A",199.68]
[1,"Clinical Nurse Specialist",96203,"N/A",49.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96203,"N/A",49.92]
[1,"Clinical Nurse Specialist",96365,"N/A",688.89,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96365,"N/A",688.89]
[1,"Clinical Nurse Specialist",96366,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96366,"N/A",673.91]
[1,"Clinical Nurse Specialist",96367,"N/A",464.25,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96367,"N/A",464.25]
[1,"Clinical Nurse Specialist",96368,"N/A",224.64,null,{"$f":"EXACT(A67,L67)","v":true},{"$f":"EXACT(B67,M67)","v":true},{"$f":"EXACT(C67,N67)","v":true},{"$f":"EXACT(D67,O67)","v":true},true,1,"Clinical Nurse Specialist",96368,"N/A",224.64]
[1,"Clinical Nurse Specialist",96369,"N/A",569.08000000000004,null,true,true,true,true,{"$f":"EXACT(E68,P68)","v":true},1,"Clinical Nurse Specialist",96369,"N/A",569.08000000000004]
[1,"Clinical Nurse Specialist",96370,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96370,"N/A",673.91]
[1,"Clinical Nurse Specialist",96371,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96371,"N/A",224.64]
[1,"Clinical Nurse Specialist",96372,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96372,"N/A",224.64]
[1,"Clinical Nurse Specialist",96373,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96373,"N/A",224.64]
[1,"Clinical Nurse Specialist",96374,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96374,"N/A",224.64]
[1,"Clinical Nurse Specialist",96375,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96375,"N/A",224.64]
[1,"Clinical Nurse Specialist",96376,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96376,"N/A",224.64]
[1,"Clinical Nurse Specialist",96377,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",96377,"N/A",224.64]
[1,"Clinical Nurse Specialist",97550,"N/A",344.44,null,true,true,true,true,true,1,"Clinical Nurse Specialist",97550,"N/A",344.44]
[1,"Clinical Nurse Specialist",97551,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",97551,"N/A",224.64]
[1,"Clinical Nurse Specialist",97552,"N/A",149.76,null,true,true,true,true,true,1,"Clinical Nurse Specialist",97552,"N/A",149.76]
[1,"Clinical Nurse Specialist",98966,"N/A",119.81,null,true,true,true,true,true,1,"Clinical Nurse Specialist",98966,"N/A",119.81]
[1,"Clinical Nurse Specialist",98967,"N/A",239.61,null,true,true,true,true,true,1,"Clinical Nurse Specialist",98967,"N/A",239.61]
[1,"Clinical Nurse Specialist",98968,"N/A",389.37,null,true,true,true,true,true,1,"Clinical Nurse Specialist",98968,"N/A",389.37]
[1,"Clinical Nurse Specialist",99202,"N/A",329.47,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99202,"N/A",329.47]
[1,"Clinical Nurse Specialist",99203,"N/A",554.11,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99203,"N/A",554.11]
[1,"Clinical Nurse Specialist",99204,"N/A",778.74,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99204,"N/A",778.74]
[1,"Clinical Nurse Specialist",99205,"N/A",1003.38,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99205,"N/A",1003.38]
[1,"Clinical Nurse Specialist",99212,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99212,"N/A",224.64]
[1,"Clinical Nurse Specialist",99213,"N/A",374.4,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99213,"N/A",374.4]
[1,"Clinical Nurse Specialist",99214,"N/A",524.15,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99214,"N/A",524.15]
[1,"Clinical Nurse Specialist",99215,"N/A",703.86,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99215,"N/A",703.86]
[1,"Clinical Nurse Specialist",99221,"N/A",703.86,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99221,"N/A",703.86]
[1,"Clinical Nurse Specialist",99222,"N/A",973.43,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99222,"N/A",973.43]
[1,"Clinical Nurse Specialist",99223,"N/A",1228.02,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99223,"N/A",1228.02]
[1,"Clinical Nurse Specialist",99231,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99231,"N/A",449.28]
[1,"Clinical Nurse Specialist",99232,"N/A",628.99,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99232,"N/A",628.99]
[1,"Clinical Nurse Specialist",99233,"N/A",853.62,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99233,"N/A",853.62]
[1,"Clinical Nurse Specialist",99234,"N/A",853.62,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99234,"N/A",853.62]
[1,"Clinical Nurse Specialist",99235,"N/A",1153.1400000000001,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99235,"N/A",1153.1400000000001]
[1,"Clinical Nurse Specialist",99236,"N/A",1377.78,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99236,"N/A",1377.78]
[1,"Clinical Nurse Specialist",99238,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99238,"N/A",449.28]
[1,"Clinical Nurse Specialist",99239,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99239,"N/A",898.55]
[1,"Clinical Nurse Specialist",99242,"N/A",374.4,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99242,"N/A",374.4]
[1,"Clinical Nurse Specialist",99243,"N/A",524.15,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99243,"N/A",524.15]
[1,"Clinical Nurse Specialist",99244,"N/A",703.86,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99244,"N/A",703.86]
[1,"Clinical Nurse Specialist",99245,"N/A",928.5,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99245,"N/A",928.5]
[1,"Clinical Nurse Specialist",99252,"N/A",599.03,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99252,"N/A",599.03]
[1,"Clinical Nurse Specialist",99253,"N/A",778.74,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99253,"N/A",778.74]
[1,"Clinical Nurse Specialist",99254,"N/A",1048.31,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99254,"N/A",1048.31]
[1,"Clinical Nurse Specialist",99255,"N/A",1302.9000000000001,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99255,"N/A",1302.9000000000001]
[1,"Clinical Nurse Specialist",99304,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99304,"N/A",449.28]
[1,"Clinical Nurse Specialist",99305,"N/A",628.99,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99305,"N/A",628.99]
[1,"Clinical Nurse Specialist",99306,"N/A",853.62,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99306,"N/A",853.62]
[1,"Clinical Nurse Specialist",99307,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99307,"N/A",224.64]
[1,"Clinical Nurse Specialist",99308,"N/A",374.4,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99308,"N/A",374.4]
[1,"Clinical Nurse Specialist",99309,"N/A",554.11,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99309,"N/A",554.11]
[1,"Clinical Nurse Specialist",99310,"N/A",778.74,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99310,"N/A",778.74]
[1,"Clinical Nurse Specialist",99341,"N/A",329.47,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99341,"N/A",329.47]
[1,"Clinical Nurse Specialist",99342,"N/A",673.91,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99342,"N/A",673.91]
[1,"Clinical Nurse Specialist",99344,"N/A",1003.38,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99344,"N/A",1003.38]
[1,"Clinical Nurse Specialist",99345,"N/A",1228.02,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99345,"N/A",1228.02]
[1,"Clinical Nurse Specialist",99347,"N/A",374.4,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99347,"N/A",374.4]
[1,"Clinical Nurse Specialist",99348,"N/A",524.15,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99348,"N/A",524.15]
[1,"Clinical Nurse Specialist",99349,"N/A",748.79,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99349,"N/A",748.79]
[1,"Clinical Nurse Specialist",99350,"N/A",1003.38,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99350,"N/A",1003.38]
[1,"Clinical Nurse Specialist",99366,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99366,"N/A",898.55]
[1,"Clinical Nurse Specialist",99368,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99368,"N/A",898.55]
[1,"Clinical Nurse Specialist",99415,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99415,"N/A",898.55]
[1,"Clinical Nurse Specialist",99416,"N/A",449.28,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99416,"N/A",449.28]
[1,"Clinical Nurse Specialist",99417,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99417,"N/A",224.64]
[1,"Clinical Nurse Specialist",99418,"N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99418,"N/A",224.64]
[1,"Clinical Nurse Specialist",99441,"N/A",119.81,null,{"$f":"EXACT(A131,L131)","v":true},{"$f":"EXACT(B131,M131)","v":true},{"$f":"EXACT(C131,N131)","v":true},{"$f":"EXACT(D131,O131)","v":true},true,1,"Clinical Nurse Specialist",99441,"N/A",119.81]
[1,"Clinical Nurse Specialist",99442,"N/A",239.61,null,true,true,true,true,{"$f":"EXACT(E132,P132)","v":true},1,"Clinical Nurse Specialist",99442,"N/A",239.61]
[1,"Clinical Nurse Specialist",99443,"N/A",389.37,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99443,"N/A",389.37]
[1,"Clinical Nurse Specialist",99484,"N/A",898.55,null,true,true,true,true,true,1,"Clinical Nurse Specialist",99484,"N/A",898.55]
[1,"Clinical Nurse Specialist","G0316","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0316","N/A",224.64]
[1,"Clinical Nurse Specialist","G0539","N/A",344.44,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0539","N/A",344.44,{"$f":"IF(N136=\"G0323\",9,1)","v":1}]
[1,"Clinical Nurse Specialist","G0540","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0540","N/A",224.64,1]
[1,"Clinical Nurse Specialist","G0541","N/A",344.44,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0541","N/A",344.44,1]
[1,"Clinical Nurse Specialist","G0542","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0542","N/A",224.64,1]
[1,"Clinical Nurse Specialist","G0543","N/A",149.76,null,true,true,true,true,true,1,"Clinical Nurse Specialist","G0543","N/A",149.76,1]
[1,"Clinical Nurse Specialist","H0031","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0031","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H0032","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0032","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H0033","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0033","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H0034","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0034","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H0034","HQ",49.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0034","HQ",49.92,1]
[1,"Clinical Nurse Specialist","H0036","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H0036","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H2000","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2000","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H2011","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2011","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H2017","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2017","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H2017","HQ",49.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2017","HQ",49.92,1]
[1,"Clinical Nurse Specialist","H2019","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2019","N/A",224.64,1]
[1,"Clinical Nurse Specialist","H2021","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","H2021","N/A",224.64,1]
[1,"Clinical Nurse Specialist","T1001","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T1001","N/A",224.64,1]
[1,"Clinical Nurse Specialist","T1013","N/A",31.88,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T1013","N/A",31.88,1]
[1,"Clinical Nurse Specialist","T1017","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T1017","N/A",224.64,1]
[1,"Clinical Nurse Specialist","T2021","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T2021","N/A",224.64,1]
[1,"Clinical Nurse Specialist","T2021","HQ",49.92,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T2021","HQ",49.92,1]
[1,"Clinical Nurse Specialist","T2021",22,227.65,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T2021",22,227.65,1]
[1,"Clinical Nurse Specialist","T2024","N/A",224.64,null,true,true,true,true,true,1,"Clinical Nurse Specialist","T2024","N/A",224.64,1]
[1,"Community Health Worker",98960,"N/A",181.33,null,true,true,true,true,true,1,"Community Health Worker",98960,"N/A",181.33,1]
[1,"Community Health Worker",98961,"N/A",60.44,null,true,true,true,true,true,1,"Community Health Worker",98961,"N/A",60.44,1]
[1,"Community Health Worker",98962,"N/A",27.9,null,true,true,true,true,true,1,"Community Health Worker",98962,"N/A",27.9,1]
[1,"Community Health Worker","G0019","N/A",362.65,null,true,true,true,true,true,1,"Community Health Worker","G0019","N/A",362.65,1]
[1,"Community Health Worker","G0022","N/A",181.33,null,true,true,true,true,true,1,"Community Health Worker","G0022","N/A",181.33,1]
[1,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[1,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",235.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",235.13,1]
[1,"LCSW (Licensed, Waivered or Registered)",90832,22,238.14,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90832,22,238.14,1]
[1,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",352.7,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",352.7,1]
[1,"LCSW (Licensed, Waivered or Registered)",90834,22,355.71,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90834,22,355.71,1]
[1,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",90837,22,473.27,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90837,22,473.27,1]
[1,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",235.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",235.13,1]
[1,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",352.7,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",352.7,1]
[1,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",391.88,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",391.88,1]
[1,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",146.30000000000001,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",146.30000000000001,1]
[1,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",87.09,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",87.09,1]
[1,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",391.88,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",391.88,1]
[1,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",104.5,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",104.5,1]
[1,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",26.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",26.13,1]
[1,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",180.27,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",180.27,1]
[1,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",78.38,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",78.38,1]
[1,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",62.7,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",62.7,1]
[1,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",125.4,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",125.4,1]
[1,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",203.78,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",203.78,1]
[1,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",470.26,null,{"$f":"EXACT(A195,L195)","v":true},{"$f":"EXACT(B195,M195)","v":true},{"$f":"EXACT(C195,N195)","v":true},{"$f":"EXACT(D195,O195)","v":true},true,1,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",470.26,null,true,true,true,true,{"$f":"EXACT(E196,P196)","v":true},1,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",180.27,{"$f":"IF(C198=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",180.27,1]
[1,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",180.27,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",180.27,{"$f":"IF(N200=\"G0323\",9,1)","v":1}]
[1,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",78.38,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",78.38,1]
[1,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H0033","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0033","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",26.13,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",26.13,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[1,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.13,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.13,1]
[1,"LCSW (Licensed, Waivered or Registered)","T2021",22,120.58,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T2021",22,120.58,1]
[1,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",117.57,1,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",117.57,1]
[1,"Licensed Physician",90785,"N/A",18.89,1,true,true,true,true,true,1,"Licensed Physician",90785,"N/A",18.89,1]
[1,"Licensed Physician",90791,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90791,"N/A",1806.94,1]
[1,"Licensed Physician",90792,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90792,"N/A",1806.94,1]
[1,"Licensed Physician",90832,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",90832,"N/A",903.47,1]
[1,"Licensed Physician",90832,22,906.48,1,true,true,true,true,true,1,"Licensed Physician",90832,22,906.48,1]
[1,"Licensed Physician",90833,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",90833,"N/A",903.47,1]
[1,"Licensed Physician",90833,22,906.48,1,true,true,true,true,true,1,"Licensed Physician",90833,22,906.48,1]
[1,"Licensed Physician",90834,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",90834,"N/A",1355.21,1]
[1,"Licensed Physician",90834,22,1358.22,1,true,true,true,true,true,1,"Licensed Physician",90834,22,1358.22,1]
[1,"Licensed Physician",90836,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",90836,"N/A",1355.21,1]
[1,"Licensed Physician",90836,22,1358.22,1,true,true,true,true,true,1,"Licensed Physician",90836,22,1358.22,1]
[1,"Licensed Physician",90837,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90837,"N/A",1806.94,1]
[1,"Licensed Physician",90837,22,1809.95,1,true,true,true,true,true,1,"Licensed Physician",90837,22,1809.95,1]
[1,"Licensed Physician",90838,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90838,"N/A",1806.94,1]
[1,"Licensed Physician",90838,22,1809.95,1,true,true,true,true,true,1,"Licensed Physician",90838,22,1809.95,1]
[1,"Licensed Physician",90839,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90839,"N/A",1806.94,1]
[1,"Licensed Physician",90840,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",90840,"N/A",903.47,1]
[1,"Licensed Physician",90845,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",90845,"N/A",1355.21,1]
[1,"Licensed Physician",90847,"N/A",1505.78,1,true,true,true,true,true,1,"Licensed Physician",90847,"N/A",1505.78,1]
[1,"Licensed Physician",90849,"N/A",562.16,1,true,true,true,true,true,1,"Licensed Physician",90849,"N/A",562.16,1]
[1,"Licensed Physician",90853,"N/A",334.62,1,true,true,true,true,true,1,"Licensed Physician",90853,"N/A",334.62,1]
[1,"Licensed Physician",90865,"N/A",2710.41,1,true,true,true,true,true,1,"Licensed Physician",90865,"N/A",2710.41,1]
[1,"Licensed Physician",90867,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90867,"N/A",1806.94,1]
[1,"Licensed Physician",90868,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",90868,"N/A",451.74,1]
[1,"Licensed Physician",90869,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",90869,"N/A",1355.21,1]
[1,"Licensed Physician",90870,"N/A",602.30999999999995,1,true,true,true,true,true,1,"Licensed Physician",90870,"N/A",602.30999999999995,1]
[1,"Licensed Physician",90880,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90880,"N/A",1806.94,1]
[1,"Licensed Physician",90885,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",90885,"N/A",1806.94,1]
[1,"Licensed Physician",90887,"N/A",1505.78,1,true,true,true,true,true,1,"Licensed Physician",90887,"N/A",1505.78,1]
[1,"Licensed Physician",96105,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96105,"N/A",1806.94,1]
[1,"Licensed Physician",96110,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96110,"N/A",1806.94,1]
[1,"Licensed Physician",96112,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96112,"N/A",1806.94,1]
[1,"Licensed Physician",96113,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",96113,"N/A",903.47,1]
[1,"Licensed Physician",96116,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96116,"N/A",1806.94,1]
[1,"Licensed Physician",96121,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96121,"N/A",1806.94,1]
[1,"Licensed Physician",96125,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96125,"N/A",1806.94,1]
[1,"Licensed Physician",96127,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96127,"N/A",1806.94,1]
[1,"Licensed Physician",96130,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96130,"N/A",1806.94,1]
[1,"Licensed Physician",96131,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96131,"N/A",1806.94,1]
[1,"Licensed Physician",96132,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",96132,"N/A",1806.94,1]
[1,"Licensed Physician",96133,"N/A",1806.94,1,{"$f":"EXACT(A259,L259)","v":true},{"$f":"EXACT(B259,M259)","v":true},{"$f":"EXACT(C259,N259)","v":true},{"$f":"EXACT(D259,O259)","v":true},true,1,"Licensed Physician",96133,"N/A",1806.94,1]
[1,"Licensed Physician",96136,"N/A",903.47,1,true,true,true,true,{"$f":"EXACT(E260,P260)","v":true},1,"Licensed Physician",96136,"N/A",903.47,1]
[1,"Licensed Physician",96137,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",96137,"N/A",903.47,1]
[1,"Licensed Physician",96146,"N/A",1806.94,{"$f":"IF(C262=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Licensed Physician",96146,"N/A",1806.94,1]
[1,"Licensed Physician",96161,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96161,"N/A",451.74,1]
[1,"Licensed Physician",96202,"N/A",401.54,1,true,true,true,true,true,1,"Licensed Physician",96202,"N/A",401.54,{"$f":"IF(N264=\"G0323\",9,1)","v":1}]
[1,"Licensed Physician",96203,"N/A",100.39,1,true,true,true,true,true,1,"Licensed Physician",96203,"N/A",100.39,1]
[1,"Licensed Physician",96365,"N/A",1385.32,1,true,true,true,true,true,1,"Licensed Physician",96365,"N/A",1385.32,1]
[1,"Licensed Physician",96366,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",96366,"N/A",1355.21,1]
[1,"Licensed Physician",96367,"N/A",933.59,1,true,true,true,true,true,1,"Licensed Physician",96367,"N/A",933.59,1]
[1,"Licensed Physician",96368,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96368,"N/A",451.74,1]
[1,"Licensed Physician",96369,"N/A",1144.4000000000001,1,true,true,true,true,true,1,"Licensed Physician",96369,"N/A",1144.4000000000001,1]
[1,"Licensed Physician",96370,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",96370,"N/A",1355.21,1]
[1,"Licensed Physician",96371,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96371,"N/A",451.74,1]
[1,"Licensed Physician",96372,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96372,"N/A",451.74,1]
[1,"Licensed Physician",96373,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96373,"N/A",451.74,1]
[1,"Licensed Physician",96374,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96374,"N/A",451.74,1]
[1,"Licensed Physician",96375,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96375,"N/A",451.74,1]
[1,"Licensed Physician",96376,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96376,"N/A",451.74,1]
[1,"Licensed Physician",96377,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",96377,"N/A",451.74,1]
[1,"Licensed Physician",97550,"N/A",692.66,1,true,true,true,true,true,1,"Licensed Physician",97550,"N/A",692.66,1]
[1,"Licensed Physician",97551,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",97551,"N/A",451.74,1]
[1,"Licensed Physician",97552,"N/A",301.16000000000003,1,true,true,true,true,true,1,"Licensed Physician",97552,"N/A",301.16000000000003,1]
[1,"Licensed Physician",99202,"N/A",662.54,1,true,true,true,true,true,1,"Licensed Physician",99202,"N/A",662.54,1]
[1,"Licensed Physician",99203,"N/A",1114.28,1,true,true,true,true,true,1,"Licensed Physician",99203,"N/A",1114.28,1]
[1,"Licensed Physician",99204,"N/A",1566.01,1,true,true,true,true,true,1,"Licensed Physician",99204,"N/A",1566.01,1]
[1,"Licensed Physician",99205,"N/A",2017.75,1,true,true,true,true,true,1,"Licensed Physician",99205,"N/A",2017.75,1]
[1,"Licensed Physician",99212,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",99212,"N/A",451.74,1]
[1,"Licensed Physician",99213,"N/A",752.89,1,true,true,true,true,true,1,"Licensed Physician",99213,"N/A",752.89,1]
[1,"Licensed Physician",99214,"N/A",1054.05,1,true,true,true,true,true,1,"Licensed Physician",99214,"N/A",1054.05,1]
[1,"Licensed Physician",99215,"N/A",1415.44,1,true,true,true,true,true,1,"Licensed Physician",99215,"N/A",1415.44,1]
[1,"Licensed Physician",99221,"N/A",1415.44,1,true,true,true,true,true,1,"Licensed Physician",99221,"N/A",1415.44,1]
[1,"Licensed Physician",99222,"N/A",1957.52,1,true,true,true,true,true,1,"Licensed Physician",99222,"N/A",1957.52,1]
[1,"Licensed Physician",99223,"N/A",2469.48,1,true,true,true,true,true,1,"Licensed Physician",99223,"N/A",2469.48,1]
[1,"Licensed Physician",99231,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",99231,"N/A",903.47,1]
[1,"Licensed Physician",99232,"N/A",1264.8599999999999,1,true,true,true,true,true,1,"Licensed Physician",99232,"N/A",1264.8599999999999,1]
[1,"Licensed Physician",99233,"N/A",1716.59,1,true,true,true,true,true,1,"Licensed Physician",99233,"N/A",1716.59,1]
[1,"Licensed Physician",99234,"N/A",1716.59,1,true,true,true,true,true,1,"Licensed Physician",99234,"N/A",1716.59,1]
[1,"Licensed Physician",99235,"N/A",2318.91,1,true,true,true,true,true,1,"Licensed Physician",99235,"N/A",2318.91,1]
[1,"Licensed Physician",99236,"N/A",2770.64,1,true,true,true,true,true,1,"Licensed Physician",99236,"N/A",2770.64,1]
[1,"Licensed Physician",99238,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",99238,"N/A",903.47,1]
[1,"Licensed Physician",99239,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",99239,"N/A",1806.94,1]
[1,"Licensed Physician",99242,"N/A",752.89,1,true,true,true,true,true,1,"Licensed Physician",99242,"N/A",752.89,1]
[1,"Licensed Physician",99243,"N/A",1054.05,1,true,true,true,true,true,1,"Licensed Physician",99243,"N/A",1054.05,1]
[1,"Licensed Physician",99244,"N/A",1415.44,1,true,true,true,true,true,1,"Licensed Physician",99244,"N/A",1415.44,1]
[1,"Licensed Physician",99245,"N/A",1867.17,1,true,true,true,true,true,1,"Licensed Physician",99245,"N/A",1867.17,1]
[1,"Licensed Physician",99252,"N/A",1204.6300000000001,1,true,true,true,true,true,1,"Licensed Physician",99252,"N/A",1204.6300000000001,1]
[1,"Licensed Physician",99253,"N/A",1566.01,1,true,true,true,true,true,1,"Licensed Physician",99253,"N/A",1566.01,1]
[1,"Licensed Physician",99254,"N/A",2108.1,1,true,true,true,true,true,1,"Licensed Physician",99254,"N/A",2108.1,1]
[1,"Licensed Physician",99255,"N/A",2620.06,1,true,true,true,true,true,1,"Licensed Physician",99255,"N/A",2620.06,1]
[1,"Licensed Physician",99304,"N/A",903.47,1,true,true,true,true,true,1,"Licensed Physician",99304,"N/A",903.47,1]
[1,"Licensed Physician",99305,"N/A",1264.8599999999999,1,true,true,true,true,true,1,"Licensed Physician",99305,"N/A",1264.8599999999999,1]
[1,"Licensed Physician",99306,"N/A",1716.59,1,true,true,true,true,true,1,"Licensed Physician",99306,"N/A",1716.59,1]
[1,"Licensed Physician",99307,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",99307,"N/A",451.74,1]
[1,"Licensed Physician",99308,"N/A",752.89,1,true,true,true,true,true,1,"Licensed Physician",99308,"N/A",752.89,1]
[1,"Licensed Physician",99309,"N/A",1114.28,1,true,true,true,true,true,1,"Licensed Physician",99309,"N/A",1114.28,1]
[1,"Licensed Physician",99310,"N/A",1566.01,1,true,true,true,true,true,1,"Licensed Physician",99310,"N/A",1566.01,1]
[1,"Licensed Physician",99341,"N/A",662.54,1,true,true,true,true,true,1,"Licensed Physician",99341,"N/A",662.54,1]
[1,"Licensed Physician",99342,"N/A",1355.21,1,true,true,true,true,true,1,"Licensed Physician",99342,"N/A",1355.21,1]
[1,"Licensed Physician",99344,"N/A",2017.75,1,true,true,true,true,true,1,"Licensed Physician",99344,"N/A",2017.75,1]
[1,"Licensed Physician",99345,"N/A",2469.48,1,true,true,true,true,true,1,"Licensed Physician",99345,"N/A",2469.48,1]
[1,"Licensed Physician",99347,"N/A",752.89,1,true,true,true,true,true,1,"Licensed Physician",99347,"N/A",752.89,1]
[1,"Licensed Physician",99348,"N/A",1054.05,1,true,true,true,true,true,1,"Licensed Physician",99348,"N/A",1054.05,1]
[1,"Licensed Physician",99349,"N/A",1505.78,1,true,true,true,true,true,1,"Licensed Physician",99349,"N/A",1505.78,1]
[1,"Licensed Physician",99350,"N/A",2017.75,1,{"$f":"EXACT(A323,L323)","v":true},{"$f":"EXACT(B323,M323)","v":true},{"$f":"EXACT(C323,N323)","v":true},{"$f":"EXACT(D323,O323)","v":true},true,1,"Licensed Physician",99350,"N/A",2017.75,1]
[1,"Licensed Physician",99367,"N/A",1806.94,1,true,true,true,true,{"$f":"EXACT(E324,P324)","v":true},1,"Licensed Physician",99367,"N/A",1806.94,1]
[1,"Licensed Physician",99415,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",99415,"N/A",1806.94,1]
[1,"Licensed Physician",99416,"N/A",903.47,{"$f":"IF(C326=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Licensed Physician",99416,"N/A",903.47,1]
[1,"Licensed Physician",99417,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",99417,"N/A",451.74,1]
[1,"Licensed Physician",99418,"N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician",99418,"N/A",451.74,{"$f":"IF(N328=\"G0323\",9,1)","v":1}]
[1,"Licensed Physician",99441,"N/A",240.93,1,true,true,true,true,true,1,"Licensed Physician",99441,"N/A",240.93,1]
[1,"Licensed Physician",99442,"N/A",481.85,1,true,true,true,true,true,1,"Licensed Physician",99442,"N/A",481.85,1]
[1,"Licensed Physician",99443,"N/A",783.01,1,true,true,true,true,true,1,"Licensed Physician",99443,"N/A",783.01,1]
[1,"Licensed Physician",99451,"N/A",542.08000000000004,1,true,true,true,true,true,1,"Licensed Physician",99451,"N/A",542.08000000000004,1]
[1,"Licensed Physician",99484,"N/A",1806.94,1,true,true,true,true,true,1,"Licensed Physician",99484,"N/A",1806.94,1]
[1,"Licensed Physician","G0316","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","G0316","N/A",451.74,1]
[1,"Licensed Physician","G0539","N/A",692.66,1,true,true,true,true,true,1,"Licensed Physician","G0539","N/A",692.66,1]
[1,"Licensed Physician","G0540","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","G0540","N/A",451.74,1]
[1,"Licensed Physician","G0541","N/A",692.66,1,true,true,true,true,true,1,"Licensed Physician","G0541","N/A",692.66,1]
[1,"Licensed Physician","G0542","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","G0542","N/A",451.74,1]
[1,"Licensed Physician","G0543","N/A",301.16000000000003,1,true,true,true,true,true,1,"Licensed Physician","G0543","N/A",301.16000000000003,1]
[1,"Licensed Physician","H0033","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H0033","N/A",451.74,1]
[1,"Licensed Physician","H0034","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H0034","N/A",451.74,1]
[1,"Licensed Physician","H0034","HQ",100.39,1,true,true,true,true,true,1,"Licensed Physician","H0034","HQ",100.39,1]
[1,"Licensed Physician","H0036","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H0036","N/A",451.74,1]
[1,"Licensed Physician","H2000","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H2000","N/A",451.74,1]
[1,"Licensed Physician","H2011","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H2011","N/A",451.74,1]
[1,"Licensed Physician","H2017","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H2017","N/A",451.74,1]
[1,"Licensed Physician","H2017","HQ",100.39,1,true,true,true,true,true,1,"Licensed Physician","H2017","HQ",100.39,1]
[1,"Licensed Physician","H2019","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H2019","N/A",451.74,1]
[1,"Licensed Physician","H2021","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","H2021","N/A",451.74,1]
[1,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,1,"Licensed Physician","T1013","N/A",31.88,1]
[1,"Licensed Physician","T1017","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","T1017","N/A",451.74,1]
[1,"Licensed Physician","T2021","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","T2021","N/A",451.74,1]
[1,"Licensed Physician","T2021","HQ",100.39,1,true,true,true,true,true,1,"Licensed Physician","T2021","HQ",100.39,1]
[1,"Licensed Physician","T2021",22,454.75,1,true,true,true,true,true,1,"Licensed Physician","T2021",22,454.75,1]
[1,"Licensed Physician","T2024","N/A",451.74,1,true,true,true,true,true,1,"Licensed Physician","T2024","N/A",451.74,1]
[1,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[1,"Licensed Psychiatric Technician",96138,"N/A",165.27,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96138,"N/A",165.27,1]
[1,"Licensed Psychiatric Technician",96139,"N/A",165.27,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96139,"N/A",165.27,1]
[1,"Licensed Psychiatric Technician",96202,"N/A",73.45,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96202,"N/A",73.45,1]
[1,"Licensed Psychiatric Technician",96203,"N/A",18.36,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96203,"N/A",18.36,1]
[1,"Licensed Psychiatric Technician",96365,"N/A",253.41,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96365,"N/A",253.41,1]
[1,"Licensed Psychiatric Technician",96366,"N/A",247.91,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96366,"N/A",247.91,1]
[1,"Licensed Psychiatric Technician",96367,"N/A",170.78,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96367,"N/A",170.78,1]
[1,"Licensed Psychiatric Technician",96368,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96368,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96369,"N/A",209.34,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96369,"N/A",209.34,1]
[1,"Licensed Psychiatric Technician",96370,"N/A",247.91,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96370,"N/A",247.91,1]
[1,"Licensed Psychiatric Technician",96371,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96371,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96372,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96372,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96373,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96373,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96374,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96374,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96375,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96375,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96376,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96376,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96377,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",96377,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",97550,"N/A",126.71,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",97550,"N/A",126.71,1]
[1,"Licensed Psychiatric Technician",97551,"N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",97551,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",97552,"N/A",55.09,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",97552,"N/A",55.09,1]
[1,"Licensed Psychiatric Technician",99484,"N/A",330.54,1,true,true,true,true,true,1,"Licensed Psychiatric Technician",99484,"N/A",330.54,1]
[1,"Licensed Psychiatric Technician","G0539","N/A",126.71,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0539","N/A",126.71,1]
[1,"Licensed Psychiatric Technician","G0540","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0540","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","G0541","N/A",126.71,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0541","N/A",126.71,1]
[1,"Licensed Psychiatric Technician","G0542","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0542","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","G0543","N/A",55.09,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0543","N/A",55.09,1]
[1,"Licensed Psychiatric Technician","H0031","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0031","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0032","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0032","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0033","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0033","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0034","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0034","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0034","HQ",18.36,1,{"$f":"EXACT(A387,L387)","v":true},{"$f":"EXACT(B387,M387)","v":true},{"$f":"EXACT(C387,N387)","v":true},{"$f":"EXACT(D387,O387)","v":true},true,1,"Licensed Psychiatric Technician","H0034","HQ",18.36,1]
[1,"Licensed Psychiatric Technician","H2000","N/A",82.64,1,true,true,true,true,{"$f":"EXACT(E388,P388)","v":true},1,"Licensed Psychiatric Technician","H2000","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2011","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2011","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2017","N/A",82.64,{"$f":"IF(C390=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Licensed Psychiatric Technician","H2017","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2017","HQ",18.36,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2017","HQ",18.36,1]
[1,"Licensed Psychiatric Technician","H2019","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2019","N/A",82.64,{"$f":"IF(N392=\"G0323\",9,1)","v":1}]
[1,"Licensed Psychiatric Technician","H2021","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2021","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","T1001","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","T1001","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[1,"Licensed Psychiatric Technician","T1017","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","T1017","N/A",82.64,1]
[1,"Licensed Vocational Nurse",90785,"N/A",18.89,1,true,true,true,true,true,1,"Licensed Vocational Nurse",90785,"N/A",18.89,1]
[1,"Licensed Vocational Nurse",96161,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96161,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96202,"N/A",85.68,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96202,"N/A",85.68,1]
[1,"Licensed Vocational Nurse",96203,"N/A",21.42,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96203,"N/A",21.42,1]
[1,"Licensed Vocational Nurse",96365,"N/A",295.60000000000002,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96365,"N/A",295.60000000000002,1]
[1,"Licensed Vocational Nurse",96366,"N/A",289.18,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96366,"N/A",289.18,1]
[1,"Licensed Vocational Nurse",96367,"N/A",199.21,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96367,"N/A",199.21,1]
[1,"Licensed Vocational Nurse",96368,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96368,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96369,"N/A",244.19,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96369,"N/A",244.19,1]
[1,"Licensed Vocational Nurse",96370,"N/A",289.18,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96370,"N/A",289.18,1]
[1,"Licensed Vocational Nurse",96371,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96371,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96372,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96372,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96373,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96373,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96374,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96374,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96375,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96375,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96376,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96376,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96377,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96377,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",97550,"N/A",147.80000000000001,1,true,true,true,true,true,1,"Licensed Vocational Nurse",97550,"N/A",147.80000000000001,1]
[1,"Licensed Vocational Nurse",97551,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",97551,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",97552,"N/A",64.260000000000005,1,true,true,true,true,true,1,"Licensed Vocational Nurse",97552,"N/A",64.260000000000005,1]
[1,"Licensed Vocational Nurse",99484,"N/A",385.57,1,true,true,true,true,true,1,"Licensed Vocational Nurse",99484,"N/A",385.57,1]
[1,"Licensed Vocational Nurse","G0539","N/A",147.80000000000001,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0539","N/A",147.80000000000001,1]
[1,"Licensed Vocational Nurse","G0540","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0540","N/A",96.39,1]
[1,"Licensed Vocational Nurse","G0541","N/A",147.80000000000001,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0541","N/A",147.80000000000001,1]
[1,"Licensed Vocational Nurse","G0542","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0542","N/A",96.39,1]
[1,"Licensed Vocational Nurse","G0543","N/A",64.260000000000005,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0543","N/A",64.260000000000005,1]
[1,"Licensed Vocational Nurse","H0031","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0031","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0032","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0032","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0033","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0033","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0034","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0034","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0034","HQ",21.42,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0034","HQ",21.42,1]
[1,"Licensed Vocational Nurse","H2000","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2000","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2011","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2011","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2017","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2017","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2017","HQ",21.42,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2017","HQ",21.42,1]
[1,"Licensed Vocational Nurse","H2019","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2019","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2021","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2021","N/A",96.39,1]
[1,"Licensed Vocational Nurse","T1001","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","T1001","N/A",96.39,1]
[1,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,1,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[1,"Licensed Vocational Nurse","T1017","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","T1017","N/A",96.39,1]
[1,"Medical Assistant",90785,"N/A",18.89,1,true,true,true,true,true,1,"Medical Assistant",90785,"N/A",18.89,1]
[1,"Medical Assistant",96110,"N/A",265.05,1,true,true,true,true,true,1,"Medical Assistant",96110,"N/A",265.05,1]
[1,"Medical Assistant",96127,"N/A",265.05,1,true,true,true,true,true,1,"Medical Assistant",96127,"N/A",265.05,1]
[1,"Medical Assistant",96161,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",96161,"N/A",66.260000000000005,1]
[1,"Medical Assistant",96369,"N/A",167.87,1,true,true,true,true,true,1,"Medical Assistant",96369,"N/A",167.87,1]
[1,"Medical Assistant",96370,"N/A",198.79,1,true,true,true,true,true,1,"Medical Assistant",96370,"N/A",198.79,1]
[1,"Medical Assistant",96371,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",96371,"N/A",66.260000000000005,1]
[1,"Medical Assistant",96372,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",96372,"N/A",66.260000000000005,1]
[1,"Medical Assistant",99366,"N/A",265.05,1,true,true,true,true,true,1,"Medical Assistant",99366,"N/A",265.05,1]
[1,"Medical Assistant",99368,"N/A",265.05,1,true,true,true,true,true,1,"Medical Assistant",99368,"N/A",265.05,1]
[1,"Medical Assistant",99484,"N/A",265.05,1,true,true,true,true,true,1,"Medical Assistant",99484,"N/A",265.05,1]
[1,"Medical Assistant","H0034","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0034","N/A",66.260000000000005,1]
[1,"Medical Assistant","H0034","HQ",14.73,1,true,true,true,true,true,1,"Medical Assistant","H0034","HQ",14.73,1]
[1,"Medical Assistant","H2000","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2000","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2017","N/A",66.260000000000005,1,{"$f":"EXACT(A451,L451)","v":true},{"$f":"EXACT(B451,M451)","v":true},{"$f":"EXACT(C451,N451)","v":true},{"$f":"EXACT(D451,O451)","v":true},true,1,"Medical Assistant","H2017","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2017","HQ",14.73,1,true,true,true,true,{"$f":"EXACT(E452,P452)","v":true},1,"Medical Assistant","H2017","HQ",14.73,1]
[1,"Medical Assistant","H2019","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2019","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2021","N/A",66.260000000000005,{"$f":"IF(C454=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Medical Assistant","H2021","N/A",66.260000000000005,1]
[1,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,1,"Medical Assistant","T1013","N/A",31.88,1]
[1,"Medical Assistant","T1017","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","T1017","N/A",66.260000000000005,{"$f":"IF(N456=\"G0323\",9,1)","v":1}]
[1,"Medical Assistant","T2024","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","T2024","N/A",66.260000000000005,1]
[1,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1]
[1,"Mental Health Rehabilitation Specialist","H0031","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H0031","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H0032","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H0032","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H0033","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H0033","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H0034","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H0034","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H0034","HQ",19.66,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H0034","HQ",19.66,1]
[1,"Mental Health Rehabilitation Specialist","H2000","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2000","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H2011","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2011","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H2017","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2017","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H2017","HQ",19.66,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2017","HQ",19.66,1]
[1,"Mental Health Rehabilitation Specialist","H2019","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2019","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","H2021","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","H2021","N/A",88.45,1]
[1,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1]
[1,"Mental Health Rehabilitation Specialist","T1017","N/A",88.45,1,true,true,true,true,true,1,"Mental Health Rehabilitation Specialist","T1017","N/A",88.45,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",235.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",235.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,238.14,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,238.14,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",352.7,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",352.7,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,355.71,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,355.71,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,473.27,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,473.27,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",235.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",235.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",352.7,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",352.7,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",391.88,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",391.88,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",146.30000000000001,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",146.30000000000001,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",87.09,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",87.09,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",391.88,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",391.88,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96116,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96116,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96127,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96127,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",104.5,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",104.5,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",26.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",26.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",180.27,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",180.27,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",78.38,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",78.38,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",62.7,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",62.7,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",125.4,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",125.4,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",203.78,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",203.78,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",180.27,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",180.27,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",180.27,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",180.27,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",78.38,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",78.38,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",117.57,1,{"$f":"EXACT(A515,L515)","v":true},{"$f":"EXACT(B515,M515)","v":true},{"$f":"EXACT(C515,N515)","v":true},{"$f":"EXACT(D515,O515)","v":true},true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",117.57,1,true,true,true,true,{"$f":"EXACT(E516,P516)","v":true},1,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",26.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",26.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",117.57,{"$f":"IF(C518=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,{"$f":"IF(N520=\"G0323\",9,1)","v":1}]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",26.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",26.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,120.58,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,120.58,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",117.57,1]
[1,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,1,"Nurse Practitioner",90785,"N/A",18.89,1]
[1,"Nurse Practitioner",90791,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90791,"N/A",898.55,1]
[1,"Nurse Practitioner",90792,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90792,"N/A",898.55,1]
[1,"Nurse Practitioner",90832,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",90832,"N/A",449.28,1]
[1,"Nurse Practitioner",90832,22,452.29,1,true,true,true,true,true,1,"Nurse Practitioner",90832,22,452.29,1]
[1,"Nurse Practitioner",90833,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",90833,"N/A",449.28,1]
[1,"Nurse Practitioner",90833,22,452.29,1,true,true,true,true,true,1,"Nurse Practitioner",90833,22,452.29,1]
[1,"Nurse Practitioner",90834,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",90834,"N/A",673.91,1]
[1,"Nurse Practitioner",90834,22,676.92,1,true,true,true,true,true,1,"Nurse Practitioner",90834,22,676.92,1]
[1,"Nurse Practitioner",90836,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",90836,"N/A",673.91,1]
[1,"Nurse Practitioner",90836,22,676.92,1,true,true,true,true,true,1,"Nurse Practitioner",90836,22,676.92,1]
[1,"Nurse Practitioner",90837,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90837,"N/A",898.55,1]
[1,"Nurse Practitioner",90837,22,901.56,1,true,true,true,true,true,1,"Nurse Practitioner",90837,22,901.56,1]
[1,"Nurse Practitioner",90838,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90838,"N/A",898.55,1]
[1,"Nurse Practitioner",90838,22,901.56,1,true,true,true,true,true,1,"Nurse Practitioner",90838,22,901.56,1]
[1,"Nurse Practitioner",90839,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90839,"N/A",898.55,1]
[1,"Nurse Practitioner",90840,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",90840,"N/A",449.28,1]
[1,"Nurse Practitioner",90845,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",90845,"N/A",673.91,1]
[1,"Nurse Practitioner",90847,"N/A",748.79,1,true,true,true,true,true,1,"Nurse Practitioner",90847,"N/A",748.79,1]
[1,"Nurse Practitioner",90849,"N/A",279.55,1,true,true,true,true,true,1,"Nurse Practitioner",90849,"N/A",279.55,1]
[1,"Nurse Practitioner",90853,"N/A",166.4,1,true,true,true,true,true,1,"Nurse Practitioner",90853,"N/A",166.4,1]
[1,"Nurse Practitioner",90865,"N/A",1347.83,1,true,true,true,true,true,1,"Nurse Practitioner",90865,"N/A",1347.83,1]
[1,"Nurse Practitioner",90867,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90867,"N/A",898.55,1]
[1,"Nurse Practitioner",90868,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",90868,"N/A",224.64,1]
[1,"Nurse Practitioner",90869,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",90869,"N/A",673.91,1]
[1,"Nurse Practitioner",90870,"N/A",299.52,1,true,true,true,true,true,1,"Nurse Practitioner",90870,"N/A",299.52,1]
[1,"Nurse Practitioner",90880,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90880,"N/A",898.55,1]
[1,"Nurse Practitioner",90885,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",90885,"N/A",898.55,1]
[1,"Nurse Practitioner",90887,"N/A",748.79,1,true,true,true,true,true,1,"Nurse Practitioner",90887,"N/A",748.79,1]
[1,"Nurse Practitioner",96105,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96105,"N/A",898.55,1]
[1,"Nurse Practitioner",96110,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96110,"N/A",898.55,1]
[1,"Nurse Practitioner",96112,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96112,"N/A",898.55,1]
[1,"Nurse Practitioner",96113,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",96113,"N/A",449.28,1]
[1,"Nurse Practitioner",96116,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96116,"N/A",898.55,1]
[1,"Nurse Practitioner",96121,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96121,"N/A",898.55,1]
[1,"Nurse Practitioner",96125,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96125,"N/A",898.55,1]
[1,"Nurse Practitioner",96127,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96127,"N/A",898.55,1]
[1,"Nurse Practitioner",96130,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96130,"N/A",898.55,1]
[1,"Nurse Practitioner",96131,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96131,"N/A",898.55,1]
[1,"Nurse Practitioner",96132,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96132,"N/A",898.55,1]
[1,"Nurse Practitioner",96133,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96133,"N/A",898.55,1]
[1,"Nurse Practitioner",96136,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",96136,"N/A",449.28,1]
[1,"Nurse Practitioner",96137,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",96137,"N/A",449.28,1]
[1,"Nurse Practitioner",96146,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",96146,"N/A",898.55,1]
[1,"Nurse Practitioner",96161,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96161,"N/A",224.64,1]
[1,"Nurse Practitioner",96202,"N/A",199.68,1,true,true,true,true,true,1,"Nurse Practitioner",96202,"N/A",199.68,1]
[1,"Nurse Practitioner",96203,"N/A",49.92,1,true,true,true,true,true,1,"Nurse Practitioner",96203,"N/A",49.92,1]
[1,"Nurse Practitioner",96365,"N/A",688.89,1,true,true,true,true,true,1,"Nurse Practitioner",96365,"N/A",688.89,1]
[1,"Nurse Practitioner",96366,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",96366,"N/A",673.91,1]
[1,"Nurse Practitioner",96367,"N/A",464.25,1,true,true,true,true,true,1,"Nurse Practitioner",96367,"N/A",464.25,1]
[1,"Nurse Practitioner",96368,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96368,"N/A",224.64,1]
[1,"Nurse Practitioner",96369,"N/A",569.08000000000004,1,true,true,true,true,true,1,"Nurse Practitioner",96369,"N/A",569.08000000000004,1]
[1,"Nurse Practitioner",96370,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",96370,"N/A",673.91,1]
[1,"Nurse Practitioner",96371,"N/A",224.64,1,{"$f":"EXACT(A579,L579)","v":true},{"$f":"EXACT(B579,M579)","v":true},{"$f":"EXACT(C579,N579)","v":true},{"$f":"EXACT(D579,O579)","v":true},true,1,"Nurse Practitioner",96371,"N/A",224.64,1]
[1,"Nurse Practitioner",96372,"N/A",224.64,1,true,true,true,true,{"$f":"EXACT(E580,P580)","v":true},1,"Nurse Practitioner",96372,"N/A",224.64,1]
[1,"Nurse Practitioner",96373,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96373,"N/A",224.64,1]
[1,"Nurse Practitioner",96374,"N/A",224.64,{"$f":"IF(C582=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Nurse Practitioner",96374,"N/A",224.64,1]
[1,"Nurse Practitioner",96375,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96375,"N/A",224.64,1]
[1,"Nurse Practitioner",96376,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96376,"N/A",224.64,{"$f":"IF(N584=\"G0323\",9,1)","v":1}]
[1,"Nurse Practitioner",96377,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96377,"N/A",224.64,1]
[1,"Nurse Practitioner",97550,"N/A",344.44,1,true,true,true,true,true,1,"Nurse Practitioner",97550,"N/A",344.44,1]
[1,"Nurse Practitioner",97551,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",97551,"N/A",224.64,1]
[1,"Nurse Practitioner",97552,"N/A",149.76,1,true,true,true,true,true,1,"Nurse Practitioner",97552,"N/A",149.76,1]
[1,"Nurse Practitioner",98966,"N/A",119.81,1,true,true,true,true,true,1,"Nurse Practitioner",98966,"N/A",119.81,1]
[1,"Nurse Practitioner",98967,"N/A",239.61,1,true,true,true,true,true,1,"Nurse Practitioner",98967,"N/A",239.61,1]
[1,"Nurse Practitioner",98968,"N/A",389.37,1,true,true,true,true,true,1,"Nurse Practitioner",98968,"N/A",389.37,1]
[1,"Nurse Practitioner",99202,"N/A",329.47,1,true,true,true,true,true,1,"Nurse Practitioner",99202,"N/A",329.47,1]
[1,"Nurse Practitioner",99203,"N/A",554.11,1,true,true,true,true,true,1,"Nurse Practitioner",99203,"N/A",554.11,1]
[1,"Nurse Practitioner",99204,"N/A",778.74,1,true,true,true,true,true,1,"Nurse Practitioner",99204,"N/A",778.74,1]
[1,"Nurse Practitioner",99205,"N/A",1003.38,1,true,true,true,true,true,1,"Nurse Practitioner",99205,"N/A",1003.38,1]
[1,"Nurse Practitioner",99212,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",99212,"N/A",224.64,1]
[1,"Nurse Practitioner",99213,"N/A",374.4,1,true,true,true,true,true,1,"Nurse Practitioner",99213,"N/A",374.4,1]
[1,"Nurse Practitioner",99214,"N/A",524.15,1,true,true,true,true,true,1,"Nurse Practitioner",99214,"N/A",524.15,1]
[1,"Nurse Practitioner",99215,"N/A",703.86,1,true,true,true,true,true,1,"Nurse Practitioner",99215,"N/A",703.86,1]
[1,"Nurse Practitioner",99221,"N/A",703.86,1,true,true,true,true,true,1,"Nurse Practitioner",99221,"N/A",703.86,1]
[1,"Nurse Practitioner",99222,"N/A",973.43,1,true,true,true,true,true,1,"Nurse Practitioner",99222,"N/A",973.43,1]
[1,"Nurse Practitioner",99223,"N/A",1228.02,1,true,true,true,true,true,1,"Nurse Practitioner",99223,"N/A",1228.02,1]
[1,"Nurse Practitioner",99231,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99231,"N/A",449.28,1]
[1,"Nurse Practitioner",99232,"N/A",628.99,1,true,true,true,true,true,1,"Nurse Practitioner",99232,"N/A",628.99,1]
[1,"Nurse Practitioner",99233,"N/A",853.62,1,true,true,true,true,true,1,"Nurse Practitioner",99233,"N/A",853.62,1]
[1,"Nurse Practitioner",99234,"N/A",853.62,1,true,true,true,true,true,1,"Nurse Practitioner",99234,"N/A",853.62,1]
[1,"Nurse Practitioner",99235,"N/A",1153.1400000000001,1,true,true,true,true,true,1,"Nurse Practitioner",99235,"N/A",1153.1400000000001,1]
[1,"Nurse Practitioner",99236,"N/A",1377.78,1,true,true,true,true,true,1,"Nurse Practitioner",99236,"N/A",1377.78,1]
[1,"Nurse Practitioner",99238,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99238,"N/A",449.28,1]
[1,"Nurse Practitioner",99239,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99239,"N/A",898.55,1]
[1,"Nurse Practitioner",99242,"N/A",374.4,1,true,true,true,true,true,1,"Nurse Practitioner",99242,"N/A",374.4,1]
[1,"Nurse Practitioner",99243,"N/A",524.15,1,true,true,true,true,true,1,"Nurse Practitioner",99243,"N/A",524.15,1]
[1,"Nurse Practitioner",99244,"N/A",703.86,1,true,true,true,true,true,1,"Nurse Practitioner",99244,"N/A",703.86,1]
[1,"Nurse Practitioner",99245,"N/A",928.5,1,true,true,true,true,true,1,"Nurse Practitioner",99245,"N/A",928.5,1]
[1,"Nurse Practitioner",99252,"N/A",599.03,1,true,true,true,true,true,1,"Nurse Practitioner",99252,"N/A",599.03,1]
[1,"Nurse Practitioner",99253,"N/A",778.74,1,true,true,true,true,true,1,"Nurse Practitioner",99253,"N/A",778.74,1]
[1,"Nurse Practitioner",99254,"N/A",1048.31,1,true,true,true,true,true,1,"Nurse Practitioner",99254,"N/A",1048.31,1]
[1,"Nurse Practitioner",99255,"N/A",1302.9000000000001,1,true,true,true,true,true,1,"Nurse Practitioner",99255,"N/A",1302.9000000000001,1]
[1,"Nurse Practitioner",99304,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99304,"N/A",449.28,1]
[1,"Nurse Practitioner",99305,"N/A",628.99,1,true,true,true,true,true,1,"Nurse Practitioner",99305,"N/A",628.99,1]
[1,"Nurse Practitioner",99306,"N/A",853.62,1,true,true,true,true,true,1,"Nurse Practitioner",99306,"N/A",853.62,1]
[1,"Nurse Practitioner",99307,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",99307,"N/A",224.64,1]
[1,"Nurse Practitioner",99308,"N/A",374.4,1,true,true,true,true,true,1,"Nurse Practitioner",99308,"N/A",374.4,1]
[1,"Nurse Practitioner",99309,"N/A",554.11,1,true,true,true,true,true,1,"Nurse Practitioner",99309,"N/A",554.11,1]
[1,"Nurse Practitioner",99310,"N/A",778.74,1,true,true,true,true,true,1,"Nurse Practitioner",99310,"N/A",778.74,1]
[1,"Nurse Practitioner",99341,"N/A",329.47,1,true,true,true,true,true,1,"Nurse Practitioner",99341,"N/A",329.47,1]
[1,"Nurse Practitioner",99342,"N/A",673.91,1,true,true,true,true,true,1,"Nurse Practitioner",99342,"N/A",673.91,1]
[1,"Nurse Practitioner",99344,"N/A",1003.38,1,true,true,true,true,true,1,"Nurse Practitioner",99344,"N/A",1003.38,1]
[1,"Nurse Practitioner",99345,"N/A",1228.02,1,true,true,true,true,true,1,"Nurse Practitioner",99345,"N/A",1228.02,1]
[1,"Nurse Practitioner",99347,"N/A",374.4,1,true,true,true,true,true,1,"Nurse Practitioner",99347,"N/A",374.4,1]
[1,"Nurse Practitioner",99348,"N/A",524.15,1,true,true,true,true,true,1,"Nurse Practitioner",99348,"N/A",524.15,1]
[1,"Nurse Practitioner",99349,"N/A",748.79,1,true,true,true,true,true,1,"Nurse Practitioner",99349,"N/A",748.79,1]
[1,"Nurse Practitioner",99350,"N/A",1003.38,1,true,true,true,true,true,1,"Nurse Practitioner",99350,"N/A",1003.38,1]
[1,"Nurse Practitioner",99366,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99366,"N/A",898.55,1]
[1,"Nurse Practitioner",99368,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99368,"N/A",898.55,1]
[1,"Nurse Practitioner",99415,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99415,"N/A",898.55,1]
[1,"Nurse Practitioner",99416,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99416,"N/A",449.28,1]
[1,"Nurse Practitioner",99417,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",99417,"N/A",224.64,1]
[1,"Nurse Practitioner",99418,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",99418,"N/A",224.64,1]
[1,"Nurse Practitioner",99441,"N/A",119.81,1,true,true,true,true,true,1,"Nurse Practitioner",99441,"N/A",119.81,1]
[1,"Nurse Practitioner",99442,"N/A",239.61,1,true,true,true,true,true,1,"Nurse Practitioner",99442,"N/A",239.61,1]
[1,"Nurse Practitioner",99443,"N/A",389.37,1,true,true,true,true,true,1,"Nurse Practitioner",99443,"N/A",389.37,1]
[1,"Nurse Practitioner",99484,"N/A",898.55,1,{"$f":"EXACT(A643,L643)","v":true},{"$f":"EXACT(B643,M643)","v":true},{"$f":"EXACT(C643,N643)","v":true},{"$f":"EXACT(D643,O643)","v":true},true,1,"Nurse Practitioner",99484,"N/A",898.55,1]
[1,"Nurse Practitioner","G0316","N/A",224.64,1,true,true,true,true,{"$f":"EXACT(E644,P644)","v":true},1,"Nurse Practitioner","G0316","N/A",224.64,1]
[1,"Nurse Practitioner","G0539","N/A",344.44,1,true,true,true,true,true,1,"Nurse Practitioner","G0539","N/A",344.44,1]
[1,"Nurse Practitioner","G0540","N/A",224.64,{"$f":"IF(C646=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Nurse Practitioner","G0540","N/A",224.64,1]
[1,"Nurse Practitioner","G0541","N/A",344.44,1,true,true,true,true,true,1,"Nurse Practitioner","G0541","N/A",344.44,1]
[1,"Nurse Practitioner","G0542","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","G0542","N/A",224.64,{"$f":"IF(N648=\"G0323\",9,1)","v":1}]
[1,"Nurse Practitioner","G0543","N/A",149.76,1,true,true,true,true,true,1,"Nurse Practitioner","G0543","N/A",149.76,1]
[1,"Nurse Practitioner","H0031","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0031","N/A",224.64,1]
[1,"Nurse Practitioner","H0032","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0032","N/A",224.64,1]
[1,"Nurse Practitioner","H0033","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0033","N/A",224.64,1]
[1,"Nurse Practitioner","H0034","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0034","N/A",224.64,1]
[1,"Nurse Practitioner","H0034","HQ",49.92,1,true,true,true,true,true,1,"Nurse Practitioner","H0034","HQ",49.92,1]
[1,"Nurse Practitioner","H0036","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0036","N/A",224.64,1]
[1,"Nurse Practitioner","H2000","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2000","N/A",224.64,1]
[1,"Nurse Practitioner","H2011","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2011","N/A",224.64,1]
[1,"Nurse Practitioner","H2017","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2017","N/A",224.64,1]
[1,"Nurse Practitioner","H2017","HQ",49.92,1,true,true,true,true,true,1,"Nurse Practitioner","H2017","HQ",49.92,1]
[1,"Nurse Practitioner","H2019","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2019","N/A",224.64,1]
[1,"Nurse Practitioner","H2021","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2021","N/A",224.64,1]
[1,"Nurse Practitioner","T1001","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T1001","N/A",224.64,1]
[1,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,1,"Nurse Practitioner","T1013","N/A",31.88,1]
[1,"Nurse Practitioner","T1017","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T1017","N/A",224.64,1]
[1,"Nurse Practitioner","T2021","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T2021","N/A",224.64,1]
[1,"Nurse Practitioner","T2021","HQ",49.92,1,true,true,true,true,true,1,"Nurse Practitioner","T2021","HQ",49.92,1]
[1,"Nurse Practitioner","T2021",22,227.65,1,true,true,true,true,true,1,"Nurse Practitioner","T2021",22,227.65,1]
[1,"Nurse Practitioner","T2024","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T2024","N/A",224.64,1]
[1,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,1,"Occupational Therapist",90785,"N/A",18.89,1]
[1,"Occupational Therapist",90887,"N/A",521.66,1,true,true,true,true,true,1,"Occupational Therapist",90887,"N/A",521.66,1]
[1,"Occupational Therapist",96110,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",96110,"N/A",625.99,1]
[1,"Occupational Therapist",96112,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",96112,"N/A",625.99,1]
[1,"Occupational Therapist",96113,"N/A",313,1,true,true,true,true,true,1,"Occupational Therapist",96113,"N/A",313,1]
[1,"Occupational Therapist",96125,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",96125,"N/A",625.99,1]
[1,"Occupational Therapist",96127,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",96127,"N/A",625.99,1]
[1,"Occupational Therapist",96161,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",96161,"N/A",156.5,1]
[1,"Occupational Therapist",96202,"N/A",139.11000000000001,1,true,true,true,true,true,1,"Occupational Therapist",96202,"N/A",139.11000000000001,1]
[1,"Occupational Therapist",96203,"N/A",34.78,1,true,true,true,true,true,1,"Occupational Therapist",96203,"N/A",34.78,1]
[1,"Occupational Therapist",97550,"N/A",239.96,1,true,true,true,true,true,1,"Occupational Therapist",97550,"N/A",239.96,1]
[1,"Occupational Therapist",97551,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",97551,"N/A",156.5,1]
[1,"Occupational Therapist",97552,"N/A",104.33,1,true,true,true,true,true,1,"Occupational Therapist",97552,"N/A",104.33,1]
[1,"Occupational Therapist",99366,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",99366,"N/A",625.99,1]
[1,"Occupational Therapist",99368,"N/A",625.99,1,true,true,true,true,true,1,"Occupational Therapist",99368,"N/A",625.99,1]
[1,"Occupational Therapist","G0539","N/A",239.96,1,true,true,true,true,true,1,"Occupational Therapist","G0539","N/A",239.96,1]
[1,"Occupational Therapist","G0540","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","G0540","N/A",156.5,1]
[1,"Occupational Therapist","G0541","N/A",239.96,1,true,true,true,true,true,1,"Occupational Therapist","G0541","N/A",239.96,1]
[1,"Occupational Therapist","G0542","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","G0542","N/A",156.5,1]
[1,"Occupational Therapist","G0543","N/A",104.33,1,true,true,true,true,true,1,"Occupational Therapist","G0543","N/A",104.33,1]
[1,"Occupational Therapist","H0031","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0031","N/A",156.5,1]
[1,"Occupational Therapist","H0032","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0032","N/A",156.5,1]
[1,"Occupational Therapist","H0033","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0033","N/A",156.5,1]
[1,"Occupational Therapist","H2000","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2000","N/A",156.5,1]
[1,"Occupational Therapist","H2011","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2011","N/A",156.5,1]
[1,"Occupational Therapist","H2017","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2017","N/A",156.5,1]
[1,"Occupational Therapist","H2017","HQ",34.78,1,true,true,true,true,true,1,"Occupational Therapist","H2017","HQ",34.78,1]
[1,"Occupational Therapist","H2019","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2019","N/A",156.5,1]
[1,"Occupational Therapist","H2021","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2021","N/A",156.5,1]
[1,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,1,"Occupational Therapist","T1013","N/A",31.88,1]
[1,"Occupational Therapist","T1017","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","T1017","N/A",156.5,1]
[1,"Occupational Therapist","T2024","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","T2024","N/A",156.5,1]
[1,"Other Qualified Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,1,"Other Qualified Practitioner",90785,"N/A",18.89,1]
[1,"Other Qualified Practitioner","H0031","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0031","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0032","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0032","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0033","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0033","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0034","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0034","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0034","HQ",19.66,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0034","HQ",19.66,1]
[1,"Other Qualified Practitioner","H2000","N/A",88.45,1,{"$f":"EXACT(A707,L707)","v":true},{"$f":"EXACT(B707,M707)","v":true},{"$f":"EXACT(C707,N707)","v":true},{"$f":"EXACT(D707,O707)","v":true},true,1,"Other Qualified Practitioner","H2000","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2011","N/A",88.45,1,true,true,true,true,{"$f":"EXACT(E708,P708)","v":true},1,"Other Qualified Practitioner","H2011","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2017","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2017","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2017","HQ",19.66,{"$f":"IF(C710=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Other Qualified Practitioner","H2017","HQ",19.66,1]
[1,"Other Qualified Practitioner","H2019","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2019","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2021","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2021","N/A",88.45,{"$f":"IF(N712=\"G0323\",9,1)","v":1}]
[1,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,1,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[1,"Other Qualified Practitioner","T1017","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","T1017","N/A",88.45,1]
[1,"Peer Support Specialists","H0025","N/A",20.64,1,true,true,true,true,true,1,"Peer Support Specialists","H0025","N/A",20.64,1]
[1,"Peer Support Specialists","H0038","N/A",92.88,1,true,true,true,true,true,1,"Peer Support Specialists","H0038","N/A",92.88,1]
[1,"Physician Assistant",90785,"N/A",18.89,{"$f":"IF(AND(B717=\"Peer Support Specialists\",C717=\"T1013\"),9,1)","v":1},true,true,true,true,true,1,"Physician Assistant",90785,"N/A",18.89,1]
[1,"Physician Assistant",90791,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90791,"N/A",810.4,1]
[1,"Physician Assistant",90792,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90792,"N/A",810.4,1]
[1,"Physician Assistant",90832,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",90832,"N/A",405.2,1]
[1,"Physician Assistant",90832,22,408.21,1,true,true,true,true,true,1,"Physician Assistant",90832,22,408.21,1]
[1,"Physician Assistant",90833,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",90833,"N/A",405.2,1]
[1,"Physician Assistant",90833,22,408.21,1,true,true,true,true,true,1,"Physician Assistant",90833,22,408.21,1]
[1,"Physician Assistant",90834,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",90834,"N/A",607.79999999999995,1]
[1,"Physician Assistant",90834,22,610.80999999999995,1,true,true,true,true,true,1,"Physician Assistant",90834,22,610.80999999999995,1]
[1,"Physician Assistant",90836,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",90836,"N/A",607.79999999999995,1]
[1,"Physician Assistant",90836,22,610.80999999999995,1,true,true,true,true,true,1,"Physician Assistant",90836,22,610.80999999999995,1]
[1,"Physician Assistant",90837,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90837,"N/A",810.4,1]
[1,"Physician Assistant",90837,22,813.41,1,true,true,true,true,true,1,"Physician Assistant",90837,22,813.41,1]
[1,"Physician Assistant",90838,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90838,"N/A",810.4,1]
[1,"Physician Assistant",90838,22,813.41,1,true,true,true,true,true,1,"Physician Assistant",90838,22,813.41,1]
[1,"Physician Assistant",90839,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90839,"N/A",810.4,1]
[1,"Physician Assistant",90840,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",90840,"N/A",405.2,1]
[1,"Physician Assistant",90845,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",90845,"N/A",607.79999999999995,1]
[1,"Physician Assistant",90847,"N/A",675.33,1,true,true,true,true,true,1,"Physician Assistant",90847,"N/A",675.33,1]
[1,"Physician Assistant",90849,"N/A",252.12,1,true,true,true,true,true,1,"Physician Assistant",90849,"N/A",252.12,1]
[1,"Physician Assistant",90853,"N/A",150.07,1,true,true,true,true,true,1,"Physician Assistant",90853,"N/A",150.07,1]
[1,"Physician Assistant",90865,"N/A",1215.5999999999999,1,true,true,true,true,true,1,"Physician Assistant",90865,"N/A",1215.5999999999999,1]
[1,"Physician Assistant",90867,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90867,"N/A",810.4,1]
[1,"Physician Assistant",90868,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",90868,"N/A",202.6,1]
[1,"Physician Assistant",90869,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",90869,"N/A",607.79999999999995,1]
[1,"Physician Assistant",90870,"N/A",270.13,1,true,true,true,true,true,1,"Physician Assistant",90870,"N/A",270.13,1]
[1,"Physician Assistant",90880,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90880,"N/A",810.4,1]
[1,"Physician Assistant",90885,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90885,"N/A",810.4,1]
[1,"Physician Assistant",90887,"N/A",675.33,1,true,true,true,true,true,1,"Physician Assistant",90887,"N/A",675.33,1]
[1,"Physician Assistant",96105,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96105,"N/A",810.4,1]
[1,"Physician Assistant",96110,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96110,"N/A",810.4,1]
[1,"Physician Assistant",96112,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96112,"N/A",810.4,1]
[1,"Physician Assistant",96113,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",96113,"N/A",405.2,1]
[1,"Physician Assistant",96116,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96116,"N/A",810.4,1]
[1,"Physician Assistant",96121,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96121,"N/A",810.4,1]
[1,"Physician Assistant",96125,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96125,"N/A",810.4,1]
[1,"Physician Assistant",96127,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96127,"N/A",810.4,1]
[1,"Physician Assistant",96130,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96130,"N/A",810.4,1]
[1,"Physician Assistant",96131,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96131,"N/A",810.4,1]
[1,"Physician Assistant",96132,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96132,"N/A",810.4,1]
[1,"Physician Assistant",96133,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96133,"N/A",810.4,1]
[1,"Physician Assistant",96136,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",96136,"N/A",405.2,1]
[1,"Physician Assistant",96137,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",96137,"N/A",405.2,1]
[1,"Physician Assistant",96146,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",96146,"N/A",810.4,1]
[1,"Physician Assistant",96161,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96161,"N/A",202.6,1]
[1,"Physician Assistant",96202,"N/A",180.09,1,true,true,true,true,true,1,"Physician Assistant",96202,"N/A",180.09,1]
[1,"Physician Assistant",96203,"N/A",45.02,1,true,true,true,true,true,1,"Physician Assistant",96203,"N/A",45.02,1]
[1,"Physician Assistant",96365,"N/A",621.30999999999995,1,true,true,true,true,true,1,"Physician Assistant",96365,"N/A",621.30999999999995,1]
[1,"Physician Assistant",96366,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",96366,"N/A",607.79999999999995,1]
[1,"Physician Assistant",96367,"N/A",418.71,1,true,true,true,true,true,1,"Physician Assistant",96367,"N/A",418.71,1]
[1,"Physician Assistant",96368,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96368,"N/A",202.6,1]
[1,"Physician Assistant",96369,"N/A",513.25,1,true,true,true,true,true,1,"Physician Assistant",96369,"N/A",513.25,1]
[1,"Physician Assistant",96370,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",96370,"N/A",607.79999999999995,1]
[1,"Physician Assistant",96371,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96371,"N/A",202.6,1]
[1,"Physician Assistant",96372,"N/A",202.6,1,{"$f":"EXACT(A771,L771)","v":true},{"$f":"EXACT(B771,M771)","v":true},{"$f":"EXACT(C771,N771)","v":true},{"$f":"EXACT(D771,O771)","v":true},true,1,"Physician Assistant",96372,"N/A",202.6,1]
[1,"Physician Assistant",96373,"N/A",202.6,1,true,true,true,true,{"$f":"EXACT(E772,P772)","v":true},1,"Physician Assistant",96373,"N/A",202.6,1]
[1,"Physician Assistant",96374,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96374,"N/A",202.6,1]
[1,"Physician Assistant",96375,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96375,"N/A",202.6,1]
[1,"Physician Assistant",96376,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96376,"N/A",202.6,1]
[1,"Physician Assistant",96377,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96377,"N/A",202.6,{"$f":"IF(N776=\"G0323\",9,1)","v":1}]
[1,"Physician Assistant",97550,"N/A",310.64999999999998,1,true,true,true,true,true,1,"Physician Assistant",97550,"N/A",310.64999999999998,1]
[1,"Physician Assistant",97551,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",97551,"N/A",202.6,1]
[1,"Physician Assistant",97552,"N/A",135.07,1,true,true,true,true,true,1,"Physician Assistant",97552,"N/A",135.07,1]
[1,"Physician Assistant",98966,"N/A",108.05,1,true,true,true,true,true,1,"Physician Assistant",98966,"N/A",108.05,1]
[1,"Physician Assistant",98967,"N/A",216.11,{"$f":"IF(AND(B781=\"Peer Support Specialists\",C781=\"T1013\"),9,1)","v":1},true,true,true,true,true,1,"Physician Assistant",98967,"N/A",216.11,1]
[1,"Physician Assistant",98968,"N/A",351.17,1,true,true,true,true,true,1,"Physician Assistant",98968,"N/A",351.17,1]
[1,"Physician Assistant",99202,"N/A",297.14999999999998,1,true,true,true,true,true,1,"Physician Assistant",99202,"N/A",297.14999999999998,1]
[1,"Physician Assistant",99203,"N/A",499.75,1,true,true,true,true,true,1,"Physician Assistant",99203,"N/A",499.75,1]
[1,"Physician Assistant",99204,"N/A",702.35,1,true,true,true,true,true,1,"Physician Assistant",99204,"N/A",702.35,1]
[1,"Physician Assistant",99205,"N/A",904.95,1,true,true,true,true,true,1,"Physician Assistant",99205,"N/A",904.95,1]
[1,"Physician Assistant",99212,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",99212,"N/A",202.6,1]
[1,"Physician Assistant",99213,"N/A",337.67,1,true,true,true,true,true,1,"Physician Assistant",99213,"N/A",337.67,1]
[1,"Physician Assistant",99214,"N/A",472.73,1,true,true,true,true,true,1,"Physician Assistant",99214,"N/A",472.73,1]
[1,"Physician Assistant",99215,"N/A",634.80999999999995,1,true,true,true,true,true,1,"Physician Assistant",99215,"N/A",634.80999999999995,1]
[1,"Physician Assistant",99221,"N/A",634.80999999999995,1,true,true,true,true,true,1,"Physician Assistant",99221,"N/A",634.80999999999995,1]
[1,"Physician Assistant",99222,"N/A",877.93,1,true,true,true,true,true,1,"Physician Assistant",99222,"N/A",877.93,1]
[1,"Physician Assistant",99223,"N/A",1107.55,1,true,true,true,true,true,1,"Physician Assistant",99223,"N/A",1107.55,1]
[1,"Physician Assistant",99231,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99231,"N/A",405.2,1]
[1,"Physician Assistant",99232,"N/A",567.28,1,true,true,true,true,true,1,"Physician Assistant",99232,"N/A",567.28,1]
[1,"Physician Assistant",99233,"N/A",769.88,1,true,true,true,true,true,1,"Physician Assistant",99233,"N/A",769.88,1]
[1,"Physician Assistant",99234,"N/A",769.88,1,true,true,true,true,true,1,"Physician Assistant",99234,"N/A",769.88,1]
[1,"Physician Assistant",99235,"N/A",1040.01,1,true,true,true,true,true,1,"Physician Assistant",99235,"N/A",1040.01,1]
[1,"Physician Assistant",99236,"N/A",1242.6099999999999,1,true,true,true,true,true,1,"Physician Assistant",99236,"N/A",1242.6099999999999,1]
[1,"Physician Assistant",99238,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99238,"N/A",405.2,1]
[1,"Physician Assistant",99239,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99239,"N/A",810.4,1]
[1,"Physician Assistant",99242,"N/A",337.67,1,true,true,true,true,true,1,"Physician Assistant",99242,"N/A",337.67,1]
[1,"Physician Assistant",99243,"N/A",472.73,1,true,true,true,true,true,1,"Physician Assistant",99243,"N/A",472.73,1]
[1,"Physician Assistant",99244,"N/A",634.80999999999995,1,true,true,true,true,true,1,"Physician Assistant",99244,"N/A",634.80999999999995,1]
[1,"Physician Assistant",99245,"N/A",837.41,1,true,true,true,true,true,1,"Physician Assistant",99245,"N/A",837.41,1]
[1,"Physician Assistant",99252,"N/A",540.27,1,true,true,true,true,true,1,"Physician Assistant",99252,"N/A",540.27,1]
[1,"Physician Assistant",99253,"N/A",702.35,1,true,true,true,true,true,1,"Physician Assistant",99253,"N/A",702.35,1]
[1,"Physician Assistant",99254,"N/A",945.47,1,true,true,true,true,true,1,"Physician Assistant",99254,"N/A",945.47,1]
[1,"Physician Assistant",99255,"N/A",1175.08,1,true,true,true,true,true,1,"Physician Assistant",99255,"N/A",1175.08,1]
[1,"Physician Assistant",99304,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99304,"N/A",405.2,1]
[1,"Physician Assistant",99305,"N/A",567.28,1,true,true,true,true,true,1,"Physician Assistant",99305,"N/A",567.28,1]
[1,"Physician Assistant",99306,"N/A",769.88,1,true,true,true,true,true,1,"Physician Assistant",99306,"N/A",769.88,1]
[1,"Physician Assistant",99307,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",99307,"N/A",202.6,1]
[1,"Physician Assistant",99308,"N/A",337.67,1,true,true,true,true,true,1,"Physician Assistant",99308,"N/A",337.67,1]
[1,"Physician Assistant",99309,"N/A",499.75,1,true,true,true,true,true,1,"Physician Assistant",99309,"N/A",499.75,1]
[1,"Physician Assistant",99310,"N/A",702.35,1,true,true,true,true,true,1,"Physician Assistant",99310,"N/A",702.35,1]
[1,"Physician Assistant",99341,"N/A",297.14999999999998,1,true,true,true,true,true,1,"Physician Assistant",99341,"N/A",297.14999999999998,1]
[1,"Physician Assistant",99342,"N/A",607.79999999999995,1,true,true,true,true,true,1,"Physician Assistant",99342,"N/A",607.79999999999995,1]
[1,"Physician Assistant",99344,"N/A",904.95,1,true,true,true,true,true,1,"Physician Assistant",99344,"N/A",904.95,1]
[1,"Physician Assistant",99345,"N/A",1107.55,1,true,true,true,true,true,1,"Physician Assistant",99345,"N/A",1107.55,1]
[1,"Physician Assistant",99347,"N/A",337.67,1,true,true,true,true,true,1,"Physician Assistant",99347,"N/A",337.67,1]
[1,"Physician Assistant",99348,"N/A",472.73,1,true,true,true,true,true,1,"Physician Assistant",99348,"N/A",472.73,1]
[1,"Physician Assistant",99349,"N/A",675.33,1,true,true,true,true,true,1,"Physician Assistant",99349,"N/A",675.33,1]
[1,"Physician Assistant",99350,"N/A",904.95,1,true,true,true,true,true,1,"Physician Assistant",99350,"N/A",904.95,1]
[1,"Physician Assistant",99366,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99366,"N/A",810.4,1]
[1,"Physician Assistant",99368,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99368,"N/A",810.4,1]
[1,"Physician Assistant",99415,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99415,"N/A",810.4,1]
[1,"Physician Assistant",99416,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99416,"N/A",405.2,1]
[1,"Physician Assistant",99417,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",99417,"N/A",202.6,1]
[1,"Physician Assistant",99418,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",99418,"N/A",202.6,1]
[1,"Physician Assistant",99441,"N/A",108.05,1,true,true,true,true,true,1,"Physician Assistant",99441,"N/A",108.05,1]
[1,"Physician Assistant",99442,"N/A",216.11,1,true,true,true,true,true,1,"Physician Assistant",99442,"N/A",216.11,1]
[1,"Physician Assistant",99443,"N/A",351.17,1,true,true,true,true,true,1,"Physician Assistant",99443,"N/A",351.17,1]
[1,"Physician Assistant",99484,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99484,"N/A",810.4,1]
[1,"Physician Assistant","G0316","N/A",202.6,1,{"$f":"EXACT(A835,L835)","v":true},{"$f":"EXACT(B835,M835)","v":true},{"$f":"EXACT(C835,N835)","v":true},{"$f":"EXACT(D835,O835)","v":true},true,1,"Physician Assistant","G0316","N/A",202.6,1]
[1,"Physician Assistant","G0539","N/A",310.64999999999998,1,true,true,true,true,{"$f":"EXACT(E836,P836)","v":true},1,"Physician Assistant","G0539","N/A",310.64999999999998,1]
[1,"Physician Assistant","G0540","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","G0540","N/A",202.6,1]
[1,"Physician Assistant","G0541","N/A",310.64999999999998,1,true,true,true,true,true,1,"Physician Assistant","G0541","N/A",310.64999999999998,1]
[1,"Physician Assistant","G0542","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","G0542","N/A",202.6,1]
[1,"Physician Assistant","G0543","N/A",135.07,1,true,true,true,true,true,1,"Physician Assistant","G0543","N/A",135.07,{"$f":"IF(N840=\"G0323\",9,1)","v":1}]
[1,"Physician Assistant","H0031","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0031","N/A",202.6,1]
[1,"Physician Assistant","H0032","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0032","N/A",202.6,1]
[1,"Physician Assistant","H0033","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0033","N/A",202.6,1]
[1,"Physician Assistant","H0034","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0034","N/A",202.6,1]
[1,"Physician Assistant","H0034","HQ",45.02,{"$f":"IF(AND(B845=\"Peer Support Specialists\",C845=\"T1013\"),9,1)","v":1},true,true,true,true,true,1,"Physician Assistant","H0034","HQ",45.02,1]
[1,"Physician Assistant","H0036","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0036","N/A",202.6,1]
[1,"Physician Assistant","H2000","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2000","N/A",202.6,1]
[1,"Physician Assistant","H2011","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2011","N/A",202.6,1]
[1,"Physician Assistant","H2017","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2017","N/A",202.6,1]
[1,"Physician Assistant","H2017","HQ",45.02,1,true,true,true,true,true,1,"Physician Assistant","H2017","HQ",45.02,1]
[1,"Physician Assistant","H2019","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2019","N/A",202.6,1]
[1,"Physician Assistant","H2021","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2021","N/A",202.6,1]
[1,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,1,"Physician Assistant","T1013","N/A",31.88,1]
[1,"Physician Assistant","T1017","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","T1017","N/A",202.6,1]
[1,"Physician Assistant","T2021","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","T2021","N/A",202.6,1]
[1,"Physician Assistant","T2021","HQ",45.02,1,true,true,true,true,true,1,"Physician Assistant","T2021","HQ",45.02,1]
[1,"Physician Assistant","T2021",22,205.61,1,true,true,true,true,true,1,"Physician Assistant","T2021",22,205.61,1]
[1,"Physician Assistant","T2024","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","T2024","N/A",202.6,1]
[1,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[1,"Psychologist (Licensed or Waivered)",90791,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90791,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",90832,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90832,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",90832,22,366.36,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90832,22,366.36,1]
[1,"Psychologist (Licensed or Waivered)",90834,"N/A",545.02,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90834,"N/A",545.02,1]
[1,"Psychologist (Licensed or Waivered)",90834,22,548.03,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90834,22,548.03,1]
[1,"Psychologist (Licensed or Waivered)",90837,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90837,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",90837,22,729.7,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90837,22,729.7,1]
[1,"Psychologist (Licensed or Waivered)",90839,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90839,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",90840,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90840,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",90845,"N/A",545.02,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90845,"N/A",545.02,1]
[1,"Psychologist (Licensed or Waivered)",90847,"N/A",605.58000000000004,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90847,"N/A",605.58000000000004,1]
[1,"Psychologist (Licensed or Waivered)",90849,"N/A",226.08,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90849,"N/A",226.08,1]
[1,"Psychologist (Licensed or Waivered)",90853,"N/A",134.57,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90853,"N/A",134.57,1]
[1,"Psychologist (Licensed or Waivered)",90880,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90880,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",90885,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90885,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",90887,"N/A",605.58000000000004,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90887,"N/A",605.58000000000004,1]
[1,"Psychologist (Licensed or Waivered)",96105,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96105,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96110,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96110,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96112,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96112,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96113,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96113,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",96116,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96116,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96121,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96121,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96125,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96125,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96127,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96127,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96130,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96130,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96131,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96131,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96132,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96132,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96133,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96133,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96136,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96136,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",96137,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96137,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",96146,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96146,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",96161,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96161,"N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)",96202,"N/A",161.49,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96202,"N/A",161.49,1]
[1,"Psychologist (Licensed or Waivered)",96203,"N/A",40.369999999999997,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96203,"N/A",40.369999999999997,1]
[1,"Psychologist (Licensed or Waivered)",97550,"N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",97550,"N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)",97551,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",97551,"N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)",97552,"N/A",121.12,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",97552,"N/A",121.12,1]
[1,"Psychologist (Licensed or Waivered)",98966,"N/A",96.89,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",98966,"N/A",96.89,1]
[1,"Psychologist (Licensed or Waivered)",98967,"N/A",193.78,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",98967,"N/A",193.78,1]
[1,"Psychologist (Licensed or Waivered)",98968,"N/A",314.89999999999998,1,{"$f":"EXACT(A899,L899)","v":true},{"$f":"EXACT(B899,M899)","v":true},{"$f":"EXACT(C899,N899)","v":true},{"$f":"EXACT(D899,O899)","v":true},true,1,"Psychologist (Licensed or Waivered)",98968,"N/A",314.89999999999998,1]
[1,"Psychologist (Licensed or Waivered)",99366,"N/A",726.69,1,true,true,true,true,{"$f":"EXACT(E900,P900)","v":true},1,"Psychologist (Licensed or Waivered)",99366,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",99368,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",99368,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)",99484,"N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",99484,"N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)","G0539","N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0539","N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)","G0540","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0540","N/A",181.67,{"$f":"IF(N904=\"G0323\",9,1)","v":1}]
[1,"Psychologist (Licensed or Waivered)","G0541","N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0541","N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)","G0542","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0542","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","G0543","N/A",121.12,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0543","N/A",121.12,1]
[1,"Psychologist (Licensed or Waivered)","H0031","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0031","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0032","N/A",181.67,{"$f":"IF(AND(B909=\"Peer Support Specialists\",C909=\"T1013\"),9,1)","v":1},true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0032","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0033","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0033","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0036","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0036","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2000","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2000","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2011","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2011","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2017","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2017","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2017","HQ",40.369999999999997,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2017","HQ",40.369999999999997,1]
[1,"Psychologist (Licensed or Waivered)","H2019","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2019","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2021","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2021","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[1,"Psychologist (Licensed or Waivered)","T1017","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T1017","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","T2021","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T2021","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","T2021","HQ",40.369999999999997,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T2021","HQ",40.369999999999997,1]
[1,"Psychologist (Licensed or Waivered)","T2021",22,184.68,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T2021",22,184.68,1]
[1,"Psychologist (Licensed or Waivered)","T2024","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T2024","N/A",181.67,1]
[1,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,1,"Registered Nurse",90785,"N/A",18.89,1]
[1,"Registered Nurse",90887,"N/A",611.63,1,true,true,true,true,true,1,"Registered Nurse",90887,"N/A",611.63,1]
[1,"Registered Nurse",96110,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",96110,"N/A",733.96,1]
[1,"Registered Nurse",96116,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",96116,"N/A",733.96,1]
[1,"Registered Nurse",96121,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",96121,"N/A",733.96,1]
[1,"Registered Nurse",96127,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",96127,"N/A",733.96,1]
[1,"Registered Nurse",96161,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96161,"N/A",183.49,1]
[1,"Registered Nurse",96202,"N/A",163.1,1,true,true,true,true,true,1,"Registered Nurse",96202,"N/A",163.1,1]
[1,"Registered Nurse",96203,"N/A",40.78,1,true,true,true,true,true,1,"Registered Nurse",96203,"N/A",40.78,1]
[1,"Registered Nurse",96365,"N/A",562.70000000000005,1,true,true,true,true,true,1,"Registered Nurse",96365,"N/A",562.70000000000005,1]
[1,"Registered Nurse",96366,"N/A",550.47,1,true,true,true,true,true,1,"Registered Nurse",96366,"N/A",550.47,1]
[1,"Registered Nurse",96367,"N/A",379.21,1,true,true,true,true,true,1,"Registered Nurse",96367,"N/A",379.21,1]
[1,"Registered Nurse",96368,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96368,"N/A",183.49,1]
[1,"Registered Nurse",96369,"N/A",464.84,1,true,true,true,true,true,1,"Registered Nurse",96369,"N/A",464.84,1]
[1,"Registered Nurse",96370,"N/A",550.47,1,true,true,true,true,true,1,"Registered Nurse",96370,"N/A",550.47,1]
[1,"Registered Nurse",96371,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96371,"N/A",183.49,1]
[1,"Registered Nurse",96372,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96372,"N/A",183.49,1]
[1,"Registered Nurse",96373,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96373,"N/A",183.49,1]
[1,"Registered Nurse",96374,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96374,"N/A",183.49,1]
[1,"Registered Nurse",96375,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96375,"N/A",183.49,1]
[1,"Registered Nurse",96376,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96376,"N/A",183.49,1]
[1,"Registered Nurse",96377,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96377,"N/A",183.49,1]
[1,"Registered Nurse",97550,"N/A",281.35000000000002,1,true,true,true,true,true,1,"Registered Nurse",97550,"N/A",281.35000000000002,1]
[1,"Registered Nurse",97551,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",97551,"N/A",183.49,1]
[1,"Registered Nurse",97552,"N/A",122.33,1,true,true,true,true,true,1,"Registered Nurse",97552,"N/A",122.33,1]
[1,"Registered Nurse",99366,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",99366,"N/A",733.96,1]
[1,"Registered Nurse",99368,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",99368,"N/A",733.96,1]
[1,"Registered Nurse",99484,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",99484,"N/A",733.96,1]
[1,"Registered Nurse","G0539","N/A",281.35000000000002,1,true,true,true,true,true,1,"Registered Nurse","G0539","N/A",281.35000000000002,1]
[1,"Registered Nurse","G0540","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","G0540","N/A",183.49,1]
[1,"Registered Nurse","G0541","N/A",281.35000000000002,1,true,true,true,true,true,1,"Registered Nurse","G0541","N/A",281.35000000000002,1]
[1,"Registered Nurse","G0542","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","G0542","N/A",183.49,1]
[1,"Registered Nurse","G0543","N/A",122.33,1,true,true,true,true,true,1,"Registered Nurse","G0543","N/A",122.33,1]
[1,"Registered Nurse","H0031","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0031","N/A",183.49,1]
[1,"Registered Nurse","H0032","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0032","N/A",183.49,1]
[1,"Registered Nurse","H0033","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0033","N/A",183.49,1]
[1,"Registered Nurse","H0034","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0034","N/A",183.49,1]
[1,"Registered Nurse","H0034","HQ",40.78,1,true,true,true,true,true,1,"Registered Nurse","H0034","HQ",40.78,1]
[1,"Registered Nurse","H2000","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H2000","N/A",183.49,1]
[1,"Registered Nurse","H2011","N/A",183.49,1,{"$f":"EXACT(A963,L963)","v":true},{"$f":"EXACT(B963,M963)","v":true},{"$f":"EXACT(C963,N963)","v":true},{"$f":"EXACT(D963,O963)","v":true},true,1,"Registered Nurse","H2011","N/A",183.49,1]
[1,"Registered Nurse","H2017","N/A",183.49,1,true,true,true,true,{"$f":"EXACT(E964,P964)","v":true},1,"Registered Nurse","H2017","N/A",183.49,1]
[1,"Registered Nurse","H2017","HQ",40.78,1,true,true,true,true,true,1,"Registered Nurse","H2017","HQ",40.78,1]
[1,"Registered Nurse","H2019","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H2019","N/A",183.49,1]
[1,"Registered Nurse","H2021","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H2021","N/A",183.49,1]
[1,"Registered Nurse","T1001","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","T1001","N/A",183.49,{"$f":"IF(N968=\"G0323\",9,1)","v":1}]
[1,"Registered Nurse","T1013","N/A",31.88,1,true,true,true,true,true,1,"Registered Nurse","T1013","N/A",31.88,1]
[1,"Registered Nurse","T1017","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","T1017","N/A",183.49,1]
[1,"Registered Nurse","T2024","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","T2024","N/A",183.49,1]
[1,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,1,"Registered Pharmacist",90785,"N/A",18.89,1]
[1,"Registered Pharmacist",90887,"N/A",720.78,{"$f":"IF(AND(B973=\"Peer Support Specialists\",C973=\"T1013\"),9,1)","v":1},true,true,true,true,true,1,"Registered Pharmacist",90887,"N/A",720.78,1]
[1,"Registered Pharmacist",96161,"N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist",96161,"N/A",216.24,1]
[1,"Registered Pharmacist",96202,"N/A",192.21,1,true,true,true,true,true,1,"Registered Pharmacist",96202,"N/A",192.21,1]
[1,"Registered Pharmacist",96203,"N/A",48.05,1,true,true,true,true,true,1,"Registered Pharmacist",96203,"N/A",48.05,1]
[1,"Registered Pharmacist",97550,"N/A",331.56,1,true,true,true,true,true,1,"Registered Pharmacist",97550,"N/A",331.56,1]
[1,"Registered Pharmacist",97551,"N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist",97551,"N/A",216.24,1]
[1,"Registered Pharmacist",97552,"N/A",144.16,1,true,true,true,true,true,1,"Registered Pharmacist",97552,"N/A",144.16,1]
[1,"Registered Pharmacist",99366,"N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist",99366,"N/A",864.94,1]
[1,"Registered Pharmacist",99368,"N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist",99368,"N/A",864.94,1]
[1,"Registered Pharmacist",99484,"N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist",99484,"N/A",864.94,1]
[1,"Registered Pharmacist",99605,"N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist",99605,"N/A",216.24,1]
[1,"Registered Pharmacist",99606,"N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist",99606,"N/A",216.24,1]
[1,"Registered Pharmacist",99607,"N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist",99607,"N/A",216.24,1]
[1,"Registered Pharmacist","G0539","N/A",331.56,1,true,true,true,true,true,1,"Registered Pharmacist","G0539","N/A",331.56,1]
[1,"Registered Pharmacist","G0540","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","G0540","N/A",216.24,1]
[1,"Registered Pharmacist","G0541","N/A",331.56,1,true,true,true,true,true,1,"Registered Pharmacist","G0541","N/A",331.56,1]
[1,"Registered Pharmacist","G0542","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","G0542","N/A",216.24,1]
[1,"Registered Pharmacist","G0543","N/A",144.16,1,true,true,true,true,true,1,"Registered Pharmacist","G0543","N/A",144.16,1]
[1,"Registered Pharmacist","H0031","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0031","N/A",216.24,1]
[1,"Registered Pharmacist","H0032","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0032","N/A",216.24,1]
[1,"Registered Pharmacist","H0033","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0033","N/A",216.24,1]
[1,"Registered Pharmacist","H0034","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0034","N/A",216.24,1]
[1,"Registered Pharmacist","H0034","HQ",48.05,1,true,true,true,true,true,1,"Registered Pharmacist","H0034","HQ",48.05,1]
[1,"Registered Pharmacist","H2000","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2000","N/A",216.24,1]
[1,"Registered Pharmacist","H2011","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2011","N/A",216.24,1]
[1,"Registered Pharmacist","H2017","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2017","N/A",216.24,1]
[1,"Registered Pharmacist","H2017","HQ",48.05,1,true,true,true,true,true,1,"Registered Pharmacist","H2017","HQ",48.05,1]
[1,"Registered Pharmacist","H2019","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2019","N/A",216.24,1]
[1,"Registered Pharmacist","H2021","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2021","N/A",216.24,1]
[1,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,1,"Registered Pharmacist","T1013","N/A",31.88,1]
[1,"Registered Pharmacist","T1017","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","T1017","N/A",216.24,1]
[2,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,2,"Certified AOD Counselor",90785,"N/A",18.89,1]
[2,"Certified AOD Counselor","H0031","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H0031","N/A",105.86,1]
[2,"Certified AOD Counselor","H0032","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H0032","N/A",105.86,1]
[2,"Certified AOD Counselor","H0033","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H0033","N/A",105.86,1]
[2,"Certified AOD Counselor","H0034","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H0034","N/A",105.86,1]
[2,"Certified AOD Counselor","H0034","HQ",23.52,1,true,true,true,true,true,2,"Certified AOD Counselor","H0034","HQ",23.52,1]
[2,"Certified AOD Counselor","H2000","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H2000","N/A",105.86,1]
[2,"Certified AOD Counselor","H2011","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H2011","N/A",105.86,1]
[2,"Certified AOD Counselor","H2017","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H2017","N/A",105.86,1]
[2,"Certified AOD Counselor","H2017","HQ",23.52,1,true,true,true,true,true,2,"Certified AOD Counselor","H2017","HQ",23.52,1]
[2,"Certified AOD Counselor","H2019","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H2019","N/A",105.86,1]
[2,"Certified AOD Counselor","H2021","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","H2021","N/A",105.86,1]
[2,"Certified AOD Counselor","T1013","N/A",31.88,1,true,true,true,true,true,2,"Certified AOD Counselor","T1013","N/A",31.88,1]
[2,"Certified AOD Counselor","T1017","N/A",105.86,1,true,true,true,true,true,2,"Certified AOD Counselor","T1017","N/A",105.86,1]
[2,"Clinical Nurse Specialist",90785,"N/A",18.89,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90785,"N/A",18.89,1]
[2,"Clinical Nurse Specialist",90791,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90791,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90792,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90792,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90832,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90832,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",90832,22,490.73,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90832,22,490.73,1]
[2,"Clinical Nurse Specialist",90833,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90833,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",90833,22,490.73,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90833,22,490.73,1]
[2,"Clinical Nurse Specialist",90834,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90834,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",90834,22,734.58,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90834,22,734.58,1]
[2,"Clinical Nurse Specialist",90836,"N/A",731.57,1,{"$f":"EXACT(A1027,L1027)","v":true},{"$f":"EXACT(B1027,M1027)","v":true},{"$f":"EXACT(C1027,N1027)","v":true},{"$f":"EXACT(D1027,O1027)","v":true},true,2,"Clinical Nurse Specialist",90836,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",90836,22,734.58,1,true,true,true,true,{"$f":"EXACT(E1028,P1028)","v":true},2,"Clinical Nurse Specialist",90836,22,734.58,1]
[2,"Clinical Nurse Specialist",90837,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90837,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90837,22,978.44,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90837,22,978.44,1]
[2,"Clinical Nurse Specialist",90838,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90838,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90838,22,978.44,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90838,22,978.44,{"$f":"IF(N1032=\"G0323\",9,1)","v":1}]
[2,"Clinical Nurse Specialist",90839,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90839,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90840,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90840,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",90845,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90845,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",90847,"N/A",812.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90847,"N/A",812.86,1]
[2,"Clinical Nurse Specialist",90849,"N/A",303.47000000000003,{"$f":"IF(AND(B1037=\"Peer Support Specialists\",C1037=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Clinical Nurse Specialist",90849,"N/A",303.47000000000003,1]
[2,"Clinical Nurse Specialist",90853,"N/A",180.64,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90853,"N/A",180.64,1]
[2,"Clinical Nurse Specialist",90865,"N/A",1463.15,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90865,"N/A",1463.15,1]
[2,"Clinical Nurse Specialist",90867,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90867,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90868,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90868,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",90869,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90869,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",90870,"N/A",325.14,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90870,"N/A",325.14,1]
[2,"Clinical Nurse Specialist",90880,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90880,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90885,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90885,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",90887,"N/A",812.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",90887,"N/A",812.86,1]
[2,"Clinical Nurse Specialist",96105,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96105,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96110,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96110,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96112,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96112,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96113,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96113,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",96116,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96116,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96121,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96121,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96125,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96125,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96127,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96127,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96130,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96130,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96131,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96131,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96132,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96132,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96133,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96133,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96136,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96136,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",96137,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96137,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",96146,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96146,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",96161,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96161,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96202,"N/A",216.76,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96202,"N/A",216.76,1]
[2,"Clinical Nurse Specialist",96203,"N/A",54.19,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96203,"N/A",54.19,1]
[2,"Clinical Nurse Specialist",96365,"N/A",747.83,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96365,"N/A",747.83,1]
[2,"Clinical Nurse Specialist",96366,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96366,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",96367,"N/A",503.97,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96367,"N/A",503.97,1]
[2,"Clinical Nurse Specialist",96368,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96368,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96369,"N/A",617.77,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96369,"N/A",617.77,1]
[2,"Clinical Nurse Specialist",96370,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96370,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",96371,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96371,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96372,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96372,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96373,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96373,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96374,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96374,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96375,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96375,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96376,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96376,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",96377,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",96377,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",97550,"N/A",373.91,1,true,true,true,true,true,2,"Clinical Nurse Specialist",97550,"N/A",373.91,1]
[2,"Clinical Nurse Specialist",97551,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",97551,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",97552,"N/A",162.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",97552,"N/A",162.57,1]
[2,"Clinical Nurse Specialist",98966,"N/A",130.06,1,true,true,true,true,true,2,"Clinical Nurse Specialist",98966,"N/A",130.06,1]
[2,"Clinical Nurse Specialist",98967,"N/A",260.11,1,true,true,true,true,true,2,"Clinical Nurse Specialist",98967,"N/A",260.11,1]
[2,"Clinical Nurse Specialist",98968,"N/A",422.69,1,true,true,true,true,true,2,"Clinical Nurse Specialist",98968,"N/A",422.69,1]
[2,"Clinical Nurse Specialist",99202,"N/A",357.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99202,"N/A",357.66,1]
[2,"Clinical Nurse Specialist",99203,"N/A",601.52,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99203,"N/A",601.52,1]
[2,"Clinical Nurse Specialist",99204,"N/A",845.37,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99204,"N/A",845.37,1]
[2,"Clinical Nurse Specialist",99205,"N/A",1089.23,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99205,"N/A",1089.23,1]
[2,"Clinical Nurse Specialist",99212,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99212,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",99213,"N/A",406.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99213,"N/A",406.43,1]
[2,"Clinical Nurse Specialist",99214,"N/A",569,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99214,"N/A",569,1]
[2,"Clinical Nurse Specialist",99215,"N/A",764.09,1,{"$f":"EXACT(A1091,L1091)","v":true},{"$f":"EXACT(B1091,M1091)","v":true},{"$f":"EXACT(C1091,N1091)","v":true},{"$f":"EXACT(D1091,O1091)","v":true},true,2,"Clinical Nurse Specialist",99215,"N/A",764.09,1]
[2,"Clinical Nurse Specialist",99221,"N/A",764.09,1,true,true,true,true,{"$f":"EXACT(E1092,P1092)","v":true},2,"Clinical Nurse Specialist",99221,"N/A",764.09,1]
[2,"Clinical Nurse Specialist",99222,"N/A",1056.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99222,"N/A",1056.72,1]
[2,"Clinical Nurse Specialist",99223,"N/A",1333.09,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99223,"N/A",1333.09,1]
[2,"Clinical Nurse Specialist",99231,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99231,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",99232,"N/A",682.8,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99232,"N/A",682.8,{"$f":"IF(N1096=\"G0323\",9,1)","v":1}]
[2,"Clinical Nurse Specialist",99233,"N/A",926.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99233,"N/A",926.66,1]
[2,"Clinical Nurse Specialist",99234,"N/A",926.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99234,"N/A",926.66,1]
[2,"Clinical Nurse Specialist",99235,"N/A",1251.8,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99235,"N/A",1251.8,1]
[2,"Clinical Nurse Specialist",99236,"N/A",1495.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99236,"N/A",1495.66,1]
[2,"Clinical Nurse Specialist",99238,"N/A",487.72,{"$f":"IF(AND(B1101=\"Peer Support Specialists\",C1101=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Clinical Nurse Specialist",99238,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",99239,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99239,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",99242,"N/A",406.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99242,"N/A",406.43,1]
[2,"Clinical Nurse Specialist",99243,"N/A",569,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99243,"N/A",569,1]
[2,"Clinical Nurse Specialist",99244,"N/A",764.09,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99244,"N/A",764.09,1]
[2,"Clinical Nurse Specialist",99245,"N/A",1007.94,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99245,"N/A",1007.94,1]
[2,"Clinical Nurse Specialist",99252,"N/A",650.29,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99252,"N/A",650.29,1]
[2,"Clinical Nurse Specialist",99253,"N/A",845.37,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99253,"N/A",845.37,1]
[2,"Clinical Nurse Specialist",99254,"N/A",1138,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99254,"N/A",1138,1]
[2,"Clinical Nurse Specialist",99255,"N/A",1414.37,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99255,"N/A",1414.37,1]
[2,"Clinical Nurse Specialist",99304,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99304,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",99305,"N/A",682.8,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99305,"N/A",682.8,1]
[2,"Clinical Nurse Specialist",99306,"N/A",926.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99306,"N/A",926.66,1]
[2,"Clinical Nurse Specialist",99307,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99307,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",99308,"N/A",406.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99308,"N/A",406.43,1]
[2,"Clinical Nurse Specialist",99309,"N/A",601.52,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99309,"N/A",601.52,1]
[2,"Clinical Nurse Specialist",99310,"N/A",845.37,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99310,"N/A",845.37,1]
[2,"Clinical Nurse Specialist",99341,"N/A",357.66,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99341,"N/A",357.66,1]
[2,"Clinical Nurse Specialist",99342,"N/A",731.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99342,"N/A",731.57,1]
[2,"Clinical Nurse Specialist",99344,"N/A",1089.23,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99344,"N/A",1089.23,1]
[2,"Clinical Nurse Specialist",99345,"N/A",1333.09,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99345,"N/A",1333.09,1]
[2,"Clinical Nurse Specialist",99347,"N/A",406.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99347,"N/A",406.43,1]
[2,"Clinical Nurse Specialist",99348,"N/A",569,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99348,"N/A",569,1]
[2,"Clinical Nurse Specialist",99349,"N/A",812.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99349,"N/A",812.86,1]
[2,"Clinical Nurse Specialist",99350,"N/A",1089.23,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99350,"N/A",1089.23,1]
[2,"Clinical Nurse Specialist",99366,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99366,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",99368,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99368,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",99415,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99415,"N/A",975.43,1]
[2,"Clinical Nurse Specialist",99416,"N/A",487.72,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99416,"N/A",487.72,1]
[2,"Clinical Nurse Specialist",99417,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99417,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",99418,"N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99418,"N/A",243.86,1]
[2,"Clinical Nurse Specialist",99441,"N/A",130.06,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99441,"N/A",130.06,1]
[2,"Clinical Nurse Specialist",99442,"N/A",260.11,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99442,"N/A",260.11,1]
[2,"Clinical Nurse Specialist",99443,"N/A",422.69,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99443,"N/A",422.69,1]
[2,"Clinical Nurse Specialist",99484,"N/A",975.43,1,true,true,true,true,true,2,"Clinical Nurse Specialist",99484,"N/A",975.43,1]
[2,"Clinical Nurse Specialist","G0316","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0316","N/A",243.86,1]
[2,"Clinical Nurse Specialist","G0539","N/A",373.91,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0539","N/A",373.91,1]
[2,"Clinical Nurse Specialist","G0540","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0540","N/A",243.86,1]
[2,"Clinical Nurse Specialist","G0541","N/A",373.91,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0541","N/A",373.91,1]
[2,"Clinical Nurse Specialist","G0542","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0542","N/A",243.86,1]
[2,"Clinical Nurse Specialist","G0543","N/A",162.57,1,true,true,true,true,true,2,"Clinical Nurse Specialist","G0543","N/A",162.57,1]
[2,"Clinical Nurse Specialist","H0031","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0031","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H0032","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0032","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H0033","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0033","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H0034","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0034","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H0034","HQ",54.19,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0034","HQ",54.19,1]
[2,"Clinical Nurse Specialist","H0036","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H0036","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H2000","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2000","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H2011","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2011","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H2017","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2017","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H2017","HQ",54.19,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2017","HQ",54.19,1]
[2,"Clinical Nurse Specialist","H2019","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2019","N/A",243.86,1]
[2,"Clinical Nurse Specialist","H2021","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","H2021","N/A",243.86,1]
[2,"Clinical Nurse Specialist","T1001","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","T1001","N/A",243.86,1]
[2,"Clinical Nurse Specialist","T1013","N/A",31.88,1,{"$f":"EXACT(A1155,L1155)","v":true},{"$f":"EXACT(B1155,M1155)","v":true},{"$f":"EXACT(C1155,N1155)","v":true},{"$f":"EXACT(D1155,O1155)","v":true},true,2,"Clinical Nurse Specialist","T1013","N/A",31.88,1]
[2,"Clinical Nurse Specialist","T1017","N/A",243.86,1,true,true,true,true,{"$f":"EXACT(E1156,P1156)","v":true},2,"Clinical Nurse Specialist","T1017","N/A",243.86,1]
[2,"Clinical Nurse Specialist","T2021","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","T2021","N/A",243.86,1]
[2,"Clinical Nurse Specialist","T2021","HQ",54.19,1,true,true,true,true,true,2,"Clinical Nurse Specialist","T2021","HQ",54.19,1]
[2,"Clinical Nurse Specialist","T2021",22,246.87,1,true,true,true,true,true,2,"Clinical Nurse Specialist","T2021",22,246.87,1]
[2,"Clinical Nurse Specialist","T2024","N/A",243.86,1,true,true,true,true,true,2,"Clinical Nurse Specialist","T2024","N/A",243.86,{"$f":"IF(N1160=\"G0323\",9,1)","v":1}]
[2,"Community Health Worker",98960,"N/A",196.84,1,true,true,true,true,true,2,"Community Health Worker",98960,"N/A",196.84,1]
[2,"Community Health Worker",98961,"N/A",65.61,1,true,true,true,true,true,2,"Community Health Worker",98961,"N/A",65.61,1]
[2,"Community Health Worker",98962,"N/A",30.28,1,true,true,true,true,true,2,"Community Health Worker",98962,"N/A",30.28,1]
[2,"Community Health Worker","G0019","N/A",393.68,1,true,true,true,true,true,2,"Community Health Worker","G0019","N/A",393.68,1]
[2,"Community Health Worker","G0022","N/A",196.84,{"$f":"IF(AND(B1165=\"Peer Support Specialists\",C1165=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Community Health Worker","G0022","N/A",196.84,1]
[2,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[2,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",255.25,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",255.25,1]
[2,"LCSW (Licensed, Waivered or Registered)",90832,22,258.26,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90832,22,258.26,1]
[2,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",382.88,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",382.88,1]
[2,"LCSW (Licensed, Waivered or Registered)",90834,22,385.89,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90834,22,385.89,1]
[2,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",90837,22,513.51,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90837,22,513.51,1]
[2,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",255.25,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",255.25,1]
[2,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",382.88,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",382.88,1]
[2,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",425.42,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",425.42,1]
[2,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",158.82,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",158.82,1]
[2,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",94.54,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",94.54,1]
[2,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",425.42,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",425.42,1]
[2,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",113.44,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",113.44,1]
[2,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",28.36,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",28.36,1]
[2,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",195.69,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",195.69,1]
[2,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",85.08,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",85.08,1]
[2,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",68.069999999999993,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",68.069999999999993,1]
[2,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",136.13,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",136.13,1]
[2,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",221.22,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",221.22,1]
[2,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",510.5,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",510.5,1]
[2,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",195.69,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",195.69,1]
[2,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",195.69,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",195.69,1]
[2,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",85.08,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",85.08,1]
[2,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H0033","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H0033","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",28.36,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",28.36,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[2,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",127.63,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",127.63,1]
[2,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",28.36,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",28.36,1]
[2,"LCSW (Licensed, Waivered or Registered)","T2021",22,130.63999999999999,1,true,true,true,true,true,2,"LCSW (Licensed, Waivered or Registered)","T2021",22,130.63999999999999,1]
[2,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",127.63,1,{"$f":"EXACT(A1219,L1219)","v":true},{"$f":"EXACT(B1219,M1219)","v":true},{"$f":"EXACT(C1219,N1219)","v":true},{"$f":"EXACT(D1219,O1219)","v":true},true,2,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",127.63,1]
[2,"Licensed Physician",90785,"N/A",18.89,1,true,true,true,true,{"$f":"EXACT(E1220,P1220)","v":true},2,"Licensed Physician",90785,"N/A",18.89,1]
[2,"Licensed Physician",90791,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90791,"N/A",1961.55,1]
[2,"Licensed Physician",90792,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90792,"N/A",1961.55,1]
[2,"Licensed Physician",90832,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",90832,"N/A",980.78,1]
[2,"Licensed Physician",90832,22,983.79,1,true,true,true,true,true,2,"Licensed Physician",90832,22,983.79,{"$f":"IF(N1224=\"G0323\",9,1)","v":1}]
[2,"Licensed Physician",90833,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",90833,"N/A",980.78,1]
[2,"Licensed Physician",90833,22,983.79,1,true,true,true,true,true,2,"Licensed Physician",90833,22,983.79,1]
[2,"Licensed Physician",90834,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",90834,"N/A",1471.16,1]
[2,"Licensed Physician",90834,22,1474.17,1,true,true,true,true,true,2,"Licensed Physician",90834,22,1474.17,1]
[2,"Licensed Physician",90836,"N/A",1471.16,{"$f":"IF(AND(B1229=\"Peer Support Specialists\",C1229=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Licensed Physician",90836,"N/A",1471.16,1]
[2,"Licensed Physician",90836,22,1474.17,1,true,true,true,true,true,2,"Licensed Physician",90836,22,1474.17,1]
[2,"Licensed Physician",90837,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90837,"N/A",1961.55,1]
[2,"Licensed Physician",90837,22,1964.56,1,true,true,true,true,true,2,"Licensed Physician",90837,22,1964.56,1]
[2,"Licensed Physician",90838,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90838,"N/A",1961.55,1]
[2,"Licensed Physician",90838,22,1964.56,1,true,true,true,true,true,2,"Licensed Physician",90838,22,1964.56,1]
[2,"Licensed Physician",90839,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90839,"N/A",1961.55,1]
[2,"Licensed Physician",90840,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",90840,"N/A",980.78,1]
[2,"Licensed Physician",90845,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",90845,"N/A",1471.16,1]
[2,"Licensed Physician",90847,"N/A",1634.63,1,true,true,true,true,true,2,"Licensed Physician",90847,"N/A",1634.63,1]
[2,"Licensed Physician",90849,"N/A",610.26,1,true,true,true,true,true,2,"Licensed Physician",90849,"N/A",610.26,1]
[2,"Licensed Physician",90853,"N/A",363.25,1,true,true,true,true,true,2,"Licensed Physician",90853,"N/A",363.25,1]
[2,"Licensed Physician",90865,"N/A",2942.33,1,true,true,true,true,true,2,"Licensed Physician",90865,"N/A",2942.33,1]
[2,"Licensed Physician",90867,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90867,"N/A",1961.55,1]
[2,"Licensed Physician",90868,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",90868,"N/A",490.39,1]
[2,"Licensed Physician",90869,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",90869,"N/A",1471.16,1]
[2,"Licensed Physician",90870,"N/A",653.85,1,true,true,true,true,true,2,"Licensed Physician",90870,"N/A",653.85,1]
[2,"Licensed Physician",90880,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90880,"N/A",1961.55,1]
[2,"Licensed Physician",90885,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",90885,"N/A",1961.55,1]
[2,"Licensed Physician",90887,"N/A",1634.63,1,true,true,true,true,true,2,"Licensed Physician",90887,"N/A",1634.63,1]
[2,"Licensed Physician",96105,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96105,"N/A",1961.55,1]
[2,"Licensed Physician",96110,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96110,"N/A",1961.55,1]
[2,"Licensed Physician",96112,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96112,"N/A",1961.55,1]
[2,"Licensed Physician",96113,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",96113,"N/A",980.78,1]
[2,"Licensed Physician",96116,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96116,"N/A",1961.55,1]
[2,"Licensed Physician",96121,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96121,"N/A",1961.55,1]
[2,"Licensed Physician",96125,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96125,"N/A",1961.55,1]
[2,"Licensed Physician",96127,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96127,"N/A",1961.55,1]
[2,"Licensed Physician",96130,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96130,"N/A",1961.55,1]
[2,"Licensed Physician",96131,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96131,"N/A",1961.55,1]
[2,"Licensed Physician",96132,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96132,"N/A",1961.55,1]
[2,"Licensed Physician",96133,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96133,"N/A",1961.55,1]
[2,"Licensed Physician",96136,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",96136,"N/A",980.78,1]
[2,"Licensed Physician",96137,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",96137,"N/A",980.78,1]
[2,"Licensed Physician",96146,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",96146,"N/A",1961.55,1]
[2,"Licensed Physician",96161,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96161,"N/A",490.39,1]
[2,"Licensed Physician",96202,"N/A",435.9,1,true,true,true,true,true,2,"Licensed Physician",96202,"N/A",435.9,1]
[2,"Licensed Physician",96203,"N/A",108.98,1,true,true,true,true,true,2,"Licensed Physician",96203,"N/A",108.98,1]
[2,"Licensed Physician",96365,"N/A",1503.86,1,true,true,true,true,true,2,"Licensed Physician",96365,"N/A",1503.86,1]
[2,"Licensed Physician",96366,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",96366,"N/A",1471.16,1]
[2,"Licensed Physician",96367,"N/A",1013.47,1,true,true,true,true,true,2,"Licensed Physician",96367,"N/A",1013.47,1]
[2,"Licensed Physician",96368,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96368,"N/A",490.39,1]
[2,"Licensed Physician",96369,"N/A",1242.32,1,true,true,true,true,true,2,"Licensed Physician",96369,"N/A",1242.32,1]
[2,"Licensed Physician",96370,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",96370,"N/A",1471.16,1]
[2,"Licensed Physician",96371,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96371,"N/A",490.39,1]
[2,"Licensed Physician",96372,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96372,"N/A",490.39,1]
[2,"Licensed Physician",96373,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96373,"N/A",490.39,1]
[2,"Licensed Physician",96374,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96374,"N/A",490.39,1]
[2,"Licensed Physician",96375,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96375,"N/A",490.39,1]
[2,"Licensed Physician",96376,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96376,"N/A",490.39,1]
[2,"Licensed Physician",96377,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",96377,"N/A",490.39,1]
[2,"Licensed Physician",97550,"N/A",751.93,1,true,true,true,true,true,2,"Licensed Physician",97550,"N/A",751.93,1]
[2,"Licensed Physician",97551,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",97551,"N/A",490.39,1]
[2,"Licensed Physician",97552,"N/A",326.93,1,true,true,true,true,true,2,"Licensed Physician",97552,"N/A",326.93,1]
[2,"Licensed Physician",99202,"N/A",719.24,1,{"$f":"EXACT(A1283,L1283)","v":true},{"$f":"EXACT(B1283,M1283)","v":true},{"$f":"EXACT(C1283,N1283)","v":true},{"$f":"EXACT(D1283,O1283)","v":true},true,2,"Licensed Physician",99202,"N/A",719.24,1]
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[2,"Licensed Physician",99204,"N/A",1700.01,1,true,true,true,true,true,2,"Licensed Physician",99204,"N/A",1700.01,1]
[2,"Licensed Physician",99205,"N/A",2190.4,1,true,true,true,true,true,2,"Licensed Physician",99205,"N/A",2190.4,1]
[2,"Licensed Physician",99212,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",99212,"N/A",490.39,1]
[2,"Licensed Physician",99213,"N/A",817.31,1,true,true,true,true,true,2,"Licensed Physician",99213,"N/A",817.31,{"$f":"IF(N1288=\"G0323\",9,1)","v":1}]
[2,"Licensed Physician",99214,"N/A",1144.24,1,true,true,true,true,true,2,"Licensed Physician",99214,"N/A",1144.24,1]
[2,"Licensed Physician",99215,"N/A",1536.55,1,true,true,true,true,true,2,"Licensed Physician",99215,"N/A",1536.55,1]
[2,"Licensed Physician",99221,"N/A",1536.55,1,true,true,true,true,true,2,"Licensed Physician",99221,"N/A",1536.55,1]
[2,"Licensed Physician",99222,"N/A",2125.0100000000002,1,true,true,true,true,true,2,"Licensed Physician",99222,"N/A",2125.0100000000002,1]
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[2,"Licensed Physician",99232,"N/A",1373.09,1,true,true,true,true,true,2,"Licensed Physician",99232,"N/A",1373.09,1]
[2,"Licensed Physician",99233,"N/A",1863.47,1,true,true,true,true,true,2,"Licensed Physician",99233,"N/A",1863.47,1]
[2,"Licensed Physician",99234,"N/A",1863.47,1,true,true,true,true,true,2,"Licensed Physician",99234,"N/A",1863.47,1]
[2,"Licensed Physician",99235,"N/A",2517.3200000000002,1,true,true,true,true,true,2,"Licensed Physician",99235,"N/A",2517.3200000000002,1]
[2,"Licensed Physician",99236,"N/A",3007.71,1,true,true,true,true,true,2,"Licensed Physician",99236,"N/A",3007.71,1]
[2,"Licensed Physician",99238,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",99238,"N/A",980.78,1]
[2,"Licensed Physician",99239,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",99239,"N/A",1961.55,1]
[2,"Licensed Physician",99242,"N/A",817.31,1,true,true,true,true,true,2,"Licensed Physician",99242,"N/A",817.31,1]
[2,"Licensed Physician",99243,"N/A",1144.24,1,true,true,true,true,true,2,"Licensed Physician",99243,"N/A",1144.24,1]
[2,"Licensed Physician",99244,"N/A",1536.55,1,true,true,true,true,true,2,"Licensed Physician",99244,"N/A",1536.55,1]
[2,"Licensed Physician",99245,"N/A",2026.94,1,true,true,true,true,true,2,"Licensed Physician",99245,"N/A",2026.94,1]
[2,"Licensed Physician",99252,"N/A",1307.7,1,true,true,true,true,true,2,"Licensed Physician",99252,"N/A",1307.7,1]
[2,"Licensed Physician",99253,"N/A",1700.01,1,true,true,true,true,true,2,"Licensed Physician",99253,"N/A",1700.01,1]
[2,"Licensed Physician",99254,"N/A",2288.48,1,true,true,true,true,true,2,"Licensed Physician",99254,"N/A",2288.48,1]
[2,"Licensed Physician",99255,"N/A",2844.25,1,true,true,true,true,true,2,"Licensed Physician",99255,"N/A",2844.25,1]
[2,"Licensed Physician",99304,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",99304,"N/A",980.78,1]
[2,"Licensed Physician",99305,"N/A",1373.09,1,true,true,true,true,true,2,"Licensed Physician",99305,"N/A",1373.09,1]
[2,"Licensed Physician",99306,"N/A",1863.47,1,true,true,true,true,true,2,"Licensed Physician",99306,"N/A",1863.47,1]
[2,"Licensed Physician",99307,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",99307,"N/A",490.39,1]
[2,"Licensed Physician",99308,"N/A",817.31,1,true,true,true,true,true,2,"Licensed Physician",99308,"N/A",817.31,1]
[2,"Licensed Physician",99309,"N/A",1209.6199999999999,1,true,true,true,true,true,2,"Licensed Physician",99309,"N/A",1209.6199999999999,1]
[2,"Licensed Physician",99310,"N/A",1700.01,1,true,true,true,true,true,2,"Licensed Physician",99310,"N/A",1700.01,1]
[2,"Licensed Physician",99341,"N/A",719.24,1,true,true,true,true,true,2,"Licensed Physician",99341,"N/A",719.24,1]
[2,"Licensed Physician",99342,"N/A",1471.16,1,true,true,true,true,true,2,"Licensed Physician",99342,"N/A",1471.16,1]
[2,"Licensed Physician",99344,"N/A",2190.4,1,true,true,true,true,true,2,"Licensed Physician",99344,"N/A",2190.4,1]
[2,"Licensed Physician",99345,"N/A",2680.79,1,true,true,true,true,true,2,"Licensed Physician",99345,"N/A",2680.79,1]
[2,"Licensed Physician",99347,"N/A",817.31,1,true,true,true,true,true,2,"Licensed Physician",99347,"N/A",817.31,1]
[2,"Licensed Physician",99348,"N/A",1144.24,1,true,true,true,true,true,2,"Licensed Physician",99348,"N/A",1144.24,1]
[2,"Licensed Physician",99349,"N/A",1634.63,1,true,true,true,true,true,2,"Licensed Physician",99349,"N/A",1634.63,1]
[2,"Licensed Physician",99350,"N/A",2190.4,1,true,true,true,true,true,2,"Licensed Physician",99350,"N/A",2190.4,1]
[2,"Licensed Physician",99367,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",99367,"N/A",1961.55,1]
[2,"Licensed Physician",99415,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",99415,"N/A",1961.55,1]
[2,"Licensed Physician",99416,"N/A",980.78,1,true,true,true,true,true,2,"Licensed Physician",99416,"N/A",980.78,1]
[2,"Licensed Physician",99417,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",99417,"N/A",490.39,1]
[2,"Licensed Physician",99418,"N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician",99418,"N/A",490.39,1]
[2,"Licensed Physician",99441,"N/A",261.54000000000002,1,true,true,true,true,true,2,"Licensed Physician",99441,"N/A",261.54000000000002,1]
[2,"Licensed Physician",99442,"N/A",523.08000000000004,1,true,true,true,true,true,2,"Licensed Physician",99442,"N/A",523.08000000000004,1]
[2,"Licensed Physician",99443,"N/A",850.01,1,true,true,true,true,true,2,"Licensed Physician",99443,"N/A",850.01,1]
[2,"Licensed Physician",99451,"N/A",588.47,1,true,true,true,true,true,2,"Licensed Physician",99451,"N/A",588.47,1]
[2,"Licensed Physician",99484,"N/A",1961.55,1,true,true,true,true,true,2,"Licensed Physician",99484,"N/A",1961.55,1]
[2,"Licensed Physician","G0316","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","G0316","N/A",490.39,1]
[2,"Licensed Physician","G0539","N/A",751.93,1,true,true,true,true,true,2,"Licensed Physician","G0539","N/A",751.93,1]
[2,"Licensed Physician","G0540","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","G0540","N/A",490.39,1]
[2,"Licensed Physician","G0541","N/A",751.93,1,true,true,true,true,true,2,"Licensed Physician","G0541","N/A",751.93,1]
[2,"Licensed Physician","G0542","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","G0542","N/A",490.39,1]
[2,"Licensed Physician","G0543","N/A",326.93,1,true,true,true,true,true,2,"Licensed Physician","G0543","N/A",326.93,1]
[2,"Licensed Physician","H0033","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H0033","N/A",490.39,1]
[2,"Licensed Physician","H0034","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H0034","N/A",490.39,1]
[2,"Licensed Physician","H0034","HQ",108.98,1,true,true,true,true,true,2,"Licensed Physician","H0034","HQ",108.98,1]
[2,"Licensed Physician","H0036","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H0036","N/A",490.39,1]
[2,"Licensed Physician","H2000","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H2000","N/A",490.39,1]
[2,"Licensed Physician","H2011","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H2011","N/A",490.39,1]
[2,"Licensed Physician","H2017","N/A",490.39,1,{"$f":"EXACT(A1347,L1347)","v":true},{"$f":"EXACT(B1347,M1347)","v":true},{"$f":"EXACT(C1347,N1347)","v":true},{"$f":"EXACT(D1347,O1347)","v":true},true,2,"Licensed Physician","H2017","N/A",490.39,1]
[2,"Licensed Physician","H2017","HQ",108.98,1,true,true,true,true,{"$f":"EXACT(E1348,P1348)","v":true},2,"Licensed Physician","H2017","HQ",108.98,1]
[2,"Licensed Physician","H2019","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H2019","N/A",490.39,1]
[2,"Licensed Physician","H2021","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","H2021","N/A",490.39,1]
[2,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,2,"Licensed Physician","T1013","N/A",31.88,1]
[2,"Licensed Physician","T1017","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","T1017","N/A",490.39,{"$f":"IF(N1352=\"G0323\",9,1)","v":1}]
[2,"Licensed Physician","T2021","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","T2021","N/A",490.39,1]
[2,"Licensed Physician","T2021","HQ",108.98,1,true,true,true,true,true,2,"Licensed Physician","T2021","HQ",108.98,1]
[2,"Licensed Physician","T2021",22,493.4,1,true,true,true,true,true,2,"Licensed Physician","T2021",22,493.4,1]
[2,"Licensed Physician","T2024","N/A",490.39,1,true,true,true,true,true,2,"Licensed Physician","T2024","N/A",490.39,1]
[2,"Licensed Psychiatric Technician",90785,"N/A",18.89,{"$f":"IF(AND(B1357=\"Peer Support Specialists\",C1357=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[2,"Licensed Psychiatric Technician",96138,"N/A",179.41,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96138,"N/A",179.41,1]
[2,"Licensed Psychiatric Technician",96139,"N/A",179.41,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96139,"N/A",179.41,1]
[2,"Licensed Psychiatric Technician",96202,"N/A",79.739999999999995,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96202,"N/A",79.739999999999995,1]
[2,"Licensed Psychiatric Technician",96203,"N/A",19.93,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96203,"N/A",19.93,1]
[2,"Licensed Psychiatric Technician",96365,"N/A",275.10000000000002,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96365,"N/A",275.10000000000002,1]
[2,"Licensed Psychiatric Technician",96366,"N/A",269.12,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96366,"N/A",269.12,1]
[2,"Licensed Psychiatric Technician",96367,"N/A",185.39,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96367,"N/A",185.39,1]
[2,"Licensed Psychiatric Technician",96368,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96368,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96369,"N/A",227.25,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96369,"N/A",227.25,1]
[2,"Licensed Psychiatric Technician",96370,"N/A",269.12,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96370,"N/A",269.12,1]
[2,"Licensed Psychiatric Technician",96371,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96371,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96372,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96372,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96373,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96373,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96374,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96374,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96375,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96375,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96376,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96376,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",96377,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",96377,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",97550,"N/A",137.55000000000001,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",97550,"N/A",137.55000000000001,1]
[2,"Licensed Psychiatric Technician",97551,"N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",97551,"N/A",89.71,1]
[2,"Licensed Psychiatric Technician",97552,"N/A",59.8,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",97552,"N/A",59.8,1]
[2,"Licensed Psychiatric Technician",99484,"N/A",358.82,1,true,true,true,true,true,2,"Licensed Psychiatric Technician",99484,"N/A",358.82,1]
[2,"Licensed Psychiatric Technician","G0539","N/A",137.55000000000001,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","G0539","N/A",137.55000000000001,1]
[2,"Licensed Psychiatric Technician","G0540","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","G0540","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","G0541","N/A",137.55000000000001,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","G0541","N/A",137.55000000000001,1]
[2,"Licensed Psychiatric Technician","G0542","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","G0542","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","G0543","N/A",59.8,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","G0543","N/A",59.8,1]
[2,"Licensed Psychiatric Technician","H0031","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H0031","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H0032","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H0032","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H0033","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H0033","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H0034","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H0034","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H0034","HQ",19.93,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H0034","HQ",19.93,1]
[2,"Licensed Psychiatric Technician","H2000","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2000","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H2011","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2011","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H2017","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2017","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H2017","HQ",19.93,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2017","HQ",19.93,1]
[2,"Licensed Psychiatric Technician","H2019","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2019","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","H2021","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","H2021","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","T1001","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","T1001","N/A",89.71,1]
[2,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[2,"Licensed Psychiatric Technician","T1017","N/A",89.71,1,true,true,true,true,true,2,"Licensed Psychiatric Technician","T1017","N/A",89.71,1]
[2,"Licensed Vocational Nurse",90785,"N/A",18.89,1,true,true,true,true,true,2,"Licensed Vocational Nurse",90785,"N/A",18.89,1]
[2,"Licensed Vocational Nurse",96161,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96161,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96202,"N/A",93.01,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96202,"N/A",93.01,1]
[2,"Licensed Vocational Nurse",96203,"N/A",23.25,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96203,"N/A",23.25,1]
[2,"Licensed Vocational Nurse",96365,"N/A",320.89999999999998,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96365,"N/A",320.89999999999998,1]
[2,"Licensed Vocational Nurse",96366,"N/A",313.92,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96366,"N/A",313.92,1]
[2,"Licensed Vocational Nurse",96367,"N/A",216.26,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96367,"N/A",216.26,1]
[2,"Licensed Vocational Nurse",96368,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96368,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96369,"N/A",265.08999999999997,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96369,"N/A",265.08999999999997,1]
[2,"Licensed Vocational Nurse",96370,"N/A",313.92,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96370,"N/A",313.92,1]
[2,"Licensed Vocational Nurse",96371,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96371,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96372,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96372,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96373,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96373,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96374,"N/A",104.64,1,{"$f":"EXACT(A1411,L1411)","v":true},{"$f":"EXACT(B1411,M1411)","v":true},{"$f":"EXACT(C1411,N1411)","v":true},{"$f":"EXACT(D1411,O1411)","v":true},true,2,"Licensed Vocational Nurse",96374,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96375,"N/A",104.64,1,true,true,true,true,{"$f":"EXACT(E1412,P1412)","v":true},2,"Licensed Vocational Nurse",96375,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96376,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96376,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",96377,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",96377,"N/A",104.64,1]
[2,"Licensed Vocational Nurse",97550,"N/A",160.44999999999999,1,true,true,true,true,true,2,"Licensed Vocational Nurse",97550,"N/A",160.44999999999999,1]
[2,"Licensed Vocational Nurse",97551,"N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse",97551,"N/A",104.64,{"$f":"IF(N1416=\"G0323\",9,1)","v":1}]
[2,"Licensed Vocational Nurse",97552,"N/A",69.760000000000005,1,true,true,true,true,true,2,"Licensed Vocational Nurse",97552,"N/A",69.760000000000005,1]
[2,"Licensed Vocational Nurse",99484,"N/A",418.56,1,true,true,true,true,true,2,"Licensed Vocational Nurse",99484,"N/A",418.56,1]
[2,"Licensed Vocational Nurse","G0539","N/A",160.44999999999999,1,true,true,true,true,true,2,"Licensed Vocational Nurse","G0539","N/A",160.44999999999999,1]
[2,"Licensed Vocational Nurse","G0540","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","G0540","N/A",104.64,1]
[2,"Licensed Vocational Nurse","G0541","N/A",160.44999999999999,{"$f":"IF(AND(B1421=\"Peer Support Specialists\",C1421=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Licensed Vocational Nurse","G0541","N/A",160.44999999999999,1]
[2,"Licensed Vocational Nurse","G0542","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","G0542","N/A",104.64,1]
[2,"Licensed Vocational Nurse","G0543","N/A",69.760000000000005,1,true,true,true,true,true,2,"Licensed Vocational Nurse","G0543","N/A",69.760000000000005,1]
[2,"Licensed Vocational Nurse","H0031","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H0031","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H0032","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H0032","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H0033","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H0033","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H0034","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H0034","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H0034","HQ",23.25,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H0034","HQ",23.25,1]
[2,"Licensed Vocational Nurse","H2000","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2000","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H2011","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2011","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H2017","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2017","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H2017","HQ",23.25,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2017","HQ",23.25,1]
[2,"Licensed Vocational Nurse","H2019","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2019","N/A",104.64,1]
[2,"Licensed Vocational Nurse","H2021","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","H2021","N/A",104.64,1]
[2,"Licensed Vocational Nurse","T1001","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","T1001","N/A",104.64,1]
[2,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,2,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[2,"Licensed Vocational Nurse","T1017","N/A",104.64,1,true,true,true,true,true,2,"Licensed Vocational Nurse","T1017","N/A",104.64,1]
[2,"Medical Assistant",90785,"N/A",18.89,1,true,true,true,true,true,2,"Medical Assistant",90785,"N/A",18.89,1]
[2,"Medical Assistant",96110,"N/A",287.72000000000003,1,true,true,true,true,true,2,"Medical Assistant",96110,"N/A",287.72000000000003,1]
[2,"Medical Assistant",96127,"N/A",287.72000000000003,1,true,true,true,true,true,2,"Medical Assistant",96127,"N/A",287.72000000000003,1]
[2,"Medical Assistant",96161,"N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant",96161,"N/A",71.930000000000007,1]
[2,"Medical Assistant",96369,"N/A",182.22,1,true,true,true,true,true,2,"Medical Assistant",96369,"N/A",182.22,1]
[2,"Medical Assistant",96370,"N/A",215.79,1,true,true,true,true,true,2,"Medical Assistant",96370,"N/A",215.79,1]
[2,"Medical Assistant",96371,"N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant",96371,"N/A",71.930000000000007,1]
[2,"Medical Assistant",96372,"N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant",96372,"N/A",71.930000000000007,1]
[2,"Medical Assistant",99366,"N/A",287.72000000000003,1,true,true,true,true,true,2,"Medical Assistant",99366,"N/A",287.72000000000003,1]
[2,"Medical Assistant",99368,"N/A",287.72000000000003,1,true,true,true,true,true,2,"Medical Assistant",99368,"N/A",287.72000000000003,1]
[2,"Medical Assistant",99484,"N/A",287.72000000000003,1,true,true,true,true,true,2,"Medical Assistant",99484,"N/A",287.72000000000003,1]
[2,"Medical Assistant","H0034","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","H0034","N/A",71.930000000000007,1]
[2,"Medical Assistant","H0034","HQ",15.98,1,true,true,true,true,true,2,"Medical Assistant","H0034","HQ",15.98,1]
[2,"Medical Assistant","H2000","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","H2000","N/A",71.930000000000007,1]
[2,"Medical Assistant","H2017","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","H2017","N/A",71.930000000000007,1]
[2,"Medical Assistant","H2017","HQ",15.98,1,true,true,true,true,true,2,"Medical Assistant","H2017","HQ",15.98,1]
[2,"Medical Assistant","H2019","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","H2019","N/A",71.930000000000007,1]
[2,"Medical Assistant","H2021","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","H2021","N/A",71.930000000000007,1]
[2,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,2,"Medical Assistant","T1013","N/A",31.88,1]
[2,"Medical Assistant","T1017","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","T1017","N/A",71.930000000000007,1]
[2,"Medical Assistant","T2024","N/A",71.930000000000007,1,true,true,true,true,true,2,"Medical Assistant","T2024","N/A",71.930000000000007,1]
[2,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1]
[2,"Mental Health Rehabilitation Specialist","H0031","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H0031","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H0032","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H0032","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H0033","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H0033","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H0034","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H0034","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H0034","HQ",21.34,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H0034","HQ",21.34,1]
[2,"Mental Health Rehabilitation Specialist","H2000","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2000","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H2011","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2011","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H2017","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2017","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H2017","HQ",21.34,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2017","HQ",21.34,1]
[2,"Mental Health Rehabilitation Specialist","H2019","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2019","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","H2021","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","H2021","N/A",96.02,1]
[2,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1]
[2,"Mental Health Rehabilitation Specialist","T1017","N/A",96.02,1,true,true,true,true,true,2,"Mental Health Rehabilitation Specialist","T1017","N/A",96.02,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",255.25,1,{"$f":"EXACT(A1475,L1475)","v":true},{"$f":"EXACT(B1475,M1475)","v":true},{"$f":"EXACT(C1475,N1475)","v":true},{"$f":"EXACT(D1475,O1475)","v":true},true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",255.25,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,258.26,1,true,true,true,true,{"$f":"EXACT(E1476,P1476)","v":true},2,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,258.26,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",382.88,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",382.88,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,385.89,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,385.89,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,513.51,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,513.51,{"$f":"IF(N1480=\"G0323\",9,1)","v":1}]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",255.25,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",255.25,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",382.88,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",382.88,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",425.42,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",425.42,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",158.82,{"$f":"IF(AND(B1485=\"Peer Support Specialists\",C1485=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",158.82,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",94.54,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",94.54,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",425.42,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",425.42,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96116,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96116,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96127,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96127,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",113.44,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",113.44,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",28.36,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",28.36,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",195.69,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",195.69,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",85.08,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",85.08,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",68.069999999999993,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",68.069999999999993,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",136.13,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",136.13,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",221.22,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",221.22,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",510.5,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",510.5,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",195.69,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",195.69,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",195.69,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",195.69,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",85.08,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",85.08,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",28.36,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",28.36,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",127.63,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",28.36,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",28.36,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,130.63999999999999,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,130.63999999999999,1]
[2,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",127.63,1,true,true,true,true,true,2,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",127.63,1]
[2,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,2,"Nurse Practitioner",90785,"N/A",18.89,1]
[2,"Nurse Practitioner",90791,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90791,"N/A",975.43,1]
[2,"Nurse Practitioner",90792,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90792,"N/A",975.43,1]
[2,"Nurse Practitioner",90832,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",90832,"N/A",487.72,1]
[2,"Nurse Practitioner",90832,22,490.73,1,true,true,true,true,true,2,"Nurse Practitioner",90832,22,490.73,1]
[2,"Nurse Practitioner",90833,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",90833,"N/A",487.72,1]
[2,"Nurse Practitioner",90833,22,490.73,1,true,true,true,true,true,2,"Nurse Practitioner",90833,22,490.73,1]
[2,"Nurse Practitioner",90834,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",90834,"N/A",731.57,1]
[2,"Nurse Practitioner",90834,22,734.58,1,true,true,true,true,true,2,"Nurse Practitioner",90834,22,734.58,1]
[2,"Nurse Practitioner",90836,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",90836,"N/A",731.57,1]
[2,"Nurse Practitioner",90836,22,734.58,1,true,true,true,true,true,2,"Nurse Practitioner",90836,22,734.58,1]
[2,"Nurse Practitioner",90837,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90837,"N/A",975.43,1]
[2,"Nurse Practitioner",90837,22,978.44,1,{"$f":"EXACT(A1539,L1539)","v":true},{"$f":"EXACT(B1539,M1539)","v":true},{"$f":"EXACT(C1539,N1539)","v":true},{"$f":"EXACT(D1539,O1539)","v":true},true,2,"Nurse Practitioner",90837,22,978.44,1]
[2,"Nurse Practitioner",90838,"N/A",975.43,1,true,true,true,true,{"$f":"EXACT(E1540,P1540)","v":true},2,"Nurse Practitioner",90838,"N/A",975.43,1]
[2,"Nurse Practitioner",90838,22,978.44,1,true,true,true,true,true,2,"Nurse Practitioner",90838,22,978.44,1]
[2,"Nurse Practitioner",90839,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90839,"N/A",975.43,1]
[2,"Nurse Practitioner",90840,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",90840,"N/A",487.72,1]
[2,"Nurse Practitioner",90845,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",90845,"N/A",731.57,{"$f":"IF(N1544=\"G0323\",9,1)","v":1}]
[2,"Nurse Practitioner",90847,"N/A",812.86,1,true,true,true,true,true,2,"Nurse Practitioner",90847,"N/A",812.86,1]
[2,"Nurse Practitioner",90849,"N/A",303.47000000000003,1,true,true,true,true,true,2,"Nurse Practitioner",90849,"N/A",303.47000000000003,1]
[2,"Nurse Practitioner",90853,"N/A",180.64,1,true,true,true,true,true,2,"Nurse Practitioner",90853,"N/A",180.64,1]
[2,"Nurse Practitioner",90865,"N/A",1463.15,1,true,true,true,true,true,2,"Nurse Practitioner",90865,"N/A",1463.15,1]
[2,"Nurse Practitioner",90867,"N/A",975.43,{"$f":"IF(AND(B1549=\"Peer Support Specialists\",C1549=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Nurse Practitioner",90867,"N/A",975.43,1]
[2,"Nurse Practitioner",90868,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",90868,"N/A",243.86,1]
[2,"Nurse Practitioner",90869,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",90869,"N/A",731.57,1]
[2,"Nurse Practitioner",90870,"N/A",325.14,1,true,true,true,true,true,2,"Nurse Practitioner",90870,"N/A",325.14,1]
[2,"Nurse Practitioner",90880,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90880,"N/A",975.43,1]
[2,"Nurse Practitioner",90885,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",90885,"N/A",975.43,1]
[2,"Nurse Practitioner",90887,"N/A",812.86,1,true,true,true,true,true,2,"Nurse Practitioner",90887,"N/A",812.86,1]
[2,"Nurse Practitioner",96105,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96105,"N/A",975.43,1]
[2,"Nurse Practitioner",96110,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96110,"N/A",975.43,1]
[2,"Nurse Practitioner",96112,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96112,"N/A",975.43,1]
[2,"Nurse Practitioner",96113,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",96113,"N/A",487.72,1]
[2,"Nurse Practitioner",96116,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96116,"N/A",975.43,1]
[2,"Nurse Practitioner",96121,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96121,"N/A",975.43,1]
[2,"Nurse Practitioner",96125,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96125,"N/A",975.43,1]
[2,"Nurse Practitioner",96127,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96127,"N/A",975.43,1]
[2,"Nurse Practitioner",96130,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96130,"N/A",975.43,1]
[2,"Nurse Practitioner",96131,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96131,"N/A",975.43,1]
[2,"Nurse Practitioner",96132,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96132,"N/A",975.43,1]
[2,"Nurse Practitioner",96133,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96133,"N/A",975.43,1]
[2,"Nurse Practitioner",96136,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",96136,"N/A",487.72,1]
[2,"Nurse Practitioner",96137,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",96137,"N/A",487.72,1]
[2,"Nurse Practitioner",96146,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",96146,"N/A",975.43,1]
[2,"Nurse Practitioner",96161,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96161,"N/A",243.86,1]
[2,"Nurse Practitioner",96202,"N/A",216.76,1,true,true,true,true,true,2,"Nurse Practitioner",96202,"N/A",216.76,1]
[2,"Nurse Practitioner",96203,"N/A",54.19,1,true,true,true,true,true,2,"Nurse Practitioner",96203,"N/A",54.19,1]
[2,"Nurse Practitioner",96365,"N/A",747.83,1,true,true,true,true,true,2,"Nurse Practitioner",96365,"N/A",747.83,1]
[2,"Nurse Practitioner",96366,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",96366,"N/A",731.57,1]
[2,"Nurse Practitioner",96367,"N/A",503.97,1,true,true,true,true,true,2,"Nurse Practitioner",96367,"N/A",503.97,1]
[2,"Nurse Practitioner",96368,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96368,"N/A",243.86,1]
[2,"Nurse Practitioner",96369,"N/A",617.77,1,true,true,true,true,true,2,"Nurse Practitioner",96369,"N/A",617.77,1]
[2,"Nurse Practitioner",96370,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",96370,"N/A",731.57,1]
[2,"Nurse Practitioner",96371,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96371,"N/A",243.86,1]
[2,"Nurse Practitioner",96372,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96372,"N/A",243.86,1]
[2,"Nurse Practitioner",96373,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96373,"N/A",243.86,1]
[2,"Nurse Practitioner",96374,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96374,"N/A",243.86,1]
[2,"Nurse Practitioner",96375,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96375,"N/A",243.86,1]
[2,"Nurse Practitioner",96376,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96376,"N/A",243.86,1]
[2,"Nurse Practitioner",96377,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",96377,"N/A",243.86,1]
[2,"Nurse Practitioner",97550,"N/A",373.91,1,true,true,true,true,true,2,"Nurse Practitioner",97550,"N/A",373.91,1]
[2,"Nurse Practitioner",97551,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",97551,"N/A",243.86,1]
[2,"Nurse Practitioner",97552,"N/A",162.57,1,true,true,true,true,true,2,"Nurse Practitioner",97552,"N/A",162.57,1]
[2,"Nurse Practitioner",98966,"N/A",130.06,1,true,true,true,true,true,2,"Nurse Practitioner",98966,"N/A",130.06,1]
[2,"Nurse Practitioner",98967,"N/A",260.11,1,true,true,true,true,true,2,"Nurse Practitioner",98967,"N/A",260.11,1]
[2,"Nurse Practitioner",98968,"N/A",422.69,1,true,true,true,true,true,2,"Nurse Practitioner",98968,"N/A",422.69,1]
[2,"Nurse Practitioner",99202,"N/A",357.66,1,true,true,true,true,true,2,"Nurse Practitioner",99202,"N/A",357.66,1]
[2,"Nurse Practitioner",99203,"N/A",601.52,1,true,true,true,true,true,2,"Nurse Practitioner",99203,"N/A",601.52,1]
[2,"Nurse Practitioner",99204,"N/A",845.37,1,true,true,true,true,true,2,"Nurse Practitioner",99204,"N/A",845.37,1]
[2,"Nurse Practitioner",99205,"N/A",1089.23,1,true,true,true,true,true,2,"Nurse Practitioner",99205,"N/A",1089.23,1]
[2,"Nurse Practitioner",99212,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",99212,"N/A",243.86,1]
[2,"Nurse Practitioner",99213,"N/A",406.43,1,true,true,true,true,true,2,"Nurse Practitioner",99213,"N/A",406.43,1]
[2,"Nurse Practitioner",99214,"N/A",569,1,true,true,true,true,true,2,"Nurse Practitioner",99214,"N/A",569,1]
[2,"Nurse Practitioner",99215,"N/A",764.09,1,true,true,true,true,true,2,"Nurse Practitioner",99215,"N/A",764.09,1]
[2,"Nurse Practitioner",99221,"N/A",764.09,1,true,true,true,true,true,2,"Nurse Practitioner",99221,"N/A",764.09,1]
[2,"Nurse Practitioner",99222,"N/A",1056.72,1,true,true,true,true,true,2,"Nurse Practitioner",99222,"N/A",1056.72,1]
[2,"Nurse Practitioner",99223,"N/A",1333.09,1,{"$f":"EXACT(A1603,L1603)","v":true},{"$f":"EXACT(B1603,M1603)","v":true},{"$f":"EXACT(C1603,N1603)","v":true},{"$f":"EXACT(D1603,O1603)","v":true},true,2,"Nurse Practitioner",99223,"N/A",1333.09,1]
[2,"Nurse Practitioner",99231,"N/A",487.72,1,true,true,true,true,{"$f":"EXACT(E1604,P1604)","v":true},2,"Nurse Practitioner",99231,"N/A",487.72,1]
[2,"Nurse Practitioner",99232,"N/A",682.8,1,true,true,true,true,true,2,"Nurse Practitioner",99232,"N/A",682.8,1]
[2,"Nurse Practitioner",99233,"N/A",926.66,1,true,true,true,true,true,2,"Nurse Practitioner",99233,"N/A",926.66,1]
[2,"Nurse Practitioner",99234,"N/A",926.66,1,true,true,true,true,true,2,"Nurse Practitioner",99234,"N/A",926.66,1]
[2,"Nurse Practitioner",99235,"N/A",1251.8,1,true,true,true,true,true,2,"Nurse Practitioner",99235,"N/A",1251.8,{"$f":"IF(N1608=\"G0323\",9,1)","v":1}]
[2,"Nurse Practitioner",99236,"N/A",1495.66,1,true,true,true,true,true,2,"Nurse Practitioner",99236,"N/A",1495.66,1]
[2,"Nurse Practitioner",99238,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",99238,"N/A",487.72,1]
[2,"Nurse Practitioner",99239,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",99239,"N/A",975.43,1]
[2,"Nurse Practitioner",99242,"N/A",406.43,1,true,true,true,true,true,2,"Nurse Practitioner",99242,"N/A",406.43,1]
[2,"Nurse Practitioner",99243,"N/A",569,{"$f":"IF(AND(B1613=\"Peer Support Specialists\",C1613=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Nurse Practitioner",99243,"N/A",569,1]
[2,"Nurse Practitioner",99244,"N/A",764.09,1,true,true,true,true,true,2,"Nurse Practitioner",99244,"N/A",764.09,1]
[2,"Nurse Practitioner",99245,"N/A",1007.94,1,true,true,true,true,true,2,"Nurse Practitioner",99245,"N/A",1007.94,1]
[2,"Nurse Practitioner",99252,"N/A",650.29,1,true,true,true,true,true,2,"Nurse Practitioner",99252,"N/A",650.29,1]
[2,"Nurse Practitioner",99253,"N/A",845.37,1,true,true,true,true,true,2,"Nurse Practitioner",99253,"N/A",845.37,1]
[2,"Nurse Practitioner",99254,"N/A",1138,1,true,true,true,true,true,2,"Nurse Practitioner",99254,"N/A",1138,1]
[2,"Nurse Practitioner",99255,"N/A",1414.37,1,true,true,true,true,true,2,"Nurse Practitioner",99255,"N/A",1414.37,1]
[2,"Nurse Practitioner",99304,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",99304,"N/A",487.72,1]
[2,"Nurse Practitioner",99305,"N/A",682.8,1,true,true,true,true,true,2,"Nurse Practitioner",99305,"N/A",682.8,1]
[2,"Nurse Practitioner",99306,"N/A",926.66,1,true,true,true,true,true,2,"Nurse Practitioner",99306,"N/A",926.66,1]
[2,"Nurse Practitioner",99307,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",99307,"N/A",243.86,1]
[2,"Nurse Practitioner",99308,"N/A",406.43,1,true,true,true,true,true,2,"Nurse Practitioner",99308,"N/A",406.43,1]
[2,"Nurse Practitioner",99309,"N/A",601.52,1,true,true,true,true,true,2,"Nurse Practitioner",99309,"N/A",601.52,1]
[2,"Nurse Practitioner",99310,"N/A",845.37,1,true,true,true,true,true,2,"Nurse Practitioner",99310,"N/A",845.37,1]
[2,"Nurse Practitioner",99341,"N/A",357.66,1,true,true,true,true,true,2,"Nurse Practitioner",99341,"N/A",357.66,1]
[2,"Nurse Practitioner",99342,"N/A",731.57,1,true,true,true,true,true,2,"Nurse Practitioner",99342,"N/A",731.57,1]
[2,"Nurse Practitioner",99344,"N/A",1089.23,1,true,true,true,true,true,2,"Nurse Practitioner",99344,"N/A",1089.23,1]
[2,"Nurse Practitioner",99345,"N/A",1333.09,1,true,true,true,true,true,2,"Nurse Practitioner",99345,"N/A",1333.09,1]
[2,"Nurse Practitioner",99347,"N/A",406.43,1,true,true,true,true,true,2,"Nurse Practitioner",99347,"N/A",406.43,1]
[2,"Nurse Practitioner",99348,"N/A",569,1,true,true,true,true,true,2,"Nurse Practitioner",99348,"N/A",569,1]
[2,"Nurse Practitioner",99349,"N/A",812.86,1,true,true,true,true,true,2,"Nurse Practitioner",99349,"N/A",812.86,1]
[2,"Nurse Practitioner",99350,"N/A",1089.23,1,true,true,true,true,true,2,"Nurse Practitioner",99350,"N/A",1089.23,1]
[2,"Nurse Practitioner",99366,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",99366,"N/A",975.43,1]
[2,"Nurse Practitioner",99368,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",99368,"N/A",975.43,1]
[2,"Nurse Practitioner",99415,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",99415,"N/A",975.43,1]
[2,"Nurse Practitioner",99416,"N/A",487.72,1,true,true,true,true,true,2,"Nurse Practitioner",99416,"N/A",487.72,1]
[2,"Nurse Practitioner",99417,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",99417,"N/A",243.86,1]
[2,"Nurse Practitioner",99418,"N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner",99418,"N/A",243.86,1]
[2,"Nurse Practitioner",99441,"N/A",130.06,1,true,true,true,true,true,2,"Nurse Practitioner",99441,"N/A",130.06,1]
[2,"Nurse Practitioner",99442,"N/A",260.11,1,true,true,true,true,true,2,"Nurse Practitioner",99442,"N/A",260.11,1]
[2,"Nurse Practitioner",99443,"N/A",422.69,1,true,true,true,true,true,2,"Nurse Practitioner",99443,"N/A",422.69,1]
[2,"Nurse Practitioner",99484,"N/A",975.43,1,true,true,true,true,true,2,"Nurse Practitioner",99484,"N/A",975.43,1]
[2,"Nurse Practitioner","G0316","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","G0316","N/A",243.86,1]
[2,"Nurse Practitioner","G0539","N/A",373.91,1,true,true,true,true,true,2,"Nurse Practitioner","G0539","N/A",373.91,1]
[2,"Nurse Practitioner","G0540","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","G0540","N/A",243.86,1]
[2,"Nurse Practitioner","G0541","N/A",373.91,1,true,true,true,true,true,2,"Nurse Practitioner","G0541","N/A",373.91,1]
[2,"Nurse Practitioner","G0542","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","G0542","N/A",243.86,1]
[2,"Nurse Practitioner","G0543","N/A",162.57,1,true,true,true,true,true,2,"Nurse Practitioner","G0543","N/A",162.57,1]
[2,"Nurse Practitioner","H0031","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H0031","N/A",243.86,1]
[2,"Nurse Practitioner","H0032","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H0032","N/A",243.86,1]
[2,"Nurse Practitioner","H0033","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H0033","N/A",243.86,1]
[2,"Nurse Practitioner","H0034","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H0034","N/A",243.86,1]
[2,"Nurse Practitioner","H0034","HQ",54.19,1,true,true,true,true,true,2,"Nurse Practitioner","H0034","HQ",54.19,1]
[2,"Nurse Practitioner","H0036","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H0036","N/A",243.86,1]
[2,"Nurse Practitioner","H2000","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H2000","N/A",243.86,1]
[2,"Nurse Practitioner","H2011","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H2011","N/A",243.86,1]
[2,"Nurse Practitioner","H2017","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H2017","N/A",243.86,1]
[2,"Nurse Practitioner","H2017","HQ",54.19,1,true,true,true,true,true,2,"Nurse Practitioner","H2017","HQ",54.19,1]
[2,"Nurse Practitioner","H2019","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H2019","N/A",243.86,1]
[2,"Nurse Practitioner","H2021","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","H2021","N/A",243.86,1]
[2,"Nurse Practitioner","T1001","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","T1001","N/A",243.86,1]
[2,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,2,"Nurse Practitioner","T1013","N/A",31.88,1]
[2,"Nurse Practitioner","T1017","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","T1017","N/A",243.86,1]
[2,"Nurse Practitioner","T2021","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","T2021","N/A",243.86,1]
[2,"Nurse Practitioner","T2021","HQ",54.19,1,{"$f":"EXACT(A1667,L1667)","v":true},{"$f":"EXACT(B1667,M1667)","v":true},{"$f":"EXACT(C1667,N1667)","v":true},{"$f":"EXACT(D1667,O1667)","v":true},true,2,"Nurse Practitioner","T2021","HQ",54.19,1]
[2,"Nurse Practitioner","T2021",22,246.87,1,true,true,true,true,{"$f":"EXACT(E1668,P1668)","v":true},2,"Nurse Practitioner","T2021",22,246.87,1]
[2,"Nurse Practitioner","T2024","N/A",243.86,1,true,true,true,true,true,2,"Nurse Practitioner","T2024","N/A",243.86,1]
[2,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,2,"Occupational Therapist",90785,"N/A",18.89,1]
[2,"Occupational Therapist",90887,"N/A",566.29,1,true,true,true,true,true,2,"Occupational Therapist",90887,"N/A",566.29,1]
[2,"Occupational Therapist",96110,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",96110,"N/A",679.55,{"$f":"IF(N1672=\"G0323\",9,1)","v":1}]
[2,"Occupational Therapist",96112,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",96112,"N/A",679.55,1]
[2,"Occupational Therapist",96113,"N/A",339.78,1,true,true,true,true,true,2,"Occupational Therapist",96113,"N/A",339.78,1]
[2,"Occupational Therapist",96125,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",96125,"N/A",679.55,1]
[2,"Occupational Therapist",96127,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",96127,"N/A",679.55,1]
[2,"Occupational Therapist",96161,"N/A",169.89,{"$f":"IF(AND(B1677=\"Peer Support Specialists\",C1677=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Occupational Therapist",96161,"N/A",169.89,1]
[2,"Occupational Therapist",96202,"N/A",151.01,1,true,true,true,true,true,2,"Occupational Therapist",96202,"N/A",151.01,1]
[2,"Occupational Therapist",96203,"N/A",37.75,1,true,true,true,true,true,2,"Occupational Therapist",96203,"N/A",37.75,1]
[2,"Occupational Therapist",97550,"N/A",260.49,1,true,true,true,true,true,2,"Occupational Therapist",97550,"N/A",260.49,1]
[2,"Occupational Therapist",97551,"N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist",97551,"N/A",169.89,1]
[2,"Occupational Therapist",97552,"N/A",113.26,1,true,true,true,true,true,2,"Occupational Therapist",97552,"N/A",113.26,1]
[2,"Occupational Therapist",99366,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",99366,"N/A",679.55,1]
[2,"Occupational Therapist",99368,"N/A",679.55,1,true,true,true,true,true,2,"Occupational Therapist",99368,"N/A",679.55,1]
[2,"Occupational Therapist","G0539","N/A",260.49,1,true,true,true,true,true,2,"Occupational Therapist","G0539","N/A",260.49,1]
[2,"Occupational Therapist","G0540","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","G0540","N/A",169.89,1]
[2,"Occupational Therapist","G0541","N/A",260.49,1,true,true,true,true,true,2,"Occupational Therapist","G0541","N/A",260.49,1]
[2,"Occupational Therapist","G0542","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","G0542","N/A",169.89,1]
[2,"Occupational Therapist","G0543","N/A",113.26,1,true,true,true,true,true,2,"Occupational Therapist","G0543","N/A",113.26,1]
[2,"Occupational Therapist","H0031","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H0031","N/A",169.89,1]
[2,"Occupational Therapist","H0032","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H0032","N/A",169.89,1]
[2,"Occupational Therapist","H0033","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H0033","N/A",169.89,1]
[2,"Occupational Therapist","H2000","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H2000","N/A",169.89,1]
[2,"Occupational Therapist","H2011","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H2011","N/A",169.89,1]
[2,"Occupational Therapist","H2017","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H2017","N/A",169.89,1]
[2,"Occupational Therapist","H2017","HQ",37.75,1,true,true,true,true,true,2,"Occupational Therapist","H2017","HQ",37.75,1]
[2,"Occupational Therapist","H2019","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H2019","N/A",169.89,1]
[2,"Occupational Therapist","H2021","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","H2021","N/A",169.89,1]
[2,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,2,"Occupational Therapist","T1013","N/A",31.88,1]
[2,"Occupational Therapist","T1017","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","T1017","N/A",169.89,1]
[2,"Occupational Therapist","T2024","N/A",169.89,1,true,true,true,true,true,2,"Occupational Therapist","T2024","N/A",169.89,1]
[2,"Other Qualified Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,2,"Other Qualified Practitioner",90785,"N/A",18.89,1]
[2,"Other Qualified Practitioner","H0031","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H0031","N/A",96.02,1]
[2,"Other Qualified Practitioner","H0032","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H0032","N/A",96.02,1]
[2,"Other Qualified Practitioner","H0033","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H0033","N/A",96.02,1]
[2,"Other Qualified Practitioner","H0034","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H0034","N/A",96.02,1]
[2,"Other Qualified Practitioner","H0034","HQ",21.34,1,true,true,true,true,true,2,"Other Qualified Practitioner","H0034","HQ",21.34,1]
[2,"Other Qualified Practitioner","H2000","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2000","N/A",96.02,1]
[2,"Other Qualified Practitioner","H2011","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2011","N/A",96.02,1]
[2,"Other Qualified Practitioner","H2017","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2017","N/A",96.02,1]
[2,"Other Qualified Practitioner","H2017","HQ",21.34,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2017","HQ",21.34,1]
[2,"Other Qualified Practitioner","H2019","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2019","N/A",96.02,1]
[2,"Other Qualified Practitioner","H2021","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","H2021","N/A",96.02,1]
[2,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,2,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[2,"Other Qualified Practitioner","T1017","N/A",96.02,1,true,true,true,true,true,2,"Other Qualified Practitioner","T1017","N/A",96.02,1]
[2,"Peer Support Specialists","H0025","N/A",22.4,1,true,true,true,true,true,2,"Peer Support Specialists","H0025","N/A",22.4,1]
[2,"Peer Support Specialists","H0038","N/A",100.82,1,true,true,true,true,true,2,"Peer Support Specialists","H0038","N/A",100.82,1]
[2,"Physician Assistant",90785,"N/A",18.89,1,true,true,true,true,true,2,"Physician Assistant",90785,"N/A",18.89,1]
[2,"Physician Assistant",90791,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90791,"N/A",879.74,1]
[2,"Physician Assistant",90792,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90792,"N/A",879.74,1]
[2,"Physician Assistant",90832,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",90832,"N/A",439.87,1]
[2,"Physician Assistant",90832,22,442.88,1,true,true,true,true,true,2,"Physician Assistant",90832,22,442.88,1]
[2,"Physician Assistant",90833,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",90833,"N/A",439.87,1]
[2,"Physician Assistant",90833,22,442.88,1,true,true,true,true,true,2,"Physician Assistant",90833,22,442.88,1]
[2,"Physician Assistant",90834,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",90834,"N/A",659.81,1]
[2,"Physician Assistant",90834,22,662.82,1,true,true,true,true,true,2,"Physician Assistant",90834,22,662.82,1]
[2,"Physician Assistant",90836,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",90836,"N/A",659.81,1]
[2,"Physician Assistant",90836,22,662.82,1,true,true,true,true,true,2,"Physician Assistant",90836,22,662.82,1]
[2,"Physician Assistant",90837,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90837,"N/A",879.74,1]
[2,"Physician Assistant",90837,22,882.75,1,true,true,true,true,true,2,"Physician Assistant",90837,22,882.75,1]
[2,"Physician Assistant",90838,"N/A",879.74,1,{"$f":"EXACT(A1731,L1731)","v":true},{"$f":"EXACT(B1731,M1731)","v":true},{"$f":"EXACT(C1731,N1731)","v":true},{"$f":"EXACT(D1731,O1731)","v":true},true,2,"Physician Assistant",90838,"N/A",879.74,1]
[2,"Physician Assistant",90838,22,882.75,1,true,true,true,true,{"$f":"EXACT(E1732,P1732)","v":true},2,"Physician Assistant",90838,22,882.75,1]
[2,"Physician Assistant",90839,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90839,"N/A",879.74,1]
[2,"Physician Assistant",90840,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",90840,"N/A",439.87,1]
[2,"Physician Assistant",90845,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",90845,"N/A",659.81,1]
[2,"Physician Assistant",90847,"N/A",733.12,1,true,true,true,true,true,2,"Physician Assistant",90847,"N/A",733.12,{"$f":"IF(N1736=\"G0323\",9,1)","v":1}]
[2,"Physician Assistant",90849,"N/A",273.7,1,true,true,true,true,true,2,"Physician Assistant",90849,"N/A",273.7,1]
[2,"Physician Assistant",90853,"N/A",162.91,1,true,true,true,true,true,2,"Physician Assistant",90853,"N/A",162.91,1]
[2,"Physician Assistant",90865,"N/A",1319.61,1,true,true,true,true,true,2,"Physician Assistant",90865,"N/A",1319.61,1]
[2,"Physician Assistant",90867,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90867,"N/A",879.74,1]
[2,"Physician Assistant",90868,"N/A",219.94,{"$f":"IF(AND(B1741=\"Peer Support Specialists\",C1741=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Physician Assistant",90868,"N/A",219.94,1]
[2,"Physician Assistant",90869,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",90869,"N/A",659.81,1]
[2,"Physician Assistant",90870,"N/A",293.25,1,true,true,true,true,true,2,"Physician Assistant",90870,"N/A",293.25,1]
[2,"Physician Assistant",90880,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90880,"N/A",879.74,1]
[2,"Physician Assistant",90885,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",90885,"N/A",879.74,1]
[2,"Physician Assistant",90887,"N/A",733.12,1,true,true,true,true,true,2,"Physician Assistant",90887,"N/A",733.12,1]
[2,"Physician Assistant",96105,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96105,"N/A",879.74,1]
[2,"Physician Assistant",96110,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96110,"N/A",879.74,1]
[2,"Physician Assistant",96112,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96112,"N/A",879.74,1]
[2,"Physician Assistant",96113,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",96113,"N/A",439.87,1]
[2,"Physician Assistant",96116,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96116,"N/A",879.74,1]
[2,"Physician Assistant",96121,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96121,"N/A",879.74,1]
[2,"Physician Assistant",96125,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96125,"N/A",879.74,1]
[2,"Physician Assistant",96127,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96127,"N/A",879.74,1]
[2,"Physician Assistant",96130,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96130,"N/A",879.74,1]
[2,"Physician Assistant",96131,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96131,"N/A",879.74,1]
[2,"Physician Assistant",96132,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96132,"N/A",879.74,1]
[2,"Physician Assistant",96133,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96133,"N/A",879.74,1]
[2,"Physician Assistant",96136,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",96136,"N/A",439.87,1]
[2,"Physician Assistant",96137,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",96137,"N/A",439.87,1]
[2,"Physician Assistant",96146,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",96146,"N/A",879.74,1]
[2,"Physician Assistant",96161,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96161,"N/A",219.94,1]
[2,"Physician Assistant",96202,"N/A",195.5,1,true,true,true,true,true,2,"Physician Assistant",96202,"N/A",195.5,1]
[2,"Physician Assistant",96203,"N/A",48.87,1,true,true,true,true,true,2,"Physician Assistant",96203,"N/A",48.87,1]
[2,"Physician Assistant",96365,"N/A",674.47,1,true,true,true,true,true,2,"Physician Assistant",96365,"N/A",674.47,1]
[2,"Physician Assistant",96366,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",96366,"N/A",659.81,1]
[2,"Physician Assistant",96367,"N/A",454.53,1,true,true,true,true,true,2,"Physician Assistant",96367,"N/A",454.53,1]
[2,"Physician Assistant",96368,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96368,"N/A",219.94,1]
[2,"Physician Assistant",96369,"N/A",557.16999999999996,1,true,true,true,true,true,2,"Physician Assistant",96369,"N/A",557.16999999999996,1]
[2,"Physician Assistant",96370,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",96370,"N/A",659.81,1]
[2,"Physician Assistant",96371,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96371,"N/A",219.94,1]
[2,"Physician Assistant",96372,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96372,"N/A",219.94,1]
[2,"Physician Assistant",96373,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96373,"N/A",219.94,1]
[2,"Physician Assistant",96374,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96374,"N/A",219.94,1]
[2,"Physician Assistant",96375,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96375,"N/A",219.94,1]
[2,"Physician Assistant",96376,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96376,"N/A",219.94,1]
[2,"Physician Assistant",96377,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",96377,"N/A",219.94,1]
[2,"Physician Assistant",97550,"N/A",337.23,1,true,true,true,true,true,2,"Physician Assistant",97550,"N/A",337.23,1]
[2,"Physician Assistant",97551,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",97551,"N/A",219.94,1]
[2,"Physician Assistant",97552,"N/A",146.62,1,true,true,true,true,true,2,"Physician Assistant",97552,"N/A",146.62,1]
[2,"Physician Assistant",98966,"N/A",117.3,1,true,true,true,true,true,2,"Physician Assistant",98966,"N/A",117.3,1]
[2,"Physician Assistant",98967,"N/A",234.6,1,true,true,true,true,true,2,"Physician Assistant",98967,"N/A",234.6,1]
[2,"Physician Assistant",98968,"N/A",381.22,1,true,true,true,true,true,2,"Physician Assistant",98968,"N/A",381.22,1]
[2,"Physician Assistant",99202,"N/A",322.57,1,true,true,true,true,true,2,"Physician Assistant",99202,"N/A",322.57,1]
[2,"Physician Assistant",99203,"N/A",542.51,1,true,true,true,true,true,2,"Physician Assistant",99203,"N/A",542.51,1]
[2,"Physician Assistant",99204,"N/A",762.44,1,true,true,true,true,true,2,"Physician Assistant",99204,"N/A",762.44,1]
[2,"Physician Assistant",99205,"N/A",982.38,1,true,true,true,true,true,2,"Physician Assistant",99205,"N/A",982.38,1]
[2,"Physician Assistant",99212,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",99212,"N/A",219.94,1]
[2,"Physician Assistant",99213,"N/A",366.56,1,true,true,true,true,true,2,"Physician Assistant",99213,"N/A",366.56,1]
[2,"Physician Assistant",99214,"N/A",513.17999999999995,1,true,true,true,true,true,2,"Physician Assistant",99214,"N/A",513.17999999999995,1]
[2,"Physician Assistant",99215,"N/A",689.13,1,true,true,true,true,true,2,"Physician Assistant",99215,"N/A",689.13,1]
[2,"Physician Assistant",99221,"N/A",689.13,1,true,true,true,true,true,2,"Physician Assistant",99221,"N/A",689.13,1]
[2,"Physician Assistant",99222,"N/A",953.05,1,true,true,true,true,true,2,"Physician Assistant",99222,"N/A",953.05,1]
[2,"Physician Assistant",99223,"N/A",1202.31,1,true,true,true,true,true,2,"Physician Assistant",99223,"N/A",1202.31,1]
[2,"Physician Assistant",99231,"N/A",439.87,1,{"$f":"EXACT(A1795,L1795)","v":true},{"$f":"EXACT(B1795,M1795)","v":true},{"$f":"EXACT(C1795,N1795)","v":true},{"$f":"EXACT(D1795,O1795)","v":true},true,2,"Physician Assistant",99231,"N/A",439.87,1]
[2,"Physician Assistant",99232,"N/A",615.82000000000005,1,true,true,true,true,{"$f":"EXACT(E1796,P1796)","v":true},2,"Physician Assistant",99232,"N/A",615.82000000000005,1]
[2,"Physician Assistant",99233,"N/A",835.75,1,true,true,true,true,true,2,"Physician Assistant",99233,"N/A",835.75,1]
[2,"Physician Assistant",99234,"N/A",835.75,1,true,true,true,true,true,2,"Physician Assistant",99234,"N/A",835.75,1]
[2,"Physician Assistant",99235,"N/A",1129,1,true,true,true,true,true,2,"Physician Assistant",99235,"N/A",1129,1]
[2,"Physician Assistant",99236,"N/A",1348.93,1,true,true,true,true,true,2,"Physician Assistant",99236,"N/A",1348.93,{"$f":"IF(N1800=\"G0323\",9,1)","v":1}]
[2,"Physician Assistant",99238,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",99238,"N/A",439.87,1]
[2,"Physician Assistant",99239,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",99239,"N/A",879.74,1]
[2,"Physician Assistant",99242,"N/A",366.56,1,true,true,true,true,true,2,"Physician Assistant",99242,"N/A",366.56,1]
[2,"Physician Assistant",99243,"N/A",513.17999999999995,1,true,true,true,true,true,2,"Physician Assistant",99243,"N/A",513.17999999999995,1]
[2,"Physician Assistant",99244,"N/A",689.13,{"$f":"IF(AND(B1805=\"Peer Support Specialists\",C1805=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Physician Assistant",99244,"N/A",689.13,1]
[2,"Physician Assistant",99245,"N/A",909.06,1,true,true,true,true,true,2,"Physician Assistant",99245,"N/A",909.06,1]
[2,"Physician Assistant",99252,"N/A",586.49,1,true,true,true,true,true,2,"Physician Assistant",99252,"N/A",586.49,1]
[2,"Physician Assistant",99253,"N/A",762.44,1,true,true,true,true,true,2,"Physician Assistant",99253,"N/A",762.44,1]
[2,"Physician Assistant",99254,"N/A",1026.3599999999999,1,true,true,true,true,true,2,"Physician Assistant",99254,"N/A",1026.3599999999999,1]
[2,"Physician Assistant",99255,"N/A",1275.6199999999999,1,true,true,true,true,true,2,"Physician Assistant",99255,"N/A",1275.6199999999999,1]
[2,"Physician Assistant",99304,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",99304,"N/A",439.87,1]
[2,"Physician Assistant",99305,"N/A",615.82000000000005,1,true,true,true,true,true,2,"Physician Assistant",99305,"N/A",615.82000000000005,1]
[2,"Physician Assistant",99306,"N/A",835.75,1,true,true,true,true,true,2,"Physician Assistant",99306,"N/A",835.75,1]
[2,"Physician Assistant",99307,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",99307,"N/A",219.94,1]
[2,"Physician Assistant",99308,"N/A",366.56,1,true,true,true,true,true,2,"Physician Assistant",99308,"N/A",366.56,1]
[2,"Physician Assistant",99309,"N/A",542.51,1,true,true,true,true,true,2,"Physician Assistant",99309,"N/A",542.51,1]
[2,"Physician Assistant",99310,"N/A",762.44,1,true,true,true,true,true,2,"Physician Assistant",99310,"N/A",762.44,1]
[2,"Physician Assistant",99341,"N/A",322.57,1,true,true,true,true,true,2,"Physician Assistant",99341,"N/A",322.57,1]
[2,"Physician Assistant",99342,"N/A",659.81,1,true,true,true,true,true,2,"Physician Assistant",99342,"N/A",659.81,1]
[2,"Physician Assistant",99344,"N/A",982.38,1,true,true,true,true,true,2,"Physician Assistant",99344,"N/A",982.38,1]
[2,"Physician Assistant",99345,"N/A",1202.31,1,true,true,true,true,true,2,"Physician Assistant",99345,"N/A",1202.31,1]
[2,"Physician Assistant",99347,"N/A",366.56,1,true,true,true,true,true,2,"Physician Assistant",99347,"N/A",366.56,1]
[2,"Physician Assistant",99348,"N/A",513.17999999999995,1,true,true,true,true,true,2,"Physician Assistant",99348,"N/A",513.17999999999995,1]
[2,"Physician Assistant",99349,"N/A",733.12,1,true,true,true,true,true,2,"Physician Assistant",99349,"N/A",733.12,1]
[2,"Physician Assistant",99350,"N/A",982.38,1,true,true,true,true,true,2,"Physician Assistant",99350,"N/A",982.38,1]
[2,"Physician Assistant",99366,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",99366,"N/A",879.74,1]
[2,"Physician Assistant",99368,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",99368,"N/A",879.74,1]
[2,"Physician Assistant",99415,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",99415,"N/A",879.74,1]
[2,"Physician Assistant",99416,"N/A",439.87,1,true,true,true,true,true,2,"Physician Assistant",99416,"N/A",439.87,1]
[2,"Physician Assistant",99417,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",99417,"N/A",219.94,1]
[2,"Physician Assistant",99418,"N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant",99418,"N/A",219.94,1]
[2,"Physician Assistant",99441,"N/A",117.3,1,true,true,true,true,true,2,"Physician Assistant",99441,"N/A",117.3,1]
[2,"Physician Assistant",99442,"N/A",234.6,1,true,true,true,true,true,2,"Physician Assistant",99442,"N/A",234.6,1]
[2,"Physician Assistant",99443,"N/A",381.22,1,true,true,true,true,true,2,"Physician Assistant",99443,"N/A",381.22,1]
[2,"Physician Assistant",99484,"N/A",879.74,1,true,true,true,true,true,2,"Physician Assistant",99484,"N/A",879.74,1]
[2,"Physician Assistant","G0316","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","G0316","N/A",219.94,1]
[2,"Physician Assistant","G0539","N/A",337.23,1,true,true,true,true,true,2,"Physician Assistant","G0539","N/A",337.23,1]
[2,"Physician Assistant","G0540","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","G0540","N/A",219.94,1]
[2,"Physician Assistant","G0541","N/A",337.23,1,true,true,true,true,true,2,"Physician Assistant","G0541","N/A",337.23,1]
[2,"Physician Assistant","G0542","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","G0542","N/A",219.94,1]
[2,"Physician Assistant","G0543","N/A",146.62,1,true,true,true,true,true,2,"Physician Assistant","G0543","N/A",146.62,1]
[2,"Physician Assistant","H0031","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H0031","N/A",219.94,1]
[2,"Physician Assistant","H0032","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H0032","N/A",219.94,1]
[2,"Physician Assistant","H0033","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H0033","N/A",219.94,1]
[2,"Physician Assistant","H0034","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H0034","N/A",219.94,1]
[2,"Physician Assistant","H0034","HQ",48.87,1,true,true,true,true,true,2,"Physician Assistant","H0034","HQ",48.87,1]
[2,"Physician Assistant","H0036","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H0036","N/A",219.94,1]
[2,"Physician Assistant","H2000","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H2000","N/A",219.94,1]
[2,"Physician Assistant","H2011","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H2011","N/A",219.94,1]
[2,"Physician Assistant","H2017","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H2017","N/A",219.94,1]
[2,"Physician Assistant","H2017","HQ",48.87,1,true,true,true,true,true,2,"Physician Assistant","H2017","HQ",48.87,1]
[2,"Physician Assistant","H2019","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H2019","N/A",219.94,1]
[2,"Physician Assistant","H2021","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","H2021","N/A",219.94,1]
[2,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,2,"Physician Assistant","T1013","N/A",31.88,1]
[2,"Physician Assistant","T1017","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","T1017","N/A",219.94,1]
[2,"Physician Assistant","T2021","N/A",219.94,1,true,true,true,true,true,2,"Physician Assistant","T2021","N/A",219.94,1]
[2,"Physician Assistant","T2021","HQ",48.87,1,true,true,true,true,true,2,"Physician Assistant","T2021","HQ",48.87,1]
[2,"Physician Assistant","T2021",22,222.95,1,true,true,true,true,true,2,"Physician Assistant","T2021",22,222.95,1]
[2,"Physician Assistant","T2024","N/A",219.94,1,{"$f":"EXACT(A1859,L1859)","v":true},{"$f":"EXACT(B1859,M1859)","v":true},{"$f":"EXACT(C1859,N1859)","v":true},{"$f":"EXACT(D1859,O1859)","v":true},true,2,"Physician Assistant","T2024","N/A",219.94,1]
[2,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,{"$f":"EXACT(E1860,P1860)","v":true},2,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[2,"Psychologist (Licensed or Waivered)",90791,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90791,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",90832,"N/A",394.44,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90832,"N/A",394.44,1]
[2,"Psychologist (Licensed or Waivered)",90832,22,397.45,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90832,22,397.45,1]
[2,"Psychologist (Licensed or Waivered)",90834,"N/A",591.65,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90834,"N/A",591.65,{"$f":"IF(N1864=\"G0323\",9,1)","v":1}]
[2,"Psychologist (Licensed or Waivered)",90834,22,594.66,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90834,22,594.66,1]
[2,"Psychologist (Licensed or Waivered)",90837,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90837,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",90837,22,791.88,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90837,22,791.88,1]
[2,"Psychologist (Licensed or Waivered)",90839,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90839,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",90840,"N/A",394.44,{"$f":"IF(AND(B1869=\"Peer Support Specialists\",C1869=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90840,"N/A",394.44,1]
[2,"Psychologist (Licensed or Waivered)",90845,"N/A",591.65,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90845,"N/A",591.65,1]
[2,"Psychologist (Licensed or Waivered)",90847,"N/A",657.39,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90847,"N/A",657.39,1]
[2,"Psychologist (Licensed or Waivered)",90849,"N/A",245.43,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90849,"N/A",245.43,1]
[2,"Psychologist (Licensed or Waivered)",90853,"N/A",146.09,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90853,"N/A",146.09,1]
[2,"Psychologist (Licensed or Waivered)",90880,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90880,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",90885,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90885,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",90887,"N/A",657.39,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",90887,"N/A",657.39,1]
[2,"Psychologist (Licensed or Waivered)",96105,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96105,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96110,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96110,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96112,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96112,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96113,"N/A",394.44,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96113,"N/A",394.44,1]
[2,"Psychologist (Licensed or Waivered)",96116,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96116,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96121,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96121,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96125,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96125,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96127,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96127,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96130,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96130,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96131,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96131,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96132,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96132,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96133,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96133,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96136,"N/A",394.44,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96136,"N/A",394.44,1]
[2,"Psychologist (Licensed or Waivered)",96137,"N/A",394.44,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96137,"N/A",394.44,1]
[2,"Psychologist (Licensed or Waivered)",96146,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96146,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",96161,"N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96161,"N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)",96202,"N/A",175.3,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96202,"N/A",175.3,1]
[2,"Psychologist (Licensed or Waivered)",96203,"N/A",43.83,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",96203,"N/A",43.83,1]
[2,"Psychologist (Licensed or Waivered)",97550,"N/A",302.39999999999998,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",97550,"N/A",302.39999999999998,1]
[2,"Psychologist (Licensed or Waivered)",97551,"N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",97551,"N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)",97552,"N/A",131.47999999999999,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",97552,"N/A",131.47999999999999,1]
[2,"Psychologist (Licensed or Waivered)",98966,"N/A",105.18,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",98966,"N/A",105.18,1]
[2,"Psychologist (Licensed or Waivered)",98967,"N/A",210.37,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",98967,"N/A",210.37,1]
[2,"Psychologist (Licensed or Waivered)",98968,"N/A",341.84,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",98968,"N/A",341.84,1]
[2,"Psychologist (Licensed or Waivered)",99366,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",99366,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",99368,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",99368,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)",99484,"N/A",788.87,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)",99484,"N/A",788.87,1]
[2,"Psychologist (Licensed or Waivered)","G0539","N/A",302.39999999999998,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","G0539","N/A",302.39999999999998,1]
[2,"Psychologist (Licensed or Waivered)","G0540","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","G0540","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","G0541","N/A",302.39999999999998,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","G0541","N/A",302.39999999999998,1]
[2,"Psychologist (Licensed or Waivered)","G0542","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","G0542","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","G0543","N/A",131.47999999999999,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","G0543","N/A",131.47999999999999,1]
[2,"Psychologist (Licensed or Waivered)","H0031","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H0031","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H0032","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H0032","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H0033","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H0033","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H0036","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H0036","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H2000","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2000","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H2011","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2011","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H2017","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2017","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H2017","HQ",43.83,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2017","HQ",43.83,1]
[2,"Psychologist (Licensed or Waivered)","H2019","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2019","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","H2021","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","H2021","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[2,"Psychologist (Licensed or Waivered)","T1017","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","T1017","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","T2021","N/A",197.22,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","T2021","N/A",197.22,1]
[2,"Psychologist (Licensed or Waivered)","T2021","HQ",43.83,1,true,true,true,true,true,2,"Psychologist (Licensed or Waivered)","T2021","HQ",43.83,1]
[2,"Psychologist (Licensed or Waivered)","T2021",22,200.23,1,{"$f":"EXACT(A1923,L1923)","v":true},{"$f":"EXACT(B1923,M1923)","v":true},{"$f":"EXACT(C1923,N1923)","v":true},{"$f":"EXACT(D1923,O1923)","v":true},true,2,"Psychologist (Licensed or Waivered)","T2021",22,200.23,1]
[2,"Psychologist (Licensed or Waivered)","T2024","N/A",197.22,1,true,true,true,true,{"$f":"EXACT(E1924,P1924)","v":true},2,"Psychologist (Licensed or Waivered)","T2024","N/A",197.22,1]
[2,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,2,"Registered Nurse",90785,"N/A",18.89,1]
[2,"Registered Nurse",90887,"N/A",663.96,1,true,true,true,true,true,2,"Registered Nurse",90887,"N/A",663.96,1]
[2,"Registered Nurse",96110,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",96110,"N/A",796.75,1]
[2,"Registered Nurse",96116,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",96116,"N/A",796.75,{"$f":"IF(N1928=\"G0323\",9,1)","v":1}]
[2,"Registered Nurse",96121,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",96121,"N/A",796.75,1]
[2,"Registered Nurse",96127,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",96127,"N/A",796.75,1]
[2,"Registered Nurse",96161,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96161,"N/A",199.19,1]
[2,"Registered Nurse",96202,"N/A",177.06,1,true,true,true,true,true,2,"Registered Nurse",96202,"N/A",177.06,1]
[2,"Registered Nurse",96203,"N/A",44.26,{"$f":"IF(AND(B1933=\"Peer Support Specialists\",C1933=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Registered Nurse",96203,"N/A",44.26,1]
[2,"Registered Nurse",96365,"N/A",610.84,1,true,true,true,true,true,2,"Registered Nurse",96365,"N/A",610.84,1]
[2,"Registered Nurse",96366,"N/A",597.55999999999995,1,true,true,true,true,true,2,"Registered Nurse",96366,"N/A",597.55999999999995,1]
[2,"Registered Nurse",96367,"N/A",411.65,1,true,true,true,true,true,2,"Registered Nurse",96367,"N/A",411.65,1]
[2,"Registered Nurse",96368,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96368,"N/A",199.19,1]
[2,"Registered Nurse",96369,"N/A",504.61,1,true,true,true,true,true,2,"Registered Nurse",96369,"N/A",504.61,1]
[2,"Registered Nurse",96370,"N/A",597.55999999999995,1,true,true,true,true,true,2,"Registered Nurse",96370,"N/A",597.55999999999995,1]
[2,"Registered Nurse",96371,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96371,"N/A",199.19,1]
[2,"Registered Nurse",96372,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96372,"N/A",199.19,1]
[2,"Registered Nurse",96373,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96373,"N/A",199.19,1]
[2,"Registered Nurse",96374,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96374,"N/A",199.19,1]
[2,"Registered Nurse",96375,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96375,"N/A",199.19,1]
[2,"Registered Nurse",96376,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96376,"N/A",199.19,1]
[2,"Registered Nurse",96377,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",96377,"N/A",199.19,1]
[2,"Registered Nurse",97550,"N/A",305.42,1,true,true,true,true,true,2,"Registered Nurse",97550,"N/A",305.42,1]
[2,"Registered Nurse",97551,"N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse",97551,"N/A",199.19,1]
[2,"Registered Nurse",97552,"N/A",132.79,1,true,true,true,true,true,2,"Registered Nurse",97552,"N/A",132.79,1]
[2,"Registered Nurse",99366,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",99366,"N/A",796.75,1]
[2,"Registered Nurse",99368,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",99368,"N/A",796.75,1]
[2,"Registered Nurse",99484,"N/A",796.75,1,true,true,true,true,true,2,"Registered Nurse",99484,"N/A",796.75,1]
[2,"Registered Nurse","G0539","N/A",305.42,1,true,true,true,true,true,2,"Registered Nurse","G0539","N/A",305.42,1]
[2,"Registered Nurse","G0540","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","G0540","N/A",199.19,1]
[2,"Registered Nurse","G0541","N/A",305.42,1,true,true,true,true,true,2,"Registered Nurse","G0541","N/A",305.42,1]
[2,"Registered Nurse","G0542","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","G0542","N/A",199.19,1]
[2,"Registered Nurse","G0543","N/A",132.79,1,true,true,true,true,true,2,"Registered Nurse","G0543","N/A",132.79,1]
[2,"Registered Nurse","H0031","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H0031","N/A",199.19,1]
[2,"Registered Nurse","H0032","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H0032","N/A",199.19,1]
[2,"Registered Nurse","H0033","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H0033","N/A",199.19,1]
[2,"Registered Nurse","H0034","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H0034","N/A",199.19,1]
[2,"Registered Nurse","H0034","HQ",44.26,1,true,true,true,true,true,2,"Registered Nurse","H0034","HQ",44.26,1]
[2,"Registered Nurse","H2000","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H2000","N/A",199.19,1]
[2,"Registered Nurse","H2011","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H2011","N/A",199.19,1]
[2,"Registered Nurse","H2017","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H2017","N/A",199.19,1]
[2,"Registered Nurse","H2017","HQ",44.26,1,true,true,true,true,true,2,"Registered Nurse","H2017","HQ",44.26,1]
[2,"Registered Nurse","H2019","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H2019","N/A",199.19,1]
[2,"Registered Nurse","H2021","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","H2021","N/A",199.19,1]
[2,"Registered Nurse","T1001","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","T1001","N/A",199.19,1]
[2,"Registered Nurse","T1013","N/A",31.88,1,true,true,true,true,true,2,"Registered Nurse","T1013","N/A",31.88,1]
[2,"Registered Nurse","T1017","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","T1017","N/A",199.19,1]
[2,"Registered Nurse","T2024","N/A",199.19,1,true,true,true,true,true,2,"Registered Nurse","T2024","N/A",199.19,1]
[2,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,2,"Registered Pharmacist",90785,"N/A",18.89,1]
[2,"Registered Pharmacist",90887,"N/A",782.45,1,true,true,true,true,true,2,"Registered Pharmacist",90887,"N/A",782.45,1]
[2,"Registered Pharmacist",96161,"N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist",96161,"N/A",234.74,1]
[2,"Registered Pharmacist",96202,"N/A",208.65,1,true,true,true,true,true,2,"Registered Pharmacist",96202,"N/A",208.65,1]
[2,"Registered Pharmacist",96203,"N/A",52.16,1,true,true,true,true,true,2,"Registered Pharmacist",96203,"N/A",52.16,1]
[2,"Registered Pharmacist",97550,"N/A",359.93,1,true,true,true,true,true,2,"Registered Pharmacist",97550,"N/A",359.93,1]
[2,"Registered Pharmacist",97551,"N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist",97551,"N/A",234.74,1]
[2,"Registered Pharmacist",97552,"N/A",156.49,1,true,true,true,true,true,2,"Registered Pharmacist",97552,"N/A",156.49,1]
[2,"Registered Pharmacist",99366,"N/A",938.94,1,true,true,true,true,true,2,"Registered Pharmacist",99366,"N/A",938.94,1]
[2,"Registered Pharmacist",99368,"N/A",938.94,1,true,true,true,true,true,2,"Registered Pharmacist",99368,"N/A",938.94,1]
[2,"Registered Pharmacist",99484,"N/A",938.94,1,true,true,true,true,true,2,"Registered Pharmacist",99484,"N/A",938.94,1]
[2,"Registered Pharmacist",99605,"N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist",99605,"N/A",234.74,1]
[2,"Registered Pharmacist",99606,"N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist",99606,"N/A",234.74,1]
[2,"Registered Pharmacist",99607,"N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist",99607,"N/A",234.74,1]
[2,"Registered Pharmacist","G0539","N/A",359.93,1,{"$f":"EXACT(A1987,L1987)","v":true},{"$f":"EXACT(B1987,M1987)","v":true},{"$f":"EXACT(C1987,N1987)","v":true},{"$f":"EXACT(D1987,O1987)","v":true},true,2,"Registered Pharmacist","G0539","N/A",359.93,1]
[2,"Registered Pharmacist","G0540","N/A",234.74,1,true,true,true,true,{"$f":"EXACT(E1988,P1988)","v":true},2,"Registered Pharmacist","G0540","N/A",234.74,1]
[2,"Registered Pharmacist","G0541","N/A",359.93,1,true,true,true,true,true,2,"Registered Pharmacist","G0541","N/A",359.93,1]
[2,"Registered Pharmacist","G0542","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","G0542","N/A",234.74,1]
[2,"Registered Pharmacist","G0543","N/A",156.49,1,true,true,true,true,true,2,"Registered Pharmacist","G0543","N/A",156.49,1]
[2,"Registered Pharmacist","H0031","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H0031","N/A",234.74,{"$f":"IF(N1992=\"G0323\",9,1)","v":1}]
[2,"Registered Pharmacist","H0032","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H0032","N/A",234.74,1]
[2,"Registered Pharmacist","H0033","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H0033","N/A",234.74,1]
[2,"Registered Pharmacist","H0034","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H0034","N/A",234.74,1]
[2,"Registered Pharmacist","H0034","HQ",52.16,1,true,true,true,true,true,2,"Registered Pharmacist","H0034","HQ",52.16,1]
[2,"Registered Pharmacist","H2000","N/A",234.74,{"$f":"IF(AND(B1997=\"Peer Support Specialists\",C1997=\"T1013\"),9,1)","v":1},true,true,true,true,true,2,"Registered Pharmacist","H2000","N/A",234.74,1]
[2,"Registered Pharmacist","H2011","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H2011","N/A",234.74,1]
[2,"Registered Pharmacist","H2017","N/A",234.74,1,true,true,true,true,true,2,"Registered Pharmacist","H2017","N/A",234.74,1]
[2,"Registered Pharmacist","H2017","HQ",52.16,1,true,true,true,true,true,2,"Registered Pharmacist","H2017","HQ",52.16,1]
[3,"Certified AOD Counselor","H0032","N/A",88.24,1,true,true,true,true,true,3,"Certified AOD Counselor","H0032","N/A",88.24,1]
[3,"Clinical Nurse Specialist",90837,"N/A",853.68,1,true,true,true,true,true,3,"Clinical Nurse Specialist",90837,"N/A",853.68,1]
[3,"Clinical Nurse Specialist",96371,"N/A",213.42,1,true,true,true,true,true,3,"Clinical Nurse Specialist",96371,"N/A",213.42,1]
[3,"Clinical Nurse Specialist",99214,"N/A",497.98,1,true,true,true,true,true,3,"Clinical Nurse Specialist",99214,"N/A",497.98,1]
[3,"Clinical Nurse Specialist",99342,"N/A",640.26,1,true,true,true,true,true,3,"Clinical Nurse Specialist",99342,"N/A",640.26,{"$f":"IF(N2120=\"G0323\",9,1)","v":1}]
[3,"Clinical Nurse Specialist","T2021","HQ",47.43,1,true,true,true,true,true,3,"Clinical Nurse Specialist","T2021","HQ",47.43,1]
[3,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",446.78,1,true,true,true,true,true,3,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",446.78,1]
[3,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",111.7,1,true,true,true,true,true,3,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",111.7,1]
[3,"Licensed Physician",90853,"N/A",239.99,1,true,true,true,true,true,3,"Licensed Physician",90853,"N/A",239.99,1]
[3,"Licensed Physician",96368,"N/A",323.99,1,true,true,true,true,true,3,"Licensed Physician",96368,"N/A",323.99,1]
[3,"Licensed Physician",99202,"N/A",475.19,1,true,true,true,true,true,3,"Licensed Physician",99202,"N/A",475.19,1]
[3,"Licensed Physician",99243,"N/A",755.98,1,true,true,true,true,true,3,"Licensed Physician",99243,"N/A",755.98,1]
[3,"Licensed Physician",99443,"N/A",561.59,1,true,true,true,true,true,3,"Licensed Physician",99443,"N/A",561.59,1]
[3,"Licensed Psychiatric Technician",96373,"N/A",59.27,1,{"$f":"EXACT(A2371,L2371)","v":true},{"$f":"EXACT(B2371,M2371)","v":true},{"$f":"EXACT(C2371,N2371)","v":true},{"$f":"EXACT(D2371,O2371)","v":true},true,3,"Licensed Psychiatric Technician",96373,"N/A",59.27,1]
[3,"Licensed Psychiatric Technician","H2019","N/A",59.27,1,true,true,true,true,true,3,"Licensed Psychiatric Technician","H2019","N/A",59.27,1]
[3,"Licensed Vocational Nurse","G0542","N/A",69.13,1,true,true,true,true,true,3,"Licensed Vocational Nurse","G0542","N/A",69.13,1]
[3,"Medical Assistant","H2017","N/A",62.95,1,true,true,true,true,true,3,"Medical Assistant","H2017","N/A",62.95,1]
[3,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",335.09,1,true,true,true,true,true,3,"MFT/LPCC (Licensed, Waivered or Registered)",90845,"N/A",335.09,1]
[3,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",111.7,1,true,true,true,true,true,3,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",111.7,1]
[3,"Nurse Practitioner",90845,"N/A",640.26,1,true,true,true,true,true,3,"Nurse Practitioner",90845,"N/A",640.26,1]
[3,"Nurse Practitioner",96203,"N/A",47.43,1,true,true,true,true,true,3,"Nurse Practitioner",96203,"N/A",47.43,1]
[3,"Nurse Practitioner",99231,"N/A",426.84,1,true,true,true,true,true,3,"Nurse Practitioner",99231,"N/A",426.84,1]
[3,"Nurse Practitioner",99350,"N/A",953.28,1,true,true,true,true,true,3,"Nurse Practitioner",99350,"N/A",953.28,1]
[3,"Nurse Practitioner",99366,"N/A",853.68,1,true,true,true,true,true,3,"Nurse Practitioner",99366,"N/A",853.68,1]
[3,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,3,"Nurse Practitioner","T1013","N/A",31.88,1]
[3,"Occupational Therapist","H2017","HQ",24.94,1,true,true,true,true,true,3,"Occupational Therapist","H2017","HQ",24.94,1]
[3,"Physician Assistant",90840,"N/A",384.97,1,true,true,true,true,true,3,"Physician Assistant",90840,"N/A",384.97,1]
[3,"Physician Assistant",96132,"N/A",769.94,1,true,true,true,true,true,3,"Physician Assistant",96132,"N/A",769.94,1]
[3,"Physician Assistant",99204,"N/A",667.28,1,true,true,true,true,true,3,"Physician Assistant",99204,"N/A",667.28,1]
[3,"Physician Assistant",99309,"N/A",474.8,1,true,true,true,true,true,3,"Physician Assistant",99309,"N/A",474.8,1]
[3,"Physician Assistant","H0036","N/A",192.49,1,true,true,true,true,true,3,"Physician Assistant","H0036","N/A",192.49,1]
[3,"Psychologist (Licensed or Waivered)",90887,"N/A",575.34,1,true,true,true,true,true,3,"Psychologist (Licensed or Waivered)",90887,"N/A",575.34,1]
[3,"Psychologist (Licensed or Waivered)",99484,"N/A",690.41,1,true,true,true,true,true,3,"Psychologist (Licensed or Waivered)",99484,"N/A",690.41,1]
[3,"Registered Nurse",96368,"N/A",174.33,1,true,true,true,true,true,3,"Registered Nurse",96368,"N/A",174.33,1]
[3,"Registered Nurse","H2017","HQ",38.74,1,true,true,true,true,true,3,"Registered Nurse","H2017","HQ",38.74,1]
[3,"Registered Pharmacist","G0542","N/A",205.44,1,true,true,true,true,true,3,"Registered Pharmacist","G0542","N/A",205.44,1]
[3,"Registered Pharmacist","H2017","N/A",205.44,1,true,true,true,true,true,3,"Registered Pharmacist","H2017","N/A",205.44,1]
[4,"Clinical Nurse Specialist",90836,"N/A",563.44000000000005,1,true,true,true,true,true,4,"Clinical Nurse Specialist",90836,"N/A",563.44000000000005,1]
[4,"Clinical Nurse Specialist",96136,"N/A",375.63,1,true,true,true,true,true,4,"Clinical Nurse Specialist",96136,"N/A",375.63,1]
[4,"Clinical Nurse Specialist",99212,"N/A",187.81,1,true,true,true,true,true,4,"Clinical Nurse Specialist",99212,"N/A",187.81,1]
[4,"Clinical Nurse Specialist",99307,"N/A",187.81,1,true,true,true,true,true,4,"Clinical Nurse Specialist",99307,"N/A",187.81,1]
[4,"Clinical Nurse Specialist","H2011","N/A",187.81,1,true,true,true,true,true,4,"Clinical Nurse Specialist","H2011","N/A",187.81,1]
[4,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",327.64,1,true,true,true,true,true,4,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",327.64,1]
[4,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",150.72,1,{"$f":"EXACT(A3203,L3203)","v":true},{"$f":"EXACT(B3203,M3203)","v":true},{"$f":"EXACT(C3203,N3203)","v":true},{"$f":"EXACT(D3203,O3203)","v":true},true,4,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",150.72,1]
[4,"Licensed Physician",90849,"N/A",470,1,true,true,true,true,true,4,"Licensed Physician",90849,"N/A",470,1]
[4,"Licensed Physician",96203,"N/A",83.93,1,true,true,true,true,{"$f":"EXACT(E3268,P3268)","v":true},4,"Licensed Physician",96203,"N/A",83.93,1]
[4,"Licensed Physician",96370,"N/A",1133.05,1,true,true,true,true,true,4,"Licensed Physician",96370,"N/A",1133.05,1]
[4,"Licensed Physician",99239,"N/A",1510.73,1,true,true,true,true,true,4,"Licensed Physician",99239,"N/A",1510.73,1]
[4,"Licensed Physician",99415,"N/A",1510.73,1,true,true,true,true,true,4,"Licensed Physician",99415,"N/A",1510.73,1]
[4,"Licensed Psychiatric Technician",96365,"N/A",211.87,1,true,true,true,true,true,4,"Licensed Psychiatric Technician",96365,"N/A",211.87,1]
[4,"Licensed Psychiatric Technician","T1001","N/A",69.09,1,true,true,true,true,true,4,"Licensed Psychiatric Technician","T1001","N/A",69.09,1]
[4,"Licensed Vocational Nurse",96376,"N/A",80.59,1,true,true,true,true,true,4,"Licensed Vocational Nurse",96376,"N/A",80.59,1]
[4,"Medical Assistant","H2017","N/A",55.4,1,true,true,true,true,true,4,"Medical Assistant","H2017","N/A",55.4,1]
[4,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,297.89,1,true,true,true,true,true,4,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,297.89,1]
[4,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",98.29,1,true,true,true,true,true,4,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",98.29,1]
[4,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",21.84,1,true,true,true,true,true,4,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",21.84,1]
[4,"Nurse Practitioner",96131,"N/A",751.25,1,true,true,true,true,true,4,"Nurse Practitioner",96131,"N/A",751.25,1]
[4,"Nurse Practitioner",96366,"N/A",563.44000000000005,1,true,true,true,true,true,4,"Nurse Practitioner",96366,"N/A",563.44000000000005,1]
[4,"Nurse Practitioner",99235,"N/A",964.1,1,true,true,true,true,true,4,"Nurse Practitioner",99235,"N/A",964.1,1]
[4,"Nurse Practitioner","H0032","N/A",187.81,1,true,true,true,true,true,4,"Nurse Practitioner","H0032","N/A",187.81,1]
[4,"Nurse Practitioner","T1017","N/A",187.81,1,true,true,true,true,true,4,"Nurse Practitioner","T1017","N/A",187.81,1]
[4,"Occupational Therapist","H0031","N/A",130.84,1,true,true,true,true,true,4,"Occupational Therapist","H0031","N/A",130.84,1]
[4,"Physician Assistant",90834,22,511.17,1,true,true,true,true,true,4,"Physician Assistant",90834,22,511.17,1]
[4,"Physician Assistant",96136,"N/A",338.78,1,true,true,true,true,true,4,"Physician Assistant",96136,"N/A",338.78,1]
[4,"Physician Assistant",96377,"N/A",169.39,1,{"$f":"EXACT(A3779,L3779)","v":true},{"$f":"EXACT(B3779,M3779)","v":true},{"$f":"EXACT(C3779,N3779)","v":true},{"$f":"EXACT(D3779,O3779)","v":true},true,4,"Physician Assistant",96377,"N/A",169.39,1]
[4,"Physician Assistant",99309,"N/A",417.82,1,true,true,true,true,true,4,"Physician Assistant",99309,"N/A",417.82,1]
[4,"Physician Assistant","H2011","N/A",169.39,1,true,true,true,true,true,4,"Physician Assistant","H2011","N/A",169.39,1]
[4,"Psychologist (Licensed or Waivered)",90834,"N/A",455.68,1,true,true,true,true,true,4,"Psychologist (Licensed or Waivered)",90834,"N/A",455.68,1]
[4,"Psychologist (Licensed or Waivered)",96110,"N/A",607.57000000000005,1,true,true,true,true,true,4,"Psychologist (Licensed or Waivered)",96110,"N/A",607.57000000000005,1]
[4,"Psychologist (Licensed or Waivered)","H0033","N/A",151.88999999999999,1,true,true,true,true,true,4,"Psychologist (Licensed or Waivered)","H0033","N/A",151.88999999999999,1]
[4,"Registered Nurse",99368,"N/A",613.64,1,true,true,true,true,true,4,"Registered Nurse",99368,"N/A",613.64,1]
[4,"Registered Nurse","T2024","N/A",153.41,1,true,true,true,true,true,4,"Registered Nurse","T2024","N/A",153.41,1]
[4,"Registered Pharmacist","G0541","N/A",277.20999999999998,1,true,true,true,true,true,4,"Registered Pharmacist","G0541","N/A",277.20999999999998,1]
[5,"Clinical Nurse Specialist",90836,22,719.82,1,true,true,true,true,true,5,"Clinical Nurse Specialist",90836,22,719.82,1]
[5,"Clinical Nurse Specialist",96146,"N/A",955.75,1,true,true,true,true,true,5,"Clinical Nurse Specialist",96146,"N/A",955.75,1]
[5,"Clinical Nurse Specialist",96375,"N/A",238.94,1,true,true,true,true,true,5,"Clinical Nurse Specialist",96375,"N/A",238.94,1]
[5,"Clinical Nurse Specialist",99347,"N/A",398.23,1,true,true,true,true,true,5,"Clinical Nurse Specialist",99347,"N/A",398.23,1]
[5,"Clinical Nurse Specialist","H2017","HQ",53.1,1,true,true,true,true,true,5,"Clinical Nurse Specialist","H2017","HQ",53.1,1]
[5,"Community Health Worker",98961,"N/A",64.290000000000006,1,true,true,true,true,true,5,"Community Health Worker",98961,"N/A",64.290000000000006,1]
[5,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",500.2,1,true,true,true,true,true,5,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",500.2,1]
[5,"Licensed Physician",90834,"N/A",1441.49,1,true,true,true,true,true,5,"Licensed Physician",90834,"N/A",1441.49,1]
[5,"Licensed Physician",90865,"N/A",2882.99,1,true,true,true,true,true,5,"Licensed Physician",90865,"N/A",2882.99,1]
[5,"Licensed Physician",96372,"N/A",480.5,1,true,true,true,true,true,5,"Licensed Physician",96372,"N/A",480.5,1]
[5,"Licensed Physician",99308,"N/A",800.83,1,true,true,true,true,true,5,"Licensed Physician",99308,"N/A",800.83,1]
[5,"Licensed Physician","G0316","N/A",480.5,1,true,true,true,true,true,5,"Licensed Physician","G0316","N/A",480.5,1]
[5,"Licensed Psychiatric Technician",96367,"N/A",181.65,1,true,true,true,true,true,5,"Licensed Psychiatric Technician",96367,"N/A",181.65,1]
[5,"Licensed Psychiatric Technician",96377,"N/A",87.9,1,true,true,true,true,true,5,"Licensed Psychiatric Technician",96377,"N/A",87.9,1]
[5,"Licensed Vocational Nurse","H0032","N/A",102.53,1,true,true,true,true,true,5,"Licensed Vocational Nurse","H0032","N/A",102.53,1]
[5,"Medical Assistant",96110,"N/A",281.92,1,true,true,true,true,true,5,"Medical Assistant",96110,"N/A",281.92,1]
[5,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",250.1,1,true,true,true,true,true,5,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",250.1,1]
[5,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",500.2,1,true,true,true,true,true,5,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",500.2,1]
[5,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",125.05,1,true,true,true,true,true,5,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",125.05,1]
[5,"Nurse Practitioner",90865,"N/A",1433.63,1,true,true,true,true,true,5,"Nurse Practitioner",90865,"N/A",1433.63,1]
[5,"Nurse Practitioner",96368,"N/A",238.94,1,true,true,true,true,true,5,"Nurse Practitioner",96368,"N/A",238.94,1]
[5,"Nurse Practitioner",99243,"N/A",557.52,1,true,true,true,true,true,5,"Nurse Practitioner",99243,"N/A",557.52,{"$f":"IF(N4616=\"G0323\",9,1)","v":1}]
[5,"Nurse Practitioner",99416,"N/A",477.88,1,true,true,true,true,true,5,"Nurse Practitioner",99416,"N/A",477.88,1]
[5,"Nurse Practitioner","T2021","HQ",53.1,1,true,true,true,true,true,5,"Nurse Practitioner","T2021","HQ",53.1,1]
[5,"Occupational Therapist","H2017","N/A",166.46,1,true,true,true,true,true,5,"Occupational Therapist","H2017","N/A",166.46,1]
[5,"Physician Assistant",90836,22,649.51,1,true,true,true,true,true,5,"Physician Assistant",90836,22,649.51,1]
[5,"Physician Assistant",90853,"N/A",159.63,1,true,true,true,true,true,5,"Physician Assistant",90853,"N/A",159.63,1]
[5,"Physician Assistant",96146,"N/A",862,1,true,true,true,true,true,5,"Physician Assistant",96146,"N/A",862,1]
[5,"Physician Assistant",99214,"N/A",502.83,1,true,true,true,true,true,5,"Physician Assistant",99214,"N/A",502.83,1]
[5,"Physician Assistant",99350,"N/A",962.57,1,true,true,true,true,true,5,"Physician Assistant",99350,"N/A",962.57,1]
[5,"Physician Assistant","H2017","HQ",47.89,1,true,true,true,true,true,5,"Physician Assistant","H2017","HQ",47.89,1]
[5,"Psychologist (Licensed or Waivered)",96113,"N/A",386.48,1,true,true,true,true,true,5,"Psychologist (Licensed or Waivered)",96113,"N/A",386.48,1]
[5,"Psychologist (Licensed or Waivered)","G0542","N/A",193.24,1,true,true,true,true,true,5,"Psychologist (Licensed or Waivered)","G0542","N/A",193.24,1]
[5,"Registered Nurse",96372,"N/A",195.17,1,true,true,true,true,true,5,"Registered Nurse",96372,"N/A",195.17,1]
[5,"Registered Pharmacist",96203,"N/A",51.11,1,true,true,true,true,true,5,"Registered Pharmacist",96203,"N/A",51.11,1]
[5,"Registered Pharmacist","H2021","N/A",230,{"$f":"IF(AND(B5005=\"Peer Support Specialists\",C5005=\"T1013\"),9,1)","v":1},true,true,true,true,true,5,"Registered Pharmacist","H2021","N/A",230,1]
[6,"Clinical Nurse Specialist",90837,22,805.15,1,true,true,true,true,true,6,"Clinical Nurse Specialist",90837,22,805.15,1]
[6,"Clinical Nurse Specialist",96133,"N/A",802.14,1,true,true,true,true,true,6,"Clinical Nurse Specialist",96133,"N/A",802.14,1]
[6,"Clinical Nurse Specialist",96202,"N/A",178.25,1,true,true,true,true,true,6,"Clinical Nurse Specialist",96202,"N/A",178.25,1]
[6,"Clinical Nurse Specialist",99221,"N/A",628.34,1,true,true,true,true,true,6,"Clinical Nurse Specialist",99221,"N/A",628.34,1]
[6,"Clinical Nurse Specialist","H0034","N/A",200.54,1,true,true,true,true,true,6,"Clinical Nurse Specialist","H0034","N/A",200.54,1]
[6,"Clinical Nurse Specialist","H2021","N/A",200.54,1,true,true,true,true,true,6,"Clinical Nurse Specialist","H2021","N/A",200.54,1]
[6,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",93.29,1,true,true,true,true,true,6,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",93.29,{"$f":"IF(N5192=\"G0323\",9,1)","v":1}]
[6,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,6,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[6,"Licensed Physician",90868,"N/A",403.27,1,true,true,true,true,true,6,"Licensed Physician",90868,"N/A",403.27,1]
[6,"Licensed Physician",96368,"N/A",403.27,1,true,true,true,true,true,6,"Licensed Physician",96368,"N/A",403.27,1]
[6,"Licensed Physician",99244,"N/A",1263.56,1,true,true,true,true,true,6,"Licensed Physician",99244,"N/A",1263.56,1]
[6,"Licensed Physician",99451,"N/A",483.92,1,true,true,true,true,true,6,"Licensed Physician",99451,"N/A",483.92,1]
[6,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,6,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[6,"Licensed Psychiatric Technician","H2021","N/A",73.77,1,true,true,true,true,true,6,"Licensed Psychiatric Technician","H2021","N/A",73.77,1]
[6,"Licensed Vocational Nurse",96202,"N/A",76.489999999999995,1,true,true,true,true,true,6,"Licensed Vocational Nurse",96202,"N/A",76.489999999999995,1]
[6,"Licensed Vocational Nurse","H0034","N/A",86.05,1,true,true,true,true,true,6,"Licensed Vocational Nurse","H0034","N/A",86.05,1]
[6,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,6,"Medical Assistant","T1013","N/A",31.88,1]
[6,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",209.91,1,true,true,true,true,true,6,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",209.91,1]
[6,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",104.95,1,true,true,true,true,true,6,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",104.95,1]
[6,"Nurse Practitioner",90849,"N/A",249.55,1,true,true,true,true,true,6,"Nurse Practitioner",90849,"N/A",249.55,1]
[6,"Nurse Practitioner",96137,"N/A",401.07,1,true,true,true,true,true,6,"Nurse Practitioner",96137,"N/A",401.07,1]
[6,"Nurse Practitioner",99234,"N/A",762.03,1,true,true,true,true,true,6,"Nurse Practitioner",99234,"N/A",762.03,1]
[6,"Nurse Practitioner",99418,"N/A",200.54,1,true,true,true,true,true,6,"Nurse Practitioner",99418,"N/A",200.54,1]
[6,"Nurse Practitioner","H0036","N/A",200.54,1,true,true,true,true,true,6,"Nurse Practitioner","H0036","N/A",200.54,1]
[6,"Occupational Therapist","H2019","N/A",139.71,1,true,true,true,true,true,6,"Occupational Therapist","H2019","N/A",139.71,1]
[6,"Physician Assistant",90832,"N/A",361.73,1,true,true,true,true,true,6,"Physician Assistant",90832,"N/A",361.73,1]
[6,"Physician Assistant",90837,22,726.46,1,true,true,true,true,true,6,"Physician Assistant",90837,22,726.46,1]
[6,"Physician Assistant",96136,"N/A",361.73,1,{"$f":"EXACT(A5763,L5763)","v":true},{"$f":"EXACT(B5763,M5763)","v":true},{"$f":"EXACT(C5763,N5763)","v":true},{"$f":"EXACT(D5763,O5763)","v":true},true,6,"Physician Assistant",96136,"N/A",361.73,1]
[6,"Physician Assistant",99253,"N/A",626.99,1,true,true,true,true,true,6,"Physician Assistant",99253,"N/A",626.99,1]
[6,"Physician Assistant",99344,"N/A",807.85,1,true,true,true,true,true,6,"Physician Assistant",99344,"N/A",807.85,1]
[6,"Physician Assistant","H2021","N/A",180.86,1,true,true,true,true,true,6,"Physician Assistant","H2021","N/A",180.86,1]
[6,"Psychologist (Licensed or Waivered)",90839,"N/A",648.72,1,true,true,true,true,true,6,"Psychologist (Licensed or Waivered)",90839,"N/A",648.72,1]
[6,"Psychologist (Licensed or Waivered)","H0032","N/A",162.18,1,true,true,true,true,true,6,"Psychologist (Licensed or Waivered)","H0032","N/A",162.18,1]
[6,"Registered Nurse",96203,"N/A",36.4,1,true,true,true,true,true,6,"Registered Nurse",96203,"N/A",36.4,1]
[6,"Registered Nurse","T1017","N/A",163.80000000000001,1,true,true,true,true,true,6,"Registered Nurse","T1017","N/A",163.80000000000001,1]
[6,"Registered Pharmacist",96202,"N/A",171.58,1,true,true,true,true,true,6,"Registered Pharmacist",96202,"N/A",171.58,1]
[7,"Clinical Nurse Specialist",90791,"N/A",787.48,1,true,true,true,true,true,7,"Clinical Nurse Specialist",90791,"N/A",787.48,{"$f":"IF(N6024=\"G0323\",9,1)","v":1}]
[7,"Clinical Nurse Specialist",90838,22,790.49,1,true,true,true,true,true,7,"Clinical Nurse Specialist",90838,22,790.49,1]
[7,"Clinical Nurse Specialist",96365,"N/A",603.73,1,true,true,true,true,true,7,"Clinical Nurse Specialist",96365,"N/A",603.73,1]
[7,"Clinical Nurse Specialist",99245,"N/A",813.73,1,true,true,true,true,true,7,"Clinical Nurse Specialist",99245,"N/A",813.73,1]
[7,"Clinical Nurse Specialist",99347,"N/A",328.12,1,true,true,true,true,true,7,"Clinical Nurse Specialist",99347,"N/A",328.12,1]
[7,"Clinical Nurse Specialist","H0033","N/A",196.87,1,true,true,true,true,true,7,"Clinical Nurse Specialist","H0033","N/A",196.87,1]
[7,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",103.04,{"$f":"IF(AND(B6221=\"Peer Support Specialists\",C6221=\"T1013\"),9,1)","v":1},true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",103.04,1]
[7,"Licensed Physician",90837,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",90837,"N/A",1583.6,1]
[7,"Licensed Physician",96371,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",96371,"N/A",395.9,1]
[7,"Licensed Physician",96376,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",96376,"N/A",395.9,1]
[7,"Licensed Physician",99342,"N/A",1187.7,1,true,true,true,true,true,7,"Licensed Physician",99342,"N/A",1187.7,1]
[7,"Licensed Physician","G0316","N/A",395.9,1,true,true,true,true,{"$f":"EXACT(E6340,P6340)","v":true},7,"Licensed Physician","G0316","N/A",395.9,1]
[7,"Licensed Psychiatric Technician",96371,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96371,"N/A",72.42,1]
[7,"Licensed Vocational Nurse",96368,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96368,"N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2000","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2000","N/A",84.48,1]
[7,"Mental Health Rehabilitation Specialist","H2021","N/A",77.52,1,true,true,true,true,true,7,"Mental Health Rehabilitation Specialist","H2021","N/A",77.52,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",76.319999999999993,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",76.319999999999993,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",103.04,1]
[7,"Nurse Practitioner",90832,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",90832,"N/A",393.74,1]
[7,"Nurse Practitioner",96371,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",96371,"N/A",196.87,1]
[7,"Nurse Practitioner",99236,"N/A",1207.47,1,true,true,true,true,true,7,"Nurse Practitioner",99236,"N/A",1207.47,1]
[7,"Nurse Practitioner",99253,"N/A",682.48,1,true,true,true,true,true,7,"Nurse Practitioner",99253,"N/A",682.48,1]
[7,"Nurse Practitioner",99442,"N/A",209.99,1,true,true,true,true,true,7,"Nurse Practitioner",99442,"N/A",209.99,1]
[7,"Occupational Therapist",97552,"N/A",91.44,1,true,true,true,true,true,7,"Occupational Therapist",97552,"N/A",91.44,1]
[7,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,7,"Occupational Therapist","T1013","N/A",31.88,1]
[7,"Physician Assistant",90838,22,713.24,1,true,true,true,true,true,7,"Physician Assistant",90838,22,713.24,1]
[7,"Physician Assistant",96369,"N/A",449.81,1,true,true,true,true,true,7,"Physician Assistant",96369,"N/A",449.81,1]
[7,"Physician Assistant",99222,"N/A",769.42,1,true,true,true,true,true,7,"Physician Assistant",99222,"N/A",769.42,1]
[7,"Physician Assistant",99347,"N/A",295.93,1,true,true,true,true,true,7,"Physician Assistant",99347,"N/A",295.93,1]
[7,"Physician Assistant","T2021","N/A",177.56,{"$f":"IF(AND(B6861=\"Peer Support Specialists\",C6861=\"T1013\"),9,1)","v":1},true,true,true,true,true,7,"Physician Assistant","T2021","N/A",177.56,1]
[7,"Psychologist (Licensed or Waivered)",96125,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96125,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)",96203,"N/A",35.380000000000003,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96203,"N/A",35.380000000000003,1]
[7,"Registered Nurse",96371,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",96371,"N/A",160.81,1]
[7,"Registered Nurse",96376,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",96376,"N/A",160.81,1]
[7,"Registered Pharmacist",99366,"N/A",758.03,1,true,true,true,true,true,7,"Registered Pharmacist",99366,"N/A",758.03,1]
[8,"Certified AOD Counselor","H0031","N/A",110.51,1,true,true,true,true,true,8,"Certified AOD Counselor","H0031","N/A",110.51,1]
[8,"Clinical Nurse Specialist",90840,"N/A",509.12,1,true,true,true,true,true,8,"Clinical Nurse Specialist",90840,"N/A",509.12,1]
[8,"Clinical Nurse Specialist",96367,"N/A",526.09,1,true,true,true,true,true,8,"Clinical Nurse Specialist",96367,"N/A",526.09,1]
[8,"Clinical Nurse Specialist",99231,"N/A",509.12,1,true,true,true,true,true,8,"Clinical Nurse Specialist",99231,"N/A",509.12,1]
[8,"Clinical Nurse Specialist",99441,"N/A",135.76,1,true,true,true,true,true,8,"Clinical Nurse Specialist",99441,"N/A",135.76,1]
[8,"Clinical Nurse Specialist","T1017","N/A",254.56,1,true,true,true,true,true,8,"Clinical Nurse Specialist","T1017","N/A",254.56,1]
[8,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",532.9,1,true,true,true,true,true,8,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",532.9,1]
[8,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",88.82,1,true,true,true,true,true,8,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",88.82,1]
[8,"LCSW (Licensed, Waivered or Registered)","T2021",22,136.24,1,true,true,true,true,true,8,"LCSW (Licensed, Waivered or Registered)","T2021",22,136.24,1]
[8,"Licensed Physician",90885,"N/A",2047.61,1,true,true,true,true,true,8,"Licensed Physician",90885,"N/A",2047.61,1]
[8,"Licensed Physician",96377,"N/A",511.9,1,true,true,true,true,true,8,"Licensed Physician",96377,"N/A",511.9,1]
[8,"Licensed Physician",99254,"N/A",2388.88,1,true,true,true,true,true,8,"Licensed Physician",99254,"N/A",2388.88,1]
[8,"Licensed Physician","G0540","N/A",511.9,1,true,true,true,true,true,8,"Licensed Physician","G0540","N/A",511.9,1]
[8,"Licensed Psychiatric Technician",96203,"N/A",20.81,1,true,true,true,true,true,8,"Licensed Psychiatric Technician",96203,"N/A",20.81,1]
[8,"Licensed Vocational Nurse",90785,"N/A",18.89,1,true,true,true,true,true,8,"Licensed Vocational Nurse",90785,"N/A",18.89,1]
[8,"Licensed Vocational Nurse","H2017","N/A",109.23,{"$f":"IF(AND(B7437=\"Peer Support Specialists\",C7437=\"T1013\"),9,1)","v":1},true,true,true,true,true,8,"Licensed Vocational Nurse","H2017","N/A",109.23,1]
[8,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1,true,true,true,true,true,8,"Mental Health Rehabilitation Specialist",90785,"N/A",18.89,1]
[8,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",532.9,1,true,true,true,true,true,8,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",532.9,1]
[8,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",133.22999999999999,1,true,true,true,true,true,8,"MFT/LPCC (Licensed, Waivered or Registered)","H0033","N/A",133.22999999999999,1]
[8,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,8,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[8,"Nurse Practitioner",90868,"N/A",254.56,1,true,true,true,true,{"$f":"EXACT(E7556,P7556)","v":true},8,"Nurse Practitioner",90868,"N/A",254.56,1]
[8,"Nurse Practitioner",99215,"N/A",797.61,1,true,true,true,true,true,8,"Nurse Practitioner",99215,"N/A",797.61,1]
[8,"Nurse Practitioner",99239,"N/A",1018.23,1,true,true,true,true,true,8,"Nurse Practitioner",99239,"N/A",1018.23,1]
[8,"Nurse Practitioner",99443,"N/A",441.23,1,true,true,true,true,true,8,"Nurse Practitioner",99443,"N/A",441.23,1]
[8,"Occupational Therapist",96110,"N/A",709.37,1,true,true,true,true,true,8,"Occupational Therapist",96110,"N/A",709.37,1]
[8,"Occupational Therapist","T2024","N/A",177.34,1,true,true,true,true,true,8,"Occupational Therapist","T2024","N/A",177.34,1]
[8,"Physician Assistant",90834,"N/A",688.76,1,true,true,true,true,true,8,"Physician Assistant",90834,"N/A",688.76,1]
[8,"Physician Assistant",96161,"N/A",229.59,1,true,true,true,true,true,8,"Physician Assistant",96161,"N/A",229.59,1]
[8,"Physician Assistant",99215,"N/A",719.37,1,true,true,true,true,true,8,"Physician Assistant",99215,"N/A",719.37,1]
[8,"Physician Assistant",99305,"N/A",642.84,1,true,true,true,true,true,8,"Physician Assistant",99305,"N/A",642.84,1]
[8,"Physician Assistant",99349,"N/A",765.28,1,true,true,true,true,true,8,"Physician Assistant",99349,"N/A",765.28,1]
[8,"Physician Assistant","T1017","N/A",229.59,1,true,true,true,true,true,8,"Physician Assistant","T1017","N/A",229.59,1]
[8,"Psychologist (Licensed or Waivered)",96130,"N/A",823.48,1,true,true,true,true,true,8,"Psychologist (Licensed or Waivered)",96130,"N/A",823.48,1]
[8,"Psychologist (Licensed or Waivered)","H2011","N/A",205.87,1,true,true,true,true,true,8,"Psychologist (Licensed or Waivered)","H2011","N/A",205.87,1]
[8,"Registered Nurse",96368,"N/A",207.93,1,true,true,true,true,true,8,"Registered Nurse",96368,"N/A",207.93,1]
[8,"Registered Pharmacist",96161,"N/A",245.04,1,true,true,true,true,true,8,"Registered Pharmacist",96161,"N/A",245.04,1]
[8,"Registered Pharmacist","T1017","N/A",245.04,1,true,true,true,true,true,8,"Registered Pharmacist","T1017","N/A",245.04,1]
[9,"Clinical Nurse Specialist",90833,"N/A",368.82,1,true,true,true,true,true,9,"Clinical Nurse Specialist",90833,"N/A",368.82,1]
[9,"Clinical Nurse Specialist",96203,"N/A",40.98,1,true,true,true,true,true,9,"Clinical Nurse Specialist",96203,"N/A",40.98,1]
[9,"Clinical Nurse Specialist",99233,"N/A",700.75,1,true,true,true,true,true,9,"Clinical Nurse Specialist",99233,"N/A",700.75,1]
[9,"Clinical Nurse Specialist",99255,"N/A",1069.56,1,true,true,true,true,true,9,"Clinical Nurse Specialist",99255,"N/A",1069.56,1]
[9,"Clinical Nurse Specialist","T1001","N/A",184.41,1,true,true,true,true,true,9,"Clinical Nurse Specialist","T1001","N/A",184.41,1]
[9,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",193.03,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",193.03,1]
[9,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96161,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",96.51,1]
[9,"Licensed Physician",96137,"N/A",741.68,{"$f":"IF(AND(B8269=\"Peer Support Specialists\",C8269=\"T1013\"),9,1)","v":1},true,true,true,true,true,9,"Licensed Physician",96137,"N/A",741.68,1]
[9,"Licensed Physician",96375,"N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician",96375,"N/A",370.84,1]
[9,"Licensed Physician",99304,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99304,"N/A",741.68,1]
[9,"Licensed Physician",99348,"N/A",865.29,1,true,true,true,true,true,9,"Licensed Physician",99348,"N/A",865.29,1]
[9,"Licensed Psychiatric Technician",96370,"N/A",203.51,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96370,"N/A",203.51,1]
[9,"Licensed Psychiatric Technician","H0034","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0034","N/A",67.84,1]
[9,"Licensed Vocational Nurse","H0034","HQ",17.579999999999998,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0034","HQ",17.579999999999998,1]
[9,"Medical Assistant","T1017","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","T1017","N/A",54.4,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96110,"N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",96.51,1]
[9,"Nurse Practitioner",96121,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",96121,"N/A",737.63,1]
[9,"Nurse Practitioner",96371,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",96371,"N/A",184.41,1]
[9,"Nurse Practitioner",99214,"N/A",430.28,1,true,true,true,true,true,9,"Nurse Practitioner",99214,"N/A",430.28,1]
[9,"Nurse Practitioner",99441,"N/A",98.35,1,true,true,true,true,true,9,"Nurse Practitioner",99441,"N/A",98.35,{"$f":"IF(N8648=\"G0323\",9,1)","v":1}]
[9,"Occupational Therapist",96113,"N/A",256.95,1,true,true,true,true,true,9,"Occupational Therapist",96113,"N/A",256.95,1]
[9,"Occupational Therapist","G0540","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","G0540","N/A",128.47,1]
[9,"Physician Assistant",90838,"N/A",665.28,1,true,true,true,true,true,9,"Physician Assistant",90838,"N/A",665.28,1]
[9,"Physician Assistant",90847,"N/A",554.4,1,true,true,true,true,true,9,"Physician Assistant",90847,"N/A",554.4,1]
[9,"Physician Assistant",96373,"N/A",166.32,1,true,true,true,true,true,9,"Physician Assistant",96373,"N/A",166.32,1]
[9,"Physician Assistant",99222,"N/A",720.72,1,true,true,true,true,true,9,"Physician Assistant",99222,"N/A",720.72,1]
[9,"Physician Assistant","G0540","N/A",166.32,{"$f":"IF(AND(B8845=\"Peer Support Specialists\",C8845=\"T1013\"),9,1)","v":1},true,true,true,true,true,9,"Physician Assistant","G0540","N/A",166.32,1]
[9,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,9,"Physician Assistant","T1013","N/A",31.88,1]
[9,"Psychologist (Licensed or Waivered)",96132,"N/A",596.55999999999995,1,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)",96132,"N/A",596.55999999999995,1]
[9,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,9,"Registered Nurse",90785,"N/A",18.89,1]
[9,"Registered Nurse",96375,"N/A",150.63,1,true,true,true,true,true,9,"Registered Nurse",96375,"N/A",150.63,1]
[9,"Registered Pharmacist",96203,"N/A",39.450000000000003,1,true,true,true,true,true,9,"Registered Pharmacist",96203,"N/A",39.450000000000003,1]
[9,"Registered Pharmacist",99606,"N/A",177.51,1,true,true,true,true,true,9,"Registered Pharmacist",99606,"N/A",177.51,1]
[10,"Clinical Nurse Specialist",90849,"N/A",250.1,1,true,true,true,true,true,10,"Clinical Nurse Specialist",90849,"N/A",250.1,1]
[10,"Clinical Nurse Specialist",90853,"N/A",148.87,1,true,true,true,true,true,10,"Clinical Nurse Specialist",90853,"N/A",148.87,1]
[10,"Clinical Nurse Specialist",96371,"N/A",200.98,1,true,true,true,true,true,10,"Clinical Nurse Specialist",96371,"N/A",200.98,1]
[10,"Clinical Nurse Specialist",99235,"N/A",1031.67,1,true,true,true,true,true,10,"Clinical Nurse Specialist",99235,"N/A",1031.67,1]
[10,"Clinical Nurse Specialist","G0316","N/A",200.98,1,true,true,true,true,true,10,"Clinical Nurse Specialist","G0316","N/A",200.98,1]
[10,"Clinical Nurse Specialist","T1017","N/A",200.98,1,true,true,true,true,true,10,"Clinical Nurse Specialist","T1017","N/A",200.98,1]
[10,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",23.37,1,true,true,true,true,true,10,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",23.37,1]
[10,"Licensed Physician",90832,"N/A",808.31,1,true,true,true,true,true,10,"Licensed Physician",90832,"N/A",808.31,1]
[10,"Licensed Physician",96110,"N/A",1616.62,1,true,true,true,true,true,10,"Licensed Physician",96110,"N/A",1616.62,1]
[10,"Licensed Physician",96377,"N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician",96377,"N/A",404.16,1]
[10,"Licensed Physician",99304,"N/A",808.31,1,true,true,true,true,true,10,"Licensed Physician",99304,"N/A",808.31,1]
[10,"Licensed Physician","G0543","N/A",269.44,1,true,true,true,true,{"$f":"EXACT(E9348,P9348)","v":true},10,"Licensed Physician","G0543","N/A",269.44,1]
[10,"Licensed Physician","H2017","HQ",89.81,1,true,true,true,true,true,10,"Licensed Physician","H2017","HQ",89.81,1]
[10,"Licensed Psychiatric Technician",96372,"N/A",73.930000000000007,1,true,true,true,true,true,10,"Licensed Psychiatric Technician",96372,"N/A",73.930000000000007,1]
[10,"Licensed Vocational Nurse",96365,"N/A",264.45999999999998,1,true,true,true,true,true,10,"Licensed Vocational Nurse",96365,"N/A",264.45999999999998,1]
[10,"Licensed Vocational Nurse","T1001","N/A",86.24,1,true,true,true,true,true,10,"Licensed Vocational Nurse","T1001","N/A",86.24,1]
[10,"Mental Health Rehabilitation Specialist","H0034","N/A",79.14,1,true,true,true,true,true,10,"Mental Health Rehabilitation Specialist","H0034","N/A",79.14,1]
[10,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",420.73,1,true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",420.73,1]
[10,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",105.18,1,true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",105.18,1]
[10,"Nurse Practitioner",90880,"N/A",803.9,1,true,true,true,true,true,10,"Nurse Practitioner",90880,"N/A",803.9,1]
[10,"Nurse Practitioner",97550,"N/A",308.16000000000003,1,true,true,true,true,true,10,"Nurse Practitioner",97550,"N/A",308.16000000000003,1]
[10,"Nurse Practitioner",99244,"N/A",629.72,1,true,true,true,true,true,10,"Nurse Practitioner",99244,"N/A",629.72,1]
[10,"Nurse Practitioner",99443,"N/A",348.36,1,true,true,true,true,true,10,"Nurse Practitioner",99443,"N/A",348.36,1]
[10,"Nurse Practitioner","G0540","N/A",200.98,1,true,true,true,true,true,10,"Nurse Practitioner","G0540","N/A",200.98,1]
[10,"Occupational Therapist",96127,"N/A",560.05999999999995,1,true,true,true,true,true,10,"Occupational Therapist",96127,"N/A",560.05999999999995,1]
[10,"Other Qualified Practitioner","H0033","N/A",79.14,1,true,true,true,true,true,10,"Other Qualified Practitioner","H0033","N/A",79.14,1]
[10,"Physician Assistant",90840,"N/A",362.52,1,true,true,true,true,true,10,"Physician Assistant",90840,"N/A",362.52,1]
[10,"Physician Assistant",96366,"N/A",543.78,1,true,true,true,true,true,10,"Physician Assistant",96366,"N/A",543.78,1]
[10,"Physician Assistant",99231,"N/A",362.52,1,true,true,true,true,true,10,"Physician Assistant",99231,"N/A",362.52,1]
[10,"Physician Assistant",99309,"N/A",447.11,1,true,true,true,true,true,10,"Physician Assistant",99309,"N/A",447.11,1]
[10,"Physician Assistant","T2021","N/A",181.26,1,true,true,true,true,true,10,"Physician Assistant","T2021","N/A",181.26,{"$f":"IF(N9864=\"G0323\",9,1)","v":1}]
[10,"Psychologist (Licensed or Waivered)",96131,"N/A",650.15,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)",96131,"N/A",650.15,1]
[10,"Psychologist (Licensed or Waivered)","H2019","N/A",162.54,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)","H2019","N/A",162.54,1]
[10,"Registered Nurse",96377,"N/A",164.16,1,true,true,true,true,true,10,"Registered Nurse",96377,"N/A",164.16,1]
[10,"Registered Nurse","H2021","N/A",164.16,1,true,true,true,true,true,10,"Registered Nurse","H2021","N/A",164.16,1]
[10,"Registered Pharmacist",97551,"N/A",193.46,1,{"$f":"EXACT(A9987,L9987)","v":true},{"$f":"EXACT(B9987,M9987)","v":true},{"$f":"EXACT(C9987,N9987)","v":true},{"$f":"EXACT(D9987,O9987)","v":true},true,10,"Registered Pharmacist",97551,"N/A",193.46,1]
[11,"Certified AOD Counselor","H0033","N/A",90.6,1,true,true,true,true,true,11,"Certified AOD Counselor","H0033","N/A",90.6,1]
[11,"Clinical Nurse Specialist",96127,"N/A",834.8,1,true,true,true,true,true,11,"Clinical Nurse Specialist",96127,"N/A",834.8,1]
[11,"Clinical Nurse Specialist",96368,"N/A",208.7,1,true,true,true,true,true,11,"Clinical Nurse Specialist",96368,"N/A",208.7,1]
[11,"Clinical Nurse Specialist",99233,"N/A",793.06,1,true,true,true,true,true,11,"Clinical Nurse Specialist",99233,"N/A",793.06,1]
[11,"Clinical Nurse Specialist",99416,"N/A",417.4,1,true,true,true,true,true,11,"Clinical Nurse Specialist",99416,"N/A",417.4,1]
[11,"Clinical Nurse Specialist","T2021","HQ",46.38,1,true,true,true,true,true,11,"Clinical Nurse Specialist","T2021","HQ",46.38,1]
[11,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",80.91,1,true,true,true,true,true,11,"LCSW (Licensed, Waivered or Registered)",90853,"N/A",80.91,1]
[11,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",109.23,1,true,true,true,true,true,11,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",109.23,1]
[11,"Licensed Physician",90887,"N/A",1398.95,1,true,true,true,true,true,11,"Licensed Physician",90887,"N/A",1398.95,1]
[11,"Licensed Physician",96203,"N/A",93.26,1,true,true,true,true,true,11,"Licensed Physician",96203,"N/A",93.26,1]
[11,"Licensed Physician",97551,"N/A",419.69,1,true,true,true,true,true,11,"Licensed Physician",97551,"N/A",419.69,1]
[11,"Licensed Physician",99255,"N/A",2434.17,1,true,true,true,true,true,11,"Licensed Physician",99255,"N/A",2434.17,1]
[11,"Licensed Physician","H0034","N/A",419.69,1,true,true,true,true,true,11,"Licensed Physician","H0034","N/A",419.69,1]
[11,"Licensed Psychiatric Technician",96374,"N/A",76.77,1,true,true,true,true,true,11,"Licensed Psychiatric Technician",96374,"N/A",76.77,1]
[11,"Licensed Psychiatric Technician","H2017","N/A",76.77,1,true,true,true,true,true,11,"Licensed Psychiatric Technician","H2017","N/A",76.77,1]
[11,"Licensed Vocational Nurse","H2017","HQ",19.899999999999999,1,true,true,true,true,true,11,"Licensed Vocational Nurse","H2017","HQ",19.899999999999999,1]
[11,"Mental Health Rehabilitation Specialist","H0032","N/A",82.18,1,true,true,true,true,true,11,"Mental Health Rehabilitation Specialist","H0032","N/A",82.18,1]
[11,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,330.69,1,true,true,true,true,true,11,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,330.69,1]
[11,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",109.23,1,true,true,true,true,true,11,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",109.23,1]
[11,"Nurse Practitioner",90840,"N/A",417.4,1,true,true,true,true,true,11,"Nurse Practitioner",90840,"N/A",417.4,1]
[11,"Nurse Practitioner",96374,"N/A",208.7,1,true,true,true,true,true,11,"Nurse Practitioner",96374,"N/A",208.7,1]
[11,"Nurse Practitioner",96375,"N/A",208.7,1,true,true,true,true,true,11,"Nurse Practitioner",96375,"N/A",208.7,1]
[11,"Nurse Practitioner",99345,"N/A",1140.8900000000001,1,true,true,true,true,true,11,"Nurse Practitioner",99345,"N/A",1140.8900000000001,1]
[11,"Nurse Practitioner","G0316","N/A",208.7,1,true,true,true,true,true,11,"Nurse Practitioner","G0316","N/A",208.7,1]
[11,"Occupational Therapist",96113,"N/A",290.79000000000002,1,true,true,true,true,true,11,"Occupational Therapist",96113,"N/A",290.79000000000002,1]
[11,"Peer Support Specialists","H0038","N/A",86.29,1,true,true,true,true,true,11,"Peer Support Specialists","H0038","N/A",86.29,1]
[11,"Physician Assistant",90845,"N/A",564.67999999999995,1,true,true,true,true,true,11,"Physician Assistant",90845,"N/A",564.67999999999995,1]
[11,"Physician Assistant",96368,"N/A",188.23,1,true,true,true,true,true,11,"Physician Assistant",96368,"N/A",188.23,1]
[11,"Physician Assistant",99243,"N/A",439.2,1,true,true,true,true,true,11,"Physician Assistant",99243,"N/A",439.2,1]
[11,"Physician Assistant",99350,"N/A",840.75,1,true,true,true,true,true,11,"Physician Assistant",99350,"N/A",840.75,1]
[11,"Physician Assistant","H0031","N/A",188.23,1,true,true,true,true,true,11,"Physician Assistant","H0031","N/A",188.23,1]
[11,"Psychologist (Licensed or Waivered)",96131,"N/A",675.13,1,true,true,true,true,true,11,"Psychologist (Licensed or Waivered)",96131,"N/A",675.13,1]
[11,"Psychologist (Licensed or Waivered)","H2017","N/A",168.78,1,true,true,true,true,true,11,"Psychologist (Licensed or Waivered)","H2017","N/A",168.78,1]
[11,"Registered Nurse",96121,"N/A",681.88,1,true,true,true,true,true,11,"Registered Nurse",96121,"N/A",681.88,1]
[11,"Registered Nurse",97551,"N/A",170.47,{"$f":"IF(AND(B10957=\"Peer Support Specialists\",C10957=\"T1013\"),9,1)","v":1},true,true,true,true,true,11,"Registered Nurse",97551,"N/A",170.47,1]
[11,"Registered Pharmacist",99366,"N/A",803.57,1,true,true,true,true,true,11,"Registered Pharmacist",99366,"N/A",803.57,1]
[12,"Certified AOD Counselor","H2021","N/A",76.03,1,true,true,true,true,true,12,"Certified AOD Counselor","H2021","N/A",76.03,1]
[12,"Clinical Nurse Specialist",90849,"N/A",217.94,1,true,true,true,true,true,12,"Clinical Nurse Specialist",90849,"N/A",217.94,1]
[12,"Clinical Nurse Specialist",96125,"N/A",700.52,1,true,true,true,true,true,12,"Clinical Nurse Specialist",96125,"N/A",700.52,1]
[12,"Clinical Nurse Specialist",99234,"N/A",665.49,1,true,true,true,true,true,12,"Clinical Nurse Specialist",99234,"N/A",665.49,1]
[12,"Clinical Nurse Specialist",99418,"N/A",175.13,1,true,true,true,true,true,12,"Clinical Nurse Specialist",99418,"N/A",175.13,1]
[12,"Clinical Nurse Specialist","G0542","N/A",175.13,1,true,true,true,true,true,12,"Clinical Nurse Specialist","G0542","N/A",175.13,1]
[12,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",81.47,1,true,true,true,true,true,12,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",81.47,1]
[12,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",48.88,1,{"$f":"EXACT(A11203,L11203)","v":true},{"$f":"EXACT(B11203,M11203)","v":true},{"$f":"EXACT(C11203,N11203)","v":true},{"$f":"EXACT(D11203,O11203)","v":true},true,12,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",48.88,1]
[12,"Licensed Physician",90834,"N/A",1056.54,1,true,true,true,true,true,12,"Licensed Physician",90834,"N/A",1056.54,1]
[12,"Licensed Physician",96110,"N/A",1408.72,1,true,true,true,true,true,12,"Licensed Physician",96110,"N/A",1408.72,1]
[12,"Licensed Physician",99222,"N/A",1526.11,1,true,true,true,true,true,12,"Licensed Physician",99222,"N/A",1526.11,1]
[12,"Licensed Physician",99305,"N/A",986.1,1,true,true,true,true,true,12,"Licensed Physician",99305,"N/A",986.1,1]
[12,"Licensed Physician","H0036","N/A",352.18,1,true,true,true,true,true,12,"Licensed Physician","H0036","N/A",352.18,1]
[12,"Licensed Psychiatric Technician","G0539","N/A",98.78,1,true,true,true,true,true,12,"Licensed Psychiatric Technician","G0539","N/A",98.78,1]
[12,"Licensed Vocational Nurse",96203,"N/A",16.7,1,true,true,true,true,true,12,"Licensed Vocational Nurse",96203,"N/A",16.7,1]
[12,"Licensed Vocational Nurse","H2021","N/A",75.150000000000006,1,true,true,true,true,true,12,"Licensed Vocational Nurse","H2021","N/A",75.150000000000006,1]
[12,"Mental Health Rehabilitation Specialist","H2011","N/A",68.959999999999994,1,true,true,true,true,true,12,"Mental Health Rehabilitation Specialist","H2011","N/A",68.959999999999994,1]
[12,"Mental Health Rehabilitation Specialist","H2017","N/A",68.959999999999994,1,true,true,true,true,true,12,"Mental Health Rehabilitation Specialist","H2017","N/A",68.959999999999994,1]
[12,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",20.37,1,true,true,true,true,true,12,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",20.37,1]
[12,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",91.66,1,true,true,true,true,true,12,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",91.66,1]
[12,"Nurse Practitioner",96110,"N/A",700.52,1,true,true,true,true,true,12,"Nurse Practitioner",96110,"N/A",700.52,1]
[12,"Nurse Practitioner",98967,"N/A",186.81,1,true,true,true,true,true,12,"Nurse Practitioner",98967,"N/A",186.81,1]
[12,"Nurse Practitioner",99244,"N/A",548.74,1,true,true,true,true,true,12,"Nurse Practitioner",99244,"N/A",548.74,1]
[12,"Nurse Practitioner","G0540","N/A",175.13,1,true,true,true,true,true,12,"Nurse Practitioner","G0540","N/A",175.13,1]
[12,"Occupational Therapist",96202,"N/A",108.45,1,true,true,true,true,true,12,"Occupational Therapist",96202,"N/A",108.45,1]
[12,"Other Qualified Practitioner","H2000","N/A",68.959999999999994,1,true,true,true,true,true,12,"Other Qualified Practitioner","H2000","N/A",68.959999999999994,1]
[12,"Physician Assistant",90849,"N/A",196.56,1,true,true,true,true,true,12,"Physician Assistant",90849,"N/A",196.56,1]
[12,"Physician Assistant",96365,"N/A",484.38,1,true,true,true,true,true,12,"Physician Assistant",96365,"N/A",484.38,1]
[12,"Physician Assistant",99234,"N/A",600.21,1,true,true,true,true,true,12,"Physician Assistant",99234,"N/A",600.21,1]
[12,"Physician Assistant",99242,"N/A",263.25,1,true,true,true,true,true,12,"Physician Assistant",99242,"N/A",263.25,1]
[12,"Physician Assistant",99368,"N/A",631.79999999999995,1,true,true,true,true,true,12,"Physician Assistant",99368,"N/A",631.79999999999995,1]
[12,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,12,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[12,"Psychologist (Licensed or Waivered)",96137,"N/A",283.27,1,true,true,true,true,true,12,"Psychologist (Licensed or Waivered)",96137,"N/A",283.27,1]
[12,"Psychologist (Licensed or Waivered)","T2021","N/A",141.63999999999999,1,true,true,true,true,true,12,"Psychologist (Licensed or Waivered)","T2021","N/A",141.63999999999999,1]
[12,"Registered Nurse",99366,"N/A",572.20000000000005,1,true,true,true,true,true,12,"Registered Nurse",99366,"N/A",572.20000000000005,1]
[12,"Registered Pharmacist",96203,"N/A",37.46,1,true,true,true,true,true,12,"Registered Pharmacist",96203,"N/A",37.46,1]
[13,"Certified AOD Counselor","H2000","N/A",84.46,1,true,true,true,true,true,13,"Certified AOD Counselor","H2000","N/A",84.46,1]
[13,"Clinical Nurse Specialist",90868,"N/A",194.55,1,true,true,true,true,true,13,"Clinical Nurse Specialist",90868,"N/A",194.55,1]
[13,"Clinical Nurse Specialist",96371,"N/A",194.55,1,true,true,true,true,true,13,"Clinical Nurse Specialist",96371,"N/A",194.55,1]
[13,"Clinical Nurse Specialist",99236,"N/A",1193.21,1,true,true,true,true,true,13,"Clinical Nurse Specialist",99236,"N/A",1193.21,1]
[13,"Clinical Nurse Specialist",99415,"N/A",778.18,1,true,true,true,true,true,13,"Clinical Nurse Specialist",99415,"N/A",778.18,1]
[13,"Clinical Nurse Specialist",99442,"N/A",207.51,1,true,true,true,true,true,13,"Clinical Nurse Specialist",99442,"N/A",207.51,1]
[13,"Community Health Worker",98961,"N/A",52.35,{"$f":"IF(AND(B12173=\"Peer Support Specialists\",C12173=\"T1013\"),9,1)","v":1},true,true,true,true,true,13,"Community Health Worker",98961,"N/A",52.35,1]
[13,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",90.5,1,true,true,true,true,true,13,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",90.5,1]
[13,"Licensed Physician",90832,"N/A",782.45,1,true,true,true,true,true,13,"Licensed Physician",90832,"N/A",782.45,1]
[13,"Licensed Physician",96116,"N/A",1564.89,1,true,true,true,true,true,13,"Licensed Physician",96116,"N/A",1564.89,1]
[13,"Licensed Physician",99203,"N/A",965.02,1,true,true,true,true,true,13,"Licensed Physician",99203,"N/A",965.02,1]
[13,"Licensed Physician",99307,"N/A",391.22,1,true,true,true,true,true,13,"Licensed Physician",99307,"N/A",391.22,1]
[13,"Licensed Physician","G0543","N/A",260.82,1,true,true,true,true,true,13,"Licensed Physician","G0543","N/A",260.82,1]
[13,"Licensed Psychiatric Technician",96377,"N/A",71.569999999999993,1,true,true,true,true,true,13,"Licensed Psychiatric Technician",96377,"N/A",71.569999999999993,1]
[13,"Licensed Vocational Nurse",96366,"N/A",250.44,1,true,true,true,true,true,13,"Licensed Vocational Nurse",96366,"N/A",250.44,1]
[13,"Licensed Vocational Nurse","G0542","N/A",83.48,1,true,true,true,true,true,13,"Licensed Vocational Nurse","G0542","N/A",83.48,1]
[13,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,13,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[13,"Mental Health Rehabilitation Specialist","H2000","N/A",76.599999999999994,1,true,true,true,true,true,13,"Mental Health Rehabilitation Specialist","H2000","N/A",76.599999999999994,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",101.82,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",101.82,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",101.82,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",101.82,1]
[13,"Nurse Practitioner",90870,"N/A",259.39,1,true,true,true,true,true,13,"Nurse Practitioner",90870,"N/A",259.39,1]
[13,"Nurse Practitioner",97550,"N/A",298.3,1,true,true,true,true,true,13,"Nurse Practitioner",97550,"N/A",298.3,1]
[13,"Nurse Practitioner",99252,"N/A",518.79,1,true,true,true,true,true,13,"Nurse Practitioner",99252,"N/A",518.79,1]
[13,"Nurse Practitioner",99350,"N/A",868.97,1,true,true,true,true,true,13,"Nurse Practitioner",99350,"N/A",868.97,1]
[13,"Occupational Therapist",96161,"N/A",135.54,1,true,true,true,true,true,13,"Occupational Therapist",96161,"N/A",135.54,1]
[13,"Other Qualified Practitioner","H0034","N/A",76.599999999999994,1,true,true,true,true,true,13,"Other Qualified Practitioner","H0034","N/A",76.599999999999994,1]
[13,"Physician Assistant",90832,"N/A",350.92,1,true,true,true,true,true,13,"Physician Assistant",90832,"N/A",350.92,1]
[13,"Physician Assistant",90865,"N/A",1052.76,1,true,true,true,true,true,13,"Physician Assistant",90865,"N/A",1052.76,1]
[13,"Physician Assistant",99215,"N/A",549.77,1,true,true,true,true,true,13,"Physician Assistant",99215,"N/A",549.77,1]
[13,"Physician Assistant",99236,"N/A",1076.1500000000001,1,true,true,true,true,true,13,"Physician Assistant",99236,"N/A",1076.1500000000001,1]
[13,"Physician Assistant",99416,"N/A",350.92,1,true,true,true,true,true,13,"Physician Assistant",99416,"N/A",350.92,1]
[13,"Psychologist (Licensed or Waivered)",90853,"N/A",116.55,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)",90853,"N/A",116.55,1]
[13,"Psychologist (Licensed or Waivered)",96137,"N/A",314.68,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)",96137,"N/A",314.68,1]
[13,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[13,"Registered Nurse",96203,"N/A",35.31,1,true,true,true,true,true,13,"Registered Nurse",96203,"N/A",35.31,1]
[13,"Registered Pharmacist",97552,"N/A",124.85,1,true,true,true,true,true,13,"Registered Pharmacist",97552,"N/A",124.85,1]
[13,"Registered Pharmacist","H2011","N/A",187.27,1,true,true,true,true,true,13,"Registered Pharmacist","H2011","N/A",187.27,1]
[14,"Certified AOD Counselor","H2017","N/A",64.819999999999993,1,true,true,true,true,true,14,"Certified AOD Counselor","H2017","N/A",64.819999999999993,1]
[14,"Clinical Nurse Specialist",90868,"N/A",149.32,1,true,true,true,true,true,14,"Clinical Nurse Specialist",90868,"N/A",149.32,1]
[14,"Clinical Nurse Specialist",99202,"N/A",219.01,1,true,true,true,true,true,14,"Clinical Nurse Specialist",99202,"N/A",219.01,1]
[14,"Clinical Nurse Specialist",99239,"N/A",597.29,1,true,true,true,true,true,14,"Clinical Nurse Specialist",99239,"N/A",597.29,1]
[14,"Clinical Nurse Specialist",99418,"N/A",149.32,1,true,true,true,true,true,14,"Clinical Nurse Specialist",99418,"N/A",149.32,1]
[14,"LCSW (Licensed, Waivered or Registered)",90834,22,237.46,1,true,true,true,true,true,14,"LCSW (Licensed, Waivered or Registered)",90834,22,237.46,1]
[14,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",52.1,1,true,true,true,true,true,14,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",52.1,1]
[14,"Licensed Physician",90833,"N/A",600.55999999999995,1,true,true,true,true,true,14,"Licensed Physician",90833,"N/A",600.55999999999995,1]
[14,"Licensed Physician",96131,"N/A",1201.1199999999999,1,true,true,true,true,true,14,"Licensed Physician",96131,"N/A",1201.1199999999999,1]
[14,"Licensed Physician",97552,"N/A",200.19,1,true,true,true,true,true,14,"Licensed Physician",97552,"N/A",200.19,1]
[14,"Licensed Physician",99233,"N/A",1141.06,1,true,true,true,true,true,14,"Licensed Physician",99233,"N/A",1141.06,1]
[14,"Licensed Physician","H0034","HQ",66.73,1,true,true,true,true,true,14,"Licensed Physician","H0034","HQ",66.73,1]
[14,"Licensed Physician","H0036","N/A",300.27999999999997,1,true,true,true,true,true,14,"Licensed Physician","H0036","N/A",300.27999999999997,1]
[14,"Licensed Psychiatric Technician","G0543","N/A",36.619999999999997,1,true,true,true,true,true,14,"Licensed Psychiatric Technician","G0543","N/A",36.619999999999997,1]
[14,"Licensed Vocational Nurse",96368,"N/A",64.08,1,true,true,true,true,true,14,"Licensed Vocational Nurse",96368,"N/A",64.08,1]
[14,"Medical Assistant",90785,"N/A",18.89,1,true,true,true,true,true,14,"Medical Assistant",90785,"N/A",18.89,1]
[14,"Mental Health Rehabilitation Specialist","H2021","N/A",58.8,1,true,true,true,true,true,14,"Mental Health Rehabilitation Specialist","H2021","N/A",58.8,1]
[14,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",69.47,1,{"$f":"EXACT(A13507,L13507)","v":true},{"$f":"EXACT(B13507,M13507)","v":true},{"$f":"EXACT(C13507,N13507)","v":true},{"$f":"EXACT(D13507,O13507)","v":true},true,14,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",69.47,1]
[14,"Nurse Practitioner",90834,22,450.98,1,true,true,true,true,true,14,"Nurse Practitioner",90834,22,450.98,1]
[14,"Nurse Practitioner",96105,"N/A",597.29,1,true,true,true,true,true,14,"Nurse Practitioner",96105,"N/A",597.29,1]
[14,"Nurse Practitioner",97552,"N/A",99.55,1,true,true,true,true,true,14,"Nurse Practitioner",97552,"N/A",99.55,1]
[14,"Nurse Practitioner",99204,"N/A",517.65,1,true,true,true,true,true,14,"Nurse Practitioner",99204,"N/A",517.65,1]
[14,"Nurse Practitioner","G0539","N/A",228.96,1,true,true,true,true,true,14,"Nurse Practitioner","G0539","N/A",228.96,1]
[14,"Nurse Practitioner","H0031","N/A",149.32,1,true,true,true,true,true,14,"Nurse Practitioner","H0031","N/A",149.32,1]
[14,"Occupational Therapist",97552,"N/A",69.349999999999994,1,true,true,true,true,true,14,"Occupational Therapist",97552,"N/A",69.349999999999994,1]
[14,"Other Qualified Practitioner","H2000","N/A",58.8,1,true,true,true,true,true,14,"Other Qualified Practitioner","H2000","N/A",58.8,1]
[14,"Physician Assistant",96105,"N/A",538.70000000000005,1,true,true,true,true,true,14,"Physician Assistant",96105,"N/A",538.70000000000005,1]
[14,"Physician Assistant",96369,"N/A",341.18,1,true,true,true,true,true,14,"Physician Assistant",96369,"N/A",341.18,1]
[14,"Physician Assistant",99239,"N/A",538.70000000000005,1,true,true,true,true,true,14,"Physician Assistant",99239,"N/A",538.70000000000005,1]
[14,"Physician Assistant",99443,"N/A",233.44,1,true,true,true,true,true,14,"Physician Assistant",99443,"N/A",233.44,1]
[14,"Physician Assistant","T2024","N/A",134.68,1,true,true,true,true,true,14,"Physician Assistant","T2024","N/A",134.68,1]
[14,"Psychologist (Licensed or Waivered)",96161,"N/A",120.76,1,true,true,true,true,true,14,"Psychologist (Licensed or Waivered)",96161,"N/A",120.76,1]
[14,"Psychologist (Licensed or Waivered)","T2021","N/A",120.76,1,true,true,true,true,true,14,"Psychologist (Licensed or Waivered)","T2021","N/A",120.76,1]
[14,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,14,"Registered Nurse",90785,"N/A",18.89,1]
[14,"Registered Nurse","H0032","N/A",121.97,1,true,true,true,true,true,14,"Registered Nurse","H0032","N/A",121.97,1]
[14,"Registered Pharmacist",99368,"N/A",574.95000000000005,1,true,true,true,true,true,14,"Registered Pharmacist",99368,"N/A",574.95000000000005,1]
[15,"Certified AOD Counselor","H2019","N/A",71.09,1,true,true,true,true,true,15,"Certified AOD Counselor","H2019","N/A",71.09,1]
[15,"Clinical Nurse Specialist",90885,"N/A",654.99,1,true,true,true,true,true,15,"Clinical Nurse Specialist",90885,"N/A",654.99,1]
[15,"Clinical Nurse Specialist",96371,"N/A",163.75,1,true,true,true,true,{"$f":"EXACT(E14084,P14084)","v":true},15,"Clinical Nurse Specialist",96371,"N/A",163.75,1]
[15,"Clinical Nurse Specialist",99243,"N/A",382.08,1,true,true,true,true,true,15,"Clinical Nurse Specialist",99243,"N/A",382.08,1]
[15,"Clinical Nurse Specialist",99441,"N/A",87.33,1,true,true,true,true,true,15,"Clinical Nurse Specialist",99441,"N/A",87.33,1]
[15,"Community Health Worker","G0022","N/A",132.18,1,true,true,true,true,true,15,"Community Health Worker","G0022","N/A",132.18,1]
[15,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",91.41,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",91.41,1]
[15,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",85.7,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",85.7,1]
[15,"Licensed Physician",90834,"N/A",987.86,1,true,true,true,true,true,15,"Licensed Physician",90834,"N/A",987.86,1]
[15,"Licensed Physician",96130,"N/A",1317.15,1,true,true,true,true,true,15,"Licensed Physician",96130,"N/A",1317.15,1]
[15,"Licensed Physician",99203,"N/A",812.24,1,true,true,true,true,true,15,"Licensed Physician",99203,"N/A",812.24,1]
[15,"Licensed Physician",99341,"N/A",482.96,1,true,true,true,true,true,15,"Licensed Physician",99341,"N/A",482.96,1]
[15,"Licensed Physician","H0036","N/A",329.29,1,true,true,true,true,true,15,"Licensed Physician","H0036","N/A",329.29,1]
[15,"Licensed Psychiatric Technician",99484,"N/A",240.94,1,true,true,true,true,true,15,"Licensed Psychiatric Technician",99484,"N/A",240.94,1]
[15,"Licensed Vocational Nurse",96370,"N/A",210.8,1,true,true,true,true,true,15,"Licensed Vocational Nurse",96370,"N/A",210.8,1]
[15,"Licensed Vocational Nurse","H2017","N/A",70.27,1,true,true,true,true,true,15,"Licensed Vocational Nurse","H2017","N/A",70.27,1]
[15,"Mental Health Rehabilitation Specialist","H2017","HQ",14.33,1,true,true,true,true,true,15,"Mental Health Rehabilitation Specialist","H2017","HQ",14.33,1]
[15,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",19.04,1,true,true,true,true,true,15,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",19.04,1]
[15,"Nurse Practitioner",90792,"N/A",654.99,1,true,true,true,true,true,15,"Nurse Practitioner",90792,"N/A",654.99,1]
[15,"Nurse Practitioner",96112,"N/A",654.99,1,true,true,true,true,true,15,"Nurse Practitioner",96112,"N/A",654.99,1]
[15,"Nurse Practitioner",96374,"N/A",163.75,1,true,true,true,true,{"$f":"EXACT(E14596,P14596)","v":true},15,"Nurse Practitioner",96374,"N/A",163.75,1]
[15,"Nurse Practitioner",98967,"N/A",174.66,1,true,true,true,true,true,15,"Nurse Practitioner",98967,"N/A",174.66,1]
[15,"Nurse Practitioner",99304,"N/A",327.5,1,true,true,true,true,true,15,"Nurse Practitioner",99304,"N/A",327.5,1]
[15,"Nurse Practitioner",99443,"N/A",283.83,1,true,true,true,true,true,15,"Nurse Practitioner",99443,"N/A",283.83,1]
[15,"Occupational Therapist",97551,"N/A",114.08,1,true,true,true,true,true,15,"Occupational Therapist",97551,"N/A",114.08,1]
[15,"Other Qualified Practitioner","H2000","N/A",64.48,1,true,true,true,true,true,15,"Other Qualified Practitioner","H2000","N/A",64.48,1]
[15,"Physician Assistant",90869,"N/A",443.06,1,true,true,true,true,true,15,"Physician Assistant",90869,"N/A",443.06,1]
[15,"Physician Assistant",96371,"N/A",147.69,1,true,true,true,true,true,15,"Physician Assistant",96371,"N/A",147.69,1]
[15,"Physician Assistant",99231,"N/A",295.37,1,true,true,true,true,true,15,"Physician Assistant",99231,"N/A",295.37,1]
[15,"Physician Assistant",99441,"N/A",78.77,1,true,true,true,true,true,15,"Physician Assistant",99441,"N/A",78.77,1]
[15,"Psychologist (Licensed or Waivered)",90791,"N/A",529.72,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)",90791,"N/A",529.72,1]
[15,"Psychologist (Licensed or Waivered)",96121,"N/A",529.72,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)",96121,"N/A",529.72,1]
[15,"Psychologist (Licensed or Waivered)",96203,"N/A",29.43,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)",96203,"N/A",29.43,1]
[15,"Psychologist (Licensed or Waivered)","T2021",22,135.44,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)","T2021",22,135.44,1]
[15,"Registered Nurse","H2011","N/A",133.75,1,true,true,true,true,true,15,"Registered Nurse","H2011","N/A",133.75,1]
[15,"Registered Pharmacist",99605,"N/A",157.62,1,true,true,true,true,true,15,"Registered Pharmacist",99605,"N/A",157.62,1]
[16,"Certified AOD Counselor","H0032","N/A",110.1,1,true,true,true,true,true,16,"Certified AOD Counselor","H0032","N/A",110.1,1]
[16,"Clinical Nurse Specialist",90880,"N/A",1014.45,1,true,true,true,true,true,16,"Clinical Nurse Specialist",90880,"N/A",1014.45,1]
[16,"Clinical Nurse Specialist",96373,"N/A",253.61,1,true,true,true,true,true,16,"Clinical Nurse Specialist",96373,"N/A",253.61,1]
[16,"Clinical Nurse Specialist",99212,"N/A",253.61,1,true,true,true,true,true,16,"Clinical Nurse Specialist",99212,"N/A",253.61,1]
[16,"Clinical Nurse Specialist",99443,"N/A",439.6,1,true,true,true,true,true,16,"Clinical Nurse Specialist",99443,"N/A",439.6,1]
[16,"Community Health Worker",98962,"N/A",31.49,1,true,true,true,true,false,16,"Community Health Worker",98962,"N/A",31.5,1]
[16,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",265.45999999999998,1,true,true,true,true,true,16,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",265.45999999999998,1]
[16,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",530.91999999999996,1,true,true,true,true,true,16,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",530.91999999999996,1]
[16,"Licensed Physician",90870,"N/A",680.01,1,true,true,true,true,true,16,"Licensed Physician",90870,"N/A",680.01,1]
[16,"Licensed Physician",96130,"N/A",2040.03,1,true,true,true,true,true,16,"Licensed Physician",96130,"N/A",2040.03,1]
[16,"Licensed Physician",99205,"N/A",2278.0300000000002,1,true,true,true,true,{"$f":"EXACT(E15300,P15300)","v":true},16,"Licensed Physician",99205,"N/A",2278.0300000000002,1]
[16,"Licensed Physician",99416,"N/A",1020.02,1,true,true,true,true,true,16,"Licensed Physician",99416,"N/A",1020.02,1]
[16,"Licensed Physician","H2017","N/A",510.01,1,true,true,true,true,true,16,"Licensed Physician","H2017","N/A",510.01,1]
[16,"Licensed Psychiatric Technician",97551,"N/A",93.3,1,true,true,true,true,true,16,"Licensed Psychiatric Technician",97551,"N/A",93.3,1]
[16,"Licensed Psychiatric Technician","H0034","N/A",93.3,1,true,true,true,true,true,16,"Licensed Psychiatric Technician","H0034","N/A",93.3,1]
[16,"Licensed Vocational Nurse","T1017","N/A",108.83,1,true,true,true,true,true,16,"Licensed Vocational Nurse","T1017","N/A",108.83,1]
[16,"Medical Assistant","H2017","N/A",74.81,1,true,true,true,true,true,16,"Medical Assistant","H2017","N/A",74.81,1]
[16,"Mental Health Rehabilitation Specialist","H2021","N/A",99.86,1,true,true,true,true,true,16,"Mental Health Rehabilitation Specialist","H2021","N/A",99.86,1]
[16,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",88.49,1,true,true,true,true,true,16,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",88.49,1]
[16,"Nurse Practitioner",90837,22,1017.46,1,true,true,true,true,true,16,"Nurse Practitioner",90837,22,1017.46,1]
[16,"Nurse Practitioner",96116,"N/A",1014.45,1,true,true,true,true,true,16,"Nurse Practitioner",96116,"N/A",1014.45,1]
[16,"Nurse Practitioner",97552,"N/A",169.08,1,true,true,true,true,true,16,"Nurse Practitioner",97552,"N/A",169.08,1]
[16,"Nurse Practitioner",99310,"N/A",879.19,1,true,true,true,true,true,16,"Nurse Practitioner",99310,"N/A",879.19,1]
[16,"Nurse Practitioner","G0543","N/A",169.08,1,true,true,true,true,true,16,"Nurse Practitioner","G0543","N/A",169.08,1]
[16,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,16,"Nurse Practitioner","T1013","N/A",31.88,1]
[16,"Other Qualified Practitioner","H2017","HQ",22.19,1,true,true,true,true,true,16,"Other Qualified Practitioner","H2017","HQ",22.19,1]
[16,"Physician Assistant",90867,"N/A",914.94,1,true,true,true,true,true,16,"Physician Assistant",90867,"N/A",914.94,1]
[16,"Physician Assistant",96116,"N/A",914.94,1,true,true,true,true,true,16,"Physician Assistant",96116,"N/A",914.94,1]
[16,"Physician Assistant",96373,"N/A",228.74,1,true,true,true,true,true,16,"Physician Assistant",96373,"N/A",228.74,1]
[16,"Physician Assistant",99239,"N/A",914.94,1,true,true,true,true,true,16,"Physician Assistant",99239,"N/A",914.94,{"$f":"IF(N15816=\"G0323\",9,1)","v":1}]
[16,"Physician Assistant","G0540","N/A",228.74,1,true,true,true,true,true,16,"Physician Assistant","G0540","N/A",228.74,1]
[16,"Psychologist (Licensed or Waivered)",90832,22,413.23,1,true,true,true,true,true,16,"Psychologist (Licensed or Waivered)",90832,22,413.23,1]
[16,"Psychologist (Licensed or Waivered)",97551,"N/A",205.11,1,true,true,true,true,true,16,"Psychologist (Licensed or Waivered)",97551,"N/A",205.11,1]
[16,"Registered Nurse",90785,"N/A",18.89,1,{"$f":"EXACT(A15939,L15939)","v":true},{"$f":"EXACT(B15939,M15939)","v":true},{"$f":"EXACT(C15939,N15939)","v":true},{"$f":"EXACT(D15939,O15939)","v":true},true,16,"Registered Nurse",90785,"N/A",18.89,1]
[16,"Registered Nurse","G0539","N/A",317.64,1,true,true,true,true,true,16,"Registered Nurse","G0539","N/A",317.64,1]
[16,"Registered Pharmacist","G0542","N/A",244.13,1,true,true,true,true,{"$f":"EXACT(E16004,P16004)","v":true},16,"Registered Pharmacist","G0542","N/A",244.13,1]
[17,"Certified AOD Counselor","H2017","HQ",27.34,1,true,true,true,true,true,17,"Certified AOD Counselor","H2017","HQ",27.34,1]
[17,"Clinical Nurse Specialist",90887,"N/A",944.71,1,true,true,true,true,true,17,"Clinical Nurse Specialist",90887,"N/A",944.71,1]
[17,"Clinical Nurse Specialist",96112,"N/A",1133.6500000000001,1,true,true,true,true,true,17,"Clinical Nurse Specialist",96112,"N/A",1133.6500000000001,1]
[17,"Clinical Nurse Specialist",99242,"N/A",472.35,1,true,true,true,true,true,17,"Clinical Nurse Specialist",99242,"N/A",472.35,1]
[17,"Clinical Nurse Specialist",99253,"N/A",982.5,1,true,true,true,true,true,17,"Clinical Nurse Specialist",99253,"N/A",982.5,1]
[17,"Clinical Nurse Specialist","G0316","N/A",283.41000000000003,1,true,true,true,true,true,17,"Clinical Nurse Specialist","G0316","N/A",283.41000000000003,1]
[17,"Community Health Worker","G0022","N/A",228.77,1,true,true,true,true,true,17,"Community Health Worker","G0022","N/A",228.77,1]
[17,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",227.44,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",227.44,1]
[17,"Licensed Physician",90833,22,1142.8800000000001,1,true,true,true,true,true,17,"Licensed Physician",90833,22,1142.8800000000001,1]
[17,"Licensed Physician",96132,"N/A",2279.73,1,true,true,true,true,true,17,"Licensed Physician",96132,"N/A",2279.73,1]
[17,"Licensed Physician",99213,"N/A",949.89,1,true,true,true,true,true,17,"Licensed Physician",99213,"N/A",949.89,1]
[17,"Licensed Physician",99310,"N/A",1975.77,1,true,true,true,true,true,17,"Licensed Physician",99310,"N/A",1975.77,1]
[17,"Licensed Physician","H2019","N/A",569.92999999999995,1,true,true,true,true,true,17,"Licensed Physician","H2019","N/A",569.92999999999995,1]
[17,"Licensed Psychiatric Technician",97550,"N/A",159.86000000000001,1,true,true,true,true,true,17,"Licensed Psychiatric Technician",97550,"N/A",159.86000000000001,1]
[17,"Licensed Psychiatric Technician","G0542","N/A",104.26,{"$f":"IF(AND(B16397=\"Peer Support Specialists\",C16397=\"T1013\"),9,1)","v":1},true,true,true,true,true,17,"Licensed Psychiatric Technician","G0542","N/A",104.26,1]
[17,"Licensed Vocational Nurse",96376,"N/A",121.61,1,true,true,true,true,true,17,"Licensed Vocational Nurse",96376,"N/A",121.61,1]
[17,"Medical Assistant",96110,"N/A",334.4,1,true,true,true,true,true,17,"Medical Assistant",96110,"N/A",334.4,1]
[17,"Mental Health Rehabilitation Specialist","T1017","N/A",111.6,1,true,true,true,true,true,17,"Mental Health Rehabilitation Specialist","T1017","N/A",111.6,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",79.11,1,{"$f":"EXACT(A16515,L16515)","v":true},{"$f":"EXACT(B16515,M16515)","v":true},{"$f":"EXACT(C16515,N16515)","v":true},{"$f":"EXACT(D16515,O16515)","v":true},true,17,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",79.11,1]
[17,"Nurse Practitioner",90792,"N/A",1133.6500000000001,1,true,true,true,true,true,17,"Nurse Practitioner",90792,"N/A",1133.6500000000001,1]
[17,"Nurse Practitioner",96125,"N/A",1133.6500000000001,1,true,true,true,true,true,17,"Nurse Practitioner",96125,"N/A",1133.6500000000001,1]
[17,"Nurse Practitioner",97550,"N/A",434.57,1,true,true,true,true,true,17,"Nurse Practitioner",97550,"N/A",434.57,1]
[17,"Nurse Practitioner",99307,"N/A",283.41000000000003,1,true,true,true,true,true,17,"Nurse Practitioner",99307,"N/A",283.41000000000003,1]
[17,"Nurse Practitioner","H0032","N/A",283.41000000000003,1,true,true,true,true,true,17,"Nurse Practitioner","H0032","N/A",283.41000000000003,1]
[17,"Occupational Therapist",97550,"N/A",302.75,1,true,true,true,true,true,17,"Occupational Therapist",97550,"N/A",302.75,1]
[17,"Occupational Therapist","G0539","N/A",302.75,1,true,true,true,true,true,17,"Occupational Therapist","G0539","N/A",302.75,1]
[17,"Other Qualified Practitioner","H2019","N/A",111.6,1,true,true,true,true,true,17,"Other Qualified Practitioner","H2019","N/A",111.6,1]
[17,"Physician Assistant",90869,"N/A",766.84,1,true,true,true,true,true,17,"Physician Assistant",90869,"N/A",766.84,1]
[17,"Physician Assistant",96375,"N/A",255.61,1,true,true,true,true,true,17,"Physician Assistant",96375,"N/A",255.61,1]
[17,"Physician Assistant",99235,"N/A",1312.14,1,true,true,true,true,true,17,"Physician Assistant",99235,"N/A",1312.14,1]
[17,"Physician Assistant","G0316","N/A",255.61,1,true,true,true,true,true,17,"Physician Assistant","G0316","N/A",255.61,1]
[17,"Psychologist (Licensed or Waivered)",90834,22,690.63,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)",90834,22,690.63,1]
[17,"Psychologist (Licensed or Waivered)",96131,"N/A",916.83,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)",96131,"N/A",916.83,1]
[17,"Registered Nurse",90887,"N/A",771.66,1,true,true,true,true,true,17,"Registered Nurse",90887,"N/A",771.66,1]
[17,"Registered Nurse",99368,"N/A",925.99,1,true,true,true,true,true,17,"Registered Nurse",99368,"N/A",925.99,1]
[17,"Registered Pharmacist","G0539","N/A",418.31,1,true,true,true,true,true,17,"Registered Pharmacist","G0539","N/A",418.31,1]
[17,"Registered Pharmacist","G0540","N/A",272.81,1,true,true,true,true,true,17,"Registered Pharmacist","G0540","N/A",272.81,1]
[18,"Clinical Nurse Specialist",90849,"N/A",195.37,1,true,true,true,true,true,18,"Clinical Nurse Specialist",90849,"N/A",195.37,1]
[18,"Clinical Nurse Specialist",96110,"N/A",627.99,1,true,true,true,true,true,18,"Clinical Nurse Specialist",96110,"N/A",627.99,1]
[18,"Clinical Nurse Specialist",96377,"N/A",157,1,true,true,true,true,true,18,"Clinical Nurse Specialist",96377,"N/A",157,1]
[18,"Clinical Nurse Specialist",99349,"N/A",523.33000000000004,1,true,true,true,true,true,18,"Clinical Nurse Specialist",99349,"N/A",523.33000000000004,1]
[18,"Clinical Nurse Specialist","G0540","N/A",157,1,true,true,true,true,true,18,"Clinical Nurse Specialist","G0540","N/A",157,1]
[18,"Community Health Worker",98961,"N/A",42.24,1,true,true,true,true,true,18,"Community Health Worker",98961,"N/A",42.24,1]
[18,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",125.99,1,true,true,true,true,true,18,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",125.99,1]
[18,"Licensed Physician",90834,22,950.15,1,true,true,true,true,true,18,"Licensed Physician",90834,22,950.15,1]
[18,"Licensed Physician",96105,"N/A",1262.8499999999999,1,true,true,true,true,true,18,"Licensed Physician",96105,"N/A",1262.8499999999999,1]
[18,"Licensed Physician",99214,"N/A",736.66,1,true,true,true,true,true,18,"Licensed Physician",99214,"N/A",736.66,1]
[18,"Licensed Physician",99342,"N/A",947.14,1,true,true,true,true,true,18,"Licensed Physician",99342,"N/A",947.14,1]
[18,"Licensed Physician","G0539","N/A",484.09,1,true,true,true,true,true,18,"Licensed Physician","G0539","N/A",484.09,{"$f":"IF(N17352=\"G0323\",9,1)","v":1}]
[18,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,18,"Licensed Physician","T1013","N/A",31.88,1]
[18,"Licensed Psychiatric Technician",96377,"N/A",57.75,1,true,true,true,true,true,18,"Licensed Psychiatric Technician",96377,"N/A",57.75,1]
[18,"Licensed Vocational Nurse",96375,"N/A",67.37,1,true,true,true,true,true,18,"Licensed Vocational Nurse",96375,"N/A",67.37,1]
[18,"Medical Assistant",96161,"N/A",46.31,1,true,true,true,true,true,18,"Medical Assistant",96161,"N/A",46.31,1]
[18,"Mental Health Rehabilitation Specialist","H0032","N/A",61.82,1,true,true,true,true,true,18,"Mental Health Rehabilitation Specialist","H0032","N/A",61.82,1]
[18,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",142.41999999999999,1,true,true,true,true,true,18,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",142.41999999999999,1]
[18,"Nurse Practitioner",90832,22,317.01,1,true,true,true,true,true,18,"Nurse Practitioner",90832,22,317.01,1]
[18,"Nurse Practitioner",90840,"N/A",314,1,true,true,true,true,true,18,"Nurse Practitioner",90840,"N/A",314,1]
[18,"Nurse Practitioner",98968,"N/A",272.13,1,true,true,true,true,true,18,"Nurse Practitioner",98968,"N/A",272.13,{"$f":"IF(N17608=\"G0323\",9,1)","v":1}]
[18,"Nurse Practitioner",99305,"N/A",439.59,1,true,true,true,true,true,18,"Nurse Practitioner",99305,"N/A",439.59,1]
[18,"Nurse Practitioner",99345,"N/A",858.25,1,true,true,true,true,true,18,"Nurse Practitioner",99345,"N/A",858.25,1]
[18,"Nurse Practitioner","H0034","N/A",157,1,true,true,true,true,true,18,"Nurse Practitioner","H0034","N/A",157,1]
[18,"Occupational Therapist","T1017","N/A",109.38,1,true,true,true,true,true,18,"Occupational Therapist","T1017","N/A",109.38,1]
[18,"Other Qualified Practitioner","T1017","N/A",61.82,1,{"$f":"EXACT(A17731,L17731)","v":true},{"$f":"EXACT(B17731,M17731)","v":true},{"$f":"EXACT(C17731,N17731)","v":true},{"$f":"EXACT(D17731,O17731)","v":true},true,18,"Other Qualified Practitioner","T1017","N/A",61.82,1]
[18,"Physician Assistant",90880,"N/A",566.38,1,true,true,true,true,true,18,"Physician Assistant",90880,"N/A",566.38,1]
[18,"Physician Assistant",98967,"N/A",151.03,1,true,true,true,true,true,18,"Physician Assistant",98967,"N/A",151.03,1]
[18,"Physician Assistant",99244,"N/A",443.66,1,true,true,true,true,true,18,"Physician Assistant",99244,"N/A",443.66,1]
[18,"Physician Assistant",99443,"N/A",245.43,1,true,true,true,true,true,18,"Physician Assistant",99443,"N/A",245.43,1]
[18,"Psychologist (Licensed or Waivered)",90840,"N/A",253.94,1,true,true,true,true,true,18,"Psychologist (Licensed or Waivered)",90840,"N/A",253.94,1]
[18,"Psychologist (Licensed or Waivered)",97550,"N/A",194.69,1,true,true,true,true,true,18,"Psychologist (Licensed or Waivered)",97550,"N/A",194.69,1]
[18,"Psychologist (Licensed or Waivered)","G0542","N/A",126.97,1,{"$f":"EXACT(A17923,L17923)","v":true},{"$f":"EXACT(B17923,M17923)","v":true},{"$f":"EXACT(C17923,N17923)","v":true},{"$f":"EXACT(D17923,O17923)","v":true},true,18,"Psychologist (Licensed or Waivered)","G0542","N/A",126.97,1]
[18,"Registered Nurse",96116,"N/A",512.95000000000005,1,true,true,true,true,true,18,"Registered Nurse",96116,"N/A",512.95000000000005,1]
[18,"Registered Nurse","G0543","N/A",85.49,1,true,true,true,true,true,18,"Registered Nurse","G0543","N/A",85.49,1]
[18,"Registered Pharmacist","H0033","N/A",151.13,1,true,true,true,true,true,18,"Registered Pharmacist","H0033","N/A",151.13,1]
[19,"Certified AOD Counselor","T1017","N/A",90.29,1,true,true,true,true,true,19,"Certified AOD Counselor","T1017","N/A",90.29,1]
[19,"Clinical Nurse Specialist",90887,"N/A",693.27,1,true,true,true,true,true,19,"Clinical Nurse Specialist",90887,"N/A",693.27,1]
[19,"Clinical Nurse Specialist",97552,"N/A",138.65,1,true,true,true,true,true,19,"Clinical Nurse Specialist",97552,"N/A",138.65,1]
[19,"Clinical Nurse Specialist",99252,"N/A",554.61,1,true,true,true,true,true,19,"Clinical Nurse Specialist",99252,"N/A",554.61,1]
[19,"Clinical Nurse Specialist","H0034","N/A",207.98,1,true,true,true,true,true,19,"Clinical Nurse Specialist","H0034","N/A",207.98,1]
[19,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",217.7,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)",90832,"N/A",217.7,1]
[19,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",435.39,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",435.39,1]
[19,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",108.85,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",108.85,1]
[19,"Licensed Physician",90836,22,1257.73,1,true,true,true,true,true,19,"Licensed Physician",90836,22,1257.73,1]
[19,"Licensed Physician",96132,"N/A",1672.96,1,true,true,true,true,true,19,"Licensed Physician",96132,"N/A",1672.96,1]
[19,"Licensed Physician",99222,"N/A",1812.37,1,true,true,true,true,true,19,"Licensed Physician",99222,"N/A",1812.37,1]
[19,"Licensed Physician",99345,"N/A",2286.38,1,true,true,true,true,true,19,"Licensed Physician",99345,"N/A",2286.38,1]
[19,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,19,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[19,"Licensed Psychiatric Technician","G0541","N/A",117.31,1,true,true,true,true,true,19,"Licensed Psychiatric Technician","G0541","N/A",117.31,1]
[19,"Licensed Vocational Nurse",96373,"N/A",89.25,1,true,true,true,true,true,19,"Licensed Vocational Nurse",96373,"N/A",89.25,1]
[19,"Medical Assistant",96371,"N/A",61.35,1,true,true,true,true,true,19,"Medical Assistant",96371,"N/A",61.35,1]
[19,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1,true,true,true,true,true,19,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",435.39,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",435.39,1]
[19,"Nurse Practitioner",90832,22,418.97,1,true,true,true,true,true,19,"Nurse Practitioner",90832,22,418.97,1]
[19,"Nurse Practitioner",90833,22,418.97,1,true,true,true,true,true,19,"Nurse Practitioner",90833,22,418.97,1]
[19,"Nurse Practitioner",96132,"N/A",831.92,1,true,true,true,true,true,19,"Nurse Practitioner",96132,"N/A",831.92,1]
[19,"Nurse Practitioner",98967,"N/A",221.85,1,true,true,true,true,true,19,"Nurse Practitioner",98967,"N/A",221.85,1]
[19,"Nurse Practitioner",99307,"N/A",207.98,1,true,true,true,true,true,19,"Nurse Practitioner",99307,"N/A",207.98,1]
[19,"Nurse Practitioner","H0036","N/A",207.98,1,true,true,true,true,true,19,"Nurse Practitioner","H0036","N/A",207.98,1]
[19,"Occupational Therapist",99368,"N/A",579.58000000000004,{"$f":"IF(AND(B18701=\"Peer Support Specialists\",C18701=\"T1013\"),9,1)","v":1},true,true,true,true,true,19,"Occupational Therapist",99368,"N/A",579.58000000000004,1]
[19,"Peer Support Specialists","H0038","N/A",85.99,1,true,true,true,true,true,19,"Peer Support Specialists","H0038","N/A",85.99,1]
[19,"Physician Assistant",90870,"N/A",250.1,1,true,true,true,true,true,19,"Physician Assistant",90870,"N/A",250.1,{"$f":"IF(N18760=\"G0323\",9,1)","v":1}]
[19,"Physician Assistant",96374,"N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant",96374,"N/A",187.58,1]
[19,"Physician Assistant",99252,"N/A",500.21,1,true,true,true,true,true,19,"Physician Assistant",99252,"N/A",500.21,{"$f":"IF(N18824=\"G0323\",9,1)","v":1}]
[19,"Physician Assistant",99417,"N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant",99417,"N/A",187.58,1]
[19,"Psychologist (Licensed or Waivered)",90834,"N/A",504.61,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)",90834,"N/A",504.61,1]
[19,"Psychologist (Licensed or Waivered)",90839,"N/A",672.81,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)",90839,"N/A",672.81,1]
[19,"Psychologist (Licensed or Waivered)",97552,"N/A",112.14,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)",97552,"N/A",112.14,1]
[19,"Registered Nurse",96127,"N/A",679.53,1,{"$f":"EXACT(A18947,L18947)","v":true},{"$f":"EXACT(B18947,M18947)","v":true},{"$f":"EXACT(C18947,N18947)","v":true},{"$f":"EXACT(D18947,O18947)","v":true},true,19,"Registered Nurse",96127,"N/A",679.53,1]
[19,"Registered Nurse","G0541","N/A",260.49,1,true,true,true,true,true,19,"Registered Nurse","G0541","N/A",260.49,1]
[19,"Registered Pharmacist","G0539","N/A",306.98,1,true,true,true,true,true,19,"Registered Pharmacist","G0539","N/A",306.98,1]
[20,"Clinical Nurse Specialist",90791,"N/A",846.01,1,true,true,true,true,true,20,"Clinical Nurse Specialist",90791,"N/A",846.01,1]
[20,"Clinical Nurse Specialist",90868,"N/A",211.5,1,true,true,true,true,true,20,"Clinical Nurse Specialist",90868,"N/A",211.5,1]
[20,"Clinical Nurse Specialist",97552,"N/A",141,1,true,true,true,true,true,20,"Clinical Nurse Specialist",97552,"N/A",141,1]
[20,"Clinical Nurse Specialist",99245,"N/A",874.21,1,true,true,true,true,true,20,"Clinical Nurse Specialist",99245,"N/A",874.21,1]
[20,"Clinical Nurse Specialist","G0539","N/A",324.3,1,true,true,true,true,true,20,"Clinical Nurse Specialist","G0539","N/A",324.3,1]
[20,"Clinical Nurse Specialist","H0031","N/A",211.5,1,true,true,true,true,true,20,"Clinical Nurse Specialist","H0031","N/A",211.5,1]
[20,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",59.04,1,true,true,true,true,true,20,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",59.04,1]
[20,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",169.73,1,true,true,true,true,true,20,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",169.73,1]
[20,"Licensed Physician",90837,22,1704.3,1,true,true,true,true,true,20,"Licensed Physician",90837,22,1704.3,1]
[20,"Licensed Physician",96116,"N/A",1701.29,1,true,true,true,true,true,20,"Licensed Physician",96116,"N/A",1701.29,1]
[20,"Licensed Physician",99223,"N/A",2325.1,1,true,true,true,true,true,20,"Licensed Physician",99223,"N/A",2325.1,1]
[20,"Licensed Physician",99348,"N/A",992.42,1,true,true,true,true,true,20,"Licensed Physician",99348,"N/A",992.42,1]
[20,"Licensed Physician","G0543","N/A",283.55,1,true,true,true,true,true,20,"Licensed Physician","G0543","N/A",283.55,1]
[20,"Licensed Psychiatric Technician","G0543","N/A",51.87,1,true,true,true,true,true,20,"Licensed Psychiatric Technician","G0543","N/A",51.87,1]
[20,"Licensed Vocational Nurse",96368,"N/A",90.76,1,true,true,true,true,true,20,"Licensed Vocational Nurse",96368,"N/A",90.76,1]
[20,"Licensed Vocational Nurse",97551,"N/A",90.76,1,true,true,true,true,true,20,"Licensed Vocational Nurse",97551,"N/A",90.76,1]
[20,"Medical Assistant",96372,"N/A",62.39,1,true,true,true,true,true,20,"Medical Assistant",96372,"N/A",62.39,1]
[20,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",442.77,1,true,true,true,true,true,20,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",442.77,1]
[20,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",169.73,1,true,true,true,true,{"$f":"EXACT(E19524,P19524)","v":true},20,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",169.73,1]
[20,"Nurse Practitioner",90834,22,637.52,1,true,true,true,true,true,20,"Nurse Practitioner",90834,22,637.52,1]
[20,"Nurse Practitioner",96370,"N/A",634.51,{"$f":"IF(AND(B19597=\"Peer Support Specialists\",C19597=\"T1013\"),9,1)","v":1},true,true,true,true,true,20,"Nurse Practitioner",96370,"N/A",634.51,1]
[20,"Nurse Practitioner",99205,"N/A",944.71,1,true,true,true,true,true,20,"Nurse Practitioner",99205,"N/A",944.71,1]
[20,"Nurse Practitioner",99253,"N/A",733.21,1,true,true,true,true,true,20,"Nurse Practitioner",99253,"N/A",733.21,1]
[20,"Nurse Practitioner","H2000","N/A",211.5,1,true,true,true,true,true,20,"Nurse Practitioner","H2000","N/A",211.5,1]
[20,"Occupational Therapist","G0540","N/A",147.35,1,true,true,true,true,true,20,"Occupational Therapist","G0540","N/A",147.35,1]
[20,"Other Qualified Practitioner","H0032","N/A",83.28,1,true,true,true,true,true,20,"Other Qualified Practitioner","H0032","N/A",83.28,1]
[20,"Physician Assistant",96105,"N/A",763.02,1,true,true,true,true,true,20,"Physician Assistant",96105,"N/A",763.02,1]
[20,"Physician Assistant",96110,"N/A",763.02,1,true,true,true,true,true,20,"Physician Assistant",96110,"N/A",763.02,1]
[20,"Physician Assistant",99215,"N/A",597.70000000000005,1,true,true,true,true,true,20,"Physician Assistant",99215,"N/A",597.70000000000005,1]
[20,"Physician Assistant",99254,"N/A",890.19,1,true,true,true,true,true,20,"Physician Assistant",99254,"N/A",890.19,1]
[20,"Physician Assistant","T2021","N/A",190.76,1,true,true,true,true,true,20,"Physician Assistant","T2021","N/A",190.76,1]
[20,"Psychologist (Licensed or Waivered)",90845,"N/A",513.15,1,true,true,true,true,true,20,"Psychologist (Licensed or Waivered)",90845,"N/A",513.15,1]
[20,"Psychologist (Licensed or Waivered)",98967,"N/A",182.45,{"$f":"IF(AND(B19917=\"Peer Support Specialists\",C19917=\"T1013\"),9,1)","v":1},true,true,true,true,true,20,"Psychologist (Licensed or Waivered)",98967,"N/A",182.45,1]
[20,"Psychologist (Licensed or Waivered)","H2017","HQ",38.01,1,true,true,true,true,true,20,"Psychologist (Licensed or Waivered)","H2017","HQ",38.01,1]
[20,"Registered Nurse","H0033","N/A",172.76,1,true,true,true,true,true,20,"Registered Nurse","H0033","N/A",172.76,1]
[20,"Registered Pharmacist","G0541","N/A",312.18,1,true,true,true,true,true,20,"Registered Pharmacist","G0541","N/A",312.18,1]
[20,"Registered Pharmacist","H2011","N/A",203.59,1,true,true,true,true,true,20,"Registered Pharmacist","H2011","N/A",203.59,1]
[21,"Clinical Nurse Specialist",96112,"N/A",904.84,1,true,true,true,true,true,21,"Clinical Nurse Specialist",96112,"N/A",904.84,1]
[21,"Clinical Nurse Specialist",96367,"N/A",467.5,1,true,true,true,true,true,21,"Clinical Nurse Specialist",96367,"N/A",467.5,1]
[21,"Clinical Nurse Specialist",98967,"N/A",241.29,1,true,true,true,true,true,21,"Clinical Nurse Specialist",98967,"N/A",241.29,1]
[21,"Clinical Nurse Specialist",99304,"N/A",452.42,1,true,true,true,true,true,21,"Clinical Nurse Specialist",99304,"N/A",452.42,1]
[21,"Clinical Nurse Specialist","T1001","N/A",226.21,{"$f":"IF(AND(B20173=\"Peer Support Specialists\",C20173=\"T1013\"),9,1)","v":1},true,true,true,true,true,21,"Clinical Nurse Specialist","T1001","N/A",226.21,1]
[21,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",473.56,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)",90837,"N/A",473.56,1]
[21,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",181.53,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",181.53,1]
[21,"Licensed Physician",90840,"N/A",909.8,1,true,true,true,true,true,21,"Licensed Physician",90840,"N/A",909.8,1]
[21,"Licensed Physician",96137,"N/A",909.8,1,true,true,true,true,true,21,"Licensed Physician",96137,"N/A",909.8,1]
[21,"Licensed Physician",99221,"N/A",1425.35,1,true,true,true,true,true,21,"Licensed Physician",99221,"N/A",1425.35,1]
[21,"Licensed Physician",99349,"N/A",1516.33,1,true,true,true,true,true,21,"Licensed Physician",99349,"N/A",1516.33,1]
[21,"Licensed Physician","T1017","N/A",454.9,1,true,true,true,true,true,21,"Licensed Physician","T1017","N/A",454.9,1]
[21,"Licensed Psychiatric Technician",96203,"N/A",18.489999999999998,1,true,true,true,true,true,21,"Licensed Psychiatric Technician",96203,"N/A",18.489999999999998,1]
[21,"Licensed Psychiatric Technician","H0032","N/A",83.21,1,true,true,true,true,true,21,"Licensed Psychiatric Technician","H0032","N/A",83.21,1]
[21,"Licensed Vocational Nurse",96377,"N/A",97.07,1,true,true,true,true,true,21,"Licensed Vocational Nurse",96377,"N/A",97.07,1]
[21,"Medical Assistant",99484,"N/A",266.89999999999998,1,true,true,true,true,true,21,"Medical Assistant",99484,"N/A",266.89999999999998,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",236.78,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",236.78,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",473.56,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",473.56,1]
[21,"Nurse Practitioner",90834,22,681.64,1,true,true,true,true,true,21,"Nurse Practitioner",90834,22,681.64,1]
[21,"Nurse Practitioner",96131,"N/A",904.84,1,true,true,true,true,true,21,"Nurse Practitioner",96131,"N/A",904.84,1]
[21,"Nurse Practitioner",99215,"N/A",708.79,1,true,true,true,true,true,21,"Nurse Practitioner",99215,"N/A",708.79,1]
[21,"Nurse Practitioner",99310,"N/A",784.19,1,true,true,true,true,true,21,"Nurse Practitioner",99310,"N/A",784.19,1]
[21,"Nurse Practitioner","H0034","HQ",50.27,1,true,true,true,true,true,21,"Nurse Practitioner","H0034","HQ",50.27,1]
[21,"Nurse Practitioner","H2017","HQ",50.27,1,true,true,true,true,true,21,"Nurse Practitioner","H2017","HQ",50.27,1]
[21,"Occupational Therapist","G0542","N/A",157.59,1,true,true,true,true,true,21,"Occupational Therapist","G0542","N/A",157.59,1]
[21,"Peer Support Specialists","H0038","N/A",93.53,1,true,true,true,true,true,21,"Peer Support Specialists","H0038","N/A",93.53,1]
[21,"Physician Assistant",96105,"N/A",816.08,1,true,true,true,true,true,21,"Physician Assistant",96105,"N/A",816.08,1]
[21,"Physician Assistant",97550,"N/A",312.83,1,true,true,true,true,true,21,"Physician Assistant",97550,"N/A",312.83,1]
[21,"Physician Assistant",99305,"N/A",571.26,1,true,true,true,true,true,21,"Physician Assistant",99305,"N/A",571.26,1]
[21,"Physician Assistant","G0541","N/A",312.83,1,true,true,true,true,true,21,"Physician Assistant","G0541","N/A",312.83,1]
[21,"Psychologist (Licensed or Waivered)",90839,"N/A",731.78,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)",90839,"N/A",731.78,1]
[21,"Psychologist (Licensed or Waivered)",98967,"N/A",195.14,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)",98967,"N/A",195.14,1]
[21,"Registered Nurse",96121,"N/A",739.09,1,true,true,true,true,true,21,"Registered Nurse",96121,"N/A",739.09,1]
[21,"Registered Nurse","H0034","HQ",41.06,1,true,true,true,true,true,21,"Registered Nurse","H0034","HQ",41.06,1]
[21,"Registered Pharmacist",99607,"N/A",217.75,{"$f":"IF(AND(B21005=\"Peer Support Specialists\",C21005=\"T1013\"),9,1)","v":1},true,true,true,true,true,21,"Registered Pharmacist",99607,"N/A",217.75,1]
[21,"Registered Pharmacist","G0543","N/A",145.16999999999999,1,true,true,true,true,true,21,"Registered Pharmacist","G0543","N/A",145.16999999999999,1]
[22,"Clinical Nurse Specialist",90833,"N/A",573.85,1,true,true,true,true,true,22,"Clinical Nurse Specialist",90833,"N/A",573.85,1]
[22,"Clinical Nurse Specialist",90885,"N/A",1147.7,1,true,true,true,true,true,22,"Clinical Nurse Specialist",90885,"N/A",1147.7,1]
[22,"Clinical Nurse Specialist",97552,"N/A",191.28,1,true,true,true,true,true,22,"Clinical Nurse Specialist",97552,"N/A",191.28,1]
[22,"Clinical Nurse Specialist",99255,"N/A",1664.17,1,true,true,true,true,true,22,"Clinical Nurse Specialist",99255,"N/A",1664.17,1]
[22,"Clinical Nurse Specialist","G0543","N/A",191.28,1,true,true,true,true,true,22,"Clinical Nurse Specialist","G0543","N/A",191.28,1]
[22,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",600.66,1,true,true,true,true,true,22,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",600.66,1]
[22,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",600.66,1,true,true,true,true,true,22,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",600.66,1]
[22,"Licensed Physician",90837,"N/A",2071.23,1,{"$f":"EXACT(A21251,L21251)","v":true},{"$f":"EXACT(B21251,M21251)","v":true},{"$f":"EXACT(C21251,N21251)","v":true},{"$f":"EXACT(D21251,O21251)","v":true},true,22,"Licensed Physician",90837,"N/A",2071.23,1]
[22,"Licensed Physician",96161,"N/A",517.80999999999995,1,true,true,true,true,true,22,"Licensed Physician",96161,"N/A",517.80999999999995,1]
[22,"Licensed Physician",99203,"N/A",1277.26,1,true,true,true,true,true,22,"Licensed Physician",99203,"N/A",1277.26,1]
[22,"Licensed Physician",99223,"N/A",2830.68,1,true,true,true,true,true,22,"Licensed Physician",99223,"N/A",2830.68,1]
[22,"Licensed Physician",99348,"N/A",1208.22,1,true,true,true,true,true,22,"Licensed Physician",99348,"N/A",1208.22,1]
[22,"Licensed Physician","T2021","HQ",115.07,1,true,true,true,true,true,22,"Licensed Physician","T2021","HQ",115.07,1]
[22,"Licensed Psychiatric Technician","H0034","N/A",94.72,1,true,true,true,true,true,22,"Licensed Psychiatric Technician","H0034","N/A",94.72,1]
[22,"Licensed Vocational Nurse",96372,"N/A",110.49,1,true,true,true,true,true,22,"Licensed Vocational Nurse",96372,"N/A",110.49,1]
[22,"Medical Assistant",96371,"N/A",84.64,1,true,true,true,true,true,22,"Medical Assistant",96371,"N/A",84.64,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",450.5,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",450.5,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",33.369999999999997,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",33.369999999999997,1]
[22,"Nurse Practitioner",90837,"N/A",1147.7,1,true,true,true,true,true,22,"Nurse Practitioner",90837,"N/A",1147.7,1]
[22,"Nurse Practitioner",96121,"N/A",1147.7,{"$f":"IF(AND(B21581=\"Peer Support Specialists\",C21581=\"T1013\"),9,1)","v":1},true,true,true,true,true,22,"Nurse Practitioner",96121,"N/A",1147.7,1]
[22,"Nurse Practitioner",99204,"N/A",994.67,1,true,true,true,true,true,22,"Nurse Practitioner",99204,"N/A",994.67,1]
[22,"Nurse Practitioner",99215,"N/A",899.03,1,true,true,true,true,true,22,"Nurse Practitioner",99215,"N/A",899.03,1]
[22,"Nurse Practitioner","G0541","N/A",439.95,1,true,true,true,true,true,22,"Nurse Practitioner","G0541","N/A",439.95,1]
[22,"Nurse Practitioner","H2000","N/A",286.93,1,true,true,true,true,true,22,"Nurse Practitioner","H2000","N/A",286.93,1]
[22,"Occupational Therapist","H0031","N/A",179.39,1,true,true,true,true,true,22,"Occupational Therapist","H0031","N/A",179.39,1]
[22,"Other Qualified Practitioner","H2000","N/A",101.39,1,true,true,true,true,true,22,"Other Qualified Practitioner","H2000","N/A",101.39,1]
[22,"Physician Assistant",96116,"N/A",1035.1199999999999,1,true,true,true,true,true,22,"Physician Assistant",96116,"N/A",1035.1199999999999,1]
[22,"Physician Assistant",96373,"N/A",258.77999999999997,1,true,true,true,true,true,22,"Physician Assistant",96373,"N/A",258.77999999999997,1]
[22,"Physician Assistant",99253,"N/A",897.1,1,true,true,true,true,{"$f":"EXACT(E21828,P21828)","v":true},22,"Physician Assistant",99253,"N/A",897.1,1]
[22,"Physician Assistant","G0543","N/A",172.52,1,true,true,true,true,true,22,"Physician Assistant","G0543","N/A",172.52,1]
[22,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[22,"Psychologist (Licensed or Waivered)",90880,"N/A",928.19,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)",90880,"N/A",928.19,1]
[22,"Psychologist (Licensed or Waivered)",99484,"N/A",928.19,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)",99484,"N/A",928.19,1]
[22,"Registered Nurse",97550,"N/A",359.36,1,true,true,true,true,true,22,"Registered Nurse",97550,"N/A",359.36,1]
[22,"Registered Nurse","H2011","N/A",234.37,1,true,true,true,true,true,22,"Registered Nurse","H2011","N/A",234.37,1]
[22,"Registered Pharmacist","H0032","N/A",276.19,1,true,true,true,true,true,22,"Registered Pharmacist","H0032","N/A",276.19,1]
[23,"Clinical Nurse Specialist",90839,"N/A",732.35,1,true,true,true,true,true,23,"Clinical Nurse Specialist",90839,"N/A",732.35,1]
[23,"Clinical Nurse Specialist",96125,"N/A",732.35,1,true,true,true,true,true,23,"Clinical Nurse Specialist",96125,"N/A",732.35,1]
[23,"Clinical Nurse Specialist",96371,"N/A",183.09,1,true,true,true,true,true,23,"Clinical Nurse Specialist",96371,"N/A",183.09,1]
[23,"Clinical Nurse Specialist",99307,"N/A",183.09,1,true,true,true,true,true,23,"Clinical Nurse Specialist",99307,"N/A",183.09,1]
[23,"Clinical Nurse Specialist","H0032","N/A",183.09,1,true,true,true,true,true,23,"Clinical Nurse Specialist","H0032","N/A",183.09,1]
[23,"Clinical Nurse Specialist","T2021","HQ",40.69,1,true,true,true,true,true,23,"Clinical Nurse Specialist","T2021","HQ",40.69,1]
[23,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",287.45999999999998,1,true,true,true,true,true,23,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",287.45999999999998,1]
[23,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",95.82,1,true,true,true,true,true,23,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",95.82,1]
[23,"Licensed Physician",90870,"N/A",490.91,1,true,true,true,true,true,23,"Licensed Physician",90870,"N/A",490.91,1]
[23,"Licensed Physician",96203,"N/A",81.819999999999993,1,true,true,true,true,true,23,"Licensed Physician",96203,"N/A",81.819999999999993,1]
[23,"Licensed Physician",99304,"N/A",736.36,1,true,true,true,true,true,23,"Licensed Physician",99304,"N/A",736.36,1]
[23,"Licensed Physician",99416,"N/A",736.36,1,true,true,true,true,true,23,"Licensed Physician",99416,"N/A",736.36,1]
[23,"Licensed Physician","T2024","N/A",368.18,1,true,true,true,true,true,23,"Licensed Physician","T2024","N/A",368.18,1]
[23,"Licensed Psychiatric Technician",96373,"N/A",67.349999999999994,1,true,true,true,true,true,23,"Licensed Psychiatric Technician",96373,"N/A",67.349999999999994,1]
[23,"Licensed Vocational Nurse",97552,"N/A",52.38,1,true,true,true,true,true,23,"Licensed Vocational Nurse",97552,"N/A",52.38,1]
[23,"Medical Assistant",99366,"N/A",216.02,1,{"$f":"EXACT(A22467,L22467)","v":true},{"$f":"EXACT(B22467,M22467)","v":true},{"$f":"EXACT(C22467,N22467)","v":true},{"$f":"EXACT(D22467,O22467)","v":true},true,23,"Medical Assistant",99366,"N/A",216.02,1]
[23,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",383.28,1,true,true,true,true,true,23,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",383.28,1]
[23,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",95.82,1,true,true,true,true,true,23,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",95.82,1]
[23,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",95.82,1,true,true,true,true,true,23,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",95.82,1]
[23,"Nurse Practitioner",90838,"N/A",732.35,1,true,true,true,true,true,23,"Nurse Practitioner",90838,"N/A",732.35,1]
[23,"Nurse Practitioner",96137,"N/A",366.18,1,true,true,true,true,true,23,"Nurse Practitioner",96137,"N/A",366.18,1]
[23,"Nurse Practitioner",99236,"N/A",1122.94,1,true,true,true,true,true,23,"Nurse Practitioner",99236,"N/A",1122.94,1]
[23,"Nurse Practitioner",99345,"N/A",1000.88,1,true,true,true,true,true,23,"Nurse Practitioner",99345,"N/A",1000.88,1]
[23,"Nurse Practitioner","H2017","N/A",183.09,1,true,true,true,true,true,23,"Nurse Practitioner","H2017","N/A",183.09,1]
[23,"Occupational Therapist","H0032","N/A",127.55,1,true,true,true,true,true,23,"Occupational Therapist","H0032","N/A",127.55,1]
[23,"Physician Assistant",90792,"N/A",660.51,1,true,true,true,true,true,23,"Physician Assistant",90792,"N/A",660.51,1]
[23,"Physician Assistant",96112,"N/A",660.51,1,true,true,true,true,true,23,"Physician Assistant",96112,"N/A",660.51,1]
[23,"Physician Assistant",97550,"N/A",253.2,1,true,true,true,true,true,23,"Physician Assistant",97550,"N/A",253.2,1]
[23,"Physician Assistant",99255,"N/A",957.74,1,true,true,true,true,true,23,"Physician Assistant",99255,"N/A",957.74,1]
[23,"Physician Assistant",99309,"N/A",407.31,1,true,true,true,true,true,23,"Physician Assistant",99309,"N/A",407.31,1]
[23,"Physician Assistant","H0032","N/A",165.13,1,true,true,true,true,true,23,"Physician Assistant","H0032","N/A",165.13,1]
[23,"Psychologist (Licensed or Waivered)",90849,"N/A",184.26,1,true,true,true,true,true,23,"Psychologist (Licensed or Waivered)",90849,"N/A",184.26,1]
[23,"Psychologist (Licensed or Waivered)",99484,"N/A",592.28,1,true,true,true,true,true,23,"Psychologist (Licensed or Waivered)",99484,"N/A",592.28,1]
[23,"Registered Nurse",96203,"N/A",33.229999999999997,1,true,true,true,true,true,23,"Registered Nurse",96203,"N/A",33.229999999999997,1]
[23,"Registered Nurse","H0034","HQ",33.229999999999997,1,true,true,true,true,true,23,"Registered Nurse","H0034","HQ",33.229999999999997,1]
[23,"Registered Pharmacist","G0542","N/A",176.24,1,true,true,true,true,true,23,"Registered Pharmacist","G0542","N/A",176.24,1]
[24,"Clinical Nurse Specialist",90832,22,413.08,1,true,true,true,true,{"$f":"EXACT(E23044,P23044)","v":true},24,"Clinical Nurse Specialist",90832,22,413.08,1]
[24,"Clinical Nurse Specialist",96127,"N/A",820.14,1,true,true,true,true,true,24,"Clinical Nurse Specialist",96127,"N/A",820.14,1]
[24,"Clinical Nurse Specialist",98968,"N/A",355.39,1,true,true,true,true,true,24,"Clinical Nurse Specialist",98968,"N/A",355.39,1]
[24,"Clinical Nurse Specialist",99305,"N/A",574.1,1,true,true,true,true,true,24,"Clinical Nurse Specialist",99305,"N/A",574.1,1]
[24,"Clinical Nurse Specialist","G0543","N/A",136.69,1,true,true,true,true,true,24,"Clinical Nurse Specialist","G0543","N/A",136.69,1]
[24,"Clinical Nurse Specialist","H0034","N/A",205.04,1,true,true,true,true,true,24,"Clinical Nurse Specialist","H0034","N/A",205.04,1]
[24,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",429.23,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",429.23,1]
[24,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",164.54,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",164.54,1]
[24,"Licensed Physician",90839,"N/A",1649.28,1,true,true,true,true,true,24,"Licensed Physician",90839,"N/A",1649.28,1]
[24,"Licensed Physician",96203,"N/A",91.63,1,true,true,true,true,true,24,"Licensed Physician",96203,"N/A",91.63,1]
[24,"Licensed Physician",99233,"N/A",1566.82,1,true,true,true,true,true,24,"Licensed Physician",99233,"N/A",1566.82,1]
[24,"Licensed Physician",99367,"N/A",1649.28,1,true,true,true,true,true,24,"Licensed Physician",99367,"N/A",1649.28,1]
[24,"Licensed Physician","T2021","N/A",412.32,1,true,true,true,true,true,24,"Licensed Physician","T2021","N/A",412.32,1]
[24,"Licensed Psychiatric Technician","H0033","N/A",75.430000000000007,1,true,true,true,true,true,24,"Licensed Psychiatric Technician","H0033","N/A",75.430000000000007,1]
[24,"Licensed Psychiatric Technician","H2017","N/A",75.430000000000007,1,true,true,true,true,true,24,"Licensed Psychiatric Technician","H2017","N/A",75.430000000000007,1]
[24,"Medical Assistant",96127,"N/A",241.92,1,true,true,true,true,true,24,"Medical Assistant",96127,"N/A",241.92,1]
[24,"Medical Assistant",99484,"N/A",241.92,1,true,true,true,true,true,24,"Medical Assistant",99484,"N/A",241.92,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,324.93,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)",90834,22,324.93,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",107.31,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",107.31,1]
[24,"Nurse Practitioner",90837,"N/A",820.14,1,true,true,true,true,true,24,"Nurse Practitioner",90837,"N/A",820.14,{"$f":"IF(N23560=\"G0323\",9,1)","v":1}]
[24,"Nurse Practitioner",96131,"N/A",820.14,1,true,true,true,true,true,24,"Nurse Practitioner",96131,"N/A",820.14,1]
[24,"Nurse Practitioner",99214,"N/A",478.42,1,true,true,true,true,true,24,"Nurse Practitioner",99214,"N/A",478.42,1]
[24,"Nurse Practitioner",99348,"N/A",478.42,1,true,true,true,true,true,24,"Nurse Practitioner",99348,"N/A",478.42,1]
[24,"Nurse Practitioner","H0032","N/A",205.04,1,true,true,true,true,true,24,"Nurse Practitioner","H0032","N/A",205.04,1]
[24,"Occupational Therapist","G0543","N/A",95.23,1,true,true,true,true,true,24,"Occupational Therapist","G0543","N/A",95.23,1]
[24,"Physician Assistant",90832,22,372.86,1,true,true,true,true,true,24,"Physician Assistant",90832,22,372.86,1]
[24,"Physician Assistant",90865,"N/A",1109.54,1,true,true,true,true,true,24,"Physician Assistant",90865,"N/A",1109.54,1]
[24,"Physician Assistant",96116,"N/A",739.69,1,true,true,true,true,true,24,"Physician Assistant",96116,"N/A",739.69,1]
[24,"Physician Assistant",99243,"N/A",431.49,1,true,true,true,true,true,24,"Physician Assistant",99243,"N/A",431.49,1]
[24,"Physician Assistant",99305,"N/A",517.78,1,true,true,true,true,true,24,"Physician Assistant",99305,"N/A",517.78,1]
[24,"Physician Assistant","H0034","N/A",184.92,1,true,true,true,true,true,24,"Physician Assistant","H0034","N/A",184.92,1]
[24,"Psychologist (Licensed or Waivered)",90834,"N/A",497.46,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)",90834,"N/A",497.46,1]
[24,"Psychologist (Licensed or Waivered)",99368,"N/A",663.28,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)",99368,"N/A",663.28,1]
[24,"Registered Nurse",96366,"N/A",502.43,1,true,true,true,true,true,24,"Registered Nurse",96366,"N/A",502.43,1]
[24,"Registered Nurse",99368,"N/A",669.91,1,true,true,true,true,true,24,"Registered Nurse",99368,"N/A",669.91,1]
[24,"Registered Pharmacist","H0034","HQ",43.86,1,true,true,true,true,true,24,"Registered Pharmacist","H0034","HQ",43.86,1]
[25,"Certified AOD Counselor","H2021","N/A",83.05,1,true,true,true,true,true,25,"Certified AOD Counselor","H2021","N/A",83.05,1]
[25,"Clinical Nurse Specialist",96121,"N/A",765.23,1,true,true,true,true,true,25,"Clinical Nurse Specialist",96121,"N/A",765.23,1]
[25,"Clinical Nurse Specialist",96132,"N/A",765.23,1,true,true,true,true,true,25,"Clinical Nurse Specialist",96132,"N/A",765.23,1]
[25,"Clinical Nurse Specialist",99239,"N/A",765.23,1,true,true,true,true,true,25,"Clinical Nurse Specialist",99239,"N/A",765.23,1]
[25,"Clinical Nurse Specialist",99307,"N/A",191.31,1,true,true,true,true,true,25,"Clinical Nurse Specialist",99307,"N/A",191.31,1]
[25,"Clinical Nurse Specialist","H0036","N/A",191.31,1,true,true,true,true,true,25,"Clinical Nurse Specialist","H0036","N/A",191.31,1]
[25,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",22.25,1,true,true,true,true,true,25,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",22.25,1]
[25,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",100.12,1,true,true,true,true,true,25,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",100.12,1]
[25,"Licensed Physician",90834,"N/A",1154.1500000000001,1,true,true,true,true,true,25,"Licensed Physician",90834,"N/A",1154.1500000000001,1]
[25,"Licensed Physician",96202,"N/A",341.97,1,true,true,true,true,true,25,"Licensed Physician",96202,"N/A",341.97,1]
[25,"Licensed Physician",99235,"N/A",1974.87,1,true,true,true,true,true,25,"Licensed Physician",99235,"N/A",1974.87,1]
[25,"Licensed Physician",99308,"N/A",641.19000000000005,1,true,true,true,true,true,25,"Licensed Physician",99308,"N/A",641.19000000000005,1]
[25,"Licensed Physician",99442,"N/A",410.36,1,true,true,true,true,true,25,"Licensed Physician",99442,"N/A",410.36,1]
[25,"Licensed Psychiatric Technician",96202,"N/A",62.56,1,true,true,true,true,true,25,"Licensed Psychiatric Technician",96202,"N/A",62.56,1]
[25,"Licensed Vocational Nurse",96203,"N/A",18.239999999999998,1,true,true,true,true,true,25,"Licensed Vocational Nurse",96203,"N/A",18.239999999999998,1]
[25,"Licensed Vocational Nurse","G0541","N/A",125.87,1,true,true,true,true,true,25,"Licensed Vocational Nurse","G0541","N/A",125.87,1]
[25,"Medical Assistant","H0034","HQ",12.54,1,true,true,true,true,true,25,"Medical Assistant","H0034","HQ",12.54,1]
[25,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",400.49,1,true,true,true,true,true,25,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",400.49,1]
[25,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",100.12,1,true,true,true,true,true,25,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",100.12,1]
[25,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",100.12,1,true,true,true,true,true,25,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",100.12,1]
[25,"Nurse Practitioner",96202,"N/A",170.05,1,true,true,true,true,true,25,"Nurse Practitioner",96202,"N/A",170.05,1]
[25,"Nurse Practitioner",99221,"N/A",599.42999999999995,1,true,true,true,true,true,25,"Nurse Practitioner",99221,"N/A",599.42999999999995,1]
[25,"Nurse Practitioner",99243,"N/A",446.38,1,true,true,true,true,true,25,"Nurse Practitioner",99243,"N/A",446.38,1]
[25,"Nurse Practitioner",99350,"N/A",854.51,1,true,true,true,true,true,25,"Nurse Practitioner",99350,"N/A",854.51,1]
[25,"Nurse Practitioner","T1001","N/A",191.31,1,true,true,true,true,true,25,"Nurse Practitioner","T1001","N/A",191.31,1]
[25,"Occupational Therapist","T1017","N/A",133.28,1,true,true,true,true,true,25,"Occupational Therapist","T1017","N/A",133.28,1]
[25,"Physician Assistant",90833,22,348.1,1,true,true,true,true,true,25,"Physician Assistant",90833,22,348.1,1]
[25,"Physician Assistant",96365,"N/A",529.13,1,true,true,true,true,true,25,"Physician Assistant",96365,"N/A",529.13,1]
[25,"Physician Assistant",99203,"N/A",425.6,1,true,true,true,true,true,25,"Physician Assistant",99203,"N/A",425.6,1]
[25,"Physician Assistant",99307,"N/A",172.54,1,true,true,true,true,true,25,"Physician Assistant",99307,"N/A",172.54,1]
[25,"Physician Assistant","H2019","N/A",172.54,1,true,true,true,true,true,25,"Physician Assistant","H2019","N/A",172.54,1]
[25,"Psychologist (Licensed or Waivered)",90885,"N/A",618.88,1,true,true,true,true,true,25,"Psychologist (Licensed or Waivered)",90885,"N/A",618.88,1]
[25,"Psychologist (Licensed or Waivered)","G0539","N/A",237.24,1,true,true,true,true,true,25,"Psychologist (Licensed or Waivered)","G0539","N/A",237.24,1]
[25,"Registered Nurse",96365,"N/A",479.21,1,true,true,true,true,true,25,"Registered Nurse",96365,"N/A",479.21,1]
[25,"Registered Nurse",96368,"N/A",156.27000000000001,1,true,true,true,true,true,25,"Registered Nurse",96368,"N/A",156.27000000000001,1]
[25,"Registered Pharmacist",96203,"N/A",40.92,1,true,true,true,true,true,25,"Registered Pharmacist",96203,"N/A",40.92,1]
[25,"Registered Pharmacist","H2011","N/A",184.15,1,true,true,true,true,true,25,"Registered Pharmacist","H2011","N/A",184.15,1]
[26,"Clinical Nurse Specialist",90834,22,573.15,1,true,true,true,true,true,26,"Clinical Nurse Specialist",90834,22,573.15,1]
[26,"Clinical Nurse Specialist",96202,"N/A",168.93,1,true,true,true,true,true,26,"Clinical Nurse Specialist",96202,"N/A",168.93,1]
[26,"Clinical Nurse Specialist",99205,"N/A",848.87,1,true,true,true,true,true,26,"Clinical Nurse Specialist",99205,"N/A",848.87,1]
[26,"Clinical Nurse Specialist",99309,"N/A",468.78,1,true,true,true,true,true,26,"Clinical Nurse Specialist",99309,"N/A",468.78,1]
[26,"Clinical Nurse Specialist","H0034","N/A",190.05,1,true,true,true,true,true,26,"Clinical Nurse Specialist","H0034","N/A",190.05,1]
[26,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",331.54,1,true,true,true,true,true,26,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",331.54,1]
[26,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",88.41,1,true,true,true,true,true,26,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",88.41,1]
[26,"Licensed Physician",90847,"N/A",1273.9000000000001,1,true,true,true,true,true,26,"Licensed Physician",90847,"N/A",1273.9000000000001,1]
[26,"Licensed Physician",96365,"N/A",1171.99,1,true,true,true,true,true,26,"Licensed Physician",96365,"N/A",1171.99,1]
[26,"Licensed Physician",96373,"N/A",382.17,1,true,true,true,true,true,26,"Licensed Physician",96373,"N/A",382.17,1]
[26,"Licensed Physician",99238,"N/A",764.34,1,true,true,true,true,true,26,"Licensed Physician",99238,"N/A",764.34,1]
[26,"Licensed Physician",99418,"N/A",382.17,1,true,true,true,true,true,26,"Licensed Physician",99418,"N/A",382.17,1]
[26,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,26,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[26,"Licensed Psychiatric Technician","H2011","N/A",69.91,1,true,true,true,true,true,26,"Licensed Psychiatric Technician","H2011","N/A",69.91,1]
[26,"Licensed Vocational Nurse","G0539","N/A",125.04,1,true,true,true,true,true,26,"Licensed Vocational Nurse","G0539","N/A",125.04,1]
[26,"Medical Assistant",96371,"N/A",56.06,1,true,true,true,true,true,26,"Medical Assistant",96371,"N/A",56.06,1]
[26,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,400.86,1,true,true,true,true,true,26,"MFT/LPCC (Licensed, Waivered or Registered)",90837,22,400.86,1]
[26,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",99.46,1,true,true,true,true,true,26,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",99.46,1]
[26,"Nurse Practitioner",90838,22,763.19,1,true,true,true,true,true,26,"Nurse Practitioner",90838,22,763.19,1]
[26,"Nurse Practitioner",96146,"N/A",760.18,1,true,true,true,true,true,26,"Nurse Practitioner",96146,"N/A",760.18,1]
[26,"Nurse Practitioner",99205,"N/A",848.87,1,true,true,true,true,true,26,"Nurse Practitioner",99205,"N/A",848.87,1]
[26,"Nurse Practitioner",99223,"N/A",1038.9100000000001,1,true,true,true,true,true,26,"Nurse Practitioner",99223,"N/A",1038.9100000000001,1]
[26,"Nurse Practitioner",99348,"N/A",443.44,1,true,true,true,true,true,26,"Nurse Practitioner",99348,"N/A",443.44,1]
[26,"Nurse Practitioner","H0036","N/A",190.05,1,true,true,true,true,true,26,"Nurse Practitioner","H0036","N/A",190.05,1]
[26,"Occupational Therapist","H2000","N/A",132.4,1,true,true,true,true,true,26,"Occupational Therapist","H2000","N/A",132.4,1]
[26,"Physician Assistant",90832,"N/A",342.81,1,true,true,true,true,true,26,"Physician Assistant",90832,"N/A",342.81,1]
[26,"Physician Assistant",96127,"N/A",685.61,1,true,true,true,true,true,26,"Physician Assistant",96127,"N/A",685.61,1]
[26,"Physician Assistant",98968,"N/A",297.10000000000002,1,true,true,true,true,true,26,"Physician Assistant",98968,"N/A",297.10000000000002,1]
[26,"Physician Assistant",99253,"N/A",594.20000000000005,1,true,true,true,true,true,26,"Physician Assistant",99253,"N/A",594.20000000000005,1]
[26,"Physician Assistant","H0033","N/A",171.4,1,true,true,true,true,true,26,"Physician Assistant","H0033","N/A",171.4,1]
[26,"Physician Assistant","H2011","N/A",171.4,1,true,true,true,true,true,26,"Physician Assistant","H2011","N/A",171.4,1]
[26,"Psychologist (Licensed or Waivered)",97550,"N/A",235.67,1,true,true,true,true,true,26,"Psychologist (Licensed or Waivered)",97550,"N/A",235.67,1]
[26,"Psychologist (Licensed or Waivered)","G0541","N/A",235.67,1,true,true,true,true,true,26,"Psychologist (Licensed or Waivered)","G0541","N/A",235.67,1]
[26,"Registered Nurse",96203,"N/A",34.5,1,true,true,true,true,true,26,"Registered Nurse",96203,"N/A",34.5,1]
[26,"Registered Nurse","H2019","N/A",155.22999999999999,1,true,true,true,true,true,26,"Registered Nurse","H2019","N/A",155.22999999999999,1]
[26,"Registered Pharmacist","H0034","HQ",40.65,1,true,true,true,true,true,26,"Registered Pharmacist","H0034","HQ",40.65,1]
[27,"Clinical Nurse Specialist",90791,"N/A",787.01,1,true,true,true,true,true,27,"Clinical Nurse Specialist",90791,"N/A",787.01,1]
[27,"Clinical Nurse Specialist",96131,"N/A",787.01,1,true,true,true,true,true,27,"Clinical Nurse Specialist",96131,"N/A",787.01,1]
[27,"Clinical Nurse Specialist",99213,"N/A",327.92,1,true,true,true,true,true,27,"Clinical Nurse Specialist",99213,"N/A",327.92,1]
[27,"Clinical Nurse Specialist",99245,"N/A",813.24,1,true,true,true,true,true,27,"Clinical Nurse Specialist",99245,"N/A",813.24,1]
[27,"Clinical Nurse Specialist","H0034","HQ",43.72,1,true,true,true,true,true,27,"Clinical Nurse Specialist","H0034","HQ",43.72,1]
[27,"Clinical Nurse Specialist","H2017","HQ",43.72,1,true,true,true,true,true,27,"Clinical Nurse Specialist","H2017","HQ",43.72,1]
[27,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",54.92,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",54.92,1]
[27,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",102.97,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",102.97,1]
[27,"Licensed Physician",96131,"N/A",1582.64,1,true,true,true,true,true,27,"Licensed Physician",96131,"N/A",1582.64,1]
[27,"Licensed Physician",96367,"N/A",817.7,1,true,true,true,true,true,27,"Licensed Physician",96367,"N/A",817.7,1]
[27,"Licensed Physician",99242,"N/A",659.43,1,true,true,true,true,true,27,"Licensed Physician",99242,"N/A",659.43,1]
[27,"Licensed Physician",99342,"N/A",1186.98,1,true,true,true,true,true,27,"Licensed Physician",99342,"N/A",1186.98,1]
[27,"Licensed Psychiatric Technician",96139,"N/A",144.76,1,true,true,true,true,true,27,"Licensed Psychiatric Technician",96139,"N/A",144.76,1]
[27,"Licensed Psychiatric Technician","H2017","HQ",16.079999999999998,1,true,true,true,true,true,27,"Licensed Psychiatric Technician","H2017","HQ",16.079999999999998,1]
[27,"Licensed Vocational Nurse",96368,"N/A",84.43,1,true,true,true,true,true,27,"Licensed Vocational Nurse",96368,"N/A",84.43,1]
[27,"Medical Assistant","H2017","HQ",12.9,1,true,true,true,true,true,27,"Medical Assistant","H2017","HQ",12.9,1]
[27,"Mental Health Rehabilitation Specialist","H2021","N/A",77.47,1,true,true,true,true,true,27,"Mental Health Rehabilitation Specialist","H2021","N/A",77.47,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",205.95,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)",90840,"N/A",205.95,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",102.97,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",102.97,1]
[27,"Nurse Practitioner",96110,"N/A",787.01,1,true,true,true,true,true,27,"Nurse Practitioner",96110,"N/A",787.01,1]
[27,"Nurse Practitioner",96202,"N/A",174.89,1,true,true,true,true,true,27,"Nurse Practitioner",96202,"N/A",174.89,1]
[27,"Nurse Practitioner",99232,"N/A",550.91,1,true,true,true,true,true,27,"Nurse Practitioner",99232,"N/A",550.91,1]
[27,"Nurse Practitioner",99484,"N/A",787.01,1,true,true,true,true,true,27,"Nurse Practitioner",99484,"N/A",787.01,1]
[27,"Nurse Practitioner","T2021","N/A",196.75,1,{"$f":"EXACT(A26691,L26691)","v":true},{"$f":"EXACT(B26691,M26691)","v":true},{"$f":"EXACT(C26691,N26691)","v":true},{"$f":"EXACT(D26691,O26691)","v":true},true,27,"Nurse Practitioner","T2021","N/A",196.75,1]
[27,"Occupational Therapist",97552,"N/A",91.38,1,true,true,true,true,true,27,"Occupational Therapist",97552,"N/A",91.38,1]
[27,"Physician Assistant",90833,"N/A",354.91,1,true,true,true,true,true,27,"Physician Assistant",90833,"N/A",354.91,1]
[27,"Physician Assistant",96131,"N/A",709.81,1,true,true,true,true,true,27,"Physician Assistant",96131,"N/A",709.81,1]
[27,"Physician Assistant",96369,"N/A",449.55,1,true,true,true,true,true,27,"Physician Assistant",96369,"N/A",449.55,1]
[27,"Physician Assistant",99213,"N/A",295.75,1,true,true,true,true,true,27,"Physician Assistant",99213,"N/A",295.75,1]
[27,"Physician Assistant",99341,"N/A",260.26,1,true,true,true,true,true,27,"Physician Assistant",99341,"N/A",260.26,1]
[27,"Physician Assistant","T2021","N/A",177.45,1,true,true,true,true,true,27,"Physician Assistant","T2021","N/A",177.45,1]
[27,"Psychologist (Licensed or Waivered)",96112,"N/A",636.49,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)",96112,"N/A",636.49,1]
[27,"Psychologist (Licensed or Waivered)","T2021","N/A",159.12,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)","T2021","N/A",159.12,1]
[27,"Registered Nurse",96367,"N/A",332.14,1,true,true,true,true,true,27,"Registered Nurse",96367,"N/A",332.14,1]
[27,"Registered Nurse","T1001","N/A",160.71,1,true,true,true,true,true,27,"Registered Nurse","T1001","N/A",160.71,1]
[27,"Registered Pharmacist",99366,"N/A",757.57,1,true,true,true,true,true,27,"Registered Pharmacist",99366,"N/A",757.57,1]
[28,"Clinical Nurse Specialist",90837,"N/A",972.6,1,true,true,true,true,true,28,"Clinical Nurse Specialist",90837,"N/A",972.6,1]
[28,"Clinical Nurse Specialist",96133,"N/A",972.6,1,true,true,true,true,true,28,"Clinical Nurse Specialist",96133,"N/A",972.6,1]
[28,"Clinical Nurse Specialist",96367,"N/A",502.51,1,true,true,true,true,true,28,"Clinical Nurse Specialist",96367,"N/A",502.51,1]
[28,"Clinical Nurse Specialist",99215,"N/A",761.87,1,true,true,true,true,true,28,"Clinical Nurse Specialist",99215,"N/A",761.87,1]
[28,"Clinical Nurse Specialist",99344,"N/A",1086.07,1,true,true,true,true,true,28,"Clinical Nurse Specialist",99344,"N/A",1086.07,1]
[28,"Clinical Nurse Specialist","T1001","N/A",243.15,1,true,true,true,true,true,28,"Clinical Nurse Specialist","T1001","N/A",243.15,1]
[28,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",509.02,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",509.02,1]
[28,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",127.26,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",127.26,1]
[28,"Licensed Physician",90867,"N/A",1955.85,1,true,true,true,true,{"$f":"EXACT(E27268,P27268)","v":true},28,"Licensed Physician",90867,"N/A",1955.85,1]
[28,"Licensed Physician",96369,"N/A",1238.71,1,true,true,true,true,true,28,"Licensed Physician",96369,"N/A",1238.71,1]
[28,"Licensed Physician",99252,"N/A",1303.9000000000001,1,true,true,true,true,{"$f":"EXACT(E27332,P27332)","v":true},28,"Licensed Physician",99252,"N/A",1303.9000000000001,1]
[28,"Licensed Physician",99443,"N/A",847.54,1,true,true,true,true,true,28,"Licensed Physician",99443,"N/A",847.54,1]
[28,"Licensed Psychiatric Technician",96203,"N/A",19.88,1,true,true,true,true,true,28,"Licensed Psychiatric Technician",96203,"N/A",19.88,1]
[28,"Licensed Psychiatric Technician","H0034","HQ",19.88,1,true,true,true,true,true,28,"Licensed Psychiatric Technician","H0034","HQ",19.88,1]
[28,"Licensed Psychiatric Technician","H2021","N/A",89.45,1,true,true,true,true,true,28,"Licensed Psychiatric Technician","H2021","N/A",89.45,1]
[28,"Licensed Vocational Nurse","H2017","N/A",104.34,1,true,true,true,true,true,28,"Licensed Vocational Nurse","H2017","N/A",104.34,1]
[28,"Medical Assistant","H2021","N/A",71.72,1,true,true,true,true,true,28,"Medical Assistant","H2021","N/A",71.72,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",424.18,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",424.18,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",28.28,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",28.28,1]
[28,"Nurse Practitioner",90847,"N/A",810.5,1,true,true,true,true,true,28,"Nurse Practitioner",90847,"N/A",810.5,1]
[28,"Nurse Practitioner",96365,"N/A",745.66,1,true,true,true,true,true,28,"Nurse Practitioner",96365,"N/A",745.66,1]
[28,"Nurse Practitioner",99215,"N/A",761.87,1,true,true,true,true,true,28,"Nurse Practitioner",99215,"N/A",761.87,1]
[28,"Nurse Practitioner",99366,"N/A",972.6,{"$f":"IF(AND(B27661=\"Peer Support Specialists\",C27661=\"T1013\"),9,1)","v":1},true,true,true,true,true,28,"Nurse Practitioner",99366,"N/A",972.6,1]
[28,"Nurse Practitioner",99443,"N/A",421.46,1,true,true,true,true,true,28,"Nurse Practitioner",99443,"N/A",421.46,1]
[28,"Occupational Therapist","H2017","HQ",37.64,1,true,true,true,true,true,28,"Occupational Therapist","H2017","HQ",37.64,1]
[28,"Occupational Therapist","H2019","N/A",169.4,1,true,true,true,true,true,28,"Occupational Therapist","H2019","N/A",169.4,1]
[28,"Physician Assistant",90837,22,880.2,1,true,true,true,true,true,28,"Physician Assistant",90837,22,880.2,1]
[28,"Physician Assistant",96133,"N/A",877.19,1,true,true,true,true,true,28,"Physician Assistant",96133,"N/A",877.19,{"$f":"IF(N27784=\"G0323\",9,1)","v":1}]
[28,"Physician Assistant",99205,"N/A",979.53,1,true,true,true,true,true,28,"Physician Assistant",99205,"N/A",979.53,1]
[28,"Physician Assistant",99305,"N/A",614.03,1,true,true,true,true,true,28,"Physician Assistant",99305,"N/A",614.03,1]
[28,"Physician Assistant","H2000","N/A",219.3,1,true,true,true,true,true,28,"Physician Assistant","H2000","N/A",219.3,1]
[28,"Psychologist (Licensed or Waivered)",96105,"N/A",786.58,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)",96105,"N/A",786.58,1]
[28,"Psychologist (Licensed or Waivered)",98967,"N/A",209.75,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)",98967,"N/A",209.75,1]
[28,"Registered Nurse",96369,"N/A",503.15,1,true,true,true,true,true,28,"Registered Nurse",96369,"N/A",503.15,1]
[28,"Registered Nurse","H2011","N/A",198.61,1,true,true,true,true,true,28,"Registered Nurse","H2011","N/A",198.61,1]
[28,"Registered Pharmacist","H2017","N/A",234.06,1,true,true,true,true,true,28,"Registered Pharmacist","H2017","N/A",234.06,1]
[29,"Clinical Nurse Specialist",90836,"N/A",589.19000000000005,1,true,true,true,true,true,29,"Clinical Nurse Specialist",90836,"N/A",589.19000000000005,1]
[29,"Clinical Nurse Specialist",96113,"N/A",392.8,1,true,true,true,true,true,29,"Clinical Nurse Specialist",96113,"N/A",392.8,1]
[29,"Clinical Nurse Specialist",96137,"N/A",392.8,1,true,true,true,true,true,29,"Clinical Nurse Specialist",96137,"N/A",392.8,1]
[29,"Clinical Nurse Specialist",99213,"N/A",327.33,1,true,true,true,true,true,29,"Clinical Nurse Specialist",99213,"N/A",327.33,1]
[29,"Clinical Nurse Specialist","G0539","N/A",301.14,1,true,true,true,true,{"$f":"EXACT(E28164,P28164)","v":true},29,"Clinical Nurse Specialist","G0539","N/A",301.14,1]
[29,"Clinical Nurse Specialist","H2017","N/A",196.4,1,true,true,true,true,true,29,"Clinical Nurse Specialist","H2017","N/A",196.4,1]
[29,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",205.58,1,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",205.58,1]
[29,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.84,1,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.84,1]
[29,"Licensed Physician",90853,"N/A",292.55,1,true,true,true,true,true,29,"Licensed Physician",90853,"N/A",292.55,1]
[29,"Licensed Physician",96137,"N/A",789.9,1,true,true,true,true,true,29,"Licensed Physician",96137,"N/A",789.9,1]
[29,"Licensed Physician",99239,"N/A",1579.79,1,true,true,true,true,true,29,"Licensed Physician",99239,"N/A",1579.79,1]
[29,"Licensed Physician",99252,"N/A",1053.19,1,true,true,true,true,true,29,"Licensed Physician",99252,"N/A",1053.19,1]
[29,"Licensed Physician","H2019","N/A",394.95,1,true,true,true,true,true,29,"Licensed Physician","H2019","N/A",394.95,1]
[29,"Licensed Psychiatric Technician",96366,"N/A",216.74,1,true,true,true,true,true,29,"Licensed Psychiatric Technician",96366,"N/A",216.74,1]
[29,"Licensed Psychiatric Technician","H0034","N/A",72.25,1,true,true,true,true,true,29,"Licensed Psychiatric Technician","H0034","N/A",72.25,1]
[29,"Licensed Vocational Nurse","H0031","N/A",84.28,1,true,true,true,true,true,29,"Licensed Vocational Nurse","H0031","N/A",84.28,1]
[29,"Medical Assistant","H2017","HQ",12.87,1,true,true,true,true,true,29,"Medical Assistant","H2017","HQ",12.87,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",411.15,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",411.15,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",102.79,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",102.79,1]
[29,"Nurse Practitioner",90853,"N/A",145.47999999999999,1,true,true,true,true,true,29,"Nurse Practitioner",90853,"N/A",145.47999999999999,1]
[29,"Nurse Practitioner",96121,"N/A",785.59,1,true,true,true,true,true,29,"Nurse Practitioner",96121,"N/A",785.59,1]
[29,"Nurse Practitioner",99231,"N/A",392.8,1,true,true,true,true,true,29,"Nurse Practitioner",99231,"N/A",392.8,1]
[29,"Nurse Practitioner",99310,"N/A",680.84,1,true,true,true,true,true,29,"Nurse Practitioner",99310,"N/A",680.84,1]
[29,"Nurse Practitioner",99415,"N/A",785.59,1,true,true,true,true,true,29,"Nurse Practitioner",99415,"N/A",785.59,1]
[29,"Nurse Practitioner","T2021","N/A",196.4,1,true,true,true,true,true,29,"Nurse Practitioner","T2021","N/A",196.4,1]
[29,"Other Qualified Practitioner","H2021","N/A",77.33,1,true,true,true,true,{"$f":"EXACT(E28740,P28740)","v":true},29,"Other Qualified Practitioner","H2021","N/A",77.33,1]
[29,"Physician Assistant",90836,"N/A",531.4,1,true,true,true,true,true,29,"Physician Assistant",90836,"N/A",531.4,1]
[29,"Physician Assistant",96137,"N/A",354.27,1,true,true,true,true,true,29,"Physician Assistant",96137,"N/A",354.27,1]
[29,"Physician Assistant",99236,"N/A",1086.4100000000001,1,true,true,true,true,true,29,"Physician Assistant",99236,"N/A",1086.4100000000001,1]
[29,"Physician Assistant",99310,"N/A",614.05999999999995,1,true,true,true,true,true,29,"Physician Assistant",99310,"N/A",614.05999999999995,1]
[29,"Physician Assistant","H2017","N/A",177.13,{"$f":"IF(AND(B28877=\"Peer Support Specialists\",C28877=\"T1013\"),9,1)","v":1},true,true,true,true,true,29,"Physician Assistant","H2017","N/A",177.13,1]
[29,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[29,"Psychologist (Licensed or Waivered)","H0033","N/A",158.84,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)","H0033","N/A",158.84,1]
[29,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,29,"Registered Nurse",90785,"N/A",18.89,1]
[29,"Registered Nurse",96371,"N/A",160.41999999999999,1,true,true,true,true,true,29,"Registered Nurse",96371,"N/A",160.41999999999999,1]
[29,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,29,"Registered Pharmacist",90785,"N/A",18.89,{"$f":"IF(N29000=\"G0323\",9,1)","v":1}]
[30,"Certified AOD Counselor","H2011","N/A",86.45,1,true,true,true,true,true,30,"Certified AOD Counselor","H2011","N/A",86.45,1]
[30,"Clinical Nurse Specialist",90837,"N/A",796.59,1,true,true,true,true,true,30,"Clinical Nurse Specialist",90837,"N/A",796.59,1]
[30,"Clinical Nurse Specialist",96161,"N/A",199.15,1,true,true,true,true,true,30,"Clinical Nurse Specialist",96161,"N/A",199.15,1]
[30,"Clinical Nurse Specialist",99234,"N/A",756.76,1,true,true,true,true,true,30,"Clinical Nurse Specialist",99234,"N/A",756.76,1]
[30,"Clinical Nurse Specialist",99348,"N/A",464.68,1,true,true,true,true,true,30,"Clinical Nurse Specialist",99348,"N/A",464.68,1]
[30,"Clinical Nurse Specialist","G0316","N/A",199.15,1,true,true,true,true,true,30,"Clinical Nurse Specialist","G0316","N/A",199.15,1]
[30,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",416.91,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)",90880,"N/A",416.91,1]
[30,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",104.23,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",104.23,1]
[30,"Licensed Physician",90832,"N/A",800.96,1,{"$f":"EXACT(A29251,L29251)","v":true},{"$f":"EXACT(B29251,M29251)","v":true},{"$f":"EXACT(C29251,N29251)","v":true},{"$f":"EXACT(D29251,O29251)","v":true},true,30,"Licensed Physician",90832,"N/A",800.96,1]
[30,"Licensed Physician",90880,"N/A",1601.92,1,true,true,true,true,true,30,"Licensed Physician",90880,"N/A",1601.92,1]
[30,"Licensed Physician",96373,"N/A",400.48,1,true,true,true,true,true,30,"Licensed Physician",96373,"N/A",400.48,1]
[30,"Licensed Physician",99304,"N/A",800.96,1,true,true,true,true,true,30,"Licensed Physician",99304,"N/A",800.96,1]
[30,"Licensed Physician","G0539","N/A",614.07000000000005,1,true,true,true,true,true,30,"Licensed Physician","G0539","N/A",614.07000000000005,1]
[30,"Licensed Psychiatric Technician",97550,"N/A",112.33,1,true,true,true,true,true,30,"Licensed Psychiatric Technician",97550,"N/A",112.33,1]
[30,"Licensed Psychiatric Technician","H2019","N/A",73.260000000000005,1,true,true,true,true,true,30,"Licensed Psychiatric Technician","H2019","N/A",73.260000000000005,1]
[30,"Licensed Vocational Nurse","H0033","N/A",85.46,1,true,true,true,true,true,30,"Licensed Vocational Nurse","H0033","N/A",85.46,1]
[30,"Mental Health Rehabilitation Specialist","H0033","N/A",78.42,1,true,true,true,true,true,30,"Mental Health Rehabilitation Specialist","H0033","N/A",78.42,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",416.91,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",416.91,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",104.23,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)","H2011","N/A",104.23,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",104.23,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",104.23,1]
[30,"Nurse Practitioner",90867,"N/A",796.59,1,true,true,true,true,true,30,"Nurse Practitioner",90867,"N/A",796.59,1]
[30,"Nurse Practitioner",96369,"N/A",504.51,1,true,true,true,true,true,30,"Nurse Practitioner",96369,"N/A",504.51,1]
[30,"Nurse Practitioner",99236,"N/A",1221.44,1,true,true,true,true,true,30,"Nurse Practitioner",99236,"N/A",1221.44,1]
[30,"Nurse Practitioner",99417,"N/A",199.15,1,true,true,true,true,true,30,"Nurse Practitioner",99417,"N/A",199.15,1]
[30,"Occupational Therapist",96113,"N/A",277.48,1,true,true,true,true,true,30,"Occupational Therapist",96113,"N/A",277.48,1]
[30,"Occupational Therapist","T1017","N/A",138.74,1,true,true,true,true,true,30,"Occupational Therapist","T1017","N/A",138.74,1]
[30,"Physician Assistant",90837,"N/A",718.45,1,true,true,true,true,true,30,"Physician Assistant",90837,"N/A",718.45,1]
[30,"Physician Assistant",96146,"N/A",718.45,1,true,true,true,true,true,30,"Physician Assistant",96146,"N/A",718.45,1]
[30,"Physician Assistant",99214,"N/A",419.1,1,true,true,true,true,true,30,"Physician Assistant",99214,"N/A",419.1,1]
[30,"Physician Assistant",99342,"N/A",538.84,1,true,true,true,true,true,30,"Physician Assistant",99342,"N/A",538.84,1]
[30,"Physician Assistant","H0032","N/A",179.61,1,true,true,true,true,true,30,"Physician Assistant","H0032","N/A",179.61,1]
[30,"Physician Assistant","H2019","N/A",179.61,1,true,true,true,true,true,30,"Physician Assistant","H2019","N/A",179.61,1]
[30,"Psychologist (Licensed or Waivered)",96131,"N/A",644.24,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)",96131,"N/A",644.24,1]
[30,"Psychologist (Licensed or Waivered)","H2000","N/A",161.06,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)","H2000","N/A",161.06,1]
[30,"Registered Nurse",96373,"N/A",162.66999999999999,1,true,true,true,true,true,30,"Registered Nurse",96373,"N/A",162.66999999999999,1]
[30,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,30,"Registered Pharmacist",90785,"N/A",18.89,1]
[30,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,30,"Registered Pharmacist","T1013","N/A",31.88,1]
[31,"Clinical Nurse Specialist",90838,"N/A",816.3,1,true,true,true,true,true,31,"Clinical Nurse Specialist",90838,"N/A",816.3,1]
[31,"Clinical Nurse Specialist",96127,"N/A",816.3,1,{"$f":"EXACT(A30083,L30083)","v":true},{"$f":"EXACT(B30083,M30083)","v":true},{"$f":"EXACT(C30083,N30083)","v":true},{"$f":"EXACT(D30083,O30083)","v":true},true,31,"Clinical Nurse Specialist",96127,"N/A",816.3,1]
[31,"Clinical Nurse Specialist",99221,"N/A",639.44000000000005,1,true,true,true,true,true,31,"Clinical Nurse Specialist",99221,"N/A",639.44000000000005,1]
[31,"Clinical Nurse Specialist",99349,"N/A",680.25,1,true,true,true,true,true,31,"Clinical Nurse Specialist",99349,"N/A",680.25,1]
[31,"Clinical Nurse Specialist",99350,"N/A",911.54,1,true,true,true,true,true,31,"Clinical Nurse Specialist",99350,"N/A",911.54,1]
[31,"Clinical Nurse Specialist","T1001","N/A",204.08,1,true,true,true,true,true,31,"Clinical Nurse Specialist","T1001","N/A",204.08,1]
[31,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",427.22,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",427.22,1]
[31,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",106.81,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",106.81,1]
[31,"Licensed Physician",90869,"N/A",1231.1600000000001,1,true,true,true,true,true,31,"Licensed Physician",90869,"N/A",1231.1600000000001,1]
[31,"Licensed Physician",96203,"N/A",91.2,1,true,true,true,true,true,31,"Licensed Physician",96203,"N/A",91.2,1]
[31,"Licensed Physician",99245,"N/A",1696.27,1,true,true,true,true,true,31,"Licensed Physician",99245,"N/A",1696.27,1]
[31,"Licensed Physician","G0539","N/A",629.26,1,true,true,true,true,true,31,"Licensed Physician","G0539","N/A",629.26,1]
[31,"Licensed Psychiatric Technician",96369,"N/A",190.18,1,true,true,true,true,true,31,"Licensed Psychiatric Technician",96369,"N/A",190.18,1]
[31,"Licensed Psychiatric Technician","T1001","N/A",75.069999999999993,1,true,true,true,true,true,31,"Licensed Psychiatric Technician","T1001","N/A",75.069999999999993,1]
[31,"Licensed Vocational Nurse",99484,"N/A",350.28,1,true,true,true,true,true,31,"Licensed Vocational Nurse",99484,"N/A",350.28,1]
[31,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,31,"Medical Assistant","T1013","N/A",31.88,1]
[31,"Medical Assistant","T1017","N/A",60.2,1,true,true,true,true,true,31,"Medical Assistant","T1017","N/A",60.2,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",427.22,1,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",427.22,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",23.73,1,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",23.73,1]
[31,"Nurse Practitioner",90853,"N/A",151.16999999999999,1,true,true,true,true,true,31,"Nurse Practitioner",90853,"N/A",151.16999999999999,1]
[31,"Nurse Practitioner",98968,"N/A",353.73,1,true,true,true,true,true,31,"Nurse Practitioner",98968,"N/A",353.73,1]
[31,"Nurse Practitioner",99235,"N/A",1047.5899999999999,1,true,true,true,true,true,31,"Nurse Practitioner",99235,"N/A",1047.5899999999999,1]
[31,"Nurse Practitioner",99345,"N/A",1115.6099999999999,1,{"$f":"EXACT(A30659,L30659)","v":true},{"$f":"EXACT(B30659,M30659)","v":true},{"$f":"EXACT(C30659,N30659)","v":true},{"$f":"EXACT(D30659,O30659)","v":true},true,31,"Nurse Practitioner",99345,"N/A",1115.6099999999999,1]
[31,"Nurse Practitioner","T2024","N/A",204.08,1,true,true,true,true,true,31,"Nurse Practitioner","T2024","N/A",204.08,1]
[31,"Occupational Therapist","H2021","N/A",142.16999999999999,1,true,true,true,true,true,31,"Occupational Therapist","H2021","N/A",142.16999999999999,1]
[31,"Peer Support Specialists","H0038","N/A",84.37,1,true,true,true,true,true,31,"Peer Support Specialists","H0038","N/A",84.37,1]
[31,"Physician Assistant",96136,"N/A",368.12,1,true,true,true,true,{"$f":"EXACT(E30788,P30788)","v":true},31,"Physician Assistant",96136,"N/A",368.12,1]
[31,"Physician Assistant",96203,"N/A",40.9,1,true,true,true,true,true,31,"Physician Assistant",96203,"N/A",40.9,1]
[31,"Physician Assistant",99243,"N/A",429.47,1,true,true,true,true,true,31,"Physician Assistant",99243,"N/A",429.47,1]
[31,"Physician Assistant",99345,"N/A",1006.18,1,true,true,true,true,true,31,"Physician Assistant",99345,"N/A",1006.18,1]
[31,"Psychologist (Licensed or Waivered)",90840,"N/A",330.09,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)",90840,"N/A",330.09,1]
[31,"Psychologist (Licensed or Waivered)",96121,"N/A",660.18,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)",96121,"N/A",660.18,1]
[31,"Psychologist (Licensed or Waivered)","H0033","N/A",165.05,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)","H0033","N/A",165.05,1]
[31,"Registered Nurse",96121,"N/A",666.78,1,true,true,true,true,true,31,"Registered Nurse",96121,"N/A",666.78,1]
[31,"Registered Nurse","T2024","N/A",166.7,1,true,true,true,true,true,31,"Registered Nurse","T2024","N/A",166.7,1]
[32,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,32,"Certified AOD Counselor",90785,"N/A",18.89,1]
[32,"Certified AOD Counselor","H2021","N/A",99.54,1,true,true,true,true,true,32,"Certified AOD Counselor","H2021","N/A",99.54,1]
[32,"Clinical Nurse Specialist",96146,"N/A",917.19,1,true,true,true,true,true,32,"Clinical Nurse Specialist",96146,"N/A",917.19,1]
[32,"Clinical Nurse Specialist",97552,"N/A",152.87,1,true,true,true,true,true,32,"Clinical Nurse Specialist",97552,"N/A",152.87,1]
[32,"Clinical Nurse Specialist",99223,"N/A",1253.49,1,true,true,true,true,true,32,"Clinical Nurse Specialist",99223,"N/A",1253.49,1]
[32,"Clinical Nurse Specialist",99348,"N/A",535.03,1,true,true,true,true,true,32,"Clinical Nurse Specialist",99348,"N/A",535.03,1]
[32,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",480.02,1,true,true,true,true,true,32,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",480.02,1]
[32,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",480.02,1,true,true,true,true,true,32,"LCSW (Licensed, Waivered or Registered)",96116,"N/A",480.02,1]
[32,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.67,1,true,true,true,true,true,32,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.67,1]
[32,"Licensed Physician",96121,"N/A",1844.44,1,true,true,true,true,true,32,"Licensed Physician",96121,"N/A",1844.44,1]
[32,"Licensed Physician",96372,"N/A",461.11,1,true,true,true,true,true,32,"Licensed Physician",96372,"N/A",461.11,{"$f":"IF(N31304=\"G0323\",9,1)","v":1}]
[32,"Licensed Physician",99222,"N/A",1998.14,1,true,true,true,true,true,32,"Licensed Physician",99222,"N/A",1998.14,1]
[32,"Licensed Physician","G0316","N/A",461.11,1,true,true,true,true,true,32,"Licensed Physician","G0316","N/A",461.11,1]
[32,"Licensed Physician","G0543","N/A",307.41000000000003,1,true,true,true,true,true,32,"Licensed Physician","G0543","N/A",307.41000000000003,1]
[32,"Licensed Psychiatric Technician","G0539","N/A",129.34,1,true,true,true,true,true,32,"Licensed Psychiatric Technician","G0539","N/A",129.34,1]
[32,"Licensed Psychiatric Technician","T1017","N/A",84.35,1,{"$f":"EXACT(A31427,L31427)","v":true},{"$f":"EXACT(B31427,M31427)","v":true},{"$f":"EXACT(C31427,N31427)","v":true},{"$f":"EXACT(D31427,O31427)","v":true},true,32,"Licensed Psychiatric Technician","T1017","N/A",84.35,1]
[32,"Licensed Vocational Nurse","H2011","N/A",98.39,1,true,true,true,true,true,32,"Licensed Vocational Nurse","H2011","N/A",98.39,1]
[32,"Mental Health Rehabilitation Specialist","H2011","N/A",90.29,1,true,true,true,true,true,32,"Mental Health Rehabilitation Specialist","H2011","N/A",90.29,{"$f":"IF(N31496=\"G0323\",9,1)","v":1}]
[32,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",480.02,1,true,true,true,true,true,32,"MFT/LPCC (Licensed, Waivered or Registered)",90880,"N/A",480.02,1]
[32,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",120.01,1,true,true,true,true,true,32,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",120.01,1]
[32,"Nurse Practitioner",90880,"N/A",917.19,1,true,true,true,true,true,32,"Nurse Practitioner",90880,"N/A",917.19,1]
[32,"Nurse Practitioner",96372,"N/A",229.3,1,true,true,true,true,true,32,"Nurse Practitioner",96372,"N/A",229.3,1]
[32,"Nurse Practitioner",98967,"N/A",244.58,1,true,true,true,true,true,32,"Nurse Practitioner",98967,"N/A",244.58,1]
[32,"Nurse Practitioner",99416,"N/A",458.6,1,true,true,true,true,true,32,"Nurse Practitioner",99416,"N/A",458.6,1]
[32,"Occupational Therapist",90887,"N/A",532.48,1,true,true,true,true,true,32,"Occupational Therapist",90887,"N/A",532.48,1]
[32,"Occupational Therapist",96202,"N/A",142,1,true,true,true,true,true,32,"Occupational Therapist",96202,"N/A",142,1]
[32,"Occupational Therapist","T1017","N/A",159.75,1,true,true,true,true,true,32,"Occupational Therapist","T1017","N/A",159.75,1]
[32,"Physician Assistant",90839,"N/A",827.22,1,true,true,true,true,true,32,"Physician Assistant",90839,"N/A",827.22,1]
[32,"Physician Assistant",96365,"N/A",634.20000000000005,1,true,true,true,true,true,32,"Physician Assistant",96365,"N/A",634.20000000000005,1]
[32,"Physician Assistant",99223,"N/A",1130.53,1,true,true,true,true,true,32,"Physician Assistant",99223,"N/A",1130.53,1]
[32,"Physician Assistant",99417,"N/A",206.81,1,true,true,true,true,true,32,"Physician Assistant",99417,"N/A",206.81,1]
[32,"Physician Assistant","H2017","HQ",45.96,1,true,true,true,true,true,32,"Physician Assistant","H2017","HQ",45.96,1]
[32,"Psychologist (Licensed or Waivered)",96127,"N/A",741.77,1,true,true,true,true,true,32,"Psychologist (Licensed or Waivered)",96127,"N/A",741.77,1]
[32,"Psychologist (Licensed or Waivered)","H2019","N/A",185.44,1,true,true,true,true,true,32,"Psychologist (Licensed or Waivered)","H2019","N/A",185.44,1]
[32,"Registered Nurse",96376,"N/A",187.3,1,true,true,true,true,true,32,"Registered Nurse",96376,"N/A",187.3,1]
[32,"Registered Pharmacist",90887,"N/A",735.74,1,true,true,true,true,{"$f":"EXACT(E32004,P32004)","v":true},32,"Registered Pharmacist",90887,"N/A",735.74,1]
[32,"Registered Pharmacist",96203,"N/A",49.05,1,true,true,true,true,true,32,"Registered Pharmacist",96203,"N/A",49.05,1]
[33,"Certified AOD Counselor","H0032","N/A",112.1,1,true,true,true,true,true,33,"Certified AOD Counselor","H0032","N/A",112.1,1]
[33,"Clinical Nurse Specialist",90868,"N/A",271.13,1,true,true,true,true,true,33,"Clinical Nurse Specialist",90868,"N/A",271.13,{"$f":"IF(N32072=\"G0323\",9,1)","v":1}]
[33,"Clinical Nurse Specialist",96202,"N/A",241,1,true,true,true,true,true,33,"Clinical Nurse Specialist",96202,"N/A",241,1]
[33,"Clinical Nurse Specialist",99232,"N/A",759.16,1,true,true,true,true,true,33,"Clinical Nurse Specialist",99232,"N/A",759.16,1]
[33,"Clinical Nurse Specialist",99415,"N/A",1084.52,1,true,true,true,true,true,33,"Clinical Nurse Specialist",99415,"N/A",1084.52,1]
[33,"Clinical Nurse Specialist","T2021","N/A",271.13,1,true,true,true,true,true,33,"Clinical Nurse Specialist","T2021","N/A",271.13,1]
[33,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",567.59,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)",96127,"N/A",567.59,1]
[33,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",141.9,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",141.9,1]
[33,"Licensed Physician",90885,"N/A",1903.09,1,true,true,true,true,true,33,"Licensed Physician",90885,"N/A",1903.09,1]
[33,"Licensed Physician",96374,"N/A",475.77,1,true,true,true,true,true,33,"Licensed Physician",96374,"N/A",475.77,1]
[33,"Licensed Physician",99234,"N/A",1807.94,1,true,true,true,true,true,33,"Licensed Physician",99234,"N/A",1807.94,{"$f":"IF(N32328=\"G0323\",9,1)","v":1}]
[33,"Licensed Physician",99255,"N/A",2759.48,1,true,true,true,true,true,33,"Licensed Physician",99255,"N/A",2759.48,1]
[33,"Licensed Physician","G0543","N/A",317.18,1,true,true,true,true,true,33,"Licensed Physician","G0543","N/A",317.18,1]
[33,"Licensed Psychiatric Technician",96373,"N/A",87.03,1,true,true,true,true,true,33,"Licensed Psychiatric Technician",96373,"N/A",87.03,1]
[33,"Licensed Vocational Nurse",96161,"N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse",96161,"N/A",101.52,1]
[33,"Licensed Vocational Nurse","H0034","N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse","H0034","N/A",101.52,1]
[33,"Mental Health Rehabilitation Specialist","H0031","N/A",93.16,1,true,true,true,true,true,33,"Mental Health Rehabilitation Specialist","H0031","N/A",93.16,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",472.99,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",472.99,{"$f":"IF(N32520=\"G0323\",9,1)","v":1}]
[33,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",141.9,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",141.9,1]
[33,"Nurse Practitioner",90868,"N/A",271.13,1,true,true,true,true,true,33,"Nurse Practitioner",90868,"N/A",271.13,1]
[33,"Nurse Practitioner",96370,"N/A",813.39,1,true,true,true,true,true,33,"Nurse Practitioner",96370,"N/A",813.39,1]
[33,"Nurse Practitioner",96374,"N/A",271.13,1,true,true,true,true,true,33,"Nurse Practitioner",96374,"N/A",271.13,1]
[33,"Nurse Practitioner",99242,"N/A",451.88,1,{"$f":"EXACT(A32643,L32643)","v":true},{"$f":"EXACT(B32643,M32643)","v":true},{"$f":"EXACT(C32643,N32643)","v":true},{"$f":"EXACT(D32643,O32643)","v":true},true,33,"Nurse Practitioner",99242,"N/A",451.88,1]
[33,"Nurse Practitioner",99417,"N/A",271.13,1,true,true,true,true,true,33,"Nurse Practitioner",99417,"N/A",271.13,1]
[33,"Occupational Therapist",96112,"N/A",659.3,1,true,true,true,true,true,33,"Occupational Therapist",96112,"N/A",659.3,1]
[33,"Other Qualified Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,33,"Other Qualified Practitioner",90785,"N/A",18.89,1]
[33,"Physician Assistant",90832,"N/A",489.07,1,true,true,true,true,true,33,"Physician Assistant",90832,"N/A",489.07,1]
[33,"Physician Assistant",96202,"N/A",217.36,1,true,true,true,true,true,33,"Physician Assistant",96202,"N/A",217.36,1]
[33,"Physician Assistant",99215,"N/A",766.2,1,true,true,true,true,true,33,"Physician Assistant",99215,"N/A",766.2,1]
[33,"Physician Assistant",99349,"N/A",815.11,1,true,true,true,true,true,33,"Physician Assistant",99349,"N/A",815.11,1]
[33,"Physician Assistant","H2021","N/A",244.53,1,true,true,true,true,true,33,"Physician Assistant","H2021","N/A",244.53,1]
[33,"Psychologist (Licensed or Waivered)",90853,"N/A",162.43,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)",90853,"N/A",162.43,{"$f":"IF(N32904=\"G0323\",9,1)","v":1}]
[33,"Psychologist (Licensed or Waivered)",96131,"N/A",877.1,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)",96131,"N/A",877.1,1]
[33,"Psychologist (Licensed or Waivered)","H2017","N/A",219.28,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)","H2017","N/A",219.28,1]
[33,"Registered Nurse","H0033","N/A",221.47,1,true,true,true,true,true,33,"Registered Nurse","H0033","N/A",221.47,1]
[33,"Registered Pharmacist",96202,"N/A",231.99,1,true,true,true,true,true,33,"Registered Pharmacist",96202,"N/A",231.99,1]
[33,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,33,"Registered Pharmacist","T1013","N/A",31.88,1]
[34,"Clinical Nurse Specialist",90847,"N/A",665.26,1,true,true,true,true,true,34,"Clinical Nurse Specialist",90847,"N/A",665.26,1]
[34,"Clinical Nurse Specialist",96365,"N/A",612.04,1,true,true,true,true,true,34,"Clinical Nurse Specialist",96365,"N/A",612.04,1]
[34,"Clinical Nurse Specialist",99202,"N/A",292.70999999999998,1,true,true,true,true,true,34,"Clinical Nurse Specialist",99202,"N/A",292.70999999999998,1]
[34,"Clinical Nurse Specialist",99366,"N/A",798.31,1,true,true,true,true,true,34,"Clinical Nurse Specialist",99366,"N/A",798.31,1]
[34,"Clinical Nurse Specialist","T1013","N/A",31.88,1,true,true,true,true,true,34,"Clinical Nurse Specialist","T1013","N/A",31.88,1]
[34,"LCSW (Licensed, Waivered or Registered)",90834,22,316.36,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)",90834,22,316.36,1]
[34,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",104.45,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",104.45,1]
[34,"Licensed Physician",90791,"N/A",1605.37,1,true,true,true,true,true,34,"Licensed Physician",90791,"N/A",1605.37,1]
[34,"Licensed Physician",96131,"N/A",1605.37,1,true,true,true,true,true,34,"Licensed Physician",96131,"N/A",1605.37,1]
[34,"Licensed Physician",96376,"N/A",401.34,1,true,true,true,true,true,34,"Licensed Physician",96376,"N/A",401.34,1]
[34,"Licensed Physician",99349,"N/A",1337.81,1,true,true,true,true,true,34,"Licensed Physician",99349,"N/A",1337.81,1]
[34,"Licensed Physician","G0542","N/A",401.34,1,true,true,true,true,true,34,"Licensed Physician","G0542","N/A",401.34,1]
[34,"Licensed Psychiatric Technician",96371,"N/A",73.42,1,true,true,true,true,true,34,"Licensed Psychiatric Technician",96371,"N/A",73.42,1]
[34,"Licensed Psychiatric Technician","G0543","N/A",48.95,1,true,true,true,true,true,34,"Licensed Psychiatric Technician","G0543","N/A",48.95,1]
[34,"Licensed Vocational Nurse","H2000","N/A",85.64,1,true,true,true,true,true,34,"Licensed Vocational Nurse","H2000","N/A",85.64,1]
[34,"Mental Health Rehabilitation Specialist","H0033","N/A",78.59,1,true,true,true,true,true,34,"Mental Health Rehabilitation Specialist","H0033","N/A",78.59,1]
[34,"Mental Health Rehabilitation Specialist","H2021","N/A",78.59,1,true,true,true,true,true,34,"Mental Health Rehabilitation Specialist","H2021","N/A",78.59,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",104.45,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",104.45,1]
[34,"Nurse Practitioner",90834,22,601.74,1,true,true,true,true,true,34,"Nurse Practitioner",90834,22,601.74,1]
[34,"Nurse Practitioner",90870,"N/A",266.10000000000002,1,true,true,true,true,true,34,"Nurse Practitioner",90870,"N/A",266.10000000000002,1]
[34,"Nurse Practitioner",96372,"N/A",199.58,{"$f":"IF(AND(B33613=\"Peer Support Specialists\",C33613=\"T1013\"),9,1)","v":1},true,true,true,true,true,34,"Nurse Practitioner",96372,"N/A",199.58,1]
[34,"Nurse Practitioner",99306,"N/A",758.39,1,true,true,true,true,true,34,"Nurse Practitioner",99306,"N/A",758.39,1]
[34,"Nurse Practitioner",99442,"N/A",212.88,1,true,true,true,true,true,34,"Nurse Practitioner",99442,"N/A",212.88,1]
[34,"Occupational Therapist",96125,"N/A",556.16,1,true,true,true,true,true,34,"Occupational Therapist",96125,"N/A",556.16,1]
[34,"Other Qualified Practitioner","H2011","N/A",78.59,{"$f":"IF(AND(B33741=\"Peer Support Specialists\",C33741=\"T1013\"),9,1)","v":1},true,true,true,true,true,34,"Other Qualified Practitioner","H2011","N/A",78.59,1]
[34,"Physician Assistant",90838,22,723.01,1,true,true,true,true,true,34,"Physician Assistant",90838,22,723.01,1]
[34,"Physician Assistant",96105,"N/A",720,1,true,true,true,true,true,34,"Physician Assistant",96105,"N/A",720,1]
[34,"Physician Assistant",99222,"N/A",780,1,true,true,true,true,true,34,"Physician Assistant",99222,"N/A",780,1]
[34,"Physician Assistant",99234,"N/A",684,1,true,true,true,true,true,34,"Physician Assistant",99234,"N/A",684,1]
[34,"Physician Assistant",99443,"N/A",312,1,true,true,true,true,true,34,"Physician Assistant",99443,"N/A",312,1]
[34,"Physician Assistant","T1017","N/A",180,1,true,true,true,true,true,34,"Physician Assistant","T1017","N/A",180,1]
[34,"Psychologist (Licensed or Waivered)",96133,"N/A",645.63,1,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)",96133,"N/A",645.63,1]
[34,"Psychologist (Licensed or Waivered)","T2021","N/A",161.41,1,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)","T2021","N/A",161.41,1]
[34,"Registered Nurse",96376,"N/A",163.02000000000001,1,true,true,true,true,true,34,"Registered Nurse",96376,"N/A",163.02000000000001,1]
[34,"Registered Pharmacist",97550,"N/A",294.57,1,true,true,true,true,true,34,"Registered Pharmacist",97550,"N/A",294.57,1]
[35,"Certified AOD Counselor","H0033","N/A",82.66,1,true,true,true,true,true,35,"Certified AOD Counselor","H0033","N/A",82.66,1]
[35,"Clinical Nurse Specialist",90853,"N/A",141.04,1,true,true,true,true,true,35,"Clinical Nurse Specialist",90853,"N/A",141.04,1]
[35,"Clinical Nurse Specialist",90885,"N/A",761.62,1,true,true,true,true,true,35,"Clinical Nurse Specialist",90885,"N/A",761.62,1]
[35,"Clinical Nurse Specialist",99231,"N/A",380.81,1,true,true,true,true,true,35,"Clinical Nurse Specialist",99231,"N/A",380.81,1]
[35,"Clinical Nurse Specialist",99236,"N/A",1167.82,1,true,true,true,true,true,35,"Clinical Nurse Specialist",99236,"N/A",1167.82,1]
[35,"Clinical Nurse Specialist",99441,"N/A",101.55,1,true,true,true,true,true,35,"Clinical Nurse Specialist",99441,"N/A",101.55,1]
[35,"Clinical Nurse Specialist","T2021","N/A",190.41,1,true,true,true,true,true,35,"Clinical Nurse Specialist","T2021","N/A",190.41,1]
[35,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",152.80000000000001,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",152.80000000000001,1]
[35,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",99.65,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",99.65,1]
[35,"Licensed Physician",96112,"N/A",1531.58,1,true,true,true,true,true,35,"Licensed Physician",96112,"N/A",1531.58,1]
[35,"Licensed Physician",99203,"N/A",944.47,{"$f":"IF(AND(B34317=\"Peer Support Specialists\",C34317=\"T1013\"),9,1)","v":1},true,true,true,true,true,35,"Licensed Physician",99203,"N/A",944.47,1]
[35,"Licensed Physician",99254,"N/A",1786.84,1,true,true,true,true,true,35,"Licensed Physician",99254,"N/A",1786.84,1]
[35,"Licensed Physician","H0033","N/A",382.9,1,true,true,true,true,true,35,"Licensed Physician","H0033","N/A",382.9,1]
[35,"Licensed Psychiatric Technician",96374,"N/A",70.040000000000006,1,true,true,true,true,true,35,"Licensed Psychiatric Technician",96374,"N/A",70.040000000000006,1]
[35,"Licensed Vocational Nurse",96365,"N/A",250.55,1,{"$f":"EXACT(A34435,L34435)","v":true},{"$f":"EXACT(B34435,M34435)","v":true},{"$f":"EXACT(C34435,N34435)","v":true},{"$f":"EXACT(D34435,O34435)","v":true},true,35,"Licensed Vocational Nurse",96365,"N/A",250.55,1]
[35,"Licensed Vocational Nurse","H2017","N/A",81.7,1,true,true,true,true,true,35,"Licensed Vocational Nurse","H2017","N/A",81.7,1]
[35,"Medical Assistant","T2024","N/A",56.17,1,true,true,true,true,true,35,"Medical Assistant","T2024","N/A",56.17,1]
[35,"Mental Health Rehabilitation Specialist","H0034","HQ",16.66,1,true,true,true,true,true,35,"Mental Health Rehabilitation Specialist","H0034","HQ",16.66,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",22.14,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",22.14,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[35,"Nurse Practitioner",90885,"N/A",761.62,1,true,true,true,true,true,35,"Nurse Practitioner",90885,"N/A",761.62,1]
[35,"Nurse Practitioner",96374,"N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner",96374,"N/A",190.41,1]
[35,"Nurse Practitioner",99245,"N/A",787.01,1,true,true,true,true,true,35,"Nurse Practitioner",99245,"N/A",787.01,1]
[35,"Nurse Practitioner",99484,"N/A",761.62,1,true,true,true,true,true,35,"Nurse Practitioner",99484,"N/A",761.62,1]
[35,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,35,"Occupational Therapist",90785,"N/A",18.89,1]
[35,"Other Qualified Practitioner","H0033","N/A",74.97,1,true,true,true,true,true,35,"Other Qualified Practitioner","H0033","N/A",74.97,1]
[35,"Other Qualified Practitioner","H2000","N/A",74.97,1,true,true,true,true,true,35,"Other Qualified Practitioner","H2000","N/A",74.97,1]
[35,"Physician Assistant",90853,"N/A",127.21,1,true,true,true,true,true,35,"Physician Assistant",90853,"N/A",127.21,1]
[35,"Physician Assistant",96367,"N/A",354.9,1,true,true,true,true,true,35,"Physician Assistant",96367,"N/A",354.9,1]
[35,"Physician Assistant",99231,"N/A",343.46,1,true,true,true,true,true,35,"Physician Assistant",99231,"N/A",343.46,1]
[35,"Physician Assistant",99415,"N/A",686.91,1,true,true,true,true,true,35,"Physician Assistant",99415,"N/A",686.91,1]
[35,"Physician Assistant","T2021","HQ",38.159999999999997,1,true,true,true,true,true,35,"Physician Assistant","T2021","HQ",38.159999999999997,1]
[35,"Psychologist (Licensed or Waivered)",96121,"N/A",615.95000000000005,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)",96121,"N/A",615.95000000000005,1]
[35,"Psychologist (Licensed or Waivered)","H2021","N/A",153.99,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)","H2021","N/A",153.99,1]
[35,"Registered Nurse",97550,"N/A",238.48,1,true,true,true,true,true,35,"Registered Nurse",97550,"N/A",238.48,1]
[35,"Registered Nurse","H2011","N/A",155.53,1,true,true,true,true,true,35,"Registered Nurse","H2011","N/A",155.53,1]
[36,"Certified AOD Counselor","H0033","N/A",92.08,1,true,true,true,true,true,36,"Certified AOD Counselor","H0033","N/A",92.08,1]
[36,"Clinical Nurse Specialist",90839,"N/A",848.45,1,true,true,true,true,true,36,"Clinical Nurse Specialist",90839,"N/A",848.45,1]
[36,"Clinical Nurse Specialist",90867,"N/A",848.45,1,true,true,true,true,true,36,"Clinical Nurse Specialist",90867,"N/A",848.45,1]
[36,"Clinical Nurse Specialist",96369,"N/A",537.35,1,true,true,true,true,true,36,"Clinical Nurse Specialist",96369,"N/A",537.35,1]
[36,"Clinical Nurse Specialist",99344,"N/A",947.44,1,true,true,true,true,true,36,"Clinical Nurse Specialist",99344,"N/A",947.44,1]
[36,"Clinical Nurse Specialist",99417,"N/A",212.11,1,true,true,true,true,true,36,"Clinical Nurse Specialist",99417,"N/A",212.11,1]
[36,"Clinical Nurse Specialist","T2021",22,215.12,1,true,true,true,true,true,36,"Clinical Nurse Specialist","T2021",22,215.12,1]
[36,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",111.01,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",111.01,1]
[36,"Licensed Physician",90785,"N/A",18.89,1,true,true,true,true,true,36,"Licensed Physician",90785,"N/A",18.89,1]
[36,"Licensed Physician",90870,"N/A",568.73,1,true,true,true,true,true,36,"Licensed Physician",90870,"N/A",568.73,1]
[36,"Licensed Physician",97551,"N/A",426.55,1,true,true,true,true,true,36,"Licensed Physician",97551,"N/A",426.55,1]
[36,"Licensed Physician",99304,"N/A",853.1,1,true,true,true,true,true,36,"Licensed Physician",99304,"N/A",853.1,1]
[36,"Licensed Physician",99416,"N/A",853.1,1,true,true,true,true,true,36,"Licensed Physician",99416,"N/A",853.1,1]
[36,"Licensed Physician","H0034","HQ",94.79,1,true,true,true,true,true,36,"Licensed Physician","H0034","HQ",94.79,1]
[36,"Licensed Psychiatric Technician",96375,"N/A",78.03,1,true,true,true,true,true,36,"Licensed Psychiatric Technician",96375,"N/A",78.03,1]
[36,"Licensed Vocational Nurse",96377,"N/A",91.02,1,true,true,true,true,true,36,"Licensed Vocational Nurse",96377,"N/A",91.02,1]
[36,"Licensed Vocational Nurse","H2019","N/A",91.02,1,true,true,true,true,true,36,"Licensed Vocational Nurse","H2019","N/A",91.02,1]
[36,"Medical Assistant","T1017","N/A",62.57,1,true,true,true,true,true,36,"Medical Assistant","T1017","N/A",62.57,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",111.01,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)",96161,"N/A",111.01,{"$f":"IF(N35528=\"G0323\",9,1)","v":1}]
[36,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",111.01,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",111.01,1]
[36,"Nurse Practitioner",90837,22,851.46,1,true,true,true,true,true,36,"Nurse Practitioner",90837,22,851.46,1]
[36,"Nurse Practitioner",96375,"N/A",212.11,1,true,true,true,true,true,36,"Nurse Practitioner",96375,"N/A",212.11,1]
[36,"Nurse Practitioner",99243,"N/A",494.93,1,true,true,true,true,true,36,"Nurse Practitioner",99243,"N/A",494.93,1]
[36,"Nurse Practitioner",99310,"N/A",735.32,1,true,true,true,true,true,36,"Nurse Practitioner",99310,"N/A",735.32,1]
[36,"Nurse Practitioner","G0539","N/A",325.24,1,true,true,true,true,true,36,"Nurse Practitioner","G0539","N/A",325.24,1]
[36,"Occupational Therapist",96125,"N/A",591.09,1,true,true,true,true,true,36,"Occupational Therapist",96125,"N/A",591.09,1]
[36,"Other Qualified Practitioner","H2021","N/A",83.52,1,true,true,true,true,true,36,"Other Qualified Practitioner","H2021","N/A",83.52,1]
[36,"Physician Assistant",90847,"N/A",637.67999999999995,1,true,true,true,true,true,36,"Physician Assistant",90847,"N/A",637.67999999999995,1]
[36,"Physician Assistant",97550,"N/A",293.33,1,true,true,true,true,true,36,"Physician Assistant",97550,"N/A",293.33,1]
[36,"Physician Assistant",99233,"N/A",726.96,1,true,true,true,true,true,36,"Physician Assistant",99233,"N/A",726.96,1]
[36,"Physician Assistant",99366,"N/A",765.22,1,true,true,true,true,true,36,"Physician Assistant",99366,"N/A",765.22,1]
[36,"Psychologist (Licensed or Waivered)",90834,22,517.64,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)",90834,22,517.64,1]
[36,"Psychologist (Licensed or Waivered)",96132,"N/A",686.17,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)",96132,"N/A",686.17,1]
[36,"Psychologist (Licensed or Waivered)","T1017","N/A",171.54,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)","T1017","N/A",171.54,1]
[36,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,36,"Registered Nurse",90785,"N/A",18.89,1]
[36,"Registered Pharmacist",96203,"N/A",45.37,1,true,true,true,true,true,36,"Registered Pharmacist",96203,"N/A",45.37,1]
[36,"Registered Pharmacist","G0542","N/A",204.18,1,true,true,true,true,true,36,"Registered Pharmacist","G0542","N/A",204.18,1]
[37,"Certified AOD Counselor","H0034","HQ",17.940000000000001,1,true,true,true,true,true,37,"Certified AOD Counselor","H0034","HQ",17.940000000000001,1]
[37,"Clinical Nurse Specialist",90853,"N/A",137.76,1,true,true,true,true,true,37,"Clinical Nurse Specialist",90853,"N/A",137.76,1]
[37,"Clinical Nurse Specialist",96376,"N/A",185.98,1,true,true,true,true,true,37,"Clinical Nurse Specialist",96376,"N/A",185.98,1]
[37,"Clinical Nurse Specialist",99235,"N/A",954.68,1,true,true,true,true,true,37,"Clinical Nurse Specialist",99235,"N/A",954.68,1]
[37,"Clinical Nurse Specialist",99441,"N/A",99.19,1,true,true,true,true,true,37,"Clinical Nurse Specialist",99441,"N/A",99.19,1]
[37,"Community Health Worker",98962,"N/A",23.1,1,true,true,true,true,true,37,"Community Health Worker",98962,"N/A",23.1,1]
[37,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",21.63,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",21.63,1]
[37,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",149.24,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",149.24,1]
[37,"Licensed Physician",96110,"N/A",1495.97,1,true,true,true,true,true,37,"Licensed Physician",96110,"N/A",1495.97,1]
[37,"Licensed Physician",96125,"N/A",1495.97,1,true,true,true,true,true,37,"Licensed Physician",96125,"N/A",1495.97,1]
[37,"Licensed Physician",99213,"N/A",623.32000000000005,1,true,true,true,true,true,37,"Licensed Physician",99213,"N/A",623.32000000000005,1]
[37,"Licensed Physician",99306,"N/A",1421.17,1,true,true,true,true,true,37,"Licensed Physician",99306,"N/A",1421.17,1]
[37,"Licensed Physician","H2000","N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician","H2000","N/A",373.99,1]
[37,"Licensed Psychiatric Technician",97550,"N/A",104.9,1,true,true,true,true,true,37,"Licensed Psychiatric Technician",97550,"N/A",104.9,1]
[37,"Licensed Vocational Nurse",96365,"N/A",244.73,1,true,true,true,true,true,37,"Licensed Vocational Nurse",96365,"N/A",244.73,1]
[37,"Medical Assistant",96127,"N/A",219.43,1,true,true,true,true,true,37,"Medical Assistant",96127,"N/A",219.43,1]
[37,"Mental Health Rehabilitation Specialist","H0034","N/A",73.23,1,true,true,true,true,true,37,"Mental Health Rehabilitation Specialist","H0034","N/A",73.23,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.63,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.63,1]
[37,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,37,"Nurse Practitioner",90785,"N/A",18.89,1]
[37,"Nurse Practitioner",90880,"N/A",743.91,1,true,true,true,true,true,37,"Nurse Practitioner",90880,"N/A",743.91,1]
[37,"Nurse Practitioner",96112,"N/A",743.91,1,true,true,true,true,true,37,"Nurse Practitioner",96112,"N/A",743.91,1]
[37,"Nurse Practitioner",97550,"N/A",285.17,1,true,true,true,true,true,37,"Nurse Practitioner",97550,"N/A",285.17,1]
[37,"Nurse Practitioner",99245,"N/A",768.71,1,true,true,true,true,true,37,"Nurse Practitioner",99245,"N/A",768.71,1]
[37,"Nurse Practitioner","G0541","N/A",285.17,1,true,true,true,true,true,37,"Nurse Practitioner","G0541","N/A",285.17,1]
[37,"Occupational Therapist",96113,"N/A",259.13,1,true,true,true,true,true,37,"Occupational Therapist",96113,"N/A",259.13,1]
[37,"Other Qualified Practitioner","H2011","N/A",73.23,1,true,true,true,true,true,37,"Other Qualified Practitioner","H2011","N/A",73.23,{"$f":"IF(N36744=\"G0323\",9,1)","v":1}]
[37,"Physician Assistant",90865,"N/A",1006.41,1,true,true,true,true,true,37,"Physician Assistant",90865,"N/A",1006.41,1]
[37,"Physician Assistant",96366,"N/A",503.21,1,true,true,true,true,true,37,"Physician Assistant",96366,"N/A",503.21,1]
[37,"Physician Assistant",99235,"N/A",861.04,1,true,true,true,true,true,37,"Physician Assistant",99235,"N/A",861.04,1]
[37,"Physician Assistant",99366,"N/A",670.94,1,true,true,true,true,true,37,"Physician Assistant",99366,"N/A",670.94,1]
[37,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[37,"Psychologist (Licensed or Waivered)",90791,"N/A",601.63,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)",90791,"N/A",601.63,1]
[37,"Psychologist (Licensed or Waivered)","H2000","N/A",150.41,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)","H2000","N/A",150.41,1]
[37,"Psychologist (Licensed or Waivered)","T2021","HQ",33.42,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)","T2021","HQ",33.42,1]
[37,"Registered Nurse",99368,"N/A",607.64,1,true,true,true,true,true,37,"Registered Nurse",99368,"N/A",607.64,1]
[37,"Registered Pharmacist",97551,"N/A",179.02,1,true,true,true,true,true,37,"Registered Pharmacist",97551,"N/A",179.02,1]
[38,"Certified AOD Counselor","H2011","N/A",113.83,1,true,true,true,true,true,38,"Certified AOD Counselor","H2011","N/A",113.83,1]
[38,"Clinical Nurse Specialist",90849,"N/A",326.3,1,true,true,true,true,true,38,"Clinical Nurse Specialist",90849,"N/A",326.3,1]
[38,"Clinical Nurse Specialist",96372,"N/A",262.20999999999998,1,true,true,true,true,true,38,"Clinical Nurse Specialist",96372,"N/A",262.20999999999998,1]
[38,"Clinical Nurse Specialist",99238,"N/A",524.41,1,true,true,true,true,true,38,"Clinical Nurse Specialist",99238,"N/A",524.41,1]
[38,"Clinical Nurse Specialist",99349,"N/A",874.02,1,true,true,true,true,true,38,"Clinical Nurse Specialist",99349,"N/A",874.02,1]
[38,"Community Health Worker",98961,"N/A",70.55,1,true,true,true,true,true,38,"Community Health Worker",98961,"N/A",70.55,1]
[38,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",30.5,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",30.5,1]
[38,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",237.86,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",237.86,1]
[38,"Licensed Physician",90832,22,1057.58,1,true,true,true,true,true,38,"Licensed Physician",90832,22,1057.58,1]
[38,"Licensed Physician",96105,"N/A",2109.13,1,true,true,true,true,true,38,"Licensed Physician",96105,"N/A",2109.13,1]
[38,"Licensed Physician",99204,"N/A",1827.91,1,true,true,true,true,true,38,"Licensed Physician",99204,"N/A",1827.91,1]
[38,"Licensed Physician",99308,"N/A",878.8,1,true,true,true,true,true,38,"Licensed Physician",99308,"N/A",878.8,1]
[38,"Licensed Physician","G0539","N/A",808.5,1,true,true,true,true,true,38,"Licensed Physician","G0539","N/A",808.5,1]
[38,"Licensed Psychiatric Technician",97550,"N/A",147.9,1,true,true,true,true,true,38,"Licensed Psychiatric Technician",97550,"N/A",147.9,1]
[38,"Licensed Vocational Nurse",96367,"N/A",232.53,1,true,true,true,true,true,38,"Licensed Vocational Nurse",96367,"N/A",232.53,1]
[38,"Licensed Vocational Nurse",99484,"N/A",450.05,1,true,true,true,true,true,38,"Licensed Vocational Nurse",99484,"N/A",450.05,1]
[38,"Mental Health Rehabilitation Specialist","H2000","N/A",103.24,1,true,true,true,true,true,38,"Mental Health Rehabilitation Specialist","H2000","N/A",103.24,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",548.91,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",548.91,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",137.22999999999999,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",137.22999999999999,1]
[38,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,38,"Nurse Practitioner",90785,"N/A",18.89,1]
[38,"Nurse Practitioner",96366,"N/A",786.62,1,true,true,true,true,true,38,"Nurse Practitioner",96366,"N/A",786.62,1]
[38,"Nurse Practitioner",97551,"N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner",97551,"N/A",262.20999999999998,1]
[38,"Nurse Practitioner",99253,"N/A",908.98,1,true,true,true,true,true,38,"Nurse Practitioner",99253,"N/A",908.98,1]
[38,"Nurse Practitioner","H2000","N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner","H2000","N/A",262.20999999999998,1]
[38,"Occupational Therapist",96202,"N/A",162.37,1,true,true,true,true,true,38,"Occupational Therapist",96202,"N/A",162.37,1]
[38,"Occupational Therapist","T1017","N/A",182.67,1,true,true,true,true,true,38,"Occupational Therapist","T1017","N/A",182.67,1]
[38,"Physician Assistant",90865,"N/A",1418.9,1,true,true,true,true,true,38,"Physician Assistant",90865,"N/A",1418.9,1]
[38,"Physician Assistant",96368,"N/A",236.48,1,true,true,true,true,true,38,"Physician Assistant",96368,"N/A",236.48,1]
[38,"Physician Assistant",98967,"N/A",252.25,1,true,true,true,true,true,38,"Physician Assistant",98967,"N/A",252.25,1]
[38,"Physician Assistant",99238,"N/A",472.97,{"$f":"IF(AND(B37837=\"Peer Support Specialists\",C37837=\"T1013\"),9,1)","v":1},true,true,true,true,true,38,"Physician Assistant",99238,"N/A",472.97,1]
[38,"Physician Assistant",99417,"N/A",236.48,1,true,true,true,true,true,38,"Physician Assistant",99417,"N/A",236.48,1]
[38,"Psychologist (Licensed or Waivered)",90840,"N/A",424.11,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)",90840,"N/A",424.11,1]
[38,"Psychologist (Licensed or Waivered)",96146,"N/A",848.22,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)",96146,"N/A",848.22,1]
[38,"Psychologist (Licensed or Waivered)","H0036","N/A",212.06,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)","H0036","N/A",212.06,1]
[38,"Registered Nurse",99484,"N/A",856.7,1,true,true,true,true,true,38,"Registered Nurse",99484,"N/A",856.7,1]
[38,"Registered Pharmacist",99366,"N/A",1009.59,1,true,true,true,true,true,38,"Registered Pharmacist",99366,"N/A",1009.59,1]
[38,"Registered Pharmacist","H0033","N/A",252.4,1,true,true,true,true,true,38,"Registered Pharmacist","H0033","N/A",252.4,1]
[39,"Clinical Nurse Specialist",90868,"N/A",184.08,1,true,true,true,true,true,39,"Clinical Nurse Specialist",90868,"N/A",184.08,1]
[39,"Clinical Nurse Specialist",96370,"N/A",552.23,1,true,true,true,true,true,39,"Clinical Nurse Specialist",96370,"N/A",552.23,1]
[39,"Clinical Nurse Specialist",97552,"N/A",122.72,1,true,true,true,true,true,39,"Clinical Nurse Specialist",97552,"N/A",122.72,1]
[39,"Clinical Nurse Specialist",99242,"N/A",306.8,1,true,true,true,true,true,39,"Clinical Nurse Specialist",99242,"N/A",306.8,1]
[39,"Clinical Nurse Specialist","H2017","N/A",184.08,1,true,true,true,true,true,39,"Clinical Nurse Specialist","H2017","N/A",184.08,1]
[39,"Community Health Worker","G0019","N/A",297.17,1,true,true,true,true,true,39,"Community Health Worker","G0019","N/A",297.17,1]
[39,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",51.38,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",51.38,1]
[39,"Licensed Physician",90837,22,1483.71,1,true,true,true,true,true,39,"Licensed Physician",90837,22,1483.71,1]
[39,"Licensed Physician",96121,"N/A",1480.7,1,true,true,true,true,true,39,"Licensed Physician",96121,"N/A",1480.7,1]
[39,"Licensed Physician",99202,"N/A",542.91999999999996,1,true,true,true,true,true,39,"Licensed Physician",99202,"N/A",542.91999999999996,1]
[39,"Licensed Physician",99344,"N/A",1653.45,1,true,true,true,true,true,39,"Licensed Physician",99344,"N/A",1653.45,1]
[39,"Licensed Physician","H0036","N/A",370.18,1,true,true,true,true,true,39,"Licensed Physician","H0036","N/A",370.18,1]
[39,"Licensed Psychiatric Technician",97552,"N/A",45.14,1,true,true,true,true,true,39,"Licensed Psychiatric Technician",97552,"N/A",45.14,1]
[39,"Licensed Psychiatric Technician","G0539","N/A",103.83,1,true,true,true,true,true,39,"Licensed Psychiatric Technician","G0539","N/A",103.83,1]
[39,"Licensed Vocational Nurse",96369,"N/A",200.1,1,true,true,true,true,true,39,"Licensed Vocational Nurse",96369,"N/A",200.1,1]
[39,"Medical Assistant",96371,"N/A",54.3,1,true,true,true,true,true,39,"Medical Assistant",96371,"N/A",54.3,1]
[39,"Mental Health Rehabilitation Specialist","H2017","N/A",72.48,1,true,true,true,true,true,39,"Mental Health Rehabilitation Specialist","H2017","N/A",72.48,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.41,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.41,1]
[39,"Nurse Practitioner",90832,22,371.17,1,true,true,true,true,true,39,"Nurse Practitioner",90832,22,371.17,1]
[39,"Nurse Practitioner",96110,"N/A",736.31,1,true,true,true,true,true,39,"Nurse Practitioner",96110,"N/A",736.31,1]
[39,"Nurse Practitioner",98966,"N/A",98.17,1,true,true,true,true,true,39,"Nurse Practitioner",98966,"N/A",98.17,1]
[39,"Nurse Practitioner",99254,"N/A",859.03,1,true,true,true,true,true,39,"Nurse Practitioner",99254,"N/A",859.03,1]
[39,"Nurse Practitioner","G0540","N/A",184.08,1,true,true,true,true,true,39,"Nurse Practitioner","G0540","N/A",184.08,1]
[39,"Nurse Practitioner","H0036","N/A",184.08,1,true,true,true,true,true,39,"Nurse Practitioner","H0036","N/A",184.08,1]
[39,"Other Qualified Practitioner","H2000","N/A",72.48,1,true,true,true,true,true,39,"Other Qualified Practitioner","H2000","N/A",72.48,1]
[39,"Other Qualified Practitioner","H2021","N/A",72.48,1,true,true,true,true,true,39,"Other Qualified Practitioner","H2021","N/A",72.48,1]
[39,"Physician Assistant",90870,"N/A",221.36,1,true,true,true,true,true,39,"Physician Assistant",90870,"N/A",221.36,1]
[39,"Physician Assistant",96370,"N/A",498.07,1,true,true,true,true,true,39,"Physician Assistant",96370,"N/A",498.07,1]
[39,"Physician Assistant",99242,"N/A",276.7,1,true,true,true,true,true,39,"Physician Assistant",99242,"N/A",276.7,1]
[39,"Physician Assistant",99417,"N/A",166.02,1,true,true,true,true,true,39,"Physician Assistant",99417,"N/A",166.02,1]
[39,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[39,"Psychologist (Licensed or Waivered)",97550,"N/A",228.27,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)",97550,"N/A",228.27,1]
[39,"Psychologist (Licensed or Waivered)","T2021","N/A",148.87,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)","T2021","N/A",148.87,1]
[39,"Registered Nurse","G0540","N/A",150.36000000000001,1,true,true,true,true,true,39,"Registered Nurse","G0540","N/A",150.36000000000001,1]
[39,"Registered Pharmacist",99368,"N/A",708.77,1,true,true,true,true,true,39,"Registered Pharmacist",99368,"N/A",708.77,1]
[40,"Certified AOD Counselor","H2000","N/A",71.94,1,true,true,true,true,true,40,"Certified AOD Counselor","H2000","N/A",71.94,{"$f":"IF(N39048=\"G0323\",9,1)","v":1}]
[40,"Certified AOD Counselor","H2021","N/A",71.94,{"$f":"IF(AND(B39053=\"Peer Support Specialists\",C39053=\"T1013\"),9,1)","v":1},true,true,true,true,true,40,"Certified AOD Counselor","H2021","N/A",71.94,1]
[40,"Clinical Nurse Specialist",90868,"N/A",165.72,1,true,true,true,true,true,40,"Clinical Nurse Specialist",90868,"N/A",165.72,1]
[40,"Clinical Nurse Specialist",96372,"N/A",165.72,1,true,true,true,true,true,40,"Clinical Nurse Specialist",96372,"N/A",165.72,1]
[40,"Clinical Nurse Specialist",99244,"N/A",519.26,1,true,true,true,true,true,40,"Clinical Nurse Specialist",99244,"N/A",519.26,1]
[40,"Clinical Nurse Specialist",99415,"N/A",662.88,1,true,true,true,true,true,40,"Clinical Nurse Specialist",99415,"N/A",662.88,1]
[40,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[40,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",46.26,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",46.26,1]
[40,"Licensed Physician",90832,"N/A",666.51,1,true,true,true,true,true,40,"Licensed Physician",90832,"N/A",666.51,1]
[40,"Licensed Physician",96127,"N/A",1333.02,1,true,true,true,true,true,40,"Licensed Physician",96127,"N/A",1333.02,1]
[40,"Licensed Physician",97550,"N/A",510.99,1,true,true,true,true,true,40,"Licensed Physician",97550,"N/A",510.99,1]
[40,"Licensed Physician",99214,"N/A",777.6,1,true,true,true,true,true,40,"Licensed Physician",99214,"N/A",777.6,1]
[40,"Licensed Physician",99342,"N/A",999.77,1,true,true,true,true,true,40,"Licensed Physician",99342,"N/A",999.77,1]
[40,"Licensed Psychiatric Technician",96370,"N/A",182.88,1,true,true,true,true,true,40,"Licensed Psychiatric Technician",96370,"N/A",182.88,1]
[40,"Licensed Psychiatric Technician","G0539","N/A",93.47,1,true,true,true,true,true,40,"Licensed Psychiatric Technician","G0539","N/A",93.47,1]
[40,"Licensed Vocational Nurse",96368,"N/A",71.11,1,true,true,true,true,true,40,"Licensed Vocational Nurse",96368,"N/A",71.11,1]
[40,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,40,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[40,"Mental Health Rehabilitation Specialist","H2019","N/A",65.25,1,true,true,true,true,true,40,"Mental Health Rehabilitation Specialist","H2019","N/A",65.25,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",346.92,1,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",346.92,1]
[40,"Nurse Practitioner",90832,"N/A",331.44,1,true,true,true,true,true,40,"Nurse Practitioner",90832,"N/A",331.44,1]
[40,"Nurse Practitioner",96113,"N/A",331.44,1,true,true,true,true,true,40,"Nurse Practitioner",96113,"N/A",331.44,1]
[40,"Nurse Practitioner",96370,"N/A",497.16,1,true,true,true,true,true,40,"Nurse Practitioner",96370,"N/A",497.16,1]
[40,"Nurse Practitioner",99304,"N/A",331.44,1,true,true,true,true,true,40,"Nurse Practitioner",99304,"N/A",331.44,1]
[40,"Nurse Practitioner",99484,"N/A",662.88,1,true,true,true,true,true,40,"Nurse Practitioner",99484,"N/A",662.88,1]
[40,"Nurse Practitioner","H0033","N/A",165.72,1,true,true,true,true,true,40,"Nurse Practitioner","H0033","N/A",165.72,1]
[40,"Occupational Therapist",97552,"N/A",76.97,1,true,true,true,true,true,40,"Occupational Therapist",97552,"N/A",76.97,1]
[40,"Other Qualified Practitioner","H0032","N/A",65.25,1,true,true,true,true,true,40,"Other Qualified Practitioner","H0032","N/A",65.25,1]
[40,"Physician Assistant",90870,"N/A",199.28,1,true,true,true,true,true,40,"Physician Assistant",90870,"N/A",199.28,1]
[40,"Physician Assistant",96372,"N/A",149.46,1,true,true,true,true,true,40,"Physician Assistant",96372,"N/A",149.46,1]
[40,"Physician Assistant",99215,"N/A",468.32,1,true,true,true,true,true,40,"Physician Assistant",99215,"N/A",468.32,1]
[40,"Physician Assistant",99442,"N/A",159.43,1,true,true,true,true,true,40,"Physician Assistant",99442,"N/A",159.43,1]
[40,"Physician Assistant","T2021","N/A",149.46,1,true,true,true,true,true,40,"Physician Assistant","T2021","N/A",149.46,1]
[40,"Psychologist (Licensed or Waivered)",96203,"N/A",29.78,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)",96203,"N/A",29.78,1]
[40,"Psychologist (Licensed or Waivered)","T2021",22,137.03,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)","T2021",22,137.03,1]
[40,"Registered Nurse",96374,"N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse",96374,"N/A",135.36000000000001,1]
[40,"Registered Nurse","G0542","N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse","G0542","N/A",135.36000000000001,1]
[40,"Registered Pharmacist",99606,"N/A",159.52000000000001,1,true,true,true,true,true,40,"Registered Pharmacist",99606,"N/A",159.52000000000001,1]
[41,"Clinical Nurse Specialist",90837,"N/A",1142.3800000000001,1,true,true,true,true,{"$f":"EXACT(E40068,P40068)","v":true},41,"Clinical Nurse Specialist",90837,"N/A",1142.3800000000001,1]
[41,"Clinical Nurse Specialist",90885,"N/A",1142.3800000000001,1,true,true,true,true,true,41,"Clinical Nurse Specialist",90885,"N/A",1142.3800000000001,1]
[41,"Clinical Nurse Specialist",96374,"N/A",285.60000000000002,1,true,true,true,true,true,41,"Clinical Nurse Specialist",96374,"N/A",285.60000000000002,1]
[41,"Clinical Nurse Specialist",99304,"N/A",571.19000000000005,1,true,true,true,true,true,41,"Clinical Nurse Specialist",99304,"N/A",571.19000000000005,1]
[41,"Clinical Nurse Specialist",99484,"N/A",1142.3800000000001,1,true,true,true,true,true,41,"Clinical Nurse Specialist",99484,"N/A",1142.3800000000001,1]
[41,"Clinical Nurse Specialist","T1001","N/A",285.60000000000002,1,true,true,true,true,true,41,"Clinical Nurse Specialist","T1001","N/A",285.60000000000002,1]
[41,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",597.87,1,true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)",99366,"N/A",597.87,1]
[41,"Licensed Physician",90833,"N/A",1148.6400000000001,1,true,true,true,true,true,41,"Licensed Physician",90833,"N/A",1148.6400000000001,{"$f":"IF(N40264=\"G0323\",9,1)","v":1}]
[41,"Licensed Physician",90840,"N/A",1148.6400000000001,1,true,true,true,true,true,41,"Licensed Physician",90840,"N/A",1148.6400000000001,1]
[41,"Licensed Physician",96131,"N/A",2297.2800000000002,1,true,true,true,true,true,41,"Licensed Physician",96131,"N/A",2297.2800000000002,1]
[41,"Licensed Physician",99212,"N/A",574.32000000000005,1,true,true,true,true,true,41,"Licensed Physician",99212,"N/A",574.32000000000005,1]
[41,"Licensed Physician",99349,"N/A",1914.4,1,true,true,true,true,true,41,"Licensed Physician",99349,"N/A",1914.4,1]
[41,"Licensed Physician","H2017","HQ",127.63,1,{"$f":"EXACT(A40387,L40387)","v":true},{"$f":"EXACT(B40387,M40387)","v":true},{"$f":"EXACT(C40387,N40387)","v":true},{"$f":"EXACT(D40387,O40387)","v":true},true,41,"Licensed Physician","H2017","HQ",127.63,1]
[41,"Licensed Psychiatric Technician",96369,"N/A",266.14999999999998,1,true,true,true,true,true,41,"Licensed Psychiatric Technician",96369,"N/A",266.14999999999998,1]
[41,"Licensed Vocational Nurse",96372,"N/A",122.55,1,true,true,true,true,true,41,"Licensed Vocational Nurse",96372,"N/A",122.55,1]
[41,"Medical Assistant",90785,"N/A",18.89,1,true,true,true,true,true,41,"Medical Assistant",90785,"N/A",18.89,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",298.94,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)",90832,"N/A",298.94,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",99.65,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",99.65,1]
[41,"Nurse Practitioner",90791,"N/A",1142.3800000000001,1,true,true,true,true,true,41,"Nurse Practitioner",90791,"N/A",1142.3800000000001,1]
[41,"Nurse Practitioner",90834,22,859.8,1,true,true,true,true,true,41,"Nurse Practitioner",90834,22,859.8,1]
[41,"Nurse Practitioner",96121,"N/A",1142.3800000000001,1,true,true,true,true,true,41,"Nurse Practitioner",96121,"N/A",1142.3800000000001,1]
[41,"Nurse Practitioner",99232,"N/A",799.67,1,true,true,true,true,{"$f":"EXACT(E40644,P40644)","v":true},41,"Nurse Practitioner",99232,"N/A",799.67,1]
[41,"Nurse Practitioner",99306,"N/A",1085.26,1,true,true,true,true,true,41,"Nurse Practitioner",99306,"N/A",1085.26,1]
[41,"Nurse Practitioner","H0031","N/A",285.60000000000002,1,true,true,true,true,true,41,"Nurse Practitioner","H0031","N/A",285.60000000000002,1]
[41,"Occupational Therapist","G0541","N/A",305.08,1,true,true,true,true,true,41,"Occupational Therapist","G0541","N/A",305.08,1]
[41,"Other Qualified Practitioner","H2019","N/A",112.45,1,true,true,true,true,true,41,"Other Qualified Practitioner","H2019","N/A",112.45,1]
[41,"Physician Assistant",90868,"N/A",257.58,1,true,true,true,true,true,41,"Physician Assistant",90868,"N/A",257.58,1]
[41,"Physician Assistant",96374,"N/A",257.58,1,true,true,true,true,true,41,"Physician Assistant",96374,"N/A",257.58,1]
[41,"Physician Assistant",99239,"N/A",1030.32,1,true,true,true,true,true,41,"Physician Assistant",99239,"N/A",1030.32,1]
[41,"Physician Assistant",99484,"N/A",1030.32,1,true,true,true,true,true,41,"Physician Assistant",99484,"N/A",1030.32,1]
[41,"Psychologist (Licensed or Waivered)",90791,"N/A",923.89,1,true,true,true,true,{"$f":"EXACT(E40900,P40900)","v":true},41,"Psychologist (Licensed or Waivered)",90791,"N/A",923.89,1]
[41,"Psychologist (Licensed or Waivered)",90834,"N/A",692.92,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)",90834,"N/A",692.92,1]
[41,"Psychologist (Licensed or Waivered)",98967,"N/A",246.37,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)",98967,"N/A",246.37,1]
[41,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,{"$f":"EXACT(E40964,P40964)","v":true},41,"Registered Nurse",90785,"N/A",18.89,1]
[41,"Registered Nurse","G0540","N/A",233.28,1,true,true,true,true,true,41,"Registered Nurse","G0540","N/A",233.28,1]
[41,"Registered Pharmacist",99607,"N/A",274.91000000000003,1,true,true,true,true,true,41,"Registered Pharmacist",99607,"N/A",274.91000000000003,1]
[42,"Certified AOD Counselor","H2019","N/A",72.900000000000006,1,true,true,true,true,true,42,"Certified AOD Counselor","H2019","N/A",72.900000000000006,1]
[42,"Clinical Nurse Specialist",96105,"N/A",671.74,1,true,true,true,true,true,42,"Clinical Nurse Specialist",96105,"N/A",671.74,1]
[42,"Clinical Nurse Specialist",96372,"N/A",167.94,1,true,true,true,true,true,42,"Clinical Nurse Specialist",96372,"N/A",167.94,1]
[42,"Clinical Nurse Specialist",99243,"N/A",391.85,1,true,true,true,true,true,42,"Clinical Nurse Specialist",99243,"N/A",391.85,1]
[42,"Clinical Nurse Specialist","G0539","N/A",257.5,1,true,true,true,true,true,42,"Clinical Nurse Specialist","G0539","N/A",257.5,1]
[42,"Community Health Worker","G0022","N/A",135.56,1,true,true,true,true,true,42,"Community Health Worker","G0022","N/A",135.56,1]
[42,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",263.67,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)",90834,"N/A",263.67,1]
[42,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",351.56,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",351.56,1]
[42,"Licensed Physician",90834,"N/A",1013.12,1,true,true,true,true,true,42,"Licensed Physician",90834,"N/A",1013.12,1]
[42,"Licensed Physician",96133,"N/A",1350.83,1,true,true,true,true,true,42,"Licensed Physician",96133,"N/A",1350.83,1]
[42,"Licensed Physician",99203,"N/A",833.01,1,true,true,true,true,true,42,"Licensed Physician",99203,"N/A",833.01,1]
[42,"Licensed Physician",99341,"N/A",495.3,{"$f":"IF(AND(B41357=\"Peer Support Specialists\",C41357=\"T1013\"),9,1)","v":1},true,true,true,true,true,42,"Licensed Physician",99341,"N/A",495.3,1]
[42,"Licensed Physician","H2019","N/A",337.71,1,true,true,true,true,true,42,"Licensed Physician","H2019","N/A",337.71,1]
[42,"Licensed Psychiatric Technician",99484,"N/A",247.1,1,true,true,true,true,true,42,"Licensed Psychiatric Technician",99484,"N/A",247.1,1]
[42,"Licensed Vocational Nurse",96374,"N/A",72.06,1,true,true,true,true,true,42,"Licensed Vocational Nurse",96374,"N/A",72.06,1]
[42,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,{"$f":"EXACT(E41476,P41476)","v":true},42,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[42,"Mental Health Rehabilitation Specialist","H2017","HQ",14.69,1,true,true,true,true,true,42,"Mental Health Rehabilitation Specialist","H2017","HQ",14.69,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",87.89,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",87.89,1]
[42,"Nurse Practitioner",90832,"N/A",335.87,1,true,true,true,true,true,42,"Nurse Practitioner",90832,"N/A",335.87,1]
[42,"Nurse Practitioner",96121,"N/A",671.74,1,true,true,true,true,true,42,"Nurse Practitioner",96121,"N/A",671.74,1]
[42,"Nurse Practitioner",98967,"N/A",179.13,1,true,true,true,true,true,42,"Nurse Practitioner",98967,"N/A",179.13,1]
[42,"Nurse Practitioner",99308,"N/A",279.89,1,true,true,true,true,true,42,"Nurse Practitioner",99308,"N/A",279.89,1]
[42,"Nurse Practitioner","G0541","N/A",257.5,1,true,true,true,true,true,42,"Nurse Practitioner","G0541","N/A",257.5,1]
[42,"Occupational Therapist",97551,"N/A",117,1,true,true,true,true,true,42,"Occupational Therapist",97551,"N/A",117,1]
[42,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,42,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[42,"Physician Assistant",90845,"N/A",454.38,1,true,true,true,true,true,42,"Physician Assistant",90845,"N/A",454.38,1]
[42,"Physician Assistant",96105,"N/A",605.84,1,true,true,true,true,true,42,"Physician Assistant",96105,"N/A",605.84,1]
[42,"Physician Assistant",96376,"N/A",151.46,1,true,true,true,true,true,42,"Physician Assistant",96376,"N/A",151.46,1]
[42,"Physician Assistant",99347,"N/A",252.43,1,true,true,true,true,true,42,"Physician Assistant",99347,"N/A",252.43,1]
[42,"Physician Assistant","G0539","N/A",232.24,1,true,true,true,true,true,42,"Physician Assistant","G0539","N/A",232.24,1]
[42,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[42,"Psychologist (Licensed or Waivered)",96203,"N/A",30.18,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)",96203,"N/A",30.18,1]
[42,"Registered Nurse",96110,"N/A",548.69000000000005,1,true,true,true,true,true,42,"Registered Nurse",96110,"N/A",548.69000000000005,1]
[42,"Registered Nurse",97550,"N/A",210.33,1,{"$f":"EXACT(A41987,L41987)","v":true},{"$f":"EXACT(B41987,M41987)","v":true},{"$f":"EXACT(C41987,N41987)","v":true},{"$f":"EXACT(D41987,O41987)","v":true},true,42,"Registered Nurse",97550,"N/A",210.33,1]
[42,"Registered Pharmacist","G0540","N/A",161.65,1,true,true,true,true,true,42,"Registered Pharmacist","G0540","N/A",161.65,1]
[43,"Certified AOD Counselor","T1013","N/A",31.88,1,true,true,true,true,true,43,"Certified AOD Counselor","T1013","N/A",31.88,1]
[43,"Clinical Nurse Specialist",90839,"N/A",1090.03,1,true,true,true,true,true,43,"Clinical Nurse Specialist",90839,"N/A",1090.03,1]
[43,"Clinical Nurse Specialist",96112,"N/A",1090.03,1,true,true,true,true,true,43,"Clinical Nurse Specialist",96112,"N/A",1090.03,1]
[43,"Clinical Nurse Specialist",99234,"N/A",1035.53,1,true,true,true,true,true,43,"Clinical Nurse Specialist",99234,"N/A",1035.53,1]
[43,"Clinical Nurse Specialist",99245,"N/A",1126.3599999999999,1,true,true,true,true,true,43,"Clinical Nurse Specialist",99245,"N/A",1126.3599999999999,1]
[43,"Clinical Nurse Specialist","G0541","N/A",417.84,1,true,true,true,true,{"$f":"EXACT(E42180,P42180)","v":true},43,"Clinical Nurse Specialist","G0541","N/A",417.84,1]
[43,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",570.48,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",570.48,1]
[43,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",142.62,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",142.62,1]
[43,"Licensed Physician",90836,"N/A",1644.02,1,true,true,true,true,true,43,"Licensed Physician",90836,"N/A",1644.02,1]
[43,"Licensed Physician",90870,"N/A",730.67,1,true,true,true,true,true,43,"Licensed Physician",90870,"N/A",730.67,1]
[43,"Licensed Physician",99215,"N/A",1717.08,1,true,true,true,true,true,43,"Licensed Physician",99215,"N/A",1717.08,1]
[43,"Licensed Physician",99304,"N/A",1096.01,1,true,true,true,true,true,43,"Licensed Physician",99304,"N/A",1096.01,1]
[43,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,43,"Licensed Physician","T1013","N/A",31.88,1]
[43,"Licensed Psychiatric Technician","G0540","N/A",100.25,1,true,true,true,true,true,43,"Licensed Psychiatric Technician","G0540","N/A",100.25,1]
[43,"Licensed Psychiatric Technician","T1017","N/A",100.25,1,true,true,true,true,true,43,"Licensed Psychiatric Technician","T1017","N/A",100.25,1]
[43,"Licensed Vocational Nurse",96376,"N/A",116.93,1,true,true,true,true,true,43,"Licensed Vocational Nurse",96376,"N/A",116.93,1]
[43,"Medical Assistant",96369,"N/A",203.64,1,true,true,true,true,true,43,"Medical Assistant",96369,"N/A",203.64,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",475.4,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",475.4,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",570.48,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)",99366,"N/A",570.48,1]
[43,"Nurse Practitioner",90833,"N/A",545.02,{"$f":"IF(AND(B42573=\"Peer Support Specialists\",C42573=\"T1013\"),9,1)","v":1},true,true,true,true,true,43,"Nurse Practitioner",90833,"N/A",545.02,1]
[43,"Nurse Practitioner",96132,"N/A",1090.03,1,true,true,true,true,true,43,"Nurse Practitioner",96132,"N/A",1090.03,1]
[43,"Nurse Practitioner",99202,"N/A",399.68,1,true,true,true,true,true,43,"Nurse Practitioner",99202,"N/A",399.68,1]
[43,"Nurse Practitioner",99236,"N/A",1671.38,1,true,true,true,true,true,43,"Nurse Practitioner",99236,"N/A",1671.38,1]
[43,"Nurse Practitioner","H0034","N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner","H0034","N/A",272.51,1]
[43,"Occupational Therapist",99366,"N/A",759.4,1,true,true,true,true,true,43,"Occupational Therapist",99366,"N/A",759.4,1]
[43,"Occupational Therapist","H0032","N/A",189.85,1,true,true,true,true,true,43,"Occupational Therapist","H0032","N/A",189.85,1]
[43,"Peer Support Specialists","H0025","N/A",25.04,1,true,true,true,true,true,43,"Peer Support Specialists","H0025","N/A",25.04,1]
[43,"Physician Assistant",90885,"N/A",983.11,1,true,true,true,true,true,43,"Physician Assistant",90885,"N/A",983.11,1]
[43,"Physician Assistant",97550,"N/A",376.86,1,{"$f":"EXACT(A42819,L42819)","v":true},{"$f":"EXACT(B42819,M42819)","v":true},{"$f":"EXACT(C42819,N42819)","v":true},{"$f":"EXACT(D42819,O42819)","v":true},true,43,"Physician Assistant",97550,"N/A",376.86,1]
[43,"Physician Assistant",99245,"N/A",1015.88,1,true,true,true,true,true,43,"Physician Assistant",99245,"N/A",1015.88,1]
[43,"Physician Assistant","H2000","N/A",245.78,1,true,true,true,true,true,43,"Physician Assistant","H2000","N/A",245.78,1]
[43,"Psychologist (Licensed or Waivered)",90837,22,884.57,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)",90837,22,884.57,1]
[43,"Psychologist (Licensed or Waivered)",97551,"N/A",220.39,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)",97551,"N/A",220.39,1]
[43,"Registered Nurse",96127,"N/A",890.37,1,true,true,true,true,true,43,"Registered Nurse",96127,"N/A",890.37,1]
[43,"Registered Nurse","G0543","N/A",148.4,1,true,true,true,true,true,43,"Registered Nurse","G0543","N/A",148.4,1]
[43,"Registered Pharmacist",99607,"N/A",262.32,1,true,true,true,true,true,43,"Registered Pharmacist",99607,"N/A",262.32,1]
[43,"Registered Pharmacist","G0542","N/A",262.32,1,true,true,true,true,true,43,"Registered Pharmacist","G0542","N/A",262.32,1]
[44,"Clinical Nurse Specialist",90785,"N/A",18.89,1,true,true,true,true,true,44,"Clinical Nurse Specialist",90785,"N/A",18.89,1]
[44,"Clinical Nurse Specialist",96136,"N/A",397.38,1,true,true,true,true,true,44,"Clinical Nurse Specialist",96136,"N/A",397.38,1]
[44,"Clinical Nurse Specialist",97551,"N/A",198.69,1,true,true,true,true,true,44,"Clinical Nurse Specialist",97551,"N/A",198.69,1]
[44,"Clinical Nurse Specialist",99253,"N/A",688.78,1,true,true,true,true,true,44,"Clinical Nurse Specialist",99253,"N/A",688.78,1]
[44,"Clinical Nurse Specialist","G0543","N/A",132.46,1,true,true,true,true,true,44,"Clinical Nurse Specialist","G0543","N/A",132.46,1]
[44,"LCSW (Licensed, Waivered or Registered)",90832,22,210.98,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)",90832,22,210.98,1]
[44,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",415.94,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",415.94,1]
[44,"Licensed Physician",90834,22,1201.67,1,true,true,true,true,true,44,"Licensed Physician",90834,22,1201.67,1]
[44,"Licensed Physician",96132,"N/A",1598.21,1,true,true,true,true,true,44,"Licensed Physician",96132,"N/A",1598.21,1]
[44,"Licensed Physician",96203,"N/A",88.79,1,true,true,true,true,true,44,"Licensed Physician",96203,"N/A",88.79,1]
[44,"Licensed Physician",99222,"N/A",1731.39,1,true,true,true,true,true,44,"Licensed Physician",99222,"N/A",1731.39,1]
[44,"Licensed Physician",99347,"N/A",665.92,1,true,true,true,true,true,44,"Licensed Physician",99347,"N/A",665.92,1]
[44,"Licensed Physician","T2021","N/A",399.55,1,{"$f":"EXACT(A43395,L43395)","v":true},{"$f":"EXACT(B43395,M43395)","v":true},{"$f":"EXACT(C43395,N43395)","v":true},{"$f":"EXACT(D43395,O43395)","v":true},true,44,"Licensed Physician","T2021","N/A",399.55,1]
[44,"Licensed Psychiatric Technician","G0542","N/A",73.09,1,true,true,true,true,true,44,"Licensed Psychiatric Technician","G0542","N/A",73.09,1]
[44,"Licensed Vocational Nurse",96374,"N/A",85.26,1,true,true,true,true,true,44,"Licensed Vocational Nurse",96374,"N/A",85.26,1]
[44,"Medical Assistant",96127,"N/A",234.43,1,true,true,true,true,true,44,"Medical Assistant",96127,"N/A",234.43,1]
[44,"Mental Health Rehabilitation Specialist","T1017","N/A",78.239999999999995,1,true,true,true,true,true,44,"Mental Health Rehabilitation Specialist","T1017","N/A",78.239999999999995,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",415.94,1,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",415.94,1]
[44,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,44,"Nurse Practitioner",90785,"N/A",18.89,1]
[44,"Nurse Practitioner",96125,"N/A",794.75,1,true,true,true,true,true,44,"Nurse Practitioner",96125,"N/A",794.75,1]
[44,"Nurse Practitioner",98968,"N/A",344.39,1,true,true,true,true,true,44,"Nurse Practitioner",98968,"N/A",344.39,1]
[44,"Nurse Practitioner",99204,"N/A",688.78,1,true,true,true,true,true,44,"Nurse Practitioner",99204,"N/A",688.78,1]
[44,"Nurse Practitioner",99342,"N/A",596.05999999999995,1,true,true,true,true,true,44,"Nurse Practitioner",99342,"N/A",596.05999999999995,1]
[44,"Nurse Practitioner","H0032","N/A",198.69,1,true,true,true,true,true,44,"Nurse Practitioner","H0032","N/A",198.69,1]
[44,"Occupational Therapist","G0539","N/A",212.24,1,true,true,true,true,true,44,"Occupational Therapist","G0539","N/A",212.24,1]
[44,"Physician Assistant",90785,"N/A",18.89,1,true,true,true,true,true,44,"Physician Assistant",90785,"N/A",18.89,1]
[44,"Physician Assistant",90865,"N/A",1075.19,1,true,true,true,true,true,44,"Physician Assistant",90865,"N/A",1075.19,1]
[44,"Physician Assistant",96375,"N/A",179.2,1,true,true,true,true,true,44,"Physician Assistant",96375,"N/A",179.2,1]
[44,"Physician Assistant",99243,"N/A",418.13,1,true,true,true,true,true,44,"Physician Assistant",99243,"N/A",418.13,1]
[44,"Physician Assistant","G0316","N/A",179.2,1,true,true,true,true,true,44,"Physician Assistant","G0316","N/A",179.2,1]
[44,"Psychologist (Licensed or Waivered)",90840,"N/A",321.38,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)",90840,"N/A",321.38,1]
[44,"Psychologist (Licensed or Waivered)",96146,"N/A",642.75,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)",96146,"N/A",642.75,1]
[44,"Registered Nurse",90887,"N/A",540.98,1,true,true,true,true,true,44,"Registered Nurse",90887,"N/A",540.98,1]
[44,"Registered Nurse",96161,"N/A",162.29,1,true,true,true,true,true,44,"Registered Nurse",96161,"N/A",162.29,1]
[44,"Registered Pharmacist",97550,"N/A",293.26,1,true,true,true,true,true,44,"Registered Pharmacist",97550,"N/A",293.26,1]
[44,"Registered Pharmacist","G0540","N/A",191.26,1,true,true,true,true,true,44,"Registered Pharmacist","G0540","N/A",191.26,1]
[45,"Certified AOD Counselor","H2021","N/A",78.08,1,true,true,true,true,true,45,"Certified AOD Counselor","H2021","N/A",78.08,1]
[45,"Clinical Nurse Specialist",96110,"N/A",719.44,1,true,true,true,true,true,45,"Clinical Nurse Specialist",96110,"N/A",719.44,1]
[45,"Clinical Nurse Specialist",98966,"N/A",95.93,1,true,true,true,true,true,45,"Clinical Nurse Specialist",98966,"N/A",95.93,1]
[45,"Clinical Nurse Specialist",99239,"N/A",719.44,1,true,true,true,true,true,45,"Clinical Nurse Specialist",99239,"N/A",719.44,1]
[45,"Clinical Nurse Specialist","G0540","N/A",179.86,1,true,true,true,true,true,45,"Clinical Nurse Specialist","G0540","N/A",179.86,1]
[45,"LCSW (Licensed, Waivered or Registered)",90834,22,285.39999999999998,1,true,true,true,true,true,45,"LCSW (Licensed, Waivered or Registered)",90834,22,285.39999999999998,1]
[45,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",20.92,1,true,true,true,true,true,45,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",20.92,{"$f":"IF(N44232=\"G0323\",9,1)","v":1}]
[45,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",94.13,1,true,true,true,true,true,45,"LCSW (Licensed, Waivered or Registered)","H0031","N/A",94.13,1]
[45,"Licensed Physician",96121,"N/A",1446.76,1,true,true,true,true,true,45,"Licensed Physician",96121,"N/A",1446.76,1]
[45,"Licensed Physician",96136,"N/A",723.38,1,true,true,true,true,true,45,"Licensed Physician",96136,"N/A",723.38,1]
[45,"Licensed Physician",99231,"N/A",723.38,1,true,true,true,true,true,45,"Licensed Physician",99231,"N/A",723.38,1]
[45,"Licensed Physician",99308,"N/A",602.82000000000005,1,true,true,true,true,true,45,"Licensed Physician",99308,"N/A",602.82000000000005,1]
[45,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,45,"Licensed Physician","T1013","N/A",31.88,1]
[45,"Licensed Psychiatric Technician","H0031","N/A",66.16,1,true,true,true,true,true,45,"Licensed Psychiatric Technician","H0031","N/A",66.16,1]
[45,"Licensed Vocational Nurse",96203,"N/A",17.149999999999999,1,true,true,true,true,true,45,"Licensed Vocational Nurse",96203,"N/A",17.149999999999999,1]
[45,"Medical Assistant",96372,"N/A",53.05,1,true,true,true,true,true,45,"Medical Assistant",96372,"N/A",53.05,{"$f":"IF(N44488=\"G0323\",9,1)","v":1}]
[45,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",376.52,1,true,true,true,true,true,45,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",376.52,1]
[45,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",376.52,1,true,true,true,true,true,45,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",376.52,1]
[45,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",94.13,1,true,true,true,true,true,45,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",94.13,1]
[45,"Nurse Practitioner",90880,"N/A",719.44,1,true,true,true,true,true,45,"Nurse Practitioner",90880,"N/A",719.44,1]
[45,"Nurse Practitioner",96130,"N/A",719.44,1,true,true,true,true,true,45,"Nurse Practitioner",96130,"N/A",719.44,1]
[45,"Nurse Practitioner",99212,"N/A",179.86,1,true,true,true,true,true,45,"Nurse Practitioner",99212,"N/A",179.86,1]
[45,"Nurse Practitioner",99418,"N/A",179.86,1,true,true,true,true,true,45,"Nurse Practitioner",99418,"N/A",179.86,1]
[45,"Nurse Practitioner","H2011","N/A",179.86,1,true,true,true,true,true,45,"Nurse Practitioner","H2011","N/A",179.86,1]
[45,"Occupational Therapist","G0541","N/A",192.13,1,true,true,true,true,true,45,"Occupational Therapist","G0541","N/A",192.13,1]
[45,"Occupational Therapist","T1017","N/A",125.3,1,true,true,true,true,true,45,"Occupational Therapist","T1017","N/A",125.3,1]
[45,"Physician Assistant",96110,"N/A",648.86,1,true,true,true,true,true,45,"Physician Assistant",96110,"N/A",648.86,1]
[45,"Physician Assistant",96365,"N/A",497.46,1,true,true,true,true,true,45,"Physician Assistant",96365,"N/A",497.46,{"$f":"IF(N44808=\"G0323\",9,1)","v":1}]
[45,"Physician Assistant",99254,"N/A",757,1,true,true,true,true,true,45,"Physician Assistant",99254,"N/A",757,1]
[45,"Physician Assistant",99255,"N/A",940.85,1,true,true,true,true,true,45,"Physician Assistant",99255,"N/A",940.85,1]
[45,"Physician Assistant","H2019","N/A",162.22,1,true,true,true,true,true,45,"Physician Assistant","H2019","N/A",162.22,1]
[45,"Psychologist (Licensed or Waivered)",90847,"N/A",484.87,1,true,true,true,true,true,45,"Psychologist (Licensed or Waivered)",90847,"N/A",484.87,1]
[45,"Psychologist (Licensed or Waivered)",98968,"N/A",252.13,1,true,true,true,true,true,45,"Psychologist (Licensed or Waivered)",98968,"N/A",252.13,1]
[45,"Registered Nurse",96370,"N/A",440.74,1,true,true,true,true,true,45,"Registered Nurse",96370,"N/A",440.74,1]
[45,"Registered Nurse","H0034","N/A",146.91,1,true,true,true,true,true,45,"Registered Nurse","H0034","N/A",146.91,1]
[45,"Registered Pharmacist",96203,"N/A",38.47,1,true,true,true,true,true,45,"Registered Pharmacist",96203,"N/A",38.47,1]
[46,"Clinical Nurse Specialist",90832,"N/A",295.64,1,true,true,true,true,true,46,"Clinical Nurse Specialist",90832,"N/A",295.64,1]
[46,"Clinical Nurse Specialist",96113,"N/A",295.64,1,true,true,true,true,true,46,"Clinical Nurse Specialist",96113,"N/A",295.64,1]
[46,"Clinical Nurse Specialist",96202,"N/A",131.38999999999999,1,true,true,true,true,true,46,"Clinical Nurse Specialist",96202,"N/A",131.38999999999999,1]
[46,"Clinical Nurse Specialist",99304,"N/A",295.64,1,true,true,true,true,true,46,"Clinical Nurse Specialist",99304,"N/A",295.64,1]
[46,"Clinical Nurse Specialist","G0542","N/A",147.82,1,true,true,true,true,true,46,"Clinical Nurse Specialist","G0542","N/A",147.82,1]
[46,"Clinical Nurse Specialist","H0034","N/A",147.82,1,true,true,true,true,true,46,"Clinical Nurse Specialist","H0034","N/A",147.82,1]
[46,"LCSW (Licensed, Waivered or Registered)",90837,22,312.45999999999998,1,true,true,true,true,true,46,"LCSW (Licensed, Waivered or Registered)",90837,22,312.45999999999998,1]
[46,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",77.36,1,true,true,true,true,true,46,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",77.36,1]
[46,"Licensed Physician",90837,22,1192.04,1,true,true,true,true,true,46,"Licensed Physician",90837,22,1192.04,1]
[46,"Licensed Physician",96146,"N/A",1189.03,1,true,true,true,true,true,46,"Licensed Physician",96146,"N/A",1189.03,1]
[46,"Licensed Physician",99242,"N/A",495.43,1,true,true,true,true,true,46,"Licensed Physician",99242,"N/A",495.43,1]
[46,"Licensed Physician",99350,"N/A",1327.75,1,true,true,true,true,true,46,"Licensed Physician",99350,"N/A",1327.75,1]
[46,"Licensed Physician","T2021","N/A",297.26,1,true,true,true,true,true,46,"Licensed Physician","T2021","N/A",297.26,1]
[46,"Licensed Psychiatric Technician","H0031","N/A",54.38,1,true,true,true,true,true,46,"Licensed Psychiatric Technician","H0031","N/A",54.38,1]
[46,"Licensed Vocational Nurse",96377,"N/A",63.43,1,true,true,true,true,true,46,"Licensed Vocational Nurse",96377,"N/A",63.43,1]
[46,"Medical Assistant",96370,"N/A",130.81,1,true,true,true,true,true,46,"Medical Assistant",96370,"N/A",130.81,1]
[46,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1,true,true,true,true,true,46,"Mental Health Rehabilitation Specialist","T1013","N/A",31.88,1]
[46,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,157.72999999999999,1,true,true,true,true,true,46,"MFT/LPCC (Licensed, Waivered or Registered)",90832,22,157.72999999999999,1]
[46,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",77.36,1,true,true,true,true,true,46,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",77.36,1]
[46,"Nurse Practitioner",90836,22,446.47,{"$f":"IF(AND(B45581=\"Peer Support Specialists\",C45581=\"T1013\"),9,1)","v":1},true,true,true,true,true,46,"Nurse Practitioner",90836,22,446.47,1]
[46,"Nurse Practitioner",96132,"N/A",591.28,1,true,true,true,true,true,46,"Nurse Practitioner",96132,"N/A",591.28,1]
[46,"Nurse Practitioner",99205,"N/A",660.26,1,true,true,true,true,true,46,"Nurse Practitioner",99205,"N/A",660.26,{"$f":"IF(N45640=\"G0323\",9,1)","v":1}]
[46,"Nurse Practitioner",99341,"N/A",216.8,1,true,true,true,true,true,46,"Nurse Practitioner",99341,"N/A",216.8,1]
[46,"Nurse Practitioner","H0036","N/A",147.82,1,true,true,true,true,{"$f":"EXACT(E45700,P45700)","v":true},46,"Nurse Practitioner","H0036","N/A",147.82,1]
[46,"Occupational Therapist",99366,"N/A",411.92,1,true,true,true,true,true,46,"Occupational Therapist",99366,"N/A",411.92,1]
[46,"Peer Support Specialists","H0038","N/A",61.11,1,true,true,true,true,true,46,"Peer Support Specialists","H0038","N/A",61.11,1]
[46,"Physician Assistant",90832,"N/A",266.64,1,true,true,true,true,true,46,"Physician Assistant",90832,"N/A",266.64,1]
[46,"Physician Assistant",96113,"N/A",266.64,1,true,true,true,true,true,46,"Physician Assistant",96113,"N/A",266.64,1]
[46,"Physician Assistant",97551,"N/A",133.32,1,true,true,true,true,true,46,"Physician Assistant",97551,"N/A",133.32,1]
[46,"Physician Assistant",99253,"N/A",462.17,1,true,true,true,true,true,46,"Physician Assistant",99253,"N/A",462.17,1]
[46,"Physician Assistant","G0542","N/A",133.32,1,true,true,true,true,true,46,"Physician Assistant","G0542","N/A",133.32,1]
[46,"Psychologist (Licensed or Waivered)",90840,"N/A",239.09,1,true,true,true,true,true,46,"Psychologist (Licensed or Waivered)",90840,"N/A",239.09,1]
[46,"Psychologist (Licensed or Waivered)",97550,"N/A",183.31,1,true,true,true,true,true,46,"Psychologist (Licensed or Waivered)",97550,"N/A",183.31,1]
[46,"Registered Nurse",96127,"N/A",482.97,1,true,true,true,true,true,46,"Registered Nurse",96127,"N/A",482.97,1]
[46,"Registered Nurse","H0033","N/A",120.74,1,true,true,true,true,true,46,"Registered Nurse","H0033","N/A",120.74,1]
[46,"Registered Pharmacist","G0543","N/A",94.86,1,true,true,true,true,true,46,"Registered Pharmacist","G0543","N/A",94.86,1]
[47,"Clinical Nurse Specialist",90791,"N/A",864.58,1,true,true,true,true,true,47,"Clinical Nurse Specialist",90791,"N/A",864.58,1]
[47,"Clinical Nurse Specialist",90887,"N/A",720.48,1,true,true,true,true,true,47,"Clinical Nurse Specialist",90887,"N/A",720.48,1]
[47,"Clinical Nurse Specialist",96121,"N/A",864.58,1,true,true,true,true,true,47,"Clinical Nurse Specialist",96121,"N/A",864.58,1]
[47,"Clinical Nurse Specialist",98966,"N/A",115.28,1,true,true,true,true,true,47,"Clinical Nurse Specialist",98966,"N/A",115.28,1]
[47,"Clinical Nurse Specialist",99442,"N/A",230.55,1,true,true,true,true,true,47,"Clinical Nurse Specialist",99442,"N/A",230.55,1]
[47,"Clinical Nurse Specialist","H0031","N/A",216.15,1,true,true,true,true,true,47,"Clinical Nurse Specialist","H0031","N/A",216.15,1]
[47,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",226.25,1,true,true,true,true,true,47,"LCSW (Licensed, Waivered or Registered)",90840,"N/A",226.25,1]
[47,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",60.33,1,true,true,true,true,true,47,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",60.33,1]
[47,"Licensed Physician",90837,22,1741.64,1,true,true,true,true,true,47,"Licensed Physician",90837,22,1741.64,1]
[47,"Licensed Physician",96131,"N/A",1738.63,1,true,true,true,true,true,47,"Licensed Physician",96131,"N/A",1738.63,1]
[47,"Licensed Physician",99223,"N/A",2376.13,1,true,true,true,true,true,47,"Licensed Physician",99223,"N/A",2376.13,1]
[47,"Licensed Physician",99415,"N/A",1738.63,1,true,true,true,true,true,47,"Licensed Physician",99415,"N/A",1738.63,1]
[47,"Licensed Physician","H2000","N/A",434.66,1,true,true,true,true,true,47,"Licensed Physician","H2000","N/A",434.66,1]
[47,"Licensed Physician","T2021",22,437.67,1,true,true,true,true,true,47,"Licensed Physician","T2021",22,437.67,1]
[47,"Licensed Psychiatric Technician","H0034","HQ",17.670000000000002,1,true,true,true,true,true,47,"Licensed Psychiatric Technician","H0034","HQ",17.670000000000002,1]
[47,"Licensed Vocational Nurse","H2017","HQ",20.61,{"$f":"IF(AND(B46477=\"Peer Support Specialists\",C46477=\"T1013\"),9,1)","v":1},true,true,true,true,true,47,"Licensed Vocational Nurse","H2017","HQ",20.61,1]
[47,"Medical Assistant",96372,"N/A",63.76,1,true,true,true,true,true,47,"Medical Assistant",96372,"N/A",63.76,1]
[47,"Mental Health Rehabilitation Specialist","H2021","N/A",85.11,1,true,true,true,true,true,47,"Mental Health Rehabilitation Specialist","H2021","N/A",85.11,1]
[47,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",173.45,1,true,true,true,true,true,47,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",173.45,1]
[47,"Nurse Practitioner",90837,22,867.59,1,true,true,true,true,true,47,"Nurse Practitioner",90837,22,867.59,1]
[47,"Nurse Practitioner",96110,"N/A",864.58,1,true,true,true,true,true,47,"Nurse Practitioner",96110,"N/A",864.58,1]
[47,"Nurse Practitioner",99205,"N/A",965.45,1,true,true,true,true,true,47,"Nurse Practitioner",99205,"N/A",965.45,1]
[47,"Nurse Practitioner",99344,"N/A",965.45,1,true,true,true,true,true,47,"Nurse Practitioner",99344,"N/A",965.45,1]
[47,"Nurse Practitioner",99484,"N/A",864.58,1,true,true,true,true,true,47,"Nurse Practitioner",99484,"N/A",864.58,1]
[47,"Nurse Practitioner","H2021","N/A",216.15,1,true,true,true,true,true,47,"Nurse Practitioner","H2021","N/A",216.15,1]
[47,"Other Qualified Practitioner","H2011","N/A",85.11,1,true,true,true,true,true,47,"Other Qualified Practitioner","H2011","N/A",85.11,1]
[47,"Physician Assistant",90791,"N/A",779.77,1,true,true,true,true,true,47,"Physician Assistant",90791,"N/A",779.77,1]
[47,"Physician Assistant",96121,"N/A",779.77,{"$f":"IF(AND(B46797=\"Peer Support Specialists\",C46797=\"T1013\"),9,1)","v":1},true,true,true,true,true,47,"Physician Assistant",96121,"N/A",779.77,1]
[47,"Physician Assistant",99232,"N/A",545.84,1,true,true,true,true,true,47,"Physician Assistant",99232,"N/A",545.84,1]
[47,"Physician Assistant",99254,"N/A",909.73,1,true,true,true,true,true,47,"Physician Assistant",99254,"N/A",909.73,1]
[47,"Physician Assistant","H0031","N/A",194.94,1,true,true,true,true,true,47,"Physician Assistant","H0031","N/A",194.94,1]
[47,"Physician Assistant","T2021","N/A",194.94,1,true,true,true,true,true,47,"Physician Assistant","T2021","N/A",194.94,1]
[47,"Psychologist (Licensed or Waivered)",99484,"N/A",699.22,1,true,true,true,true,true,47,"Psychologist (Licensed or Waivered)",99484,"N/A",699.22,1]
[47,"Registered Nurse",96202,"N/A",156.94,1,true,true,true,true,true,47,"Registered Nurse",96202,"N/A",156.94,1]
[47,"Registered Nurse",96374,"N/A",176.55,1,true,true,true,true,true,47,"Registered Nurse",96374,"N/A",176.55,1]
[47,"Registered Nurse","H2017","N/A",176.55,1,true,true,true,true,true,47,"Registered Nurse","H2017","N/A",176.55,1]
[48,"Certified AOD Counselor","H0033","N/A",95.91,{"$f":"IF(AND(B47053=\"Peer Support Specialists\",C47053=\"T1013\"),9,1)","v":1},true,true,true,true,true,48,"Certified AOD Counselor","H0033","N/A",95.91,1]
[48,"Clinical Nurse Specialist",90832,"N/A",441.89,1,true,true,true,true,true,48,"Clinical Nurse Specialist",90832,"N/A",441.89,1]
[48,"Clinical Nurse Specialist",96127,"N/A",883.77,1,true,true,true,true,true,48,"Clinical Nurse Specialist",96127,"N/A",883.77,1]
[48,"Clinical Nurse Specialist",99223,"N/A",1207.82,1,true,true,true,true,true,48,"Clinical Nurse Specialist",99223,"N/A",1207.82,1]
[48,"Clinical Nurse Specialist",99308,"N/A",368.24,1,true,true,true,true,true,48,"Clinical Nurse Specialist",99308,"N/A",368.24,1]
[48,"Clinical Nurse Specialist","H0033","N/A",220.94,1,true,true,true,true,true,48,"Clinical Nurse Specialist","H0033","N/A",220.94,1]
[48,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",462.53,1,true,true,true,true,true,48,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",462.53,1]
[48,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",115.63,1,true,true,true,true,true,48,"LCSW (Licensed, Waivered or Registered)","H0032","N/A",115.63,1]
[48,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",115.63,1,true,true,true,true,true,48,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",115.63,1]
[48,"Licensed Physician",90847,"N/A",1481.02,1,true,true,true,true,true,48,"Licensed Physician",90847,"N/A",1481.02,1]
[48,"Licensed Physician",96365,"N/A",1362.54,1,true,true,true,true,true,48,"Licensed Physician",96365,"N/A",1362.54,1]
[48,"Licensed Physician",99252,"N/A",1184.81,1,true,true,true,true,true,48,"Licensed Physician",99252,"N/A",1184.81,1]
[48,"Licensed Physician",99417,"N/A",444.31,1,true,true,true,true,true,48,"Licensed Physician",99417,"N/A",444.31,1]
[48,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,48,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[48,"Licensed Psychiatric Technician","H2019","N/A",81.28,1,true,true,true,true,true,48,"Licensed Psychiatric Technician","H2019","N/A",81.28,1]
[48,"Licensed Vocational Nurse",99484,"N/A",379.22,1,true,true,true,true,true,48,"Licensed Vocational Nurse",99484,"N/A",379.22,1]
[48,"Medical Assistant","T2024","N/A",65.17,1,true,true,true,true,true,48,"Medical Assistant","T2024","N/A",65.17,1]
[48,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",462.53,1,true,true,true,true,true,48,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",462.53,1]
[48,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",177.3,1,true,true,true,true,true,48,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",177.3,1]
[48,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",25.7,1,true,true,true,true,true,48,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",25.7,1]
[48,"Nurse Practitioner",96137,"N/A",441.89,1,true,true,true,true,true,48,"Nurse Practitioner",96137,"N/A",441.89,1]
[48,"Nurse Practitioner",96146,"N/A",883.77,1,true,true,true,true,true,48,"Nurse Practitioner",96146,"N/A",883.77,1]
[48,"Nurse Practitioner",99215,"N/A",692.29,1,true,true,true,true,true,48,"Nurse Practitioner",99215,"N/A",692.29,1]
[48,"Nurse Practitioner",99347,"N/A",368.24,1,true,true,true,true,true,48,"Nurse Practitioner",99347,"N/A",368.24,1]
[48,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,48,"Occupational Therapist",90785,"N/A",18.89,1]
[48,"Occupational Therapist","H0033","N/A",153.91999999999999,1,true,true,true,true,true,48,"Occupational Therapist","H0033","N/A",153.91999999999999,1]
[48,"Physician Assistant",90832,"N/A",398.54,1,true,true,true,true,true,48,"Physician Assistant",90832,"N/A",398.54,1]
[48,"Physician Assistant",96132,"N/A",797.07,1,true,true,true,true,true,48,"Physician Assistant",96132,"N/A",797.07,1]
[48,"Physician Assistant",98967,"N/A",212.55,1,true,true,true,true,true,48,"Physician Assistant",98967,"N/A",212.55,1]
[48,"Physician Assistant",99304,"N/A",398.54,1,true,true,true,true,true,48,"Physician Assistant",99304,"N/A",398.54,1]
[48,"Physician Assistant","G0541","N/A",305.54000000000002,{"$f":"IF(AND(B47885=\"Peer Support Specialists\",C47885=\"T1013\"),9,1)","v":1},true,true,true,true,true,48,"Physician Assistant","G0541","N/A",305.54000000000002,1]
[48,"Psychologist (Licensed or Waivered)",90849,"N/A",222.36,1,true,true,true,true,true,48,"Psychologist (Licensed or Waivered)",90849,"N/A",222.36,1]
[48,"Psychologist (Licensed or Waivered)",99366,"N/A",714.74,1,true,true,true,true,true,48,"Psychologist (Licensed or Waivered)",99366,"N/A",714.74,1]
[48,"Registered Nurse",90887,"N/A",601.57000000000005,1,true,true,true,true,true,48,"Registered Nurse",90887,"N/A",601.57000000000005,1]
[48,"Registered Nurse",96365,"N/A",553.44000000000005,1,true,true,true,true,true,48,"Registered Nurse",96365,"N/A",553.44000000000005,1]
[48,"Registered Nurse","T1001","N/A",180.47,1,true,true,true,true,true,48,"Registered Nurse","T1001","N/A",180.47,1]
[48,"Registered Pharmacist","H0034","N/A",212.68,1,true,true,true,true,true,48,"Registered Pharmacist","H0034","N/A",212.68,1]
[49,"Clinical Nurse Specialist",90833,"N/A",394.04,1,true,true,true,true,true,49,"Clinical Nurse Specialist",90833,"N/A",394.04,1]
[49,"Clinical Nurse Specialist",96113,"N/A",394.04,1,true,true,true,true,true,49,"Clinical Nurse Specialist",96113,"N/A",394.04,1]
[49,"Clinical Nurse Specialist",99202,"N/A",288.95999999999998,1,{"$f":"EXACT(A48131,L48131)","v":true},{"$f":"EXACT(B48131,M48131)","v":true},{"$f":"EXACT(C48131,N48131)","v":true},{"$f":"EXACT(D48131,O48131)","v":true},true,49,"Clinical Nurse Specialist",99202,"N/A",288.95999999999998,1]
[49,"Clinical Nurse Specialist",99306,"N/A",748.67,1,true,true,true,true,true,49,"Clinical Nurse Specialist",99306,"N/A",748.67,1]
[49,"Clinical Nurse Specialist","G0539","N/A",302.08999999999997,1,true,true,true,true,true,49,"Clinical Nurse Specialist","G0539","N/A",302.08999999999997,1]
[49,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",412.44,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)",90839,"N/A",412.44,1]
[49,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.11,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.11,1]
[49,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",103.11,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",103.11,1]
[49,"Licensed Physician",90840,"N/A",792.39,1,true,true,true,true,true,49,"Licensed Physician",90840,"N/A",792.39,1]
[49,"Licensed Physician",96137,"N/A",792.39,1,true,true,true,true,true,49,"Licensed Physician",96137,"N/A",792.39,1]
[49,"Licensed Physician",99234,"N/A",1505.53,1,true,true,true,true,true,49,"Licensed Physician",99234,"N/A",1505.53,1]
[49,"Licensed Physician",99415,"N/A",1584.77,1,true,true,true,true,true,49,"Licensed Physician",99415,"N/A",1584.77,1]
[49,"Licensed Physician","H2019","N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician","H2019","N/A",396.19,1]
[49,"Licensed Psychiatric Technician","H0034","N/A",72.48,1,true,true,true,true,true,49,"Licensed Psychiatric Technician","H0034","N/A",72.48,1]
[49,"Licensed Vocational Nurse",96377,"N/A",84.54,{"$f":"IF(AND(B48461=\"Peer Support Specialists\",C48461=\"T1013\"),9,1)","v":1},true,true,true,true,true,49,"Licensed Vocational Nurse",96377,"N/A",84.54,1]
[49,"Medical Assistant",99484,"N/A",232.46,1,true,true,true,true,true,49,"Medical Assistant",99484,"N/A",232.46,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",309.33,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)",90834,"N/A",309.33,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",109.98,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",109.98,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",68.739999999999995,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",68.739999999999995,1]
[49,"Nurse Practitioner",90837,22,791.08,1,true,true,true,true,true,49,"Nurse Practitioner",90837,22,791.08,1]
[49,"Nurse Practitioner",97551,"N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner",97551,"N/A",197.02,1]
[49,"Nurse Practitioner",99215,"N/A",617.32000000000005,1,true,true,true,true,true,49,"Nurse Practitioner",99215,"N/A",617.32000000000005,1]
[49,"Nurse Practitioner",99349,"N/A",656.73,1,true,true,true,true,true,49,"Nurse Practitioner",99349,"N/A",656.73,1]
[49,"Nurse Practitioner","G0541","N/A",302.08999999999997,1,true,true,true,true,true,49,"Nurse Practitioner","G0541","N/A",302.08999999999997,1]
[49,"Occupational Therapist","H0031","N/A",137.26,1,true,true,true,true,true,49,"Occupational Therapist","H0031","N/A",137.26,1]
[49,"Other Qualified Practitioner","H2021","N/A",77.58,1,true,true,true,true,true,49,"Other Qualified Practitioner","H2021","N/A",77.58,1]
[49,"Physician Assistant",96116,"N/A",710.76,1,true,true,true,true,true,49,"Physician Assistant",96116,"N/A",710.76,1]
[49,"Physician Assistant",99202,"N/A",260.61,1,true,true,true,true,true,49,"Physician Assistant",99202,"N/A",260.61,1]
[49,"Physician Assistant",99236,"N/A",1089.83,1,true,true,true,true,true,49,"Physician Assistant",99236,"N/A",1089.83,1]
[49,"Physician Assistant",99306,"N/A",675.22,1,true,true,true,true,true,49,"Physician Assistant",99306,"N/A",675.22,1]
[49,"Physician Assistant","H0034","HQ",39.49,1,true,true,true,true,true,49,"Physician Assistant","H0034","HQ",39.49,1]
[49,"Psychologist (Licensed or Waivered)",96132,"N/A",637.34,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)",96132,"N/A",637.34,1]
[49,"Psychologist (Licensed or Waivered)",99484,"N/A",637.34,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)",99484,"N/A",637.34,1]
[49,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,49,"Registered Nurse",90785,"N/A",18.89,1]
[49,"Registered Nurse","H2011","N/A",160.93,1,true,true,true,true,true,49,"Registered Nurse","H2011","N/A",160.93,1]
[49,"Registered Pharmacist","H2000","N/A",189.65,1,true,true,true,true,true,49,"Registered Pharmacist","H2000","N/A",189.65,1]
[50,"Certified AOD Counselor","H2011","N/A",97.08,1,true,true,true,true,true,50,"Certified AOD Counselor","H2011","N/A",97.08,1]
[50,"Clinical Nurse Specialist",96125,"N/A",894.46,{"$f":"IF(AND(B49101=\"Peer Support Specialists\",C49101=\"T1013\"),9,1)","v":1},true,true,true,true,true,50,"Clinical Nurse Specialist",96125,"N/A",894.46,1]
[50,"Clinical Nurse Specialist",99204,"N/A",775.2,1,true,true,true,true,true,50,"Clinical Nurse Specialist",99204,"N/A",775.2,1]
[50,"Clinical Nurse Specialist",99234,"N/A",849.74,1,true,true,true,true,true,50,"Clinical Nurse Specialist",99234,"N/A",849.74,1]
[50,"Clinical Nurse Specialist",99342,"N/A",670.85,1,true,true,true,true,true,50,"Clinical Nurse Specialist",99342,"N/A",670.85,1]
[50,"Community Health Worker",98962,"N/A",27.77,1,true,true,true,true,true,50,"Community Health Worker",98962,"N/A",27.77,1]
[50,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",351.1,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)",90845,"N/A",351.1,{"$f":"IF(N49224=\"G0323\",9,1)","v":1}]
[50,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",117.03,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)","H2011","N/A",117.03,1]
[50,"Licensed Physician",96110,"N/A",1798.73,1,true,true,true,true,true,50,"Licensed Physician",96110,"N/A",1798.73,1]
[50,"Licensed Physician",96203,"N/A",99.93,1,true,true,true,true,true,50,"Licensed Physician",96203,"N/A",99.93,1]
[50,"Licensed Physician",99236,"N/A",2758.05,1,{"$f":"EXACT(A49347,L49347)","v":true},{"$f":"EXACT(B49347,M49347)","v":true},{"$f":"EXACT(C49347,N49347)","v":true},{"$f":"EXACT(D49347,O49347)","v":true},true,50,"Licensed Physician",99236,"N/A",2758.05,1]
[50,"Licensed Physician",99304,"N/A",899.37,1,true,true,true,true,true,50,"Licensed Physician",99304,"N/A",899.37,1]
[50,"Licensed Psychiatric Technician",96202,"N/A",73.12,1,true,true,true,true,true,50,"Licensed Psychiatric Technician",96202,"N/A",73.12,1]
[50,"Licensed Psychiatric Technician",97550,"N/A",126.13,1,true,true,true,true,true,50,"Licensed Psychiatric Technician",97550,"N/A",126.13,1]
[50,"Licensed Vocational Nurse",97552,"N/A",63.97,1,true,true,true,true,true,50,"Licensed Vocational Nurse",97552,"N/A",63.97,1]
[50,"Licensed Vocational Nurse","G0542","N/A",95.95,1,true,true,true,true,true,50,"Licensed Vocational Nurse","G0542","N/A",95.95,1]
[50,"Mental Health Rehabilitation Specialist","H0033","N/A",88.05,1,true,true,true,true,true,50,"Mental Health Rehabilitation Specialist","H0033","N/A",88.05,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",468.13,1,true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)",90837,"N/A",468.13,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",117.03,1,true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)","H0032","N/A",117.03,1]
[50,"Nurse Practitioner",90867,"N/A",894.46,1,true,true,true,true,true,50,"Nurse Practitioner",90867,"N/A",894.46,1]
[50,"Nurse Practitioner",96203,"N/A",49.69,1,true,true,true,true,true,50,"Nurse Practitioner",96203,"N/A",49.69,1]
[50,"Nurse Practitioner",99222,"N/A",969,1,true,true,true,true,true,50,"Nurse Practitioner",99222,"N/A",969,1]
[50,"Nurse Practitioner",99368,"N/A",894.46,1,true,true,true,true,true,50,"Nurse Practitioner",99368,"N/A",894.46,1]
[50,"Nurse Practitioner","T1001","N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner","T1001","N/A",223.62,1]
[50,"Occupational Therapist",96113,"N/A",311.58,1,true,true,true,true,true,50,"Occupational Therapist",96113,"N/A",311.58,1]
[50,"Occupational Therapist","H2017","HQ",34.619999999999997,1,true,true,true,true,true,50,"Occupational Therapist","H2017","HQ",34.619999999999997,1]
[50,"Physician Assistant",90834,"N/A",605.04,1,true,true,true,true,true,50,"Physician Assistant",90834,"N/A",605.04,1]
[50,"Physician Assistant",96146,"N/A",806.72,1,true,true,true,true,true,50,"Physician Assistant",96146,"N/A",806.72,1]
[50,"Physician Assistant",99204,"N/A",699.16,1,true,true,true,true,true,50,"Physician Assistant",99204,"N/A",699.16,1]
[50,"Physician Assistant",99308,"N/A",336.13,1,true,true,true,true,true,50,"Physician Assistant",99308,"N/A",336.13,1]
[50,"Physician Assistant","H2000","N/A",201.68,1,true,true,true,true,true,50,"Physician Assistant","H2000","N/A",201.68,1]
[50,"Psychologist (Licensed or Waivered)",90887,"N/A",602.83000000000004,1,true,true,true,true,{"$f":"EXACT(E49924,P49924)","v":true},50,"Psychologist (Licensed or Waivered)",90887,"N/A",602.83000000000004,1]
[50,"Psychologist (Licensed or Waivered)","H2000","N/A",180.85,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)","H2000","N/A",180.85,1]
[50,"Registered Nurse",96368,"N/A",182.66,1,true,true,true,true,true,50,"Registered Nurse",96368,"N/A",182.66,1]
[50,"Registered Nurse","H2017","HQ",40.590000000000003,1,true,true,true,true,true,50,"Registered Nurse","H2017","HQ",40.590000000000003,1]
[50,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,50,"Registered Pharmacist",90785,"N/A",18.89,1]
[50,"Registered Pharmacist","H2017","N/A",215.25,1,true,true,true,true,true,50,"Registered Pharmacist","H2017","N/A",215.25,1]
[52,"Clinical Nurse Specialist",90836,"N/A",700.04,1,true,true,true,true,true,52,"Clinical Nurse Specialist",90836,"N/A",700.04,1]
[52,"Clinical Nurse Specialist",96127,"N/A",933.38,1,true,true,true,true,true,52,"Clinical Nurse Specialist",96127,"N/A",933.38,1]
[52,"Clinical Nurse Specialist",99212,"N/A",233.35,1,true,true,true,true,true,52,"Clinical Nurse Specialist",99212,"N/A",233.35,1]
[52,"Clinical Nurse Specialist",99349,"N/A",777.82,1,true,true,true,true,true,52,"Clinical Nurse Specialist",99349,"N/A",777.82,1]
[52,"Clinical Nurse Specialist","H2011","N/A",233.35,1,true,true,true,true,true,52,"Clinical Nurse Specialist","H2011","N/A",233.35,1]
[52,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",151.97,1,true,true,true,true,true,52,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",151.97,1]
[52,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",27.14,1,true,true,true,true,true,52,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",27.14,1]
[52,"Licensed Physician",90849,"N/A",583.95000000000005,1,true,true,true,true,true,52,"Licensed Physician",90849,"N/A",583.95000000000005,1]
[52,"Licensed Physician",96366,"N/A",1407.74,{"$f":"IF(AND(B50317=\"Peer Support Specialists\",C50317=\"T1013\"),9,1)","v":1},true,true,true,true,true,52,"Licensed Physician",96366,"N/A",1407.74,1]
[52,"Licensed Physician",99223,"N/A",2565.2199999999998,1,true,true,true,true,true,52,"Licensed Physician",99223,"N/A",2565.2199999999998,1]
[52,"Licensed Physician",99418,"N/A",469.25,1,true,true,true,true,true,52,"Licensed Physician",99418,"N/A",469.25,1]
[52,"Licensed Physician",99441,"N/A",250.27,1,true,true,true,true,true,52,"Licensed Physician",99441,"N/A",250.27,1]
[52,"Licensed Psychiatric Technician","G0540","N/A",85.84,1,true,true,true,true,true,52,"Licensed Psychiatric Technician","G0540","N/A",85.84,1]
[52,"Licensed Psychiatric Technician","H2017","N/A",85.84,1,true,true,true,true,true,52,"Licensed Psychiatric Technician","H2017","N/A",85.84,{"$f":"IF(N50440=\"G0323\",9,1)","v":1}]
[52,"Licensed Vocational Nurse","G0543","N/A",66.75,1,true,true,true,true,true,52,"Licensed Vocational Nurse","G0543","N/A",66.75,1]
[52,"Medical Assistant","H2017","N/A",68.83,1,true,true,true,true,true,52,"Medical Assistant","H2017","N/A",68.83,1]
[52,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",488.49,1,true,true,true,true,true,52,"MFT/LPCC (Licensed, Waivered or Registered)",90839,"N/A",488.49,1]
[52,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",488.49,1,true,true,true,true,true,52,"MFT/LPCC (Licensed, Waivered or Registered)",99484,"N/A",488.49,1]
[52,"Nurse Practitioner",90839,"N/A",933.38,1,true,true,true,true,true,52,"Nurse Practitioner",90839,"N/A",933.38,1]
[52,"Nurse Practitioner",96161,"N/A",233.35,1,true,true,true,true,true,52,"Nurse Practitioner",96161,"N/A",233.35,1]
[52,"Nurse Practitioner",98968,"N/A",404.46,1,true,true,true,true,true,52,"Nurse Practitioner",98968,"N/A",404.46,1]
[52,"Nurse Practitioner",99348,"N/A",544.47,1,true,true,true,true,true,52,"Nurse Practitioner",99348,"N/A",544.47,1]
[52,"Nurse Practitioner","H2000","N/A",233.35,1,true,true,true,true,true,52,"Nurse Practitioner","H2000","N/A",233.35,1]
[52,"Nurse Practitioner","T1017","N/A",233.35,1,true,true,true,true,true,52,"Nurse Practitioner","T1017","N/A",233.35,1]
[52,"Occupational Therapist","H2011","N/A",162.57,1,true,true,true,true,true,52,"Occupational Therapist","H2011","N/A",162.57,1]
[52,"Peer Support Specialists","H0038","N/A",96.48,1,true,true,true,true,true,52,"Peer Support Specialists","H0038","N/A",96.48,1]
[52,"Physician Assistant",96130,"N/A",841.82,1,true,true,true,true,true,52,"Physician Assistant",96130,"N/A",841.82,1]
[52,"Physician Assistant",99202,"N/A",308.67,1,true,true,true,true,true,52,"Physician Assistant",99202,"N/A",308.67,1]
[52,"Physician Assistant",99243,"N/A",491.06,1,true,true,true,true,true,52,"Physician Assistant",99243,"N/A",491.06,1]
[52,"Physician Assistant","H0034","N/A",210.46,1,true,true,true,true,true,52,"Physician Assistant","H0034","N/A",210.46,1]
[52,"Psychologist (Licensed or Waivered)",90840,"N/A",377.43,1,true,true,true,true,true,52,"Psychologist (Licensed or Waivered)",90840,"N/A",377.43,1]
[52,"Psychologist (Licensed or Waivered)","G0541","N/A",289.36,1,true,true,true,true,true,52,"Psychologist (Licensed or Waivered)","G0541","N/A",289.36,1]
[52,"Registered Nurse",96366,"N/A",571.80999999999995,1,true,true,true,true,true,52,"Registered Nurse",96366,"N/A",571.80999999999995,1]
[52,"Registered Nurse","G0542","N/A",190.6,1,true,true,true,true,true,52,"Registered Nurse","G0542","N/A",190.6,1]
[52,"Registered Nurse","H2021","N/A",190.6,1,true,true,true,true,true,52,"Registered Nurse","H2021","N/A",190.6,1]
[52,"Registered Pharmacist","H2000","N/A",224.62,1,true,true,true,true,true,52,"Registered Pharmacist","H2000","N/A",224.62,1]
[53,"Clinical Nurse Specialist",90869,"N/A",739.04,1,true,true,true,true,true,53,"Clinical Nurse Specialist",90869,"N/A",739.04,1]
[53,"Clinical Nurse Specialist",96132,"N/A",985.39,1,true,true,true,true,true,53,"Clinical Nurse Specialist",96132,"N/A",985.39,1]
[53,"Clinical Nurse Specialist",97552,"N/A",164.23,1,true,true,true,true,true,53,"Clinical Nurse Specialist",97552,"N/A",164.23,1]
[53,"Clinical Nurse Specialist",99341,"N/A",361.31,1,true,true,true,true,true,53,"Clinical Nurse Specialist",99341,"N/A",361.31,1]
[53,"Clinical Nurse Specialist","H0036","N/A",246.35,1,true,true,true,true,true,53,"Clinical Nurse Specialist","H0036","N/A",246.35,1]
[53,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",515.71,1,true,true,true,true,true,53,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",515.71,1]
[53,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",128.93,1,true,true,true,true,true,53,"LCSW (Licensed, Waivered or Registered)","H2000","N/A",128.93,1]
[53,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",128.93,1,true,true,true,true,true,53,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",128.93,1]
[53,"Licensed Physician",96121,"N/A",1489.08,1,true,true,true,true,true,53,"Licensed Physician",96121,"N/A",1489.08,1]
[53,"Licensed Physician",96368,"N/A",372.27,1,true,true,true,true,true,53,"Licensed Physician",96368,"N/A",372.27,1]
[53,"Licensed Physician",99243,"N/A",868.63,1,true,true,true,true,true,53,"Licensed Physician",99243,"N/A",868.63,1]
[53,"Licensed Physician","H0033","N/A",372.27,1,true,true,true,true,true,53,"Licensed Physician","H0033","N/A",372.27,1]
[53,"Licensed Psychiatric Technician",96202,"N/A",56.1,1,true,true,true,true,true,53,"Licensed Psychiatric Technician",96202,"N/A",56.1,1]
[53,"Licensed Psychiatric Technician","G0539","N/A",96.77,1,true,true,true,true,true,53,"Licensed Psychiatric Technician","G0539","N/A",96.77,1]
[53,"Licensed Vocational Nurse","G0541","N/A",112.88,1,true,true,true,true,true,53,"Licensed Vocational Nurse","G0541","N/A",112.88,1]
[53,"Medical Assistant","H2019","N/A",72.67,1,true,true,true,true,true,53,"Medical Assistant","H2019","N/A",72.67,1]
[53,"Mental Health Rehabilitation Specialist","H2011","N/A",67.55,1,true,true,true,true,true,53,"Mental Health Rehabilitation Specialist","H2011","N/A",67.55,1]
[53,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",128.93,1,true,true,true,true,true,53,"MFT/LPCC (Licensed, Waivered or Registered)","H0031","N/A",128.93,1]
[53,"Nurse Practitioner",90845,"N/A",739.04,1,true,true,true,true,true,53,"Nurse Practitioner",90845,"N/A",739.04,1]
[53,"Nurse Practitioner",90880,"N/A",985.39,1,true,true,true,true,true,53,"Nurse Practitioner",90880,"N/A",985.39,1]
[53,"Nurse Practitioner",96368,"N/A",246.35,1,true,true,true,true,true,53,"Nurse Practitioner",96368,"N/A",246.35,1]
[53,"Nurse Practitioner",99254,"N/A",1149.6199999999999,1,true,true,true,true,true,53,"Nurse Practitioner",99254,"N/A",1149.6199999999999,1]
[53,"Nurse Practitioner",99350,"N/A",1100.3499999999999,1,true,true,true,true,true,53,"Nurse Practitioner",99350,"N/A",1100.3499999999999,1]
[53,"Nurse Practitioner","T2021","HQ",54.74,1,true,true,true,true,true,53,"Nurse Practitioner","T2021","HQ",54.74,1]
[53,"Other Qualified Practitioner","H0033","N/A",67.55,1,true,true,true,true,true,53,"Other Qualified Practitioner","H0033","N/A",67.55,1]
[53,"Physician Assistant",90833,22,447.37,1,true,true,true,true,true,53,"Physician Assistant",90833,22,447.37,1]
[53,"Physician Assistant",96132,"N/A",888.72,1,true,true,true,true,true,53,"Physician Assistant",96132,"N/A",888.72,1]
[53,"Physician Assistant",99221,"N/A",696.16,1,true,true,true,true,true,53,"Physician Assistant",99221,"N/A",696.16,1]
[53,"Physician Assistant",99341,"N/A",325.86,1,true,true,true,true,true,53,"Physician Assistant",99341,"N/A",325.86,1]
[53,"Physician Assistant",99417,"N/A",222.18,1,true,true,true,true,true,53,"Physician Assistant",99417,"N/A",222.18,1]
[53,"Psychologist (Licensed or Waivered)",90885,"N/A",796.92,1,true,true,true,true,true,53,"Psychologist (Licensed or Waivered)",90885,"N/A",796.92,1]
[53,"Psychologist (Licensed or Waivered)",96113,"N/A",398.46,1,true,true,true,true,true,53,"Psychologist (Licensed or Waivered)",96113,"N/A",398.46,1]
[53,"Psychologist (Licensed or Waivered)","H2019","N/A",199.23,1,true,true,true,true,true,53,"Psychologist (Licensed or Waivered)","H2019","N/A",199.23,1]
[53,"Registered Nurse",96368,"N/A",201.22,1,true,true,true,true,true,53,"Registered Nurse",96368,"N/A",201.22,1]
[53,"Registered Nurse","T1013","N/A",31.88,1,true,true,true,true,true,53,"Registered Nurse","T1013","N/A",31.88,1]
[53,"Registered Pharmacist","T1017","N/A",237.13,1,true,true,true,true,true,53,"Registered Pharmacist","T1017","N/A",237.13,1]
[54,"Clinical Nurse Specialist",90837,22,1057.01,1,true,true,true,true,true,54,"Clinical Nurse Specialist",90837,22,1057.01,1]
[54,"Clinical Nurse Specialist",96136,"N/A",527,1,true,true,true,true,true,54,"Clinical Nurse Specialist",96136,"N/A",527,1]
[54,"Clinical Nurse Specialist",99214,"N/A",614.83000000000004,1,true,true,true,true,true,54,"Clinical Nurse Specialist",99214,"N/A",614.83000000000004,1]
[54,"Clinical Nurse Specialist",99344,"N/A",1176.97,1,true,true,true,true,true,54,"Clinical Nurse Specialist",99344,"N/A",1176.97,1]
[54,"Clinical Nurse Specialist",99415,"N/A",1054,1,true,true,true,true,true,54,"Clinical Nurse Specialist",99415,"N/A",1054,1]
[54,"Clinical Nurse Specialist","H2021","N/A",263.5,1,true,true,true,true,true,54,"Clinical Nurse Specialist","H2021","N/A",263.5,1]
[54,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",459.68,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",459.68,1]
[54,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",137.91,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",137.91,1]
[54,"Licensed Physician",90868,"N/A",398.19,1,true,true,true,true,true,54,"Licensed Physician",90868,"N/A",398.19,1]
[54,"Licensed Physician",96370,"N/A",1194.57,1,true,true,true,true,true,54,"Licensed Physician",96370,"N/A",1194.57,1]
[54,"Licensed Physician",99242,"N/A",663.65,1,true,true,true,true,true,54,"Licensed Physician",99242,"N/A",663.65,1]
[54,"Licensed Physician",99451,"N/A",477.83,1,true,true,true,true,true,54,"Licensed Physician",99451,"N/A",477.83,1]
[54,"Licensed Psychiatric Technician",96370,"N/A",214.22,1,true,true,true,true,true,54,"Licensed Psychiatric Technician",96370,"N/A",214.22,1]
[54,"Licensed Psychiatric Technician","H2021","N/A",71.41,1,true,true,true,true,true,54,"Licensed Psychiatric Technician","H2021","N/A",71.41,1]
[54,"Licensed Vocational Nurse","G0543","N/A",55.53,1,true,true,true,true,true,54,"Licensed Vocational Nurse","G0543","N/A",55.53,1]
[54,"Medical Assistant","H2019","N/A",77.73,1,true,true,true,true,true,54,"Medical Assistant","H2019","N/A",77.73,1]
[54,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,54,"Medical Assistant","T1013","N/A",31.88,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",171.62,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",171.62,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",137.91,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",137.91,1]
[54,"Nurse Practitioner",90849,"N/A",327.91,1,true,true,true,true,true,54,"Nurse Practitioner",90849,"N/A",327.91,1]
[54,"Nurse Practitioner",96370,"N/A",790.5,1,true,true,true,true,true,54,"Nurse Practitioner",96370,"N/A",790.5,1]
[54,"Nurse Practitioner",99234,"N/A",1001.3,1,true,true,true,true,true,54,"Nurse Practitioner",99234,"N/A",1001.3,1]
[54,"Nurse Practitioner",99368,"N/A",1054,1,true,true,true,true,true,54,"Nurse Practitioner",99368,"N/A",1054,1]
[54,"Nurse Practitioner","T2021","N/A",263.5,1,true,true,true,true,true,54,"Nurse Practitioner","T2021","N/A",263.5,1]
[54,"Occupational Therapist","H2019","N/A",135.24,1,true,true,true,true,true,54,"Occupational Therapist","H2019","N/A",135.24,1]
[54,"Physician Assistant",90834,22,715.96,1,true,true,true,true,true,54,"Physician Assistant",90834,22,715.96,1]
[54,"Physician Assistant",96110,"N/A",950.6,1,true,true,true,true,true,54,"Physician Assistant",96110,"N/A",950.6,1]
[54,"Physician Assistant",96136,"N/A",475.3,1,true,true,true,true,true,54,"Physician Assistant",96136,"N/A",475.3,1]
[54,"Physician Assistant",99215,"N/A",744.64,1,true,true,true,true,true,54,"Physician Assistant",99215,"N/A",744.64,1]
[54,"Physician Assistant",99344,"N/A",1061.5,1,true,true,true,true,true,54,"Physician Assistant",99344,"N/A",1061.5,1]
[54,"Physician Assistant","H2011","N/A",237.65,1,true,true,true,true,true,54,"Physician Assistant","H2011","N/A",237.65,1]
[54,"Psychologist (Licensed or Waivered)",96110,"N/A",852.41,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)",96110,"N/A",852.41,1]
[54,"Psychologist (Licensed or Waivered)","H0032","N/A",213.1,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)","H0032","N/A",213.1,1]
[54,"Registered Nurse",96370,"N/A",645.70000000000005,1,true,true,true,true,true,54,"Registered Nurse",96370,"N/A",645.70000000000005,1]
[54,"Registered Nurse","H0033","N/A",215.23,1,true,true,true,true,true,54,"Registered Nurse","H0033","N/A",215.23,1]
[54,"Registered Pharmacist","H2017","HQ",56.37,1,true,true,true,true,true,54,"Registered Pharmacist","H2017","HQ",56.37,1]
[55,"Clinical Nurse Specialist",90836,22,525.27,1,true,true,true,true,true,55,"Clinical Nurse Specialist",90836,22,525.27,1]
[55,"Clinical Nurse Specialist",90887,"N/A",580.28,1,true,true,true,true,true,55,"Clinical Nurse Specialist",90887,"N/A",580.28,1]
[55,"Clinical Nurse Specialist",99213,"N/A",290.14,1,true,true,true,true,true,55,"Clinical Nurse Specialist",99213,"N/A",290.14,1]
[55,"Clinical Nurse Specialist",99304,"N/A",348.17,1,true,true,true,true,true,55,"Clinical Nurse Specialist",99304,"N/A",348.17,1]
[55,"Clinical Nurse Specialist",99347,"N/A",290.14,1,true,true,true,true,true,55,"Clinical Nurse Specialist",99347,"N/A",290.14,1]
[55,"Clinical Nurse Specialist","H2017","HQ",38.69,1,true,true,true,true,true,55,"Clinical Nurse Specialist","H2017","HQ",38.69,1]
[55,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",364.43,1,true,true,true,true,true,55,"LCSW (Licensed, Waivered or Registered)",99484,"N/A",364.43,1]
[55,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",91.11,1,true,true,true,true,true,55,"LCSW (Licensed, Waivered or Registered)","H2019","N/A",91.11,1]
[55,"Licensed Physician",90865,"N/A",2100.4699999999998,1,true,true,true,true,true,55,"Licensed Physician",90865,"N/A",2100.4699999999998,1]
[55,"Licensed Physician",96131,"N/A",1400.31,1,true,true,true,true,true,55,"Licensed Physician",96131,"N/A",1400.31,1]
[55,"Licensed Physician",99242,"N/A",583.46,1,true,true,true,true,true,55,"Licensed Physician",99242,"N/A",583.46,1]
[55,"Licensed Physician",99349,"N/A",1166.93,1,true,true,true,true,true,55,"Licensed Physician",99349,"N/A",1166.93,1]
[55,"Licensed Psychiatric Technician",96366,"N/A",192.11,1,true,true,true,true,true,55,"Licensed Psychiatric Technician",96366,"N/A",192.11,1]
[55,"Licensed Psychiatric Technician","H2017","HQ",14.23,1,true,true,true,true,{"$f":"EXACT(E53444,P53444)","v":true},55,"Licensed Psychiatric Technician","H2017","HQ",14.23,1]
[55,"Licensed Vocational Nurse",96373,"N/A",74.7,1,true,true,true,true,true,55,"Licensed Vocational Nurse",96373,"N/A",74.7,1]
[55,"Licensed Vocational Nurse","H0032","N/A",74.7,1,true,true,true,true,true,55,"Licensed Vocational Nurse","H0032","N/A",74.7,1]
[55,"Medical Assistant","H2019","N/A",51.35,1,true,true,true,true,true,55,"Medical Assistant","H2019","N/A",51.35,1]
[55,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",139.69999999999999,1,true,true,true,true,true,55,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",139.69999999999999,1]
[55,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",91.11,1,true,true,true,true,true,55,"MFT/LPCC (Licensed, Waivered or Registered)","H2000","N/A",91.11,1]
[55,"Nurse Practitioner",90834,22,525.27,1,true,true,true,true,true,55,"Nurse Practitioner",90834,22,525.27,1]
[55,"Nurse Practitioner",96367,"N/A",359.78,1,true,true,true,true,true,55,"Nurse Practitioner",96367,"N/A",359.78,1]
[55,"Nurse Practitioner",99232,"N/A",487.44,1,true,true,true,true,true,55,"Nurse Practitioner",99232,"N/A",487.44,1]
[55,"Nurse Practitioner",99306,"N/A",661.52,1,true,true,true,true,true,55,"Nurse Practitioner",99306,"N/A",661.52,1]
[55,"Nurse Practitioner","T2021","N/A",174.09,1,true,true,true,true,true,55,"Nurse Practitioner","T2021","N/A",174.09,1]
[55,"Occupational Therapist",90887,"N/A",404.27,1,true,true,true,true,true,55,"Occupational Therapist",90887,"N/A",404.27,1]
[55,"Other Qualified Practitioner","H2011","N/A",68.55,1,true,true,true,true,true,55,"Other Qualified Practitioner","H2011","N/A",68.55,1]
[55,"Physician Assistant",90836,22,474.03,1,true,true,true,true,true,55,"Physician Assistant",90836,22,474.03,1]
[55,"Physician Assistant",96146,"N/A",628.03,1,true,true,true,true,true,55,"Physician Assistant",96146,"N/A",628.03,1]
[55,"Physician Assistant",99232,"N/A",439.62,1,true,true,true,true,true,55,"Physician Assistant",99232,"N/A",439.62,1]
[55,"Physician Assistant",99341,"N/A",230.28,1,true,true,true,true,true,55,"Physician Assistant",99341,"N/A",230.28,1]
[55,"Psychologist (Licensed or Waivered)",90791,"N/A",563.16,1,true,true,true,true,true,55,"Psychologist (Licensed or Waivered)",90791,"N/A",563.16,1]
[55,"Psychologist (Licensed or Waivered)",96112,"N/A",563.16,1,true,true,true,true,true,55,"Psychologist (Licensed or Waivered)",96112,"N/A",563.16,1]
[55,"Psychologist (Licensed or Waivered)","H0036","N/A",140.79,1,true,true,true,true,true,55,"Psychologist (Licensed or Waivered)","H0036","N/A",140.79,1]
[55,"Psychologist (Licensed or Waivered)","T2021","N/A",140.79,1,true,true,true,true,true,55,"Psychologist (Licensed or Waivered)","T2021","N/A",140.79,1]
[55,"Registered Nurse","T1001","N/A",142.19999999999999,1,true,true,true,true,true,55,"Registered Nurse","T1001","N/A",142.19999999999999,1]
[55,"Registered Pharmacist",90887,"N/A",558.58000000000004,1,true,true,true,true,true,55,"Registered Pharmacist",90887,"N/A",558.58000000000004,1]
[56,"Certified AOD Counselor","H0033","N/A",78.16,1,true,true,true,true,true,56,"Certified AOD Counselor","H0033","N/A",78.16,1]
[56,"Clinical Nurse Specialist",90840,"N/A",360.09,1,true,true,true,true,true,56,"Clinical Nurse Specialist",90840,"N/A",360.09,1]
[56,"Clinical Nurse Specialist",96372,"N/A",180.04,1,true,true,true,true,true,56,"Clinical Nurse Specialist",96372,"N/A",180.04,1]
[56,"Clinical Nurse Specialist",99215,"N/A",564.13,1,true,true,true,true,true,56,"Clinical Nurse Specialist",99215,"N/A",564.13,1]
[56,"Clinical Nurse Specialist",99349,"N/A",600.14,1,true,true,true,true,true,56,"Clinical Nurse Specialist",99349,"N/A",600.14,1]
[56,"Clinical Nurse Specialist","T2021",22,183.05,1,true,true,true,true,{"$f":"EXACT(E54212,P54212)","v":true},56,"Clinical Nurse Specialist","T2021",22,183.05,1]
[56,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",376.91,1,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",376.91,1]
[56,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[56,"Licensed Physician",90880,"N/A",1448.23,1,true,true,true,true,true,56,"Licensed Physician",90880,"N/A",1448.23,1]
[56,"Licensed Physician",96373,"N/A",362.06,1,true,true,true,true,true,56,"Licensed Physician",96373,"N/A",362.06,1]
[56,"Licensed Physician",99203,"N/A",893.08,1,true,true,true,true,true,56,"Licensed Physician",99203,"N/A",893.08,1]
[56,"Licensed Physician",99244,"N/A",1134.45,1,true,true,true,true,true,56,"Licensed Physician",99244,"N/A",1134.45,1]
[56,"Licensed Physician","G0540","N/A",362.06,1,true,true,true,true,true,56,"Licensed Physician","G0540","N/A",362.06,1]
[56,"Licensed Psychiatric Technician",96374,"N/A",66.23,1,true,true,true,true,true,56,"Licensed Psychiatric Technician",96374,"N/A",66.23,1]
[56,"Licensed Psychiatric Technician","H2021","N/A",66.23,1,true,true,true,true,true,56,"Licensed Psychiatric Technician","H2021","N/A",66.23,1]
[56,"Licensed Vocational Nurse","H0034","N/A",77.260000000000005,1,true,true,true,true,true,56,"Licensed Vocational Nurse","H0034","N/A",77.260000000000005,1]
[56,"Medical Assistant","T2024","N/A",53.11,1,true,true,true,true,true,56,"Medical Assistant","T2024","N/A",53.11,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",376.91,{"$f":"IF(AND(B54541=\"Peer Support Specialists\",C54541=\"T1013\"),9,1)","v":1},true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",376.91,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",94.23,1,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",94.23,1]
[56,"Nurse Practitioner",90847,"N/A",600.14,1,true,true,true,true,true,56,"Nurse Practitioner",90847,"N/A",600.14,1]
[56,"Nurse Practitioner",96369,"N/A",456.11,1,true,true,true,true,true,56,"Nurse Practitioner",96369,"N/A",456.11,1]
[56,"Nurse Practitioner",96374,"N/A",180.04,1,true,true,true,true,true,56,"Nurse Practitioner",96374,"N/A",180.04,1]
[56,"Nurse Practitioner",99239,"N/A",720.17,1,true,true,true,true,true,56,"Nurse Practitioner",99239,"N/A",720.17,{"$f":"IF(N54664=\"G0323\",9,1)","v":1}]
[56,"Nurse Practitioner",99418,"N/A",180.04,1,true,true,true,true,true,56,"Nurse Practitioner",99418,"N/A",180.04,1]
[56,"Occupational Therapist",90785,"N/A",18.89,1,{"$f":"EXACT(A54723,L54723)","v":true},{"$f":"EXACT(B54723,M54723)","v":true},{"$f":"EXACT(C54723,N54723)","v":true},{"$f":"EXACT(D54723,O54723)","v":true},true,56,"Occupational Therapist",90785,"N/A",18.89,1]
[56,"Occupational Therapist","T2024","N/A",125.43,1,true,true,true,true,true,56,"Occupational Therapist","T2024","N/A",125.43,1]
[56,"Physician Assistant",90837,22,652.53,1,true,true,true,true,true,56,"Physician Assistant",90837,22,652.53,1]
[56,"Physician Assistant",96132,"N/A",649.52,1,true,true,true,true,true,56,"Physician Assistant",96132,"N/A",649.52,1]
[56,"Physician Assistant",99215,"N/A",508.79,1,true,true,true,true,true,56,"Physician Assistant",99215,"N/A",508.79,1]
[56,"Physician Assistant",99347,"N/A",270.63,1,true,true,true,true,true,56,"Physician Assistant",99347,"N/A",270.63,1]
[56,"Physician Assistant","H2019","N/A",162.38,1,true,true,true,true,true,56,"Physician Assistant","H2019","N/A",162.38,1]
[56,"Psychologist (Licensed or Waivered)",96116,"N/A",582.42999999999995,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)",96116,"N/A",582.42999999999995,1]
[56,"Psychologist (Licensed or Waivered)","H0031","N/A",145.61000000000001,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)","H0031","N/A",145.61000000000001,1]
[56,"Psychologist (Licensed or Waivered)","H2011","N/A",145.61000000000001,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)","H2011","N/A",145.61000000000001,1]
[56,"Registered Nurse",96374,"N/A",147.06,1,true,true,true,true,true,56,"Registered Nurse",96374,"N/A",147.06,1]
[56,"Registered Nurse","T1001","N/A",147.06,1,true,true,true,true,true,56,"Registered Nurse","T1001","N/A",147.06,1]
[56,"Registered Pharmacist","T1017","N/A",173.31,1,true,true,true,true,true,56,"Registered Pharmacist","T1017","N/A",173.31,1]
[57,"Clinical Nurse Specialist",90839,"N/A",909.66,1,true,true,true,true,true,57,"Clinical Nurse Specialist",90839,"N/A",909.66,1]
[57,"Clinical Nurse Specialist",96203,"N/A",50.54,1,true,true,true,true,true,57,"Clinical Nurse Specialist",96203,"N/A",50.54,1]
[57,"Clinical Nurse Specialist",99222,"N/A",985.47,1,true,true,true,true,true,57,"Clinical Nurse Specialist",99222,"N/A",985.47,1]
[57,"Clinical Nurse Specialist",99344,"N/A",1015.79,1,true,true,true,true,true,57,"Clinical Nurse Specialist",99344,"N/A",1015.79,1]
[57,"Clinical Nurse Specialist","T1001","N/A",227.42,1,true,true,true,true,true,57,"Clinical Nurse Specialist","T1001","N/A",227.42,1]
[57,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",476.08,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)",96110,"N/A",476.08,1]
[57,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",119.02,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",119.02,1]
[57,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",119.02,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",119.02,1]
[57,"Licensed Physician",90870,"N/A",609.77,1,{"$f":"EXACT(A55299,L55299)","v":true},{"$f":"EXACT(B55299,M55299)","v":true},{"$f":"EXACT(C55299,N55299)","v":true},{"$f":"EXACT(D55299,O55299)","v":true},true,57,"Licensed Physician",90870,"N/A",609.77,1]
[57,"Licensed Physician",96375,"N/A",457.33,1,true,true,true,true,true,57,"Licensed Physician",96375,"N/A",457.33,1]
[57,"Licensed Physician",99252,"N/A",1219.53,1,true,true,true,true,true,57,"Licensed Physician",99252,"N/A",1219.53,1]
[57,"Licensed Physician",99443,"N/A",792.7,1,true,true,true,true,true,57,"Licensed Physician",99443,"N/A",792.7,1]
[57,"Licensed Psychiatric Technician",96370,"N/A",250.97,1,true,true,true,true,true,57,"Licensed Psychiatric Technician",96370,"N/A",250.97,1]
[57,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,57,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[57,"Licensed Vocational Nurse",96377,"N/A",97.59,1,true,true,true,true,true,57,"Licensed Vocational Nurse",96377,"N/A",97.59,1]
[57,"Medical Assistant","T1017","N/A",67.08,1,true,true,true,true,true,57,"Medical Assistant","T1017","N/A",67.08,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",88.16,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)",90853,"N/A",88.16,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",126.95,1,{"$f":"EXACT(A55555,L55555)","v":true},{"$f":"EXACT(B55555,M55555)","v":true},{"$f":"EXACT(C55555,N55555)","v":true},{"$f":"EXACT(D55555,O55555)","v":true},true,57,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",126.95,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",119.02,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)","H2019","N/A",119.02,1]
[57,"Nurse Practitioner",96132,"N/A",909.66,1,true,true,true,true,{"$f":"EXACT(E55620,P55620)","v":true},57,"Nurse Practitioner",96132,"N/A",909.66,1]
[57,"Nurse Practitioner",96371,"N/A",227.42,1,true,true,true,true,true,57,"Nurse Practitioner",96371,"N/A",227.42,1]
[57,"Nurse Practitioner",99236,"N/A",1394.81,1,true,true,true,true,true,57,"Nurse Practitioner",99236,"N/A",1394.81,1]
[57,"Nurse Practitioner","H0033","N/A",227.42,1,true,true,true,true,true,57,"Nurse Practitioner","H0033","N/A",227.42,1]
[57,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,57,"Occupational Therapist",90785,"N/A",18.89,1]
[57,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,57,"Occupational Therapist","T1013","N/A",31.88,1]
[57,"Other Qualified Practitioner","H2021","N/A",89.55,1,true,true,true,true,true,57,"Other Qualified Practitioner","H2021","N/A",89.55,1]
[57,"Physician Assistant",96137,"N/A",410.22,1,true,true,true,true,true,57,"Physician Assistant",96137,"N/A",410.22,1]
[57,"Physician Assistant",97550,"N/A",314.5,1,true,true,true,true,true,57,"Physician Assistant",97550,"N/A",314.5,1]
[57,"Physician Assistant",99345,"N/A",1121.25,1,{"$f":"EXACT(A55875,L55875)","v":true},{"$f":"EXACT(B55875,M55875)","v":true},{"$f":"EXACT(C55875,N55875)","v":true},{"$f":"EXACT(D55875,O55875)","v":true},true,57,"Physician Assistant",99345,"N/A",1121.25,1]
[57,"Physician Assistant","H2017","N/A",205.11,1,true,true,true,true,true,57,"Physician Assistant","H2017","N/A",205.11,1]
[57,"Psychologist (Licensed or Waivered)",90834,22,554.77,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)",90834,22,554.77,1]
[57,"Psychologist (Licensed or Waivered)",96125,"N/A",735.68,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)",96125,"N/A",735.68,1]
[57,"Psychologist (Licensed or Waivered)","H0036","N/A",183.92,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)","H0036","N/A",183.92,1]
[57,"Registered Nurse",99484,"N/A",743.04,1,true,true,true,true,true,57,"Registered Nurse",99484,"N/A",743.04,1]
[57,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,57,"Registered Pharmacist",90785,"N/A",18.89,1]
[57,"Registered Pharmacist","G0542","N/A",218.91,1,true,true,true,true,true,57,"Registered Pharmacist","G0542","N/A",218.91,1]
[58,"Clinical Nurse Specialist",90839,"N/A",888.2,1,true,true,true,true,true,58,"Clinical Nurse Specialist",90839,"N/A",888.2,1]
[58,"Clinical Nurse Specialist",96161,"N/A",222.05,1,true,true,true,true,true,58,"Clinical Nurse Specialist",96161,"N/A",222.05,1]
[58,"Clinical Nurse Specialist",96376,"N/A",222.05,1,{"$f":"EXACT(A56131,L56131)","v":true},{"$f":"EXACT(B56131,M56131)","v":true},{"$f":"EXACT(C56131,N56131)","v":true},{"$f":"EXACT(D56131,O56131)","v":true},true,58,"Clinical Nurse Specialist",96376,"N/A",222.05,1]
[58,"Clinical Nurse Specialist",99348,"N/A",518.12,1,true,true,true,true,true,58,"Clinical Nurse Specialist",99348,"N/A",518.12,1]
[58,"Clinical Nurse Specialist",99415,"N/A",888.2,1,true,true,true,true,true,58,"Clinical Nurse Specialist",99415,"N/A",888.2,1]
[58,"Community Health Worker",98962,"N/A",26.75,1,true,true,true,true,true,58,"Community Health Worker",98962,"N/A",26.75,1]
[58,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",464.85,1,true,true,true,true,true,58,"LCSW (Licensed, Waivered or Registered)",96121,"N/A",464.85,1]
[58,"Licensed Physician",90834,22,1302.57,1,true,true,true,true,true,58,"Licensed Physician",90834,22,1302.57,1]
[58,"Licensed Physician",90880,"N/A",1732.75,1,true,true,true,true,true,58,"Licensed Physician",90880,"N/A",1732.75,1]
[58,"Licensed Physician",96373,"N/A",433.19,1,true,true,true,true,true,58,"Licensed Physician",96373,"N/A",433.19,1]
[58,"Licensed Physician",99309,"N/A",1068.53,1,true,true,true,true,true,58,"Licensed Physician",99309,"N/A",1068.53,1]
[58,"Licensed Physician","G0539","N/A",664.22,1,true,true,true,true,true,58,"Licensed Physician","G0539","N/A",664.22,1]
[58,"Licensed Psychiatric Technician",96372,"N/A",79.239999999999995,1,true,true,true,true,true,58,"Licensed Psychiatric Technician",96372,"N/A",79.239999999999995,1]
[58,"Licensed Psychiatric Technician",97550,"N/A",121.51,1,true,true,true,true,true,58,"Licensed Psychiatric Technician",97550,"N/A",121.51,1]
[58,"Licensed Vocational Nurse","H0033","N/A",92.44,1,true,true,true,true,true,58,"Licensed Vocational Nurse","H0033","N/A",92.44,1]
[58,"Licensed Vocational Nurse","H2017","N/A",92.44,1,true,true,true,true,true,58,"Licensed Vocational Nurse","H2017","N/A",92.44,1]
[58,"Mental Health Rehabilitation Specialist","H0033","N/A",84.82,1,true,true,true,true,true,58,"Mental Health Rehabilitation Specialist","H0033","N/A",84.82,1]
[58,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",464.85,1,true,true,true,true,true,58,"MFT/LPCC (Licensed, Waivered or Registered)",96121,"N/A",464.85,1]
[58,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,58,"Nurse Practitioner",90785,"N/A",18.89,1]
[58,"Nurse Practitioner",90867,"N/A",888.2,1,true,true,true,true,true,58,"Nurse Practitioner",90867,"N/A",888.2,1]
[58,"Nurse Practitioner",96373,"N/A",222.05,1,true,true,true,true,true,58,"Nurse Practitioner",96373,"N/A",222.05,1]
[58,"Nurse Practitioner",99244,"N/A",695.76,1,true,true,true,true,true,58,"Nurse Practitioner",99244,"N/A",695.76,1]
[58,"Nurse Practitioner",99417,"N/A",222.05,1,true,true,true,true,true,58,"Nurse Practitioner",99417,"N/A",222.05,1]
[58,"Occupational Therapist",96110,"N/A",600.29,1,true,true,true,true,true,58,"Occupational Therapist",96110,"N/A",600.29,1]
[58,"Occupational Therapist","T2024","N/A",150.07,1,true,true,true,true,true,58,"Occupational Therapist","T2024","N/A",150.07,1]
[58,"Physician Assistant",90839,"N/A",801.07,1,true,true,true,true,true,58,"Physician Assistant",90839,"N/A",801.07,1]
[58,"Physician Assistant",90865,"N/A",1201.6099999999999,1,true,true,true,true,true,58,"Physician Assistant",90865,"N/A",1201.6099999999999,1]
[58,"Physician Assistant",96161,"N/A",200.27,1,true,true,true,true,true,58,"Physician Assistant",96161,"N/A",200.27,1]
[58,"Physician Assistant",99231,"N/A",400.54,1,true,true,true,true,true,58,"Physician Assistant",99231,"N/A",400.54,1]
[58,"Physician Assistant",99366,"N/A",801.07,1,true,true,true,true,true,58,"Physician Assistant",99366,"N/A",801.07,1]
[58,"Physician Assistant","H2019","N/A",200.27,1,true,true,true,true,true,58,"Physician Assistant","H2019","N/A",200.27,1]
[58,"Psychologist (Licensed or Waivered)",96130,"N/A",718.32,1,true,true,true,true,true,58,"Psychologist (Licensed or Waivered)",96130,"N/A",718.32,1]
[58,"Psychologist (Licensed or Waivered)","H2000","N/A",179.58,1,true,true,true,true,true,58,"Psychologist (Licensed or Waivered)","H2000","N/A",179.58,{"$f":"IF(N56968=\"G0323\",9,1)","v":1}]
[58,"Registered Nurse",96377,"N/A",181.38,1,true,true,true,true,true,58,"Registered Nurse",96377,"N/A",181.38,1]
[58,"Registered Pharmacist",97550,"N/A",327.74,1,true,true,true,true,true,58,"Registered Pharmacist",97550,"N/A",327.74,1]
[58,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,58,"Registered Pharmacist","T1013","N/A",31.88,1]
[28,"Peer Support Specialists","T1013","N/A",31.88,9,false,false,false,true,false]
[30,"Peer Support Specialists","T1013","N/A",31.88,9,false,false,false,true,false]
[1,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",470.26,{"$f":"IF(C57124=\"G0323\",9,1)","v":9},{"$f":"EXACT(A57124,L57124)","v":true},{"$f":"EXACT(B57124,M57124)","v":true},true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",470.26,{"$f":"IF(OR(M57124=$B$57124,M57124=$B$57125,M57124=$B$57126),1,9)","v":1}]
[10,"Psychologist (Licensed or Waivered)","G0323","N/A",650.15,9,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)","G0323","N/A",650.15,1]
[19,"Psychologist (Licensed or Waivered)","G0323","N/A",672.81,9,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)","G0323","N/A",672.81,1]
[31,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",427.22,9,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",427.22,1]
[40,"Psychologist (Licensed or Waivered)","G0323","N/A",536.09,9,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)","G0323","N/A",536.09,1]
[46,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",309.45,9,true,true,true,true,true,46,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",309.45,1]
[46,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",309.45,9,true,true,true,true,true,46,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",309.45,1]
[46,"Psychologist (Licensed or Waivered)","G0323","N/A",478.19,9,true,true,true,true,true,46,"Psychologist (Licensed or Waivered)","G0323","N/A",478.19,1]
[47,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",452.49,9,true,true,true,true,true,47,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",452.49,1]
[47,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",452.49,9,true,true,true,true,true,47,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",452.49,1]
[47,"Psychologist (Licensed or Waivered)","G0323","N/A",699.22,9,true,true,true,true,true,47,"Psychologist (Licensed or Waivered)","G0323","N/A",699.22,1]
[48,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",462.53,9,true,true,true,true,true,48,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",462.53,1]
[48,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",462.53,9,true,true,true,true,true,48,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",462.53,1]
[48,"Psychologist (Licensed or Waivered)","G0323","N/A",714.74,9,true,true,true,true,true,48,"Psychologist (Licensed or Waivered)","G0323","N/A",714.74,1]
[49,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",412.44,9,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",412.44,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",412.44,9,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",412.44,1]
[49,"Psychologist (Licensed or Waivered)","G0323","N/A",637.34,9,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)","G0323","N/A",637.34,1]
[50,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",468.13,9,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",468.13,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",468.13,9,true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",468.13,1]
[50,"Psychologist (Licensed or Waivered)","G0323","N/A",723.39,9,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)","G0323","N/A",723.39,1]
[52,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",488.49,9,true,true,true,true,true,52,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",488.49,1]
[52,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",488.49,9,true,true,true,true,true,52,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",488.49,1]
[52,"Psychologist (Licensed or Waivered)","G0323","N/A",754.86,9,true,true,true,true,true,52,"Psychologist (Licensed or Waivered)","G0323","N/A",754.86,1]
[53,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",515.71,9,true,true,true,true,true,53,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",515.71,1]
[53,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",515.71,9,true,true,true,true,true,53,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",515.71,1]
[53,"Psychologist (Licensed or Waivered)","G0323","N/A",796.92,9,true,true,true,true,true,53,"Psychologist (Licensed or Waivered)","G0323","N/A",796.92,1]
[54,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",551.62,9,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",551.62,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",551.62,9,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",551.62,1]
[54,"Psychologist (Licensed or Waivered)","G0323","N/A",852.41,9,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)","G0323","N/A",852.41,1]
[55,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",364.43,9,true,true,true,true,true,55,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",364.43,1]
[55,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",364.43,{"$f":"IF(C57284=\"G0323\",9,1)","v":9},true,true,true,true,true,55,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",364.43,{"$f":"IF(OR(M57284=$B$57124,M57284=$B$57125,M57284=$B$57126),1,9)","v":1}]
[55,"Psychologist (Licensed or Waivered)","G0323","N/A",563.16,9,true,true,true,true,true,55,"Psychologist (Licensed or Waivered)","G0323","N/A",563.16,1]
[56,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",376.91,9,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",376.91,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",376.91,9,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",376.91,1]
[56,"Psychologist (Licensed or Waivered)","G0323","N/A",582.42999999999995,9,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)","G0323","N/A",582.42999999999995,1]
[57,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",476.08,9,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",476.08,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",476.08,9,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",476.08,1]
[57,"Psychologist (Licensed or Waivered)","G0323","N/A",735.68,9,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)","G0323","N/A",735.68,1]
[58,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",464.85,9,true,true,true,true,true,58,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",464.85,1]
[58,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",464.85,9,true,true,true,true,true,58,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",464.85,1]
[58,"Psychologist (Licensed or Waivered)","G0323","N/A",718.32,9,true,true,true,true,true,58,"Psychologist (Licensed or Waivered)","G0323","N/A",718.32,1]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(C57295=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57295,L57303)","v":false},{"$f":"EXACT(B57295,M57303)","v":false},{"$f":"EXACT(C57295,N57303)","v":false},{"$f":"EXACT(D57295,O57303)","v":false},{"$f":"EXACT(E57295,P57303)","v":false},1,"Clinical Nurse Specialist","G0323","N/A",898.55,{"$f":"IF(OR(M57303=$B$57124,M57303=$B$57125,M57303=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,1,"Licensed Psychiatric Technician","G0323","N/A",330.54,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Licensed Vocational Nurse","G0323","N/A",385.57,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Nurse Practitioner","G0323","N/A",898.55,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Occupational Therapist","G0323","N/A",625.99,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Physician Assistant","G0323","N/A",810.4,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Registered Nurse","G0323","N/A",733.96,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Registered Pharmacist","G0323","N/A",864.94,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Clinical Nurse Specialist","G0323","N/A",975.43,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Licensed Psychiatric Technician","G0323","N/A",358.82,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Licensed Vocational Nurse","G0323","N/A",418.56,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Nurse Practitioner","G0323","N/A",975.43,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Occupational Therapist","G0323","N/A",679.55,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Physician Assistant","G0323","N/A",879.74,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Registered Nurse","G0323","N/A",796.75,9]
[null,null,null,null,null,1,false,false,false,false,false,2,"Registered Pharmacist","G0323","N/A",938.94,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Clinical Nurse Specialist","G0323","N/A",853.68,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Licensed Psychiatric Technician","G0323","N/A",237.07,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Licensed Vocational Nurse","G0323","N/A",276.52999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Nurse Practitioner","G0323","N/A",853.68,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Occupational Therapist","G0323","N/A",448.97,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Physician Assistant","G0323","N/A",769.94,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Registered Nurse","G0323","N/A",697.31,9]
[null,null,null,null,null,1,false,false,false,false,false,3,"Registered Pharmacist","G0323","N/A",821.75,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Clinical Nurse Specialist","G0323","N/A",751.25,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Licensed Psychiatric Technician","G0323","N/A",276.35000000000002,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Licensed Vocational Nurse","G0323","N/A",322.36,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Nurse Practitioner","G0323","N/A",751.25,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Occupational Therapist","G0323","N/A",523.37,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Physician Assistant","G0323","N/A",677.55,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Registered Nurse","G0323","N/A",613.64,9]
[null,null,null,null,null,1,false,false,false,false,false,4,"Registered Pharmacist","G0323","N/A",723.15,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Clinical Nurse Specialist","G0323","N/A",955.75,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Licensed Psychiatric Technician","G0323","N/A",351.58,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Licensed Vocational Nurse","G0323","N/A",410.11,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Nurse Practitioner","G0323","N/A",955.75,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Occupational Therapist","G0323","N/A",665.85,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Physician Assistant","G0323","N/A",862,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Registered Nurse","G0323","N/A",780.68,9]
[null,null,null,null,null,1,false,false,false,false,false,5,"Registered Pharmacist","G0323","N/A",920.01,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Clinical Nurse Specialist","G0323","N/A",802.14,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Licensed Psychiatric Technician","G0323","N/A",295.07,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Licensed Vocational Nurse","G0323","N/A",344.2,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Nurse Practitioner","G0323","N/A",802.14,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Occupational Therapist","G0323","N/A",558.82000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Physician Assistant","G0323","N/A",723.45,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Registered Nurse","G0323","N/A",655.20000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,6,"Registered Pharmacist","G0323","N/A",772.13,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Clinical Nurse Specialist","G0323","N/A",787.48,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Licensed Psychiatric Technician","G0323","N/A",289.68,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Licensed Vocational Nurse","G0323","N/A",337.91,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Nurse Practitioner","G0323","N/A",787.48,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Occupational Therapist","G0323","N/A",548.62,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Physician Assistant","G0323","N/A",710.23,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Registered Nurse","G0323","N/A",643.23,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Registered Pharmacist","G0323","N/A",758.03,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Clinical Nurse Specialist","G0323","N/A",1018.23,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Licensed Psychiatric Technician","G0323","N/A",374.56,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Licensed Vocational Nurse","G0323","N/A",436.92,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Nurse Practitioner","G0323","N/A",1018.23,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Occupational Therapist","G0323","N/A",709.37,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Physician Assistant","G0323","N/A",918.34,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Registered Nurse","G0323","N/A",831.71,9]
[null,null,null,null,null,1,false,false,false,false,false,8,"Registered Pharmacist","G0323","N/A",980.14,9]
[null,null,null,null,null,{"$f":"IF(C57359=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57359,L57367)","v":false},{"$f":"EXACT(B57359,M57367)","v":false},{"$f":"EXACT(C57359,N57367)","v":false},{"$f":"EXACT(D57359,O57367)","v":false},{"$f":"EXACT(E57359,P57367)","v":false},9,"Clinical Nurse Specialist","G0323","N/A",737.63,{"$f":"IF(OR(M57367=$B$57124,M57367=$B$57125,M57367=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,9,"Licensed Psychiatric Technician","G0323","N/A",271.35000000000002,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Licensed Vocational Nurse","G0323","N/A",316.52,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Nurse Practitioner","G0323","N/A",737.63,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Occupational Therapist","G0323","N/A",513.89,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Physician Assistant","G0323","N/A",665.28,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Registered Nurse","G0323","N/A",602.52,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Registered Pharmacist","G0323","N/A",710.05,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Clinical Nurse Specialist","G0323","N/A",803.9,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Licensed Psychiatric Technician","G0323","N/A",295.72000000000003,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Licensed Vocational Nurse","G0323","N/A",344.95,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Nurse Practitioner","G0323","N/A",803.9,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Occupational Therapist","G0323","N/A",560.05999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Physician Assistant","G0323","N/A",725.04,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Registered Nurse","G0323","N/A",656.65,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Registered Pharmacist","G0323","N/A",773.84,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Clinical Nurse Specialist","G0323","N/A",834.8,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Licensed Psychiatric Technician","G0323","N/A",307.08999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Licensed Vocational Nurse","G0323","N/A",358.21,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Nurse Practitioner","G0323","N/A",834.8,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Occupational Therapist","G0323","N/A",581.58000000000004,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Physician Assistant","G0323","N/A",752.91,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Registered Nurse","G0323","N/A",681.88,9]
[null,null,null,null,null,1,false,false,false,false,false,11,"Registered Pharmacist","G0323","N/A",803.57,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Clinical Nurse Specialist","G0323","N/A",700.52,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Licensed Psychiatric Technician","G0323","N/A",257.69,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Licensed Vocational Nurse","G0323","N/A",300.58999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Nurse Practitioner","G0323","N/A",700.52,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Occupational Therapist","G0323","N/A",488.03,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Physician Assistant","G0323","N/A",631.79999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Registered Nurse","G0323","N/A",572.20000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,12,"Registered Pharmacist","G0323","N/A",674.32,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Clinical Nurse Specialist","G0323","N/A",778.18,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Licensed Psychiatric Technician","G0323","N/A",286.26,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Licensed Vocational Nurse","G0323","N/A",333.92,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Nurse Practitioner","G0323","N/A",778.18,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Occupational Therapist","G0323","N/A",542.14,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Physician Assistant","G0323","N/A",701.84,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Registered Nurse","G0323","N/A",635.64,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Registered Pharmacist","G0323","N/A",749.07,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Clinical Nurse Specialist","G0323","N/A",597.29,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Licensed Psychiatric Technician","G0323","N/A",219.72,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Licensed Vocational Nurse","G0323","N/A",256.3,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Nurse Practitioner","G0323","N/A",597.29,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Occupational Therapist","G0323","N/A",416.11,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Physician Assistant","G0323","N/A",538.70000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Registered Nurse","G0323","N/A",487.88,9]
[null,null,null,null,null,1,false,false,false,false,false,14,"Registered Pharmacist","G0323","N/A",574.95000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Clinical Nurse Specialist","G0323","N/A",654.99,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Licensed Psychiatric Technician","G0323","N/A",240.94,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Licensed Vocational Nurse","G0323","N/A",281.06,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Nurse Practitioner","G0323","N/A",654.99,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Occupational Therapist","G0323","N/A",456.31,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Physician Assistant","G0323","N/A",590.74,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Registered Nurse","G0323","N/A",535.01,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Registered Pharmacist","G0323","N/A",630.49,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Clinical Nurse Specialist","G0323","N/A",1014.45,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Licensed Psychiatric Technician","G0323","N/A",373.18,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Licensed Vocational Nurse","G0323","N/A",435.3,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Nurse Practitioner","G0323","N/A",1014.45,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Occupational Therapist","G0323","N/A",706.74,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Physician Assistant","G0323","N/A",914.94,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Registered Nurse","G0323","N/A",828.63,9]
[null,null,null,null,null,1,false,false,false,false,false,16,"Registered Pharmacist","G0323","N/A",976.51,9]
[null,null,null,null,null,{"$f":"IF(C57423=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57423,L57431)","v":false},{"$f":"EXACT(B57423,M57431)","v":false},{"$f":"EXACT(C57423,N57431)","v":false},{"$f":"EXACT(D57423,O57431)","v":false},{"$f":"EXACT(E57423,P57431)","v":false},17,"Clinical Nurse Specialist","G0323","N/A",1133.6500000000001,{"$f":"IF(OR(M57431=$B$57124,M57431=$B$57125,M57431=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,17,"Licensed Psychiatric Technician","G0323","N/A",417.02,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Licensed Vocational Nurse","G0323","N/A",486.45,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Nurse Practitioner","G0323","N/A",1133.6500000000001,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Occupational Therapist","G0323","N/A",789.78,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Physician Assistant","G0323","N/A",1022.45,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Registered Nurse","G0323","N/A",925.99,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Registered Pharmacist","G0323","N/A",1091.25,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Clinical Nurse Specialist","G0323","N/A",627.99,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Licensed Psychiatric Technician","G0323","N/A",231.01,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Licensed Vocational Nurse","G0323","N/A",269.47000000000003,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Nurse Practitioner","G0323","N/A",627.99,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Occupational Therapist","G0323","N/A",437.5,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Physician Assistant","G0323","N/A",566.38,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Registered Nurse","G0323","N/A",512.95000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,18,"Registered Pharmacist","G0323","N/A",604.5,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Clinical Nurse Specialist","G0323","N/A",831.92,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Licensed Psychiatric Technician","G0323","N/A",306.02999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Licensed Vocational Nurse","G0323","N/A",356.98,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Nurse Practitioner","G0323","N/A",831.92,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Occupational Therapist","G0323","N/A",579.58000000000004,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Physician Assistant","G0323","N/A",750.31,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Registered Nurse","G0323","N/A",679.53,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Registered Pharmacist","G0323","N/A",800.81,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Clinical Nurse Specialist","G0323","N/A",846.01,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Licensed Psychiatric Technician","G0323","N/A",311.20999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Licensed Vocational Nurse","G0323","N/A",363.02,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Nurse Practitioner","G0323","N/A",846.01,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Occupational Therapist","G0323","N/A",589.39,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Physician Assistant","G0323","N/A",763.02,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Registered Nurse","G0323","N/A",691.04,9]
[null,null,null,null,null,1,false,false,false,false,false,20,"Registered Pharmacist","G0323","N/A",814.37,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Clinical Nurse Specialist","G0323","N/A",904.84,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Licensed Psychiatric Technician","G0323","N/A",332.85,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Licensed Vocational Nurse","G0323","N/A",388.27,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Nurse Practitioner","G0323","N/A",904.84,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Occupational Therapist","G0323","N/A",630.37,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Physician Assistant","G0323","N/A",816.08,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Registered Nurse","G0323","N/A",739.09,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Registered Pharmacist","G0323","N/A",870.99,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Clinical Nurse Specialist","G0323","N/A",1147.7,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Licensed Psychiatric Technician","G0323","N/A",378.88,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Licensed Vocational Nurse","G0323","N/A",441.96,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Nurse Practitioner","G0323","N/A",1147.7,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Occupational Therapist","G0323","N/A",717.55,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Physician Assistant","G0323","N/A",1035.1199999999999,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Registered Nurse","G0323","N/A",937.47,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Registered Pharmacist","G0323","N/A",1104.77,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Clinical Nurse Specialist","G0323","N/A",732.35,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Licensed Psychiatric Technician","G0323","N/A",269.39999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Licensed Vocational Nurse","G0323","N/A",314.25,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Nurse Practitioner","G0323","N/A",732.35,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Occupational Therapist","G0323","N/A",510.2,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Physician Assistant","G0323","N/A",660.51,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Registered Nurse","G0323","N/A",598.20000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,23,"Registered Pharmacist","G0323","N/A",704.95,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Clinical Nurse Specialist","G0323","N/A",820.14,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Licensed Psychiatric Technician","G0323","N/A",301.7,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Licensed Vocational Nurse","G0323","N/A",351.92,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Nurse Practitioner","G0323","N/A",820.14,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Occupational Therapist","G0323","N/A",571.37,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Physician Assistant","G0323","N/A",739.69,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Registered Nurse","G0323","N/A",669.91,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Registered Pharmacist","G0323","N/A",789.47,9]
[null,null,null,null,null,{"$f":"IF(C57487=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57487,L57495)","v":false},{"$f":"EXACT(B57487,M57495)","v":false},{"$f":"EXACT(C57487,N57495)","v":false},{"$f":"EXACT(D57487,O57495)","v":false},{"$f":"EXACT(E57487,P57495)","v":false},25,"Clinical Nurse Specialist","G0323","N/A",765.23,{"$f":"IF(OR(M57495=$B$57124,M57495=$B$57125,M57495=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,25,"Licensed Psychiatric Technician","G0323","N/A",281.5,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Licensed Vocational Nurse","G0323","N/A",328.36,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Nurse Practitioner","G0323","N/A",765.23,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Occupational Therapist","G0323","N/A",533.12,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Physician Assistant","G0323","N/A",690.17,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Registered Nurse","G0323","N/A",625.05999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,25,"Registered Pharmacist","G0323","N/A",736.61,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Clinical Nurse Specialist","G0323","N/A",760.18,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Licensed Psychiatric Technician","G0323","N/A",279.64,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Licensed Vocational Nurse","G0323","N/A",326.19,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Nurse Practitioner","G0323","N/A",760.18,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Occupational Therapist","G0323","N/A",529.59,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Physician Assistant","G0323","N/A",685.61,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Registered Nurse","G0323","N/A",620.92999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,26,"Registered Pharmacist","G0323","N/A",731.74,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Clinical Nurse Specialist","G0323","N/A",787.01,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Licensed Psychiatric Technician","G0323","N/A",289.51,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Licensed Vocational Nurse","G0323","N/A",337.71,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Nurse Practitioner","G0323","N/A",787.01,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Occupational Therapist","G0323","N/A",548.29,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Physician Assistant","G0323","N/A",709.81,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Registered Nurse","G0323","N/A",642.85,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Registered Pharmacist","G0323","N/A",757.57,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Clinical Nurse Specialist","G0323","N/A",972.6,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Licensed Psychiatric Technician","G0323","N/A",357.78,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Licensed Vocational Nurse","G0323","N/A",417.34,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Nurse Practitioner","G0323","N/A",972.6,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Occupational Therapist","G0323","N/A",677.58,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Physician Assistant","G0323","N/A",877.19,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Registered Nurse","G0323","N/A",794.44,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Registered Pharmacist","G0323","N/A",936.22,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Clinical Nurse Specialist","G0323","N/A",785.59,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Licensed Psychiatric Technician","G0323","N/A",288.99,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Licensed Vocational Nurse","G0323","N/A",337.1,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Nurse Practitioner","G0323","N/A",785.59,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Occupational Therapist","G0323","N/A",547.29999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Physician Assistant","G0323","N/A",708.53,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Registered Nurse","G0323","N/A",641.69000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Registered Pharmacist","G0323","N/A",756.21,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Clinical Nurse Specialist","G0323","N/A",796.59,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Licensed Psychiatric Technician","G0323","N/A",293.02999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Licensed Vocational Nurse","G0323","N/A",341.82,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Nurse Practitioner","G0323","N/A",796.59,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Occupational Therapist","G0323","N/A",554.96,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Physician Assistant","G0323","N/A",718.45,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Registered Nurse","G0323","N/A",650.67999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Registered Pharmacist","G0323","N/A",766.8,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Clinical Nurse Specialist","G0323","N/A",816.3,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Licensed Psychiatric Technician","G0323","N/A",300.27999999999997,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Licensed Vocational Nurse","G0323","N/A",350.28,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Nurse Practitioner","G0323","N/A",816.3,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Occupational Therapist","G0323","N/A",568.69000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Physician Assistant","G0323","N/A",736.23,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Registered Nurse","G0323","N/A",666.78,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Registered Pharmacist","G0323","N/A",785.77,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Clinical Nurse Specialist","G0323","N/A",917.19,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Licensed Psychiatric Technician","G0323","N/A",337.4,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Licensed Vocational Nurse","G0323","N/A",393.57,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Nurse Practitioner","G0323","N/A",917.19,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Occupational Therapist","G0323","N/A",638.98,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Physician Assistant","G0323","N/A",827.22,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Registered Nurse","G0323","N/A",749.19,9]
[null,null,null,null,null,1,false,false,false,false,false,32,"Registered Pharmacist","G0323","N/A",882.89,9]
[null,null,null,null,null,{"$f":"IF(C57551=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57551,L57559)","v":false},{"$f":"EXACT(B57551,M57559)","v":false},{"$f":"EXACT(C57551,N57559)","v":false},{"$f":"EXACT(D57551,O57559)","v":false},{"$f":"EXACT(E57551,P57559)","v":false},33,"Clinical Nurse Specialist","G0323","N/A",1084.52,{"$f":"IF(OR(M57559=$B$57124,M57559=$B$57125,M57559=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,33,"Licensed Psychiatric Technician","G0323","N/A",348.13,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Licensed Vocational Nurse","G0323","N/A",406.08,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Nurse Practitioner","G0323","N/A",1084.52,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Occupational Therapist","G0323","N/A",659.3,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Physician Assistant","G0323","N/A",978.13,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Registered Nurse","G0323","N/A",885.86,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Registered Pharmacist","G0323","N/A",1043.96,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Clinical Nurse Specialist","G0323","N/A",798.31,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Licensed Psychiatric Technician","G0323","N/A",293.67,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Licensed Vocational Nurse","G0323","N/A",342.56,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Nurse Practitioner","G0323","N/A",798.31,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Occupational Therapist","G0323","N/A",556.16,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Physician Assistant","G0323","N/A",720,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Registered Nurse","G0323","N/A",652.08000000000004,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Registered Pharmacist","G0323","N/A",768.45,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Clinical Nurse Specialist","G0323","N/A",761.62,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Licensed Psychiatric Technician","G0323","N/A",280.17,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Licensed Vocational Nurse","G0323","N/A",326.81,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Nurse Practitioner","G0323","N/A",761.62,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Occupational Therapist","G0323","N/A",530.6,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Physician Assistant","G0323","N/A",686.91,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Registered Nurse","G0323","N/A",622.11,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Registered Pharmacist","G0323","N/A",733.13,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Clinical Nurse Specialist","G0323","N/A",848.45,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Licensed Psychiatric Technician","G0323","N/A",312.11,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Licensed Vocational Nurse","G0323","N/A",364.07,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Nurse Practitioner","G0323","N/A",848.45,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Occupational Therapist","G0323","N/A",591.09,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Physician Assistant","G0323","N/A",765.22,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Registered Nurse","G0323","N/A",693.03,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Registered Pharmacist","G0323","N/A",816.71,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Clinical Nurse Specialist","G0323","N/A",743.91,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Licensed Psychiatric Technician","G0323","N/A",273.64999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Licensed Vocational Nurse","G0323","N/A",319.20999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Nurse Practitioner","G0323","N/A",743.91,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Occupational Therapist","G0323","N/A",518.26,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Physician Assistant","G0323","N/A",670.94,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Registered Nurse","G0323","N/A",607.64,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Registered Pharmacist","G0323","N/A",716.09,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Clinical Nurse Specialist","G0323","N/A",1048.82,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Licensed Psychiatric Technician","G0323","N/A",385.82,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Licensed Vocational Nurse","G0323","N/A",450.05,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Nurse Practitioner","G0323","N/A",1048.82,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Occupational Therapist","G0323","N/A",730.68,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Physician Assistant","G0323","N/A",945.93,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Registered Nurse","G0323","N/A",856.7,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Registered Pharmacist","G0323","N/A",1009.59,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Clinical Nurse Specialist","G0323","N/A",736.31,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Licensed Psychiatric Technician","G0323","N/A",270.86,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Licensed Vocational Nurse","G0323","N/A",315.95,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Nurse Practitioner","G0323","N/A",736.31,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Occupational Therapist","G0323","N/A",512.97,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Physician Assistant","G0323","N/A",664.09,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Registered Nurse","G0323","N/A",601.44000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Registered Pharmacist","G0323","N/A",708.77,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Clinical Nurse Specialist","G0323","N/A",662.88,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Licensed Psychiatric Technician","G0323","N/A",243.84,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Licensed Vocational Nurse","G0323","N/A",284.44,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Nurse Practitioner","G0323","N/A",662.88,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Occupational Therapist","G0323","N/A",461.81,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Physician Assistant","G0323","N/A",597.85,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Registered Nurse","G0323","N/A",541.45000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Registered Pharmacist","G0323","N/A",638.08000000000004,9]
[null,null,null,null,null,{"$f":"IF(C57615=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57615,L57623)","v":false},{"$f":"EXACT(B57615,M57623)","v":false},{"$f":"EXACT(C57615,N57623)","v":false},{"$f":"EXACT(D57615,O57623)","v":false},{"$f":"EXACT(E57615,P57623)","v":false},41,"Clinical Nurse Specialist","G0323","N/A",1142.3800000000001,{"$f":"IF(OR(M57623=$B$57124,M57623=$B$57125,M57623=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,41,"Licensed Psychiatric Technician","G0323","N/A",420.23,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Licensed Vocational Nurse","G0323","N/A",490.19,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Nurse Practitioner","G0323","N/A",1142.3800000000001,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Occupational Therapist","G0323","N/A",795.86,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Physician Assistant","G0323","N/A",1030.32,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Registered Nurse","G0323","N/A",933.12,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Registered Pharmacist","G0323","N/A",1099.6500000000001,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Clinical Nurse Specialist","G0323","N/A",671.74,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Licensed Psychiatric Technician","G0323","N/A",247.1,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Licensed Vocational Nurse","G0323","N/A",288.24,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Nurse Practitioner","G0323","N/A",671.74,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Occupational Therapist","G0323","N/A",467.98,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Physician Assistant","G0323","N/A",605.84,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Registered Nurse","G0323","N/A",548.69000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Registered Pharmacist","G0323","N/A",646.61,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Clinical Nurse Specialist","G0323","N/A",1090.03,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Licensed Psychiatric Technician","G0323","N/A",400.98,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Licensed Vocational Nurse","G0323","N/A",467.73,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Nurse Practitioner","G0323","N/A",1090.03,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Occupational Therapist","G0323","N/A",759.4,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Physician Assistant","G0323","N/A",983.11,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Registered Nurse","G0323","N/A",890.37,9]
[null,null,null,null,null,1,false,false,false,false,false,43,"Registered Pharmacist","G0323","N/A",1049.26,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Clinical Nurse Specialist","G0323","N/A",794.75,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Licensed Psychiatric Technician","G0323","N/A",292.36,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Licensed Vocational Nurse","G0323","N/A",341.03,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Nurse Practitioner","G0323","N/A",794.75,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Occupational Therapist","G0323","N/A",553.67999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Physician Assistant","G0323","N/A",716.79,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Registered Nurse","G0323","N/A",649.16999999999996,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Registered Pharmacist","G0323","N/A",765.02,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Clinical Nurse Specialist","G0323","N/A",719.44,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Licensed Psychiatric Technician","G0323","N/A",264.64999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Licensed Vocational Nurse","G0323","N/A",308.70999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Nurse Practitioner","G0323","N/A",719.44,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Occupational Therapist","G0323","N/A",501.21,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Physician Assistant","G0323","N/A",648.86,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Registered Nurse","G0323","N/A",587.65,9]
[null,null,null,null,null,1,false,false,false,false,false,45,"Registered Pharmacist","G0323","N/A",692.53,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Clinical Nurse Specialist","G0323","N/A",591.28,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Licensed Psychiatric Technician","G0323","N/A",217.51,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Licensed Vocational Nurse","G0323","N/A",253.72,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Nurse Practitioner","G0323","N/A",591.28,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Occupational Therapist","G0323","N/A",411.92,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Physician Assistant","G0323","N/A",533.27,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Registered Nurse","G0323","N/A",482.97,9]
[null,null,null,null,null,1,false,false,false,false,false,46,"Registered Pharmacist","G0323","N/A",569.16,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Clinical Nurse Specialist","G0323","N/A",864.58,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Licensed Psychiatric Technician","G0323","N/A",318.04000000000002,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Licensed Vocational Nurse","G0323","N/A",370.99,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Nurse Practitioner","G0323","N/A",864.58,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Occupational Therapist","G0323","N/A",602.33000000000004,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Physician Assistant","G0323","N/A",779.77,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Registered Nurse","G0323","N/A",706.21,9]
[null,null,null,null,null,1,false,false,false,false,false,47,"Registered Pharmacist","G0323","N/A",832.24,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Clinical Nurse Specialist","G0323","N/A",883.77,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Licensed Psychiatric Technician","G0323","N/A",325.10000000000002,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Licensed Vocational Nurse","G0323","N/A",379.22,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Nurse Practitioner","G0323","N/A",883.77,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Occupational Therapist","G0323","N/A",615.69000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Physician Assistant","G0323","N/A",797.07,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Registered Nurse","G0323","N/A",721.88,9]
[null,null,null,null,null,1,false,false,false,false,false,48,"Registered Pharmacist","G0323","N/A",850.71,9]
[null,null,null,null,null,{"$f":"IF(C57679=\"G0323\",9,1)","v":1},{"$f":"EXACT(A57679,L57687)","v":false},{"$f":"EXACT(B57679,M57687)","v":false},{"$f":"EXACT(C57679,N57687)","v":false},{"$f":"EXACT(D57679,O57687)","v":false},{"$f":"EXACT(E57679,P57687)","v":false},49,"Clinical Nurse Specialist","G0323","N/A",788.07,{"$f":"IF(OR(M57687=$B$57124,M57687=$B$57125,M57687=$B$57126),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,49,"Licensed Psychiatric Technician","G0323","N/A",289.89999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Licensed Vocational Nurse","G0323","N/A",338.16,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Nurse Practitioner","G0323","N/A",788.07,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Occupational Therapist","G0323","N/A",549.02,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Physician Assistant","G0323","N/A",710.76,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Registered Nurse","G0323","N/A",643.71,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Registered Pharmacist","G0323","N/A",758.59,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Clinical Nurse Specialist","G0323","N/A",894.46,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Licensed Psychiatric Technician","G0323","N/A",329.04,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Licensed Vocational Nurse","G0323","N/A",383.81,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Nurse Practitioner","G0323","N/A",894.46,9]
[null,null,null,null,null,1,null,null,null,null,null,50,"Occupational Therapist","G0323","N/A",623.15,9]
[null,null,null,null,null,1,null,null,null,null,null,50,"Physician Assistant","G0323","N/A",806.72,9]
[null,null,null,null,null,1,null,null,null,null,null,50,"Registered Nurse","G0323","N/A",730.62,9]
[null,null,null,null,null,null,null,null,null,null,null,50,"Registered Pharmacist","G0323","N/A",861.01,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Clinical Nurse Specialist","G0323","N/A",933.38,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Licensed Psychiatric Technician","G0323","N/A",343.35,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Licensed Vocational Nurse","G0323","N/A",400.51,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Nurse Practitioner","G0323","N/A",933.38,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Occupational Therapist","G0323","N/A",650.26,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Physician Assistant","G0323","N/A",841.82,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Registered Nurse","G0323","N/A",762.41,9]
[null,null,null,null,null,null,null,null,null,null,null,52,"Registered Pharmacist","G0323","N/A",898.47,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Clinical Nurse Specialist","G0323","N/A",985.39,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Licensed Psychiatric Technician","G0323","N/A",252.44,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Licensed Vocational Nurse","G0323","N/A",294.47000000000003,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Nurse Practitioner","G0323","N/A",985.39,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Occupational Therapist","G0323","N/A",478.08,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Physician Assistant","G0323","N/A",888.72,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Registered Nurse","G0323","N/A",804.89,9]
[null,null,null,null,null,null,null,null,null,null,null,53,"Registered Pharmacist","G0323","N/A",948.53,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Clinical Nurse Specialist","G0323","N/A",1054,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Licensed Psychiatric Technician","G0323","N/A",285.63,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Licensed Vocational Nurse","G0323","N/A",333.18,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Nurse Practitioner","G0323","N/A",1054,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Occupational Therapist","G0323","N/A",540.94000000000005,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Physician Assistant","G0323","N/A",950.6,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Registered Nurse","G0323","N/A",860.93,9]
[null,null,null,null,null,null,null,null,null,null,null,54,"Registered Pharmacist","G0323","N/A",1014.58,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Clinical Nurse Specialist","G0323","N/A",696.34,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Licensed Psychiatric Technician","G0323","N/A",256.14999999999998,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Licensed Vocational Nurse","G0323","N/A",298.8,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Nurse Practitioner","G0323","N/A",696.34,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Occupational Therapist","G0323","N/A",485.12,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Physician Assistant","G0323","N/A",628.03,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Registered Nurse","G0323","N/A",568.78,9]
[null,null,null,null,null,null,null,null,null,null,null,55,"Registered Pharmacist","G0323","N/A",670.29,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Clinical Nurse Specialist","G0323","N/A",720.17,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Licensed Psychiatric Technician","G0323","N/A",264.92,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Licensed Vocational Nurse","G0323","N/A",309.02,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Nurse Practitioner","G0323","N/A",720.17,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Occupational Therapist","G0323","N/A",501.72,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Physician Assistant","G0323","N/A",649.52,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Registered Nurse","G0323","N/A",588.25,9]
[null,null,null,null,null,null,null,null,null,null,null,56,"Registered Pharmacist","G0323","N/A",693.23,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Clinical Nurse Specialist","G0323","N/A",909.66,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Licensed Psychiatric Technician","G0323","N/A",334.63,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Licensed Vocational Nurse","G0323","N/A",390.34,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Nurse Practitioner","G0323","N/A",909.66,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Occupational Therapist","G0323","N/A",633.74,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Physician Assistant","G0323","N/A",820.43,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Registered Nurse","G0323","N/A",743.04,9]
[null,null,null,null,null,null,null,null,null,null,null,57,"Registered Pharmacist","G0323","N/A",875.64,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Clinical Nurse Specialist","G0323","N/A",888.2,{"$f":"IF(OR(M57751=$B$57124,M57751=$B$57125,M57751=$B$57126),1,9)","v":9}]
[null,null,null,null,null,null,null,null,null,null,null,58,"Licensed Psychiatric Technician","G0323","N/A",316.97000000000003,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Licensed Vocational Nurse","G0323","N/A",369.74,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Nurse Practitioner","G0323","N/A",888.2,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Occupational Therapist","G0323","N/A",600.29,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Physician Assistant","G0323","N/A",801.07,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Registered Nurse","G0323","N/A",725.5,9]
[null,null,null,null,null,null,null,null,null,null,null,58,"Registered Pharmacist","G0323","N/A",854.98,9]

{"sheet":"KernvsSC","index":4,"n_rows":1006,"n_cols":17,"rows_kept":1006,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,"Cnty Cde","County Name","Provider Type","Procedure Code","Hrly Rate","Max Allowed Rate Per Unit",null,"Cnty Cde","County Name","Provider Type","Procedure Code","Hrly Rate","Max Allowed Rate Per Unit"]
[null,null,null,null,15,"Kern","Certified AOD Counselor",90785,284.33999999999997,18.89,null,43,"Santa Clara","Certified AOD Counselor",90785,473.2,18.89]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H0031",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H0031",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H0032",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H0032",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H0033",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H0033",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H0034",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H0034",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H0034",284.33999999999997,15.8,null,43,"Santa Clara","Certified AOD Counselor","H0034",473.2,26.29]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2000",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H2000",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2011",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H2011",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2017",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H2017",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2017",284.33999999999997,15.8,null,43,"Santa Clara","Certified AOD Counselor","H2017",473.2,26.29]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2019",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H2019",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","H2021",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","H2021",473.2,118.3]
[null,null,null,null,15,"Kern","Certified AOD Counselor","T1013",284.33999999999997,31.88,null,43,"Santa Clara","Certified AOD Counselor","T1013",473.2,31.88]
[null,null,null,null,15,"Kern","Certified AOD Counselor","T1017",284.33999999999997,71.09,null,43,"Santa Clara","Certified AOD Counselor","T1017",473.2,118.3]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90785,654.99,18.89,null,43,"Santa Clara","Clinical Nurse Specialist",90785,1090.03,18.89]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90791,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90791,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90792,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90792,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90832,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",90832,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90832,654.99,330.51,null,43,"Santa Clara","Clinical Nurse Specialist",90832,1090.03,548.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90833,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",90833,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90833,654.99,330.51,null,43,"Santa Clara","Clinical Nurse Specialist",90833,1090.03,548.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90834,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",90834,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90834,654.99,494.25,null,43,"Santa Clara","Clinical Nurse Specialist",90834,1090.03,820.53]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90836,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",90836,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90836,654.99,494.25,null,43,"Santa Clara","Clinical Nurse Specialist",90836,1090.03,820.53]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90837,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90837,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90837,654.99,658,null,43,"Santa Clara","Clinical Nurse Specialist",90837,1090.03,1093.04]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90838,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90838,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90838,654.99,658,null,43,"Santa Clara","Clinical Nurse Specialist",90838,1090.03,1093.04]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90839,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90839,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90840,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",90840,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90845,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",90845,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90847,654.99,545.83000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",90847,1090.03,908.36]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90849,654.99,203.77,null,43,"Santa Clara","Clinical Nurse Specialist",90849,1090.03,339.12]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90853,654.99,121.29,null,43,"Santa Clara","Clinical Nurse Specialist",90853,1090.03,201.86]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90865,654.99,982.49,null,43,"Santa Clara","Clinical Nurse Specialist",90865,1090.03,1635.05]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90867,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90867,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90868,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",90868,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90869,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",90869,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90870,654.99,218.33,null,43,"Santa Clara","Clinical Nurse Specialist",90870,1090.03,363.34]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90880,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90880,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90885,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",90885,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",90887,654.99,545.83000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",90887,1090.03,908.36]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96105,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96105,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96110,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96110,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96112,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96112,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96113,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",96113,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96116,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96116,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96121,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96121,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96125,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96125,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96127,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96127,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96130,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96130,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96131,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96131,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96132,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96132,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96133,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96133,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96136,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",96136,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96137,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",96137,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96146,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",96146,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96161,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96161,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96202,654.99,145.55000000000001,null,43,"Santa Clara","Clinical Nurse Specialist",96202,1090.03,242.23]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96203,654.99,36.39,null,43,"Santa Clara","Clinical Nurse Specialist",96203,1090.03,60.56]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96365,654.99,502.16,null,43,"Santa Clara","Clinical Nurse Specialist",96365,1090.03,835.69]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96366,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",96366,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96367,654.99,338.41,null,43,"Santa Clara","Clinical Nurse Specialist",96367,1090.03,563.17999999999995]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96368,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96368,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96369,654.99,414.83,null,43,"Santa Clara","Clinical Nurse Specialist",96369,1090.03,690.35]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96370,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",96370,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96371,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96371,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96372,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96372,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96373,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96373,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96374,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96374,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96375,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96375,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96376,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96376,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",96377,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",96377,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",97550,654.99,251.08,null,43,"Santa Clara","Clinical Nurse Specialist",97550,1090.03,417.84]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",97551,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",97551,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",97552,654.99,109.17,null,43,"Santa Clara","Clinical Nurse Specialist",97552,1090.03,181.67]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",98966,654.99,87.33,null,43,"Santa Clara","Clinical Nurse Specialist",98966,1090.03,145.34]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",98967,654.99,174.66,null,43,"Santa Clara","Clinical Nurse Specialist",98967,1090.03,290.67]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",98968,654.99,283.83,null,43,"Santa Clara","Clinical Nurse Specialist",98968,1090.03,472.35]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99202,654.99,240.16,null,43,"Santa Clara","Clinical Nurse Specialist",99202,1090.03,399.68]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99203,654.99,403.91,null,43,"Santa Clara","Clinical Nurse Specialist",99203,1090.03,672.19]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99204,654.99,567.66,null,43,"Santa Clara","Clinical Nurse Specialist",99204,1090.03,944.69]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99205,654.99,731.41,null,43,"Santa Clara","Clinical Nurse Specialist",99205,1090.03,1217.2]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99212,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",99212,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99213,654.99,272.91000000000003,null,43,"Santa Clara","Clinical Nurse Specialist",99213,1090.03,454.18]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99214,654.99,382.08,null,43,"Santa Clara","Clinical Nurse Specialist",99214,1090.03,635.85]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99215,654.99,513.08000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",99215,1090.03,853.86]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99221,654.99,513.08000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",99221,1090.03,853.86]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99222,654.99,709.57,null,43,"Santa Clara","Clinical Nurse Specialist",99222,1090.03,1180.8699999999999]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99223,654.99,895.15,null,43,"Santa Clara","Clinical Nurse Specialist",99223,1090.03,1489.71]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99231,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",99231,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99232,654.99,458.49,null,43,"Santa Clara","Clinical Nurse Specialist",99232,1090.03,763.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99233,654.99,622.24,null,43,"Santa Clara","Clinical Nurse Specialist",99233,1090.03,1035.53]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99234,654.99,622.24,null,43,"Santa Clara","Clinical Nurse Specialist",99234,1090.03,1035.53]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99235,654.99,840.57,null,43,"Santa Clara","Clinical Nurse Specialist",99235,1090.03,1398.87]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99236,654.99,1004.32,null,43,"Santa Clara","Clinical Nurse Specialist",99236,1090.03,1671.38]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99238,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",99238,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99239,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",99239,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99242,654.99,272.91000000000003,null,43,"Santa Clara","Clinical Nurse Specialist",99242,1090.03,454.18]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99243,654.99,382.08,null,43,"Santa Clara","Clinical Nurse Specialist",99243,1090.03,635.85]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99244,654.99,513.08000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",99244,1090.03,853.86]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99245,654.99,676.82,null,43,"Santa Clara","Clinical Nurse Specialist",99245,1090.03,1126.3599999999999]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99252,654.99,436.66,null,43,"Santa Clara","Clinical Nurse Specialist",99252,1090.03,726.69]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99253,654.99,567.66,null,43,"Santa Clara","Clinical Nurse Specialist",99253,1090.03,944.69]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99254,654.99,764.16,null,43,"Santa Clara","Clinical Nurse Specialist",99254,1090.03,1271.7]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99255,654.99,949.74,null,43,"Santa Clara","Clinical Nurse Specialist",99255,1090.03,1580.54]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99304,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",99304,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99305,654.99,458.49,null,43,"Santa Clara","Clinical Nurse Specialist",99305,1090.03,763.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99306,654.99,622.24,null,43,"Santa Clara","Clinical Nurse Specialist",99306,1090.03,1035.53]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99307,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",99307,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99308,654.99,272.91000000000003,null,43,"Santa Clara","Clinical Nurse Specialist",99308,1090.03,454.18]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99309,654.99,403.91,null,43,"Santa Clara","Clinical Nurse Specialist",99309,1090.03,672.19]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99310,654.99,567.66,null,43,"Santa Clara","Clinical Nurse Specialist",99310,1090.03,944.69]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99341,654.99,240.16,null,43,"Santa Clara","Clinical Nurse Specialist",99341,1090.03,399.68]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99342,654.99,491.24,null,43,"Santa Clara","Clinical Nurse Specialist",99342,1090.03,817.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99344,654.99,731.41,null,43,"Santa Clara","Clinical Nurse Specialist",99344,1090.03,1217.2]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99345,654.99,895.15,null,43,"Santa Clara","Clinical Nurse Specialist",99345,1090.03,1489.71]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99347,654.99,272.91000000000003,null,43,"Santa Clara","Clinical Nurse Specialist",99347,1090.03,454.18]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99348,654.99,382.08,null,43,"Santa Clara","Clinical Nurse Specialist",99348,1090.03,635.85]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99349,654.99,545.83000000000004,null,43,"Santa Clara","Clinical Nurse Specialist",99349,1090.03,908.36]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99350,654.99,731.41,null,43,"Santa Clara","Clinical Nurse Specialist",99350,1090.03,1217.2]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99366,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",99366,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99368,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",99368,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99415,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",99415,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99416,654.99,327.5,null,43,"Santa Clara","Clinical Nurse Specialist",99416,1090.03,545.02]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99417,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",99417,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99418,654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist",99418,1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99441,654.99,87.33,null,43,"Santa Clara","Clinical Nurse Specialist",99441,1090.03,145.34]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99442,654.99,174.66,null,43,"Santa Clara","Clinical Nurse Specialist",99442,1090.03,290.67]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99443,654.99,283.83,null,43,"Santa Clara","Clinical Nurse Specialist",99443,1090.03,472.35]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist",99484,654.99,654.99,null,43,"Santa Clara","Clinical Nurse Specialist",99484,1090.03,1090.03]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0316",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","G0316",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0539",654.99,251.08,null,43,"Santa Clara","Clinical Nurse Specialist","G0539",1090.03,417.84]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0540",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","G0540",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0541",654.99,251.08,null,43,"Santa Clara","Clinical Nurse Specialist","G0541",1090.03,417.84]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0542",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","G0542",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","G0543",654.99,109.17,null,43,"Santa Clara","Clinical Nurse Specialist","G0543",1090.03,181.67]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0031",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H0031",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0032",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H0032",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0033",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H0033",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0034",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H0034",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0034",654.99,36.39,null,43,"Santa Clara","Clinical Nurse Specialist","H0034",1090.03,60.56]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H0036",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H0036",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2000",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H2000",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2011",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H2011",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2017",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H2017",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2017",654.99,36.39,null,43,"Santa Clara","Clinical Nurse Specialist","H2017",1090.03,60.56]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2019",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H2019",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","H2021",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","H2021",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T1001",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","T1001",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T1013",654.99,31.88,null,43,"Santa Clara","Clinical Nurse Specialist","T1013",1090.03,31.88]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T1017",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","T1017",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T2021",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","T2021",1090.03,272.51]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T2021",654.99,36.39,null,43,"Santa Clara","Clinical Nurse Specialist","T2021",1090.03,60.56]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T2021",654.99,166.76,null,43,"Santa Clara","Clinical Nurse Specialist","T2021",1090.03,275.52]
[null,null,null,null,15,"Kern","Clinical Nurse Specialist","T2024",654.99,163.75,null,43,"Santa Clara","Clinical Nurse Specialist","T2024",1090.03,272.51]
[null,null,null,null,15,"Kern","Community Health Worker",98960,264.35000000000002,132.18,null,43,"Santa Clara","Community Health Worker",98960,439.93,219.97]
[null,null,null,null,15,"Kern","Community Health Worker",98961,264.35000000000002,44.06,null,43,"Santa Clara","Community Health Worker",98961,439.93,73.319999999999993]
[null,null,null,null,15,"Kern","Community Health Worker",98962,264.35000000000002,20.329999999999998,null,43,"Santa Clara","Community Health Worker",98962,439.93,33.840000000000003]
[null,null,null,null,15,"Kern","Community Health Worker","G0019",264.35000000000002,264.35000000000002,null,43,"Santa Clara","Community Health Worker","G0019",439.93,439.93]
[null,null,null,null,15,"Kern","Community Health Worker","G0022",264.35000000000002,132.18,null,43,"Santa Clara","Community Health Worker","G0022",439.93,219.97]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90785,342.79,18.89,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90785,570.48,18.89]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90791,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90791,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90832,342.79,171.4,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90832,570.48,285.24]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90832,342.79,174.41,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90832,570.48,288.25]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90834,342.79,257.08999999999997,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90834,570.48,427.86]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90834,342.79,260.10000000000002,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90834,570.48,430.87]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90837,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90837,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90837,342.79,345.8,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90837,570.48,573.49]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90839,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90839,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90840,342.79,171.4,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90840,570.48,285.24]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90845,342.79,257.08999999999997,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90845,570.48,427.86]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90847,342.79,285.66000000000003,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90847,570.48,475.4]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90849,342.79,106.65,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90849,570.48,177.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90853,342.79,63.48,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90853,570.48,105.64]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90880,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90880,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90885,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90885,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",90887,342.79,285.66000000000003,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",90887,570.48,475.4]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96110,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96110,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96116,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96116,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96121,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96121,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96127,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96127,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96161,342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96161,570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96202,342.79,76.180000000000007,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96202,570.48,126.77]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",96203,342.79,19.04,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96203,570.48,31.69]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",97550,342.79,131.4,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",97550,570.48,218.68]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",97551,342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",97551,570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",97552,342.79,57.13,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",97552,570.48,95.08]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",98966,342.79,45.71,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",98966,570.48,76.06]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",98967,342.79,91.41,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",98967,570.48,152.13]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",98968,342.79,148.54,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",98968,570.48,247.21]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",99366,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",99366,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",99368,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",99368,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)",99484,342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",99484,570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0323",342.79,342.79,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0323",570.48,570.48]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0539",342.79,131.4,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0539",570.48,218.68]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0540",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0540",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0541",342.79,131.4,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0541",570.48,218.68]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0542",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0542",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","G0543",342.79,57.13,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0543",570.48,95.08]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H0031",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H0031",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H0032",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H0032",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H0033",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H0033",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H0036",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H0036",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2000",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2000",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2011",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2011",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2017",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2017",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2017",342.79,19.04,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2017",570.48,31.69]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2019",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2019",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","H2021",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2021",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T1013",342.79,31.88,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T1013",570.48,31.88]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T1017",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T1017",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T2021",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T2021",570.48,142.62]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T2021",342.79,19.04,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T2021",570.48,31.69]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T2021",342.79,88.71,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T2021",570.48,145.63]
[null,null,null,null,15,"Kern","LCSW (Licensed, Waivered or Registered)","T2024",342.79,85.7,null,43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","T2024",570.48,142.62]
[null,null,null,null,15,"Kern","Licensed Physician",90785,1317.15,18.89,null,43,"Santa Clara","Licensed Physician",90785,2192.02,18.89]
[null,null,null,null,15,"Kern","Licensed Physician",90791,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90791,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90792,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90792,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90832,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",90832,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",90832,1317.15,661.59,null,43,"Santa Clara","Licensed Physician",90832,2192.02,1099.02]
[null,null,null,null,15,"Kern","Licensed Physician",90833,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",90833,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",90833,1317.15,661.59,null,43,"Santa Clara","Licensed Physician",90833,2192.02,1099.02]
[null,null,null,null,15,"Kern","Licensed Physician",90834,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",90834,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",90834,1317.15,990.87,null,43,"Santa Clara","Licensed Physician",90834,2192.02,1647.03]
[null,null,null,null,15,"Kern","Licensed Physician",90836,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",90836,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",90836,1317.15,990.87,null,43,"Santa Clara","Licensed Physician",90836,2192.02,1647.03]
[null,null,null,null,15,"Kern","Licensed Physician",90837,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90837,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90837,1317.15,1320.16,null,43,"Santa Clara","Licensed Physician",90837,2192.02,2195.0300000000002]
[null,null,null,null,15,"Kern","Licensed Physician",90838,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90838,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90838,1317.15,1320.16,null,43,"Santa Clara","Licensed Physician",90838,2192.02,2195.0300000000002]
[null,null,null,null,15,"Kern","Licensed Physician",90839,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90839,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90840,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",90840,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",90845,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",90845,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",90847,1317.15,1097.6300000000001,null,43,"Santa Clara","Licensed Physician",90847,2192.02,1826.68]
[null,null,null,null,15,"Kern","Licensed Physician",90849,1317.15,409.78,null,43,"Santa Clara","Licensed Physician",90849,2192.02,681.96]
[null,null,null,null,15,"Kern","Licensed Physician",90853,1317.15,243.92,null,43,"Santa Clara","Licensed Physician",90853,2192.02,405.93]
[null,null,null,null,15,"Kern","Licensed Physician",90865,1317.15,1975.73,null,43,"Santa Clara","Licensed Physician",90865,2192.02,3288.03]
[null,null,null,null,15,"Kern","Licensed Physician",90867,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90867,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90868,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",90868,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",90869,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",90869,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",90870,1317.15,439.05,null,43,"Santa Clara","Licensed Physician",90870,2192.02,730.67]
[null,null,null,null,15,"Kern","Licensed Physician",90880,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90880,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90885,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",90885,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",90887,1317.15,1097.6300000000001,null,43,"Santa Clara","Licensed Physician",90887,2192.02,1826.68]
[null,null,null,null,15,"Kern","Licensed Physician",96105,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96105,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96110,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96110,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96112,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96112,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96113,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",96113,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",96116,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96116,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96121,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96121,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96125,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96125,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96127,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96127,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96130,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96130,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96131,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96131,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96132,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96132,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96133,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96133,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96136,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",96136,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",96137,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",96137,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",96146,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",96146,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",96161,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96161,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96202,1317.15,292.7,null,43,"Santa Clara","Licensed Physician",96202,2192.02,487.12]
[null,null,null,null,15,"Kern","Licensed Physician",96203,1317.15,73.180000000000007,null,43,"Santa Clara","Licensed Physician",96203,2192.02,121.78]
[null,null,null,null,15,"Kern","Licensed Physician",96365,1317.15,1009.82,null,43,"Santa Clara","Licensed Physician",96365,2192.02,1680.55]
[null,null,null,null,15,"Kern","Licensed Physician",96366,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",96366,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",96367,1317.15,680.53,null,43,"Santa Clara","Licensed Physician",96367,2192.02,1132.54]
[null,null,null,null,15,"Kern","Licensed Physician",96368,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96368,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96369,1317.15,834.2,null,43,"Santa Clara","Licensed Physician",96369,2192.02,1388.28]
[null,null,null,null,15,"Kern","Licensed Physician",96370,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",96370,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",96371,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96371,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96372,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96372,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96373,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96373,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96374,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96374,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96375,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96375,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96376,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96376,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",96377,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",96377,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",97550,1317.15,504.91,null,43,"Santa Clara","Licensed Physician",97550,2192.02,840.27]
[null,null,null,null,15,"Kern","Licensed Physician",97551,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",97551,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",97552,1317.15,219.53,null,43,"Santa Clara","Licensed Physician",97552,2192.02,365.34]
[null,null,null,null,15,"Kern","Licensed Physician",99202,1317.15,482.96,null,43,"Santa Clara","Licensed Physician",99202,2192.02,803.74]
[null,null,null,null,15,"Kern","Licensed Physician",99203,1317.15,812.24,null,43,"Santa Clara","Licensed Physician",99203,2192.02,1351.75]
[null,null,null,null,15,"Kern","Licensed Physician",99204,1317.15,1141.53,null,43,"Santa Clara","Licensed Physician",99204,2192.02,1899.75]
[null,null,null,null,15,"Kern","Licensed Physician",99205,1317.15,1470.82,null,43,"Santa Clara","Licensed Physician",99205,2192.02,2447.7600000000002]
[null,null,null,null,15,"Kern","Licensed Physician",99212,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",99212,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",99213,1317.15,548.80999999999995,null,43,"Santa Clara","Licensed Physician",99213,2192.02,913.34]
[null,null,null,null,15,"Kern","Licensed Physician",99214,1317.15,768.34,null,43,"Santa Clara","Licensed Physician",99214,2192.02,1278.68]
[null,null,null,null,15,"Kern","Licensed Physician",99215,1317.15,1031.77,null,43,"Santa Clara","Licensed Physician",99215,2192.02,1717.08]
[null,null,null,null,15,"Kern","Licensed Physician",99221,1317.15,1031.77,null,43,"Santa Clara","Licensed Physician",99221,2192.02,1717.08]
[null,null,null,null,15,"Kern","Licensed Physician",99222,1317.15,1426.91,null,43,"Santa Clara","Licensed Physician",99222,2192.02,2374.69]
[null,null,null,null,15,"Kern","Licensed Physician",99223,1317.15,1800.11,null,43,"Santa Clara","Licensed Physician",99223,2192.02,2995.76]
[null,null,null,null,15,"Kern","Licensed Physician",99231,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",99231,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",99232,1317.15,922.01,null,43,"Santa Clara","Licensed Physician",99232,2192.02,1534.41]
[null,null,null,null,15,"Kern","Licensed Physician",99233,1317.15,1251.29,null,43,"Santa Clara","Licensed Physician",99233,2192.02,2082.42]
[null,null,null,null,15,"Kern","Licensed Physician",99234,1317.15,1251.29,null,43,"Santa Clara","Licensed Physician",99234,2192.02,2082.42]
[null,null,null,null,15,"Kern","Licensed Physician",99235,1317.15,1690.34,null,43,"Santa Clara","Licensed Physician",99235,2192.02,2813.09]
[null,null,null,null,15,"Kern","Licensed Physician",99236,1317.15,2019.63,null,43,"Santa Clara","Licensed Physician",99236,2192.02,3361.1]
[null,null,null,null,15,"Kern","Licensed Physician",99238,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",99238,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",99239,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",99239,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",99242,1317.15,548.80999999999995,null,43,"Santa Clara","Licensed Physician",99242,2192.02,913.34]
[null,null,null,null,15,"Kern","Licensed Physician",99243,1317.15,768.34,null,43,"Santa Clara","Licensed Physician",99243,2192.02,1278.68]
[null,null,null,null,15,"Kern","Licensed Physician",99244,1317.15,1031.77,null,43,"Santa Clara","Licensed Physician",99244,2192.02,1717.08]
[null,null,null,null,15,"Kern","Licensed Physician",99245,1317.15,1361.06,null,43,"Santa Clara","Licensed Physician",99245,2192.02,2265.09]
[null,null,null,null,15,"Kern","Licensed Physician",99252,1317.15,878.1,null,43,"Santa Clara","Licensed Physician",99252,2192.02,1461.35]
[null,null,null,null,15,"Kern","Licensed Physician",99253,1317.15,1141.53,null,43,"Santa Clara","Licensed Physician",99253,2192.02,1899.75]
[null,null,null,null,15,"Kern","Licensed Physician",99254,1317.15,1536.68,null,43,"Santa Clara","Licensed Physician",99254,2192.02,2557.36]
[null,null,null,null,15,"Kern","Licensed Physician",99255,1317.15,1909.87,null,43,"Santa Clara","Licensed Physician",99255,2192.02,3178.43]
[null,null,null,null,15,"Kern","Licensed Physician",99304,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",99304,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",99305,1317.15,922.01,null,43,"Santa Clara","Licensed Physician",99305,2192.02,1534.41]
[null,null,null,null,15,"Kern","Licensed Physician",99306,1317.15,1251.29,null,43,"Santa Clara","Licensed Physician",99306,2192.02,2082.42]
[null,null,null,null,15,"Kern","Licensed Physician",99307,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",99307,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",99308,1317.15,548.80999999999995,null,43,"Santa Clara","Licensed Physician",99308,2192.02,913.34]
[null,null,null,null,15,"Kern","Licensed Physician",99309,1317.15,812.24,null,43,"Santa Clara","Licensed Physician",99309,2192.02,1351.75]
[null,null,null,null,15,"Kern","Licensed Physician",99310,1317.15,1141.53,null,43,"Santa Clara","Licensed Physician",99310,2192.02,1899.75]
[null,null,null,null,15,"Kern","Licensed Physician",99341,1317.15,482.96,null,43,"Santa Clara","Licensed Physician",99341,2192.02,803.74]
[null,null,null,null,15,"Kern","Licensed Physician",99342,1317.15,987.86,null,43,"Santa Clara","Licensed Physician",99342,2192.02,1644.02]
[null,null,null,null,15,"Kern","Licensed Physician",99344,1317.15,1470.82,null,43,"Santa Clara","Licensed Physician",99344,2192.02,2447.7600000000002]
[null,null,null,null,15,"Kern","Licensed Physician",99345,1317.15,1800.11,null,43,"Santa Clara","Licensed Physician",99345,2192.02,2995.76]
[null,null,null,null,15,"Kern","Licensed Physician",99347,1317.15,548.80999999999995,null,43,"Santa Clara","Licensed Physician",99347,2192.02,913.34]
[null,null,null,null,15,"Kern","Licensed Physician",99348,1317.15,768.34,null,43,"Santa Clara","Licensed Physician",99348,2192.02,1278.68]
[null,null,null,null,15,"Kern","Licensed Physician",99349,1317.15,1097.6300000000001,null,43,"Santa Clara","Licensed Physician",99349,2192.02,1826.68]
[null,null,null,null,15,"Kern","Licensed Physician",99350,1317.15,1470.82,null,43,"Santa Clara","Licensed Physician",99350,2192.02,2447.7600000000002]
[null,null,null,null,15,"Kern","Licensed Physician",99367,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",99367,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",99415,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",99415,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician",99416,1317.15,658.58,null,43,"Santa Clara","Licensed Physician",99416,2192.02,1096.01]
[null,null,null,null,15,"Kern","Licensed Physician",99417,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",99417,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",99418,1317.15,329.29,null,43,"Santa Clara","Licensed Physician",99418,2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician",99441,1317.15,175.62,null,43,"Santa Clara","Licensed Physician",99441,2192.02,292.27]
[null,null,null,null,15,"Kern","Licensed Physician",99442,1317.15,351.24,null,43,"Santa Clara","Licensed Physician",99442,2192.02,584.54]
[null,null,null,null,15,"Kern","Licensed Physician",99443,1317.15,570.77,null,43,"Santa Clara","Licensed Physician",99443,2192.02,949.88]
[null,null,null,null,15,"Kern","Licensed Physician",99451,1317.15,395.15,null,43,"Santa Clara","Licensed Physician",99451,2192.02,657.61]
[null,null,null,null,15,"Kern","Licensed Physician",99484,1317.15,1317.15,null,43,"Santa Clara","Licensed Physician",99484,2192.02,2192.02]
[null,null,null,null,15,"Kern","Licensed Physician","G0316",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","G0316",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","G0539",1317.15,504.91,null,43,"Santa Clara","Licensed Physician","G0539",2192.02,840.27]
[null,null,null,null,15,"Kern","Licensed Physician","G0540",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","G0540",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","G0541",1317.15,504.91,null,43,"Santa Clara","Licensed Physician","G0541",2192.02,840.27]
[null,null,null,null,15,"Kern","Licensed Physician","G0542",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","G0542",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","G0543",1317.15,219.53,null,43,"Santa Clara","Licensed Physician","G0543",2192.02,365.34]
[null,null,null,null,15,"Kern","Licensed Physician","H0033",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H0033",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H0034",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H0034",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H0034",1317.15,73.180000000000007,null,43,"Santa Clara","Licensed Physician","H0034",2192.02,121.78]
[null,null,null,null,15,"Kern","Licensed Physician","H0036",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H0036",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H2000",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H2000",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H2011",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H2011",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H2017",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H2017",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H2017",1317.15,73.180000000000007,null,43,"Santa Clara","Licensed Physician","H2017",2192.02,121.78]
[null,null,null,null,15,"Kern","Licensed Physician","H2019",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H2019",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","H2021",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","H2021",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","T1013",1317.15,31.88,null,43,"Santa Clara","Licensed Physician","T1013",2192.02,31.88]
[null,null,null,null,15,"Kern","Licensed Physician","T1017",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","T1017",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","T2021",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","T2021",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Physician","T2021",1317.15,73.180000000000007,null,43,"Santa Clara","Licensed Physician","T2021",2192.02,121.78]
[null,null,null,null,15,"Kern","Licensed Physician","T2021",1317.15,332.3,null,43,"Santa Clara","Licensed Physician","T2021",2192.02,551.02]
[null,null,null,null,15,"Kern","Licensed Physician","T2024",1317.15,329.29,null,43,"Santa Clara","Licensed Physician","T2024",2192.02,548.01]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",90785,240.94,18.89,null,43,"Santa Clara","Licensed Psychiatric Technician",90785,400.98,18.89]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96138,240.94,120.47,null,43,"Santa Clara","Licensed Psychiatric Technician",96138,400.98,200.49]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96139,240.94,120.47,null,43,"Santa Clara","Licensed Psychiatric Technician",96139,400.98,200.49]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96202,240.94,53.54,null,43,"Santa Clara","Licensed Psychiatric Technician",96202,400.98,89.11]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96203,240.94,13.39,null,43,"Santa Clara","Licensed Psychiatric Technician",96203,400.98,22.28]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96365,240.94,184.72,null,43,"Santa Clara","Licensed Psychiatric Technician",96365,400.98,307.42]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96366,240.94,180.71,null,43,"Santa Clara","Licensed Psychiatric Technician",96366,400.98,300.74]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96367,240.94,124.49,null,43,"Santa Clara","Licensed Psychiatric Technician",96367,400.98,207.17]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96368,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96368,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96369,240.94,152.6,null,43,"Santa Clara","Licensed Psychiatric Technician",96369,400.98,253.95]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96370,240.94,180.71,null,43,"Santa Clara","Licensed Psychiatric Technician",96370,400.98,300.74]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96371,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96371,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96372,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96372,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96373,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96373,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96374,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96374,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96375,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96375,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96376,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96376,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",96377,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",96377,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",97550,240.94,92.36,null,43,"Santa Clara","Licensed Psychiatric Technician",97550,400.98,153.71]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",97551,240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician",97551,400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",97552,240.94,40.159999999999997,null,43,"Santa Clara","Licensed Psychiatric Technician",97552,400.98,66.83]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician",99484,240.94,240.94,null,43,"Santa Clara","Licensed Psychiatric Technician",99484,400.98,400.98]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","G0539",240.94,92.36,null,43,"Santa Clara","Licensed Psychiatric Technician","G0539",400.98,153.71]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","G0540",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","G0540",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","G0541",240.94,92.36,null,43,"Santa Clara","Licensed Psychiatric Technician","G0541",400.98,153.71]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","G0542",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","G0542",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","G0543",240.94,40.159999999999997,null,43,"Santa Clara","Licensed Psychiatric Technician","G0543",400.98,66.83]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H0031",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H0031",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H0032",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H0032",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H0033",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H0033",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H0034",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H0034",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H0034",240.94,13.39,null,43,"Santa Clara","Licensed Psychiatric Technician","H0034",400.98,22.28]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2000",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H2000",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2011",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H2011",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2017",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H2017",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2017",240.94,13.39,null,43,"Santa Clara","Licensed Psychiatric Technician","H2017",400.98,22.28]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2019",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H2019",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","H2021",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","H2021",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","T1001",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","T1001",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","T1013",240.94,31.88,null,43,"Santa Clara","Licensed Psychiatric Technician","T1013",400.98,31.88]
[null,null,null,null,15,"Kern","Licensed Psychiatric Technician","T1017",240.94,60.24,null,43,"Santa Clara","Licensed Psychiatric Technician","T1017",400.98,100.25]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",90785,281.06,18.89,null,43,"Santa Clara","Licensed Vocational Nurse",90785,467.73,18.89]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96161,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96161,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96202,281.06,62.46,null,43,"Santa Clara","Licensed Vocational Nurse",96202,467.73,103.94]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96203,281.06,15.61,null,43,"Santa Clara","Licensed Vocational Nurse",96203,467.73,25.99]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96365,281.06,215.48,null,43,"Santa Clara","Licensed Vocational Nurse",96365,467.73,358.59]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96366,281.06,210.8,null,43,"Santa Clara","Licensed Vocational Nurse",96366,467.73,350.8]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96367,281.06,145.21,null,43,"Santa Clara","Licensed Vocational Nurse",96367,467.73,241.66]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96368,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96368,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96369,281.06,178,null,43,"Santa Clara","Licensed Vocational Nurse",96369,467.73,296.23]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96370,281.06,210.8,null,43,"Santa Clara","Licensed Vocational Nurse",96370,467.73,350.8]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96371,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96371,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96372,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96372,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96373,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96373,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96374,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96374,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96375,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96375,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96376,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96376,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",96377,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",96377,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",97550,281.06,107.74,null,43,"Santa Clara","Licensed Vocational Nurse",97550,467.73,179.3]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",97551,281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse",97551,467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",97552,281.06,46.84,null,43,"Santa Clara","Licensed Vocational Nurse",97552,467.73,77.959999999999994]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse",99484,281.06,281.06,null,43,"Santa Clara","Licensed Vocational Nurse",99484,467.73,467.73]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","G0539",281.06,107.74,null,43,"Santa Clara","Licensed Vocational Nurse","G0539",467.73,179.3]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","G0540",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","G0540",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","G0541",281.06,107.74,null,43,"Santa Clara","Licensed Vocational Nurse","G0541",467.73,179.3]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","G0542",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","G0542",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","G0543",281.06,46.84,null,43,"Santa Clara","Licensed Vocational Nurse","G0543",467.73,77.959999999999994]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H0031",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H0031",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H0032",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H0032",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H0033",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H0033",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H0034",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H0034",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H0034",281.06,15.61,null,43,"Santa Clara","Licensed Vocational Nurse","H0034",467.73,25.99]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2000",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H2000",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2011",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H2011",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2017",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H2017",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2017",281.06,15.61,null,43,"Santa Clara","Licensed Vocational Nurse","H2017",467.73,25.99]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2019",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H2019",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","H2021",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","H2021",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","T1001",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","T1001",467.73,116.93]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","T1013",281.06,31.88,null,43,"Santa Clara","Licensed Vocational Nurse","T1013",467.73,31.88]
[null,null,null,null,15,"Kern","Licensed Vocational Nurse","T1017",281.06,70.27,null,43,"Santa Clara","Licensed Vocational Nurse","T1017",467.73,116.93]
[null,null,null,null,15,"Kern","Medical Assistant",90785,193.2,18.89,null,43,"Santa Clara","Medical Assistant",90785,321.52999999999997,18.89]
[null,null,null,null,15,"Kern","Medical Assistant",96110,193.2,193.2,null,43,"Santa Clara","Medical Assistant",96110,321.52999999999997,321.52999999999997]
[null,null,null,null,15,"Kern","Medical Assistant",96127,193.2,193.2,null,43,"Santa Clara","Medical Assistant",96127,321.52999999999997,321.52999999999997]
[null,null,null,null,15,"Kern","Medical Assistant",96161,193.2,48.3,null,43,"Santa Clara","Medical Assistant",96161,321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant",96369,193.2,122.36,null,43,"Santa Clara","Medical Assistant",96369,321.52999999999997,203.64]
[null,null,null,null,15,"Kern","Medical Assistant",96370,193.2,144.9,null,43,"Santa Clara","Medical Assistant",96370,321.52999999999997,241.15]
[null,null,null,null,15,"Kern","Medical Assistant",96371,193.2,48.3,null,43,"Santa Clara","Medical Assistant",96371,321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant",96372,193.2,48.3,null,43,"Santa Clara","Medical Assistant",96372,321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant",99366,193.2,193.2,null,43,"Santa Clara","Medical Assistant",99366,321.52999999999997,321.52999999999997]
[null,null,null,null,15,"Kern","Medical Assistant",99368,193.2,193.2,null,43,"Santa Clara","Medical Assistant",99368,321.52999999999997,321.52999999999997]
[null,null,null,null,15,"Kern","Medical Assistant",99484,193.2,193.2,null,43,"Santa Clara","Medical Assistant",99484,321.52999999999997,321.52999999999997]
[null,null,null,null,15,"Kern","Medical Assistant","H0034",193.2,48.3,null,43,"Santa Clara","Medical Assistant","H0034",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","H0034",193.2,10.73,null,43,"Santa Clara","Medical Assistant","H0034",321.52999999999997,17.86]
[null,null,null,null,15,"Kern","Medical Assistant","H2000",193.2,48.3,null,43,"Santa Clara","Medical Assistant","H2000",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","H2017",193.2,48.3,null,43,"Santa Clara","Medical Assistant","H2017",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","H2017",193.2,10.73,null,43,"Santa Clara","Medical Assistant","H2017",321.52999999999997,17.86]
[null,null,null,null,15,"Kern","Medical Assistant","H2019",193.2,48.3,null,43,"Santa Clara","Medical Assistant","H2019",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","H2021",193.2,48.3,null,43,"Santa Clara","Medical Assistant","H2021",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","T1013",193.2,31.88,null,43,"Santa Clara","Medical Assistant","T1013",321.52999999999997,31.88]
[null,null,null,null,15,"Kern","Medical Assistant","T1017",193.2,48.3,null,43,"Santa Clara","Medical Assistant","T1017",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Medical Assistant","T2024",193.2,48.3,null,43,"Santa Clara","Medical Assistant","T2024",321.52999999999997,80.38]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist",90785,257.89999999999998,18.89,null,43,"Santa Clara","Mental Health Rehabilitation Specialist",90785,429.2,18.89]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H0031",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H0031",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H0032",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H0032",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H0033",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H0033",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H0034",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H0034",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H0034",257.89999999999998,14.33,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H0034",429.2,23.84]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2000",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2000",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2011",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2011",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2017",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2017",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2017",257.89999999999998,14.33,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2017",429.2,23.84]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2019",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2019",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","H2021",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","H2021",429.2,107.3]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","T1013",257.89999999999998,31.88,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","T1013",429.2,31.88]
[null,null,null,null,15,"Kern","Mental Health Rehabilitation Specialist","T1017",257.89999999999998,64.48,null,43,"Santa Clara","Mental Health Rehabilitation Specialist","T1017",429.2,107.3]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90785,342.79,18.89,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90785,570.48,18.89]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90791,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90791,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90832,342.79,171.4,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90832,570.48,285.24]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90832,342.79,174.41,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90832,570.48,288.25]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90834,342.79,257.08999999999997,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90834,570.48,427.86]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90834,342.79,260.10000000000002,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90834,570.48,430.87]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90837,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90837,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90837,342.79,345.8,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90837,570.48,573.49]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90839,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90839,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90840,342.79,171.4,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90840,570.48,285.24]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90845,342.79,257.08999999999997,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90845,570.48,427.86]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90847,342.79,285.66000000000003,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90847,570.48,475.4]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90849,342.79,106.65,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90849,570.48,177.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90853,342.79,63.48,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90853,570.48,105.64]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90880,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90880,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90885,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90885,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90887,342.79,285.66000000000003,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90887,570.48,475.4]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96110,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96110,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96116,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96116,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96121,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96121,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96127,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96127,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96161,342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96161,570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96202,342.79,76.180000000000007,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96202,570.48,126.77]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",96203,342.79,19.04,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96203,570.48,31.69]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",97550,342.79,131.4,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",97550,570.48,218.68]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",97551,342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",97551,570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",97552,342.79,57.13,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",97552,570.48,95.08]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",98966,342.79,45.71,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",98966,570.48,76.06]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",98967,342.79,91.41,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",98967,570.48,152.13]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",98968,342.79,148.54,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",98968,570.48,247.21]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",99366,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",99366,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",99368,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",99368,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",99484,342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",99484,570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0323",342.79,342.79,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0323",570.48,570.48]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0539",342.79,131.4,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0539",570.48,218.68]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0540",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0540",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0541",342.79,131.4,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0541",570.48,218.68]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0542",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0542",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0543",342.79,57.13,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0543",570.48,95.08]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H0031",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H0031",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H0032",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H0032",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H0033",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H0033",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H0036",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H0036",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2000",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2000",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2011",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2011",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2017",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2017",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2017",342.79,19.04,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2017",570.48,31.69]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2019",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2019",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H2021",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H2021",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T1013",342.79,31.88,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T1013",570.48,31.88]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T1017",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T1017",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T2021",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T2021",570.48,142.62]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T2021",342.79,19.04,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T2021",570.48,31.69]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T2021",342.79,88.71,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T2021",570.48,145.63]
[null,null,null,null,15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T2024",342.79,85.7,null,43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T2024",570.48,142.62]
[null,null,null,null,15,"Kern","Nurse Practitioner",90785,654.99,18.89,null,43,"Santa Clara","Nurse Practitioner",90785,1090.03,18.89]
[null,null,null,null,15,"Kern","Nurse Practitioner",90791,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90791,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90792,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90792,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90832,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",90832,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",90832,654.99,330.51,null,43,"Santa Clara","Nurse Practitioner",90832,1090.03,548.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90833,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",90833,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",90833,654.99,330.51,null,43,"Santa Clara","Nurse Practitioner",90833,1090.03,548.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90834,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",90834,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",90834,654.99,494.25,null,43,"Santa Clara","Nurse Practitioner",90834,1090.03,820.53]
[null,null,null,null,15,"Kern","Nurse Practitioner",90836,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",90836,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",90836,654.99,494.25,null,43,"Santa Clara","Nurse Practitioner",90836,1090.03,820.53]
[null,null,null,null,15,"Kern","Nurse Practitioner",90837,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90837,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90837,654.99,658,null,43,"Santa Clara","Nurse Practitioner",90837,1090.03,1093.04]
[null,null,null,null,15,"Kern","Nurse Practitioner",90838,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90838,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90838,654.99,658,null,43,"Santa Clara","Nurse Practitioner",90838,1090.03,1093.04]
[null,null,null,null,15,"Kern","Nurse Practitioner",90839,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90839,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90840,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",90840,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",90845,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",90845,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",90847,654.99,545.83000000000004,null,43,"Santa Clara","Nurse Practitioner",90847,1090.03,908.36]
[null,null,null,null,15,"Kern","Nurse Practitioner",90849,654.99,203.77,null,43,"Santa Clara","Nurse Practitioner",90849,1090.03,339.12]
[null,null,null,null,15,"Kern","Nurse Practitioner",90853,654.99,121.29,null,43,"Santa Clara","Nurse Practitioner",90853,1090.03,201.86]
[null,null,null,null,15,"Kern","Nurse Practitioner",90865,654.99,982.49,null,43,"Santa Clara","Nurse Practitioner",90865,1090.03,1635.05]
[null,null,null,null,15,"Kern","Nurse Practitioner",90867,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90867,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90868,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",90868,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",90869,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",90869,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",90870,654.99,218.33,null,43,"Santa Clara","Nurse Practitioner",90870,1090.03,363.34]
[null,null,null,null,15,"Kern","Nurse Practitioner",90880,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90880,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90885,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",90885,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",90887,654.99,545.83000000000004,null,43,"Santa Clara","Nurse Practitioner",90887,1090.03,908.36]
[null,null,null,null,15,"Kern","Nurse Practitioner",96105,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96105,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96110,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96110,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96112,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96112,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96113,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",96113,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",96116,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96116,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96121,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96121,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96125,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96125,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96127,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96127,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96130,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96130,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96131,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96131,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96132,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96132,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96133,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96133,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96136,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",96136,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",96137,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",96137,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",96146,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",96146,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",96161,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96161,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96202,654.99,145.55000000000001,null,43,"Santa Clara","Nurse Practitioner",96202,1090.03,242.23]
[null,null,null,null,15,"Kern","Nurse Practitioner",96203,654.99,36.39,null,43,"Santa Clara","Nurse Practitioner",96203,1090.03,60.56]
[null,null,null,null,15,"Kern","Nurse Practitioner",96365,654.99,502.16,null,43,"Santa Clara","Nurse Practitioner",96365,1090.03,835.69]
[null,null,null,null,15,"Kern","Nurse Practitioner",96366,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",96366,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",96367,654.99,338.41,null,43,"Santa Clara","Nurse Practitioner",96367,1090.03,563.17999999999995]
[null,null,null,null,15,"Kern","Nurse Practitioner",96368,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96368,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96369,654.99,414.83,null,43,"Santa Clara","Nurse Practitioner",96369,1090.03,690.35]
[null,null,null,null,15,"Kern","Nurse Practitioner",96370,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",96370,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",96371,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96371,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96372,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96372,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96373,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96373,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96374,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96374,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96375,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96375,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96376,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96376,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",96377,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",96377,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",97550,654.99,251.08,null,43,"Santa Clara","Nurse Practitioner",97550,1090.03,417.84]
[null,null,null,null,15,"Kern","Nurse Practitioner",97551,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",97551,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",97552,654.99,109.17,null,43,"Santa Clara","Nurse Practitioner",97552,1090.03,181.67]
[null,null,null,null,15,"Kern","Nurse Practitioner",98966,654.99,87.33,null,43,"Santa Clara","Nurse Practitioner",98966,1090.03,145.34]
[null,null,null,null,15,"Kern","Nurse Practitioner",98967,654.99,174.66,null,43,"Santa Clara","Nurse Practitioner",98967,1090.03,290.67]
[null,null,null,null,15,"Kern","Nurse Practitioner",98968,654.99,283.83,null,43,"Santa Clara","Nurse Practitioner",98968,1090.03,472.35]
[null,null,null,null,15,"Kern","Nurse Practitioner",99202,654.99,240.16,null,43,"Santa Clara","Nurse Practitioner",99202,1090.03,399.68]
[null,null,null,null,15,"Kern","Nurse Practitioner",99203,654.99,403.91,null,43,"Santa Clara","Nurse Practitioner",99203,1090.03,672.19]
[null,null,null,null,15,"Kern","Nurse Practitioner",99204,654.99,567.66,null,43,"Santa Clara","Nurse Practitioner",99204,1090.03,944.69]
[null,null,null,null,15,"Kern","Nurse Practitioner",99205,654.99,731.41,null,43,"Santa Clara","Nurse Practitioner",99205,1090.03,1217.2]
[null,null,null,null,15,"Kern","Nurse Practitioner",99212,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",99212,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",99213,654.99,272.91000000000003,null,43,"Santa Clara","Nurse Practitioner",99213,1090.03,454.18]
[null,null,null,null,15,"Kern","Nurse Practitioner",99214,654.99,382.08,null,43,"Santa Clara","Nurse Practitioner",99214,1090.03,635.85]
[null,null,null,null,15,"Kern","Nurse Practitioner",99215,654.99,513.08000000000004,null,43,"Santa Clara","Nurse Practitioner",99215,1090.03,853.86]
[null,null,null,null,15,"Kern","Nurse Practitioner",99221,654.99,513.08000000000004,null,43,"Santa Clara","Nurse Practitioner",99221,1090.03,853.86]
[null,null,null,null,15,"Kern","Nurse Practitioner",99222,654.99,709.57,null,43,"Santa Clara","Nurse Practitioner",99222,1090.03,1180.8699999999999]
[null,null,null,null,15,"Kern","Nurse Practitioner",99223,654.99,895.15,null,43,"Santa Clara","Nurse Practitioner",99223,1090.03,1489.71]
[null,null,null,null,15,"Kern","Nurse Practitioner",99231,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",99231,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99232,654.99,458.49,null,43,"Santa Clara","Nurse Practitioner",99232,1090.03,763.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99233,654.99,622.24,null,43,"Santa Clara","Nurse Practitioner",99233,1090.03,1035.53]
[null,null,null,null,15,"Kern","Nurse Practitioner",99234,654.99,622.24,null,43,"Santa Clara","Nurse Practitioner",99234,1090.03,1035.53]
[null,null,null,null,15,"Kern","Nurse Practitioner",99235,654.99,840.57,null,43,"Santa Clara","Nurse Practitioner",99235,1090.03,1398.87]
[null,null,null,null,15,"Kern","Nurse Practitioner",99236,654.99,1004.32,null,43,"Santa Clara","Nurse Practitioner",99236,1090.03,1671.38]
[null,null,null,null,15,"Kern","Nurse Practitioner",99238,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",99238,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99239,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",99239,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",99242,654.99,272.91000000000003,null,43,"Santa Clara","Nurse Practitioner",99242,1090.03,454.18]
[null,null,null,null,15,"Kern","Nurse Practitioner",99243,654.99,382.08,null,43,"Santa Clara","Nurse Practitioner",99243,1090.03,635.85]
[null,null,null,null,15,"Kern","Nurse Practitioner",99244,654.99,513.08000000000004,null,43,"Santa Clara","Nurse Practitioner",99244,1090.03,853.86]
[null,null,null,null,15,"Kern","Nurse Practitioner",99245,654.99,676.82,null,43,"Santa Clara","Nurse Practitioner",99245,1090.03,1126.3599999999999]
[null,null,null,null,15,"Kern","Nurse Practitioner",99252,654.99,436.66,null,43,"Santa Clara","Nurse Practitioner",99252,1090.03,726.69]
[null,null,null,null,15,"Kern","Nurse Practitioner",99253,654.99,567.66,null,43,"Santa Clara","Nurse Practitioner",99253,1090.03,944.69]
[null,null,null,null,15,"Kern","Nurse Practitioner",99254,654.99,764.16,null,43,"Santa Clara","Nurse Practitioner",99254,1090.03,1271.7]
[null,null,null,null,15,"Kern","Nurse Practitioner",99255,654.99,949.74,null,43,"Santa Clara","Nurse Practitioner",99255,1090.03,1580.54]
[null,null,null,null,15,"Kern","Nurse Practitioner",99304,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",99304,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99305,654.99,458.49,null,43,"Santa Clara","Nurse Practitioner",99305,1090.03,763.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99306,654.99,622.24,null,43,"Santa Clara","Nurse Practitioner",99306,1090.03,1035.53]
[null,null,null,null,15,"Kern","Nurse Practitioner",99307,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",99307,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",99308,654.99,272.91000000000003,null,43,"Santa Clara","Nurse Practitioner",99308,1090.03,454.18]
[null,null,null,null,15,"Kern","Nurse Practitioner",99309,654.99,403.91,null,43,"Santa Clara","Nurse Practitioner",99309,1090.03,672.19]
[null,null,null,null,15,"Kern","Nurse Practitioner",99310,654.99,567.66,null,43,"Santa Clara","Nurse Practitioner",99310,1090.03,944.69]
[null,null,null,null,15,"Kern","Nurse Practitioner",99341,654.99,240.16,null,43,"Santa Clara","Nurse Practitioner",99341,1090.03,399.68]
[null,null,null,null,15,"Kern","Nurse Practitioner",99342,654.99,491.24,null,43,"Santa Clara","Nurse Practitioner",99342,1090.03,817.52]
[null,null,null,null,15,"Kern","Nurse Practitioner",99344,654.99,731.41,null,43,"Santa Clara","Nurse Practitioner",99344,1090.03,1217.2]
[null,null,null,null,15,"Kern","Nurse Practitioner",99345,654.99,895.15,null,43,"Santa Clara","Nurse Practitioner",99345,1090.03,1489.71]
[null,null,null,null,15,"Kern","Nurse Practitioner",99347,654.99,272.91000000000003,null,43,"Santa Clara","Nurse Practitioner",99347,1090.03,454.18]
[null,null,null,null,15,"Kern","Nurse Practitioner",99348,654.99,382.08,null,43,"Santa Clara","Nurse Practitioner",99348,1090.03,635.85]
[null,null,null,null,15,"Kern","Nurse Practitioner",99349,654.99,545.83000000000004,null,43,"Santa Clara","Nurse Practitioner",99349,1090.03,908.36]
[null,null,null,null,15,"Kern","Nurse Practitioner",99350,654.99,731.41,null,43,"Santa Clara","Nurse Practitioner",99350,1090.03,1217.2]
[null,null,null,null,15,"Kern","Nurse Practitioner",99366,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",99366,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",99368,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",99368,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",99415,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",99415,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner",99416,654.99,327.5,null,43,"Santa Clara","Nurse Practitioner",99416,1090.03,545.02]
[null,null,null,null,15,"Kern","Nurse Practitioner",99417,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",99417,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",99418,654.99,163.75,null,43,"Santa Clara","Nurse Practitioner",99418,1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner",99441,654.99,87.33,null,43,"Santa Clara","Nurse Practitioner",99441,1090.03,145.34]
[null,null,null,null,15,"Kern","Nurse Practitioner",99442,654.99,174.66,null,43,"Santa Clara","Nurse Practitioner",99442,1090.03,290.67]
[null,null,null,null,15,"Kern","Nurse Practitioner",99443,654.99,283.83,null,43,"Santa Clara","Nurse Practitioner",99443,1090.03,472.35]
[null,null,null,null,15,"Kern","Nurse Practitioner",99484,654.99,654.99,null,43,"Santa Clara","Nurse Practitioner",99484,1090.03,1090.03]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0316",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","G0316",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0539",654.99,251.08,null,43,"Santa Clara","Nurse Practitioner","G0539",1090.03,417.84]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0540",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","G0540",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0541",654.99,251.08,null,43,"Santa Clara","Nurse Practitioner","G0541",1090.03,417.84]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0542",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","G0542",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","G0543",654.99,109.17,null,43,"Santa Clara","Nurse Practitioner","G0543",1090.03,181.67]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0031",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H0031",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0032",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H0032",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0033",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H0033",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0034",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H0034",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0034",654.99,36.39,null,43,"Santa Clara","Nurse Practitioner","H0034",1090.03,60.56]
[null,null,null,null,15,"Kern","Nurse Practitioner","H0036",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H0036",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2000",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H2000",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2011",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H2011",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2017",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H2017",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2017",654.99,36.39,null,43,"Santa Clara","Nurse Practitioner","H2017",1090.03,60.56]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2019",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H2019",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","H2021",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","H2021",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","T1001",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","T1001",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","T1013",654.99,31.88,null,43,"Santa Clara","Nurse Practitioner","T1013",1090.03,31.88]
[null,null,null,null,15,"Kern","Nurse Practitioner","T1017",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","T1017",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","T2021",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","T2021",1090.03,272.51]
[null,null,null,null,15,"Kern","Nurse Practitioner","T2021",654.99,36.39,null,43,"Santa Clara","Nurse Practitioner","T2021",1090.03,60.56]
[null,null,null,null,15,"Kern","Nurse Practitioner","T2021",654.99,166.76,null,43,"Santa Clara","Nurse Practitioner","T2021",1090.03,275.52]
[null,null,null,null,15,"Kern","Nurse Practitioner","T2024",654.99,163.75,null,43,"Santa Clara","Nurse Practitioner","T2024",1090.03,272.51]
[null,null,null,null,15,"Kern","Occupational Therapist",90785,456.31,18.89,null,43,"Santa Clara","Occupational Therapist",90785,759.4,18.89]
[null,null,null,null,15,"Kern","Occupational Therapist",90887,456.31,380.26,null,43,"Santa Clara","Occupational Therapist",90887,759.4,632.83000000000004]
[null,null,null,null,15,"Kern","Occupational Therapist",96110,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",96110,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist",96112,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",96112,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist",96113,456.31,228.16,null,43,"Santa Clara","Occupational Therapist",96113,759.4,379.7]
[null,null,null,null,15,"Kern","Occupational Therapist",96125,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",96125,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist",96127,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",96127,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist",96161,456.31,114.08,null,43,"Santa Clara","Occupational Therapist",96161,759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist",96202,456.31,101.4,null,43,"Santa Clara","Occupational Therapist",96202,759.4,168.76]
[null,null,null,null,15,"Kern","Occupational Therapist",96203,456.31,25.35,null,43,"Santa Clara","Occupational Therapist",96203,759.4,42.19]
[null,null,null,null,15,"Kern","Occupational Therapist",97550,456.31,174.92,null,43,"Santa Clara","Occupational Therapist",97550,759.4,291.10000000000002]
[null,null,null,null,15,"Kern","Occupational Therapist",97551,456.31,114.08,null,43,"Santa Clara","Occupational Therapist",97551,759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist",97552,456.31,76.05,null,43,"Santa Clara","Occupational Therapist",97552,759.4,126.57]
[null,null,null,null,15,"Kern","Occupational Therapist",99366,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",99366,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist",99368,456.31,456.31,null,43,"Santa Clara","Occupational Therapist",99368,759.4,759.4]
[null,null,null,null,15,"Kern","Occupational Therapist","G0539",456.31,174.92,null,43,"Santa Clara","Occupational Therapist","G0539",759.4,291.10000000000002]
[null,null,null,null,15,"Kern","Occupational Therapist","G0540",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","G0540",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","G0541",456.31,174.92,null,43,"Santa Clara","Occupational Therapist","G0541",759.4,291.10000000000002]
[null,null,null,null,15,"Kern","Occupational Therapist","G0542",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","G0542",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","G0543",456.31,76.05,null,43,"Santa Clara","Occupational Therapist","G0543",759.4,126.57]
[null,null,null,null,15,"Kern","Occupational Therapist","H0031",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H0031",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H0032",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H0032",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H0033",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H0033",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H2000",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H2000",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H2011",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H2011",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H2017",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H2017",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H2017",456.31,25.35,null,43,"Santa Clara","Occupational Therapist","H2017",759.4,42.19]
[null,null,null,null,15,"Kern","Occupational Therapist","H2019",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H2019",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","H2021",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","H2021",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","T1013",456.31,31.88,null,43,"Santa Clara","Occupational Therapist","T1013",759.4,31.88]
[null,null,null,null,15,"Kern","Occupational Therapist","T1017",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","T1017",759.4,189.85]
[null,null,null,null,15,"Kern","Occupational Therapist","T2024",456.31,114.08,null,43,"Santa Clara","Occupational Therapist","T2024",759.4,189.85]
[null,null,null,null,15,"Kern","Other Qualified Practitioner",90785,257.89999999999998,18.89,null,43,"Santa Clara","Other Qualified Practitioner",90785,429.2,18.89]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H0031",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H0031",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H0032",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H0032",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H0033",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H0033",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H0034",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H0034",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H0034",257.89999999999998,14.33,null,43,"Santa Clara","Other Qualified Practitioner","H0034",429.2,23.84]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2000",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H2000",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2011",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H2011",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2017",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H2017",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2017",257.89999999999998,14.33,null,43,"Santa Clara","Other Qualified Practitioner","H2017",429.2,23.84]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2019",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H2019",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","H2021",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","H2021",429.2,107.3]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","T1013",257.89999999999998,31.88,null,43,"Santa Clara","Other Qualified Practitioner","T1013",429.2,31.88]
[null,null,null,null,15,"Kern","Other Qualified Practitioner","T1017",257.89999999999998,64.48,null,43,"Santa Clara","Other Qualified Practitioner","T1017",429.2,107.3]
[null,null,null,null,15,"Kern","Peer Support Specialists","H0025",270.8,15.04,null,43,"Santa Clara","Peer Support Specialists","H0025",450.66,25.04]
[null,null,null,null,15,"Kern","Peer Support Specialists","H0038",270.8,67.7,null,43,"Santa Clara","Peer Support Specialists","H0038",450.66,112.67]
[null,null,null,null,15,"Kern","Peer Support Specialists","T1013",270.8,31.88,null,43,"Santa Clara","Peer Support Specialists","T1013",450.66,31.88]
[null,null,null,null,15,"Kern","Physician Assistant",90785,590.74,18.89,null,43,"Santa Clara","Physician Assistant",90785,983.11,18.89]
[null,null,null,null,15,"Kern","Physician Assistant",90791,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90791,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90792,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90792,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90832,590.74,295.37,null,43,"Santa Clara","Physician Assistant",90832,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",90832,590.74,298.38,null,43,"Santa Clara","Physician Assistant",90832,983.11,494.57]
[null,null,null,null,15,"Kern","Physician Assistant",90833,590.74,295.37,null,43,"Santa Clara","Physician Assistant",90833,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",90833,590.74,298.38,null,43,"Santa Clara","Physician Assistant",90833,983.11,494.57]
[null,null,null,null,15,"Kern","Physician Assistant",90834,590.74,443.06,null,43,"Santa Clara","Physician Assistant",90834,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",90834,590.74,446.07,null,43,"Santa Clara","Physician Assistant",90834,983.11,740.34]
[null,null,null,null,15,"Kern","Physician Assistant",90836,590.74,443.06,null,43,"Santa Clara","Physician Assistant",90836,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",90836,590.74,446.07,null,43,"Santa Clara","Physician Assistant",90836,983.11,740.34]
[null,null,null,null,15,"Kern","Physician Assistant",90837,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90837,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90837,590.74,593.75,null,43,"Santa Clara","Physician Assistant",90837,983.11,986.12]
[null,null,null,null,15,"Kern","Physician Assistant",90838,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90838,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90838,590.74,593.75,null,43,"Santa Clara","Physician Assistant",90838,983.11,986.12]
[null,null,null,null,15,"Kern","Physician Assistant",90839,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90839,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90840,590.74,295.37,null,43,"Santa Clara","Physician Assistant",90840,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",90845,590.74,443.06,null,43,"Santa Clara","Physician Assistant",90845,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",90847,590.74,492.28,null,43,"Santa Clara","Physician Assistant",90847,983.11,819.26]
[null,null,null,null,15,"Kern","Physician Assistant",90849,590.74,183.79,null,43,"Santa Clara","Physician Assistant",90849,983.11,305.86]
[null,null,null,null,15,"Kern","Physician Assistant",90853,590.74,109.4,null,43,"Santa Clara","Physician Assistant",90853,983.11,182.06]
[null,null,null,null,15,"Kern","Physician Assistant",90865,590.74,886.11,null,43,"Santa Clara","Physician Assistant",90865,983.11,1474.67]
[null,null,null,null,15,"Kern","Physician Assistant",90867,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90867,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90868,590.74,147.69,null,43,"Santa Clara","Physician Assistant",90868,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",90869,590.74,443.06,null,43,"Santa Clara","Physician Assistant",90869,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",90870,590.74,196.91,null,43,"Santa Clara","Physician Assistant",90870,983.11,327.7]
[null,null,null,null,15,"Kern","Physician Assistant",90880,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90880,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90885,590.74,590.74,null,43,"Santa Clara","Physician Assistant",90885,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",90887,590.74,492.28,null,43,"Santa Clara","Physician Assistant",90887,983.11,819.26]
[null,null,null,null,15,"Kern","Physician Assistant",96105,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96105,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96110,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96110,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96112,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96112,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96113,590.74,295.37,null,43,"Santa Clara","Physician Assistant",96113,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",96116,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96116,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96121,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96121,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96125,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96125,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96127,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96127,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96130,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96130,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96131,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96131,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96132,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96132,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96133,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96133,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96136,590.74,295.37,null,43,"Santa Clara","Physician Assistant",96136,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",96137,590.74,295.37,null,43,"Santa Clara","Physician Assistant",96137,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",96146,590.74,590.74,null,43,"Santa Clara","Physician Assistant",96146,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",96161,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96161,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96202,590.74,131.28,null,43,"Santa Clara","Physician Assistant",96202,983.11,218.47]
[null,null,null,null,15,"Kern","Physician Assistant",96203,590.74,32.82,null,43,"Santa Clara","Physician Assistant",96203,983.11,54.62]
[null,null,null,null,15,"Kern","Physician Assistant",96365,590.74,452.9,null,43,"Santa Clara","Physician Assistant",96365,983.11,753.72]
[null,null,null,null,15,"Kern","Physician Assistant",96366,590.74,443.06,null,43,"Santa Clara","Physician Assistant",96366,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",96367,590.74,305.22000000000003,null,43,"Santa Clara","Physician Assistant",96367,983.11,507.94]
[null,null,null,null,15,"Kern","Physician Assistant",96368,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96368,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96369,590.74,374.14,null,43,"Santa Clara","Physician Assistant",96369,983.11,622.64]
[null,null,null,null,15,"Kern","Physician Assistant",96370,590.74,443.06,null,43,"Santa Clara","Physician Assistant",96370,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",96371,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96371,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96372,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96372,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96373,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96373,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96374,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96374,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96375,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96375,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96376,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96376,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",96377,590.74,147.69,null,43,"Santa Clara","Physician Assistant",96377,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",97550,590.74,226.45,null,43,"Santa Clara","Physician Assistant",97550,983.11,376.86]
[null,null,null,null,15,"Kern","Physician Assistant",97551,590.74,147.69,null,43,"Santa Clara","Physician Assistant",97551,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",97552,590.74,98.46,null,43,"Santa Clara","Physician Assistant",97552,983.11,163.85]
[null,null,null,null,15,"Kern","Physician Assistant",98966,590.74,78.77,null,43,"Santa Clara","Physician Assistant",98966,983.11,131.08000000000001]
[null,null,null,null,15,"Kern","Physician Assistant",98967,590.74,157.53,null,43,"Santa Clara","Physician Assistant",98967,983.11,262.16000000000003]
[null,null,null,null,15,"Kern","Physician Assistant",98968,590.74,255.99,null,43,"Santa Clara","Physician Assistant",98968,983.11,426.01]
[null,null,null,null,15,"Kern","Physician Assistant",99202,590.74,216.6,null,43,"Santa Clara","Physician Assistant",99202,983.11,360.47]
[null,null,null,null,15,"Kern","Physician Assistant",99203,590.74,364.29,null,43,"Santa Clara","Physician Assistant",99203,983.11,606.25]
[null,null,null,null,15,"Kern","Physician Assistant",99204,590.74,511.97,null,43,"Santa Clara","Physician Assistant",99204,983.11,852.03]
[null,null,null,null,15,"Kern","Physician Assistant",99205,590.74,659.66,null,43,"Santa Clara","Physician Assistant",99205,983.11,1097.81]
[null,null,null,null,15,"Kern","Physician Assistant",99212,590.74,147.69,null,43,"Santa Clara","Physician Assistant",99212,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",99213,590.74,246.14,null,43,"Santa Clara","Physician Assistant",99213,983.11,409.63]
[null,null,null,null,15,"Kern","Physician Assistant",99214,590.74,344.6,null,43,"Santa Clara","Physician Assistant",99214,983.11,573.48]
[null,null,null,null,15,"Kern","Physician Assistant",99215,590.74,462.75,null,43,"Santa Clara","Physician Assistant",99215,983.11,770.1]
[null,null,null,null,15,"Kern","Physician Assistant",99221,590.74,462.75,null,43,"Santa Clara","Physician Assistant",99221,983.11,770.1]
[null,null,null,null,15,"Kern","Physician Assistant",99222,590.74,639.97,null,43,"Santa Clara","Physician Assistant",99222,983.11,1065.04]
[null,null,null,null,15,"Kern","Physician Assistant",99223,590.74,807.34,null,43,"Santa Clara","Physician Assistant",99223,983.11,1343.58]
[null,null,null,null,15,"Kern","Physician Assistant",99231,590.74,295.37,null,43,"Santa Clara","Physician Assistant",99231,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",99232,590.74,413.52,null,43,"Santa Clara","Physician Assistant",99232,983.11,688.18]
[null,null,null,null,15,"Kern","Physician Assistant",99233,590.74,561.20000000000005,null,43,"Santa Clara","Physician Assistant",99233,983.11,933.95]
[null,null,null,null,15,"Kern","Physician Assistant",99234,590.74,561.20000000000005,null,43,"Santa Clara","Physician Assistant",99234,983.11,933.95]
[null,null,null,null,15,"Kern","Physician Assistant",99235,590.74,758.12,null,43,"Santa Clara","Physician Assistant",99235,983.11,1261.6600000000001]
[null,null,null,null,15,"Kern","Physician Assistant",99236,590.74,905.8,null,43,"Santa Clara","Physician Assistant",99236,983.11,1507.44]
[null,null,null,null,15,"Kern","Physician Assistant",99238,590.74,295.37,null,43,"Santa Clara","Physician Assistant",99238,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",99239,590.74,590.74,null,43,"Santa Clara","Physician Assistant",99239,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",99242,590.74,246.14,null,43,"Santa Clara","Physician Assistant",99242,983.11,409.63]
[null,null,null,null,15,"Kern","Physician Assistant",99243,590.74,344.6,null,43,"Santa Clara","Physician Assistant",99243,983.11,573.48]
[null,null,null,null,15,"Kern","Physician Assistant",99244,590.74,462.75,null,43,"Santa Clara","Physician Assistant",99244,983.11,770.1]
[null,null,null,null,15,"Kern","Physician Assistant",99245,590.74,610.42999999999995,null,43,"Santa Clara","Physician Assistant",99245,983.11,1015.88]
[null,null,null,null,15,"Kern","Physician Assistant",99252,590.74,393.83,null,43,"Santa Clara","Physician Assistant",99252,983.11,655.41]
[null,null,null,null,15,"Kern","Physician Assistant",99253,590.74,511.97,null,43,"Santa Clara","Physician Assistant",99253,983.11,852.03]
[null,null,null,null,15,"Kern","Physician Assistant",99254,590.74,689.2,null,43,"Santa Clara","Physician Assistant",99254,983.11,1146.96]
[null,null,null,null,15,"Kern","Physician Assistant",99255,590.74,856.57,null,43,"Santa Clara","Physician Assistant",99255,983.11,1425.51]
[null,null,null,null,15,"Kern","Physician Assistant",99304,590.74,295.37,null,43,"Santa Clara","Physician Assistant",99304,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",99305,590.74,413.52,null,43,"Santa Clara","Physician Assistant",99305,983.11,688.18]
[null,null,null,null,15,"Kern","Physician Assistant",99306,590.74,561.20000000000005,null,43,"Santa Clara","Physician Assistant",99306,983.11,933.95]
[null,null,null,null,15,"Kern","Physician Assistant",99307,590.74,147.69,null,43,"Santa Clara","Physician Assistant",99307,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",99308,590.74,246.14,null,43,"Santa Clara","Physician Assistant",99308,983.11,409.63]
[null,null,null,null,15,"Kern","Physician Assistant",99309,590.74,364.29,null,43,"Santa Clara","Physician Assistant",99309,983.11,606.25]
[null,null,null,null,15,"Kern","Physician Assistant",99310,590.74,511.97,null,43,"Santa Clara","Physician Assistant",99310,983.11,852.03]
[null,null,null,null,15,"Kern","Physician Assistant",99341,590.74,216.6,null,43,"Santa Clara","Physician Assistant",99341,983.11,360.47]
[null,null,null,null,15,"Kern","Physician Assistant",99342,590.74,443.06,null,43,"Santa Clara","Physician Assistant",99342,983.11,737.33]
[null,null,null,null,15,"Kern","Physician Assistant",99344,590.74,659.66,null,43,"Santa Clara","Physician Assistant",99344,983.11,1097.81]
[null,null,null,null,15,"Kern","Physician Assistant",99345,590.74,807.34,null,43,"Santa Clara","Physician Assistant",99345,983.11,1343.58]
[null,null,null,null,15,"Kern","Physician Assistant",99347,590.74,246.14,null,43,"Santa Clara","Physician Assistant",99347,983.11,409.63]
[null,null,null,null,15,"Kern","Physician Assistant",99348,590.74,344.6,null,43,"Santa Clara","Physician Assistant",99348,983.11,573.48]
[null,null,null,null,15,"Kern","Physician Assistant",99349,590.74,492.28,null,43,"Santa Clara","Physician Assistant",99349,983.11,819.26]
[null,null,null,null,15,"Kern","Physician Assistant",99350,590.74,659.66,null,43,"Santa Clara","Physician Assistant",99350,983.11,1097.81]
[null,null,null,null,15,"Kern","Physician Assistant",99366,590.74,590.74,null,43,"Santa Clara","Physician Assistant",99366,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",99368,590.74,590.74,null,43,"Santa Clara","Physician Assistant",99368,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",99415,590.74,590.74,null,43,"Santa Clara","Physician Assistant",99415,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant",99416,590.74,295.37,null,43,"Santa Clara","Physician Assistant",99416,983.11,491.56]
[null,null,null,null,15,"Kern","Physician Assistant",99417,590.74,147.69,null,43,"Santa Clara","Physician Assistant",99417,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",99418,590.74,147.69,null,43,"Santa Clara","Physician Assistant",99418,983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant",99441,590.74,78.77,null,43,"Santa Clara","Physician Assistant",99441,983.11,131.08000000000001]
[null,null,null,null,15,"Kern","Physician Assistant",99442,590.74,157.53,null,43,"Santa Clara","Physician Assistant",99442,983.11,262.16000000000003]
[null,null,null,null,15,"Kern","Physician Assistant",99443,590.74,255.99,null,43,"Santa Clara","Physician Assistant",99443,983.11,426.01]
[null,null,null,null,15,"Kern","Physician Assistant",99484,590.74,590.74,null,43,"Santa Clara","Physician Assistant",99484,983.11,983.11]
[null,null,null,null,15,"Kern","Physician Assistant","G0316",590.74,147.69,null,43,"Santa Clara","Physician Assistant","G0316",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","G0539",590.74,226.45,null,43,"Santa Clara","Physician Assistant","G0539",983.11,376.86]
[null,null,null,null,15,"Kern","Physician Assistant","G0540",590.74,147.69,null,43,"Santa Clara","Physician Assistant","G0540",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","G0541",590.74,226.45,null,43,"Santa Clara","Physician Assistant","G0541",983.11,376.86]
[null,null,null,null,15,"Kern","Physician Assistant","G0542",590.74,147.69,null,43,"Santa Clara","Physician Assistant","G0542",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","G0543",590.74,98.46,null,43,"Santa Clara","Physician Assistant","G0543",983.11,163.85]
[null,null,null,null,15,"Kern","Physician Assistant","H0031",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H0031",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H0032",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H0032",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H0033",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H0033",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H0034",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H0034",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H0034",590.74,32.82,null,43,"Santa Clara","Physician Assistant","H0034",983.11,54.62]
[null,null,null,null,15,"Kern","Physician Assistant","H0036",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H0036",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H2000",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H2000",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H2011",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H2011",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H2017",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H2017",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H2017",590.74,32.82,null,43,"Santa Clara","Physician Assistant","H2017",983.11,54.62]
[null,null,null,null,15,"Kern","Physician Assistant","H2019",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H2019",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","H2021",590.74,147.69,null,43,"Santa Clara","Physician Assistant","H2021",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","T1013",590.74,31.88,null,43,"Santa Clara","Physician Assistant","T1013",983.11,31.88]
[null,null,null,null,15,"Kern","Physician Assistant","T1017",590.74,147.69,null,43,"Santa Clara","Physician Assistant","T1017",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","T2021",590.74,147.69,null,43,"Santa Clara","Physician Assistant","T2021",983.11,245.78]
[null,null,null,null,15,"Kern","Physician Assistant","T2021",590.74,32.82,null,43,"Santa Clara","Physician Assistant","T2021",983.11,54.62]
[null,null,null,null,15,"Kern","Physician Assistant","T2021",590.74,150.69999999999999,null,43,"Santa Clara","Physician Assistant","T2021",983.11,248.79]
[null,null,null,null,15,"Kern","Physician Assistant","T2024",590.74,147.69,null,43,"Santa Clara","Physician Assistant","T2024",983.11,245.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90785,529.72,18.89,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90785,881.56,18.89]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90791,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90791,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90832,529.72,264.86,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90832,881.56,440.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90832,529.72,267.87,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90832,881.56,443.79]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90834,529.72,397.29,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90834,881.56,661.17]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90834,529.72,400.3,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90834,881.56,664.18]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90837,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90837,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90837,529.72,532.73,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90837,881.56,884.57]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90839,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90839,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90840,529.72,264.86,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90840,881.56,440.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90845,529.72,397.29,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90845,881.56,661.17]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90847,529.72,441.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90847,881.56,734.63]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90849,529.72,164.8,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90849,881.56,274.26]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90853,529.72,98.1,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90853,881.56,163.25]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90880,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90880,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90885,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90885,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",90887,529.72,441.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",90887,881.56,734.63]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96105,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96105,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96110,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96110,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96112,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96112,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96113,529.72,264.86,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96113,881.56,440.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96116,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96116,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96121,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96121,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96125,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96125,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96127,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96127,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96130,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96130,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96131,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96131,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96132,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96132,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96133,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96133,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96136,529.72,264.86,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96136,881.56,440.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96137,529.72,264.86,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96137,881.56,440.78]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96146,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96146,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96161,529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96161,881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96202,529.72,117.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96202,881.56,195.9]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",96203,529.72,29.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",96203,881.56,48.98]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",97550,529.72,203.06,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",97550,881.56,337.93]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",97551,529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",97551,881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",97552,529.72,88.29,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",97552,881.56,146.93]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",98966,529.72,70.63,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",98966,881.56,117.54]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",98967,529.72,141.26,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",98967,881.56,235.08]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",98968,529.72,229.55,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",98968,881.56,382.01]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",99366,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",99366,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",99368,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",99368,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)",99484,529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)",99484,881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0323",529.72,529.72,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0323",881.56,881.56]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0539",529.72,203.06,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0539",881.56,337.93]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0540",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0540",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0541",529.72,203.06,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0541",881.56,337.93]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0542",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0542",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","G0543",529.72,88.29,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","G0543",881.56,146.93]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H0031",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H0031",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H0032",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H0032",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H0033",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H0033",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H0036",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H0036",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2000",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2000",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2011",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2011",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2017",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2017",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2017",529.72,29.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2017",881.56,48.98]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2019",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2019",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","H2021",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","H2021",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T1013",529.72,31.88,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T1013",881.56,31.88]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T1017",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T1017",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T2021",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T2021",881.56,220.39]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T2021",529.72,29.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T2021",881.56,48.98]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T2021",529.72,135.44,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T2021",881.56,223.4]
[null,null,null,null,15,"Kern","Psychologist (Licensed or Waivered)","T2024",529.72,132.43,null,43,"Santa Clara","Psychologist (Licensed or Waivered)","T2024",881.56,220.39]
[null,null,null,null,15,"Kern","Registered Nurse",90785,535.01,18.89,null,43,"Santa Clara","Registered Nurse",90785,890.37,18.89]
[null,null,null,null,15,"Kern","Registered Nurse",90887,535.01,445.84,null,43,"Santa Clara","Registered Nurse",90887,890.37,741.98]
[null,null,null,null,15,"Kern","Registered Nurse",96110,535.01,535.01,null,43,"Santa Clara","Registered Nurse",96110,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",96116,535.01,535.01,null,43,"Santa Clara","Registered Nurse",96116,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",96121,535.01,535.01,null,43,"Santa Clara","Registered Nurse",96121,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",96127,535.01,535.01,null,43,"Santa Clara","Registered Nurse",96127,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",96161,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96161,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96202,535.01,118.89,null,43,"Santa Clara","Registered Nurse",96202,890.37,197.86]
[null,null,null,null,15,"Kern","Registered Nurse",96203,535.01,29.72,null,43,"Santa Clara","Registered Nurse",96203,890.37,49.47]
[null,null,null,null,15,"Kern","Registered Nurse",96365,535.01,410.17,null,43,"Santa Clara","Registered Nurse",96365,890.37,682.62]
[null,null,null,null,15,"Kern","Registered Nurse",96366,535.01,401.26,null,43,"Santa Clara","Registered Nurse",96366,890.37,667.78]
[null,null,null,null,15,"Kern","Registered Nurse",96367,535.01,276.42,null,43,"Santa Clara","Registered Nurse",96367,890.37,460.02]
[null,null,null,null,15,"Kern","Registered Nurse",96368,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96368,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96369,535.01,338.84,null,43,"Santa Clara","Registered Nurse",96369,890.37,563.9]
[null,null,null,null,15,"Kern","Registered Nurse",96370,535.01,401.26,null,43,"Santa Clara","Registered Nurse",96370,890.37,667.78]
[null,null,null,null,15,"Kern","Registered Nurse",96371,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96371,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96372,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96372,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96373,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96373,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96374,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96374,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96375,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96375,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96376,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96376,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",96377,535.01,133.75,null,43,"Santa Clara","Registered Nurse",96377,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",97550,535.01,205.09,null,43,"Santa Clara","Registered Nurse",97550,890.37,341.31]
[null,null,null,null,15,"Kern","Registered Nurse",97551,535.01,133.75,null,43,"Santa Clara","Registered Nurse",97551,890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse",97552,535.01,89.17,null,43,"Santa Clara","Registered Nurse",97552,890.37,148.4]
[null,null,null,null,15,"Kern","Registered Nurse",99366,535.01,535.01,null,43,"Santa Clara","Registered Nurse",99366,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",99368,535.01,535.01,null,43,"Santa Clara","Registered Nurse",99368,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse",99484,535.01,535.01,null,43,"Santa Clara","Registered Nurse",99484,890.37,890.37]
[null,null,null,null,15,"Kern","Registered Nurse","G0539",535.01,205.09,null,43,"Santa Clara","Registered Nurse","G0539",890.37,341.31]
[null,null,null,null,15,"Kern","Registered Nurse","G0540",535.01,133.75,null,43,"Santa Clara","Registered Nurse","G0540",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","G0541",535.01,205.09,null,43,"Santa Clara","Registered Nurse","G0541",890.37,341.31]
[null,null,null,null,15,"Kern","Registered Nurse","G0542",535.01,133.75,null,43,"Santa Clara","Registered Nurse","G0542",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","G0543",535.01,89.17,null,43,"Santa Clara","Registered Nurse","G0543",890.37,148.4]
[null,null,null,null,15,"Kern","Registered Nurse","H0031",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H0031",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H0032",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H0032",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H0033",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H0033",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H0034",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H0034",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H0034",535.01,29.72,null,43,"Santa Clara","Registered Nurse","H0034",890.37,49.47]
[null,null,null,null,15,"Kern","Registered Nurse","H2000",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H2000",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H2011",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H2011",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H2017",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H2017",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H2017",535.01,29.72,null,43,"Santa Clara","Registered Nurse","H2017",890.37,49.47]
[null,null,null,null,15,"Kern","Registered Nurse","H2019",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H2019",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","H2021",535.01,133.75,null,43,"Santa Clara","Registered Nurse","H2021",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","T1001",535.01,133.75,null,43,"Santa Clara","Registered Nurse","T1001",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","T1013",535.01,31.88,null,43,"Santa Clara","Registered Nurse","T1013",890.37,31.88]
[null,null,null,null,15,"Kern","Registered Nurse","T1017",535.01,133.75,null,43,"Santa Clara","Registered Nurse","T1017",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Nurse","T2024",535.01,133.75,null,43,"Santa Clara","Registered Nurse","T2024",890.37,222.59]
[null,null,null,null,15,"Kern","Registered Pharmacist",90785,630.49,18.89,null,43,"Santa Clara","Registered Pharmacist",90785,1049.26,18.89]
[null,null,null,null,15,"Kern","Registered Pharmacist",90887,630.49,525.41,null,43,"Santa Clara","Registered Pharmacist",90887,1049.26,874.38]
[null,null,null,null,15,"Kern","Registered Pharmacist",96161,630.49,157.62,null,43,"Santa Clara","Registered Pharmacist",96161,1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist",96202,630.49,140.11000000000001,null,43,"Santa Clara","Registered Pharmacist",96202,1049.26,233.17]
[null,null,null,null,15,"Kern","Registered Pharmacist",96203,630.49,35.03,null,43,"Santa Clara","Registered Pharmacist",96203,1049.26,58.29]
[null,null,null,null,15,"Kern","Registered Pharmacist",97550,630.49,241.69,null,43,"Santa Clara","Registered Pharmacist",97550,1049.26,402.22]
[null,null,null,null,15,"Kern","Registered Pharmacist",97551,630.49,157.62,null,43,"Santa Clara","Registered Pharmacist",97551,1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist",97552,630.49,105.08,null,43,"Santa Clara","Registered Pharmacist",97552,1049.26,174.88]
[null,null,null,null,15,"Kern","Registered Pharmacist",99366,630.49,630.49,null,43,"Santa Clara","Registered Pharmacist",99366,1049.26,1049.26]
[null,null,null,null,15,"Kern","Registered Pharmacist",99368,630.49,630.49,null,43,"Santa Clara","Registered Pharmacist",99368,1049.26,1049.26]
[null,null,null,null,15,"Kern","Registered Pharmacist",99484,630.49,630.49,null,43,"Santa Clara","Registered Pharmacist",99484,1049.26,1049.26]
[null,null,null,null,15,"Kern","Registered Pharmacist",99605,630.49,157.62,null,43,"Santa Clara","Registered Pharmacist",99605,1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist",99606,630.49,157.62,null,43,"Santa Clara","Registered Pharmacist",99606,1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist",99607,630.49,157.62,null,43,"Santa Clara","Registered Pharmacist",99607,1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","G0539",630.49,241.69,null,43,"Santa Clara","Registered Pharmacist","G0539",1049.26,402.22]
[null,null,null,null,15,"Kern","Registered Pharmacist","G0540",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","G0540",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","G0541",630.49,241.69,null,43,"Santa Clara","Registered Pharmacist","G0541",1049.26,402.22]
[null,null,null,null,15,"Kern","Registered Pharmacist","G0542",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","G0542",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","G0543",630.49,105.08,null,43,"Santa Clara","Registered Pharmacist","G0543",1049.26,174.88]
[null,null,null,null,15,"Kern","Registered Pharmacist","H0031",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H0031",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H0032",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H0032",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H0033",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H0033",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H0034",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H0034",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H0034",630.49,35.03,null,43,"Santa Clara","Registered Pharmacist","H0034",1049.26,58.29]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2000",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H2000",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2011",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H2011",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2017",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H2017",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2017",630.49,35.03,null,43,"Santa Clara","Registered Pharmacist","H2017",1049.26,58.29]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2019",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H2019",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","H2021",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","H2021",1049.26,262.32]
[null,null,null,null,15,"Kern","Registered Pharmacist","T1013",630.49,31.88,null,43,"Santa Clara","Registered Pharmacist","T1013",1049.26,31.88]
[null,null,null,null,15,"Kern","Registered Pharmacist","T1017",630.49,157.62,null,43,"Santa Clara","Registered Pharmacist","T1017",1049.26,262.32]